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Last Reviewed: Sept. 10, 2008
Last Modified: Jan. 21, 2009
Content Source:
Office of Minority Health & Health Disparities (OMHD)


Native Hawaiian & Other Pacific Islander (NHOPI) Populations

Painting of Island dancers by Monessa Kim age 13 Chuuk State
 

Demographics 10 Leading Causes of Death High Prevalence Health Issues Health Disparities
Health Statistics Brochures Slides Government Resources
Non-Government Resources Funding Sources Notes

 

Demographics
Native Hawaiian and Other Pacific Islanders (NHOPIs) are people having origins in any of the original peoples of Hawaii, Guam, Samoa, or other Pacific Islands,1 even if they do not live in the Pacific Islands.
According to the 2000 Census, those who identify only as NHOPI comprise 0.1 percent of the American population, or almost 400,000 individuals.  Until 2000, NHOPIs were grouped with Asian Americans in studies of race and ethnicity.  For this reason, there are no population growth projections for NHOPIs at this time. 
NHOPIs live throughout the United States, but their populations are most concentrated in the western mainland states and Hawaii.2
Though historically grouped with Asian Americans for data collection, NHOPI was assigned as a distinct category for the 2000 Census.
Statistics
The Native Hawaiian and Other Pacific Islander Population, 2000 (pdf) US Census Bureau Brief
Asian & Pacific Islander Populations, US Census Bureau

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10 Leading Causes of Death
Asian American & Pacific Islander Population, U.S., 2005
  1. Cancer 6. Influenza and pneumonia
  2. Heart disease 7. Chronic lower respiratory disease
  3. Stroke 8. Nephritis, Nephrotic syndrome, and Nephrosis
  4. Unintentional injuries 9. Suicide
  5. Diabetes 10. Alzheimer's Disease
Statistics
Leading Causes of Death by Race/Ethnicity (pdf)
Health, U.S., 2008, Table 30

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Other High Prevalence Health Issues
In addition, Native Hawaiians and Other Pacific Islanders have disproportionately high prevalence of the following conditions and risk factors:
Hepatitis B
     topic page
     fact sheet
     publications
HIV/AIDS
     factsheet

     reports
Tuberculosis (TB)
    
slide
     factsheet

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Health Disparities
NHOPIs generally experience poorer health than the American population as a whole: they are more at risk for developing and dying from cancer, heart disease, diabetes, and other diseases.  Factors contributing to poor health outcomes among NHOPIs include cultural barriers, limited access to health care, and poor nutrition and lifestyle.3
For more information on some of the health disparities faced by the NHOPI community, see Highlight on Asian American & Pacific Islanders and click below for brochures, slides and statistics on that topic.
Statistics
Mortality Rates by Race/Ethnicity (pdf) Health, U.S., 2006, Table 29
Mid Course Review, Healthy People 2010
Data 2010, Healthy People 2010

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Brochures & Handouts
Main Menu
  Native Hawaiian and Other Pacific Islander Brochure (pdf)
  Native Hawaiian and Other Pacific Islander Handout (pdf)
 
Slides
  Slides showing Disparity (ppt)
PowerPoint Presentation on the Office of Minority Health and Health Disparities (OMHD) containing data slides (beginning with slide 21) comparing U.S. incidence or mortality rates by race/ethnicity.
To view these slides in PDF format, see Slides (PDF)

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Health Statistics
CDC's National Center for Health Statistics (NCHS)
  Health of Asian or Pacific Isalnder Population, Fast Stats
  Health Data for All Ages
  Health, United States, 2006
  Asian or Pacific Islander Population
  Mortality Rates by Race/Ethnicity (pdf) Table 29
  Leading Causes of Death by Race/Ethnicity (pdf) Table 31
  Healthy People 2010
  Data 2010
  Mid Course Review
HHS Office of Minority Health Resource Center
  Asian American / Pacific Islander Profile
U.S. Census Bureau
  The Native Hawaiian and Other Pacific Islander Population Brief, 2000 (pdf)
   Asian and Pacific Islander Populations
  Asian Pacific American Heritage Month May 2008

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Government Resources
  CDC
  Native Hawaiian and Other Pacific Islander News Page
MMWR and other articles related to the topics of Native Hawaiians and Other Pacific Islanders and Health Disparities.
  National Center for HIV, STD, and TB Prevention (NCHSTP)
    Division of HIV/AIDS Prevention
      HIV/AIDS Among Asians and Pacific Islanders Fact Sheet
    Office of Health Disparities, NCHSTP
  National Center for Chronic Disease Prevention and Health Promotion (NCCDPHP)
  National Center for Injury Prevention and Control (NCIPC)
  National Immunization Program (NIP)
  National Institutes of Health (NIH)
  Asian American Health Medline Plus
  Native Hawaiian Health & Pacific Islander Health Healthfinder
  Cancer Health Disparities National Cancer Institute (NCI)
  National Institute of Diabetes and Digestive and Kidney Diseases (NIDDK)
  National Institute of Mental Health (NIMH)
  National Institute of Neurological Disorders and Stroke (NINDS)
  Osteoporosis and Related Bone Diseases National Resource Center
  SAMHSA (Mental Health)
  Asian Americans/Pacific Islanders Mental Health Fact Sheet
SAMHSA Surgeon General's Report
  Asian Americans/Pacific Islanders Culturally Specific Mental Health Resources
  Other
  Asian Americans and Pacific Islanders White House Initiative
  Asian Americans and Pacific Islanders Addressing Health Disparities: Opportunities for Building a Healthier America
President's Advisory Commission Report, 2007
  Asian Americans and Pacific Islanders Social Security Online
  New Guidelines on Language Service for People with Limited English Proficiency (LEP) U.S. Department of Health and Human Services (HHS)

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Non-Government Resources
  American Cancer Society (ACS)
  American Heart Association (AHA)
  American Lung Association (ALA)
  Asian Americans, Pacific Islanders, & Diabetes American Diabetes Association (ADA)
  Asian and Pacific Islander American Health Forum (APIAHF)
  Association of Asian Pacific Community Health Organizations (AAPCHO)
  National SIDS Resource Center (NSRC)
  NAWHO Health Equity for Asian Americans
  Pacific American Research Center
  South Asian Public Health Forum (SAPHF)

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Funding
  CDC Funding Opportunities

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Sources
  1 Census Bureau, Census 2000 Brief: Overview of Race and Hispanic Origin, 2000.
  2 The Native Hawaiian and Other Pacific Islander Population, 2000 (pdf) US Census Bureau Brief
  3 The Health Care Challenge: Acknowledging Disparity, Confronting Discrimination, and Ensuring Equality. United States Commission on Civil Rights, Sept. 1999.

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Notes
  Census 2000 adheres to the federal standards for collecting and presenting data on race and Hispanic origin as established by the Office of Management and Budget (OMB) in October 1997 and subsequent guidelines.  One of the most important changes for Census 2000 was the revision of the questions on race and Hispanic origin to better reflect the country’s growing diversity. The federal government considers race and Hispanic origin to be two separate and distinct concepts. In addition, Asian Americans and Native Hawaiians and Other Pacific Islanders are counted as two separate and distinct racial groups. Because of these changes, the Census 2000 data on race are not directly comparable with data from the 1990 census or earlier censuses. Caution must be used when interpreting changes in the racial composition of the U.S. population over time.
  Census Bureau Glossary of Terms: Race, 2000.
  Office of Management and Budget (OMB) Provisional Guidance on the Implementation of the 1997 Standards for Federal Data on Race and Ethnicity, 2000.
  OMB Recommendations form the Interagency Committee for the Review of the Racial and Ethnic Standards to the OMB Concerning Changes to the Stnadards for the Classification of Federal Data on Race and Ethnicity, 1997.

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