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In the 225 years of contact with the Western colonial powers, the health and well-being of Kanaka Maoli (Hawaiian) men has declined dramatically. Studies seeking the causes for these adverse changes in morbidity and mortality do not demonstrate specific physiological or environmental sources for these declines in vitality. This paper describes pre-contact cultural structures that shaped and guided the lives of these men toward constructive and healthy ends. The authors pose an argument for sociocultural factors that may be noteworthy in understanding lifestyle choices made by pre-contact Maoli males. Some of these practices are considered for possible revival since they may produce positive changes in current negative health realities for modern Kanaka Maoli men.
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