Resilience has conventionally focused on an individual’s ability to overcome adversity. Recent research expands on this definition, making resilience a multi-dimensional construct. Native Hawaiians experience health disparities compared to the general population of Hawai’i. Despite the pressing need to address health disparities, minimal research examines resilience factors that serve as buffers for adverse experiences of Native Hawaiians. The purpose of this study was to estimate psychometric properties of scales that measured resilience-based factors through multiple levels using higher-order confirmatory factor analyses (CFA) and ascertain if this construct of resilience mediated or moderated adversity experienced by a sample of Native Hawaiians. Participants included 125 adults who participated in the Hawaiian Homestead Health Survey. Based on higher-order CFA, resilience comprised internal assets measured by hope, satisfaction with life, and environmental mastery, and external resources measured by social support and Native Hawaiian cultural identity. Results of the structural equation models were consistent with literature focusing on resiliency and health. Findings emphasized the importance of enhancing resilience by considering strengths and resources on the individual, interpersonal, and community levels. Findings also demonstrated the need to address adversity factors directly, with a specific need of addressing socio-economic status factors. According to structural equation models, resilience slightly mediated and moderated the effect of adversity related to socio-economic status. These findings have implications for future research exploring resilience as a mediator or moderator of adversity among Native Hawaiians and emphasize a multi-faceted construct of resilience to promote better health outcomes.

韧性通常集中于个人克服逆境的能力。最近的研究扩展了这个定义，使弹性成为多维结构。与夏威夷的总人口相比，夏威夷土著人的健康状况存在差异。尽管迫切需要解决健康差异问题，但极少的研究调查了弹性因素，这些弹性因素可作为夏威夷土著人不良经历的缓冲。这项研究的目的是使用高阶验证性因子分析（CFA）评估通过多个级别测量基于韧性的因素的量表的心理计量学特性，并确定这种抗性构造是否是由夏威夷原住民样本经历的介导或中度逆境。参加者包括125名参加夏威夷家庭健康调查的成年人。基于高阶CFA，复原力包括通过希望，对生活的满意度和对环境的掌握程度衡量的内部资产，以及通过社会支持和夏威夷土著文化身份衡量的外部资源。结构方程模型的结果与有关弹性和健康的文献一致。调查结果强调了通过考虑个人，人际和社区层面的优势和资源来增强适应力的重要性。研究结果还表明，需要直接解决逆境因素，特别需要解决社会经济地位因素。根据结构方程模型，适应力在一定程度上介导并缓和了与社会经济地位有关的逆境影响。