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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 on theme: "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,"— Presentation transcript:

1 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. Candidate University of Hawai`i at Mānoa HRSA SPG Program Hawai ` i Coverage For All Project October 2005

2 13 October 2005Preliminary 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

3 13 October 2005Preliminary results. Subject to revision. 3 Summary of CPS 2003-2005 Estimates: Uninsured Hawaiians & Pacific Islanders Broad DefinitionNarrow Definition Hawaii 32,84015,949 49 States & DC 169,578134,965

4 13 October 2005Preliminary results. Subject to revision. 4 Uninsured Hawaiians in Hawaii: Multi-Year Survey Averages with 95% Confidence Intervals CPS 2003-2005 (3-year Average) Persons Age 0-99 HHS 2000-2003 (4-year Average) Persons Age 0-99 BRFSS 2000-2003 (4-year Average) Persons Age 18-99 NOTE: CPS Estimates Include Pacific Islanders. Broad definition includes mixed race.

5 13 October 2005Preliminary results. Subject to revision. 5 Insured and Uninsured Hawaii Population by Ethnicity/Race: CPS 2003-2005 (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 Insured874297851271897324244491230689258292111878810923331145242 Uninsured9075580456101054328042691538766123595111465135726 Total9650529407429893632773312627462919161242383 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.

6 13 October 2005Preliminary results. Subject to revision. 6 Percentage of Hawaii Population Insured and Uninsured by Ethnicity/Race: CPS 2003-2005 (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) 2003-2005. Weighted Tabulations. University of Hawaii. NOTE: Broad definition. Any mixed race response of Hawaiian & Pacific Islander is included.

7 13 October 2005Preliminary results. Subject to revision. 7 Percent Uninsured by Ethnicity/Race with 95% Confidence Interval: Hawaii CPS 2003-2005, 3-year Average Broad Definition

8 13 October 2005Preliminary results. Subject to revision. 8 Insured and Uninsured Hawaii Population by Ethnicity/Race: CPS 2003-2005 (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 Insured102459699969510494969419284589103795111878810923331145242 Uninsured10764696485118807159491166320236123595111465135726 Total 1132241110608011584031101421000461202381242383 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.

9 13 October 2005Preliminary results. Subject to revision. 9 Percentage of Hawaii Population Insured and Uninsured by Ethnicity/Race: CPS 2003-2005 (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) 2003-2005. Weighted Tabulations. University of Hawaii. NOTE: Narrow definition. A response of Hawaiian & Pacific Islander Only is included.

10 13 October 2005Preliminary results. Subject to revision. 10 Percent Uninsured by Ethnicity/Race with 95% Confidence Interval: Hawaii CPS 2003-2005, 3-year Average Narrow Definition

11 13 October 2005Preliminary results. Subject to revision. 11 Insured and Uninsured Mainland Population by Ethnicity/Race: CPS 2003-2005, (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 242217886241240756243195016630510565073695947242848396241870132243826660 Uninsured 441961204369398144698258169578139521199634443656974386252044868874 Total286414006285345888287482123800088723880876296287214093 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.

12 13 October 2005Preliminary results. Subject to revision. 12 Percent Insured and Uninsured Mainland Population by Ethnicity/Race: CPS 2003-2005, (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 100.00% 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.

13 13 October 2005Preliminary results. Subject to revision. 13 Percent Uninsured by Ethnicity/Race with 95% Confidence Interval: Mainland CPS 2003-2005, 3-year Average 49 States & DC, Broad Definition

14 13 October 2005Preliminary results. Subject to revision. 14 Insured and Uninsured Mainland Population by Ethnicity/Race: CPS 2003-2005, (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 242398256241420653243375859450140394982505298242848396241870132243826660 Uninsured 442307334372844944733016134965107522162407443656974386252044868874 Total286628989285560544287697433585105519587650622287214093 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.

15 13 October 2005Preliminary results. Subject to revision. 15 Percent Insured and Uninsured Mainland Population by Ethnicity/Race: CPS 2003-2005, (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 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.

16 13 October 2005Preliminary results. Subject to revision. 16 Percent Uninsured by Ethnicity/Race with 95% Confidence Interval: Mainland CPS 2003-2005, 3-year Average 49 States plus DC, Narrow Definition

17 13 October 2005Preliminary results. Subject to revision. 17 Percent Uninsured by Ethnicity/Race with 95% Confidence Interval: HHS 2000-2003 (4-year Average)

18 13 October 2005Preliminary results. Subject to revision. 18 Percent Uninsured by Ethnicity/Race with 95% Confidence Interval: Hawaii BRFSS 2000-2003 (4-year Average) NOTE: BRFSS Surveys Adults Age 18-99

19 13 October 2005Preliminary results. Subject to revision. 19 Uninsured Adults by Ethnicity: Headcount and Rate, 4-year Average Hawaii (Age 18 - 99): BRFSS 2000 – 2003 EthnicityHeadcount/RateStd. Err. 95% Confidence Interval Lower LimitUpper Limit White 24,7871,26822,30227,272 8.72%0.41%7.91%9.53% Hawaiian/Part Hawaiian13,3621,13011,14615,579 10.41%0.83%8.78%12.04% Chinese2,7115481,6353,787 5.10%1.01%3.12%7.08% Filipino11,3481,1619,07013,626 8.24%0.82%6.64%9.84% Japanese5,6067304,1767,037 2.94%0.37%2.21%3.68% Non-Hawaiian Pacific Islander2,8044811,8563,752 15.42%2.66%10.19%20.65% Other10,6189888,68012,555 10.06%0.88%8.34%11.78% Missing6922072821,102 13.86%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% Total71,9292,75766,52677,333 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.

20 13 October 2005Preliminary results. Subject to revision. 20 Number and Percent Uninsured by Race/Ethnicity: HHS 2000-2003 (4-year average) Race/Ethnicity Number Std. Error 95% Confidence Interval Percent Std. Error 95% Confidence Interval LowerUpper LowerUpper Caucasian20,44098718,50522,3756.700.326.097.35 Hawaiian16,0011,10513,83518,1676.300.415.537.16 Chinese2,0763681,3552,7973.120.542.234.37 Filipino9,8018298,17611,4254.930.404.195.78 Japanese6,1476184,9357,3582.510.252.063.04 Pacific islanders1,8853571,1852,5846.641.214.639.45 All others5,9386714,6227,2546.560.725.288.12 Total62,2872,11258,14866,4265.240.184.915.60

21 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.

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