{"id":272,"date":"2017-07-13T23:10:24","date_gmt":"2017-07-13T23:10:24","guid":{"rendered":"http:\/\/manoa.hawaii.edu\/hakupuna\/wordpress\/?page_id=272"},"modified":"2023-03-10T09:05:19","modified_gmt":"2023-03-10T19:05:19","slug":"research","status":"publish","type":"page","link":"https:\/\/manoa.hawaii.edu\/hakupuna\/research\/","title":{"rendered":"Research"},"content":{"rendered":"<header class=\"page-header\">\n<h2 class=\"archive-title\">One of H\u0101 K\u016bpuna&#8217;s goals is to advance knowledge on Native Hawaiian elders and to disseminate this information to improve the lives of k\u016bpuna, their families, communities, organizations, and society<\/h2>\n<\/header>\n<h2><strong>Current Research<\/strong><\/h2>\n<h2><img loading=\"lazy\" decoding=\"async\" class=\"imgright\" src=\"https:\/\/manoa.hawaii.edu\/hakupuna\/wordpress\/wp-content\/uploads\/2017\/07\/PeteOrelup.png\" alt=\"\" width=\"248\" height=\"248\" \/><\/h2>\n<ul>\n<li><strong>ALU\u00a0LIKE\u00a0K\u016bpuna\u00a0Interviews<\/strong>: H\u0101 K\u016bpuna researchers and graduate students are collaborating with the Title VI Program, ALU LIKE, on a 5-year research project with 50 k\u016bpuna participants across five Hawaiian Islands\u2014O\u2018ahu, Kaua\u2018i, Moloka\u2018i, Maui, and Hawai\u2018i Island. The purpose of this study is to learn about k\u016bpuna\u2019s life experiences of strength and resilience, and their experiences with healthcare services <span lang=\"haw-US\">to<\/span><span lang=\"haw-US\">\u00a0<\/span><span lang=\"haw-US\">improve<\/span><span lang=\"haw-US\">\u00a0<\/span><span lang=\"haw-US\">their<\/span><span lang=\"haw-US\">\u00a0<\/span><span lang=\"haw-US\">health<\/span><span lang=\"haw-US\">\u00a0<\/span><span lang=\"haw-US\">and<\/span><span lang=\"haw-US\">\u00a0<\/span><span lang=\"haw-US\">well<\/span><span lang=\"haw-US\">&#8211;<\/span><span lang=\"haw-US\">being<\/span>. Each kupuna participates in a set of three interviews held in a talk-story style. The first interview serves as an introduction to develop rapport, the second interview focuses on their strengths and resilience, and what they would like to pass to the next generation, and the third focuses on their healthcare experiences and advice to providers.<\/li>\n<\/ul>\n<h2><strong>Completed Research<\/strong><\/h2>\n<ul>\n<li><b>Life Expectancy (LE)<\/b><span style=\"font-weight: 400;\">\u00a0<\/span><span style=\"font-weight: 400;\">Hawai`i has the longest life expectancy in the US&#8211;82 years. However, h<\/span><span style=\"font-weight: 400;\">istorically, Native Hawaiians have had the shortest life expectancy among the five largest ethnic groups in Hawai\u2018i.\u00a0 H\u0101 K\u016bpuna researchers analyzed data from Hawai\u2018i death records and population data through 2010 to see if the trend is continuing. <\/span><span style=\"font-weight: 400;\">Native Hawaiian life expectancy increased from 63 in 1950 to 77 in 2010. \u00a0<\/span><span style=\"font-weight: 400;\">However, the life expectancy for Native Hawaiians was still lower than that of the other ethnic groups. Although the life-expectancy gap decreased between Native Hawaiians and Caucasians, it increased between Native Hawaiians and Japanese and Chinese.<\/span><\/li>\n<li><b>Healthy Life Expectancy (HLE). <\/b><span style=\"font-weight: 400;\">is a population health measure that combines mortality data with morbidity or health status data to estimate expected years of life in good health for a person at a given age. HLE accounts for quantity and quality of life and can be used to describe and monitor the health status of populations. The difference between LE and HLE is the disability adjusted life year (DALY). The gaps of HLE between Native Hawaiians and other ethnic groups are even greater than the life expectancy, as Native Hawaiian also had the longest DALY at birth.<\/span><\/li>\n<li><span style=\"font-weight: 400;\"><strong>Diabetes Trends in Hawai\u2018i<\/strong>\u00a0\u00a0<\/span><span style=\"font-weight: 400;\">H\u0101 K\u016bpuna researchers analyzed data from the <\/span><span style=\"font-weight: 400;\">Hawai\u2018i <\/span><span style=\"font-weight: 400;\">Behavioral Risk Factor Surveillance System to examine <\/span><span style=\"font-weight: 400;\">diabetes prevalence over the life course for six racial\/ethnic groups in Hawai\u2018i. <\/span><span style=\"font-weight: 400;\">While bivariate analysis showed that Japanese had the highest prevalence of diabetes<\/span><span style=\"font-weight: 400;\">, the risk of diabetes increases with age, and Japanese had the greatest proportion of the state\u2019s population over age 65. The final age-ethnic interaction model revealed that Native Hawaiians, other Pacific Islanders, and Filipinos (the most vulnerable populations for poor health in Hawai\u2018i) had the highest prevalence of diabetes, while Japanese and Whites had the lowest. Income, physical activity, and obesity were the strongest predictors of diabetes.<\/span><\/li>\n<li><strong>Annotated Bibliography <\/strong>Center staff have compiled a comprehensive look at publications on Native Hawaiian health and aging. Also included are scholarship on general aging trends, cultural approaches to health care and some articles that generally orient the reader to Hawaiian paradigms.\u00a0 Each entry comes with a short annotation or summary of the piece and a clickable link if it is available online. Our hope is that this <span class=\"il\">annotated<\/span> bibliography will be a strong foundation for anyone hoping to learn more about the needs and preferences of Native Hawaiian elders, be that in pursuit of research, direct professional service or personal caregiving.\u00a0 You can use the ctrl+f function on a windows computer, or\u00a0<span class=\"_Tgc\">Command \u2318<\/span> + f on a mac to enter search terms you&#8217;d like to find in the document.\u00a0 Click<i> here to access the <\/i><i><a href=\"https:\/\/manoa.hawaii.edu\/hakupuna\/wordpress\/wp-content\/uploads\/2017\/12\/Annotated-Bibliography-2017.pdf\">Annotated Bibliography 2017<\/a><\/i><i><\/i><\/li>\n<li><strong>K\u016bpuna and `Ohana Caregiver Listening Research Study:<\/strong> We went to the source, and held listening meetings with k\u016bpuna and their `ohana caregivers in Hawai`i to identify their health and long\u2010term care needs and care preferences. Please refer to:<br \/>\nBrowne, C., Mokuau, N., Braun, K., Higuchi, P., Ka`opua, L., Kim, B.J. Listening to the voices of Native Hawaiian elders and `ohana caregivers: Discussions on aging, health, and care preferences,&#8221; Journal of Cross\u2010Cultural Gerontology, June 2014.<\/li>\n<li><strong>Mo`olelo, Grandparents, and Culture Research Study:<\/strong> In Hawai`i, 12% of Native Hawaiian grandparents live with grandchildren, compared to 7% of grandparents in all races combined in the state, and to 3.6% of grandparents in the U.S. Although strong family\u2010centric cultural values may provide Native Hawaiian grandparents with caregiving benefits, a generally poor health profile suggests they may also face challenges. In this study, we talked to Native Hawaiian grandparents raising grandchildren about their caregiving experiences, with an aim to document their challenges and benefits, including the transmission of cultural values. Findings from this study have been published in the International Public Health Journal. Ka\u2018opua LS, Goodyear-Ka\u2018opua JN, Kaawa JM, Amona SK, Browne CV, Robles AS. (2016). Look to the Source: Gathering Elder Stories as Segue to Youth Action-Oriented Research.<i> International\u00a0 Public Health Journal, 8 <\/i>(2)<i>.<\/i><\/li>\n<li><strong>Oral History Project:<\/strong> H\u0101 K\u016bpuna researchers are working with a Native Hawaiian charter school to strengthen the connection between k\u016bpuna and Native Hawaiian youth. As part of their Language Arts course, ka Papa Lo\u2018i students at H\u0101lau K\u016b M\u0101na developed, conducted, video\u2010recorded, and produced edited tapes on n\u0101 mo\u2018olelo of six k\u016bpuna. Watch our website for more information.<\/li>\n<li><strong>Improving the health of N\u0101 K\u016bpuna: A Dissemination Model Translating Research to Practice in Native Hawaiian Communities:<\/strong> H\u0101 K\u016bpuna has worked for many years to gather information on the health and well\u2010being of k\u016bpuna. This dissemination project, originally funded by the HMSA Foundation, was created to share the knowledge gained and to make our website more accessible to k\u016bpuna and their families. We organized professional and community\u2010based events to share our knowledge and to find out how we can better serve our k\u016bpuna.\u00a0 We continue to improve our website and remain committed to disseminating findings from our work in both academic and community spaces<\/li>\n<li><strong>Data Collection on the Continent:<\/strong> Nearly 40% of Native Hawaiians reside on the continent, and knowledge on their social and health needs is extremely limited. H\u0101 K\u016bpuna researchers have completed preliminary research to better identify and understand both adversities as well as resiliencies in k\u016bpuna who live in Los Angeles and San Diego, California. We are building on this work by conducting more interviews with k\u016bpuna that live in other parts of the continental United States.<\/li>\n<li><strong>Dementia in Native Populations.<\/strong> H\u0101 K\u016bpuna researchers and graduate students are exploring the prevalence of and evidence\u2010based interventions for dementia in American Indian, Alaska Native, and Native Hawaiian elders. A curriculum for youth caregivers is being developed along with a companion teaching tool for parents, service providers or other significant adults that may know a young person who is providing care to an elder with dementia.<\/li>\n<\/ul>\n","protected":false},"excerpt":{"rendered":"<p>One of H\u0101 K\u016bpuna&#8217;s goals is to advance knowledge on Native Hawaiian elders and to disseminate this information to improve[&#8230;]<\/p>\n","protected":false},"author":1,"featured_media":0,"parent":0,"menu_order":0,"comment_status":"closed","ping_status":"closed","template":"","meta":{"footnotes":""},"class_list":["post-272","page","type-page","status-publish","hentry"],"_links":{"self":[{"href":"https:\/\/manoa.hawaii.edu\/hakupuna\/wp-json\/wp\/v2\/pages\/272","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/manoa.hawaii.edu\/hakupuna\/wp-json\/wp\/v2\/pages"}],"about":[{"href":"https:\/\/manoa.hawaii.edu\/hakupuna\/wp-json\/wp\/v2\/types\/page"}],"author":[{"embeddable":true,"href":"https:\/\/manoa.hawaii.edu\/hakupuna\/wp-json\/wp\/v2\/users\/1"}],"replies":[{"embeddable":true,"href":"https:\/\/manoa.hawaii.edu\/hakupuna\/wp-json\/wp\/v2\/comments?post=272"}],"version-history":[{"count":19,"href":"https:\/\/manoa.hawaii.edu\/hakupuna\/wp-json\/wp\/v2\/pages\/272\/revisions"}],"predecessor-version":[{"id":969,"href":"https:\/\/manoa.hawaii.edu\/hakupuna\/wp-json\/wp\/v2\/pages\/272\/revisions\/969"}],"wp:attachment":[{"href":"https:\/\/manoa.hawaii.edu\/hakupuna\/wp-json\/wp\/v2\/media?parent=272"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}