Health Equity
In partnership with collaborative teams, Tetine Sentell has quantified gaps and provided insights into health equity across many populations in the US and globally for 25+ years. Her research has focused on disaggregated data across a wide variety of critical health outcomes in consideration of policy systems, community strengths, and historical context.

Publications
Quintiliani LM, Kamaka M, Henault L, Antonio MCK, Sentell T, Spencer K, Akaka G, Honda LKL, Hanakeawe D, Dillard A, Kekauoha BP, Davis AD, Seitz R, Cabral HJ, Volandes A, Leimomi Mala Mau MK, Paasche-Orlow MK. I kua na’u “Let me carry out your last wishes” Clinical trial protocol to promote advance care planning among native Hawaiian populations. Contemp Clin Trials. 2023 Dec;135:107365. doi: 10.1016/j.cct.2023.107365. Epub 2023 Oct 24. PMID: 37884121; PMCID: PMC10814879.
Pirkle CM, Guerra RO, Gómez F, Belanger E, Sentell T. Socioecological Factors Associated with Hypertension Awareness and Control Among Older Adults in Brazil and Colombia: Correlational Analysis from the International Mobility in Aging Study. Glob Heart. 2023 Dec 26;18(1):66. doi: 10.5334/gh.1282. PMID: 38162526; PMCID: PMC10756159.
Press: https://www.hawaii.edu/news/2024/01/30/hb-pressure-in-latin-america/
Thompson MD, Wu YY, Nett B, Ching LK, Taylor H, Lemmen T, Sentell TL, McGurk MD, Pirkle CM. Real‐World Evaluation of an Automated Algorithm to Detect Patients With Potentially Undiagnosed Hypertension Among Patients With Routine Care in Hawaiʻi for the Journal of Am Heart Assoc. 2023 Dec 19;12(24):e031249. doi: 10.1161/JAHA.123.031249. Epub 2023 Dec 12. PMID: 38084705; PMCID: PMC10863760.
Press: Improving hypertension diagnosis with innovative tech, collaboration in University of Hawai’i News
Galanis DJ, Koo SSJ, Puapong DP, Sentell T, Bronstein AC. Decrease in injuries from fireworks in Hawaiʻi: associations with a county policy to limit access. Inj Prev. 2022;0:1-5. doi:10.1136/injuryprev-2021-044402
Câmara SMA, McGurk MD, Gigante D, Lima MDA, Shalaby AK, Sentell T, Pirkle CM, Domingues MR. Intersections between adolescent fertility and obesity— pathways and research gaps focusing on Latin America populations. Ann NY Acad Sci. Published online July 3, 2022. doi:10.1111/nyas.14854
Press: Links between obesity, teen pregnancy explored in Hawaiʻi-Brazil research
Peck K. Bassani D, Câmara S, Domingues M, Sentell T, Velez M, Pirkle C. Adolescent childbirth and mobility disability among women ages 15-49: an analysis of population health surveys from 14 low- and middle-income countries. BMJ Open. 2023 Jul 20;13(7):e072535. doi: 10.1136/bmjopen-2023-072535. PMID: 37474178; PMCID: PMC10360427.
Ylli A, Burazeri G, Wu YY, Sentell T. COVID-19 excess death rate in Eastern European countries associated with weaker regulation implementation and lower vaccination coverage. East Mediterr Health J. Published online August 11, 2022. doi:10.26719/emhj.22.074 https://pubmed.ncbi.nlm.nih.gov/36382733/
Uchima O, Keaulana S, Okihiro M, Sentell T. A scoping review of school-based asthma education programs for reducing children’s need for acute care services. Child Health Care. Published online June 24, 2022. doi:10.1080/02739615.2022.2091568
Pirkle C, Velez MP, Sentell TL, Bassani DG, Domingues M, Câmara SMA, The Contributions of Fertility during Adolescence to Disability across the Life-course: Hypothesized Causal Pathways, Research Gaps, and Future Directions. Annals of Human Biology
Keliikoa BL, Thompson MD, Johnson CJ, Cacal SL, Pirkle CM, Sentell TL. Public health framing in local media coverage of crashes involving pedestrians or bicyclists in Hawaiʻi, 2019: a content analysis. Transp Res Interdiscip Perspect. 2022;13:100525. doi:10.1016/j.trip.2021.100525
Delafield R, Elia J, Chang A, Kaneshiro B, Sentell T, Pirkle CM. A Cross-Sectional Study Examining Differences in Indication for Cesarean Delivery by Race/Ethnicity. Healthcare. 2021;9(2):159. doi:10.3390/healthcare9020159
Keliikoa BL, Choi SY, Beckelman T, Chase-Brunelle T, Cacal SL, Ching LK, Sentell TL, Pirkle CM. Racial and ethnic
disparities in obesity prevalence among children, adolescents, and young adults receiving in patient care in Hawaiʻi, 2015-2016. Prev Med Rep. 2021;24:101542. doi:10.1016/j.pmedr.2021.101542
Uchima O, Taira D, Ahn HJ, Choi SY, Okihiro M, Sentell T. Disparities in potentially preventable emergency
department 1 visits for children with asthma among Asian Americans, Pacific 2 Islanders, and Whites in Hawaiʻi.
Int J Environ Res Public Health.2021;18(13):7096. doi:10.3390/ijerph18137096 Press: Inequities in asthma health for Native Hawaiian keiki
Dela Cruz MRI, Glauberman GHR, Buenconsejo-Lum LE, Pingul A, Matias-Schwartz C, Talana AL, Zhi Q, Qureshi K, Sentell T. A report on the impact of the COVID-19 pandemic on the health and social welfare of the Filipino population in Hawaiʻi. Hawaii J Health Soc Welf. 2021;80(9 Suppl 1):71-77.
Sentell T, Choi SY, Maldonado FA, Oyama K, Talana AL, Unciano S, Arndt RG, Buenconsejo-Lum LE, Burrage RL, Qureshi K. Impact of COVID-19 on Hawaiʻi community agencies, service organizations, and the individuals they serve: a snapshot from a spring 2020 HI-EMA survey. Hawaii J Health Soc Welf. 2021;80(9 Suppl 1):5-11.
Quint JJ, Van Dyke ME, Maeda H, Worthington JK, Dela Cruz MR, Kaholokula JK, Matagi CE, Pirkle CM, Roberson EK, Sentell T, Watkins-Victorino L, Andrews CA, Center KE, Calanan RM, Clarke KEN, Satter DE, Penman-Aguilar A, Parker EM, Kemble S. Disaggregating data to measure racial disparities in COVID-19 outcomes and guide community response – Hawaiʻi, March 1, 2020-February 28, 2021. MMWR. 2021;70(37):1267-1273. doi:10.15585/mmwr.mm7037a1
McGurk M, Pirkle CM, Beckelman T, Lee J, Inoue K, Yang A, Hansen-Smith H, Sentell T. Reinventing health promotion for healthy default beverage (HDB) laws in the face of COVID-19. Glob Health Promot. 2021;0(0):1-5. doi:10.1177/1757975920986696
McGurk M, Cacal SL, Vu U, Sentell T, Beckelman T, Lee J, Yang A, Pirkle CM. Baseline Assessment of Children’s Meals and Healthy Beverage Options Prior to a State-Level Healthy Default Beverage (HDB) Law. JHEAL. 2021;1(2):53-63. doi:10.51250/jheal.v1i2.4
Press: Local restaurants offer few options for healthy kids’ beverages
Ylli A, Wu YY, Burazeri G, Pirkle C, Sentell T. The lower COVID-19 related mortality and incidence rates in Eastern European countries are associated with delayed start of community circulation. PLoS One. 2020;15(12):e0243411. doi:10.1371/journal.pone.0243411
Press: Preventing spread of COVID-19 earlier saves
Peck K, Rodericks R, Irvin L, Johnson L, Tamashiro J, Ching L, Sentell T. Identifying Best Practices in Adoption, Implementation, and Enforcement of Flavored Tobacco Product Restrictions and Bans: Lessons from Experts. Tob Control. 2020;0:1-8. doi:10.1136/tobaccocontrol-2020-055884
Press: New research reveals key steps to fight flavored tobacco
Stupplebeen D, Pirkle C, Domingo JL, Nett B, Sentell T, Keliikoa LB. Adaptions to the National Diabetes Prevention Program Lifestyle Change Curriculum by Hawaiʻi Federally Qualified Health Centers: A Qualitative Descriptive Study. BMJ Open. 2020;10:e037577. doi:10.1136/bmjopen-2020-037577
Barbosa de Andrade RB, Pirkle CM, Sentell T, Bassani D, Domingues MR, da Câmara SMA. Adequacy of Prenatal Care in Northeast Brazil: Pilot Data Comparing Attainment of Standard Care Criteria for First-Time Adolescent and Adult Pregnant Women. Int J Women’s Health. 2020;12:1023-1031. doi:10.2147/IJWH.S272743
Halliday TJ, Molina T, Akee RQ, Onaka A, Sentell T, Horiuchi B. The Mortality Effects of Reduced Medicaid Coverage Among International Migrants in Hawaiʻi. Am J Public Health. 2020;110(8):1205-1207. doi:10.2105/AJPH.2020.305687
Press: Hawaiʻi wanted to save insurance money. People died
Delafield R, EliaJ, Chang A, Kaneshiro B, Sentell T, Pirkle CP. Perspectives and experiences of obstetricians who provide labor and delivery care for Micronesian women in Hawaiʻi: What is Driving Cesarean Delivery Rates? Qual Health Res. 2020;30(14):2291-2302. doi:10.1177/1049732320942484
Sentell T,Choi SY, Ching L, Quensell M, Keliikoa LB, Corriveau E, Pirkle C. Prevalence of Selected Chronic Conditions Among Children, Adolescents, and Young Adults in Acute Care Settings in the State of Hawaiʻi. Prev Chronic Dis. 2020;17:190448. doi:10.5888/pcd17.190448
Press: Hawaiʻi youth have high rates of chronic disease
Raidoo S, Tschann M, Kanishiro B, Sentell T. Impact of Insurance Coverage for Abortion in Hawaiʻi on Gestational Age at Presentation and Type of Abortion, 2010-2013. Hawaiʻi J Health Soc Welf. 2020;79(4):117-122.
Beckelman T, Sinclair-White BM, McGurk MD, Donohoe-Mather C, Vu U, Ching L, Pirkle CM, Sentell T, Keliikoa BL. Encouraging Adults to Choose Healthy Now: A Hawaiʻi Convenience Store Intervention. J Nutr Educ Behav. 2020;52(3):330-334. doi:10.1016/j.jneb.2019.11.016
Stupplebeen DA, Pirkle CM, Sentell T, Nett B, Ilagan LSK, Juan B, Medeiros J, Keliikoa LB. Self-Measured Blood Pressure Monitoring: Program Planning, Implementation, and Lessons Learned From 5 Federally Qualified Health Centers in Hawaiʻi. Prev Chronic Dis. 2020;17:190348. doi:10.5888/pcd17.190348
Press: Hawaiʻi blood pressure monitoring programs a success
Stupplebeen DA, Sentell T, Pirkle CM, Juan B, Barnett-Sherrill AT, Humphry JW, Yoshimura SR, Kiernan J, Hartz CP, Keliikoa LB. Community Health Workers in Action: Community-Clinical Linkages for Diabetes Prevention and Hypertension Management at 3 Community Health Centers. Hawaiʻi J Med Public Health. 2019;78(6Suppl1):15-22
Cacal SL, Spock N, Quensell ML, Sentell T, Stupplebeen DA. Legislative Definitions of Community Health Workers: Examples from Other States to Inform Hawai‘i. Hawaiʻi J Med Public Health. 2019;78(6Suppl1):23-29
Trinacty CM, LaWall E, Ashton M, Taira D, Seto TB, Sentell T. Adding Social Determinants in the Electronic Health Record in Clinical Care in Hawaiʻi: Supporting Community-Clinical Linkages in Patient Care. Hawaiʻi J Med Public Health. 2019;78(6Suppl1):46-51
Kim JK, Garrett L, Latimer R, Nishizaki LK, Kimura JA, Taira D, Sentell T. Ke Ku’una Na’au: A Native Hawaiian Behavioral Health Initiative at The Queen’s Medical Center. Hawaiʻi J Med Public Health. 2019;78(6Suppl1):83-89
Stupplebeen DA, Barnett-Sherrill AT, Sentell T. Community Health Workers in Hawaiʻi: A Scoping Review and Framework Analysis of Existing Evidence. Community. Hawaiʻi J Med Public Health. 2019;78(6Suppl1):6–14
Sentell T, da Câmara SMA, Ylli A, Velez MP, Domingues MR, Bassani DG, Guo M, Pirkle C. Data gaps in adolescent fertility surveillance in middle-income countries in Latin America and South Eastern Europe: Barriers to evidence-based health promotion. South East Eur J Public Health. 2019;11:214. doi:10.4119/seejph-1885
Sentell T, Kennedy F, Seto T, Vawer M,Chiriboga G, Valdez C,Garrett LM, Paloma D,TairaD. Sharing the Patient Experience: A “Talk Story” Intervention for Heart Failure Management in Native Hawaiians. J Patient Exp. 2019;7(3):399-407. doi:10.1177/2374373519846661
Lam L, Ahn HJ, Okajima K, Schoenman K, Seto TB, Shohet RV, Miyamura J, Sentell T, Nakagawa K. Gender Differences in The Rate Of 30-day Readmission After Percutaneous Coronary Intervention For Acute Myocardial Infarction. Women’s Health Issues. 2019;29(1):17-22. doi:10.1016/j.whi.2018.09.002
Milla C, Guo M, Chang A, Chen N, Miyamura J, Sentell T. Patient Perspectives in Comparing Hospitals for Childbirth: Insights from Hawaiʻi. Hawaiʻi J Med Public Health. 2019;78(3):89–97
LaWall E, Wu YY, Fan VY, Ashton M, Sentell T. Living Alone and Homelessness as Predictors of 30-Day Potentially Preventable Readmission. Prev Chronic Dis. 2019;16:E16. doi:10.5888/pcd16.180189
Uchima O, Sentell T, Dela Cruz MR, Braun K. Community health workers in pediatric asthma education programs in the United States: A systematic literature review. Children’s Health Care. 2019;48(2):215-243. doi:10.1080/02739615.2018.1520107
Inada M, Braun K, Mwarike P, Cassel K, Compton R, Sentell T. Chuukese community experiences of racial discrimination and other barriers to healthcare: Perspectives from community members and providers. Soc Med (Soc Med Publ Group). 2019;12(1):3-13.
Press:Chuukese people in Hawaiʻi commonly experience racial discrimination, UH Public Health research finds
Pirkle C, Ylli A, Burazeri G, Sentell T. Social and community factors associated with hypertension awareness and control among the elderly in Albania. Eur J Public Health. 2018;28(6):1163-1168. doi:10.1093/eurpub/cky036
Press:Community support, risk awareness may lower hypertension rates
Malabed JM, Taira D, Seto T, Braun KL, Sentell T. Pathways to Preventable Hospitalizations for Filipino Patients with Diabetes and Heart Disease in Hawaiʻi. Hawaiʻi J Med Public Health. 2018;77(7):155-160. ***Undergraduate Student Paper Contest Prize Winner.
Sentell T, Ahn HJ, Miyamura J, Tiara DA. Thirty-Day Inpatient Readmissions for Asian American and Pacific Islander Subgroups Compared to Whites. Med Care Res Rev. 2016;75(1):100-126. doi:10.1177/1077558716676595
Taira DA, Shen C, Henriques-King M, Landsittel D, Mays MH, Sentell T, Southerland J. Access to medications for medicare enrollees related to race/ethnicity: Results from the 2013 Medicare Current Beneficiary Survey. Res Social Adm Pharm. 2016;13(6):1208-1213. doi:10.1016/j.sapharm.2016.10.021
Quensell M, Juarez DT, Seto TB, Braun K, Sentell T. I Need my Own Place to Get Better”: Patient Perspectives on the Role of Housing in Preventable Hospitalizations for Diabetes and Congestive Heart Failure. J Health Care Poor Underserved. 2017;28(2):784-797. doi:10.1353/hpu.2017.0074
Press: Inadequate housing plays a large role in unnecessary hospitalizations; Homeless winding up in hospital
Nakagawa K, Ahn HJ, Taira DA, Miyamura J, Sentell T. Ethnic Comparison of 30-Day Potentially Preventable Readmissions After Stroke in Hawaiʻi. Stroke. 2016;47(10):2611-2617. doi:10.1161/STROKEAHA.116.013669
Sentell T, Young MM, Vawer MD, Quensell M, Seto TB, Braun K, Juarez DT. Pathways to Potentially Preventable Hospitalizations for Diabetes and Heart Failure: Patient Perspectives. BMC Health Serv Res. 2016;16:300. doi:10.1186/s12913-016-1511-6
Hagiwara M, Yamada S, Miyamura J, Sentell T.Younger and sicker: comparing Micronesians to other ethnicities in Hawaiʻi. Am J Public Health. 2016 Mar;106(3):485-91. doi:10.2105/AJPH.2015.302921
Hagiwara M, Juarez D, Yamada S, Miyamura J, Sentell T.Inpatient hospitalization costs: A comparative study of Micronesians, Native Hawaiians, Japanese, and Whites in Hawai‘i. Int J Environ Res Public Health. 2016;13(1):29. doi:10.3390/ijerph13010029
Chang A, Hurwitz E, Miyamura J, Kaneshiro B, Sentell T. Maternal risk factors and perinatal outcomes among pacific islander groups in Hawaiʻi: a retrospective cohort study using statewide hospital data. BMC Pregnancy Childbirth. 2015;15(1):239. doi:10.1186/s12884-015-0671-4
Sentell T, Cheng Y, Saito E, Seto TB, Miyamura J, Mau M, Juarez DT.The burden of diagnosed and undiagnosed diabetes in Native Hawaiian and Asian American hospitalized patients. J Clin Transl Endocrinol. 2015;2(4):115-124. doi:10.1016/j.jcte.2015.08.002
Heo H-H, Sentell T, Li D, Ahn HJ, Miyamura J, Braun KP. Disparities in potentially preventable hospitalizations for chronic conditions among Korean Americans compared to whites, Hawaiʻi, 2010 – 2012. Prev Chronic Dis. 2015;12:150057. doi:10.5888/pcd12.150057
Sentell T, Ahn HJ, Miyamura J, Juarez DT. Cost Burden of Potentially Preventable Hospitalizations for Cardiovascular Disease and Diabetes for Asian Americans, Pacific Islanders, and Whites in Hawai‘i. J Health Care Poor Underserved. 2015;26(2):63-82. doi:10.1353/hpu.2015.0068
Guo MG, Ahn HJ, Juarez DT, Miyamura J, Sentell T. Length of Stay and Deaths in Diabetes-Related Preventable Hospitalizations Among Asian American, Pacific Islander, and White Older Adults on Medicare, Hawaiʻi, December 2006-December 2010. Prev Chronic Dis. 2015;12:150092. doi:10.5888/pcd12.150092
Sentell T, Chang A, Ahn H-J, Miyamura J.Maternal language and adverse birth outcomes in a statewide analysis. Women Health. 2016;56(3):257-80. doi:10.1080/03630242.2015.1088114
Sentell T, Valcour N, Ahn HJ, Shikuma C, Nakamoto B, Chen JJ, Miyamura J, Chow D, Masaki K, Seto T. High Rates of Native Hawaiian and Older Japanese Patients Hospitalized with Dementia in Hawaiʻi. J Am Geriatr Soc. 2014;63(1):158-164. doi:10.1111/jgs.13182
Sentell T, Ahn HJ, Juarez DT, Tseng C-W, Chen JJ, Salvail FR, Miyamura J, Mau MM. Disparities in Diabetes-Related Preventable Hospitalizations among Working-Age Native Hawaiians and Asians in Hawaiʻi. Hawaiʻi J Med Public Health. 2014;73(12Suppl3):8-13
Sentell T, Miyamura J, Ahn HJ, Chen JJ, Seto T, Juarez D. Potentially Preventable Hospitalizations for Congestive Heart Failure among Asian Americans and Pacific Islanders in Hawaiʻi. J Immigr Minor Health. 2015;17(5):1289-97. doi:10.1007/s10903-014-0098-4
Sentell T, Martin L, Ahn HJ, Qui Y, Chen JJ, Miyamura J, Chow D, Shikuma C. Disparities in HIV-Related Hospitalizations for Native Hawaiians and Asians Compared to Whites in Hawaiʻi. Hawaiʻi J Med Public Health. 2014;73(10):308-14
Sentell T, Chang A, Cheng Y, Miyamura J. Maternal quality and safety outcomes for Asians and Pacific Islanders in Hawaiʻi: an observational study from five years of statewide data. BMC Pregnancy Childbirth. 2014;14:298. doi:10.1186/1471-2393-14-298
Pacheco M, Sentell T, Katz AR. Under-Reporting of Pelvic Inflammatory Disease in Hawaiʻi: A Comparison of State Surveillance and Hospitalization Data. J Community Health. 2014;39(2):336-8. doi:10.1007/s10900-013-9766-x
Sentell T, Unick G, Ahn HJ, BraunK, Miyamura J, Shumway M. Illness Severity and Psychiatric Hospitalization Rates Among Asian Americans and Pacific Islanders. Psychiatr Serv. 2013;64(11):1095-102. doi:10.1176/appi.ps.201200408
Sentell T, Ahn HJ, Juarez DT, Tseng C-W, Chen JJ, Salvail FR, Miyamura J, Mau MM. Comparison of Potentially Preventable Hospitalizations Related to Diabetes Among Native Hawaiian, Chinese, Filipino, and Japanese Elderly Compared with Whites, Hawaiʻi, December 2006-December 2010. Prev Chronic Dis. 2013;10:120340. doi:10.5888/pcd10.120340
Juarez DT, Goo R, Tokumaru S, Sentell T, Davis JW, Mau MM. Association between sustained hemoglobin A1c control and health care costs. Am J Pharm Benefits. 2013;5(2):59-64
Juarez DT, Sentell T, Tokumaru S, Goo R, Davis JW, Mau MM. Factors associated with three years of poor or highly variable glycemic control Among Diabetic Patients in Hawaiʻi. Prev Chronic Dis. 2012;9:120065. doi:10.5888/pcd9.12006
Sentell T, Shumway M, Snowden L. Access to Mental Health Treatment by English Language Proficiency and Race/Ethnicity. J Gen Intern Med. 2007;22(Suppl2):289-293. doi:10.1007/s11606-007-0345-7
Sentell T, Seto TB, Quensell ML, Malabed JM, Guo M, Vawer MD, Braun KL, Taira DA. Insights in Public Health: Outpatient Care Gaps for Patients Hospitalized with Ambulatory Care Sensitive Conditions in Hawaiʻi: Beyond Access and Continuity of Care. Hawaiʻi J Med Public Health. 2020;79(3):91-97
Sentell T, Ching L, Cacal SL, Rowan K. Community-Clinical Linkages Within Health Care in Hawai‘i: History, Innovation, and Future Directions. Hawaiʻi J Med Public Health. 2019;78(6Suppl1):3–5
Irvin L, Sentell T. Community-Clinical Linkages Supported by the Centers for Disease Control and Prevention: The Hawaiʻi Department of Health Perspective. Hawaiʻi J Med Public Health. 2019;78(6Suppl1):102–103
Talks and Presentations
Real-World Evaluation of an Automated Algorithm to Detect Patients with Potentially Undiagnosed Hypertension in an Ethnically Diverse, Large Health System in Hawaiʻi
Thompson M, Wu YY, Nett B, Ching L, Taylor H, Lemmen T, Sentell T, McGurk M, Pirkle C, American Public Health Association Conference. Atlanta, Georgia. November 2023
Examining disability rates for Native Hawaiian, Pacific Islander, and Asian American subgroups. Poster Presentation
Taira D, Davis J, Sentell T, Albright C, Kaholokula JK, Lim E. American Public Health Association Annual Meeting & Expo. Boston, MA. November 6 & 7, 2022
Health Care Financing/Hospitalization Disparities
An invited talk by Sentell T. at Key Issues in Global Health in Hawaiʻi and the U.S.-Affiliated Pacific Islands. Satellite Session of the Consortium of Universities for Global Health (CUGH) Annual Global Health Conference on March 9, 2021
Implementing Clinical Workflows for Patients Who Have Been Identified by an Automated Algorithm for Potentially Undiagnosed Prediabetes, or Hypertension: A Formative Evaluation
Keliikoa LB, Quensell M, Taylor H, Hinsdale J, Lemmen T, Nett B, Watanabe K, Ching L, Sentell T, Pirkle C. Poster Presentation. 14th Annual Conference on the Science of Dissemination and Implementation (virtual). December 2021
Potentially Preventable Hospitalizations for Chronic Conditions among Children and Young Adults in Hawai‘i
Sentell T, Choi SY, Ching L, Uchima O, Keliikoa LB, Irvin L, Pirkle C. Oral Presentation. American Public Health Association Annual Meeting & Expo (virtual). October 27, 2020
About the presentation
Chronic, preventable conditions like diabetes and hypertension previously seen primarily in adults are increasing among young people. Chronic disease-related potentially preventable hospitalizations (PPH) are costly and understudied in Asian Americans and Pacific Islanders. The study goal was to quantify potentially preventable hospitalizations (PPH) for chronic disease in Native Hawaiian, Filipino, and other Pacific Islanders aged 5-29 years. With Hawai‘i statewide inpatient 2015-2016 data across all payers, we used standard metrics to capture asthma, diabetes, and hypertension PPH. Denominators were obtained by age group, gender, race/ethnicity, and living in O‘ahu vs. other Hawaiian islands from American Community Survey data. A multivariable negative binomial regression model predicted having a PPH. Six percent (775) of inpatient hospitalizations among young people, representing 455 unique individuals, were PPH for a chronic disease. The number of PPH visits per individual ranged from 1-20 with a mean of 1.7 (SD: 2.28) visits. Among unique individuals with a chronic disease PPH (N=455), the mean age was 17.5 (SD: 8.2); 55% were male. In the multivariable model, those who were between 10-14 years (RR:0.47;0.32-0.69) and 15-19 years (RR:0.46;0.31-0.69) were significantly less likely to have a PPH compared to those aged 5-9 years. Other Pacific Islanders were significantly more likely to have a PPH (RR: 3.08; 2.05-4.63) compared to whites. Pacific Islander youth had significant PPH chronic disease disparities. Chronic disease prevention and management is critical. Solutions may include equitable chronic disease prevention policies and improving access to culturally relevant care.
Chronic Conditions Among Children, Adolescents, and Young Adults in Acute Care Settings
T Sentell, Choi SY, Ching L, Quensell M, Keliikoa LB, Corriveau E, Pirkle C. 16th World Congress on Public Health (virtual). Rome, Italy. Poster Presentation. October 12-16, 2020
Prevalence of Selected Chronic Conditions among Children, Adolescents, and Young Adults in Acute Care Settings in Hawai‘i
Sentell T, Choi SY, Ching L, Quensell M, Keliikoa LB, Corriveau E, Pirkle C. World Congress on Public Health (virtual). October 2020
Identifying and Resolving Data Gaps on Adolescent Reproductive Health in Low and Middle-Income Countries
Sentell T, Pirkle C, da Câmara SMA, Domingues MR, Bassani D, Velez M, Bessinger R. Ylli. IUHPE World Conference. Rotorua, New Zealand. April 2019
Considering Social Factors in Addressing Preventable Hospitalizations and Rehospitalizations for Heart Disease and Diabetes
Sentell T, Seto T, Taira D. 2018 Healthcare Association of Hawai‘i’s (HAH) Inaugural Healthcare Conference. Honolulu, HI. September 20 & 21, 2018
Addressing Preventable Hospitalizations and Rehospitalizations for Heart Disease and Diabetes: New Evidence and Culturally-Relevant Interventions
Sentell T. Medicine Grand Rounds. Queen’s Medical Center. Honolulu, HI. August 10, 2018
Addressing Preventable Hospitalizations and Rehospitalizations for Heart Disease and Diabetes
Taira D, Sentell T, Seto T. Honolulu Subarea Health Planning Council (HONSAC) meeting. Honolulu, HI. August 2, 2018
Pathways to Preventable Hospitalizations for Filipino Patients with Diabetes and Heart Disease in Hawai‘i. 2017 Hawai‘i Health Workforce Summit
Malabed JM, Taira D, Seto T, Braun KL, Sentell T. ***First Prize Winner, Poster Contest. August 11, 2017. Honolulu, HI
Pathways to Potentially Preventable Hospitalizations for Diabetes and Heart Failure: Patient Perspectives
Sentell T. CHRH Brown Bag. Kaiser Permanente Center for Health Research. Honolulu HI. June 21, 2017
Exploring Patient Perspectives about “Potentially Preventable Hospitalizations” for Heart Failure and Diabetes in a Hawaiʻi Hospital
Sentell T. Queen’s Research Day. Honolulu, HI. 2013
Findings in Health Disparities Research: Focus on Hawaiʻi
Sentell T. HHIC Hawaiʻi Health Information Corporation 2013 Annual Conference: Transforming Hawaiʻi’s Healthcare: Analytics, Accountability & Action. Honolulu, HI. 2013
Using the CHIS to Identify Barriers to Mental Health Care for California Racial/Ethnic Groups
Sentell T, Shumway M. Presentation at California Pan Ethnic Health Network seminar: Data You Can Use: Identifying Health Disparities Using CHIS. Los Angeles, CA. 2005
Barriers to Mental Health Care for California Racial/Ethnic Groups
Sentell T, Shumway M. Presentation at California Program on Access to Care Policy Briefing in the Capital: Understanding Ethnic Health Barriers. Sacramento, CA. 2005
