ArticleBehavioral medicine (Washington, D.C.)
A Resilience Model of Adult Native Hawaiian Health Utilizing a Newly Multi-Dimensional Scale.
Article in Behavioral medicine (Washington, D.C.). The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 13 papers.
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Who cites it
13 citing papers in PubMed, 18 citations in OpenAlex.
- The Kaiona Framework: Centering Hawaiian and Pasifika Community in Defining, Measuring, and Promoting Health and Well-Being.International journal of environmental research and public health · 2026Article
- A systematic scoping review for decolonial public and global health: Indigenous frameworks and models of wellbeing from Turtle Island and Moananuiākea.Frontiers in public health · 2026Article
- Weaving Indigenous Methodologies to Enact, Extend, and Innovate Best Practice Survey Measure Development.Hawai'i journal of health & social welfare · 2025Article
- Predictors of Life Satisfaction in Native Hawaiian and Pacific Islander College Students.International journal of environmental research and public health · 2025Article
- Understanding Hawaiian Identity and Well-being to Improve Mental Health Outcomes for Hawaiian Young Adults.Hawai'i journal of health & social welfare · 2024Article
- An analysis of Hawaiian identity and life satisfaction through cultural reclamation: implications for Hawaiian well-being.AlterNative (Auckland, N.Z. : 2005) · 2024Article
- Neighborhood-Level Stressors and Individual-Level Cardiovascular Disease Risk in Native Hawaiians: a Cross-Sectional Study.Preventing chronic disease · 2024Article
- Experiences of Discrimination Among Native Hawaiians and Pacific Islanders Living in the USA.Journal of racial and ethnic health disparities · 2024Article
- I kua na'u "Let me carry out your last wishes" Clinical trial protocol to promote advance care planning among native Hawaiian populations.Contemporary clinical trials · 2023Article
- Indigenous Research Methodologies with Kānaka 'Ōiwi to Address Health Inequities: Two Case Studies.Hawai'i journal of health & social welfare · 2023Article
- A Report on the Ke Ola O Ka 'Āina: 'Āina Connectedness Scale.International journal of environmental research and public health · 2023Review
- Article
- Hawai'i Journal Watch: Highlights of recent research from the University of Hawai'i and the Hawai'i State Department of Health.Hawai'i journal of health & social welfare · 2020Article
Corrections and comments
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Authors and funding
10 authors at 1 institution in 1 country.
Funding
Abstract
Resilience has conventionally focused on an individual's ability to overcome adversity. Recent research expands on this definition, making resilience a multi-dimensional construct. Native Hawaiians experience health disparities compared to the general population of Hawai'i. Despite the pressing need to address health disparities, minimal research examines resilience factors that serve as buffers for adverse experiences of Native Hawaiians. The purpose of this study was to estimate psychometric properties of scales that measured resilience-based factors through multiple levels using higher-order confirmatory factor analyses (CFA) and ascertain if this construct of resilience mediated or moderated adversity experienced by a sample of Native Hawaiians. Participants included 125 adults who participated in the Hawaiian Homestead Health Survey. Based on higher-order CFA, resilience comprised internal assets measured by hope, satisfaction with life, and environmental mastery, and external resources measured by social support and Native Hawaiian cultural identity. Results of the structural equation models were consistent with literature focusing on resiliency and health. Findings emphasized the importance of enhancing resilience by considering strengths and resources on the individual, interpersonal, and community levels. Findings also demonstrated the need to address adversity factors directly, with a specific need of addressing socio-economic status factors. According to structural equation models, resilience slightly mediated and moderated the effect of adversity related to socio-economic status. These findings have implications for future research exploring resilience as a mediator or moderator of adversity among Native Hawaiians and emphasize a multi-faceted construct of resilience to promote better health outcomes.
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Registered trials
Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.