RESUMEN
The national death rates from rural trauma are disproportionately higher compared to urban areas. Traumatic brain injury is a major cause of hospital admissions in Hawai'i. This is the first in a two part series to explore this significant public health concern. Data on traumatic brain injuries from 2000-2004 was obtained from 2 sources. Male gender, alcohol use, and lack of protective devices resulted in higher rates of injury. Rates of severe injury were higher in young adults, the elderly, and in rural locations, but rural mortality rates here did not differ compared to urban settings. The greatest potential to reduce morbidity and mortality resides in the formulation and implementation of preventive strategies.
Asunto(s)
Lesiones Encefálicas/epidemiología , Población Rural/estadística & datos numéricos , Población Urbana/estadística & datos numéricos , Adolescente , Adulto , Anciano , Anciano de 80 o más Años , Consumo de Bebidas Alcohólicas/efectos adversos , Lesiones Encefálicas/etiología , Lesiones Encefálicas/mortalidad , Niño , Preescolar , Bases de Datos Factuales , Femenino , Hawaii/epidemiología , Humanos , Lactante , Recién Nacido , Masculino , Persona de Mediana Edad , Morbilidad , Equipos de Seguridad/estadística & datos numéricos , Estudios Retrospectivos , Factores de Riesgo , Centros Traumatológicos/estadística & datos numéricos , Índices de Gravedad del TraumaAsunto(s)
Centros Médicos Académicos/organización & administración , Investigación Biomédica/normas , Educación Médica/normas , Facultades de Medicina/organización & administración , Centros Médicos Académicos/historia , Investigación Biomédica/historia , Educación Médica/historia , Docentes Médicos/provisión & distribución , Hawaii , Historia del Siglo XX , Historia del Siglo XXI , Humanos , Apoyo a la Investigación como Asunto/tendencias , Facultades de Medicina/historia , Factores Socioeconómicos , Gestión de la Calidad TotalRESUMEN
INTRODUCTION: In order to improve health literacy in rural areas, the Hawaii/Pacific Basin AHEC and Ke 'Anuenue AHEC are working to connect rural communities via video teleconferencing. METHODS: Video teleconferencing connectivity has been established to 15 rural and underserved locations across Hawaii and to the Republic of the Marshall Islands. RESULTS: An average of 15 individuals participate in weekly facilitated health education sessions. DISCUSSION: Participants have reported lifestyle change as a result of sessions and attendance is significantly increasing. In some areas, mid level health care professionals attend in order to obtain information for their patients.