Abstract
Modernization, considered as a composite of interactions of numerous physical, biological and sociocultural processes, has been investigated as a factor possibly related to health in a Pacific island population. Cross-sectional survey methods were employed in the study of three groups experiencing modernization in clearly different degrees. Examination of 510 adult Palauans included interviews regarding health and sociocultural characteristics, a screening physical examination including height, weight, skinfold thicknesses and blood pressure, and serum samples assayed for levels of cholesterol, triglycerides, glucose and uric acid. A 12-lead electrocardiogram was performed, and a subsample of persons in each of the three areas was interviewed regarding recent dietary intakes. Results analyzed with and without geographic grouping showed consistent associations between modernization and health-related factors, with the most modern area having the least desirable health attributes, especially in regard to blood pressure, serum lipids, and obesity.
Original language | English (US) |
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Pages (from-to) | 161-174 |
Number of pages | 14 |
Journal | American journal of epidemiology |
Volume | 98 |
Issue number | 3 |
DOIs | |
State | Published - Sep 1973 |
Funding
, „ ., . . T. L ^.t_nr> -NT iI T i- 3Epidemiology Branch, C&FR, National Insti-lute of Neurological Diseases and Stroke, Be-thesdu, Maryland. Reprint requests to: School of Public Health, University of Texas, P.O. Box 201S6, Astrodome Station, Houston, Texas 77025 (Dr. Labarthe). This study was supported by the National Institute of Neurological Diseases and Stroke (NINDS), National Institutes of Health, Contract No. PH 43-68-36. Dr. Milton Nichaman, then Chief, Epidemiology Field and Training Station, ..(,'„ '. , .7r . , , , jT. T USPHS. directed the laboratory studies. Dr. Jean Hankin and Mrs. S. Paul Ehrlich, Jr., conducted the nutritional survey. Mr. Paul Callen, University of Texas School of Public Health, assisted in programming and data processing. Dr. Masao Ku-mangai and Dr. Anthony Polloi and their staff in the Macdonald Memorial Hospital provided invaluable aipport for the field work in Palau.
Keywords
- Acculturation
- Coronary disease
- Developing countries
- Ethnic groups
- Hypertension
- Social change
- Socioeconomic factors
- Urbanization
ASJC Scopus subject areas
- Epidemiology