Courtney C. Choy
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View article: Validation of the Latin American and Caribbean Food Security Scale (ELCSA) for use in Samoa
Validation of the Latin American and Caribbean Food Security Scale (ELCSA) for use in Samoa Open
The Samoan translation of the 15-question ELCSA has validity for use among nonpregnant Samoan women with children. Although there are unique protective factors, food insecurity should be continuously monitored in Samoa with efforts made to…
View article: Psychosocial correlates of HbA1c among adult Samoans without diabetes
Psychosocial correlates of HbA1c among adult Samoans without diabetes Open
Understanding psychosocial determinants of health is critical in understudied, high-risk populations, where such knowledge could have a major impact on health outcomes. In Samoa, where diabetes prevalence has rapidly increased over 30 year…
View article: Noncommunicable disease risk behaviors and protective factors among children in Samoa: Retrospective trend analysis of global school-based health surveys in 2011 and 2017
Noncommunicable disease risk behaviors and protective factors among children in Samoa: Retrospective trend analysis of global school-based health surveys in 2011 and 2017 Open
Pacific Island countries experience a high prevalence of noncommunicable diseases (NCDs), which may be prevented by reducing risk behaviors and strengthening protective factors in childhood and adolescence. To better inform preventative in…
View article: Child, family and household characteristics associated with physical activity in Samoan children aged 3–8 years: A cross-sectional study
Child, family and household characteristics associated with physical activity in Samoan children aged 3–8 years: A cross-sectional study Open
Physical activity is a key component of many obesity prevention strategies. The aim of this analysis was to identify child, family, and household characteristics associated with parent-reported physical activity in Samoan children aged 3–8…
View article: Dyadic care to improve postnatal outcomes of birthing people and their infants: A scoping review protocol
Dyadic care to improve postnatal outcomes of birthing people and their infants: A scoping review protocol Open
Introduction Dyadic care, which is the concurrent provision of care for a birthing person and their infant, is an approach that may improve disparities in postnatal health outcomes, but no synthesis of existing dyadic care studies has been…
View article: Associations of childhood <scp>BMI</scp> traits with blood pressure and glycated haemoglobin in 6–9‐year‐old Samoan children
Associations of childhood <span>BMI</span> traits with blood pressure and glycated haemoglobin in 6–9‐year‐old Samoan children Open
Summary Introduction Prevalence and risk factors for elevated glycated haemoglobin (HbA1c) and blood pressure (BP) are poorly understood among Pacific children. We examined associations of HbA1c and BP in 6–9 year‐olds with body mass index…
View article: Consensus-building during the Becoming Breastfeeding Friendly (BBF) initiative in Samoa: A qualitative content analysis
Consensus-building during the Becoming Breastfeeding Friendly (BBF) initiative in Samoa: A qualitative content analysis Open
The Becoming Breastfeeding Friendly (BBF) initiative provides countries with an evidence-based toolbox to improve the national breastfeeding environment by assessing and developing a plan to effectively scale up well-coordinated national p…
View article: Scoping review protocol of multicomponent interventions to address cardiometabolic disease risk among Pacific Islander children
Scoping review protocol of multicomponent interventions to address cardiometabolic disease risk among Pacific Islander children Open
Introduction Multicomponent interventions can reduce cardiometabolic disease (CMD) risk factors in childhood; however, little synthesis of the literature has taken place in the Pacific region. Pacific Islanders experience a disproportionat…
View article: Prevalence of malnutrition among Samoan children aged 5 to 11 years in 2019–2020
Prevalence of malnutrition among Samoan children aged 5 to 11 years in 2019–2020 Open
Moderate-to-high levels of overweight/obesity and anaemia call for comprehensive intervention strategies.
View article: Comparability of The Netherlands Physical Activity Questionnaire with Accelerometer-Measured Physical Activity in Samoan Children: A Retrospective Analysis of Ola Tuputupua’e Data
Comparability of The Netherlands Physical Activity Questionnaire with Accelerometer-Measured Physical Activity in Samoan Children: A Retrospective Analysis of Ola Tuputupua’e Data Open
Accurate measurement of physical activity is critical to understand its role in cardiometabolic health and obesity development in children and to monitor trends in behavior and evaluate interventions. An ongoing mixed-longitudinal study of…
View article: <scp>C‐reactive</scp> protein in adult Samoans: Population variation and physiological correlates
<span>C‐reactive</span> protein in adult Samoans: Population variation and physiological correlates Open
Objectives C‐reactive protein (CRP) has been associated with adiposity and cardiometabolic disease risk in many populations but remains remarkably understudied in Pacific Islander populations. Here, we provide the first examination of corr…
View article: Assessing the impact of high blood pressure referrals on hypertension awareness and management, BMI, and blood pressure values in adult Samoans 2010–2019
Assessing the impact of high blood pressure referrals on hypertension awareness and management, BMI, and blood pressure values in adult Samoans 2010–2019 Open
The Samoan population has experienced rapid increases in the prevalence of non-communicable diseases (NCDs) and NCD risk factors over the last 30 years. However, understanding how increased awareness and treatment of these conditions in re…
View article: Longitudinal Assessment of Childhood Dietary Patterns: Associations with Body Mass Index <i>z</i>-Score among Children in the Samoan <i>Ola Tuputupua'e</i> (Growing Up) Cohort
Longitudinal Assessment of Childhood Dietary Patterns: Associations with Body Mass Index <i>z</i>-Score among Children in the Samoan <i>Ola Tuputupua'e</i> (Growing Up) Cohort Open
Background: Intervention strategies to prevent childhood obesity in the Pacific Islands encourage eating a variety of local and traditional foods, but context-specific data to support this approach are limited. The objective was to assess …
View article: Effect of maternal nutrient intake during 31–37 weeks gestation on offspring body composition in Samoa
Effect of maternal nutrient intake during 31–37 weeks gestation on offspring body composition in Samoa Open
While maternal dietary intake was not associated with infant adiposity or lean mass, we observed an effect on bone mass whose role in regulating metabolic health is overlooked.
View article: Estimated Dietary Bisphenol-A Exposure and Adiposity in Samoan Mothers and Children
Estimated Dietary Bisphenol-A Exposure and Adiposity in Samoan Mothers and Children Open
The Pacific Island nation of Samoa is marked by prevalent obesity and an increasing dependence on packaged foods likely to contain the endocrine disruptor bisphenol-A (BPA). We evaluated participant- and household-level characteristics ass…
View article: Exploring the Paradoxical Relationship of a Creb 3 Regulatory Factor Missense Variant With Body Mass Index and Diabetes Among Samoans: Protocol for the Soifua Manuia (Good Health) Observational Cohort Study
Exploring the Paradoxical Relationship of a Creb 3 Regulatory Factor Missense Variant With Body Mass Index and Diabetes Among Samoans: Protocol for the Soifua Manuia (Good Health) Observational Cohort Study Open
Background The prevalence of obesity and diabetes in Samoa, like many other Pacific Island nations, has reached epidemic proportions. Although the etiology of these conditions can be largely attributed to the rapidly changing economic and …
View article: Piloting a food photo sorting activity in Samoa to assess maternal beliefs and their role in child diet
Piloting a food photo sorting activity in Samoa to assess maternal beliefs and their role in child diet Open
Eating habits begin forming early in life when parental beliefs and behaviours often play a major role in shaping dietary intake. We aimed to assess maternal beliefs about the cost, social status, and nutritional value of foods in Samoa—a …
View article: Exploring the Paradoxical Relationship of a Creb 3 Regulatory Factor Missense Variant With Body Mass Index and Diabetes Among Samoans: Protocol for the Soifua Manuia (Good Health) Observational Cohort Study (Preprint)
Exploring the Paradoxical Relationship of a Creb 3 Regulatory Factor Missense Variant With Body Mass Index and Diabetes Among Samoans: Protocol for the Soifua Manuia (Good Health) Observational Cohort Study (Preprint) Open
BACKGROUND The prevalence of obesity and diabetes in Samoa, like many other Pacific Island nations, has reached epidemic proportions. Although the etiology of these conditions can be largely attributed to the rapidly changing economic and…
View article: Dietary patterns are associated with child, maternal and household-level characteristics and overweight/obesity among young Samoan children
Dietary patterns are associated with child, maternal and household-level characteristics and overweight/obesity among young Samoan children Open
Objective Among young Samoan children, diet may not be optimal: in 2015, 16·1 % of 24–59-month-olds were overweight/obese, 20·3 % stunted and 34·1 % anaemic. The present study aimed to identify dietary patterns among 24–59-month-old Samoan…
View article: Compliance with indoor tanning bans for minors among businesses in the USA
Compliance with indoor tanning bans for minors among businesses in the USA Open
Indoor tanning is a known risk factor for skin cancer and is especially dangerous for adolescents. Some states have passed indoor tanning bans for minors, but business compliance with the bans is not well understood. Thus far, studies have…
View article: Child, maternal and household-level correlates of nutritional status: a cross-sectional study among young Samoan children
Child, maternal and household-level correlates of nutritional status: a cross-sectional study among young Samoan children Open
Objective Young children are particularly vulnerable to malnutrition as nutrition transition progresses. The present study aimed to document the prevalence, coexistence and correlates of nutritional status (stunting, overweight/obesity and…
View article: Compliance with indoor tanning laws for minors among salons and business in the United States
Compliance with indoor tanning laws for minors among salons and business in the United States Open
Indoor tanning is an established risk factor for skin cancer, yet indoor tanning is quite common among adolescents. Laws exists in some states to limit access to indoor tanning by minors, but there is limited research on industry complianc…
View article: Body mass index, height and early-onset basal cell carcinoma in a case-control study
Body mass index, height and early-onset basal cell carcinoma in a case-control study Open
BackgroundBasal cell carcinoma (BCC) is the most common malignancy in the US. Body mass index (BMI) and height have been associated with a variety of cancer types, yet the evidence regarding BCC is limited. Therefore, we evaluated BMI and …