Establishing the Guma' Tinemtom to support population health research through island wisdom in Guam

项目总结 从历史上看，关于夏威夷原住民和太平洋岛民(NHPI)的数据 与亚洲人聚集在一起，从而掩盖了这一多样化群体的差异。近期 拆分健康数据集中的NHPI，如国家健康访谈调查 根据美国国家健康保险制度(NHIS)的数据显示，健康状况的差距依然存在。这个 NHIS不包括非传染性疾病的美国领土和附属太平洋岛屿 疾病(NCD)已被宣布为卫生紧急情况。一种非传染性疾病，很常见，但在 美国附属太平洋群岛(USAPI)是痛风，有时是由高尿酸血症引起的。 在美国，NHPI经历了更高的痛风和高尿酸血症负担。此外，一半- 百年前的数据表明，在中国，痛风和高尿酸血症的人群之间存在差异 USAPI，但数据需要更新。与密歇根大学合作， 关岛大学提出两个具体目标：1)在以下地点建立密克罗尼西亚数据实验室 关岛大学，以及2)以具有代表性的概率进行第一次关岛NHIS 关岛500个成年人和青少年家庭的样本，重点是测量 痛风和高尿酸血症的患病率。密克罗尼西亚数据实验室将在第一年和 2和需要识别和装备物理空间，以及形成转向 与社区合作伙伴合作的委员会。在第三到第五年的研究方法将需要 关岛国家卫生信息系统的准备(抽样框架设计、仪器定稿、采访者 培训)、实施(家庭招聘和面谈)、分析和 传播调查结果。在整个项目中，研究团队将参与指导 委员会和社区合作伙伴--一个可能确定新的替代方法的过程 通过我们的密克罗尼西亚可持续地加强新冠肺炎时代的研究实施 数据实验室。GNHIS的首次调查结果将向政策或计划提供支持 人口健康，产生未来的协作性赠款提案，并作为其他 对NHIS或类似调查实施感兴趣的地区或USAPI。

PROJECT SUMMARY Historically, data on Native Hawaiians and Pacific Islanders (NHPI) have been aggregated with Asians thereby masking disparities across this diverse group. Recent disaggregation of NHPIs in health data sets, such as the National Health Interview Survey (NHIS) in the United States (US), indicate that NHPI health disparities continue to exist. The NHIS excludes the US territories and affiliated Pacific Islands where non-communicable diseases (NCD) have been declared a health emergency. One NCD, common yet understudied in the US Affiliated Pacific Islands (USAPI), is gout sometimes resulting from hyperuricemia. NHPIs in the US experience a higher burden of gout and hyperuricemia. Furthermore, half- century old data suggest differences in gout and hyperuricemia among populations in the USAPIs, but the data needs updating. In partnership with the University of Michigan, the University of Guam proposes two specific aims to: 1) establish a Micronesian Data Laboratory at the University of Guam, and 2) conduct the first Guam NHIS with a representative probability sample of 500 households of adults and adolescents in Guam with an emphasis on measuring gout and hyperuricemia prevalence. The Micronesian Data Laboratory will occur in Years 1 and 2 and require identifying and equipping the physical space, as well as forming a Steering Committee working with community partners. The research approach in Years 3 to 5 will entail the Guam NHIS preparation (sampling frame design, finalization of instruments, interviewer training), implementation (household recruitment and interviews), and analysis and dissemination of findings. Throughout the project, the research team will engage the Steering Committee and community partners – a process that may identify novel alternative approaches to enhance research implementation in the COVID-19 era sustainable through our Micronesian Data Laboratory. The inaugural GNHIS findings will inform policy or program needs to support population health, generate future collaborative grant proposals, and serve as a model for other territories or USAPIs interested in NHIS or similar survey implementation.