216078 Ke ola o Ka Lâhui: Towards a theory of Native Hawaiian health

Tuesday, November 9, 2010 : 1:00 PM - 1:15 PM

Kawika Liu, MD, PhD, JD , Department of Native Hawaiian Health, University of Hawaii, JABSOM, Honolulu, HI
As with other indigenous populations, Native Hawaiian (Kânaka Maoli) face significant inequities in health compared to other groups in Hawai‘i, their ancestral homeland. The etiology for these inequities have been located in genetic variants, lifestyle choices, history, and the larger political economy. This study surveys the literature for theories on the etiology of Native Hawaiian, then presents a synthesis of these theories, locating the roots of health and non-health in the shifting nexus of genetics, behavior, history and the political economy. Evaluating health in this model is not simply mainstream outcomes such as general health status, prevalence of diabetes and cardiovascular disease, or even poverty, but also includes indigenously relevant variables such as access to traditional resources, area in indigenous and endemic biota, and numbers of traditional cultural practitioners. Actualizing these measures may lead to the formulation of alternative policies which address the determinants of both mainstream and Native Hawaiian relevant outcomes.

Learning Areas:
Advocacy for health and health education
Basic medical science applied in public health
Diversity and culture
Planning of health education strategies, interventions, and programs
Public health or related research

Learning Objectives:
Evaluate the trajectory of Native Hawaiian health from time immemorial to the 21st century Discuss the political economic context for changes in Native Hawaiian health Analyze a multi-disciplinary, population based model to improve Native Hawaiian health

Keywords: Hawaiian Natives, Health Disparities

Presenting author's disclosure statement:

Qualified on the content I am responsible for because: I am the interim director of the Office of Health Equity, Hawai'i State Dept of Health, and oversee the development of policy to address the health of Native Hawaiians, along with other disenfranchised and disparate populations
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.