National Healthcare Disparities Report - LDI Health Economist

Effectiveness of Care
Also, in the NHQR:
n From 2004 to 2008, patients ages 45-64 and 65 and over had higher rates of hospitalization for
congestive heart failure than patients ages 18-44, and men had higher rates than women.
Chapter 2 Cardiovascular Disease
Focus on Native Hawaiians and Other Pacific Islanders
The ability to assess disparities among Native Hawaiians and Other Pacific Islanders (NHOPIs) has been a
challenge for two main reasons. First, the NHOPI racial category is relatively new to Federal data collection.
Before 1997, NHOPIs were classified as part of the API racial category and could not be identified
separately in most Federal data. In 1997, the Office of Management and Budget promulgated new standards
for Federal data on race and ethnicity and mandated that information about NHOPIs be collected separately
from information about Asians. However, these standards have not yet been incorporated into all databases.
Second, when information about this population was collected, databases often included insufficient numbers
of NHOPIs to allow reliable estimates to be made.
Cardiovascular disease is a leading cause of death among Native Hawaiians. To supplement information in
the reports on quality of care received by NHOPIs for heart disease, we feature data from additional data
sources. Here we present data from the Behavioral Risk Factor Surveillance System on cholesterol screening
among NHOPIs, including people of mixed race who identify primarily as NHOPI.
Figure 2.10. Adults who reported receiving a cholesterol check in the last 5 years, 2005, 2007, and 2009
100 White NHOPI
90
80
Percent
70
60
50
Z
2005
2007
2009
Key: NHOPI = Native Hawaiian or Other Pacific Islander.
Source: Centers for Disease Control and Prevention, Behavioral
Risk Factor Surveillance System, 2005, 2007, and 2009.
Denominator: Adults age 18 and over.
n In 2009, the percentage of adults who received a cholesterol check in the last 5 years was lower
among NHOPIs compared with Whites (Figure 2.10).
64 National Healthcare Disparities Report, 2011