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

项目摘要 从历史上看，夏威夷土著人和太平洋岛民（NHPI）的数据一直是 与亚洲人聚集在一起，从而掩盖了这个多样化群体的差异。最近 在卫生数据集中对国家卫生指标进行分类，如国家卫生访谈调查 （NHIS）在美国（US），表明NHPI健康差距继续存在。的 NHIS不包括美国领土和附属太平洋岛屿， 非传染性疾病（NCD）已被宣布为卫生紧急情况。一种非传染性疾病，常见但研究不足， 美国附属太平洋岛屿（USAPI），是痛风，有时导致高尿酸血症。 美国的NHPI经历了更高的痛风和高尿酸血症负担。此外，半- 世纪的数据表明， USAPI，但数据需要更新。与密歇根大学合作， 关岛大学提出了两个具体目标：1）建立一个关岛数据实验室， 关岛大学，以及2）进行第一次关岛NHIS具有代表性的概率 对关岛500个成年人和青少年家庭进行抽样调查，重点是衡量 痛风和高尿酸血症的患病率。该数据实验室将在第一年和第二年建立， 2，并要求确定和装备的物理空间，以及形成一个指导 委员会与社区伙伴合作。3至5年级的研究方法将需要 关岛国家健康调查编制（抽样框架设计、最后确定调查工具、访谈员 培训）、执行（住户招募和面谈）、分析和 传播调查结果。在整个项目中，研究团队将与指导委员会合作， 委员会和社区合作伙伴-一个可能确定新的替代办法的进程 在COVID-19时代，通过我们的研究团队， 数据实验室。GNHIS的首次调查结果将为政策或计划需求提供信息，以支持 人口健康，产生未来的合作赠款提案，并作为其他模式 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.