An Exploratory Study of Bone Health Among Native Hawaiian Women in Rural Hawai'i

Area of Science:

• Public Health
• Anthropology
• Bone Health Research

Background:

• Native Hawaiian women are an underserved population with limited baseline data on bone mass density.
• Osteoporosis risk assessment requires understanding the socio-cultural context of bone health.

Purpose of the Study:

• To gather baseline bone mass density data for Native Hawaiian women.
• To explore the socio-cultural factors influencing bone health and osteoporosis risk in this demographic.

Main Methods:

• A sequential mixed-method design was employed, guided by Leininger's Culture Care Theory.
• Phase 1 involved exploratory focus groups (n=12) with Native Hawaiian women.
• Phase 2 included dual-energy X-ray absorptiometry (DEXA) scans (n=50) and individual interviews.

Main Results:

• Focus groups revealed limited knowledge of bone health but recognition of traditional health practices.
• DEXA scans indicated healthy bone density (T-score results) among participants.
• Interviews highlighted that perspectives on bone health are deeply rooted in cultural beliefs.

Conclusions:

• Cultural values and practices are essential considerations for healthcare professionals serving Native Hawaiian women.
• Preliminary recommendations are provided for culturally sensitive bone health assessments and care.
• Further research is needed to integrate cultural understanding into osteoporosis prevention strategies for this population.