This essay examines the importance of disaggregating Native Hawaiian and Pacific Islander data, issues currently faced by NHPI communities, and where NHPI communities could be in 2040. Projected demographic trends may exacerbate challenges faced by NHPIs in areas such as health, education, income, incarceration, housing, and immigration. The impact of climate change, technological innovations, and the United States’ shift towards a majority-minority status on NHPI communities are also analyzed. Three recommendations for improving the position of NHPIs in 2040 are provided: (1) Address the needs of an increasingly diverse NHPI community; (2) develop community capacity for civic engagement; and (3) invest in leadership development and NHPI youth.

Data on the health and social determinants for Native Hawaiians and Pacific Islanders (NHPIs) in the United States are hidden, because data are often not collected or are reported in aggregate with other racial/ethnic groups despite decades of calls to disaggregate NHPI data. As a form of structural racism, data omissions contribute to systemic problems such as inability to advocate, lack of resources, and limitations on political power. The authors conducted a data audit to determine how US federal agencies are collecting and reporting disaggregated NHPI data. Using the COVID-19 pandemic as a case study, they reviewed how states are reporting NHPI cases and deaths. They then used California's neighborhood equity metric-the California Healthy Places Index (HPI)-to calculate the extent of NHPI underrepresentation in communities targeted for COVID-19 resources in that state. Their analysis shows that while collection and reporting of NHPI data nationally has improved, federal data gaps remain. States are vastly underreporting: more than half of states are not reporting NHPI COVID-19 case and death data. The HPI, used to inform political decisions about allocation of resources to combat COVID-19 in at-risk neighborhoods, underrepresents NHPIs. The authors make recommendations for improving NHPI data equity to achieve health equity and social justice.

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.