Office of Public Health Studies, Thompson School of Social Work & Public Health, University of Hawai'i Mānoa, Honolulu, HI.
Hawai'i Leadership Forum, Honolulu, HI.
Hawaii J Health Soc Welf. 2021 Oct;80(10 Suppl 2):18-24.
The precarious financial status of the majority of Hawai'i residents coupled with the state's heavy reliance on tourism suggests that residents are particularly vulnerable to increased economic hardship resulting from the COVID-19 pandemic, which temporarily shut down the tourism industry and continues to erect barriers for resuming operations. Understanding how Hawai'i residents prioritize access to health care, food economics, care of 'āina, and culturally informed community in light of the current and future economic situation can inform policy actions that will support public health. To that end, this paper analyzes: (1) Hawai'i residents' views on health, specifically food security and healthcare, and their priorities for the future of these areas; (2) the differences between Native Hawaiian and non-Native Hawaiian views and priorities; and (3) the differences in views and priorities between families with higher and lower levels of economic stability. The authors close with policy recommendations that can be seen as medicine, or ways to heal Hawai'i, as the state shifts towards a more equitable and sustainable future.
夏威夷州大多数居民的财务状况不稳定，加上该州严重依赖旅游业，这表明居民特别容易受到 COVID-19 大流行造成的经济困难的影响，这场大流行暂时关闭了旅游业，并继续为恢复运营设置障碍。了解夏威夷居民如何根据当前和未来的经济状况优先考虑获得医疗保健、食品经济、保护土地以及社区的文化信息，可以为支持公共卫生的政策行动提供信息。为此，本文分析了：（1）夏威夷居民对健康的看法，特别是食品安全和医疗保健，以及他们对这些领域未来的优先考虑；（2）夏威夷原住民和非夏威夷原住民的看法和优先事项之间的差异；（3）经济稳定性较高和较低的家庭之间在看法和优先事项上的差异。作者最后提出了一些政策建议，可以将这些建议视为医学，或者是夏威夷州治愈的方法，因为该州正在向更加公平和可持续的未来转型。
