Why Are Native Hawaiians Underrepresented in Hawai‘i's Older Adult Population? Exploring Social and Behavioral Factors of Longevity

Native Hawaiians comprise 24.3% of Hawai‘i's population, but only 12.6% of the state's older adults. Few published studies have compared health indicators across ethnicities for the state's older adult population or focused on disparities of Native Hawaiian elders. The current study e...

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Main Authors: Lana Sue Ka‘opua, Kathryn L. Braun, Colette V. Browne, Noreen Mokuau, Chai-Bin Park
Format: Article
Language:English
Published: Wiley 2011-01-01
Series:Journal of Aging Research
Online Access:http://dx.doi.org/10.4061/2011/701232
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author Lana Sue Ka‘opua
Kathryn L. Braun
Colette V. Browne
Noreen Mokuau
Chai-Bin Park
author_facet Lana Sue Ka‘opua
Kathryn L. Braun
Colette V. Browne
Noreen Mokuau
Chai-Bin Park
author_sort Lana Sue Ka‘opua
collection DOAJ
description Native Hawaiians comprise 24.3% of Hawai‘i's population, but only 12.6% of the state's older adults. Few published studies have compared health indicators across ethnicities for the state's older adult population or focused on disparities of Native Hawaiian elders. The current study examines data from two state surveillance programs, with attention to cause of death and social-behavioral factors relevant to elders. Findings reveal that Native Hawaiians have the largest years of productive life lost and the lowest life expectancy, when compared to the state's other major ethnic groups. Heart disease and cancer are leading causes of premature mortality. Native Hawaiian elders are more likely to report behavioral health risks such as smoking and obesity, live within/below 100–199% of the poverty level, and find cost a barrier to seeking care. Indicated is the need for affordable care across the lifespan and health services continuum. Future research might explain behavioral factors as influenced by social determinants, including historical trauma on Native Hawaiian longevity.
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spelling doaj-art-25f6f6f308b9418b9cd6c46ac2e83e3f2025-02-03T01:29:56ZengWileyJournal of Aging Research2090-22122011-01-01201110.4061/2011/701232701232Why Are Native Hawaiians Underrepresented in Hawai‘i's Older Adult Population? Exploring Social and Behavioral Factors of LongevityLana Sue Ka‘opua0Kathryn L. Braun1Colette V. Browne2Noreen Mokuau3Chai-Bin Park4Myron B. Thompson School of Social Work, University of Hawai‘i, 1800 East-West Road, Honolulu, HI 96822, USAMyron B. Thompson School of Social Work, University of Hawai‘i, 1800 East-West Road, Honolulu, HI 96822, USAMyron B. Thompson School of Social Work, University of Hawai‘i, 1800 East-West Road, Honolulu, HI 96822, USAMyron B. Thompson School of Social Work, University of Hawai‘i, 1800 East-West Road, Honolulu, HI 96822, USAOffice of Public Health Studies, University of Hawai‘i, Honolulu, HI 96822, USANative Hawaiians comprise 24.3% of Hawai‘i's population, but only 12.6% of the state's older adults. Few published studies have compared health indicators across ethnicities for the state's older adult population or focused on disparities of Native Hawaiian elders. The current study examines data from two state surveillance programs, with attention to cause of death and social-behavioral factors relevant to elders. Findings reveal that Native Hawaiians have the largest years of productive life lost and the lowest life expectancy, when compared to the state's other major ethnic groups. Heart disease and cancer are leading causes of premature mortality. Native Hawaiian elders are more likely to report behavioral health risks such as smoking and obesity, live within/below 100–199% of the poverty level, and find cost a barrier to seeking care. Indicated is the need for affordable care across the lifespan and health services continuum. Future research might explain behavioral factors as influenced by social determinants, including historical trauma on Native Hawaiian longevity.http://dx.doi.org/10.4061/2011/701232
spellingShingle Lana Sue Ka‘opua
Kathryn L. Braun
Colette V. Browne
Noreen Mokuau
Chai-Bin Park
Why Are Native Hawaiians Underrepresented in Hawai‘i's Older Adult Population? Exploring Social and Behavioral Factors of Longevity
Journal of Aging Research
title Why Are Native Hawaiians Underrepresented in Hawai‘i's Older Adult Population? Exploring Social and Behavioral Factors of Longevity
title_full Why Are Native Hawaiians Underrepresented in Hawai‘i's Older Adult Population? Exploring Social and Behavioral Factors of Longevity
title_fullStr Why Are Native Hawaiians Underrepresented in Hawai‘i's Older Adult Population? Exploring Social and Behavioral Factors of Longevity
title_full_unstemmed Why Are Native Hawaiians Underrepresented in Hawai‘i's Older Adult Population? Exploring Social and Behavioral Factors of Longevity
title_short Why Are Native Hawaiians Underrepresented in Hawai‘i's Older Adult Population? Exploring Social and Behavioral Factors of Longevity
title_sort why are native hawaiians underrepresented in hawai i s older adult population exploring social and behavioral factors of longevity
url http://dx.doi.org/10.4061/2011/701232
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