We used a convergent parallel design to explore NHPI men's multi-level perspectives of the factors that influence healthy eating, physical activity, and weight, to elicit recommendations for lifestyle interventions, and to understand the intersection of masculinity and health from a social constructionist perspective. From June to December 2017, NHPI men 18 years and older were recruited to participate in a survey and focus groups. The survey included demographic questions and questions about physical and cultural activities men engage in, perceived social support for lifestyle behaviors, dietary behaviors, masculine characteristics and values important to NHPI men. The Kessler Psychological Distress Scale was used to assess psychological distress. Focus groups were audio recorded and transcribed for a thematic analysis. Descriptive statistics were computed for survey data. We conducted eight focus groups with 89 NHPI men (50% Samoan, 20% Native Hawaiian, 30% Marshallese). The mean age of participants was 39 years, 43% reported some college or college graduate, 64% were currently married, and 63% were working full time. Ninety percent of men scored 20 or higher on the K10 scale indicating mild to severe psychological distress. Men described food as a major part of their culture and their identity. Men's roles were defined as provider and protector, with little attention is paid to their own health. Our study found that hegemonic, or traditional masculinity and social norms may encourage some men to put their health at risk but may also be used to motivate healthy behaviors.

中文翻译：

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针对夏威夷原住民和太平洋岛民男性健康的交叉混合方法。


我们采用收敛并行设计来探索 NHPI 男性对影响健康饮食、身体活动和体重的因素的多层次视角，以得出生活方式干预的建议，并从社会建构主义的角度理解男性气质与健康的交叉点。 2017 年 6 月至 12 月，招募 18 岁及以上的 NHPI 男性参加调查和焦点小组。该调查包括人口统计问题以及有关男性参与的体育和文化活动、对生活方式行为的社会支持感知、饮食行为、男性特征以及对 NHPI 男性重要的价值观的问题。凯斯勒心理困扰量表用于评估心理困扰。焦点小组被录音并转录以进行主题分析。对调查数据进行描述性统计计算。我们对 89 名 NHPI 男性（50% 萨摩亚人、20% 夏威夷原住民、30% 马绍尔人）进行了八个焦点小组。参与者的平均年龄为 39 岁，43% 的人表示大学或大学毕业，64% 的人目前已婚，63% 的人正在全职工作。 90% 的男性在 K10 量表上得分为 20 或更高，表明有轻度到重度的心理困扰。男性将食物描述为他们文化和身份的重要组成部分。男性的角色被定义为提供者和保护者，很少关注他们自己的健康。我们的研究发现，霸权或传统的男性气质和社会规范可能会鼓励一些男性将自己的健康置于危险之中，但也可能被用来激发健康的行为。