title: Perceptions of health and well-being held by Native Hawaiian migrants.
abstract: OBJECTIVE
  Migration is often a challenging process. Native Hawaiians migrate from Hawaii to Las Vegas at an impressive rate, but no research has explored how migration affects their health and well-being. The purpose was to describe how Native Hawaiians in Las Vegas perceive their health and well-being and any changes therein since migrating.
  
  
  METHODS
  Using a qualitative descriptive design, 27 participants took part in semistructured interviews.
  
  
  RESULTS
  Most participants perceived no changes in health and minor changes in well-being. Many maintained their well-being by adapting valued activities to their new circumstances. However, 5 participants were deeply burdened by life in Las Vegas or longing for Hawaii, and their well-being suffered. They tended to identify barriers to well-being rather than ways to foster it.
  
  
  CONCLUSIONS
  Health care providers can help Native Hawaiian migrants by encouraging early access to the health care system in their new location and facilitating participation in helpful, adaptive behaviors.
authors: Brigham Young University, Provo, UT 84602-5544, USA. jane_lassetter@byu.edu
authors: Jane H
authors: JH
authors: Lassetter
authors: Lynn C
authors: LC
authors: Callister
authors: Shemnon Z
authors: SZ
authors: Miyamoto
mesh_terms: D000223:Adaptation, Psychological; D000328:Adult; D005260:Female; D006254:Hawaii; D006304:Health Status; D054624:Health Status Disparities; D006694:Holistic Health; D006801:Humans; D007182:Income; D007198:Indians, North American; D007406:Interview, Psychological; D008297:Male; D008875:Middle Aged; D044468:Native Hawaiian or Pacific Islander; D009505:Nevada; D010465:Perception; D011582:Psychological Theory; D036301:Qualitative Research; D057566:Self Report; D013315:Stress, Psychological; D013637:Tape Recording; D014171:Transients and Migrants / Q000523:psychology*; D055815:Young Adult