The Japanese are the second most numerous population to reside in Hawaii and offer the researcher a wider population of sex, age and long-term residence. The class level of the Japanese in Hawaiian society is that of a middle-class society.
Diverticulitis in Hawaiian Japanese differs from that found in other races in Hawaii and occurs most often on the right side in the ascending colon (Stemmermann, 1970). This correlates with the incidence of right-sided diverticulitis previously discussed, seen in the population from far eastern countries. Chang (1965) demonstrated that 62.3% of 85 patients admitted to three hospitals in Honolulu were Japanese and the average age of patients with right-sided diverticulitis is about 20 years younger than those who experience diverticulitis on the left-sided colon.
Although some disease patterns in the Japanese in Hawaii have not seen any changes, less common diseases such as right-sided diverticulitis seem to be increasing.
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