The DOI matches its Crossref record; 4 of the 4 references it cites were found in a registry or an index.
Mental health literacy in Polynesian Native Hawaiian and Other Pacific Islanders
Abstract
The high prevalence of mental health problems and underutilization of mental health treatment are more severe among the Native Hawaiian and Other Pacific Islander (NHPI) populations and remain misunderstood and understudied. Examining mental health literacy (MHL) – the knowledge and beliefs about mental disorders – aids their recognition, management, or prevention – has been shown to identify barriers to seeking and receiving care. This study aimed to assess the level of MHL in NHPIs and identify associated demographic variables. Data for this cross‐sectional study were collected from 298 US NHPIs via an online questionnaire of the Mental Health Literacy Scale (MHLS). The overall mean MHLS score was 121 (SD = 17.3), with statistically significant higher scores in female participants, >31 years old, Tongan, more educated, and with higher income. This study demonstrated that overall MHL is comparable among NHPI compared to the current literature. However, NHPI men ≤30 years old and with lower income had lower MHL, which may be linked to the mental health disparities specific to this population. Current interventions should focus on increasing knowledge of risk factors, causes, self‐treatments, and available professional help regarding mental disorders. Efforts to improve the MHL of NHPI should target men ≤30 years with lower income (<$50 000).
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“Mainstream Western models of mental health are grounded in individualism and diagnostic categorisation that often fail to account for the relational, spiritual, and collective dimensions of how wellbeing is understood and expressed across Pacific worldviews [15,16,17].”
From Voices of the Pacific: Pacific Peoples’ Conceptualisations of Anxiety in Aotearoa New Zealand—Findings from a Cross-Sectional Survey (2026) · cites this paper as [17]
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“Dominant clinical frameworks often lack this cultural alignment, where terms such as “anxiety” may not translate meaningfully into Pacific contexts and, instead, contribute to the under-recognition of distress and delayed engagement with support services [17,26].”
From Voices of the Pacific: Pacific Peoples’ Conceptualisations of Anxiety in Aotearoa New Zealand—Findings from a Cross-Sectional Survey (2026) · cites this paper as [17]
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The Mental Health Literacy Scale (MHLS): A New Scale-Based Measure of Mental Health Literacy
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Special issue introduction: Advancing Native Hawaiian and other Pacific Islander health.
Kaholokula, J. K., Okamoto, S. K., & Yee, B. W. K. (2019) · Asian American Journal of Psychology · doi:10.1037/aap0000167 · Cited by 33
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Kapeli, S. A., McLean‐Orsborn, S., Singh, I., Chandra, L., & Tone‐Graham, P. V. (2025) · Journal of the Royal Society of New Zealand · doi:10.1080/03036758.2025.2525159 · Cited by 2
Chandra, L. A., McLean-Orsborn, S., Tone-Graham, P. V., & Kapeli, S. A. (2026) · International Journal of Environmental Research and Public Health · doi:10.3390/ijerph23030291
Metadata
- Authors
- Snow, K. S. R., Merrill, K., Macintosh, J., Thomas, M., & Miles, L.
- Affiliations
- Brigham Young University College of Nursing Provo UT USA
- Venue
- International Journal of Mental Health Nursing
- Publisher
- Wiley
- Published
- 2023-12-10
- Volume
- 33
- Issue
- 3
- Pages
- 683-692
- ISSN
- 1445-8330
- 1447-0349
- Cited by
- 7
- References
- 4
- Language
- en
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