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.

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.

The study of life and food systems for Native Hawaiians based on their environment

2021 ◽  
pp. 117718012110382
Author(s):  
Mapuana CK Antonio ◽  
Kuaiwi Laka Makua ◽  
Samantha Keaulana ◽  
LeShay Keliiholokai ◽  
J Kahaulahilahi Vegas ◽  
...  
Keyword(s):  
Cultural Values ◽  
Food Systems ◽  
Environmental Changes ◽  
Food Sovereignty ◽  
Nutrition Transition ◽  
Well Being ◽  
Native Hawaiians ◽  
Social Barriers ◽  
Community Engaged Research ◽  
Adverse Health Outcomes

Health and well-being are a function of familial relationships between Native Hawaiians and their land. As a result of settler colonialism, Native Hawaiians face systemic and social barriers, which impede their relationship to land, with implications of adverse health outcomes. This qualitative study explores changes in health among Native Hawaiians, with a specific focus on food systems and the environment. Community-engaged research approaches were utilized to recruit 12 Hawaiian adults. The major themes include the following: (1) health as holistic and a harmonious balance, (2) nutrition transition and current connections to ‘āina (land extending from the mountain to the sea; that which feeds or nourishes), and (3) food sovereignty and community solutions to uplift the Lāhui (Nation of Hawai‘i). Consideration of cultural values, community strengths, and traditional lifestyle practices may address health inequities and changes in food systems related to health that stem from colonization, determinants of health, and environmental changes.

scholarly journals The more you value, the less you practice: a study on culture and managerial discretion

2019 ◽  
Vol 27 (1) ◽  
pp. 26-50
Author(s):  
Moustafa Salman Haj Youssef ◽  
Hiba Maher Hussein ◽  
Hoda Awada
Keyword(s):  
Decision Making ◽  
Organizational Performance ◽  
Cultural Values ◽  
Cultural Practices ◽  
National Level ◽  
Holistic Approach ◽  
Managerial Discretion ◽  
Cross Cultural ◽  
Cultural Dimensions ◽  
Content Type

Purpose The purpose of this paper is to examine cross-cultural differences in managerial discretion and the extent to which variations and interaction of cultural practices and values affect the degree of freedom in decision making that is accorded to executives. This paper offers a holistic approach to investigating culture in addition to acknowledging its paradoxical nature. Design/methodology/approach Using a panel of prominent management consultants to rate discretion across 18 countries, the authors further develop the national-level construct of managerial discretion by empirically investigating the influence of cultural practices and values on CEOs’ discretion. Findings The study reveals that cultural values moderate the relationship between cultural practices and managerial discretion for three cultural dimensions: individualism, uncertainty tolerance and power distance (PD). By adopting the logic of marginal utility, the authors also show that the more a society values individualism, uncertainty tolerance and PD, the weaker the effect of their practices on managerial discretion. Originality/value Few research has attempted to assess both cultural values and practices in relation to managerial discretion. By showing the mechanism in which culture affects the level of managerial discretion, the authors offer new theoretical insights and practical implications, overall contributing to the field of cross-cultural and strategic management. Finally, this will offer CEO’s a new perspective of leveraging culture as a tool, enhancing their decision-making capabilities in the aim of improving organizational performance.

Kākou: Collaborative Cultural Competency

2017 ◽  
Author(s):  
Martina Leialoha Kamaka ◽  
Vanessa S. Wong ◽  
Dee-Ann Carpenter ◽  
C. Malina Kaulukukui ◽  
Gregory G. Maskarinec
Keyword(s):  
Medical Students ◽  
Service Learning ◽  
Learning Community ◽  
Cultural Competency ◽  
Native Hawaiian ◽  
Historical Trauma ◽  
Native Hawaiians ◽  
Cultural Immersion ◽  
Simulated Patients ◽  
Self Awareness

Since 2006, the Department of Native Hawaiian Health at the John A. Burns School of Medicine has worked to develop and implement an innovative, imaginative, and comprehensive cultural competency curriculum for our medical students. Recognizing that understanding culture, society and history is necessary to train future physicians who will work to improve the health of Native Hawaiians and all underserved communities in Hawai'i, our curriculum focuses on self-awareness, traditional healing techniques, effective communication and the social and cultural determinants of health. We expect our students to understand the roots of disparities in health and health care, including cultural historical trauma and colonization. Close consultation with community and cultural experts working with a multidisciplinary teaching team were key to the development of this curriculum, which utilizes didactics, small groups, workshops, simulated patients, service learning, community classrooms and cultural immersion weekends to teach the Native Hawaiian holistic view of wellness to our medical students.

scholarly journals A conceptual framework for psychosocial health management grounded in the therapeutic merits of indigenous KhoiSan health dialogues

2021 ◽  
Vol 26 ◽  
Author(s):  
Khauhelo S. Mahlatsi ◽  
Abel J. Pienaar ◽  
Neo E. Nare ◽  
Tshilidzi M. Mulaudzi
Keyword(s):  
Conceptual Framework ◽  
Teaching And Learning ◽  
Health Management ◽  
Indigenous Health ◽  
Indigenous Communities ◽  
Psychosocial Health ◽  
Culturally Competent ◽  
Positive Health ◽  
Northern Cape ◽  
Positive Health Outcomes

Background: The researchers established that an indigenous KhoiSan community functions healthily without western mental health services. This community relies on indigenous healthcare with positive health outcomes over centuries. Despite this positive evidence, the community’s therapeutic achievements have not been explored previously.Aim: To explore the therapeutic merits embedded in dialogues of healing to formulate a generic approach to managing psychosocial challenges.Setting: The study was conducted in an indigenous KhoiSan community, Northern Cape province, South Africa.Methods: A qualitative approach, by using an indigenous African research design, was followed. An African Indigenous Health Research Framework (AIHRF) was employed, particularly applying a classical African indigenous method of data-collection, namely orature. Theoretical sampling was used for the purpose that the emerging data guide the researcher to the next participants. The four-step analysis of the mentioned framework was deployed for data analysis.Results: It was deduced that the therapeutic merits of dialogues go beyond the word of mouth, leading to the emergence of themes related to the successful management of psychosocial health challenges in the KhoiSan community.Conclusion: These findings were used to generate a baseline conceptual framework for the management of psychosocial challenges in the KhoiSan community.Contribution: Revitalisation of communal indigenous practices for the management of psychosocial health challenges within the KhoiSan community. The latter will sensitise research, teaching and learning to foster culturally informed counseling approaches. Moreover, these will inform policy formations to posses a culturally competent approach towards indigenous communities such as the KhoiSan community in the Northern Cape, South Africa.

scholarly journals Reclaiming ʻĀina Health in Waimānalo

2020 ◽  
Vol 17 (14) ◽  
pp. 5066
Author(s):  
LeShay Keli‘iholokai ◽  
Samantha Keaulana ◽  
Mapuana C. K. Antonio ◽  
Ikaika Rogerson ◽  
Kirk Deitschman ◽  
...  
Keyword(s):  
Qualitative Study ◽  
Environmental Changes ◽  
Native Hawaiian ◽  
Historical Trauma ◽  
Kanaka Maoli ◽  
Health Concerns ◽  
Community Healing

Kānaka Maoli (Native Hawaiian) worldviews of health emphasize pono (righteousness) and lōkahi (balance), which extends to include relationships with other people, akua (spiritual realm), and ʻāina (land). The purpose of this qualitative study was to explore the role of ʻāina and ʻāina connection in health and resilience based on the perspectives of 12 Kānaka Maoli adults from the Waimānalo community. Three major themes were identified: ʻĀina is everything, ʻāina is health, and community healing through community-led initiatives. A better understanding of ʻāina connection is important to improve our knowledge of Hawaiian health. A connection to ʻāina may specifically address health concerns resulting from historical trauma and environmental changes.

Reclaiming Land

2019 ◽  
pp. 108-121 ◽  
Author(s):  
Shanondora Billiot ◽  
Jessica Parfait
Keyword(s):  
United States ◽  
Indigenous Peoples ◽  
Environmental Changes ◽  
Social Systems ◽  
Historical Trauma ◽  
Indigenous Communities ◽  
The United States ◽  
Health Impacts ◽  
The World

Environmental changes are projected to have adverse impacts on marginalized populations through additional pressures placed on already struggling social systems. Indigenous communities, given their attachment to and dependence on the land, are especially vulnerable. Though indigenous peoples throughout the world contribute the least to changes in the environment, they are disproportionally affected. To date, there has been limited research on health impacts resulting from environmental changes, especially among indigenous peoples in the United States. This chapter presents a case study on how environmental change exposure (e.g., observations, frequency, threats) and indigenous-specific sensitivities (e.g., historical trauma, ethnic identity, discrimination) affect the likelihood of participation in adaptation activities by indigenous peoples living in a physically vulnerable coastal area of the United States. It connects these findings with themes arising within other indigenous communities experiencing environmental changes.

scholarly journals Cultural Values and the Coliform Bacterial Load of “Masato,” an Amazon Indigenous Beverage

EcoHealth ◽  
2020 ◽  
Vol 17 (3) ◽  
pp. 370-380
Author(s):  
Alejandra Bussalleu ◽  
◽  
Aldo Di-Liberto ◽  
Cesar Carcamo ◽  
Gabriel Carrasco-Escobar ◽  
...  
Keyword(s):  
Drinking Water ◽  
Cultural Values ◽  
Indigenous Peoples ◽  
Cultural Practices ◽  
Membrane Filter ◽  
Bacterial Load ◽  
Health Benefits ◽  
Coliform Bacteria ◽  
Water Safety ◽  
Positive Health

AbstractAccess to safe drinking water is limited in many isolated areas, such as the Amazon where Indigenous peoples frequently reside. Identifying safe forms of drinking water accepted by the communities could have positive health benefits for Indigenous peoples. Many Amazon Indigenous peoples traditionally prepare and consume a fermented beverage called masato, which is frequently the only form of water consumption. Despite its widespread consumption and evidence of the health benefits of fermentation, masato remains poorly investigated. We partnered with a Shawi Indigenous community in the Peruvian Amazon to conduct participatory photography to research masato preparation, and to characterize key cultural features and to assess the presence of total and fecal coliform bacteria by using a membrane filter technique. Pictures show that masato preparation is a key part of cultural practices and that there are clear gender roles in the preparation process. We found that 100% of communal water sources (26/26) were contaminated with coliform bacteria; by contrast, fewer, 18% of masato samples (2/11), were positive for coliform. This exploratory study suggests that fermented beverages like masato merit further investigation as they represent an Indigenous method to improve water quality in Amazonian communities where water safety cannot be assured.

Indigenous Feminist Notes on Embodying Alliance against Settler Colonialism

Meridians ◽  
2019 ◽  
Vol 18 (2) ◽  
pp. 335-357
Author(s):  
Maile Arvin
Keyword(s):  
Indigenous Peoples ◽  
Native Hawaiian ◽  
Settler Colonialism ◽  
Indigenous Communities ◽  
Feminist Perspective ◽  
Native Hawaiians ◽  
Kanaka Maoli ◽  
Environmental Destruction ◽  
Asian Settler Colonialism ◽  
Foundational Work

Abstract How can we enact meaningful forms of solidarity across Indigenous and non-Indigenous communities? This essay, which focuses specifically on the context of settler colonialism in Hawaiʻi, examines existing or potential alliances between Indigenous feminisms and transnational feminisms. Written from a Kanaka Maoli (Native Hawaiian) feminist perspective, the essay looks to the foundational work of Kanaka Maoli scholar-activist Haunani-Kay Trask as a too often overlooked theorist of settler colonialism writ broadly. The essay also looks more specifically at Trask’s theorizing of Asian settler colonialism in the Hawaiʻi context, in relation to contemporary examples of conflicts between Native Hawaiians and the state, as well as Native Hawaiian activists and white feminists. Overall, the essay questions how reframing Asian settler colonialism in more concerted conversation with Indigenous feminisms and transnational feminisms might provide space to move our practices of solidarity against settler colonialism, imperialism, nativism, militarization, and environmental destruction into a generative space for Kānaka Maoli and non-Indigenous peoples alike.

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