Why Are Native Hawaiians Underrepresented in Hawai‘i's Older Adult Population?
Author Information
Author(s): Ka‘opua Lana Sue, Braun Kathryn L., Browne Colette V., Mokuau Noreen, Park Chai-Bin
Primary Institution: Myron B. Thompson School of Social Work, University of Hawai‘i
Hypothesis
What are the social and behavioral factors influencing the longevity of Native Hawaiians?
Conclusion
Native Hawaiians experience significant health disparities, leading to lower life expectancy and higher rates of premature mortality compared to other ethnic groups in Hawai‘i.
Supporting Evidence
- Native Hawaiians have the largest years of productive life lost and the lowest life expectancy compared to other ethnic groups in Hawai‘i.
- Heart disease and cancer are leading causes of premature mortality among Native Hawaiians.
- Native Hawaiian elders are more likely to report behavioral health risks such as smoking and obesity.
- About 7.2% of Native Hawaiian elders reported not being able to see a physician in the past year due to cost.
Takeaway
Native Hawaiians are not living as long as other groups in Hawaii, and many face health problems like obesity and heart disease.
Methodology
The study analyzed data from two state surveillance programs, focusing on causes of death and social-behavioral factors relevant to elders.
Potential Biases
Potential bias due to reliance on surveillance data that may not capture all relevant factors affecting health disparities.
Limitations
The study does not explain the relationship between ethnicity and health indicators, does not explore gender differences, and relies on data from Hawai‘i residents only.
Participant Demographics
The study included 6346 older adults, with specific focus on 658 Native Hawaiians.
Digital Object Identifier (DOI)
Want to read the original?
Access the complete publication on the publisher's website