Prejudice, Stigma, and Oppression on the Behavioral Health of Native Hawaiians and Pacific Islanders

Kaholokula, Joseph Keawe‘aimoku; Miyamoto, Robin E. S.; Hermosura, Andrea H.; Inada, Megan

doi:10.1007/978-3-030-35517-3_7

Cited by 20 publications

(16 citation statements)

References 80 publications

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“…While these teachings continue to be preserved and passed on today, contemporary Hawaiians must heed to the requirements of survival, which include working away from their ancestral lands in careers that may not align with their values as Hawaiians, but afford an opportunity to live comfortably in a western world. Despite these adversities, Kānaka continue to remain resilient as demonstrated through the revitalization, resurgence, and perpetuation of cultural practices and ways of being, including practices that allow for reciprocity and connections to ʻāina [ 21 ]. Cultural protocols from ancient knowledge have been revitalized in the last few decades and are now a lifestyle for many Kānaka, which reinforces alignment with all elements.…”

Section: Introductionmentioning

confidence: 99%

Reclaiming ʻĀina Health in Waimānalo

Keli‘iholokai

Keaulana

Antonio

et al. 2020

IJERPH

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Kānaka Maoli (Native Hawaiian) worldviews of health emphasize pono (righteousness) and lōkahi (balance), which extends to include relationships with other people, akua (spiritual realm), and ʻāina (land). The purpose of this qualitative study was to explore the role of ʻāina and ʻāina connection in health and resilience based on the perspectives of 12 Kānaka Maoli adults from the Waimānalo community. Three major themes were identified: ʻĀina is everything, ʻāina is health, and community healing through community-led initiatives. A better understanding of ʻāina connection is important to improve our knowledge of Hawaiian health. A connection to ʻāina may specifically address health concerns resulting from historical trauma and environmental changes.

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Section: Introductionmentioning

confidence: 99%

Reclaiming ʻĀina Health in Waimānalo

Keli‘iholokai

Keaulana

Antonio

et al. 2020

IJERPH

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“…NHPI policy advocates experience decreased political power due to lack of data on social and health inequities, limiting their ability to advocate for policy changes (Morey et al 2020). The complete omission or aggregation of NHPI data with other race groups, often with Asian Americans, reinforces the marginalization that NHPIs experience in US society (Chang, Penaia, and Thomas 2020;Kaholokula et al 2020).…”

mentioning

confidence: 96%

“…A subsequent iteration of the NHPI NHIS will bolster the sample size and provide more accurate surveillance of NHPI health nationally.Third, when possible, NHPI data should be further disaggregated into subpopulations given the diverse languages, cultural practices, and histories of each of the Pacific Island groups that have been impacted by settler colonialism, militarization, and migration in ways unique to each other. For example, Native Hawaiians have experienced the historical trauma of having lands and culture stripped away by the US government(Kaholokula et al 2020;Dougherty 1992;Ong 2009). Pacific Islanders from Federated States of Micronesia, Republic of Marshall Islands, and Republic of Palau who are under the Compacts of Free Association (COFA) were subjected to severe health consequences and loss of land due to the US government's nuclear testing on the islands from 1946 to 1958.…”

mentioning

confidence: 99%

No Equity without Data Equity: Data Reporting Gaps for Native Hawaiians and Pacific Islanders as Structural Racism

Morey

Chang

Thomas

et al. 2021

Journal of Health Politics, Policy and Law

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Data on the health and social determinants for Native Hawaiians and Pacific Islanders (NHPIs) in the United States (US) are hidden because data are often not collected or are reported in aggregate with other racial/ethnic groups, despite decades of calls to disaggregate NHPI data. As a form of structural racism, data omissions contribute to systemic problems such as inability to advocate, lack of resources, and limitations to political power. We conducted a data audit to determine how US federal agencies are collecting and reporting disaggregated NHPI data. Using the COVID-19 pandemic as a case study, we reviewed how states are reporting NHPI cases and deaths. Last, we calculated the extent of NHPI underrepresentation in communities targeted for COVID-19 resources in California using the state’s neighborhood equity metric—Healthy Places Index (HPI). Our analysis shows that while there has been improvement in collection and reporting of NHPI data nationally, federal data gaps remain. States are vastly underreporting—over half of states are not reporting NHPI COVID-19 case and death data. The HPI, used to inform political decisions about allocation of resources to combat COVID-19, systematically underrepresents NHPI communities. We make recommendations for improving NHPI data equity to achieve health equity and social justice.

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“…One is prominent in the formal and the other in the informal systems of community life. The first of these cultural codes, identified by the acronym DIE (Domination, Individualism, and Exclusion; Laenui, 1997b), is emblematic of the Americanized social order in the Hawai‘i islands as a multiethnic colony (Baumhofer & Yamane, 2019; Fojas et al, 2018; Fujikane & Okamura, 2008; Irwin & Umemoto, 2016; Kaholokula et al, 2020). Situated in Hawai‘i’s colonial history, American systems in Hawai‘i have been heavily reliant on Dominance (Americans of European descent commonly rejected the idea of non-white Hawaiian rule; see Kamakau, 1992; Kuykendall, 1947), Individualism (where self-promotion is the vehicle of success; self-interest is pursued at the expense of in-group and community welfare; and social prestige is tied to individual material wealth accumulation), and Exclusion (such as suppressing the Hawaiian language; influencing the democratic process by limiting voting rights to property owners and men; excluding Hawaiians from positions of administrative power and bureaucratic authority; and embracing mainstream institutions designed to serve non-Hawaiians)—henceforth referred to as DIE deep culture.…”

Section: Anticolonial Praxismentioning

confidence: 99%

Colonial Regimes of Mental Health, Substance Use, Drug Treatment, and Recovery: A Locally Contextualized, Anticolonial Response

Laenui

Williams

2022

Contemporary Drug Problems

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Documented in this article is the anticolonial treatment modality developed by a community-based behavioral health center on the island of O‘ahu, Hawai‘i—situated in a predominately Native Hawaiian community reacting to and affected by American colonial control of the Hawaiian Islands since 1893. We tie Haraway’s concept of “situated knowledges” to the methodology of Clarke’s “situational analysis” as a conceptual framing and a methodological approach in engaging the work of decolonizing health concepts and treatment regimens commonly taken for granted. Enfolding within that process the conceptual mapping for an indigenously informed way of thinking that emphasizes the relationship between colonizing “systems of care”—which emerge out of a sociocultural context of cultural domination that has broken down communally embedded Indigenous identities through individualism and exclusion or othering (i.e., hereafter abbreviated DIE)—and the need for decolonizing social processes that are in greater harmony with the rise of Hawaiian national consciousness (‘Olu‘olu) through communalistic notions of care (Lokahi) and nurturing cultural identities in balance with secular and non-secular relations anchored in historical and contemporary contexts (Aloha; i.e., hereafter abbreviated OLA). By increasing the convergence of OLA with the cultural mainstream of DIE as a unifying reference point applied to other Hawaiian and indigenous groups in both theory and praxis, this article is both a contribution to the social science of treatment, and to the literature on decolonizing drugs and alcohol.

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Prejudice, Stigma, and Oppression on the Behavioral Health of Native Hawaiians and Pacific Islanders

Cited by 20 publications

References 80 publications

Reclaiming ʻĀina Health in Waimānalo

Reclaiming ʻĀina Health in Waimānalo

No Equity without Data Equity: Data Reporting Gaps for Native Hawaiians and Pacific Islanders as Structural Racism

Colonial Regimes of Mental Health, Substance Use, Drug Treatment, and Recovery: A Locally Contextualized, Anticolonial Response

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