This policy brief examines the status of federal data since the implementation of the 1997 Revised OMB 15 standards for the collection of race and ethnic data, identifies ongoing data limitations, and present recommendations to improve policy and interventions for Native Hawaiians and other Pacific Islanders (NHPI). While most federal agencies are taking appropriate steps to comply with the revised OMB standards, many are having less success reporting disaggregated information on NHPIs. This suggests that increased efforts to obtain robust samples of NHPIs warrants immediate attention in order for federal agencies to fully comply with the revised OMB standards.

This study seeks to understand how Native Hawaiian (NH) women identified themselves culturally and conceptualized the causes of depression, and whether there was an association between these two constructs. Among the thirty NH women who were interviewed, a quarter had a high degree of depression symptoms, and a majority expressed a strong/shared identification/affinity with their culture. Our findings suggest that social stressors that contribute to the depressive symptoms of NH women could be, in part, linked to acculturation-related factors associated with U.S. occupation of Hawai‘i and their social status as native people. Future research should examine this relationship further.

In the United States, Pacific Islanders are disproportionately impacted by COVID-19 at alarming rates. Prior to the pandemic, the population was experiencing some of the largest health disparities in the United States driven, in part, by a lack of access to economic resources and health care. Historical events provide a context to understanding the current socioeconomic indicators that predispose Pacific Islanders to COVID-19 and provides insight into the circumstances that have led to the effective transmission of COVID-19 in this community. Other Pacific populations demonstrate more optimal control of COVID-19 and may provide models that have the potential to improve the devastatingly dis proportional rates of infection and death in this vulnerable community.

In the current historical moment, Native Hawaiians and Pacific Islanders (NHPIs) in the United States experience high levels of COVID-19 infection and death, risk losing billions in federal funding due to census undercounting, and have less political power due to systemic voter disenfranchisement. We believe these challenges result in large part from structural racism—the inequitable systems that reinforce racial discrimination in society—that unjustly disadvantages NHPIs and other people of color. In this paper, we describe how structural racism is manifesting in health and social inequities for NHPIs in the United States. Lastly, we provide recommendations for achieving justice and equity for NHPI communities.