Education of Native Hawaiian Students

Education ◽  
2019 ◽  
Author(s):  
Maenette K.P. Ah Nee-Benham ◽  
Shawn M. Kana'iaupuni
Keyword(s):  
Native Hawaiian ◽  
Knowledge Systems ◽  
Native Hawaiians ◽  
Educational Transformation ◽  
Hawaiian Language ◽  
Post Secondary ◽  
Western Education ◽  
Great Body ◽  
Culture Based Education ◽  
Online Sources

The purpose of this literature review is to provide an overview of Hawaiian education, its history, sources, and players. A certain narrative emerges through this review about what happens when conventional Western education systems are confronted by educational leadership powered by a distinctly indigenous culture, language, and knowledge system with its own epistemologies, reasoning, and logic. The narrative highlights the champions that have advocated for seeing Native Hawaiian knowledge systems as a pathway to educational transformation. Through this struggle, the relationships built over time have begun to produce systemic change. Thinking and learning in Native Hawaiian ways and in ʻōlelo Hawaiʻi (Hawaiian language) are slowly being integrated into the fabric of Hawaii’s pre-Kindergarten to Grade 12 schools and post-secondary institutions. Yet, as the millennium progresses, Native Hawaiians continue to be among the most marginalized populations in Hawaiʻi, indicating there is still much work ahead. The scholarship presented in this review traces a path of progress rooted in the great body and depth of Native Hawaiian knowledge. Admittedly, as collector-authors of this review, it was not possible to include a complete inventory of research and scholarship. Instead, we offer a select overview of an expanding field of knowledge generated by Native Hawaiian scholars and their allies, positioned here as a critical foundation upon which we continue to build. We begin with a set of references from a Native Hawaiian worldview that anchor educational approaches in our communities in the 21st century. Several sections on education in historical and social context follow, in addition to resources exploring pedagogy, praxis, culture-based education, research methodologies, and assessment. Also included are online sources and several university and legacy publishing organizations that produce resources in Hawaiian education.

Prostate Cancer Disparities in Risk Group at Presentation and Access to Treatment for Asian Americans, Native Hawaiians, and Pacific Islanders: A Study With Disaggregated Ethnic Groups

2021 ◽  
Author(s):  
Bhav Jain ◽  
Kenrick Ng ◽  
Patricia Mae G. Santos ◽  
Kekoa Taparra ◽  
Vinayak Muralidhar ◽  
...  
Keyword(s):  
Prostate Cancer ◽  
High Risk ◽  
Asian Indian ◽  
Asian American ◽  
Native Hawaiian ◽  
Risk Group ◽  
Pacific Islander ◽  
Pacific Islanders ◽  
Native Hawaiians ◽  
High Risk Disease

PURPOSE We identified (1) differences in localized prostate cancer (PCa) risk group at presentation and (2) disparities in access to initial treatment for Asian American, Native Hawaiian, and Pacific Islander (AANHPI) men with PCa after controlling for sociodemographic factors. METHODS We assessed all patients in the National Cancer Database with localized PCa with low-, intermediate-, and high-risk disease who identified as Thai, White, Asian Indian, Chinese, Vietnamese, Korean, Japanese, Filipino, Hawaiian, Pacific Islander, Laotian, Pakistani, Kampuchean, and Hmong. Multivariable logistic regression defined adjusted odds ratios (AORs) with 95% CI of (1) presenting at progressively higher risk group and (2) receiving treatment or active surveillance with intermediate- or high-risk disease, adjusting for sociodemographic and clinical factors. RESULTS Among 980,889 men (median age 66 years), all AANHPI subgroups with the exception of Thai (AOR = 0.84 [95% CI, 0.58 to 1.21], P > .05), Asian Indian (AOR = 1.12 [95% CI, 1.00 to 1.25], P > .05), and Pakistani (AOR = 1.34 [95% CI, 0.98 to 1.83], P > .05) men had greater odds of presenting at a progressively higher PCa risk group compared with White patients (Chinese AOR = 1.18 [95% CI, 1.11 to 1.25], P < .001; Japanese AOR = 1.36 [95% CI, 1.26 to 1.47], P < .001; Filipino AOR = 1.37 [95% CI, 1.29 to 1.46], P < .001; Korean AOR = 1.32 [95% CI, 1.18 to 1.48], P < .001; Vietnamese AOR = 1.20 [95% CI, 1.07 to 1.35], P = .002; Laotian AOR = 1.60 [95% CI, 1.08 to 2.36], P = .018; Hmong AOR = 4.07 [95% CI, 1.54 to 10.81], P = .005; Kampuchean AOR = 1.55 [95% CI, 1.03 to 2.34], P = .036; Asian Indian or Pakistani AOR = 1.15 [95% CI, 1.07 to 1.24], P < .001; Native Hawaiians AOR = 1.58 [95% CI, 1.38 to 1.80], P < .001; and Pacific Islanders AOR = 1.58 [95% CI, 1.37 to 1.82], P < .001). Additionally, Japanese Americans (AOR = 1.46 [95% CI, 1.09 to 1.97], P = .013) were more likely to receive treatment compared with White patients. CONCLUSION Our findings suggest that there are differences in PCa risk group at presentation by race or ethnicity among Asian American, Native Hawaiian, and Pacific Islander subgroups and that there exist disparities in treatment patterns. Although AANHPI are often studied as a homogenous group, heterogeneity upon subgroup disaggregation underscores the importance of further study to assess and address barriers to PCa care.

scholarly journals Why Are Native Hawaiians Underrepresented in Hawai‘i's Older Adult Population? Exploring Social and Behavioral Factors of Longevity

2011 ◽  
Vol 2011 ◽  
pp. 1-8 ◽  
Author(s):  
Lana Sue Ka‘opua ◽  
Kathryn L. Braun ◽  
Colette V. Browne ◽  
Noreen Mokuau ◽  
Chai-Bin Park
Keyword(s):  
Older Adult ◽  
Native Hawaiian ◽  
Adult Population ◽  
Historical Trauma ◽  
Health Indicators ◽  
Native Hawaiians ◽  
Future Research ◽  
Behavioral Factors ◽  
Poverty Level ◽  
Older Adult Population

Native Hawaiians comprise 24.3% of Hawai‘i's population, but only 12.6% of the state's older adults. Few published studies have compared health indicators across ethnicities for the state's older adult population or focused on disparities of Native Hawaiian elders. The current study examines data from two state surveillance programs, with attention to cause of death and social-behavioral factors relevant to elders. Findings reveal that Native Hawaiians have the largest years of productive life lost and the lowest life expectancy, when compared to the state's other major ethnic groups. Heart disease and cancer are leading causes of premature mortality. Native Hawaiian elders are more likely to report behavioral health risks such as smoking and obesity, live within/below 100–199% of the poverty level, and find cost a barrier to seeking care. Indicated is the need for affordable care across the lifespan and health services continuum. Future research might explain behavioral factors as influenced by social determinants, including historical trauma on Native Hawaiian longevity.

Abstract P329: Perceptions of Neighborhood Level Stressors in Native Hawaiian Communities: A Descriptive Study

Circulation ◽  
2020 ◽  
Vol 141 (Suppl_1) ◽  
Author(s):  
Claire T Ing ◽  
Hyeong Jun Ahn ◽  
Tricia Mabellos ◽  
Mapuana de Silva ◽  
Adrienne Dillard ◽  
...  
Keyword(s):  
Social Cohesion ◽  
Native Hawaiian ◽  
Controlled Trial ◽  
Intervention Group ◽  
Native Hawaiians ◽  
Healthy Foods ◽  
Aesthetic Quality ◽  
Randomized Controlled ◽  
Trial Testing ◽  
Neighborhood Level

HTN (HTN) is an important and modifiable risk factor for cardiovascular disease, the leading cause of death. Native Hawaiians, the indigenous people of Hawai‘i, experience a prevalence of HTN (i.e., systolic blood pressure (SBP) of ≥140mmHg or diastolic blood pressure of ≥90mmHg) of over 50%. Factors that contribute to HTN control are multilevel and include neighborhood or community level determinants such as walkability, availability of healthy foods, safety, and social cohesion. However, these factors and their potential relationship to HTN have yet to be examined in Native Hawaiian communities. Identifying important neighborhood factors in Native Hawaiian communities can inform HTN control interventions. The purpose of this study is to describe the perceptions of neighborhood level stressors among Native Hawaiians participating in a randomized controlled trial testing a culturally-grounded, hula-based HTN intervention. This study was comprised of a subset of participants (N=124) from an NIH-funded, randomized controlled trial testing the effectiveness of a hula-based intervention at improving SBP in Native Hawaiians with uncontrolled HTN compared to an education only group. Neighborhood Level Stressors Scale was used to assess seven neighborhood dimensions: walkability, availability of healthy foods, safety, social cohesion, aesthetic quality, violence, and activities with neighbors. Scores ranged from 1 to 5 with lower scores indicating more positive perceptions their neighborhoods (e.g., greater safety). Demographic variables included age, gender, marital status, education. Descriptive and summary statistics are presented. Two-sample t-test was done to compare neighborhood level stressor by intervention group. Mean scores for the seven dimensions were as follows: aesthetic quality 2.54 (SD=0.61) walkability 2.48 (SD=0.72), availability of healthy foods 2.59 (SD=1.10), safety 2.63 (SD=0.97), violence 3.44 (SD=0.54), social cohesion 2.17 (SD=0.76), and activities with neighbors 2.09 (SD=0.75). The hula-based intervention group had a significantly lower (i.e., better) mean neighborhood aesthetic quality score compared to the education only group (p=0.02). The intervention group also had marginally better perceived activities with neighbors (p=0.09). This study describes perceived neighborhood dimensions in a Native Hawaiian population engaged in a HTN control intervention trial. Mean scores on walkability, availability of healthy foods, safety, social cohesion, aesthetic quality, violence, and activities with neighbors were similar to those reported in larger, multiethnic cohort studies. Perceptions of greater walkability, availability of healthy foods, safety, and social cohesion have been associate with HTN in other populations. Analysis to examine the potential associations between neighborhood level stressors and SBP is planned.

scholarly journals (Re)constructing Conceptualizations of Health and Resilience among Native Hawaiians

Genealogy ◽  
2020 ◽  
Vol 4 (1) ◽  
pp. 8
Author(s):  
Mapuana C. K. Antonio ◽  
Samantha Keaulana ◽  
Jane J. Chung-Do ◽  
Ilima Ho-Lastimosa
Keyword(s):  
Cultural Values ◽  
Environmental Changes ◽  
Cultural Practices ◽  
Native Hawaiian ◽  
Historical Trauma ◽  
Holistic Approach ◽  
Indigenous Communities ◽  
Native Hawaiians ◽  
Positive Health ◽  
Positive Health Outcomes

Biomedical definitions of health have conventionally taken problem-based approaches to health, which may disregard indigenous perspectives of health that take a holistic approach and emphasize the importance of maintaining balance between physical, mental, and spiritual health and relationships maintained with others, the land, and the spiritual realm. Resilience-based approaches to health have been shown to foster strengths in indigenous communities, including the Native Hawaiian community, which leads to more positive health outcomes. The research questions of this paper asked, “how do Native Hawaiians conceptualize health and the concept of resilience specific to health?”. Qualitative methods were employed to explore the concept of resilience from the perspective of 12 Native Hawaiian adults. Community leaders and key stakeholders aided in the purposive recruitment process. The themes of this study include: (1) health maintained through balance, (2) being unhealthy vs. being ill, (3) the concept of colonialism and resulting adversities, and (4) protective and resilience factors that foster health. Cultural values and cultural practices may address concerns related to health disparities that stem from cultural and historical trauma, determinants of health, and environmental changes. Health interventions that are culturally-, family-, spiritually-, and land-based may particularly aid in responsiveness to health programs.

The dynamics of Hawaiian speakerhood in the family

2019 ◽  
Vol 2019 (255) ◽  
pp. 45-72
Author(s):  
Christina Higgins
Keyword(s):  
Language Use ◽  
Native Hawaiian ◽  
Language Revitalization ◽  
Interview Data ◽  
Minority Languages ◽  
Hawaiian Language ◽  
Home Life ◽  
The Family ◽  
New Speakers ◽  
Linguistic Practices

Abstract While the majority of studies on new speakers focuses on language use in educational and community contexts, the family is becoming an increasingly relevant site since new speakers are now incorporating their languages into their home life. This article reports on how people of Native Hawaiian ancestry express their speakerhood with regard to their use of ʻŌlelo Hawaiʻi, or the Hawaiian language, in the context of the family. It explores Hawaiians’ stances towards different ways of speaking Hawaiian with regard to authenticity, an issue which has been found to be central among new speakers of minority languages in other contexts. Drawing on interview data with six Hawaiians, this article investigates Hawaiian speakerhood by focusing on how the participants view linguistic authority and translanguaging in family settings. The article offers insights into the range of linguistic practices and sociolinguistic authenticities in families that may enhance continued language revitalization efforts.

Perceptions of Health and Well-Being Held by Native Hawaiian Migrants

2011 ◽  
Vol 23 (1) ◽  
pp. 5-13 ◽  
Author(s):  
Jane H. Lassetter ◽  
Lynn C. Callister ◽  
Shemnon Z. Miyamoto
Keyword(s):  
Health Care ◽  
Health Care Providers ◽  
Native Hawaiian ◽  
Las Vegas ◽  
Well Being ◽  
Native Hawaiians ◽  
Care Providers ◽  
Early Access ◽  
Qualitative Descriptive ◽  
Health And Well Being

Background and Purpose: Migration is often a challenging process. Native Hawaiians migrate from Hawaii to Las Vegas at an impressive rate, but no research has explored how migration affects their health and well-being. The purpose was to describe how Native Hawaiians in Las Vegas perceive their health and well-being and any changes therein since migrating. Design: Using a qualitative descriptive design, 27 participants took part in semistructured interviews. Findings/Results: Most participants perceived no changes in health and minor changes in well-being. Many maintained their well-being by adapting valued activities to their new circumstances. However, 5 participants were deeply burdened by life in Las Vegas or longing for Hawaii, and their well-being suffered. They tended to identify barriers to well-being rather than ways to foster it. Conclusion: Health care providers can help Native Hawaiian migrants by encouraging early access to the health care system in their new location and facilitating participation in helpful, adaptive behaviors.

scholarly journals Lack of Native Hawaiian Neurologists and Disparities in Care for Native Hawaiians in Hawaiʻi

2021 ◽  
Vol 21 (7) ◽  
pp. 415-420
Author(s):  
Maiya Smith ◽  
Christina Tse ◽  
Nicholas Fancher ◽  
Ryoko Hiroi ◽  
William Harris ◽  
...  
Keyword(s):  
Health Disparities ◽  
Native Hawaiian ◽  
Neurological Diseases ◽  
Quality Care ◽  
Native Hawaiians ◽  
Current Status ◽  
Ethnic Representation ◽  
Racial Concordance ◽  
Patient Relationships ◽  
Physician Patient

Introduction: In Hawaiʻi, there are 367,000 Native Hawaiian and Pacific Islanders. Native Hawaiians experience health disparities in a variety of conditions, including stroke, diabetes, and cancer.  Ethnic minorities are underrepresented among physicians; this lack of physician-patient racial concordance may contribute to the disparities, as recent studies suggest that racial discordance resulted in poorer healthcare quality. This study aims to assess the current status of neurological health disparities in the Native Hawaiian population in Hawaiʻi, with a focus on identifying neurologist ethnic representation, neurological diseases, and healthcare-related challenges disproportionately affecting Native Hawaiians. Methods: An anonymous survey on physician’s attitudes and practice was emailed to all neurologists in the Hawaiʻi Neurological Society from February 2019 to June 2019. Findings: Twenty-three full responses and one partial response was received. No participants self-identified as Native Hawaiian nor did they know of any Native Hawaiian neurologists in Hawaiʻi, yet all who completed the survey reported treating Native Hawaiians in their practice (n = 23), which identifies a gap in Native Hawaiian representation in the field of neurology in Hawaiʻi. In addition, majority of participants perceived that Native Hawaiians are disproportionately affected by neurological diseases and have difficulty accessing neurology services and obtaining quality care. Conclusions: Future focus on creating opportunities to improve racially discordant physician-patient relationships and to increase Native Hawaiian representation in neurology may help narrow the gap in health disparities experienced by Native Hawaiians. 

Efficacy of Federal Data: Revised Office of Management and Budget Standard for Native Hawaiian and Other Pacific Islanders Examined

2011 ◽  
Vol 9 (1-2) ◽  
pp. 212-220 ◽  
Author(s):  
Sela Panapasa ◽  
Kamana'opono Crabbe ◽  
Joseph Kaholokula
Keyword(s):  
Native Hawaiian ◽  
Federal Agencies ◽  
Pacific Islanders ◽  
Native Hawaiians ◽  
Data Limitations ◽  
The Status ◽  
Federal Data

This policy brief examines the status of federal data since the implementation of the 1997 Revised OMB 15 standards for the collection of race and ethnic data, identifies ongoing data limitations, and present recommendations to improve policy and interventions for Native Hawaiians and other Pacific Islanders (NHPI). While most federal agencies are taking appropriate steps to comply with the revised OMB standards, many are having less success reporting disaggregated information on NHPIs. This suggests that increased efforts to obtain robust samples of NHPIs warrants immediate attention in order for federal agencies to fully comply with the revised OMB standards.

Linking Hawaiian Concepts of Health with Epigenetic Research: Implications in Developing Indigenous Scientists

2017 ◽  
Author(s):  
Dana-Lynn T. Ko‘omoa ◽  
Alika K. Maunakea
Keyword(s):  
Health Disparities ◽  
Environmental Factors ◽  
Health Outcomes ◽  
Native Hawaiian ◽  
Health Sciences ◽  
Native Hawaiians ◽  
Epigenetic Mechanisms ◽  
Concept Of Health ◽  
Concepts Of Health ◽  
Epigenetic Research

Inherent in the traditional native Hawaiian concept of health is the understanding that environmental factors, including nutrition and social behaviors, trans-generationally impact health outcomes in individuals and communities. Epigenetic mechanisms may now explain molecular links between these environmental factors and health outcomes. This article explores the epigenetic concepts present in ancient Hawaiian wisdom of health and highlights this link as a basis for forging a pathway to modern careers in the health sciences to address diseases of health disparities among native Hawaiians and Pacific peoples.

Is Plagiarism Creating an Opportunity for the Development of New Assessment Strategies?

2005 ◽  
Vol 2 (1) ◽  
Author(s):  
Sandra L Bassendowski ◽  
Andrew J Salgado
Keyword(s):  
Teaching And Learning ◽  
Student Assessment ◽  
The Internet ◽  
Post Secondary ◽  
Traditional Student ◽  
Traditional Assessment ◽  
Technological Advances ◽  
Paste Content ◽  
Assessment Strategies ◽  
Online Sources

Have traditional student assessment strategies such as the formal written paper outlived their usefulness? Given reports of plagiarism in post-secondary institutions and the ease with which students can ‘cut and paste’ content from online sources, the relevance and applicability of traditional assessment strategies need to be examined in light of these technological advances. The introduction of technology and the Internet into classrooms has been the most important educational change to occur in the last one hundred years, yet assessment strategies reflect the characteristics of the printing press to a greater extent than the capabilities of technology and the Internet. The paper explores a connection to the visual arts in terms of creation, re-creation, the ‘desire to conceal’, and contemporary means of interpretation. A search of the literature reveals a need for teaching and learning environments to evolve along with a technologically-based society.

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