2. Pacific Islanders and Native Hawaiians (PI & NA) “Native Hawaiian and Pacific Islander” refers to persons with ancestry in any of the original peoples of the islands of Polynesia, Micronesia, and Melanesia 0.3% of American population Asian & Pacific Islander Health Forum. (2010)
3. An American of Japanese and European Ancestry Born in Hawaii Raised in 1950’s Hawaii Moo-moo’s on Fridays and Lei’s on King Day Hoales “It’s not all just beaches and surfing” Franks, 2010
8. Similarities Between Our Cultures Religion Importance of education Respect for elders Taro and yams
9. Differences Between Our Cultures Aquatic recreation -he’enalu-Sliding on a wave We are “touchy feely” How we view biculturalism
10. Implications for Therapeutic Intervention Brain damage from hypoxia caused by drowning Celebrating 1st birthdays and valuing elders American Samoans and football Franks, 2010 Hintz, 1999
11. Out of the ShadowsHealth Care Disparity Solutions Disaggregation Community-based Participatory Research (CBPR) Increased research Ro, 2010
12. Hawaiian Tutor Aloha Ae Aole Mahalo “Dakine grinds Hawaii mo bettah.” Welcome, goodbye, I love you Yes No Thank you “The food in Hawaii is really good.” Thomas, 2007
13. Old Hawaiian saying: Thomas, 2007 “If you plan for one year, plant taro. If you plan for ten years, plant koa. But if you plan for a hundred years, teach your children.”
14. References Asian & Pacific Islander Health Forum. (2010). Asian & Pacific Islander Health Disparities. Retrieved from http://www.apiahf.org/images/stories/Documents/publications_database/nhpi_health_disparities.pdf Bitton, A., Zaslavsky, A. M., Ayanian, J.Z. (2010). Health risks, chronic diseases, and access to care among US Pacific Islanders. Journal of General Internal Medicine, 25, 435-440. DOI 10.1007/s11606-1241-0 Hintz, M. (1999). Many islands, many cultures. In D. Teramoto (Consultant), America the beautiful: Hawaii (pp. 104-115). New York, NY: Children’s Press Ro, M. J., Yee, A. K. (2010). Out of the shadows: Asian Americans, Native Hawaiians, and Pacific Islanders. American Journal of Public Health, 100, 776-778. DOI 10.2105/AJPH.2010.192229 Thomas, W. D. (2007). Portraits of the states: Hawaii. Milwaukee, WI: Gareth Stevens Publishing.
Editor's Notes
Traditional to have big fam
first step, a fundamental improvement would be the consistent disaggregation of data on Asian Americans, Native Hawaiians, and PacificIslanders in acknowledgment of the political, cultural, and social differences between these diverse populations. In particular, we must recognize the unique status of Native Hawaiians as indigenous people and the political status of certain Pacific Islands. We must understand how the complex political relations of the Pacific Islands with the US government affects migration, the rights and privileges afforded to PacificIslanders, and ultimately their health and well-being.A second step to improve the data on these groups is to expand the application of community-based participatory research (CBPR), which has proven promising in accounting for the ethnic, gender, and class diversity of Asian Americans, Native Hawaiians, and PacificIslanders. To date, the bulk of CBPR research among these groups has focused on cancer, with a limited number of studies focused on a few ethnic subgroups (e.g., Chinese, Vietnamese, Cambodians, and Koreans). There is tremendous opportunity and need to conduct CBPR with other ethnic groups (e.g., Asian Indians, Bangladeshis, Hmong, Samoans, Tongans, and others) to address critical health issues such as diabetes, cardiovascular disease, behavioral health, HIV/AIDS, and oral health.A third step is to increase research that examines the cultural, social, economic, and political forces that impact the health of and healthcare for Asian Americans, Native Hawaiians, and PacificIslanders. For instance, analyses of data from studies such as the National Latino and Asian American Study are just beginning to probe critical issues of discrimination and identity in health. In their 2003 report, the Committee on Understanding and Eliminating Racial and Ethnic Disparities in HealthCare identified discrimination as a critical factor leading to racial and ethnic health disparities.4 Hopefully, future studies will answer other lingering questions, such as what are the direct and indirect costs associated with a lack of appropriate translation services for the more than 4 million Asian Americans, Native Hawaiians, and PacificIslanders who have limited English proficiency? What are effective strategies to assure adequate diversification of the healthcare workforce, given that certain subgroups of Asian Americans
