Open AccessDeep-Structure Adaptations and Culturally Grounded Prevention Interventions for Native Hawaiians: a Systematic Review of the Literature
Author(s) -
Kathryn L. McLean,
Janice Hata,
Emily Hata,
Sarah Momilani Marshall,
Scott K. Okamoto
Publication year - 2020
Publication title -
journal of racial and ethnic health disparities
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 0.644
H-Index - 21
eISSN - 2197-3792
pISSN - 2196-8837
DOI - 10.1007/s40615-020-00815-6
Subject(s) - native hawaiians , psychological intervention , medicine , health equity , gerontology , intervention (counseling) , systematic review , public health , population , medline , environmental health , pacific islanders , nursing , political science , law
Research has shown that Native Hawaiians disproportionately suffer from behavioral disorders and chronic physical diseases, yet they have historically lacked effective and culturally relevant prevention interventions to address their pervasive health disparities. This article systematically reviewed the recent culturally relevant prevention intervention literature focused on Native Hawaiians. In this review, we assessed 14 peer-reviewed articles published between 2015 and 2020 that met inclusion and exclusion criteria pertaining to the development and/or evaluation of prevention interventions for Native Hawaiians. The reviewed studies evaluated ten different interventions that were developed using deep-structure adaptation or culturally grounded procedures, and primarily focused on prevention of substance use, obesity/diabetes, and pregnancy/sexually transmitted infections (STIs). Compared with the prior related literature reviews, the present review suggests an overall advancement in prevention science for Native Hawaiians, evidenced by an increase in federal funding and randomized controlled clinical trials of prevention interventions for the population. This review provides an update to the state of the science for Native Hawaiian prevention interventions and points to areas of future research and development.