title: Age-Specific Native Hawaiian Mortality: A Comparison of Full, Part, and Non-Hawaiians.
abstract: PURPOSE OF THE PAPER: The purpose of this paper is to test if the previously identified disparity in mortality rates among full Hawaiians, part Hawaiians, and non&shy;Hawaiians in the state of Hawaii has continued into the 1990s. SUMMARY OF METHODS UTILIZED: Based on Hawaii vital records and population data, standardized age&shy;specific mortality rates by cause and 95% confidence intervals were estimated. PRINCIPAL FINDINGS: The most striking finding was the significant differences in mortality rates in four age strata &shy;&shy; 45&shy;54, 55&shy;64, 65&shy;74, and 75&shy;84 &shy;&shy; with mortality rates highest for full Hawaiians, lowest for non&shy;Hawaiians, and intermediate for part Hawaiians. CONCLUSIONS: Findings suggest that Native Hawaiians continue to be at greater risk of death compared with non&shy;Hawaiians, with full Hawaiians at greatest risk. RELEVANCE TO ASIAN PACIFIC ISLANDER AMERICAN POPULATIONS: Asian and Pacific Islander Americans have been called the model minority. These data provide evidence that Native Hawaiians, especially full Hawaiians, have dramatically higher mortality rates than non&shy;Hawaiians and merit special attention.
authors.affiliation: Center on Aging, School of Public Health, University of Hawaii, 1960 East-West Road, Honolulu, HI 96822, USA.
authors.forename: Kathryn L.
authors.initials: KL
authors.lastname: Braun
authors.forename: Haiou
authors.initials: H
authors.lastname: Yang
authors.forename: Mele A.
authors.initials: MA
authors.lastname: Look
authors.forename: Alvin T.
authors.initials: AT
authors.lastname: Onaka
authors.forename: Brian Y.
authors.initials: BY
authors.lastname: Horiuchi