Economic development in Hawai'i is generally based on a movement from agriculture (e.g., pineapple, sugar) to resorts and tourist-related activities. Tourism tends to change the complexion of rural communities and ultimately affects family structure and dynamics. The authors present a case study on the island of Lana'i, Hawai'i, which is undergoing economic changes that pose major challenges for agrarian families. The research findings indicated a clear relationship between family cohesion and mental health status. The results of this study provide a basis for designing preventive mental health strategies and making responsible policy decisions regarding future economic development.
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