May 17, 2023 @ 3:00 pm – 4:30 pm
Virtual Event
Pacific Southwest PTTC

Utilizing Cultural and Social Determinants of Health to Address Substance Use Prevention Among Native Hawaiian and Pacific Islander Communities

Learning Session Description

Substance use is the second most identified health disparity issue in rural Hawaiian communities. Native Hawaiian youth report the highest rates of substance use, especially early initiation, and the highest need for substance and alcohol treatment among ethnic groups in Hawai‘i. This Learning Session will present an overview of youth substance use in Hawai‘i and briefly explore regional and ethnic differences in the data. It will also discuss risk and protective factors for substance use in the broader Native Hawaiian and Pacific Islander (NHPI) community, and will present a cultural and social determinants of health framework that could be utilized to address substance use prevention among NHPI populations.

This event will be formatted as a 45-minute presentation, followed by a 45-minute session of questions, answers, and guided discussion.

By the end of this learning session, participants will be able to:

  • Describe trends in youth substance use in Hawai‘i
  • Discuss risk and protective factors for substance use in the NHPI community
  • Analyze cultural and social determinants of health to address substance use prevention among NHPI populations

Who Should Attend

Community, tribal, jurisdiction, and state-level substance misuse prevention practitioners and allied health partners located in the Pacific Southwest region, including American Samoa, Arizona, California, Commonwealth of Northern Mariana Islands, Federated States of Micronesia, Guam, Hawaii, Nevada, Republic of Marshall Islands, and Republic of Palau.

Dates & Times

States and American Samoa
Wednesday, May 17, 2023
03:00 p.m. – 04:30 p.m. Pacific (including Arizona)
12:00 p.m. – 01:30 p.m. Hawaii
11:00 a.m. – 12:30 p.m. American Samoa

Pacific Jurisdictions
Thursday, May 18, 2023
10:00 a.m. – 11:30 a.m. Republic of the Marshall Islands
09:00 a.m. – 10:30 a.m. Pohnpei and Kosrae
08:00 a.m. – 09:30 a.m. Guam, Northern Mariana Islands, Chuuk, and Yap
07:00 a.m. – 08:30 a.m. Republic of Palau
(view in your time zone)


Dr. Sarah Momilani Marshall, PhD, MSW, is a Native Hawaiian Postdoctoral Researcher with the University of Hawai’i Cancer Center. Her program of research concentrates on understanding social and behavioral determinants of health within rural Hawaiian communities, especially those that impact substance use resistance among Native Hawaiian and Pacific Islander youth. She is currently involved in research examining the sustainability of a culturally-grounded drug abuse prevention curriculum developed for Hawai‘i Island public schools and a newly funded study that  focuses on the development and evaluation of an ENDS (electronic nicotine delivery system) prevention intervention for rural Hawaiian youth. She has recently been approved for a pilot study which will explore parental influences on Native Hawaiian youth substance use resistance. In August she will transition into her new position as an Assistant Professor at the University of Hawai‘i at Manoa’s Thompson School of Social Work and Public Health.

Certificate of Attendance

Participants will receive a certificate of attendance for 1.5 hours for this live Learning Session.


Please contact Karen Totten ( for any questions related to registration.  For any other questions, please contact Britany Weile (


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