Odom Sharon Kaʻiulani, Jackson Puni, Derauf David, Inada Megan Kiyomi, Aoki Andrew H
Kōkua Kalihi Valley Comprehensive Family Services, Honolulu, HI.
Islander Institute, Kailua, HI.
Curr Dev Nutr. 2019 Feb 22;3(Suppl 2):32-38. doi: 10.1093/cdn/nzz001. eCollection 2019 Aug.
This article speaks to the abundance and wisdom of indigenous community members in Kalihi, an urban neighborhood in Honolulu, Hawaii. Its findings result from community members sharing their stories of health, health care, and healing. These stories evolved into a distinct framework for health- or the Four Connections Framework. Pilinahā addresses 4 vital connections that people typically seek to feel whole and healthy in their lives: connections to place, community, past and future, and one's better self. This article describes the origins, intent, key concepts, and implementation of this framework. By doing so, the authors hope to add to the growing body of work on community and indigenous well-being, further the dialogue with other indigenous communities, and collectively foster a more meaningful and effective health system for all.
本文讲述了夏威夷檀香山城市社区卡利希的原住民社区成员的丰富经验和智慧。其研究结果源于社区成员分享他们关于健康、医疗保健和康复的故事。这些故事演变成了一个独特的健康框架——四联系框架。“Pilinahā”阐述了人们在生活中通常寻求实现完整与健康所必需的4个重要联系：与地方的联系、与社区的联系、与过去和未来的联系以及与更好的自我的联系。本文描述了这个框架的起源、意图、关键概念和实施情况。通过这样做，作者们希望为关于社区和原住民福祉的不断增加的研究工作做出贡献，推动与其他原住民社区的对话，并共同为所有人建立一个更有意义、更有效的医疗体系。
