• Publications
  • Influence
Viral hepatitis and liver cancer on the Island of Guam.
Patient records from the Guam Cancer Registry were compared with patients listed in a health department viral hepatitis case registry and the numbers of liver cancer and viral hepatitis cases wereExpand
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Areca (Betel) Nut Chewing Practices in Micronesian Populations.
OBJECTIVE To describe the areca nut/betel quid chewing practices of Micronesian chewers living in Guam. DESIGN Two studies were conducted using qualitative data from focus groups and quantitativeExpand
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Developing a Betel Quid Cessation Program on the Island of Guam.
Betel quid is a psychoactive drug preparation typically made up of a combination of areca quid, slaked lime, piper betel leaf and tobacco. It is the fourth most commonly consumed drug in the worldExpand
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Children’s Healthy Living (CHL) Program for remote underserved minority populations in the Pacific region: rationale and design of a community randomized trial to prevent early childhood obesity
BackgroundAlthough surveillance data are limited in the US Affiliated Pacific, Alaska, and Hawaii, existing data suggest that the prevalence of childhood obesity is similar to or in excess of otherExpand
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Betel nut chewing, oral premalignant lesions, and the oral microbiome
Oral cancers are attributed to a number of causal agents including tobacco, alcohol, human papillomavirus (HPV), and areca (betel) nut. Although betel nut chewing has been established as anExpand
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Areca (betel) nut chewing practices of adults and health behaviors of their children in the Freely Associated States, Micronesia: Findings from the Children's Healthy Living (CHL) Program.
BACKGROUND Chewing areca (betel) nut has been deemed carcinogenic. The practice has become a public health concern in Micronesia. The Children's Healthy Living (CHL) Program included an areca (betel)Expand
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Lessons learnt from a three-year pilot field epidemiology training programme
Problem The Pacific region has widely dispersed populations, limited financial and human resources and a high burden of disease. There is an urgent need to improve the availability, reliability andExpand
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Women in Guam consume more calories during feast days than during non-feast days.
Parties (feast days) have become increasingly frequent and abundant, in terms of food, on the island of Guam. Considering the potential impact of this frequency and abundance on food intake, thisExpand
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Systematic Review of Prevalence of Young Child Overweight and Obesity in the United States-Affiliated Pacific Region Compared With the 48 Contiguous States: The Children's Healthy Living Program.
We estimated overweight and obesity (OWOB) prevalence of children in US-Affiliated Pacific jurisdictions (USAP) of the Children's Healthy Living Program compared with the contiguous United States. WeExpand
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Diet and obesity among Chamorro and Filipino adults on Guam.
The purpose of this study was to compare the body mass index (BMI) and dietary intakes of Chamorro (n=66) and Filipino (n=61) adults, ages 25-65 years, living in Guam. Participants were recruited viaExpand
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