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Culturally responsive approaches to health promotion for Native Hawaiians and Pacific Islanders.
- Source :
-
Annals of human biology [Ann Hum Biol] 2018 May; Vol. 45 (3), pp. 249-263. Date of Electronic Publication: 2018 May 29. - Publication Year :
- 2018
-
Abstract
- Context: Obesity, diabetes and cardiovascular disease (CVD) have reached epidemic proportions among Native Hawaiians/Pacific Islanders (NHPI). Culturally responsive interventions that account for their interpersonal, sociocultural and socioeconomic realities are a public health priority.<br />Objective: To describe cultural adaptation and culturally grounded approaches to developing health interventions for NHPI and to review the culturally responsive approaches used by, and outcomes from, two long-standing community-based participatory research projects (CBPR) in Hawai'i: PILI 'Ohana and KāHOLO Projects.<br />Methods: A literature review of 14 studies from these two projects was done to exemplify the methods applied to culturally adapting existing evidence-based interventions and to developing novel interventions from the 'ground up' to address health disparities in NHPI. Of the 14 studies reviewed, 11 were studies of the clinical and behavioural outcomes of both types of interventions.<br />Results: Both culturally adapted and culturally grounded approaches using community-based assets and NHPI cultural values/practices led to establishing sustainable and scalable interventions that significantly improved clinical measures of obesity, diabetes and hypertension.<br />Conclusion: Several recommendations are provided based on the lessons learned from the PILI 'Ohana and KāHOLO Projects. Multidisciplinary and transdisciplinary research using CBPR approaches are needed to elucidate how human biology is impacted by societal, environmental and psychological factors that increase the risk for cardiometabolic diseases among NHPI to develop more effective health promotion interventions and public health policies.
- Subjects :
- Cardiovascular Diseases psychology
Diabetes Mellitus psychology
Hawaii
Humans
Native Hawaiian or Other Pacific Islander
Obesity psychology
Cardiovascular Diseases prevention & control
Community-Based Participatory Research statistics & numerical data
Diabetes Mellitus prevention & control
Health Promotion methods
Obesity prevention & control
Subjects
Details
- Language :
- English
- ISSN :
- 1464-5033
- Volume :
- 45
- Issue :
- 3
- Database :
- MEDLINE
- Journal :
- Annals of human biology
- Publication Type :
- Academic Journal
- Accession number :
- 29843522
- Full Text :
- https://doi.org/10.1080/03014460.2018.1465593