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