This research is funded in part through a U.S. Health Resources and Services Administration, State Planning Grant to the Hawaii State Department of Health, Prime Grant No. 1 P09 OA 00046-01-00 and 2 P09 OA 00046-02-00. Sub-Contract Research Corporation of the University of Hawaii, Project No. 659075 and 652584. Research conducted by the University of Hawaii, Social Science Research Institute under Award No. RCUH 6451 and RCUH Z664509 in collaboration with the Hawaii State Department of Health, Hawaii Institute for Public Affairs: Hawaii Uninsured Project and the Hawaii Health Information Corporation.

Uninsured Population: Hawai`i

Gerard Russo, Ph.D. Sang-Hyop Lee, Ph.D.

Lawrence Nitz, Ph.D.Thamana Lekprichakul, Ph.D.

Abdul Jabbar, Ph.D. CandidateRui Wang, Ph.D. Candidate

University of Hawai`i at Mānoa

HRSA SPG Program Hawai`i Coverage For All ProjectTechnical Workshop VI

17 September 2004

17 September 2004 Preliminary results. Subject to revision.

Topics

Uninsured Population Overview County Estimates Gender Race & Ethnicity

17 September 2004 Preliminary results. Subject to revision.

Percent Without Health Insurance, Hawai`i:Current Population Survey (CPS) 1988-2004Hawai`i Health Survey (HHS) 1997-2002Behavioral Risk Factor Surveillance System (BRFSS) 1994-2002

7.5

10

6

11.1

7.5

9.6

4

6.5 6.34.8

10.11010.110.310

8.6

8.99.1

77.37.35.55.4

8.6

5.95.75.97.37

9.1

6.48.1

0

2

4

6

8

10

12

19871988198919901991199219931994199519961997199819992000200120022003

YEAR

PE

RC

EN

T U

NIN

SUR

ED

CPS HHS BRFSSNote: U.S. Census Bureau CPS definition of uninsured is no health insurance in the entire 12-month period of the preceding year. CPS Verification question added March 2001. Hawaii State Department of Health definition of uninsured is no health insurance at the time of the interview. BRFSS surveys adults only.Sources: Current Population Survey, Annual Social and Economic Supplements (March Supplements), 1988-2003 Public Use Files and 2004 CPS tables. Hawaii State Department of Health, Hawaii Health Survey, 1997-2002 Confidential Version and Behavioral Risk Factor Surveillance System, 1994-2002 Confidential Version. Weighted tabulations. University of Hawaii, Social Science Research Institute. March 2004. CPS estimates based on March Supplement population weights. March 2004 CPS estimates released August 2004.

17 September 2004 Preliminary results. Subject to revision.

Hawaii Uninsured Population: Multi-Year Survey Averages with 95% Confidence IntervalsCPS 1994-2003 (10-year Average) Persons Age 0-99HHS 1997-2002 (6-year Average) Persons Age 0-99BRFSS 1994-2002 (9-year Average) Persons Age 18-99

67,07562,337

112,565

0

20000

40000

60000

80000

100000

120000

140000

CPS HHS BRFSS

Pers

on

s P

er

Year

17 September 2004 Preliminary results. Subject to revision.

Percent Without Health Insurance, Hawai’iwith 95% Confidence Intervals: Current Population Survey (CPS) 1988-2004

10.1%9.6%

10.0%10.1%10.3%10.0%

7.5%8.6%8.9%9.1%

11.1%

6.0%

7.0%7.3%7.3%

10.0%

7.5%

19

87

19

88

19

89

19

90

19

91

19

92

19

93

19

94

19

95

19

96

19

97

19

98

19

99

20

00

20

01

20

02

20

03

17 September 2004 Preliminary results. Subject to revision.

Percent Without Health Insurance, Hawai`iwith 95% Confidence Intervals: Current Population Survey (CPS) 1994-2004

10.1%10.0%9.6%10.1%10.3%10.0%

7.5%8.6%8.9%9.1%

11.1%

1993 1994 1995 1996 1997 1998 1999 2000 2001 2002 2003

17 September 2004 Preliminary results. Subject to revision.

Uninsured Persons Hawai`i 1993-2003: Current Population Survey 1994-2004

123 127117

89

125117121

101106101

126

1993 1994 1995 1996 1997 1998 1999 2000 2001 2002 2003

Calendar Year

Per

son

s (t

ho

usa

nd

s)

17 September 2004 Preliminary results. Subject to revision.

Age Distribution of Hawai`i’s Uninsured Population: CPS 1994-2003, 10-year Average 112,565

22.8%

75.0%

2.2%

Age 0-18

Age 19-64

Age 65+

25,669

84,369

2,527

17 September 2004 Preliminary results. Subject to revision.

Percent Uninsured by County with 95% Confidence Interval: CPS 1994-200310-year Average

11.4

8.9

0

2

4

6

8

10

12

14

Honolulu Non-Honolulu

Perc

en

t

17 September 2004 Preliminary results. Subject to revision.

Percent Uninsured by County with 95% Confidence Intervals: HHS 1997-20026-Year Average

7.97.4

8.1

4.5

0123456789

10

Honolulu Hawaii Kauai Maui

Perc

en

t

17 September 2004 Preliminary results. Subject to revision.

Percent Uninsured by County with 95% Confidence Intervals: BRFSS 1994-2002 (Adults Age 18+) 9-Year Average

9.410.110.3

6.1

0

2

4

6

8

10

12

14

Honolulu Hawaii Kauai Maui

Per

cen

t

17 September 2004 Preliminary results. Subject to revision.

Uninsured Persons by County: State of Hawai`i Multi-Year Survey Averages

CPS

1994-2003

HHS

1997-2002

BRFSS

1994-2002

Honolulu 78,880 37,261 40,494

Hawaii

33,685

11,470 10,625

Kauai 4,120 4,192

Maui 9,486 8,387

TOTAL 112,565 62,337 63,698

17 September 2004 Preliminary results. Subject to revision.

Percent Uninsured by Gender with 95% Confidence Interval: HHS 1997-20026-year Average

4.8%6.0%

0%

1%

2%

3%

4%

5%

6%

7%

Male Female

Perc

en

t

17 September 2004 Preliminary results. Subject to revision.

Percent Uninsured by Gender with 95% Confidence Interval: CPS 1994-200310-year Average

8.3%

10.8%

0%

2%

4%

6%

8%

10%

12%

14%

Male Female

Perc

en

t

17 September 2004 Preliminary results. Subject to revision.

Ethnicity Number Std. Err. 95% Confidence

Interval Rate Std. Err. 95% Confidence

Interval

      Lower Upper     Lower Upper

Caucasian 19,998 788 18,453 21,543 7.01 0.27 6.50 7.57

Hawaiian 14,533 817 12,932 16,133 6.16 0.33 5.54 6.84

Chinese 2,181 301 1,591 2,770 3.51 0.47 2.69 4.56

Filipino 9,919 700 8,547 11,291 5.30 0.36 4.64 6.06

Japanese 6,457 503 5,472 7,443 2.58 0.20 2.22 2.99

Other Pac. Islanders 1,262 236 800 1,724 5.73 1.03 4.02 8.11

Others 7,987 584 6,844 9,131 7.67 0.54 6.67 8.79

Total 62,337 1,705 58,996 65,678 5.43 0.15 5.15 5.73

Number and Percent Uninsured by Race/Ethnicity:HHS 1997-2002 (6-year average)

17 September 2004 Preliminary results. Subject to revision.

Mahalo!

This research is funded in part by U.S. Department of Health and Human Services

Health Resources & Services Administration State Planning Grant

Hawaii State Department of Health.