Boyd Jamie Kamailani, Kuuleialoha Kamaka Sharmayne A, Braun Kathryn L
Windward Community College, Kaneche.
Prog Community Health Partnersh. 2012 Spring;6(1):25-31. doi: 10.1353/cpr.2012.0006.
Native Hawaiians, representing 25% of Hawai'i's population, suffer socioeconomic and health strains as evidenced by overrepresentation in low-wage jobs without health insurance and a higher prevalence of chronic disease compared with Hawai'i's other ethnic groups. Native Hawaiians are more likely to attend community colleges than 4-year colleges and have high dropout rates.
To describe a culturally relevant, community-based action research approach to build a program to keep Hawaiians in college to advance career options and improve long-term health and socioeconomic outcomes.
Culturally relevant approaches that depended on participation from a variety of community partners were used to evaluate needs and design interventions.
The Pathway Out of Poverty Program uses Hawaiian values and traditions of healthy living to lead students through a nursing pathway from nurse aide (NA) to licensed practical nurse (LPN) to registered nurse (RN), with inherent increases in wage-earning potential. In the first 3.5 years, 150 students enrolled in NA training, and 135 students (90%) graduated and were certified. Of the 135, 77 (57%) transitioned to higher education and 79% transitioned to jobs that offered health insurance (20% were in both groups). Of the 77 entering higher education, 33 (43%) aimed for a degree in nursing. Students expressed growing interest in health promotion for themselves, family members, and others.
Community partners were key to developing a successful community college-based Pathway Program to help marginalized and other underrepresented students move from low-wage to living-wage jobs and improve their long-term health outcomes.
夏威夷原住民占夏威夷人口的25%，他们面临社会经济和健康方面的压力，这体现在他们在无健康保险的低薪工作中占比过高，以及与夏威夷其他种族群体相比慢性病患病率更高。与4年制大学相比，夏威夷原住民更有可能进入社区大学，且辍学率很高。
描述一种基于社区且与文化相关的行动研究方法，以建立一个项目，帮助夏威夷原住民完成大学学业，从而增加职业选择，改善长期健康状况和社会经济成果。
采用依赖于各种社区合作伙伴参与的与文化相关的方法来评估需求并设计干预措施。
“摆脱贫困之路”项目利用夏威夷的价值观和健康生活传统，引导学生通过一条从护士助理（NA）到执业护士（LPN）再到注册护士（RN）的护理路径，工资收入潜力会随之逐步提高。在最初的3.5年里，150名学生参加了护士助理培训，其中135名学生（90%）毕业并获得了认证。在这135名学生中，77名（57%）进入了高等教育阶段，79%的学生找到了提供健康保险的工作（两组中有20%的学生既进入了高等教育阶段又找到了此类工作）。在进入高等教育阶段的77名学生中，33名（43%）的目标是获得护理学位。学生们对为自己、家人和他人促进健康表现出越来越浓厚的兴趣。
社区合作伙伴对于成功开展一个基于社区大学的路径项目至关重要，该项目可帮助边缘化及其他代表性不足的学生从低薪工作转向能维持生计的工作，并改善他们的长期健康状况。
