Browne Colette V, Mokuau Noreen, Ka'opua Lana S, Kim Bum Jung, Higuchi Paula, Braun Kathryn L
J Cross Cult Gerontol. 2014 Jun;29(2):131-51. doi: 10.1007/s10823-014-9227-8.
Native Hawaiians, the indigenous people of Hawai’i, are affected by varying social and health disparities that result in high prevalence of chronic disease, early onset of disability, and shorter life expectancy compared to other ethnic groups in Hawai’i. Six listening meetings were conducted, involving 41 community-dwelling kūpuna (Native Hawaiian elders) and ‘ohana (family) caregivers to investigate health and care preferences that offer the potential for improving well-being in later life for Native Hawaiian elders. As background, we provide three explanatory perspectives and theories—life course perspective, minority stress theory, and historical trauma—that guided the design of this study and provided the study’s context. A number of overarching themes and subthemes were identified, some of which point to universal concerns with age and caregiving (such as challenges and costs associated with growing old and caregiving) and others that are culturally specific (such as influence of culture and social stressors, including discrimination, on health needs and care preferences). Results give further support to the urgency of affordable, accessible, and acceptable programs and policies that can respond to the growing health and care needs of native elders and family caregivers.
夏威夷原住民，即夏威夷的本土居民，受到各种社会和健康差距的影响，与夏威夷的其他种族群体相比，这些差距导致慢性病的高患病率、残疾的早发性以及预期寿命的缩短。我们组织了六次倾听会议，有41位居住在社区的库普纳（夏威夷原住民长者）和奥哈纳（家庭）照顾者参与，以调查健康和护理偏好，这些偏好为改善夏威夷原住民长者晚年的福祉提供了潜力。作为背景，我们提供了三个解释性观点和理论——生命历程观点、少数群体压力理论和历史创伤——这些指导了本研究的设计并提供了研究的背景。我们确定了一些总体主题和子主题，其中一些指向与年龄和护理相关的普遍问题（如与变老和护理相关的挑战和成本），另一些则是特定文化的（如文化和社会压力源，包括歧视，对健康需求和护理偏好的影响）。研究结果进一步支持了制定经济实惠、可获得且可接受的项目和政策的紧迫性，这些项目和政策能够应对原住民长者和家庭照顾者日益增长的健康和护理需求。
