title: Culturally based interventions for substance use and child abuse among native Hawaiians.
abstract: OBJECTIVE
  This article presents an overview of child abuse among culturally diverse populations in Hawaii, substance use among culturally diverse students in Hawaii, and culturally based interventions for preventing child abuse and substance abuse in Native Hawaiian families.
  
  
  METHODS
  Native Hawaiians accounted for the largest number of cases of child abuse and neglect in Hawaii between 1996 and 1998. Alcohol and other drugs have increasingly been linked with child maltreatment. Native Hawaiian youths report the highest rate of substance use in Hawaii. Cultural factors such as spirituality, family, and cultural identification and pride are important in interventions with Native Hawaiians.
  
  
  CONCLUSIONS
  Human services should continue to emphasize interventions that integrate "mainstream" and cultural-specific approaches.
authors.affiliation: University of Hawaii School of Social Work, 1800 East West Road, Honolulu, Hawaii 96822, USA. noreen@hawaii.edu
authors.forename: Noreen
authors.initials: N
authors.lastname: Mokuau
mesh_terms: D000293:Adolescent; D000328:Adult; D000383:Agriculture; D000437:Alcoholism / Q000208:ethnology / Q000517:prevention & control; D001213:Asian / Q000523:psychology / Q000706:statistics & numerical data; D001294:Attitude to Health / Q000208:ethnology*; D002649:Child Abuse / Q000208:ethnology* / Q000517:prevention & control*; D005006:Ethnicity / Q000523:psychology* / Q000706:statistics & numerical data; D005196:Family Therapy; D006254:Hawaii / Q000453:epidemiology; D006293:Health Promotion / Q000458:organization & administration*; D006303:Health Services, Indigenous / Q000458:organization & administration*; D006801:Humans; D008913:Minority Groups / Q000523:psychology* / Q000706:statistics & numerical data; D009788:Occupational Therapy; D010679:Philippines / Q000208:ethnology; D011634:Public Health; D018947:Samoa / Q000208:ethnology; D012907:Smoking / Q000208:ethnology; D000074606:Smoking Prevention; D012945:Social Values; D029181:Spirituality; D019966:Substance-Related Disorders / Q000145:classification / Q000208:ethnology* / Q000517:prevention & control*