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DEMOGRAPHICS - Ethnic Distribution in Hawai'i
Ethnic categorization often reflects an imprecise blending of concepts of race, nationality, and cultural heritage. Ethnicity is related to utilization of certain types of health services. To a limited extent, differences in utilization may be traced to differences in the types of health problems experienced. However, many of the differences reflect variations in lifestyle patterns and cultural preferences.

Ethnic Diversity: The population of Hawai'i is ethnically diverse. No single ethnic group comprises a majority. Three ethnic groups comprise over 60 percent of the population, based on 2010 Department of Health estimates: Caucasians, Hawaiians/part-Hawaiians, and Japanese.

Caucasians: Caucasians are the third largest ethnic group in the state. The Caucasian population has declined as a proportion of the total population since 1990. The Department of Health attributes some of this decline to the addition of "Mixed Ethnicity" as a reporting category in 1996.

Hawaiians/part-Hawaiians: Hawaiians/part-Hawaiians are the largest ethnic group in the state.

Mixed: The Department of Health began reporting "Mixed Ethnicity" in its 1996 Health Surveillance Program results. This category excludes part-Hawaiians and includes all others identified as mixed ethnicity, and comprised 22 percent of the population in 2010.

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> Ethnic Distribution, State of Hawai`i, 2010
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Source: Hawai`i State Department of Health, Hawai`i Health Surveillance Program.; Hawai`i State Department of Business, Economic Development, and Tourism, The State of Hawai`i Data Book, A Statistical Abstract.