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,

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Presentation transcript:

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 and 2 P09 OA 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. Candidate University of Hawai`i at Mānoa HRSA SPG Program Hawai ` i Coverage For All Project October 2005

13 October 2005Preliminary results. Subject to revision. 2 Data Sources: Uninsured Hawaiians Current Population Survey 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

13 October 2005Preliminary results. Subject to revision. 3 Summary of CPS Estimates: Uninsured Hawaiians & Pacific Islanders Broad DefinitionNarrow Definition Hawaii 32,84015, States & DC 169,578134,965

13 October 2005Preliminary results. Subject to revision. 4 Uninsured Hawaiians in Hawaii: Multi-Year Survey Averages with 95% Confidence Intervals CPS (3-year Average) Persons Age 0-99 HHS (4-year Average) Persons Age 0-99 BRFSS (4-year Average) Persons Age NOTE: CPS Estimates Include Pacific Islanders. Broad definition includes mixed race.

13 October 2005Preliminary results. Subject to revision. 5 Insured and Uninsured Hawaii Population by Ethnicity/Race: CPS (3-year average) Broad Definition Insurance Status All Others Hawaiian & Pacific IslandersHawaii Total Persons 95% Confidence Interval Persons 95% Confidence Interval Persons 95% Confidence Interval Lower Limit Upper Limit Lower Limit Upper Limit Lower Limit Upper Limit Insured Uninsured Total 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.

13 October 2005Preliminary results. Subject to revision. 6 Percentage of Hawaii Population Insured and Uninsured by Ethnicity/Race: CPS (3-year average) Broad Definition Insurance Status All Others Hawaiian & Pacific IslandersHawaii Total Percent 95% Confidence Interval Percent 95% Confidence Interval Percent 95% Confidence Interval Lower Limit Upper Limit Lower Limit Upper Limit Lower Limit Upper Limit Insured90.60%89.58%91.61%88.16%86.14%90.18%90.05%89.12%90.98% Uninsured9.40%8.39%10.42%11.84%9.82%13.86%9.95%9.02%10.88% Total100.00% 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.

13 October 2005Preliminary results. Subject to revision. 7 Percent Uninsured by Ethnicity/Race with 95% Confidence Interval: Hawaii CPS , 3-year Average Broad Definition

13 October 2005Preliminary results. Subject to revision. 8 Insured and Uninsured Hawaii Population by Ethnicity/Race: CPS (3-year average) Narrow Definition Insurance Status All Others Hawaiian & Pacific IslandersHawaii Total Persons 95% Confidence Interval Persons 95% Confidence Interval Persons 95% Confidence Interval Lower Limit Upper Limit Lower Limit Upper Limit Lower Limit Upper Limit Insured Uninsured Total 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.

13 October 2005Preliminary results. Subject to revision. 9 Percentage of Hawaii Population Insured and Uninsured by Ethnicity/Race: CPS (3-year average) Narrow Definition Insurance Status All Others Hawaiian & Pacific IslandersHawaii Total Percent 95% Confidence Interval Percent 95% Confidence Interval Percent 95% Confidence Interval Lower Limit Upper Limit Lower Limit Upper Limit Lower Limit Upper Limit Insured90.49%89.55%91.43%85.52%81.84%89.20%90.05%89.12%90.98% Uninsured9.51%8.57%10.45%14.48%10.80%18.16%9.95%9.02%10.88% Total100.00% 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.

13 October 2005Preliminary results. Subject to revision. 10 Percent Uninsured by Ethnicity/Race with 95% Confidence Interval: Hawaii CPS , 3-year Average Narrow Definition

13 October 2005Preliminary results. Subject to revision. 11 Insured and Uninsured Mainland Population by Ethnicity/Race: CPS , (3-year Average) 49 States & DC, Broad Definition Insurance Status All Others Hawaiian & Pacific IslandersMainland Total Persons 95% Confidence Interval Persons 95% Confidence Interval Persons 95% Confidence Interval Lower Limit Upper Limit Lower Limit Upper Limit Lower Limit Upper Limit Insured Uninsured Total 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.

13 October 2005Preliminary results. Subject to revision. 12 Percent Insured and Uninsured Mainland Population by Ethnicity/Race: CPS , (3-year Average) 49 States & DC, Broad Definition Insurance Status All Others Hawaiian & Pacific IslandersMainland Total Percent 95% Confidence Interval Percent 95% Confidence Interval Percent 95% Confidence Interval 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 % 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.

13 October 2005Preliminary results. Subject to revision. 13 Percent Uninsured by Ethnicity/Race with 95% Confidence Interval: Mainland CPS , 3-year Average 49 States & DC, Broad Definition

13 October 2005Preliminary results. Subject to revision. 14 Insured and Uninsured Mainland Population by Ethnicity/Race: CPS , (3-year Average) 49 States plus DC, Narrow Definition Insurance Status All Others Hawaiian & Pacific IslandersMainland Total Persons 95% Confidence Interval Persons 95% Confidence Interval Persons 95% Confidence Interval Lower Limit Upper Limit Lower Limit Upper Limit Lower Limit Upper Limit Insured Uninsured Total 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.

13 October 2005Preliminary results. Subject to revision. 15 Percent Insured and Uninsured Mainland Population by Ethnicity/Race: CPS , (3-year Average) 49 States & DC, Narrow Definition Insurance Status All Others Hawaiian & Pacific IslandersMainland Total Percent 95% Confidence Interval Percent 95% Confidence Interval Percent 95% Confidence Interval 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 % 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.

13 October 2005Preliminary results. Subject to revision. 16 Percent Uninsured by Ethnicity/Race with 95% Confidence Interval: Mainland CPS , 3-year Average 49 States plus DC, Narrow Definition

13 October 2005Preliminary results. Subject to revision. 17 Percent Uninsured by Ethnicity/Race with 95% Confidence Interval: HHS (4-year Average)

13 October 2005Preliminary results. Subject to revision. 18 Percent Uninsured by Ethnicity/Race with 95% Confidence Interval: Hawaii BRFSS (4-year Average) NOTE: BRFSS Surveys Adults Age 18-99

13 October 2005Preliminary results. Subject to revision. 19 Uninsured Adults by Ethnicity: Headcount and Rate, 4-year Average Hawaii (Age ): BRFSS 2000 – 2003 EthnicityHeadcount/RateStd. Err. 95% Confidence Interval Lower LimitUpper Limit White 24,7871,26822,30227, %0.41%7.91%9.53% Hawaiian/Part Hawaiian13,3621,13011,14615, %0.83%8.78%12.04% Chinese2, ,6353, %1.01%3.12%7.08% Filipino11,3481,1619,07013, %0.82%6.64%9.84% Japanese5, ,1767, %0.37%2.21%3.68% Non-Hawaiian Pacific Islander2, ,8563, %2.66%10.19%20.65% Other10, ,68012, %0.88%8.34%11.78% Missing , %3.99%5.95%21.77% Hawaiian/Part Hawaiian10.41%0.83%8.78%12.04% Non-Hawaiian*7.33%0.27%6.81%7.85% Total71,9292,75766,52677, %0.26%7.29%8.30% Source: Behavior Risk Factor Surveillance System (BRFSS) Survey Weighted tabulations, University of Hawai`i at Mānoa.

13 October 2005Preliminary results. Subject to revision. 20 Number and Percent Uninsured by Race/Ethnicity: HHS (4-year average) Race/Ethnicity Number Std. Error 95% Confidence Interval Percent Std. Error 95% Confidence Interval LowerUpper LowerUpper Caucasian20, ,50522, Hawaiian16,0011,10513,83518, Chinese2, ,3552, Filipino9, ,17611, Japanese6, ,9357, Pacific islanders1, ,1852, All others5, ,6227, Total62,2872,11258,14866,

13 October 2005Preliminary results. Subject to revision. 21 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.