School of Social Work, College of Health and Society, Hawai'i Pacific University, Honolulu, HI, USA.
Public Health Department, College of Health and Society, Hawai'i Pacific University, Honolulu, HI, USA.
J Racial Ethn Health Disparities. 2021 Jun;8(3):570-578. doi: 10.1007/s40615-020-00815-6. Epub 2020 Jul 14.
Research has shown that Native Hawaiians disproportionately suffer from behavioral disorders and chronic physical diseases, yet they have historically lacked effective and culturally relevant prevention interventions to address their pervasive health disparities. This article systematically reviewed the recent culturally relevant prevention intervention literature focused on Native Hawaiians. In this review, we assessed 14 peer-reviewed articles published between 2015 and 2020 that met inclusion and exclusion criteria pertaining to the development and/or evaluation of prevention interventions for Native Hawaiians. The reviewed studies evaluated ten different interventions that were developed using deep-structure adaptation or culturally grounded procedures, and primarily focused on prevention of substance use, obesity/diabetes, and pregnancy/sexually transmitted infections (STIs). Compared with the prior related literature reviews, the present review suggests an overall advancement in prevention science for Native Hawaiians, evidenced by an increase in federal funding and randomized controlled clinical trials of prevention interventions for the population. This review provides an update to the state of the science for Native Hawaiian prevention interventions and points to areas of future research and development.
研究表明，夏威夷原住民在行为障碍和慢性身体疾病方面的患病率不成比例，但他们在历史上缺乏有效且文化相关的预防干预措施来解决其普遍存在的健康差距。本文系统地回顾了最近关注夏威夷原住民的文化相关预防干预文献。在本次综述中，我们评估了 2015 年至 2020 年间发表的 14 篇符合纳入和排除标准的同行评议文章，这些文章涉及针对夏威夷原住民的预防干预措施的制定和/或评估。所审查的研究评估了十种不同的干预措施，这些干预措施是使用深层结构适应或基于文化的程序开发的，主要侧重于预防药物使用、肥胖/糖尿病和怀孕/性传播感染 (STI)。与之前的相关文献综述相比，本综述表明了夏威夷原住民预防科学的总体进步，这体现在针对该人群的预防干预措施的联邦资金增加和随机对照临床试验增多。本综述为夏威夷原住民预防干预措施的科学现状提供了最新信息，并指出了未来研究和发展的领域。
