National Healthcare Disparities Report - LDI Health Economist

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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
Effectiveness of Care Hawaii, home to more than half of Native Hawaiians in the United States, is a leader in collecting health information on NHOPI and Asian populations. Here we provide information from the Hawaii State Inpatient Databases on admissions for congestive heart failure among NHOPI and Asian subpopulations. Figure 2.11. Admissions for congestive heart failure per 100,000 population, age 18 and over, State of Hawaii, by race, 2005-2007 2500 White Native Hawaiian Other Pacific Islander Chinese Filipino Japanese Admissions per 100,000 Population 2000 1500 1000 500 0 2005 2006 2007 Source: Agency for Healthcare Research and Quality, Healthcare Cost and Utilization Project, Hawaii State Inpatient Databases, 2005-2007, and AHRQ Quality Indicators, version 3.1. Denominator: Adults age 18 and over in Hawaii based on the Hawaii Health Survey. Note: For this measure, lower rates are better. Rates are adjusted by age and gender using the total U.S. population for 2000 as the standard population. Chapter 2 Cardiovascular Disease n In Hawaii, between 2005 and 2007, Native Hawaiians, Other Pacific Islanders, and Filipinos had higher rates of hospital admissions for congestive heart failure than Whites while Japanese people had lower rates than Whites (Figure 2.11). n NHOPI and Asian subpopulations are quite diverse. Considerable variation in rates was observed among the different subgroups. National Healthcare Disparities Report, 2011 65
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NATIONAL HEALTHCARE DISPARITIES REP
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