Data on Health and Well-being of American Indians, Alaska Natives, and Other Native Americans. Hawaii Health Survey (HHS)

12/01/2006

Sponsor: State of Hawaii Department of Health (DOH)/Office of Health Status Monitoring (OHSM)
Description: The Hawaii Health Survey (HHS) is a continuous statewide household survey of health and socio-demographic conditions. The HHS was modeled after the National Health Information Survey (NHIS). The HHS was initiated in 1968, and in 1996 it became a telephone survey. The survey is conducted for the purpose of providing Hawaii Department of Health (DOH) programs, other agencies, and the public with statistics for planning and evaluation of health services, programs, and problems. Sample data are adjusted and weighted to generate estimates of the population in Hawaii. The survey provides demographic information for observing population changes during the intercensal decade. The survey provides information on health and demographic characteristics of the people of Hawaii (e.g., income, race, education, marital status, employment, household size, insurance status, health status, morbidity, food security, and physical and mental health). However, many of the items unrelated to health are added by private agencies. For this reason, the Hawaii DOH can only run customized data analysis on the core survey items related to health issues.
Relevant Policy Issues: Measurement of Health Status.
Data Type(s): Survey
Unit of Analysis: The unit of analysis is the household or family unit, with each households individuals identified as separate data elements. A household is defined as all persons who occupy a housing unit (e.g., house, apartment), whether or not they are related to each other.
Identification of AI/AN/NA: Race is self-reported by the respondent. Race and ethnicity are gathered according to two independent procedures in the HHS file. First, a set of variables is used to collect respondent-reported ethnicity of the parents of each household member. The respondent can list up to four ethnic categories for each members mother and father, resulting in up to eight indicators of ethnicity for household members. Response categories include:
  • White/Caucasian
  • Hawaiian
  • Chinese
  • Filipino
  • Japanese
  • Korean
  • Vietnamese
  • Asian Indian
  • Other Asian
  • Samoan/Tongan
  • Black/African American
  • Native American/Aleut/Eskimo/Inuit
  • Puerto Rican
  • Mexican
  • Portuguese
  • Guamanian/Chamorro
  • Other Pacific Islander

Additionally, the interviewer can mark an other category and record an ethnic background not included in the above list. Interviewers can also record responses of dont know (respondent may not know all ethnic background classifications of all household members) or refused. Data are stored in the file as eight or more (8 responses and also other) ethnic indicators for every household member, and can support classification of ethnicity or race according to any classification scheme including single and multiple class schemes.

OHSM then codes the eight possible choices for each individual to one ethnic indicator based on parents race/ethnicity according to a system consistent with U.S. Census rules for coding race/ethnicity. Specifically, if Hawaiian is listed for either the mother or father, ethnicity for that person is coded as Hawaiian.

The Hawaii Department of Health publishes figures for the following race groups: Caucasian, Hawaiian, Chinese, Filipino, Japanese, and Other.

AI/AN/NA Population in Data Set: In 2004, 6,769 households (6,769 respondents who were aged 18 years of age or older answered questions about their household and its members) were surveyed. The total number of household members described was 19,699. A breakdown of unweighted respondent groups by race is not available.
AI/AN/NA Subpopulations: Native Hawaiian (NH) alone is identified.
Geographic Scope: The geographic scope of the study is the state of Hawaii. Geographic indicators include county, island, zip code as reported by the respondent, and telephone prefix. Geographic analysis by any of these variables would not be appropriate given the small sample size.
Date or Frequency: The HHS began in 1968 and is conducted on an annual basis.
Data Collection Methodology: The HHS is administered by telephone using computer assisted telephone interviewing (CATI). Data are collected on all members of sampled households.
Participation: Optional, without incentives
Response Rate: The response rate for this study is not available.
Sampling Methodology: The target population for the HHS is all Hawaiian residents in the state of Hawaii in non-institutionalized housing units with working telephone service at the time of the survey. Results exclude residents of the island of Niihau, households without phones, the homeless, and persons in group quarters. The HHS uses a disproportionate stratified random-digit dialing (RDD) sample that randomizes selection within strata. The sample is disproportionately selected by island (slightly larger proportions of interviews are conducted on islands with smaller populations). The sample population is statistically adjusted to represent the population of Hawaii. The respondent is an adult 18 years of age or older who is knowledgeable about their household, rather than a randomized adult.
Strengths: Data sets contain information on individuals identified or coded as Native Hawaiian.
Limitations: Technical documentation is very limited. Researchers cannot obtain the data file, and can only request analysis on the core survey items related to health policy issues.
Access Requirements and Use Restrictions: OHSM will run customized data analysis for researchers upon request (there may be a charge depending on the nature of the request). Additionally, some data items are added on to the HHS by different agencies. These data are not available through OHSM. Researchers would need to contact the different agencies regarding the availability of these additional items.
Contact Information: Office of Health Status Monitoring
Hawaii Department of Health
1250 Punchbowl Street, Room 104
Honolulu, Hawaii 96813
Phone (808) 586-4600
Fax (808) 586-4606

 

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