University of Washington School of Social Work, Seattle, WA (DKS, SGC, DH, SHA, MAH, MS).
Indigenous Wellness Research Institute, Seattle, WA (DKS, DH, KW, MS).
Hawaii J Health Soc Welf. 2024 Aug;83(8):208-215. doi: 10.62547/OLHY2267.
Little is known about the impacts of living in diaspora from the Hawaiian Islands on Native Hawaiian health. To address this, the authors conducted an exploratory analysis using cross-sectional data from the 2021 Native American COVID-19 Alliance Needs Assessment. A total of 1418 participants identified as Native Hawaiian (alone or in any combination), of which 1222 reported residency in the continental US and 196 in Hawai'i. Residency status in the continental US vs Hawai'i was evaluated as a predictor of survey outcomes using likelihood ratio tests on linear and logistic regression models for linear and binary outcomes, respectively. Results showed that NH residency in the continental US was significantly associated with increased odds of reporting fair or poor self-rated health; increased odds for screening positive for anxiety, depression, and suicidality; and increased odds of health insurance loss ('s < .05). Residency in the continent was also associated with lower odds of reporting a diagnosed chronic health condition ( < .05). Residency in the continental US had no observed effect on the odds that participants engaged cultural activities or cultural coping strategies. These results support the role of place of residency as an important Native Hawaiian health predictor during and beyond the COVID-19 pandemic.
关于生活在夏威夷离散社区对夏威夷原住民健康的影响知之甚少。为了解决这个问题，作者使用 2021 年美国原住民 COVID-19 联盟需求评估的横断面数据进行了探索性分析。共有 1418 名参与者自认为是夏威夷原住民（单独或组合），其中 1222 名报告居住在美国大陆，196 名居住在夏威夷。使用线性和逻辑回归模型分别对线性和二项式结果进行似然比检验，评估美国大陆与夏威夷的居住状态作为调查结果的预测因子。结果表明，美国大陆的 NH 居住与报告健康自评一般或较差的几率增加有关；筛查出焦虑、抑郁和自杀倾向的几率增加；以及医疗保险丧失的几率增加（<0.05）。居住在美国大陆也与报告确诊的慢性健康状况的几率较低有关（<0.05）。居住在美国大陆对参与者参与文化活动或文化应对策略的几率没有观察到影响。这些结果支持了居住地点作为 COVID-19 大流行期间和之后夏威夷原住民健康的重要预测因子的作用。
