Reporting by Racial Subgroups Hawai i. Jill Miyamura, PhD Hawaii Health Information Corporation
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1 Reporting by Racial Subgroups Hawai i Jill Miyamura, PhD Hawaii Health Information Corporation
2
3 Issues Regarding Race Hawai i Disparities: Asians and Pacific Islanders Population estimates US Census 2 or more races? Hospital data 1 race only
4 Why Interested in Race? Hawai i Health Facts and Disparities Longest life expectancy in the US Chinese 83 yrs. Hawaiians: ONLY 74 yrs. Mortality rates for major disease categories (CHD, Cancer) lower than US* Rates vary by ethnic group 4
5 Asian and Pacific Islanders Hawaiian & Pacific Islanders Among highest rates is US for: Obesity Asthma Cardiovascular disease Diabetes Breast cancer Filipinos Higher rates than other Asian or Caucasian for: Diabetes Perinatal mortality Breast cancer mortality Low birth weight infants Renal disease Childhood asthma Japanese and Chinese generally have better disease outcomes, and generally better than Whites. 5
6 US Census Categories Race White Black American Indian and Alaska Native Asian Hawai i Native Hawaiian and Other Pacific Islander 2 or more races 2010
7 US Census Categories Race Hawai i Percent White 23% Black 2% American Indian and Alaska Native 0.4% Asian 31% Native Hawaiian and Other Pacific Islander 25% 2 or more races 20% 2007
8
9 Hospital Race Data Hawai i Racial subgroups aligned with State Hawaii Health Survey (HHS) Choosing one race if 2 or more races Which BEST represents your race? (hospitals and HHS)
10 Percentage of Adult (Age > 18) Hospital Inpatient Discharges by Race and Ethnicity in Hawaii Adult Hospital Discharges, (% of all discharges) Adult Population Estimate, State of Hawai i (%) Race/Ethnicity White 28,057 (28) 259,581 (27) Japanese 19,146 (19) 211,656 (22) Native Hawaiian 15,209 (15) 194,049 (20) Filipino 14,404 (15) 146,670 (15) Other Pacific Islander 3,803 (4) 27,186 (3) Chinese 3,966 (4) 55,811 (6) Other Asian 4,589 (5) 19,437 (2) Hispanic 2,243 (2) 26,794 (3) Black 923 (1) 11,524 (1) Other (not listed above) 6,631 (7) 23,211 (2) TOTAL: 98,971 (100) 975,919 (100) 2007
11 Article in press Moy, E., Mau, M., Raetzman, S., Barrett, M., Miyamura, J., Chaves, K., Andrews, R. Ethnic Differences in Potentially Preventable Hospitalizations among Asian American, Native Hawaiians, and Other Pacific Islanders: Implications for Reducing Health Care Disparities, Ethnicity and Disease (in press).
12 Asthma Rates per 100,000 Population by Race Asthma (PQI 15) Race/Ethnicity White 64 Asian and Pacific Islander 91** (AANHPI) **P<0.01 for comparison to whites
13 Asthma Rates per 100,000 Population by Race Asthma (PQI 15) Race/Ethnicity White 64 Asian and Pacific Islander 91** (AANHPI) Asian American (AA) 65 Native Hawaiian and Pacific Islander (NHPI) 154** **P<0.01 for comparison to whites
14 Asthma Rates per 100,000 Population by Race Asthma (PQI 15) Race/Ethnicity White 64 Asian and Pacific Islander 91** (AANHPI) Asian American (AA) 65 Japanese 22** Filipino 168** Chinese DSU Other Asian 136* Native Hawaiian and Pacific 154** Islander (NHPI) Native Hawaiian 139** Other Pacific Islander 315** **P<0.01 for comparison to whites
15 Congestive Heart Failure (CHF) Rates per 100,000 Population by Race CHF (PQI 8) Race/Ethnicity White 189 Asian and Pacific Islander 289** (AANHPI) Asian American (AA) 226** Native Hawaiian and Pacific Islander (NHPI) 461** **P<0.01 for comparison to whites
16 Congestive Heart Failure (CHF) Rates per 100,000 Population by Race CHF (PQI 8) Race/Ethnicity White 189 Asian and Pacific Islander 289** (AANHPI) Asian American (AA) 226** Japanese 159** Filipino 393** Chinese 182 Other Asian 372** Native Hawaiian and Pacific 461** Islander (NHPI) Native Hawaiian 428** Other Pacific Islander 816** **P<0.01 for comparison to whites
17 Racial Comparison of Relative Rates of Overall, Acute, and Chronic PQI Composites Relative to Whites Relative Rate Overall Acute Chronic Japanese Filipino Chinese Other Asian Native Hawaiian 0.9 Other Pacific Islanders 2007
18 Implications Meaningful to disaggregate race Allows targeted interventions Conducting analyses of numerically small but distinct subpopulations is likely to grow in importance Hospital data is valued data asset Denominator data: local resources can support population estimates
19 Pau
20 Key Race Subgroups Hawai i Asians Japanese Chinese Filipinos Koreans Vietnamese Other Asian Native Hawaiians and Other PIs Polynesian Native Hawaiian Samoan Tongan Other Polynesian Micronesian Guamanian Other Pacific Islander
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