(Re)constructing Conceptualizations of Health and Resilience among Native Hawaiians
(Re)constructing Conceptualizations of Health and Resilience among Native Hawaiians
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DOI：
10.3390/genealogy4010008
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发表时间：
2020-03-01
期刊：
影响因子：
0.8
通讯作者：
Ho-Lastimosa, Ilima
中科院分区：
文献类型：
--
作者：
Antonio, Mapuana C. K.;Keaulana, Samantha;Ho-Lastimosa, Ilima
传统上，生物医学对健康的定义对健康采取了基于问题的方法，这可能忽视了采取整体方法的土著对健康的看法，强调在身体、心理和精神健康之间保持平衡以及与他人、土地和精神领域保持关系的重要性。以复原力为基础的保健方法已被证明可促进土著社区，包括夏威夷土著社区的优势，从而产生更积极的健康结果。本文的研究问题是，“夏威夷原住民如何概念化健康和健康特有的弹性概念？”本研究以12名夏威夷原住民成人为研究对象，采用定性方法探讨心理弹性的概念。社区领导人和主要利益攸关方在有目的的招聘过程中提供了帮助。本研究的主题包括：(1)通过平衡保持健康；(2)不健康与生病；(3)殖民主义的概念和由此产生的逆境；(4)促进健康的保护性和弹性因素。文化价值观和文化习俗可以解决与源于文化和历史创伤、健康决定因素和环境变化的健康差异有关的问题。以文化、家庭、精神和土地为基础的健康干预可能特别有助于对健康计划的响应。
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.