Article: Heart disease and associated risk factors among Hawaiians: culturally responsive strategies.

The leading cause of death of adults in the United States is heart disease. The death rate for Hawaiians from heart disease is 44 percent higher than that for the total U.S. population (U.S. Congress, Office of Technology Assessment, 1987). The age-adjusted mortality rate (computations that reflect risk as if all groups being compared have the same age distribution) of heart disease for Hawaiians is 273 per 100,000 persons; for the total U.S. population it is 190 per 100,000 persons.

In this article, the term Hawaiians means the people indigenous to the islands of Hawaii; Hawaiians comprise 13 percent of the population in Hawaii. Other cultural groups include ...

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