| Popis: |
In this chapter, we provide an historical and demographic overview of Native Hawaiians and Pacific Islanders in the USA, their exposure to oppression and prejudice, and their most prevalent behavioral health problems compared to other ethnic groups. We review the psychosocial perspectives offered to explain the role of oppression, stigmatization, and prejudices in their behavioral health problems and highlight their resiliency and protective family factors. We also provide a review of the extant literature examining the effects of historical trauma, oppression, and discrimination on a range of behavioral health problems among Native Hawaiians and Pacific Islanders to include depression, psychological distress, physiological stress indices, general mental health, suicidality, and substance use. A conceptual model of the pathways from oppression and discrimination to behavioral health problems is offered. Finally, we discuss culturally responsive approaches to providing behavioral health services to Native Hawaiians and Pacific Islanders that focus on issues related to prejudice, stigma, and oppression. |
