A Resilience Model of Adult Native Hawaiian Health Utilizing a Newly Multi-Dimensional Scale
Mapuana C K Antonio1,2, Earl S Hishinuma3, Claire Townsend Ing4
1Office of Public Health Studies, University of Hawai'i at Mānoa.
Behavioral Medicine (Washington, D.C.)
|May 2, 2020
Summary
Resilience in Native Hawaiians is multi-dimensional, encompassing internal assets and external resources. Enhancing these factors can buffer adversity and improve health outcomes for this population.
Area of Science:
- Psychology
- Public Health
- Sociology
Background:
- Native Hawaiians face significant health disparities.
- Resilience research traditionally focuses on individuals, but recent studies highlight its multi-dimensional nature.
- Limited research explores resilience factors buffering adverse experiences for Native Hawaiians.
Purpose of the Study:
- To estimate psychometric properties of resilience-based scales across multiple levels.
- To determine if resilience mediates or moderates adversity in Native Hawaiians.
- To inform interventions addressing health disparities in this population.
Main Methods:
- Higher-order confirmatory factor analyses (CFA) were used to assess resilience constructs.
- Structural equation modeling (SEM) examined the mediation and moderation effects of resilience.
- Data were collected from 125 adults via the Hawaiian Homestead Health Survey.
Main Results:
- Resilience comprises internal assets (hope, life satisfaction, environmental mastery) and external resources (social support, Native Hawaiian cultural identity).
- Resilience slightly mediated and moderated the impact of socio-economic status-related adversity.
- Findings support resilience as a multi-faceted construct influencing health outcomes.
Conclusions:
- Enhancing resilience requires considering individual, interpersonal, and community strengths and resources.
- Addressing adversity factors, particularly socio-economic status, is crucial for improving Native Hawaiian health.
- Future research should explore resilience as a mediator/moderator of adversity in this population.
Related Concept Videos
01:18Models of Health Promotion and Illness Prevention II
1.9K
The person's health status fluctuates continually, varying from being in good health to becoming ill and returning to being healthy. To understand the concept of illness prevention, there are two models. First, the health-illness continuum model is a graphic representation of an individual's wellness. It states that a person is considered healthy in the absence of physical disease and the presence of good emotional health.
The agent-host-environment model states that disease results...
The agent-host-environment model states that disease results...
1.9K
01:29Concepts of Health and Illness
16.8K
Health is a condition of the body, mind, and spirit where an individual remains free from illness. Similarly, wellness is an active state, including living a lifestyle that promotes physical, mental, and emotional health. Physical health is critical for the overall well-being and can be affected by lifestyle, activity level, diet, and behavior. The highest attainable standard of health is a fundamental and universal human right. Consider Lisa, a fifteen-year-old born with congenital...
16.8K
01:25Models of Health Promotion and Illness Prevention I
2.6K
A model is a theoretical way to understand a concept or an idea. Models can overcome barriers to health regardless of diverse economic and cultural backgrounds. In addition, models make the task easier by providing different ways to approach complex issues. There are two major health promotion models: the health belief model and the health promotion model.
The health belief model (HBM) attempts to predict health-related behavior in specific belief patterns. According to the HBM, a person's...
The health belief model (HBM) attempts to predict health-related behavior in specific belief patterns. According to the HBM, a person's...
2.6K
01:21Dimensions of Health and Illness
9.5K
The factors influencing the health-illness continuum can be internal or external and may or may not be under conscious control. They are related to the following eight human dimensions, and each dimension is interrelated to one other.
9.5K
01:30Stress Prevention and Stress Management Techniques VI
187
Adopting a healthier lifestyle often requires overcoming significant challenges, but leveraging psychological, social, and cultural resources can facilitate meaningful change. Effective self-change hinges on understanding and applying key tools such as motivation and goal setting, which help sustain efforts toward long-term health benefits.
Motivation and Self-Determination
Motivation, the driving force behind behavior, plays a pivotal role at every stage of the change process. The research...
Motivation and Self-Determination
Motivation, the driving force behind behavior, plays a pivotal role at every stage of the change process. The research...
187
01:26Levels of Health Promotion and Illness Prevention
14.1K
Health promotion allows a person to control the determinants of health, resulting in an improved health status. It enhances the quality of life and reduces premature deaths. Health promotion and illness prevention programs help people make beneficial choices to reduce the risk of disease and disabilities. There are three health promotion and illness prevention levels: primary, secondary, and tertiary prevention.
In primary prevention, actions taken before disease onset prevent the disease from...
In primary prevention, actions taken before disease onset prevent the disease from...
14.1K