Age-Specific Native Hawaiian Mortality: A Comparison of Full, Part, and Non-Hawaiians.
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.
Braun
Kathryn L.
KL
Center on Aging, School of Public Health, University of Hawaii, 1960 East-West Road, Honolulu, HI 96822, USA.
Yang
Haiou
H
Look
Mele A.
MA
Onaka
Alvin T.
AT
Horiuchi
Brian Y.
BY