Ka pilina ma waena o kou olakino, ʻike, a me kāu kālā

"ʻO ka mea nani e pili ana i ke aʻo ʻana ʻaʻole hiki i kekahi ke kāʻili iā ia mai iā ʻoe" - BB King

keia moʻo moʻomanaʻo uhi ka ʻelima mau mahele o ka Social Determinants of Health (SDoH), e like me ka mea i wehewehe ʻia e Kanaka Ola 2030. Ma ke ʻano he hoʻomanaʻo, ʻo lākou: 1) ko mākou kaiāulu a kūkulu i nā wahi, 2) mālama olakino a me ke olakino, 3) pōʻaiapili a me ka nohona kaiāulu, 4) ke aʻo ʻana, a 5) kūpaʻa hoʻokele waiwai.¹ I kēia pou, makemake wau e nānā i ka hopena i hiki ke loaʻa i ka hoʻonaʻauao a me ka hoʻokele waiwai i kekahi i kekahi, a ʻo ka hopena, ko mākou hopena olakino.

Ua wehewehe ʻia ka naʻauao ma ke ʻano “hoʻokahi mea nui e hiki ai ke hoʻololi i ka nohona.”² ʻO ka manaʻo e pili ana ka pilina i loko o ke kūpaʻa waiwai o ke kanaka a me ke olakino noiʻi maikaʻi a hoʻopaʻa ʻia. Ua hōʻoia ʻia ʻoi aku ka lōʻihi o ka noho ʻana o ka poʻe me ke kiʻekiʻe o ka ʻike aʻoi aku ke olakino a me ka hauʻoli ma mua o ka poʻe me ka ʻole.³

Hoʻopili pū ʻia ka naʻau i ke ola ola. Ua hōʻike ʻia ka noiʻi ma waho o Princeton e noho ana ka poʻe ʻAmelika me ke kekelē laeoʻo e noho lōʻihi ma mua o ka poʻe me ka ʻole. Ua kālailai lākou ma kahi o 50 miliona mau palapala hōʻoia make mai ka makahiki 1990 - 2018 e hoʻomaopopo ai i ke ʻano o ka piha ʻana o kahi makahiki he 25 i ko 75 mau makahiki. Ua ʻike lākou ua noho ka poʻe me kahi kekele kekele, ma ka awelika, ʻekolu mau makahiki ka lōʻihi.⁴ Ua loaʻa kahi loiloi lōʻihi mai ke Kula ʻo Medicine ʻo Yale i kēlā me kēia kanaka a lākou i ʻimi ai ma mua o 30 mau makahiki, "3.5% o nā kumuhana ʻeleʻele a me 13.2% o nā mea keʻokeʻo me kahi kekele kula kiʻekiʻe a ʻoi aku paha i make i ka wā o ke aʻo ʻana. % o nā poʻomanaʻo ʻeleʻele a me 5.9% o nā keʻokeʻo me nā kekele koleke i make. ”⁵

No ke aha mai kēlā, a he aha ia e pili ana i ka loaʻa ʻana o ka ʻike e ola lōʻihi ai ke olakino?

Wahi a ka Kumumanaʻo kumumanaʻo kumumanaʻo, ke aʻo a me nā kumu kaiāulu ʻē aʻe (heluhelu SDoH) ke kikowaena o ko mākou olakino no ka mea "hoʻoholo lākou i ke komo ʻana i ka lehulehu o nā kumuwaiwai a me nā kumuwaiwai ʻole e like me ka loaʻa kālā, nā kaiāulu palekana, a i ʻole nā ​​ola olakino pale a hoʻomaikaʻi i ke olakino. "² ʻO kekahi kumumanaʻo, ʻo The Human Capital Theory, e hoʻopili pono i ka ʻike i ka hoʻonui ʻana i ka paʻa o ka hoʻokele waiwai ma o ke kuhi ʻana he "hoʻopukapuka e loaʻa nā huahana ma o ka hoʻonui ʻana i ka hana.²

ʻO ke kumu, ke loaʻa ʻana o kahi pae kiʻekiʻe o ke aʻo e alakaʻi i ka hoʻonui ʻana i ke kiʻi i nā mea e hopena maikaʻi i ko mākou olakino. ʻO ia ka ʻike hou aku, nā mākau hou aku, a me nā pono hana hou aʻe e kūleʻa ai. Me kēia, hiki mai nā manawa kūpono no ka ulu ʻana o ka ʻoihana a me ka ʻoihana. ʻO ka loaʻa ʻana o kahi uku ʻoi aku ka nui o ka hoʻokele waiwai nou, kou ʻohana, a me kou ʻohana i ka wā e hiki mai ana. ʻO ka hui pū, ka hoʻonaʻauao a me ka hoʻokele waiwai e hāʻawi iā ʻoe i ka hiki ke noho i kahi kaiāulu maikaʻi a ʻoi aku ka palekana, malia paha me ka liʻiliʻi o ke kani a me ka haumia o ka ea. ʻAe lākou iā ʻoe e lilo hou aku i nā meaʻai a me nā ʻano olakino e like me ka papaʻai a me ka hoʻoikaika kino, a hāʻawi iā ʻoe i ke kūʻokoʻa a me ka hiki ke hoʻokele hou i kou olakino i hiki iā ʻoe ke ola i kahi ola lōʻihi, olakino, a hauʻoli hoʻi. ʻO nā pōmaikaʻi o ke aʻo a me ke kūpaʻa hoʻokele ʻaʻole i pau me ʻoe pū kekahi. ʻIke ʻia kā lākou hopena i nā hanauna e hiki mai ana.

E hoʻomaopopo '

1. https://health.gov/healthypeople/objectives-and-data/social-determinants-health

2. https://www.thenationshealth.org/content/46/6/1.3

3. https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5880718/

4. https://www.cnbc.com/2021/03/19/college-graduates-live-longer-than-those-without-a-college-degree.html

5. https://news.yale.edu/2020/02/20/want-live-longer-stay-school-study-suggests