Mokuau Noreen, Browne Colette V, Braun Kathryn L, Choy Lehua B
University of Hawaii, School of Social Work, Honolulu, Hawaii, USA.
Educ Health (Abingdon). 2008 Dec;21(3):174. Epub 2008 Dec 3.
Historically, Native Hawaiian elders have been recognized as the major sources of wisdom and transmitters of knowledge and training to younger generations. Yet, concerns exist today for these elders who experience shorter life expectancies, poorer health and greater disability than elders in other ethnic groups in Hawai;i.
We describe Hā Kūpuna: National Resource Center for Native Hawaiian Elders, established at the University of Hawaii to address disparate health and improve the access and delivery of services to these elders.
Hā Kūpuna is described in accordance with the principles of community-based participatory (CBP) research with its unique emphasis on culturally competent practice.
Application of the CBP approach is illustrated in the following steps: community engagement; development of an infrastructure; implementation and dissemination of research and technical assistance projects; and evaluation.
The CBP approach is highly relevant for Native Hawaiians because of its alignment with cultural values, the mobilization of the community and the emphasis on reducing health inequities through social change. In adhering to a CBP approach to improve the health of elders, Hā Kūpuna seeks to perpetuate the culture through the transmission of hā (breath) from older to younger generations.
从历史上看，夏威夷原住民长者一直被视为智慧的主要来源，以及向年轻一代传授知识和培训的人。然而，如今这些长者面临着一些问题，他们的预期寿命比夏威夷其他族裔的长者更短，健康状况更差，残疾情况更多。
我们介绍了“哈库普纳：夏威夷原住民长者国家资源中心”，该中心位于夏威夷大学，旨在解决健康差异问题，并改善为这些长者提供服务的可及性和服务质量。
按照基于社区的参与性（CBP）研究原则对“哈库普纳”进行介绍，该研究特别强调具有文化胜任力的实践。
CBP方法的应用体现在以下步骤中：社区参与；基础设施建设；研究和技术援助项目的实施与传播；以及评估。
CBP方法与夏威夷原住民高度相关，因为它与文化价值观相符，能够动员社区，并强调通过社会变革减少健康不平等。在坚持采用CBP方法改善长者健康方面，“哈库普纳”试图通过将“哈”（气息）从老一辈传给年轻一代来延续文化。
