Evidence map›Paper›PMID 30031403›Full record

ArticleBMC health services research2018

Frequency and predictors of health services use by Native Hawaiians and Pacific Islanders: evidence from the U.S. National Health Interview Survey.

Marie-Rachelle Narcisse, Holly Felix, Christopher R Long, Teresa Hudson, Nalin Payakachat, Zoran Bursac, Pearl A McElfish

Erratum issued 2 registry-linked trialsOpen access · goldAbstract read
In one paragraph

Article in BMC health services research, 2018. The graph could read no effect estimate from its abstract, so it casts no vote on the map. An erratum has been issued. It is linked to 2 registered trials, which are not on this map. Cited by 15 papers.

0numbers the graph read from it
0cells of the map it votes in
15citing papers in PubMed
2.3field-weighted citation impact, top 11% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

NCT06471595 nacompletednot on this mapstarted 2024, after this paper: background citation

Peau o le Vasa: Accelerating the Currents of Health Equity for Pasifika People

TypeinterventionalSponsorUniversity of HawaiiRan2024 to 2025Enrolled242ConditionsWeight Loss Trial, Cardiometabolic Syndrome, Hypertension, DyslipidemiaArmsPartnership for Improving Lifestyle Intervention (PILI) Lifestyle Program + Social Determinants of Health (SDOH) Component
NCT07387393 naenrolling by invitationnot on this mapstarted 2026, after this paper: background citation

Peau o le Vasa: Accelerating the Currents of Health Advances for Pasifika People

TypeinterventionalSponsorUniversity of HawaiiRan2026 to 2028Enrolled400ConditionsCardiometabolic Conditions, Hypertension (HTN), Dyslipidemia, Pre-diabetesArmsPILI (Partnership for Improving Lifestyle Intervention) Pasifika Program
3 · Its place in the literature

Who cites it

15 citing papers in PubMed, 25 citations in OpenAlex.

  1. Article
  2. Article
  3. Article
  4. Article
  5. Article
  6. Hawai'i journal of health & social welfare · 2023
    Article
  7. Article
  8. Article
  9. Article
  10. Article
  11. Article
  12. Review
  13. Level of Recommended Heart Attack Knowledge among Native Hawaiian and Pacific Islander Adults in the United States.Hawai'i journal of medicine & public health : a journal of Asia Pacific Medicine & Public Health · 2019
    Article
  14. Article
  15. Article
4 · The record

Corrections and comments

5 · Who and what money

Authors and funding

7 authors at 2 institutions in 1 country.

Marie-Rachelle NarcisseOffice of Community Health and Research, University of Arkansas for Medical Sciences Northwest, 1125 North College Ave, Fayetteville, AR, 72703, USA.
Holly FelixFay W. Boozman College of Public Health, University of Arkansas for Medical Sciences, 4301 West Markham St, Little Rock, AR, 72205, USA.
Christopher R LongOffice of Community Health and Research, University of Arkansas for Medical Sciences Northwest, 1125 North College Ave, Fayetteville, AR, 72703, USA.
Teresa HudsonDivision of Health Services Research, University of Arkansas for Medical Sciences, 4301 West Markham St, Little Rock, AR, 72205, USA.
Nalin PayakachatDivision of Pharmaceutical Evaluation and Policy, University of Arkansas for Medical Sciences, 4301 West Markham St, Little Rock, AR, 72205, USA.
Zoran BursacDivision of Biostatistics, University of Tennessee Health Science Center, 910 Madison Ave, Memphis, TN, 38163, USA.
Pearl A McElfishOffice of Community Health and Research, University of Arkansas for Medical Sciences Northwest, 1125 North College Ave, Fayetteville, AR, 72703, USA. pamcelfish@uams.edu.
University of Arkansas for Medical Sciences · USUniversity of Tennessee Health Science Center · US

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundNative Hawaiians and Pacific Islanders (NHPIs) are one of the fasting growing racial groups in the United States (US). NHPIs have a significantly higher disease burden than the US population as a whole, yet they remain underrepresented in research. The purpose of this study is to examine factors associated with health care utilization among NHPIs.

methodsDrawing from the 2014 NHPI-National Health Interview Survey, we used stereotype logistic regressions to examine utilization of emergency department (ED) and outpatient services among 2172 individuals aged 18 and older.

resultsNHPIs with chronic diseases were twice as likely to be multiple ED users and nearly four times as likely to be frequent-users of outpatient services. Social support played a protective role in preventing multiple use of ED. Having a usual source of care made it more than eight times as likely to be a frequent-user of outpatient services. Use of eHealth information increased the odds of using ED and outpatient services. Ability to afford health care increased the odds of using outpatient services. There was no association between health insurance coverage and use of ED and outpatient services among NHPIs.

conclusionsThis research provides the first available national estimates of health services use by NHPIs. Efforts to improve appropriate use of health services should consider leveraging the protective factors of social support to reduce the odds of frequent ED use, and having a usual source of care to increase use of outpatient services.

Indexed as

AdolescentAdultAgedAmbulatory CareChronic DiseaseEmergency Service, HospitalFemaleHawaiiHumansLogistic ModelsMaleMiddle AgedNative Hawaiian or Pacific IslanderPatient Acceptance of Health CareSurveys and QuestionnairesYoung AdultAndersen’s model of health services useEmergency department, outpatient services, Native Hawaiians and other Pacific islandersNational Health Interview SurveyStereotype logistic regressions

Identifiers

PMID30031403
PMCPMC6054839
OpenAlexW2883557182

What OpenQuestion holds

Textmetadata
LicenceCC BY
Read underepoch 390

Registered trials

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.