“…Not being aware of bodily changes, lack of proper diet and exercise, and not performing preventive diagnostic tests contribute to the lack of understanding about how osteoporosis affects an individual. Despite health insurance coverage (Zelaya et al, 2017), many Native Hawaiians, including those living on the Big Island, do not have local access to health care facilities or providers and lack the ability to travel a significant distance to receive specialty health care (Kawakami et al, 2022). Little knowledge about osteoporosis could lead to more serious conditions that may impact their everyday lifestyles.…”