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Filipinos are the second largest Asian subgroup in the United States, but few studies have examined health and health care disparities in Filipino children. Health and health care disparities appear to exist for Filipino children, but more research is needed to confirm these findings.
Weitz et al examined teen pregnancy among API subgroups and reported that when data on APIs are disaggregated, Filipinos have the highest percentage of births to teens (6%) among California’s six largest API groups (Chinese, Filipino, Vietnamese, Korean, Indian, and Japanese) (21). A study of fifth, seventh, and ninth graders in California demonstrated that Filipino males were more likely to be obese (defined as Body Mass Index [BMI] >85th percentile) than white males, and Filipino females were more likely to be obese than white females (26).
Research on perceptions of obesity and body- or self-dissatisfaction reported varied results based on age and sex.
There are no national prevalence data available on Filipino children for asthma, a highly prevalent chronic condition. We were unable to find any studies reporting national or state immunization rates for Filipino children. Filipino adolescents appear to be at high risk for contracting sexually transmitted diseases. A study in Hawaii revealed that Filipino parents have had to alter their child management style in the United States.
It is imperative to consider adult diseases among Filipinos so that preventive measures can be started in childhood.
The use of BMI to define overweight and obesity across populations has been questioned in numerous studies because the relationship between BMI and risk for diabetes, hypertension, and metabolic syndrome in the Filipino adult populations differs from that in white populations (52,53). Our literature review suggests that disparities in Filipino child and adolescent health do exist and are notable with regard to gestational diabetes, neonatal mortality and low birth weight, malnutrition, overweight, physical inactivity, tuberculosis, dental caries, and substance abuse.
Similar community-based participatory research has been described in the area of teen pregnancy prevention in Filipino families (38,59).
The social and clinical factors discussed here have significant implications for Filipino children who depend primarily on their parents to access and receive appropriate medical services.
For those who care for Filipino adolescents, discussing and assuring confidentiality may assist in getting these young people to open up about their problems. Both physical and mental health care practitioners can help parents develop communication skills for interacting with their often more acculturated children. To address the Healthy People 2010 goals for APIs, health services research needs to include API subgroups. An ethnographic study for understanding children's oral health in a multicultural community. Adolescent physical activity and inactivity vary by ethnicity: The National Longitudinal Study of Adolescent Health. Epidemiology of childhood tuberculosis in the United States, 1993-2001: the need for continued vigilance. HIV knowledge, communication, and risk behaviors among white, Chinese-, and Filipino-American adolescents in a high-prevalence AIDS epicenter: a comparative analysis.
Parent-adolescent communication about sex in Filipino American families: a demonstration of community-based participatory research. Knowledge and attitudes toward condom use — do they predict behavior among Filipino Americans? Alcohol, tobacco, and other drug use among Asian American and Pacific Islander Adolescents in California and Hawaii. Smoking patterns of Asian-American youth in California and their relationship with acculturation. Comparative conflict resolution patterns among parent-teen dyads of four ethnic groups in Hawaii.
Coronary heart disease in Filipino and Filipino-American patients: prevalence of risk factors and outcomes of treatment. Life course health development: an integrated framework for developing health, policy, and research. Authority, autonomy, and parent-adolescent conflict and cohesion: a study of adolescents from Mexican, Chinese, Filipino, and European backgrounds. Factor structure of the CES-D (Center for Epidemiologic Studies Depression Scale) among Filipino-American adolescents.
Pregnant Filipino women were more likely to be 35 years or older, less likely to initiate prenatal care in the first trimester, and more likely to have less than 12 years of education than white pregnant women. The rate of stillbirth was substantially higher at nearly every serum chorionic gonadotropin concentration for blacks, Filipinos, Pacific Islanders, other, and unknown ethnic groups than for whites (range, 4-7 per 1000 for groups other than whites compared with 2 per 1000 for whites).
Among California’s six largest API groups, Filipinos had the highest percentage of births among teenagers (6%).
Filipino children aged 5 to 12 had unmet dental treatment needs compared with 21% of whites. Low value of primary teeth and negative treatment experiences that parents have had with symptomatic dental care were major factors surrounding beliefs about oral health and behaviors.
United States were more than twice as likely to be obese as were first generation residents of the United States.
Filipino males were the largest of all male groups and like Filipino females expressed a strong body- or self-dislike and preference for a smaller body. Filipino girls were less likely to have overweight concerns than African-Americans and Latinas but equally as likely as whites.
Filipinos make up the second largest group of foreign-born children in the United States with tuberculosis. Thirty-seven percent of Filipinos had all three of their required hepatitis B vaccinations. Filipino adolescents (32%) had sexual activity rates similar to those of white students (37%) and higher than Chinese students (13%). White students had higher HIV prevention scores than did Chinese and Filipino students, and whites had significantly greater ability to communicate with others about HIV disease and prevention. Higher self-efficacy and carrying condoms were the only variables that approached statistical significance in their relationship to condom use at last intercourse among Filipinos. Teen pregnancy can pose several financial, physical and academic challenges to an expectant mother. Some teenage mothers tend to become preoccupied with themselves giving negligible attention to the world around them. Considering that most teenage pregnancies are unintended, the teenage mother ends up filled with a cloud of guilt at the news of her pregnancy. Though all possible measures have been taken to ensure accuracy, reliability, timeliness and authenticity of the information; Onlymyhealth assumes no liability for the same.
Millbrook Rotary hosted a broadcast of RadioRotary with guests Steve Pressman, Executive Director of the Mid-Hudson Addiction Recovery Centers, Inc.
Crystal Snow-Hebel is one of the co-founders of Faith House (Linda Arzu is the other), a proposed maternity home for 18- to 24-year old girls and their newborn children. RadioRotary interviews Patterson Rotarian Mike Ingber about his club’s exciting fundraiser, Men Who Cook. Broadcasting from the Red Hook Rotary meeting, the RadioRotary cohosts interview Kimberly McGrath, Executive Editor of the Red Hook Area Chamber of Commerce.
Rhinebeck Rotarian Bob Phillips, along with 23 other Rotarians from around the United States (and some from Canada and the United Kingdom) went to Cote d’Ivoire in West Africa in the summer of 2015—mission, prevent polio. Pleasant Valley Rotarian, registered nurse, and RadioRotary producer Kathy Kruger is on the other side of the microphone as co-hosts Jonah Triebwasser and Sarah O’Connell interview her about the Rotaplast program to correct cleft lip or palate, burn scarring, and other deformities. Michael Christophides, Chief Inspector and Laboratory Director of Granit Inspection Group, joins co-host Sarah O’Connell and guest co-host and physicist David Kruger to describe the hazards of the gas radon, which can accumulate in buildings or in well water.
RadioRotary interviews Maggie Kwet, the Aging Information Services Specialist at the Dutchess County Office of the Aging, on the many services provided for seniors in the County, which deal with health, the law, transportation, home care, food, energy and heating, grandparenting, and more.
RadioRotary interviews Kayo Iwama, Associate Director of the Graduate Vocal Arts Program at Bard College, about music education at the college and the performances open to the public.
Rhinebeck Rotarian and District 7210 Governor-Elect for 2016-17 Lou Turpin describes two of the several activities that help fulfill the Rotary Foundation motto of “Doing Good in the World.” In addition to his work for District 7210, Turpin has been instrumental in furthering the work of ShelterBox, perhaps the leading disaster-relief organization in the world. Rhinebeck Rotarian Lou Trapani, Artistic and Managing Director of The Center for the Performing Arts at Rhinebeck, returns to RadioRotary to discuss some of the upcoming performances at the big red barn on Route 308. RadioRotary interviews New York State Senator Sue Serino on efforts to reduce Lyme Disease in the Hudson Valley and to free physicians to treat chronic Lyme Disease with longer courses of intravenous antibiotics. RadioRotary interviews recovering addict Cara Mia Bacchiochi about her street ministry called Hope on a Mission HOAM, a volunteer effort to help women who are homeless because of addiction to drugs or alcohol.
Eliza Bozenski is the development director for the Anderson Center for Autism, a nonprofit educational and therapeutic organization that includes day and residential programs for children and adults as well as diagnostics, training, and consultation for families or schools.
RadioRotary interviews Zamir Hassan, founder of The Hunger Van, a volunteer effort to bring food to the hungry homeless.
Millbrook Rotarian Joyce Heaton describes this year’s New Year’s Eve Millbrook a community event that is family friendly and alcohol free.
Rotary has had a unique role in the United Nations starting even before the UN was founded.


The Senior Community Service Employment Program (SCSEP) is a Federal program that operates on a country level, providing vocational training for low-income persons age 55 or older.
Pleasant Valley Rotarian, and 2015 winner of the Jeffrey Keahon Foundation Award, David Kruger describes the work of The Rotary Foundation, the part of Rotary that not only does good in the world away from our communities, but also helps fund many local projects.
Salvation Army Captains Sam and Jenny Alarcon visit RadioRotary to describe some of the many ways that The Salvation Army works to solve problems in Poughkeepsie and the Hudson Valley. Cancer survivor Holly VanDerbeck tells about her experiences with Stage 3 melanoma, the most deadly form of skin cancer. Red Hook Rotarian Gale Wolfe is interviewed about her participation in a medical mission to Tibet for this “live from the meeting” RadioRotary interview, recorded during a regular meeting of the Red Hook Rotary Club.
Rotary District 7210 Past District Governor Bill Bassett (Walkill East Rotary Club) describes the history and current success of the effort, started by Rotary in 1979, to completely eradicate the terrible disease poliomyelitis, commonly called polio.
The name “Dutchess Outreach” does not tell much about the organization’s mission, which is to meet the basic needs of low-income people when no other resources are readily available. The objectives of this review are 1) to appraise current knowledge of Filipino children’s health and health care and 2) to present the implications of these findings for research, clinical care, and policy. Practitioners serving this population need to consider social and cultural factors that can increase or diminish risk for health problems. Yet, we have only a limited understanding of the health and health care issues that characterize these children.
In this review, we first address health care, specifically examining access to quality health care. In San Francisco, they have sexual activity rates similar to those of white students and higher than those of Chinese students (36,37). First, it identified disparities in Filipino child health and health care, a critical first step because considering social and cultural factors that influence health and health care can help us to begin to understand these disparities. These behaviors include early sexual activity, nonuse of birth control, delinquency, use of violence, and substance abuse (12). Proposed bills requiring cultural competency should be supported and such training should include information on Filipinos as well as other API subgroups. Javier, Division of General Pediatrics, Stanford University School of Medicine, 750 Welch Road, Suite 325, Palo Alto, CA 94304. Filipino adolescents living in the United States for a long period tended to report more physical health problems than those here for a short time.
Even with these obstacles, mothers were open to new information and strategies to reduce the prevalence of early childhood caries. Barriers to transmission of values were related to adolescent acculturation to the United States.
Knowledge of HIV transmission, demographic variables, barriers to condom use, peer norms, and being comfortable asking a steady partner to routinely use condoms were not related to condom use at last intercourse. These conditions can be distressing to adolescent individuals, parents and care providers alike, in part because of the interconnection with pubertal changes and other developmental issues. Denial is highly likely in the case of teenage women because most of the times, it is unintentional. At such a juncture, the teenage mother may find it impossible to focus on other aspects of life such as education. Irrespective of the kind of guilt it is such as religious or the guilt to have let the family down, such psychological issues must be dealt with. A teenager will face sarcastic banter from her school friends, which will make her stop going to school, her back will hurt, feeling worthless and out of place. If you have or suspect having any medical condition, kindly contact your professional health care provider. This would be a refuge for girls who otherwise would be homeless, in abusive relationships, or living in poverty. Ingber is not only one of the organizers for the 20th installment of the popular event, but also one of the cooks, specializing in smoked salmon or ribs. The Red Hook Area Chamber has more than 280 active members representing 170 businesses and is still growing.
As he told the RadioRotary co-hosts, the ten-day trip was the most memorable experience of his life, from the West African Fair to actually administering the two drops of polio vaccine to infants under five years old, the target group. Cleft lip or palate causes many health problems as well as affecting speech, impairing ability to eat, and causing social rejection. Radon is an odorless radioactive gas that is released from rocks of all kinds, but especially from granite or dark shales found in the Hudson Valley. Bard has an unusual undergraduate degree program in music because each student must also obtain a degree in another subject, such as mathematics or political science.
Not only has he been a Shelter-Box Ambassador, encouraging the funding of the program throughout the district, but be also serves on the board of ShelterBox USA. Lyme Disease is one of several tick-borne illnesses that are widespread in the Hudson Valley. Working in the city of Poughkeepsie, Bacchiochi and volunteer helpers distribute water and such personal care items as baby wipes to homeless women on a weekly basis. Its hundred-acre walkable campus on the Hudson, where autistic students learn in classes with 6 or fewer other students, is just the most obvious part of the organization. In 2000, Hassan chaperoned a school trip to a local food pantry and was astonished by how many were going hungry in his prosperous New Jersey community. Twelve years earlier, the Rotary Club of Millbrook was seeking a way to help bring the village and environs together as a community.
Each year the United Nations invites more than a thousand Rotarians, members of associated groups such as Rotaract and Interact, and students participating in Rotary international Youth Exchange to come to UN headquarters in New York for panel discussions with Rotary leadership, UN ambassadors, and heads of international nongovernmental organizations.
While its most notable success has been the worldwide reduction of polio to a handful of cases in two countries—with complete elimination on the horizon—The Rotary Foundation may have saved even more lives with its projects for clean water, maternal and child health, and peace.
The Salvation Army, founded in London by William Booth in 1865, is a worldwide Christian church that is organized along military lines.
Originally detected as a change in a mole, her cancer showed up later in lymph nodes, but was arrested by a combination of surgery and interferon, a drug that stimulates the immune system to attack cancer. Polio has a long history as a human disease that often causes lifetime paralysis or even death. EPIC (Engaging People in Change) gathers high-school students from around NE Dutchess and holds weekly meetings that focus on social justice and leadership skills. The Leukemia and Lymphoma Society funds research that has greatly reduced the death rate from these cancers, and the Society also provides education and support for patients as well as advocacy for better treatments and services. Many studies that include API children report aggregated results, which mask key variations in health status among API subgroups. Teenage mothers need more than a few ultrasounds, college and career guidance and financial support. Most teenage girls, who discover their pregnancy, tend to procrastinate telling their parents or a doctor about their pregnancy.
The pregnant teenager begins to think that her problems overshadow that of the family and feel left out when her family does not seem to be helping her out.
A pregnant teenager may talk about her pregnancy with a teacher, parent or counsellor to help hop on to the next issue of taking care of the baby.
This edition of Men Who Cook honors the Honorable James Reitz, judge of the family court in Carmel, NY, and of a drug court that helps addicts become rehabilitated rather than prisoners.
Primarily it acts to promote local businesses with its weekly newsletter and to help local business persons meet and get to know each other, the latter with breakfasts or mixers every month. Of course, this was part of Rotary’s PolioPlus project, which since 1988 has worked with UNICEF, the World Health Organization, and the CDC to eradicate the disease, which was causing a thousand cases a week when they started.
Kruger has personal experience with the program as a participant in a mission to the Philippines but she also has been the principal representative from Rotaplast to District 7210. Radon in the air is the second leading cause of lung cancer (and adds to the risk of cancer in smokers), while radon in water can increase the risk of stomach cancer and may also be released into the air. It offers programs to improve movement and health for seniors such as “A Matter of Balance” and regular exercise groups. The Graduate Vocal Arts Program owes its existence to the renowned soprano Dawn Upshaw, who developed and directs it.
On another front, through his involvement with the Albert Schweitzer Institute at Quinnipiac University, he has participated in several of the Nobel Peace Summits, an annual gathering of winners of the Nobel Peace Prize. Trapani describes the education program at the Center, which includes a touring company that performs The Wizard of Oz, Rip Van Winkle, and The Legend of Sleepy Hollow at local schools. Many believe that when it fails to be cured either by no treatment or inadequate treatment, it becomes chronic Lyme Disease. As with other parts of the United States, Poughkeepsie is undergoing a wave of addiction spurred by the introduction of powerful opiate pain relievers and the availability of cheap heroin.
It also encompasses 21 group homes,  three life-learning centers, a clinic, and consulting arrangements with local schools. He says that in his tradition, you are not supposed to go to sleep if your neighbor is hungry, so he began to work on ways to alleviate the problem.


In October of that year, Joyce—who was aware of First Night Celebrations in Boston and elsewhere—proposed that the club sponsor a New Year’s Eve celebration of music and events directed at children.
Also each year since 2009 the RadioRotary team has been there to interview some of the participants.
SCSEP counselors Cheryl George, Patsy Kimbrew, Sheila Rock, and Marlene Fredericks describe the program, which provides training in such skills as handling interviews and writing resumes. It is also the most effective charity because nearly all of every dollar given to The Rotary Foundation is used for its work instead of spent on administration or fundraising. A basic step to avoid skin cancers is to protect your skin from the ultraviolet components of sunlight and from artificial tanning—hats and other clothing on sunny days and application of sunscreen before exposure are the first lines of defense.
Dean Bloch, an obstetrician-gynecologist, and various other medical personnel on a mission to bring aid to a remote village in Tibet. In the early 1980s a thousand persons per day contracted it and it was endemic in 125 nations. Carleton Harris started with the summer camp run by the Rural and Migrant Ministry, leading him to become involved with the Youth Arts Group, which has much the same mission as the newly formed EPIC. One way that you can help fund the Society and also increase awareness is to participate in one of the several Light the Light Walks in the Hudson Valley or Connecticut. RadioRotary gets the details from Joe Conti, President of the Board of Directors, and Brian Riddell, Executive Director of Dutchess Outreach. The initial consultation visit will be with an adolescent medicine trained physician who will evaluate all physical and emotional concerns you may have and initiate treatment.
Procrastinating informing the family members about the pregnancy and taking no medical care is dangerous for the mother as well as the baby.
If none of the immediate support systems work, one can start looking for other better support groups. Many volunteers are already working on this project, which is still in a fundraising stage.
Men Who Cook has about 15 professional chefs from local restaurants and about the same number of amateur foodies who man stations at the Star Ridge Banquet Center in Brewster. As a result of this effort, there were only 70 instances in all in 2015, all of them in Pakistan and Afghanistan, with the disease essentially eliminated from the rest of the world.
A typical Rotaplast team of about 15 medical professionals and 15 nonmedical volunteers, often Rotarians, travels to a locations where few facilities exist for repair of these defects, then over a couple of weeks treats hundreds of patients, mostly children but some adults as well. Testing is the only way that you can tell whether or not radon is present in dangerous levels. Performances by students, faculty, and guest artists occur throughout the year at Bard, some of them free and many at the famed Fisher Center designed by Frank Gehry.
At the most recent summit in Barcelona, Spain, Turpin combined these two aspects of his work by speaking to the meeting about how ShelterBox has been working to aid the refugees from the Syrian Civil War. These fit will with the Center’s theme for 2016, which is “All-Americana,” featuring plays by American authors such as Kaufman and Hart, Tony Kushner, and Arthur Laurents. Chronic Lyme Disease, which is not recognized by the Centers for Disease Prevention and Control (CDC),  may affect those afflicted years after the initial infection.
In the late 1980s, Bacchiochi was herself an addict, but in 1990 she entered recovery programs. This compelling RadioRotary interview tells the listener much about autism and the important place of the Anderson Center in its management.
As he traveled from place to place around the United States, helping to set up food pantries, he realized that many of the hungry homeless lack transportation to get to the food pantries, so he created a volunteer program that would bring healthy food to where the homeless lived, beneath bridges or in doorways. Retired seniors are placed in jobs that reflect their previous work life or that are based on training received in the program. From its first days it has focused on helping the homeless, addicts and alcoholics, and the hungry. Changes in moles, persistent bleeding, and “floaters” in vision are among the signs that need medical attention. Their whole family took part, as the 14-year-old brought eyeglasses, the 17-year old organized the Tibetan patients, and the 19-year-old and Gale both helped out in the dental clinic, where hundreds of teeth were pulled. As a result of a partnership led by Rotary, but including the World Health Organization, the U.S.
Grace Latino Outreach (GLO) has for the past decade offered programs in English as Second Language as well as aid of all kinds for the immigrant population.
Amanda Harley, a campaign assistant for the Society, visits RadioRotary to describe the walks and provide information about cancers of the blood. If this treatment requires evaluations by other members of our team we will assist with the schedule of those appointments. In some extreme cases, the girl may keep herself from informing her parents or doctor about her pregnancy until labour. MARC is a residential program that both sends persons with addiction to other appropriate facilities as needed and houses and treats the addicted in several ways—A Crisis Center, three residential treatment centers, and nearly 30 sober housing apartments. In addition to providing parenting skills, there would also be prenatal care and skills and educational development for when the girl and her child re-enters society. For a $70 entrance fee, you can patronize all of the stations featuring a variety of ethnic foods and American classics—but bring your own drinks and stemware. Nearly every problem confronting a senior has a friendly staffer of the Office for the Aging ready to help solve.
Every two years, the Vocal Arts Program mounts an opera for the public, complete with a full orchestra accompaniment.
Among the unusual attractions will be a new opera (Godfather Death) and pairing the Hudson Valley Shakespeare Festival’s Romeo and Juliet with West Side Story. Symptoms can include arthritis, fatigue, mental fogginess, and impaired vision.  The black-legged ticks that carry the disease from other mammals, such as deer and white-footed mice, often attach themselves to human hosts in the nymph stage, when they are about the size of a sesame seed.
With the help of her church, she hope someday to open a storefront that would make it easier to carry out her mission. Some of the music acts from that first occasion—jazz pianist Larry Ham and the Handman Family strings—have been featured every year since, while other popular favorites such as the Bindlestiff Family Cirkus, Metropolitan Klezmer, and ragtime-and-blues piano scholar Peter Muir, have been present many times. Many may know it from collecting money outside store entrances at holiday time—the bell ringers in uniform are Salvationists, while many others are volunteers. The team, housed in a Tibetan nunnery as arranged by a monk from the Red Hook Buddhist center, helped nearly a thousand Tibetans during the week-long mission. Centers for Disease Control and Prevention (CDC), and UNICEF, the number of cases has been reduced to about 150 per year and it is endemic only in Pakistan and Afghanistan. The extent of denial that one goes through may sometimes be so severe that the girl’s family members overlook the bodily changes, thereby overlooking the need for medical care.
Christophides recommends testing every two years, since levels can change based on seismic activity, changes in structures, or other factors. Bard actually hosts three orchestras, including the American Symphony Orchestra conducted by Leon Botstein. In about a quarter of the infections, a characteristic “bulls-eye” rash forms at the site of the infection. In the meantime, Hope on a Mission HOAM could use help in the form of donations and volunteers.
A popular feature of New Year’s Eve Millbrook are the lighted buttons designed by local students. The Alarcons describe various Salvation Army projects from after school for children to centers for seniors. This effort has been aided by hundreds of millions of dollars from the Bill and Melinda Gates Foundation put forth as matching challenges for The Rotary Foundation, currently a two-for-one match to every Rotary dollar up to $35 million per year.
Quinn is trying to help erase the stigma of drug addiction by shining a light on the problem. If a test reveals excess radon, remediation usually consists of suctioning air away before it can enter the house. The annual event is free, since it is supported completely by contributions from local foundations, businesses, and individuals.
She tells the story of her son Eric: About a year ago he showed his mother needle tracks on his arms and said he needed help.
It is not a fundraiser for the Rotary club; every dollar raised is spent on making the event joyful for all participants. Eric was detoxed for four days and then transferred into MARC’s Crisis Center, which found an appropriate long-term residence program for him.



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