Office of Public Health Studies, Thompson School of Social Work and Public Health, University of Hawai'i at Mānoa, Honolulu.
Thompson School of Social Work and Public Health, University of Hawai'i at Mānoa, 2430 Campus Rd, Honolulu, HI 96822 (
Prev Chronic Dis. 2023 May 25;20:E43. doi: 10.5888/pcd20.220412.
Culturally relevant physical activity is a promising field for chronic disease prevention and management. Native Hawaiians and Other Pacific Islanders have higher rates of physical inactivity than other racial or ethnic groups and increased risk of chronic disease. The study objective was to provide population-level data from Hawai'i on lifetime experiences in the Native Hawaiian Indigenous practices of hula and outrigger canoe paddling across demographic and health factors to identify opportunities for public health intervention, engagement, and surveillance.
Questions about hula and paddling were added to the Hawai'i 2018 and 2019 Behavioral Risk Factor Surveillance System (N = 13,548). We considered level of engagement by demographic categories and health status indicators, accounting for the complex survey design.
Overall, 24.5% of adults engaged in hula and 19.8% in paddling in their lifetime. Prevalence of engagement was higher among Native Hawaiians (48.8% hula, 41.5% paddling) and Other Pacific Islanders (35.3% hula, 31.1% paddling) than among other racial and ethnic groups. In adjusted rate ratios, experience in these activities was strong across age groups, education, sex, and income levels, particularly among Native Hawaiians and Other Pacific Islanders.
Throughout Hawai'i, hula and outrigger canoe paddling are important and popular cultural practices with high physical activity demands. Participation was notably high for Native Hawaiians and Other Pacific Islanders. Surveillance information around culturally relevant physical activities can benefit public health programming and research from a strength-based community perspective.
与文化相关的体育活动是预防和管理慢性病的一个有前途的领域。与其他种族或族裔群体相比，夏威夷原住民和其他太平洋岛民的身体活动水平较低，患慢性病的风险更高。本研究的目的是提供夏威夷的人群水平数据，了解在整个人口统计和健康因素下，参与夏威夷原住民传统的草裙舞和桨板冲浪的终身经历，以确定公共卫生干预、参与和监测的机会。
在夏威夷 2018 年和 2019 年的行为风险因素监测系统（N=13548）中添加了有关草裙舞和桨板冲浪的问题。我们根据人口统计类别和健康状况指标考虑了参与程度，考虑了复杂的调查设计。
总体而言，24.5%的成年人一生中有过草裙舞经历，19.8%有过桨板冲浪经历。在草裙舞（48.8%）和桨板（41.5%）方面，夏威夷原住民和其他太平洋岛民的参与率高于其他种族和族裔群体。在调整后的比率中，这些活动在年龄组、教育程度、性别和收入水平方面都很普遍，特别是在夏威夷原住民和其他太平洋岛民中。
在整个夏威夷，草裙舞和桨板冲浪是重要且流行的文化习俗，具有很高的身体活动需求。夏威夷原住民和其他太平洋岛民的参与率特别高。从以社区力量为基础的角度来看，有关文化相关体育活动的监测信息可以使公共卫生计划和研究受益。
