Native Hawaiians have suffered higher disease rates and achieved lower educational and economic levels than other ethnic groups living in Hawaii. This study tests the hypothesis that cultural affiliation protects against psychosocial pathology in Hawaiians. Subjects included 172 Hawaiians of varying blood quantum and 92 non-Hawaiians. The Na Mea Hawai'i, a rationally derived, empirically validated measure of Hawaiian acculturation was administered to all subjects in addition to psychological tests which included 19 visual analogue scales that measure both state and trait variables. The Na Mea Hawai'i proved excellent at differentiating Hawaiians from non-Hawaiians (p = .0001), and it correlated well with blood quantum (r = 0.31, p = .0001). Low acculturation scores among Hawaiians did not correlate with any measure of discontent or psychosocial pathology irrespective of blood quantum. We conclude that Na Mea Hawai'i is a valid measure of Hawaiian acculturation, and that adaptation of the Hawaiians in our sample has been unaffected by level of acculturation.
Native Hawaiians may be more susceptible to cancer and infectious disease. We examined the influence of psychosocial variables on natural killer cell activity (NKCA) in Hawaiians. NKCA was measured in 264 subjects, of whom 172 were Hawaiian and 54 had cancer. This was correlated with a broad range of psychosocial variables that were measured utilizing visual analog scales and other tests. Diminished NKCA was not found in this Hawaiian population. Smoking was the only variable significantly associated with reduced NKCA (p < .01). In general, psychosocial variables, including depression and social support, were not found to correlate with NKCA in Hawaiians.
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