Native Hawaiian Health, John A. Burns School of Medicine, University of Hawai'i at Mānoa, Honolulu, Hawai'i, USA
Native Hawaiian Health, John A. Burns School of Medicine, University of Hawai'i at Mānoa, Honolulu, Hawai'i, USA.
BMJ Open. 2021 Jul 7;11(7):e048767. doi: 10.1136/bmjopen-2021-048767.
To examine the potential association of ocean voyaging with human health and well-being from the perspectives and experiences of the medical officers (MOs) who served during the Worldwide Voyage (WWV).
Using a phenomenology framework, focus group and individual interviews were conducted and analysed by three diverse core researchers and then reviewed by three external researchers to enhance triangulation. Analysis used the Framework Method and Atlas-ti software (V.8.4.4) to facilitate coding, identify categories and develop an analytical matrix. The matrix was applied to all data using the constant comparative method to construct major themes and subthemes. Synthesised member checking was performed.
In 2014-2017, the WWV began in Hawai'i on a traditional voyaging canoe, known as , using a non-instrument navigational method, 'wayfinding', powered only by natural forces and guided by traditional ecological knowledge. Each segment of the voyage included ~12 individuals, including an MO physician. The entire WWV included 172 ports-of-call, 36 legs and 250+ crew members.
We purposively sampled all MO physicians who participated in the WWV and enrolled 87% of eligible MOs (n=20 of 23). We conducted two focus groups (n=17=11+6, 85%) and three individual informant interviews (n=3, 15%).
The four major themes: (1) Relationships; (2) Preventive Care to Enhance Health; (3) Holistic Health and Wellbeing beyond Voyaging and (4) Spiritual Transformative Experience, strongly suggest that ocean voyaging aboard a traditional voyaging canoe enhanced human health and well-being. The overall impact to perceived health and well-being extended beyond any increase in physical exercise. Essentially, traditional Polynesian ocean voyaging provided a cultural-based context for holistic health and well-being that influenced multiple levels and multiple dimensions.
Polynesian ocean voyaging was perceived as positively associated with holistic health and overall well-being and it may offer a new approach to confront complex health disparities.
从参与环球航行（WWV）的医务人员的角度和经验出发，研究航海与人类健康和福祉之间的潜在关联。
使用现象学框架，通过三位不同的核心研究人员进行焦点小组和个人访谈，并进行分析，然后由三位外部研究人员进行审查，以增强三角测量。分析采用框架方法和 Atlas-ti 软件（V.8.4.4）进行编码、确定类别和开发分析矩阵。该矩阵应用于所有数据，使用恒定比较法构建主要主题和子主题。进行综合成员检查。
2014 年至 2017 年，WWV 在夏威夷开始，乘坐一艘名为 的传统航海独木舟，使用非仪器导航方法“寻路”，仅依靠自然力量驱动，并由传统生态知识引导。航行的每一段都包括大约 12 人，包括一名 MO 医生。整个 WWV 包括 172 个停靠港、36 个航段和 250 多名船员。
我们有意抽样了所有参与 WWV 的 MO 医生，并招募了 23 名 MO 医生中的 87%（n=20）。我们进行了两个焦点小组（n=17=11+6，85%）和三个个人信息访谈（n=3，15%）。
四个主要主题：（1）人际关系；（2）预防保健以增强健康；（3）航海之外的整体健康和福祉；（4）精神变革体验，强烈表明传统的波利尼西亚航海独木舟增强了人类的健康和福祉。对健康和福祉的整体影响超出了任何增加的体育锻炼。从本质上讲，传统的波利尼西亚海洋航行为整体健康和福祉提供了一个基于文化的背景，影响了多个层面和多个维度。
波利尼西亚航海被认为与整体健康和整体福祉呈正相关，它可能为应对复杂的健康差距提供了一种新方法。
