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Differences in COVID-19 Hospitalizations by Self-Reported Race and Ethnicity in a Hospital in Honolulu, Hawaii

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Figure 1.

Overall accuracy of race and ethnicity in the electronic medical records of patients in a hospital in Honolulu, Hawaii. Overall accuracy was defined as the total number of hospital electronic medical record entries that matched the self-identified description divided by the total number of surveys.

Overall accuracy of race and ethnicity in the electronic medical records of patients in a hospital in Honolulu, Hawaii. Overall accuracy was defined as the total number of hospital electronic medical record entries that matched the self-identified description divided by the total number of surveys.
Self-identification All patients, % P value Multiracial patients, % P value
Asian 92.2 <.001 78.4 .32
Non-Hispanic White 90.5 80.8
Native Hawaiian 79.2 78.5
Pacific Islander 90.8 82.6

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Figure 2.

Results for a simulation of COVID-19–related hospitalizations that compared the distribution of adjusted self-identified race and ethnicity (simulated distribution) with the distribution of state-reported race and ethnicity (solid vertical lines). “Other” refers to any patient whose self-reported race did not match predefined categories (eg, “metropolitan,” “mixed,” blank response).

Results for a simulation of COVID-19–related hospitalizations that compared the distribution of adjusted self-identified race and ethnicity (simulated distribution) with the distribution of state-reported race and ethnicity (solid vertical lines). “Other” refers to any patient whose self-reported race did not match predefined categories (eg, “metropolitan,” “mixed,” blank response).
Race and ethnicity State-reported no. of hospitalizations Adjusted no. of hospitalizations Percentage change P value
Asian 1,528 1,509 Minus 1.3% .15
Non-Hispanic White 598 594 Minus 0.6% .74
Native Hawaiian 923 1,003 Plus 8.7% <.001
Pacific Islander 728 756 Plus 3.4% .002
Non-Hispanic Black 51 43 Minus 15.8% .002
Other 213 135 Minus 36.4% <.001

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