Examining Long-Term Service and Support Needs and Preferences of Native Hawaiian Elders: A Mixed-Method Approach

Author:

Browne Colette V.1ORCID,Braun Kathryn L.1,Mokuau Noreen K.1,Wu Yan Yan1,Muneoka Shelley1

Affiliation:

1. University of Hawai‘i at Mānoa, Honolulu, USA

Abstract

Objective: The Native Hawaiian population experiences numerous disparities in health and income. Using a mixed-method research (MMR) design, we summarize findings from three phases of an MMR approach used to uncover kūpuna (elder) long-term service and support (LTSS) needs and care preferences. Methods: Key informants in Hawaiian health were interviewed, secondary analyses of large state data sets were conducted, and kūpuna and “ohana (family) caregivers were engaged in listening sessions. Results: Quantitative data confirmed numerous health disparities experienced by older Native Hawaiians, whereas qualitative data exposed their limited knowledge of this poor health profile and revealed their historical and contemporary experiences with discrimination in education, employment, and health care. Hawaiian culture was identified as a continued source of resilience in support of elders and family caregiving regardless of geographic setting. Discussion: We suggest three practice, policy, and research directions that offer the potential to respond to and improve kūpuna health and service use.

Publisher

SAGE Publications

Subject

Geriatrics and Gerontology,Community and Home Care,Gerontology

Cited by 3 articles. 订阅此论文施引文献 订阅此论文施引文献,注册后可以免费订阅5篇论文的施引文献,订阅后可以查看论文全部施引文献

1. La Pertenencia Étnica y sus Implicaciones en la Vejez: Revisión Sistemática;Research on Ageing and Social Policy;2023-07-30

2. Developing a culturally responsive dementia storybook with Native Hawaiian youth;Gerontology & Geriatrics Education;2021-04-22

3. No nā Hulu Kūpuna: A Native Hawaiian View of Elderhood;Science Across Cultures: The History of Non-Western Science;2021

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