ABSTRACT
Kanaka Maoli (Native Hawaiian) worldviews of health emphasize pono (righteousness) and lokahi (balance), which extends to include relationships with other people, akua (spiritual realm), and 'aina (land). The purpose of this qualitative study was to explore the role of 'aina and 'aina connection in health and resilience based on the perspectives of 12 Kanaka Maoli adults from the Waimanalo community. Three major themes were identified: 'Aina is everything, 'aina is health, and community healing through community-led initiatives. A better understanding of 'aina connection is important to improve our knowledge of Hawaiian health. A connection to 'aina may specifically address health concerns resulting from historical trauma and environmental changes.
