Accepted for/Published in: Asian/Pacific Island Nursing Journal

Date Submitted:

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  • Cynthia Taylor G, Pallav P, Donna Marie P, Elizabeth A V, Merle K, John C
  • Exploring a Shared History of Colonization, Historical Trauma, and Links to Alcohol Use With Native Hawaiians: Qualitative Study
  • Asian/Pacific Island Nursing Journal
  • DOI: 10.2196/11848
  • PMID: 30303485
  • PMCID: 6352016
Preprints Accepted Manuscript

Exploring a Shared History of Colonization, Historical Trauma, and Links to Alcohol Use With Native Hawaiians: Qualitative Study

Abstract

background

Most studies using Historical Trauma theory have focused on American Indian tribes. There remains a dearth of research exploring historical trauma and substance use among Native Hawaiians. Native Hawaiians and American Indians suffer from a startlingly high degree of physical and mental health disparities and alcohol and other substance misuse. Indigenous scholars posit that historical trauma is intergenerationally transmitted to subsequent generations and is the primary cause of today’s health and substance use disparities among these Indigenous populations.

objective

This study aimed to explore the lived experiences of colonization, historical trauma, and alcohol use among Native Hawaiians living in rural Hawaii.

methods

This qualitative study was guided by Husserl’s transcendental phenomenological design. The Historical Trauma Conceptual framework and Story theory guided the study. The Native Hawaiian Talk-Story method was used to collect data from ten Native Hawaiian adult participants in one-to-one interviews. The modified Stevick-Keen-Colaizzi method was used for data analysis.

results

Four themes emerged: (1) alcohol did not exist in Hawaiʻi before European explorers arrived, (2) alcohol helped expand colonialism in Hawaiʻi (3) alcohol is used today as a coping strategy for feelings of grief and anger over losses (land, people, cultural traditions, and language) and (4) the kupuna teach the younger generations to drink alcohol.

conclusions

Native Hawaiians, like American Indians, experienced Historical trauma, which is transmitted intergenerationally, resulting in mental and physical health disparities, substance misuse, and feelings of discrimination. The introduction of alcohol by European explores provides the foundation for problematic alcohol use among Native Hawaiians today.

As per the author’s request the PDF is not available.
Copyright

© The authors. All rights reserved. This is a privileged document currently under peer-review/community review (or an accepted/rejected manuscript). Authors have provided JMIR Publications with an exclusive license to publish this preprint on it’s website for review and ahead-of-print citation purposes only. While the final peer-reviewed paper may be licensed under a cc-by license on publication, at this stage authors and publisher expressively prohibit redistribution of this draft paper other than for review purposes.

Citation

Please cite as:

Cynthia Taylor G, Pallav P, Donna Marie P, Elizabeth A V, Merle K, John C

Exploring a Shared History of Colonization, Historical Trauma, and Links to Alcohol Use With Native Hawaiians: Qualitative Study

Asian/Pacific Island Nursing Journal

DOI: 10.2196/14886

URL: https://preprints.jmir.org/preprint/11848

PMID: 31789598

PMCID: 6352016

Exploring a Shared History of Colonization, Historical Trauma, and Links to Alcohol Use With Native Hawaiians: Qualitative Study

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