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Much Needed Medicine: A Qualitative Study of Hawai'i Resident Views During COVID-19
Lorinda Riley1, Sam Dorios2, Carla Hostetter3
1Office of Public Health Studies, Thompson School of Social Work & Public Health, University of Hawai'i Mānoa, Honolulu, HI.
Insights
Hawai
Area of Science:
- Public Health
- Health Economics
- Sociology
Background:
- Hawai'i's economy heavily relies on tourism, making residents vulnerable to economic hardship, especially after the COVID-19 pandemic.
- Understanding resident priorities is crucial for developing effective public health policies in Hawai'i.
- Disparities in views may exist between different demographic and socioeconomic groups.
Purpose of the Study:
- To analyze Hawai'i residents' views and priorities regarding healthcare and food security.
- To examine differences in these views between Native Hawaiians and non-Native Hawaiians.
- To compare priorities between families with higher and lower economic stability.
Main Methods:
- Qualitative analysis of resident perspectives on health, food security, and economic stability.
- Comparative analysis of views based on ethnicity (Native Hawaiian vs. non-Native Hawaiian).
- Socioeconomic status analysis comparing high and low economic stability families.
Main Results:
- Identified key resident priorities for healthcare and food security.
- Highlighted significant differences in perspectives between Native Hawaiians and non-Native Hawaiians.
- Revealed disparities in priorities based on family economic stability.
Conclusions:
- Policy recommendations are proposed to address health and economic disparities in Hawai'i.
- The study emphasizes the need for culturally informed and equitable solutions for public health.
- Findings support a shift towards a more sustainable and resilient future for Hawai'i.
Abstract:
The precarious financial status of the majority of Hawai'i residents coupled with the state's heavy reliance on tourism suggests that residents are particularly vulnerable to increased economic hardship resulting from the COVID-19 pandemic, which temporarily shut down the tourism industry and continues to erect barriers for resuming operations. Understanding how Hawai'i residents prioritize access to health care, food economics, care of 'āina, and culturally informed community in light of the current and future economic situation can inform policy actions that will support public health. To that end, this paper analyzes: (1) Hawai'i residents' views on health, specifically food security and healthcare, and their priorities for the future of these areas; (2) the differences between Native Hawaiian and non-Native Hawaiian views and priorities; and (3) the differences in views and priorities between families with higher and lower levels of economic stability. The authors close with policy recommendations that can be seen as medicine, or ways to heal Hawai'i, as the state shifts towards a more equitable and sustainable future.
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