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Uninsured Hawaiians and Pacific Islanders

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Presentation on theme: "Uninsured Hawaiians and Pacific Islanders"— Presentation transcript:

1 Uninsured Hawaiians and Pacific Islanders
Gerard Russo, Ph.D. Sang-Hyop Lee, Ph.D. Lawrence Nitz, Ph.D. Thamana Lekprichakul, Ph.D. Rui Wang, Ph.D. Candidate Jaclyn Lindo, Ph.D. Student University of Hawai`i at Mānoa HRSA SPG Technical Workshop VIII 30 January 2006 This research is funded in part through a U.S. Health Resources and Services Administration, State Planning Grant to the Hawaii State Department of Health, Sub-Contract Research Corporation of the University of Hawaii. Research conducted by the University of Hawaii, Social Science Research Institute in collaboration with the Hawaii State Department of Health, Hawaii Institute for Public Affairs: Hawaii Uninsured Project and the Hawaii Health Information Corporation.

2 Data Sources: Uninsured Hawaiians
Current Population Survey 3-year average Separate Estimates for Hawaii & Mainland Hawaiians & Pacific Islanders Combined Broad Definition: Mixed Race Counted as Hawaiian & Pacific Islander Narrow Definition: Only Hawaiian & Pacific Islander Hawaii Health Survey DOH Definition: Count Part-Hawaiian as Hawaiian Behavioral Risk Factor Surveillance System BRFSS Definition: Part Hawaiian & Hawaiian Combined Adults Only: Age 18-99 30 January 2006 Preliminary results. Subject to revision.

3 Preliminary results. Subject to revision.
Summary of CPS Estimates: Uninsured Hawaiians & Pacific Islanders Broad Definition Narrow Definition Hawaii 32,840 15,949 49 States & DC 169,578 134,965 30 January 2006 Preliminary results. Subject to revision.

4 Preliminary results. Subject to revision.
Uninsured Hawaiians in Hawaii: Multi-Year Survey Averages with 95% Confidence Intervals CPS (3-year Average) Persons Age 0-99 HHS (5-year Average) Persons Age 0-99 BRFSS (5-year Average) Persons Age 18-99 NOTE: CPS Estimates Include Pacific Islanders. Broad definition includes mixed race. 30 January 2006 Preliminary results. Subject to revision.

5 Hawaiian & Pacific Islanders
Insured and Uninsured Hawaii Population by Ethnicity/Race: CPS (3-year average) Broad Definition Insurance Status All Others Hawaiian & Pacific Islanders Hawaii Total Persons 95% Confidence Interval Lower Limit Upper Limit Insured 874,297 848,595 899,999 244,491 224,855 264,126 1,118,788 1,092,333 1,145,242 Uninsured 90,755 80,389 101,121 32,840 26,632 39,048 123,595 111,465 135,726 Total 965,052 937,669 992,436 277,331 255,795 298,867 1,242,383 SOURCE: Current Population Survey, Annual Social and Economic Supplement (March Demographic Supplement) Weighted Tabulations. University of Hawaii. NOTE: Broad definition. Any mixed race response of Hawaiian & Pacific Islander is included. 30 January 2006 Preliminary results. Subject to revision.

6 Hawaiian & Pacific Islanders
Percentage of Hawaii Population Insured and Uninsured by Ethnicity/Race: CPS (3-year average) Broad Definition Insurance Status All Others Hawaiian & Pacific Islanders Hawaii Total Percent 95% Confidence Interval Lower Limit Upper Limit Insured 90.60% 89.58% 91.61% 88.16% 86.14% 90.17% 90.05% 89.12% 90.98% Uninsured 9.40% 8.39% 10.42% 11.84% 9.83% 13.86% 9.95% 9.02% 10.88% Total 100.00% SOURCE: Current Population Survey, Annual Social and Economic Supplement (March Demographic Supplement) Weighted Tabulations. University of Hawaii. NOTE: Broad definition. Any mixed race response of Hawaiian & Pacific Islander is included. 30 January 2006 Preliminary results. Subject to revision.

7 Preliminary results. Subject to revision.
Percent Uninsured by Ethnicity/Race with 95% Confidence Interval: Hawaii CPS , 3-year Average Broad Definition 30 January 2006 Preliminary results. Subject to revision.

8 Hawaiian & Pacific Islanders
Insured and Uninsured Hawaii Population by Ethnicity/Race: CPS (3-year average) Narrow Definition Insurance Status All Others Hawaiian & Pacific Islanders Hawaii Total Persons 95% Confidence Interval Lower Limit Upper Limit Insured 1,024,596 998,334 1,050,857 94,192 80,782 107,603 1,118,788 1,092,333 1,145,242 Uninsured 107,646 96,451 118,841 15,949 11,395 20,504 123,595 111,465 135,726 Total 1,132,241 1,104,503 1,159,980 110,142 95,244 125,040 1,242,383 SOURCE: Current Population Survey, Annual Social and Economic Supplement (March Demographic Supplement) Weighted Tabulations. University of Hawaii. NOTE: Narrow definition. A response of Hawaiian & Pacific Islander Only is included. 30 January 2006 Preliminary results. Subject to revision.

9 Hawaiian & Pacific Islanders
Percentage of Hawaii Population Insured and Uninsured by Ethnicity/Race: CPS (3-year average) Narrow Definition Insurance Status All Others Hawaiian & Pacific Islanders Hawaii Total Percent 95% Confidence Interval Lower Limit Upper Limit Insured 90.49% 89.55% 91.43% 85.52% 81.85% 89.18% 90.05% 89.12% 90.98% Uninsured 9.51% 8.57% 10.45% 14.48% 10.82% 18.15% 9.95% 9.02% 10.88% Total 100.00% SOURCE: Current Population Survey, Annual Social and Economic Supplement (March Demographic Supplement) Weighted Tabulations. University of Hawaii. NOTE: Narrow definition. A response of Hawaiian & Pacific Islander Only is included. 30 January 2006 Preliminary results. Subject to revision.

10 Preliminary results. Subject to revision.
Percent Uninsured by Ethnicity/Race with 95% Confidence Interval: Hawaii CPS , 3-year Average Narrow Definition 30 January 2006 Preliminary results. Subject to revision.

11 Hawaiian & Pacific Islanders
Insured and Uninsured Mainland Population by Ethnicity/Race: CPS , (3-year Average) 49 States & DC, Broad Definition Insurance Status All Others Hawaiian & Pacific Islanders Mainland Total Persons 95% Confidence Interval Lower Limit Upper Limit Insured 630510 565073 695947 Uninsured 169578 139521 199634 Total 800088 723880 876296 SOURCE: Current Population Survey, Annual Social and Economic Supplement (March Demographic Supplement) Weighted Tabulations. University of Hawaii. NOTE: Broad definition. Any mixed race response of Hawaiian & Pacific Islander is included. 30 January 2006 Preliminary results. Subject to revision.

12 Hawaiian & Pacific Islanders
Percent Insured and Uninsured Mainland Population by Ethnicity/Race: CPS , (3-year Average) 49 States & DC, Broad Definition Insurance Status All Others Hawaiian & Pacific Islanders Mainland Total Percent 95% Confidence Interval Lower Limit Upper Limit Insured 84.57% 84.41% 84.73% 78.81% 75.62% 81.99% 84.55% 84.39% 84.71% Uninsured 15.43% 15.27% 15.59% 21.19% 18.01% 24.38% 15.45% 15.29% 15.61% Total 100.00% SOURCE: Current Population Survey, Annual Social and Economic Supplement (March Demographic Supplement) Weighted Tabulations. University of Hawaii. NOTE: Broad definition. Any mixed race response of Hawaiian & Pacific Islander is included. 30 January 2006 Preliminary results. Subject to revision.

13 Preliminary results. Subject to revision.
Percent Uninsured by Ethnicity/Race with 95% Confidence Interval: Mainland CPS , 3-year Average 49 States & DC, Broad Definition 30 January 2006 Preliminary results. Subject to revision.

14 Hawaiian & Pacific Islanders
Insured and Uninsured Mainland Population by Ethnicity/Race: CPS , (3-year Average) 49 States plus DC, Narrow Definition Insurance Status All Others Hawaiian & Pacific Islanders Mainland Total Persons 95% Confidence Interval Lower Limit Upper Limit Insured 450140 394982 505298 Uninsured 134965 107522 162407 Total 585105 519587 650622 SOURCE: Current Population Survey, Annual Social and Economic Supplement (March Demographic Supplement) Weighted Tabulations. University of Hawaii. NOTE: Narrow definition. Response of Hawaiian & Pacific Islander Only is included. 30 January 2006 Preliminary results. Subject to revision.

15 Hawaiian & Pacific Islanders
Percent Insured and Uninsured Mainland Population by Ethnicity/Race: CPS , (3-year Average) 49 States & DC, Narrow Definition Insurance Status All Others Hawaiian & Pacific Islanders Mainland Total Percent 95% Confidence Interval Lower Limit Upper Limit Insured 84.57% 84.41% 84.73% 76.93% 73.04% 80.83% 84.55% 84.39% 84.71% Uninsured 15.43% 15.27% 15.59% 23.07% 19.17% 26.96% 15.45% 15.29% 15.61% Total 100.00% SOURCE: Current Population Survey, Annual Social and Economic Supplement (March Demographic Supplement) Weighted Tabulations. University of Hawaii. NOTE: Narrow definition. Response of Hawaiian & Pacific Islander Only is included. 30 January 2006 Preliminary results. Subject to revision.

16 Preliminary results. Subject to revision.
Percent Uninsured by Ethnicity/Race with 95% Confidence Interval: Mainland CPS , 3-year Average 49 States plus DC, Narrow Definition 30 January 2006 Preliminary results. Subject to revision.

17 Preliminary results. Subject to revision.
Percent Uninsured by Ethnicity/Race with 95% Confidence Interval: HHS (5-year Average) 30 January 2006 Preliminary results. Subject to revision.

18 Preliminary results. Subject to revision.
Percent Uninsured by Ethnicity/Race with 95% Confidence Interval: Hawaii BRFSS (5-year Average) NOTE: BRFSS Surveys Adults Age 18-99 30 January 2006 Preliminary results. Subject to revision.

19 Percent Distribution of Uninsured Hawaiian Children Age 0-18: CPS 2003-2005 and HHS 2000-2004
Uninsured Children Age 0-18 CPS (3-Year Average). Uninsured Children Age 0-18 HHS (5-Year Average). Note: Hawaiian includes Hawaiian, part-Hawaiian and pacific islanders. 30 January 2006 Preliminary results. Subject to revision.

20 Percent Distribution of Uninsured Hawaiian Adults Age 19-64: CPS 2003-2005 and HHS 2000-2004
Uninsured Adults Age CPS (3-Year Average). Uninsured Adults Age HHS (5-Year Average). 30 January 2006 Preliminary results. Subject to revision.

21 Preliminary results. Subject to revision.
Number and Percent Uninsured by Race/Ethnicity: BRFSS (5-year average) Race/Ethnicity Number Std. Error 95% Confidence Interval Percent Lower Upper Caucasian 24,904 1,199 22,553 27,225 8.67% 0.41% 7.88% 9.47% Hawaiian 13,329 1,142 11,093 15,567 10.31% 0.84% 11.95% Chinese 3,208 671 1,892 4,524 5.97% 1.20% 3.62% 8.32% Filipino 11,918 1,283 9,404 14,433 8.42% 0.86% 6.73% 10.11% Japanese 6,578 835 4,941 8,214 3.40% 0.42% 2.57% 4.23% Pacific islanders 2,912 587 1,761 4,063 14.36% 2.81% 8.85% 19.87% All others 9,504 1,011 7,522 11,486 10.82% 1.08% 8.71% 12.94% Missing 2,797 471 1,874 3,719 12.32% 1.92% 8.55% 16.09% Total 75,151 2,632 69,992 80,310 8.03% 0.27% 7.49% 8.56% 30 January 2006 Preliminary results. Subject to revision.

22 Preliminary results. Subject to revision.
Number and Percent Uninsured by Race/Ethnicity: HHS (5-year average) Race/Ethnicity Number Std. Error 95% Confidence Interval Percent Lower Upper Caucasian 20,509 856 18,832 22,185 6.53 0.27 6.02 7.08 Hawaiian 15,866 952 14,000 17,731 6.28 0.36 5.61 7.02 Chinese 2,176 325 1,540 2,813 3.21 0.46 2.41 4.25 Filipino 10,244 754 8,767 11,721 5.22 0.37 4.54 6.00 Japanese 6,496 568 5,362 7,609 2.60 0.22 2.20 3.08 Pacific islanders 1,880 306 1,280 2,479 6.14 0.97 4.49 8.32 All others 6,020 606 4,833 7,207 6.88 0.67 5.67 Total 63,190 1,861 59,541 66,838 5.27 0.15 4.98 5.58 30 January 2006 Preliminary results. Subject to revision.

23 This research is funded in part by Hawaii State Department of Health.
Mahalo! This research is funded in part by U.S. Department of Health and Human Services Health Resources & Services Administration State Planning Grant Hawaii State Department of Health. 30 January 2006 Preliminary results. Subject to revision.

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