176620 Engaging Native Hawaiian men in health care: A cultural approach

Sunday, October 26, 2008

Joseph Keawe'aimoku Kaholokula, PhD , John A Burns School of Medicine, Department of Native Hawaiian Health, University of Hawaii, Honolulu, HI
Claire Hughes, DrPH , Hawaii Pacific Inc, American Cancer Society, Honolulu, HI
Paula T. Higuchi, MSW , Cancer Information Service, University of Hawaii Cancer Research Center of Hawaii, Honolulu, HI
Background/significance: Native Hawaiian (NH) men have higher cancer mortality and morbidity than men of other ethnic groups. Focus groups among NH men were conducted by the NH Committee of the American Cancer Society to identify health-seeking behaviors, attitudes, and preferred practices. They identified that NH men had unique cultural values/practices that affected their health. Thus, the Kāne (men) Initiative was formed to develop a statewide health promotion program.

Objective/purpose: The purpose of the Kāne Initiative is to engage NH men in identifying strategies consistent with their cultural values and practices to increase their participation in preventive health care.

Methods: The methods include: 1) Recruit NH male community leaders and/or cancer survivors to the Kāne Initiative. 2) Solicit input for strategies, projects, and activities to promote preventive health care. 3) Engage NH men in helping other NH men. 4) Develop/implement cancer prevention activities focused on NH men.

Results: The Kāne Initiative involves NH men of various ages, professions, and backgrounds. They completed an informational DVD and a culturally-informed cancer brochure disseminated statewide to health projects/organizations. A project underway is the development of an educational tool to lead NH men in discussing their health concerns and to promote health care. Educational tools/strategies have been developed to include the training of NH men as group facilitators.

Discussion/conclusion: NH men have taken the lead in a public health initiative addressing cancer disparities. The cultural process of NH men addressing shared health issues has led to several culturally-relevant health promotion materials and community activities.

Learning Objectives:
1) Understand the process to engage Native Hawaiian men in a health related effort. 2) Identify the strategies used to engage the Native Hawaiian men. 3) Describe the resources developed to increase awareness about health related issues among Native Hawaiian men.

Keywords: Native and Indigenous Populations, Community-Based Health Promotion

Presenting author's disclosure statement:

Qualified on the content I am responsible for because: I am an active member who holds a leadership role of the health initiative being presented. I am also a behavioral health researcher with expertise in Native Hawaiian health.
Any relevant financial relationships? No

I agree to comply with the American Public Health Association Conflict of Interest and Commercial Support Guidelines, and to disclose to the participants any off-label or experimental uses of a commercial product or service discussed in my presentation.