Original Research Article
Behavioral changes associated with economic development in the South Pacific: Health transition in Vanuatu
Article first published online: 8 MAR 2011
Copyright © 2011 Wiley-Liss, Inc.
American Journal of Human Biology
Volume 23, Issue 3, pages 366–376, May/June 2011
How to Cite
Dancause, K. N., Dehuff, C., Soloway, L. E., Vilar, M., Chan, C., Wilson, M., Tarivonda, L., Regenvanu, R., Kaneko, A., Garruto, R. M. and Lum, J. K. (2011), Behavioral changes associated with economic development in the South Pacific: Health transition in Vanuatu. Am. J. Hum. Biol., 23: 366–376. doi: 10.1002/ajhb.21146
- Issue published online: 11 APR 2011
- Article first published online: 8 MAR 2011
- Manuscript Accepted: 1 DEC 2010
- Manuscript Revised: 31 OCT 2010
- Manuscript Received: 7 DEC 2009
- Binghamton University Laboratory of Evolutionary Anthropology and Health, the Graduate Program in Biomedical Anthropology
- NSF Doctoral Dissertation Improvement Award. Grant Number: BCS-0925664
Health patterns are changing in developing countries; as diet and activity patterns change with economic development, chronic disease prevalence increases, which is a characteristic of health transition. The islands of Vanuatu (South Pacific) have varying rates of economic development and provide a natural experimental model of health transition.
Objectives: To characterize behavioral changes associated with modernization.
Methods: We surveyed 425 children and 559 adults on three islands varying in degree of economic development. We assessed diet (24-h dietary recall), physical activity (mode of transport, work activities, and recreation), substance use, and other behavioral patterns.
Results: Spending patterns and access to Western foods followed modernization gradients in our sample, whereas occupational patterns and ownership of technological goods were poor markers of modernization. With increasing economic development, participants consumed more animal proteins and simple carbohydrates. Physical activity levels were high; most participants were active in gardening, and sports were popular, especially in urban areas. However, urban participants spent more time in sedentary recreation. Men's use of alcohol and tobacco increased with economic development, but we observed marked differences in substance use patterns between two rural islands—one with and one without tourism.
Conclusions: Economic development in Vanuatu is accompanied by nutrition transition and increased sedentary recreation, although physical activity levels remain high. Differences in substance use patterns between rural islands with and without tourism indicate a need for more research in rural areas. These findings might inform research in other communities in the early stages of health transition. Am. J. Hum. Biol. 2011. © 2011Wiley-Liss, Inc.