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

Brendan K. Seto

doi:10.5888/pcd19.220114

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

ORIGINAL RESEARCH — Volume 19 — November 17, 2022

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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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