Health effects of modernization in palau

Darwin Labarthe*, Dwayne Reed, J. Brody, Reuel Stallones

*Corresponding author for this work

Research output: Contribution to journalArticlepeer-review

45 Scopus citations


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 languageEnglish (US)
Pages (from-to)161-174
Number of pages14
JournalAmerican journal of epidemiology
Issue number3
StatePublished - Sep 1973


  • Acculturation
  • Coronary disease
  • Developing countries
  • Ethnic groups
  • Hypertension
  • Social change
  • Socioeconomic factors
  • Urbanization

ASJC Scopus subject areas

  • Epidemiology


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