Uninsured Hawaiians and Pacific Islanders

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, Prime Grant No. 1 P09 OA 00046-01-00 and 2 P09 OA 00046-02-00. 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.

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. CandidateUniversity of Hawai`i at Mānoa

HRSA SPG Program Hawai`i Coverage For All ProjectOctober 2005

13 October 2005 Preliminary results. Subject to revision. 2

Data Sources: Uninsured Hawaiians Current Population Survey 2003-2005

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 1997-2003 DOH Definition: Count Part-Hawaiian as Hawaiian

Behavioral Risk Factor Surveillance System 2000-2003 BRFSS Definition: Part Hawaiian & Hawaiian Combined Adults Only: Age 18-99


Summary of CPS 2003-2005 Estimates: Uninsured Hawaiians & Pacific Islanders

Broad Definition Narrow Definition

Hawaii 32,840 15,949

49 States & DC 169,578 134,965


Uninsured Hawaiians in Hawaii: Multi-Year Survey Averages with 95% Confidence IntervalsCPS 2003-2005 (3-year Average) Persons Age 0-99HHS 2000-2003 (4-year Average) Persons Age 0-99BRFSS 2000-2003 (4-year Average) Persons Age 18-99

13,36316,00115,949

32,840

05000

1000015000200002500030000350004000045000

CPS-Broad CPS-Narrow

HHS BRFSS

Per

son

s P

er

NOTE: CPS Estimates Include Pacific Islanders. Broad definition includes mixed race.


Insured and Uninsured Hawaii Population by Ethnicity/Race: CPS 2003-2005 (3-year average) Broad Definition

Insurance Status

All OthersHawaiian & Pacific

Islanders Hawaii Total

Persons

95% Confidence Interval

Persons


Persons


Lower Limit

Upper Limit

Lower Limit

Upper Limit

Lower Limit

Upper Limit

Insured 874297 851271 897324 244491 230689 258292 1118788 1092333 1145242

Uninsured 90755 80456 101054 32804 26915 38766 123595 111465 135726

Total 965052 940742 989363 277331 262746 291916 1242383

SOURCE: Current Population Survey, Annual Social and Economic Supplement (March Demographic Supplement) 2003-2005. Weighted Tabulations. University of Hawaii.NOTE: Broad definition. Any mixed race response of Hawaiian & Pacific Islander is included.


Percentage of Hawaii Population Insured and Uninsured by Ethnicity/Race: CPS 2003-2005 (3-year average) Broad Definition

Insurance Status



Percent


Percent


Percent


Lower Limit

Upper Limit

Lower Limit

Upper Limit

Lower Limit

Upper Limit

Insured 90.60% 89.58% 91.61% 88.16% 86.14% 90.18% 90.05% 89.12% 90.98%

Uninsured 9.40% 8.39% 10.42% 11.84% 9.82% 13.86% 9.95% 9.02% 10.88%

Total 100.00% 100.00% 100.00%



Percent Uninsured by Ethnicity/Race with 95% Confidence Interval:Hawaii CPS 2003-2005, 3-year AverageBroad Definition

11.8%9.4%

0%2%4%6%8%

10%12%14%16%

All Others Hawaiian & PacificIslanders

Per

cen

t


Insured and Uninsured Hawaii Population by Ethnicity/Race: CPS 2003-2005 (3-year average) Narrow Definition

Insurance Status



Persons


Persons


Persons


Lower Limit

Upper Limit

Lower Limit

Upper Limit

Lower Limit

Upper Limit

Insured 1024596 999695 1049496 94192 84589 103795 1118788 1092333 1145242

Uninsured 107646 96485 118807 15949 11663 20236 123595 111465 135726

Total1132241 1106080 1158403 110142 100046 120238 1242383

SOURCE: Current Population Survey, Annual Social and Economic Supplement (March Demographic Supplement) 2003-2005. Weighted Tabulations. University of Hawaii.NOTE: Narrow definition. A response of Hawaiian & Pacific Islander Only is included.


Percentage of Hawaii Population Insured and Uninsured by Ethnicity/Race: CPS 2003-2005 (3-year average) Narrow Definition

Insurance Status



Percent


Percent


Percent


Lower Limit

Upper Limit

Lower Limit

Upper Limit

Lower Limit

Upper Limit

Insured 90.49% 89.55% 91.43% 85.52% 81.84% 89.20% 90.05% 89.12% 90.98%

Uninsured 9.51% 8.57% 10.45% 14.48% 10.80% 18.16% 9.95% 9.02% 10.88%

Total 100.00% 100.00% 100.00%

SOURCE: Current Population Survey, Annual Social and Economic Supplement (March Demographic Supplement) 2003-2005. Weighted Tabulations. University of Hawaii.NOTE: Narrow definition. A response of Hawaiian & Pacific Islander Only is included.


Percent Uninsured by Ethnicity/Race with 95% Confidence Interval:Hawaii CPS 2003-2005, 3-year AverageNarrow Definition

9.5%

14.5%

0%2%4%6%8%

10%12%14%16%18%20%


Per

cen

t


Insured and Uninsured Mainland Population by Ethnicity/Race: CPS 2003-2005, (3-year Average)49 States & DC, Broad Definition

Insurance Status


Islanders Mainland Total

Persons


Persons


Persons


Lower Limit

Upper Limit

Lower Limit

Upper Limit

Lower Limit

Upper Limit

Insured 242217886 241240756 243195016 630510 565073 695947 242848396 241870132 243826660

Uninsured 44196120 43693981 44698258 169578 139521 199634 44365697 43862520 44868874

Total 286414006 285345888 287482123 800088 723880 876296 287214093



Percent Insured and Uninsured Mainland Population by Ethnicity/Race: CPS 2003-2005, (3-year Average)49 States & DC, Broad Definition

Insurance Status



Percent


Percent


Percent


Lower Limit

Upper Limit

Lower Limit

Upper Limit

Lower Limit

Upper Limit

Insured 84.57% 84.41% 84.73% 78.81% 75.61% 82.00% 84.55% 84.39% 84.71%

Uninsured 15.43% 15.27% 15.59% 21.19% 18.00% 24.39% 15.45% 15.29% 15.61%

Total 100.00% 100.00% 100.00%



Percent Uninsured by Ethnicity/Race with 95% Confidence Interval:Mainland CPS 2003-2005, 3-year Average49 States & DC, Broad Definition

21.2%15.4%

0%

5%

10%

15%

20%

25%

30%


Per

cen

t


Insured and Uninsured Mainland Population by Ethnicity/Race: CPS 2003-2005, (3-year Average)49 States plus DC, Narrow Definition

Insurance Status



Persons


Persons


Persons


Lower Limit

Upper Limit

Lower Limit

Upper Limit

Lower Limit

Upper Limit

Insured 242398256 241420653 243375859 450140 394982 505298 242848396 241870132 243826660

Uninsured 44230733 43728449 44733016 134965 107522 162407 44365697 43862520 44868874

Total 286628989 285560544 287697433 585105 519587 650622 287214093

SOURCE: Current Population Survey, Annual Social and Economic Supplement (March Demographic Supplement) 2003-2005. Weighted Tabulations. University of Hawaii.NOTE: Narrow definition. Response of Hawaiian & Pacific Islander Only is included.


Percent Insured and Uninsured Mainland Population by Ethnicity/Race: CPS 2003-2005, (3-year Average)49 States & DC, Narrow Definition

Insurance Status



Percent


Percent


Percent


Lower Limit

Upper Limit

Lower Limit

Upper Limit

Lower Limit

Upper Limit

Insured 84.57% 84.41% 84.73% 76.93% 73.03% 80.84% 84.55% 84.39% 84.71%

Uninsured 15.43% 15.27% 15.59% 23.07% 19.16% 26.97% 15.45% 15.29% 15.61%

Total 100.00% 100.00% 100.00%

SOURCE: Current Population Survey, Annual Social and Economic Supplement (March Demographic Supplement) 2003-2005. Weighted Tabulations. University of Hawaii.NOTE: Narrow definition. Response of Hawaiian & Pacific Islander Only is included.


Percent Uninsured by Ethnicity/Race with 95% Confidence Interval:Mainland CPS 2003-2005, 3-year Average49 States plus DC, Narrow Definition

23.1%

15.4%

0%

5%

10%

15%

20%

25%

30%


Per

cen

t


Percent Uninsured by Ethnicity/Racewith 95% Confidence Interval:HHS 2000-2003 (4-year Average)

6.3%5.0%

0%

1%

2%

3%

4%

5%

6%

7%

8%

All Others Hawaiian/Part Hawaiian

Per

cen

t


Percent Uninsured by Ethnicity/Racewith 95% Confidence Interval:Hawaii BRFSS 2000-2003 (4-year Average)

10.4%

7.3%

0%

2%

4%

6%

8%

10%

12%

14%

All Others Hawaiian/Part Hawaiian

Per

cen

t

NOTE: BRFSS Surveys Adults Age 18-99


Uninsured Adults by Ethnicity: Headcount and Rate, 4-year Average Hawaii (Age 18 - 99): BRFSS 2000 – 2003

Ethnicity Headcount/Rate Std. Err.


Lower Limit Upper Limit

White 24,787 1,268 22,302 27,272

8.72% 0.41% 7.91% 9.53%

Hawaiian/Part Hawaiian 13,362 1,130 11,146 15,579

10.41% 0.83% 8.78% 12.04%

Chinese 2,711 548 1,635 3,787

5.10% 1.01% 3.12% 7.08%

Filipino 11,348 1,161 9,070 13,626

8.24% 0.82% 6.64% 9.84%

Japanese 5,606 730 4,176 7,037

2.94% 0.37% 2.21% 3.68%

Non-Hawaiian Pacific Islander 2,804 481 1,856 3,752

15.42% 2.66% 10.19% 20.65%

Other 10,618 988 8,680 12,555

10.06% 0.88% 8.34% 11.78%

Missing 692 207 282 1,102

13.86% 3.99% 5.95% 21.77%

Hawaiian/Part Hawaiian 10.41% 0.83% 8.78% 12.04%

Non-Hawaiian* 7.33% 0.27% 6.81% 7.85%

Total 71,929 2,757 66,526 77,333

7.80% 0.26% 7.29% 8.30%

Source: Behavior Risk Factor Surveillance System (BRFSS) Survey 2000 - 2003

Weighted tabulations, University of Hawai`i at Mānoa.


Number and Percent Uninsured by Race/Ethnicity:HHS 2000-2003 (4-year average)

Race/Ethnicity NumberStd.

Error95% Confidence

Interval PercentStd.

Error95% Confidence

Interval

Lower Upper Lower Upper

Caucasian 20,440 987 18,505 22,375 6.70 0.32 6.09 7.35

Hawaiian 16,001 1,105 13,835 18,167 6.30 0.41 5.53 7.16

Chinese 2,076 368 1,355 2,797 3.12 0.54 2.23 4.37

Filipino 9,801 829 8,176 11,425 4.93 0.40 4.19 5.78

Japanese 6,147 618 4,935 7,358 2.51 0.25 2.06 3.04

Pacific islanders 1,885 357 1,185 2,584 6.64 1.21 4.63 9.45

All others 5,938 671 4,622 7,254 6.56 0.72 5.28 8.12

Total 62,287 2,112 58,148 66,426 5.24 0.18 4.91 5.60


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.

Uninsured Hawaiians and Pacific Islanders

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