Abstract
Up to 15,000 or more Micronesian migrants currently live in Hawaii. Factors driving this recent emigration include inadequate employment opportunities, a limited economic base, and insufficient health and educational infrastructures in the U.S. affiliated Micronesian island entities in the Western Pacific. The aim of this study was to examine reasons why Micronesians were relocating to Hawaii, since there was evidence of healthcare related migration. This study provides the results of an assessment of health and key social determinants among Micronesian migrants conducted in 2007. Results show that diabetes is the most prevalent reported medical condition (35%) among adults >40 years of age. Micronesian migrants in Hawaii report coming to Hawaii for health care, but also for educational and employment opportunities.
Highlights
Micronesian Migrants There were at least 12,000 and up to 15,000 or more Micronesian migrants from the United States affiliated island states in the Western Pacific living in the State of Hawaii in 2009
The Freely Associated States (FAS) consists of the Republic of Palau, the Republic of the Marshall Islands (RMI) and the Federated States of Micronesia
Micronesian migrants in Hawaii continue to struggle to adjust to their new circumstances in a new place, many have not reported any problems and are essentially just another migrant group
Summary
Micronesian Migrants There were at least 12,000 and up to 15,000 or more Micronesian migrants from the United States affiliated island states in the Western Pacific living in the State of Hawaii in 2009. The first Compact of Free Association (COFA) negotiated in 1986 allowed citizens of the Freely Associated States (FAS) free entry into the U. The Micronesian islands (and atolls) of Palau, Yap, Chuuk, Pohnpei, Kosrae, the Marshalls and Northern Marianas in the western Pacific comprise the former “Trust Territories of the Pacific Islands (TTPI)” which were placed „in strategic trust‟ under the U.S government by a 1947 United Nations Mandate after World War II. TTPI became the Freely Associated States (FAS) of Micronesia. The FAS consists of the Republic of Palau, the Republic of the Marshall Islands (RMI) and the Federated States of Micronesia (with the FSM comprising the states of Yap, Chuuk, Pohnpei and Kosrae). The 1986 Compact was for the FSM and RMI; the Republic of Palau later negotiated a separate Compact agreement.
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