HICORE — Hawaii Initiative for Childhood Obesity Research and Education
Research / Research Resources

Research Resources

Resources for Research in Hawaii and/or on Native Hawaiians and Pacific Islanders


The John A. Burns School of Medicine is one of five U.S. academic institutions funded through the National Institutes of Health's Research Centers in Minority Institutions. That's the "R." MATRIX stands for Multidisciplinary And Translational Research Infrastructure Expansion. Translational research rapidly transfers research findings to treatment settings to benefit patients. Dr. Jerris Hedges, Dean of the John A. Burns School of Medicine and lead investigator for the grant, said it builds upon years of successful research at the medical school by scientists in its Department of Native Hawaiian Health and numerous other departments and centers.

Publich Health: Obesity Resources

A collection of resources intended to be a useful supplement for public health professionals and students struggling to get a grip on the obesity crisis in America.
Information is compiled on obesity for students already majoring in a medical related field, or just investigating career paths. Resources on obesity includes:
 • Open access journals
 • OpenCourseWare
 • Research organizations
 • Professional organizations
 • Public awareness organizations

Chartbook on Health Conditions and Behaviors of Native Hawaiian and Pacific Islander Persons in the United States, 2014

On July 21, 2017 the CDC-National Center for Health Statistics released of the Chartbook on Health Conditions and Behaviors of Native Hawaiian and Pacific Islander Persons in the United States, 2014. This 2014 NHPI National Health Interview Survey is an unprecedented survey, establishing essential baseline information on the health conditions and behaviors of the NHPI population and select groups.

NCHS Data Brief, Number 277 March 2017 Selected Health Conditions Among Native Hawaiian and Pacific Islander Adults: United States, 2014.

Although the Asian or Pacific Islander federal race category was split into two in 1997 (1), few reliable health statistics are available for the Native Hawaiian and Pacific Islander (NHPI) population. In 2014, the National Center for Health Statistics (NCHS) fielded a first-of-its-kind federal survey focused exclusively on NHPI population health. This report uses data from that survey, in combination with 2014 data from the annual National Health Interview Survey (NHIS), to highlight differences in the prevalence of selected health conditions between the NHPI population and the Asian population with whom they have historically been combined. Click here to download.

Hawai'i Health Data Warehouse

Access information on hundreds of health measures for residents of the state. View data by geography and demographics to understand how health behaviors and outcomes differ acrsoss our diverse population. Use the interactive data tool to query the data directly to find the exact information you need. Click here to be directed to the site.

State of Hawaii Department of Human Services Databook

Management Services Office Research Staff, January 2013

A Community of Contrasts Native Hawaiians and Pacific Islanders

In this context, A Community of Contrasts: Native Hawaiians and Pacific Islanders in the United States, 2014 is a useful tool for navigating a broad array of pressing issues facing the NHPI community while encouraging meaningful partnerships to address those issues. The authors acknowledge that many of the issues deserve more in-depth treatment than is possible to give in this report. Click here to download report. Also see more information from EPIC (Empowering Pacific Islander Communities) here.

Native Hawaiian Health Study

(Assessment & Priorities for Health & Well-being in Native Hawaiian and Other Pacific Islanders)

Released by JABSOM/Dept of Native Hawaiian Health. Includes demographics, health disparities, determinants of health, etc.

Understanding Hawai‘i’s federally subsidized public school lunch program requirements and Hawai‘i Department of Education’s food safety requirements

Most of us are aware that eating more fruits and vegetables can improve our health. With the rise in child-hood obesity, it is becoming increasingly apparent that children, as well as adults, will benefit from this change. Buying that produce from Hawai‘i farmers is equally desirable for reasons of freshness, self-sufficiency, and sustainability. This fact sheet provides some general considerations when thinking about these two opportunities in the public school lunch program.

Youth Risk Behavior Survey 2013

The Youth Risk Behavior Survey (YRBS) monitors six categories of priority health risk behaviors among youth and young adults — behaviors that contribute to unintentional injuries and violence; tobacco use; alcohol and other drug use; sexual behaviors that contribute to unintended pregnancy and sexually transmitted diseases (STDs), including human immunodeficiency virus (HIV) infection; unhealthy dietary behaviors; and physical inactivity —plus overweight.


YRBS Report

Discover New Measures and Reports in Vital Statistics

HHDW has updated its Vital Statistics section with new measures and reports! Live birth data are now available as percentage of births, in addition to counts. Resident deaths are now displayed as counts, age-adjusted mortality rates (AAMR), and years of productive life lost (YPLL) before age 75. These new measures make birth and death rate comparisons across groups feasible, and the YPLL gives an estimate of the burden of mortality.

Check out these interesting facts and browse the new Vitals reports:

• The rate of deliveries by cesarean section has steadily increased since 2000, from 14.9% to 27.7% in 2010. This mirrors the trend observed nationally, which stood at 32.9% in 2009. Cesarean deliveries may increase the risk of morbidity for both the mother and infant, and result in longer hospital stays and greater expense. For more information, click here.

• Between 2006 and 2008, Hawaii County had the highest age-adjusted mortality rate due to coronary heart disease among the counties: 108.6 deaths per 100,000 people. Honolulu County demonstrated the lowest rate, at 76.5 deaths per 100,000 people. Heart disease remains the number one cause of death in the United States and Hawaii. For more information, click here.

Pacific Diabetes Education Program (PDEP)

PDEP was a five-year project (2005-2010) funded by the Centers for Disease Control and Prevention (CA #05014) to improve the availability and dissemination of culturally and linguistically appropriate diabetes education materials. PDEP is a program of Papa Ola Lokahi, a community organization that focuses on Native Hawaiian health.

The Pacific Diabetes Education Program (PDEP) grant ended in February 2010. However, you can still use our website to access over 40 different diabetes education materials and resources that were created especially by and for Native Hawaiians and Pacific Islanders. You can also find resources created by the Pacific Diabetes Today Resource Center (PDTRC) there. Materials are provided in the following languages: English, Marshallese, Kosraean, Palauan, Pohnpeian, Yapese, Chuukese and Samoan.

Click here to learn more.

Nutrition Data and Content Analysis Resources

Search the following sites to learn more about the nutrition facts behind all of the foods you eat to include recipes. The Nutrition Data Website offers the opportunity to search any food and provide a detailed list of nutrition facts, calories, fatty acid content, to include vitamins and minerals.

The recipe calculator site allows you to input your recipe list and determine each ingredients nutritional value to total it up to a nutritional label based on servings.

Also provided is a link to the Department of Educations wellness guidlines for students. Not all food or beverages sold at school or sponsored events comply with the USDA Dietary Guidlines. The Guidelines provide authoritative advice for people two years and older about how good dietary habits can promote health and reduce risk for major chronic diseases. They serve as the basis for Federal food and nutrition education programs.

For nutrition data go to http://nutritiondata.self.com/

For recipe calculator go to http://recipes.sparkpeople.com/recipe-calculator.asp

For the DOE wellness guidelines go to http://doe.k12.hi.us/foodservice/toolkit/nutritionstandards/ns2.htm

Broken Promises, Shattered Lives: The Case for Justice for Micronesians In Hawaii

This report was compiled in response to the growing political controversy surrounding the presence of COFA (Compacts of Free Association) migrants in Hawai‘i, to raise awareness of  the systemic challenges that affect this community and to shift the discussion from one focused on resources to one centered on civil and human rights. COFA are a series of treaties between the United States and the Federated States of Micronesia, Republic of Palau and Republic of the Marshall Islands. Under these treaties, the U.S. exercises strategic control of more than a million square miles of the Pacific between Hawai‘i and Guam and significant economic control of the three nations.

Overweight and At-Risk for Overweight Among Hawai'i Public School Students Entering Kindergarten, 2002-2003

To provide a population based estimate of overweight in Hawai'is children, this study examined Student Health Records for 10,199 children entering kindergarten in public schools during 2002-2003. The number of overweight children in the United States has doubled in the past 20-30 years, with similar patterns occurring throughout the world.Overall, the state totals reveal high proportions of 4 & 5-year-olds entering Hawai‘i public schools overweight and at-risk for overweight. In general, this study suggests that rural communities on O‘ahu and O‘ahu’s Neighbor island communities are more likely to have kindergarteners entering schools overweight or at risk for overweight. Click here for study.

Hawaii Community Health Needs Assessment - Community Voices on Health

A 2010 health needs assessment compiles information about existing health issues and trends as well as resources within a community. This information can reveal disparities, gaps, prevalence of disease, and social and economic factors that create barriers to a community’s optimal health.

Community Voices on Health was commissioned by Kaiser Permanente Hawaii and includes information from health care experts, policymakers, and community members. Hundreds of individuals and dozens of social service and public health organizations contributed data, feedback and input.

Hawai'i Medical Journal Childhood Obesity Special Issue

The Hawaii Medical Journal published a HICORE supplement to their July 2011 issue:

The purpose of this supplement is to start to look at and evaluate evidence of the burden of obesity in Hawai‘i and to present potential options for the management of obesity at the community level. It represents the efforts of local researchers, it provides an excellent overview of the obesity situation in Hawai‘i, and it helps us to elucidate some of the social factors infl uencing the rate of obesity in

The Journal’s aim is to provide new scientifi c information in a scholarly manner,
with a focus on the unique, multicultural, and environmental aspects
of the Hawaiian Islands and Pacifi c Rim region.

To see the issue, click here.  

Center for Native and Pacific Health Disparities Research

A new Center for Native and Pacific Health Disparities Research (the Center) has been established at the University of Hawai'i at Mānoa. Located in the Department of Native Hawaiian Health at the John A. Burns School of Medicine, the centers long-term mission goes beyond any single department or school. The Center will serve as a regional focal point for research designed to eliminate health disparities and improve health outcomes for populations in the Pacific region including Native and Pacific Peoples.

Through research studies, research training and engaging communities, the Center will combat those disparities. Funding is from a 5-year, $7.3 million grant from the National Center on Minority Health and Health Disparities (NCMHD) and the National Institutes of Health.

Hawaii State Department of Health "Overweight / Obesity and Pregnancy: Pregnancy Risk Assessment Monitoring"

Discusses the preconceptions of being overweight or obese, outcomes association with these preconceptions, and characteristics of mothers who hold these preconceptions. 

U.S. Department of Health and Human Services "The Obesity Epidemic and Hawaii Students"

Evaluates the 2009 Hawaii Youth Risk Behavior Survey and 2008 Hawaii School Health Profiles and how they relate to obesity. Lists solutions such as better health education, more PE and physical activity programs, and healthier school environments. 

National Initiative for Children's Healthcare Quality

Childhood Obesity Action Network - Hawaii Report Card

States statistics on the childhood obesity epidemic in Hawaii. Presents what state initiatives, schools standards, and policy options Hawaii is taking and not taking to remedy the epidemic. Compares Hawaii's figures with National. 

County Health Rankings

The County Health Rankings show us that where we live matters to our health. The health of a community depends on many different factors – ranging from individual health behaviors, education and jobs, to quality of health care, to the environment. This collection of 50 reports – one per state – helps community leaders see that where we live, learn, work, and play influences how healthy we are and how long we live.

Health Trends in Hawai‘i: A Profile of the Health Care System

The HMSA Foundation sponsored the production of both www.healthtrends.org and Health Trends in Hawai‘i, consistent with its commitment to improving health in Hawai‘i through grantmaking, strategic initiatives, publications, and community-wide programs. Hawaii Health Information Corporation (HHIC) produced both the website and the publication, drawing upon multiple state and federal data sources. HHIC has been providing quality health care information in Hawai‘i since 1994.

Hawaii Health Data Warehouse

In an attempt to standardize the collection and management of Hawaii’s health data and support the goal of the Healthy People 2010, the Department of Health established the Hawaii Health Data Warehouse or HHDW. HHDW was formerly called the Hawaii Outcomes Institute, established in 2000 as a part of the Healthy Hawaii Initiative.

Hawaii Health Matters

Healthy Hawaii is a one-stop source of non-biased data and information about community health on the islands, and healthy communities in general. It is intended to help planners, policy makers, and community members learn about issues and identify improvements.

Center on the Family at the University of Hawaii Manoa

This site provides a comprehensive overview of the Center on the Family projects and activities, links to downloadable publications, databases on children, families, and the aging, and other relevant resources. The Centers mission is to enhance interdisciplinary research, service, and education that supports and strengthens families.

Hawaii Department of Health Health Statistics

This site provides links to large surveys conducted by the Hawaii Department of Health including the Behavioral Risk Factor Surveillance System, the Hawaii Health Survey and Hawaii Vital Statistics.

Kamehameha Schools Data and Population Statistics

The Research and Evaluation department researches specific topics based on emergent needs and interests of both internal and external stakeholders. The DataBoard is a preliminary effort to make these data available to a larger audience.

Kamehameha Schools Research: Hawaiian Education and Well-being

The Research and Evaluation division examines Hawaiian education from a multidisciplinary perspective. Study findings inform decision making at Kamehameha Schools and enhance community awareness of Hawaiian well-being.

State of Hawaii Data Book

The State of Hawaii Data Book is the official summary of statistics on the social, economic, and political organization of Hawaii. The latest edition closely follows the organization and format of its counterpart, the Statistical Abstract of the United States, to facilitate comparison of state and national data.

Papa Ola Lokahi

To improve the health status and wellbeing of Native Hawaiians and others by advocating for, initiating and maintaining culturally appropriate strategic actions aimed at improving the physical, mental and spiritual health of Native Hawaiians and their ‘ohana (families) and empowering them to determine their own destinies.

Micronesian Seminar

Micronesian Seminar (MicSem) is a research-pastoral institute founded by the Catholic Church in 1972. Its main mission is community education, although it has engaged in social and historical research. For 30 years, MicSem has served the people of what was once the Trust Territory of the Pacific--the Federated States of Micronesia, Palau, the Marshall Islands, and the Commonwealth of the Northern Mariana Islands.

Data Matters E-Newsletter

Over the past year, Data Matters featured a series of briefs examining relationships among culture-based education (CBE) and student outcomes. A summary report of the Hawaiian Cultural Influences in Education study is now available, which includes previously unreleased results from multilevel statistical analyses. Findings suggest CBE makes a positive difference in the way students feel about themselves and how they perform in school.

Resources for research on childhood obesity, nutrition, physical activity and active living

Two new, free resources from the National Collaborative on Childhood Obesity Research

The National Collaborative on Childhood Obesity Research (NCCOR) now offers the Measures Registry and the Catalogue of Surveillance Systems for help childhood obesity researchers.

The Measures Registry is an interactive searchable Web tool that includes nearly 750 measures in four domains: individual dietary behavior, food environment, individual physical activity, and physical activity environment. The web tool includes: questionnaires, instruments, diaries, logs, electronic devices, direct observation of people or environments, protocols, and analytic techniques. 

The Catalogue of Surveillance Systems describes existing surveillance systems that collect data related to childhood obesity. Provides access to more than 75 surveys and other data sets from national, state, and local levels on a range of variables. 

The USDA Food Environment Atlas

Food environment factors—such as store/restaurant proximity, food prices, food and nutrition assistance programs, and community characteristics—interact to influence food choices and diet quality. Research is beginning to document the complexity of these interactions, but more is needed to identify causal relationships and effective policy interventions. The objectives of the Atlas are:(1) To assemble statistics on food environment indicators to stimulate research on the determinants of food choices and diet quality (2) To provide a spatial overview of a community’s ability to access healthy food and its success in doing so

National Center for Childhood Obesity Research (NCCOR)

The mission of the National Collaborative on Childhood Obesity Research (NCCOR) is to improve the efficiency, effectiveness and application of childhood obesity research and to halt—and reverse—the current childhood obesity trend through enhanced coordination and collaboration.

Robert Wood Johnson Foundation Center to Prevent Childhood Obesity

The Robert Wood Johnson Foundation Center to Prevent Childhood Obesity is a leading voice in the national movement to reverse the epidemic by 2015. Through policy analysis, leadership development, and communications with a broad network of advocates, the center is working to enable children of all races, ethnicities and geographic locations to eat healthy, be physically active and avoid obesity.

Robert Wood Johnson Foundation Childhood Obesity Technical Assistance Toolkits

These technical assistance toolkits provide information on a wide variety of issues related to children and adolescents including information on optimizing school health environments, childcare setting and engaging youth.

Robert Wood Johnson Active Living Research Tools and Resources

The website links to instruments that are suitable for researchers, practitioners, and community advocates to use in assessing the built and social environments for physical activity.

Robert Wood Johnson Active Living Research Syntheses, Summaries and Briefs

The chief aim of Active Living Research is to increase knowledge about active living by supporting research to identify environmental factors and policies that can increase physical activity and prevent childhood obesity, particularly among children in low-income and racial or ethnic minority communities. This website links to summaries from the existing literature in the fields of health, planning, transportation, and recreation.

International Taskforce on Obesity - Childhood Obesity Section

The IOTF is a global network of expertise, a research-led think tank and advocacy arm of the International Association for the Study of Obesity.

World Health Organization Child Growth Standards

This web site presents the WHO Child Growth Standards. These standards were developed using data collected in the WHO Multicentre Growth Reference Study. The site presents documentation on how the physical growth curves and motor milestone windows of achievement were developed as well as application tools to support implementation of the standards.

Convergence Partnership

The Convergence Partnership is a collaborative of funders whose goal is to change policy and develop solutions to problems plaguing communities—from how food is distributed and sold to how neighborhoods are built to the transportation systems that serve them.

The Strategic Alliance

The Strategic Alliance for Healthy Food and Activity Environments is a coalition of nutrition and physical activity advocates in California that fosters environmental and policy approaches to support health and well-being through access to healthy eating and activity. The website is an online resource of local policies that provide strategies for healthy eating and activity.

Prevention Institute

Prevention Institute has developed a broad range of practical, easy-to-use tools that guide practitioners, advocates, and policymakers in planning health strategy and in contributing to safer, healthier, and more equitable communities.