1. ISR

2. NHPI Population 2010 1,225,195 (0.4%) Pacific People
Source: US Census Bureau Census Summary File 1

3. NHPI Population 2010 1,225,195 (0.4%) Pacific People
Source: US Census Bureau Census Summary File 1

4. Demographics - CA SAMOAN Alone or in any Combination TONGAN Alone or
Total Population 2010 (United States)
184,440
57,183
Total Population 2010 (California)
58,279
22,921
Percentage of the total population living in California
32%
40%
Sex
Male
48.7
49.9
Female
51.3
50.1
Age 18+
61.6
62.6
Median Age
23.7
23.2
Educational Attainment (Pop 25 years+)
Less than high school diploma
13.9
18.7
High school graduate
36.2
31.7
Some college/associate degree
38.2
34.5
Bachelors degree
9.3 12
Graduate or professional degree
2.3
3.1
Median household income
$55,768
$61,221
Health Insurance Coverage
Private health insurance
59.8
47.9
Public coverage
27.7
29.3
Poverty rate (all families)
13.0
16.9
Owner-housing unit
30.8
36.8
Renter-housing unit
69.2
63.2
Source: 2010 Decennial Census American Community Survey

5. “Multistage Probability Sampling of Samoan and Tongan Households”
ISR
PIHS Method
“Multistage Probability Sampling of Samoan and Tongan Households”
Total sample = 240
RR = 80% CA
Adult
Youth
Panapasa et al, 2012

6. Technical Report

7. Adult Obesity - BMI Status
ISR
Adult Obesity - BMI Status
Percent of Population
BMI for Samoan and Tongan youth
Source: PIHS, CHIS 2012

8. Adult Diabetes Percent of Population ISR
Ever being told you have diabetes?
Percent of Population
Source: NHIS, CHIS, PIHS 2012

9. PIHS Obesity Portrait Samoan (%) Tongan (%) Total Obese (BMI ≥ 30) 7973
Age
18-25
26-35 88 89
36-45 91
46-55 93 90
56-65 83 70
66+ 39 20
Gender
Female 76
Male 82 66
Marital Status
Married
Living w/partner 59
n/a
Widowed 45 31
Divorced
100 87
Separated
Never Married 69 62

10. PIHS Diabetes Portrait
Samoan (%)
Tongan (%)
Total 15 16
Age
18-25
26-35 9
36-45 6 11
46-55 52 30
56-65 28
66+ 24 46
Gender
Female 76 79
Male 82 66
Marital Status
Married 90
Divorced 7
Widowed 33

11. Distribution of Diabetes/BMI ≥ 30
Source: NHIS, CHIS, PIHS 2012

12. Obesity is not Predictive of Diabetes
Source: PIHS, 2012

13. Conclusion U.S. Pacific Islander adults and adolescents, experience
ISR
Conclusion
U.S. Pacific Islander adults and adolescents, experience
disproportionately POOR health outcomes when compared to
the U.S. and California populations
There is considerable VARIATION between Samoan and
Tongan across multiple measures and health outcomes,
hence the importance of disaggregating data
Obesity is not predictive of diabetes
Scientific research to obtain evidence-based DATA on PI
populations can be done
Small populations MATTER and the PLACE where they
live, learn, work, play and pray also matters

15. Acknowledgements HHS Office of Minority Health
ISR
Acknowledgements
Malo ‘aupito! Fa’afetai tele lava!
HHS Office of Minority Health
Asian & Pacific Islander American Health Forum
W.K. Kellogg Foundation
Native Hawaiian and Pacific Islander Community
Samoan & Tongan Faith Institutions
Samoan & Tongan Interviewers
ISR Colleagues & Staff

16. Malo 'aupito! Fa'afetai tele! Thank You!!!
Q&A