TY  - JOUR
AU  - Sentell, Tetine
AU  - Wu, Yan Yan
AU  - Look, Mele
AU  - Gellert, Kapuaola
AU  - Lowery St. John, Tonya
AU  - Ching, Lance
AU  - Lee, Riko
AU  - Pirkle, Catherine
PY  - 2023
TI  - Culturally Relevant Physical Activity in the Behavioral Risk Factor Surveillance System in Hawai'i
T2  - Preventing Chronic Disease
JO  - Prev Chronic Dis
SP  - E43
VL  - 20
CY  - Centers for Disease Control and Prevention, Atlanta, Georgia 30333, USA.
N2  - INTRODUCTION  Culturally relevant physical activity is a promising field for chronic disease prevention and management. Native Hawaiians and Other Pacific Islanders have higher rates of physical inactivity than other racial or ethnic groups and increased risk of chronic disease. The study objective was to provide population-level data from Hawai'i on lifetime experiences in the Native Hawaiian Indigenous practices of hula and outrigger canoe paddling across demographic and health factors to identify opportunities for public health intervention, engagement, and surveillance. METHODS  Questions about hula and paddling were added to the Hawai'i 2018 and 2019 Behavioral Risk Factor Surveillance System (N = 13,548). We considered level of engagement by demographic categories and health status indicators, accounting for the complex survey design. RESULTS  Overall, 24.5% of adults engaged in hula and 19.8% in paddling in their lifetime. Prevalence of engagement was higher among Native Hawaiians (48.8% hula, 41.5% paddling) and Other Pacific Islanders (35.3% hula, 31.1% paddling) than among other racial and ethnic groups. In adjusted rate ratios, experience in these activities was strong across age groups, education, sex, and income levels, particularly among Native Hawaiians and Other Pacific Islanders. CONCLUSION  Throughout Hawai'i, hula and outrigger canoe paddling are important and popular cultural practices with high physical activity demands. Participation was notably high for Native Hawaiians and Other Pacific Islanders. Surveillance information around culturally relevant physical activities can benefit public health programming and research from a strength-based community perspective.
SN  - 1545-1151
UR  - https://doi.org/10.5888/pcd20.220412
DO  - 10.5888/pcd20.220412
ER  -