Addressing Obesity Through Food Access and Nutritional Education Among Native Hawaiian Youth in Hawai‘i: A Policy Analysis

Abstract

Obesity is an international epidemic that impacts all ethnicities and ages, and has become more prominent over the last few decades. The rise of globalization, processed foods, and a sedentary lifestyles have contributed to the rise of obesity rates, which has subsequently increased diabetes, hypertension, and cardiovascular illnesses that claim millions of lives every year. While obesity itself is a non-communicable disease, there are disparities that have disproportionately affected Native Hawaiian communities in the United States, particularly among youth in Hawai‘i. Risk factors for obesity exist at multiple levels, including at the individual level such as a physical inactivity or socio-economic status, while other factors are present at the governmental level where public policy may support a business agenda over health and wellness. Obesity is a central issue for Native Hawaiian youth. While present statistics illustrate an increase in obesity, there are potential solutions that may be implemented at the policy level. Based on policies selected, and analyzed, immediate recommendations include adoption of a policy centered on nutritious food access in after-school programming, accompanied by physical activity promotion. Policies such as this may provide a bright future for the next generation of Native Hawaiians can live and maintain a healthy weight throughout their lifetime.