Nicola L Hawley
Biographic Data
| ID | 4287177 |
|---|---|
| NAME | Nicola L Hawley |
| GIVEN NAMES | Nicola L |
| FAMILY NAME | Hawley |
| SIGNATURE | HAWLEY N L |
| AFFILIATIONS | Yale University |
| ORCID | 0000-0002-2601-3454 |
| VERIFIED | Yes |
| TOTAL WORKS | 55 |
| TOTAL CITATIONS | 5 |
| AUTHOR COUNT | 49 |
| EDITOR COUNT | 6 |
| FIRST PUBLICATION YEAR | 2009 |
| LATEST PUBLICATION YEAR | 2026 |
| H-INDEX | 2 |
Violence against women and children in the Pacific
The Pacific region experiences some of the world’s highest rates of violence against women and children (VAW/C), yet it has also shown leadership and innovation in prevention efforts. Despite progress, evidence gaps remain, particularly regarding intervention impact. This scoping review systematically maps current evidence on VAW/C prevention in the Pacific, complemented by expert consultation. Eleven interventions were identified across five cou…
“Each moon we come to weigh the pregnancy
Group antenatal care (G-ANC) is a model that brings pregnant women with similar estimated delivery dates together for clinical assessment and participatory learning in a supportive social context. A qualitative study was nested in a trial assessing the community impact of G-ANC on ANC retention and uptake of intermittent preventive treatment of malaria in pregnancy (IPTp) in Atlantique Department, Benin. This nested qualitative study assessed wom…
Quality of first antenatal care visits and perinatal outcomes
Antenatal care (ANC) is crucial for maternal and newborn health. Although ANC coverage has improved globally, ANC quality remains suboptimal. This study assessed the quality of first ANC visits and their association with perinatal outcomes. We used data from the eCohort study that collected longitudinal data on ANC utilization and quality until the end of pregnancy in Ethiopia, Kenya, South Africa, and India. Perinatal outcomes of interest includ…
Intergenerational impact of maternal trauma on adolescent depression
Nurturing Bonds
The information gained from the interviews and focus groups can be used to develop evidence-based messaging that strives to educate parents and caregivers to successfully identify hunger and satiety signals in infants and encourage the introduction of healthy and age-appropriate foods that complement current Samoan breastfeeding practices and childhood dietary patterns
Disparities in Prenatal Care Utilization in the United States
Whose health? Whose truth? Navigating the “Make America Healthy Again” – public health divide
Associations between maternal and infant body composition, feeding practices, and perceived infant eating behaviour in Samoan mother–infant dyads aged 1–4 months
Maternal perception of infant appetite appears to be influenced partially by maternal and infant body composition and breastfeeding patterns in our sample, highlighting potential points of intervention to promote recommended breastfeeding practices
Child, family and household characteristics associated with physical activity in Samoan children aged 3–8 years
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 years. Children (n = 445; 51.2% female, mean age 5.4 years) were part of an ongoing, mixed-longitudinal study of child growth, development, and wellbeing (the Ola Tuputupua’e cohort). Bivariate analyses and mul…
Noncommunicable disease risk behaviors and protective factors among children in Samoa
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 interventions, our objective was to use publicly available data from the Global School-based Student Health Survey (GSHS), to provide cross-sectional and trend estimates for the prevalence of NCD risk and protecti…
Association between age at menarche and cardiometabolic risk among Samoan adults
OBJECTIVES: Recent studies suggest that early menarche may increase cardiometabolic morbidity and mortality. Yet few studies have examined this association in the Pacific Islands, where obesity prevalence is among the highest globally. We sought to examine associations between age at menarche and cardiometabolic risk in Samoa. METHODS: Participants were from the Soifua Manuia study (n = 285, age 32-72 years) conducted in Samoa from 2017 to 2019. …
O le tagata ma lona aiga, o le tagata ma lona fa’asinomaga (Every person belongs to a family and every family belongs to a person)
Self-care and healthcare seeking practices among patients with hypertension and diabetes in rural Uganda
Background Implementing effective self-care practices for non-communicable diseases (NCD) prevents complications and morbidity. However, scanty evidence exists among patients in rural sub-Saharan Africa (SSA). We sought to describe and compare existing self-care practices among patients with hypertension (HTN) and diabetes (DM) in rural Uganda. Methods Between April and August 2019, we executed a cross-sectional investigation involving 385 adult …
Determinants of retention in care of newborns diagnosed with sickle cell disease in Liberia
High-income nations have established that early diagnosis and preventive treatment reduces early deaths in sickle cell disease (SCD). However, in low-/middle-income countries where SCD is common, attrition from clinical care is common. Reasons for poor retention in care are multi-factorial and poorly understood. The objective of this study was to identify factors that influence caregiver decision-making around chronic health care needs of a child…
Global prevalence of preterm birth among Pacific Islanders
The epidemiology of preterm birth among Pacific Islanders is minimally understood. The purpose of this study was to estimate pooled prevalence of preterm birth among Pacific Islanders and to estimate their risk of preterm birth compared to White/European women. We searched MEDLINE, EMBASE, Web of Science Core Collection, Cochrane Library, CINAHL, Global Health, and two regional journals in March 2023. Observational studies were included if they r…
Consensus-building during the Becoming Breastfeeding Friendly (BBF) initiative in Samoa
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 policies and programs. BBF is carried out by a multi-institutional, intersectoral committee of experts, convening across five committee meetings designed to produce policy recommendations that can be implemented …
Validity of anthropometric equation‐based estimators of fat mass in S amoan adults
Introduction In 1999, a set of highly accurate Polynesian‐specific equations to estimate adult body fat from non‐invasive field measures of age, sex, height, and weight (Equation 1), age, sex, height, weight, and bioelectrical impedance analysis (BIA) resistance (Equation 2), and age, sex, height, weight, and the sum of two skinfold thicknesses (Equation 3) were published. The purpose of this study was to evaluate the performance of the equation‐…
Prevalence of malnutrition among Samoan children aged 5 to 11 years in 2019–2020
Moderate-to-high levels of overweight/obesity and anaemia call for comprehensive intervention strategies
Cross-sectional and prospective associations between household socioeconomic resources, appetite traits, and body size among Samoan infants
Maternal responsiveness and toddler body mass index z-score
Assessment of neonatal thermal cares
A newborn has a limited capacity to maintain temperature when exposed to cold environment. Neonatal hypothermia, a common neonatal problem, carries high case fatality rate particularly if concurrently occurs with other neonatal problems. This study assessed neonatal thermal care practices and beliefs among rural women in west Guji Zone, south Ethiopia. A community based cross sectional quantitative study combined with qualitative study was undert…
Lived experiences of women with low birth weight infants in the Solomon Islands
Every year, around 20 million women worldwide give birth to low birth weight (LBW) infants, with majority of these births occurring in low-and middle-income countries, including the Solomon Islands. Few studies have explored the pregnancy lived experience of women who deliver LBW infants. The aim of the study is to understand the lived experience of women in the Solomon Islands who gave birth to LBW infants by exploring their personal (socio-demo…
Regional Research-Practice-Policy Partnerships in Response to Climate-Related Disparities
Although climate change poses a threat to health and well-being globally, a regional approach to addressing climate-related health equity may be more suitable, appropriate, and appealing to under-resourced communities and countries. In support of this argument, this commentary describes an approach by a network of researchers, practitioners, and policymakers dedicated to promoting climate-related health equity in Small Island Developing States an…
Current Officers and Members of Standing Committees
Biological and environmental contributors to child growth and health
Associations between maternal and infant body composition, feeding practices, and perceived infant eating behaviour in Samoan mother–infant dyads aged 1–4 months
Maternal perception of infant appetite appears to be influenced partially by maternal and infant body composition and breastfeeding patterns in our sample, highlighting potential points of intervention to promote recommended breastfeeding practices
Maternal responsiveness and toddler body mass index z-score
Secular trends in skeletal maturity in South Africa
Significant secular increases in the skeletal maturity of urban black South African children occurred between 1962 and 2001. Non-significant increases were seen in white children. The significant secular increases were concordant with increases in stature and adiposity during this period. The increase in skeletal maturity may reflect the removal of growth constraint, particularly in black children
Long‐term trends in food availability, food prices, and obesity in samoa
Objectives: To describe long‐term food availability and prices from 1961 to 2007 and body mass index (BMI) trends from 1980 to 2010 in Samoa, and to contextualize these trends within political, economic, cultural, behavioral, and climatic influences. Methods: National level data on food availability and pricing were obtained from the open access database FAO ( http://faostat.fao.org ). Data for Samoa were collected from annual food balance sheets…
Modernization and cardiometabolic risk in Samoan adolescents
OBJECTIVE: To describe the prevalence of cardiometabolic risk factor clustering in Samoan adolescents and to relate risk factor clustering to weight status and general modernization. METHODS: Anthropometric and biochemical data collected from adolescents aged 12-17.9 years who participated in the Samoan Family Study of Overweight and Diabetes were used to describe the prevalence of cardiometabolic risk factors (high waist circumference, high bloo…
Barriers to Adequate Prenatal Care Utilization in American Samoa
Prevalence of adiposity and associated cardiometabolic risk factors in the samoan genome‐wide association study
OBJECTIVE: To describe the prevalence of obesity-related noncommunicable diseases (NCDs) and associated risk factors in a sample of Samoan adults studied in 2010 as part of a genome-wide assocation study (GWAS) for obesity related traits. METHODS: Anthropometric and biochemical data collected from n = 3,475 participants (n = 1,437 male; n = 2,038 female) aged 24.5 to <65 years were used to describe the prevalence of obesity, diabetes, hypertensio…
Leveraging community-based participatory research capacity to recruit Pacific Islanders into a genetics study
Exploring knowledge and attitudes toward non-communicable diseases among village health teams in Eastern Uganda
Ugandan VHTs saw themselves as having the potential to play an important role in improving community awareness of NCDs as well as monitoring and referral of community members for NCD-related health issues. In order to accomplish this, they anticipated requiring context-specific and culturally adapted training as well as strong partnerships with facility-based medical personnel. A lack of financial incentivization was not identified to be a major …
Child, maternal and household-level correlates of nutritional status
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 anaemia) in Samoan children aged 24–59 months. Design A cross-sectional community-based survey. Height and weight were used to determine prevalence of stunting (height-for-age Z -score Z -score >+2) based on WH…
Nutrition Facts Panel use is associated with diet quality and dietary patterns among Latinos with type 2 diabetes
Objective The study aims were to (i) identify determinants of Nutrition Facts Panel (NFP) use and (ii) describe the association between NFP use and dietary intake among Latinos with type 2 diabetes. Design Baseline cross-sectional data from a clinical trial were used to assess the association between NFP use and dietary intake. Diet was measured using two methods: (i) a diet quality score (the Healthy Eating Index-2010) derived from a single 24 h…
Reproductive health, obesity, and cardiometabolic risk factors among Samoan women
OBJECTIVES: Obesity leads to deleterious effects on not only cardiovascular health but also on the reproductive health of women. We estimate the prevalence of menstrual irregularity and of polycystic ovarian syndrome (PCOS) in Samoan women, among whom obesity prevalence is extremely high. We explore the association of these reproductive health conditions with adiposity, cardiometabolic risk factors, and androgen levels. METHODS: A cross-sectional…
Structural and Socio-cultural Barriers to Prenatal Care in a US Marshallese Community
Dietary patterns are associated with child, maternal and household-level characteristics and overweight/obesity among young Samoan children
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 children and evaluate their association with: (i) child, maternal and household characteristics; and (ii) nutritional status indicators (stunting, overweight/obesity, anaemia). Design A community-based, cross-s…
Human biology of the Pacific
As a growing body of literature continues to document the global pandemic of obesity-related cardiometabolic diseases, attention is being increasingly drawn to the Pacific Island nations and enclav
Nutrient intake among Samoan children aged 2–4 years in 2015
Since inadequate dietary micronutrient intake was more common among older children (4-4.99 years) and those in the rural region, intervention should be targeted at those groups
Challenges to hypertension and diabetes management in rural Uganda
In order to improve hypertension and diabetes management in this setting, we recommend taking actions to help patients to understand NCDs as preventable, for HCPs and patients to advocate together for health system reform regarding medication accessibility, and for promoting education, screening, and monitoring activities to be conducted on a community level in collaboration with village health team members
Social and economic influences on infant and child feeding practices in a Marshallese community
Objective The present study aimed to examine the key influences on infant and child feeding practices among a Marshallese community at each social ecological level. It is the first study to examine the key influences on infant and child feeding practices with Marshallese immigrant women in the USA and helps fill a gap in the previous literature that has included other immigrant women. Design Community-based participatory research design with twen…
Maternal Health Beliefs, Perceptions, and Experiences in a U.S. Marshallese Community
Introduction: The purpose of this article is to review the beliefs, perceptions, and experience of maternal health among Marshallese women. Methodology: The study utilized a qualitative descriptive design with a brief survey of participant demographics. A purposive sample of 43 participants were enrolled. Results: The mean age of participants was 40 years. Four a priori themes were identified as follows: (a) family planning beliefs and experience…
Changing body norms in the context of increasing body size
OBJECTIVE: To understand how body size preferences changed in Samoa between 1995 and 2017 to 2019. METHODS: Data were from adults aged from 31 to 59 years, who participated in two separate cross-sectional studies of obesity and cardiometabolic risk conducted in Samoa in 1995 and 2017 to 2019. Participants nominated line drawings representing their current size, ideal size, the most attractive and healthiest size, and the lower/upper limits of "no…
A missense variant in CREBRF is associated with taller stature in Samoans
These results suggest that the missense variant rs373863828 in CREBRF, first identified through an association with larger BMI, may be related to an underlying biological mechanism affecting overall body size including stature
Associations between socioeconomic resources and adiposity traits in adults
In low- and middle-income countries, earlier in economic development, obesity tends to be more prevalent in high socioeconomic resource groups compared to low. Later in development, the distribution of obesity tends to show the opposite pattern, becoming more prevalent in those with low socioeconomic resources. This shift in obesity prevalence tends to occur between a gross national income per capita (GNI) of US$1,000 to $4,000 dollars. Whether a…
Piloting a food photo sorting activity in Samoa to assess maternal beliefs and their role in child diet
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 setting with an alarming burden of childhood obesity-and to determine how those beliefs may be related to child dietary intake. Samoan mothers (n = 44) sorted photographs of 26 foods commonly consumed in childre…
Effect of maternal nutrient intake during 31–37 weeks gestation on offspring body composition in Samoa
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
Assessing the impact of high blood pressure referrals on hypertension awareness and management, BMI, and blood pressure values in adult Samoans 2010–2019
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 reducing disease burden remains understudied. Using data from a longitudinal study (2010-2019) of cardiometabolic health among Samoan adults, we assess the impact of a referral for elevated blood pressure (BP) on …
Current Officers and Members of Standing Committees
C‐reactive protein in adult Samoans
These data are among the first to demonstrate CRP correlates in a sample of adult Samoans. CRP differed by sex and was associated with BMI, adiposity, and some cardiometabolic risk markers. These data align with findings in other populations
Medicine (41 works) · Demography (24 works) · Environmental health (23 works) · Internal Medicine (18 works) · Obesity, Physical Activity, Diet (18 works) · Samoan (16 works) · Obesity (14 works) · Population (14 works) · Psychology (14 works) · Child Nutrition and Water Access (13 works)