Objective: The Native Hawaiian population experiences numerous disparities in health and income. Using a mixed-method research (MMR) design, we summarize findings from three phases of an MMR approach used to uncover kūpuna (elder) long-term service and support (LTSS) needs and care preferences. Methods: Key informants in Hawaiian health were interviewed, secondary analyses of large state data sets were conducted, and kūpuna and "ohana (family) caregivers were engaged in listening sessions. Results: Quantitative data confirmed numerous health disparities experienced by older Native Hawaiians, whereas qualitative data exposed their limited knowledge of this poor health profile and revealed their historical and contemporary experiences with discrimination in education, employment, and health care. Hawaiian culture was identified as a continued source of resilience in support of elders and family caregiving regardless of geographic setting. Discussion: We suggest three practice, policy, and research directions that offer the potential to respond to and improve kūpuna health and service use.
Objective: The Native Hawaiian population experiences numerous disparities in health and income. Using a mixed-method research (MMR) design, we summarize findings from three phases of an MMR approach used to uncover kūpuna (elder) long-term service and support (LTSS) needs and care preferences. Methods: Key informants in Hawaiian health were interviewed, secondary analyses of large state data sets were conducted, and kūpuna and "ohana (family) caregivers were engaged in listening sessions. Results: Quantitative data confirmed numerous health disparities experienced by older Native Hawaiians, whereas qualitative data exposed their limited knowledge of this poor health profile and revealed their historical and contemporary experiences with discrimination in education, employment, and health care. Hawaiian culture was identified as a continued source of resilience in support of elders and family caregiving regardless of geographic setting. Discussion: We suggest three practice, policy, and research directions that offer the potential to respond to and improve kūpuna health and service use.
Entities:
Keywords:
Native Hawaiian; long-term service and support needs; older adults
Authors: Linda R Stanley; Randall C Swaim; Joseph Keawe'aimoku Kaholokula; Kathleen J Kelly; Annie Belcourt; James Allen Journal: Prev Sci Date: 2020-01
Authors: Joseph Keawe'aimoku Kaholokula; Mele A Look; Thomas A Wills; Māpuana de Silva; Tricia Mabellos; Todd B Seto; Hyeong Jun Ahn; Ka'imi A Sinclair; Dedra Buchwald Journal: BMC Public Health Date: 2017-04-17 Impact factor: 3.295
Authors: Theresa Kreif; William Chismar; Kathryn L Braun; Michael DeMattos; Tetine Sentell; Jing Guo; Noreen Mokuau Journal: Hawaii J Health Soc Welf Date: 2021-08