Health Consequences of Disparity: the US Affiliated Pacific Islands

Author:

Palafox Neal A.1,Hixon Allen L.2

Affiliation:

1. Department of Family Medicine and Community Health, John A. Burns School of Medicine, University of Hawaii, Mililani, Hawaii, USA,  npalafox@hawaii.edu

2. Department of Family Medicine, Community Health John A. Burns School of Medicine, University of Hawaii, Mililani, Hawaii, USA

Abstract

Health disparities and the social determinants of health are often discussed, but their relationship to political forces, the integrity of cultures, social and environmental change, and mental health outcomes are not well understood. Specifically the US Affiliated Pacific Islands Jurisdictions (USPAIJ) is an area of profound isolation and deprivation with a unique sociocultural history. This article provides an overview of health disparities in the US Affiliated Pacific in the context of the environment, and international and state policies. The article explores how the political, economic, social, and environmental context of the USAPIJ shapes health status and provides a “social determinants of health” model for health improvement for the people of the region.

Publisher

SAGE Publications

Subject

Psychiatry and Mental health

Reference16 articles.

1. World Health Statistics 2010. Geneva: World Health Press, World Health Organization2010. http://apps.who.int/ghodata/–

2. The World Factbook 2010. Washington, DC: Central Intelligence Agency2010. https://www.cia.gov/library/publications/the-world-factbook/index.htmlCountry pages updated September2010–

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