Sociohistorical Perspective on Health Vulnerability of Native Hawaiians

Written by Saba Behjati Kam, Kawailehua K. Paikai, J.T. Kala’iokamanu Carreiro, & Dula F. Pacquiao

doi: http://doi.org/10.10.13178/jnparr.2019.09.02.0906

Abstract

Background: Globally, indigenous populations are considered vulnerable because of socioeconomic and health vulnerabilities linked with their long history of disenfranchisement and subordinate status. Such is the case for Native Hawaiians, the indigenous people of Hawaii.

Objective: This paper describes the social and historical forces that contributed to their long-standing vulnerabilities as evidenced by their poor health, rampant poverty and unemployment, and low educational achievement. Current initiatives and programs to address these problems are presented.

Conclusions: Recommendations focus on advocacy for social justice through culturally competent approaches toward building individual and community empowerment for self-agency and educational strategies to promote compassion and empathy for the people.

Keywords: Native Hawaiians, indigenous population, population health, vulnerable populations, health disparities