Dataset from Puipuia le Ola: Increasing Reach and Uptake of COVID-19 Testing Among Pacific Islanders in Hawaii and Guam

Background: The purpose of this study was to address the severe COVID-19 disparities experienced by Non-Native Hawaiian Pacific Islanders (PI), who have origins in Guam, the Northern Mariana Islands, American Samoa, the Federated States of Micronesia, the Republic of the Marshall Islands, and the Republic of Palau. PI communities faced some of the highest COVID-19 morbidity and mortality rates in the United States and were disproportionately affected by chronic medical conditions, limited access to healthcare, lack of insurance, crowded multi-generational housing, and high-risk service jobs. In Hawaii, PI represented only four percent of the state population yet accounted for more than 20 percent of COVID-19 cases and deaths.

Materials/Methods: The study relied on a community-engaged approach led by a multidisciplinary team of physicians, community health workers, community-engaged researchers, and scientific experts. The team partnered with trusted PI organizations and leaders to design and implement culturally resonant outreach, education, and testing activities. Testing access was expanded through coordinated community events and collaborations with local health departments, while research activities gathered detailed information on testing behaviors, infection patterns, and barriers to care. Institutional, community, and governmental support helped sustain engagement and ensured that testing strategies aligned with community needs and cultural values.

Outcome/Impact: The study strengthened community trust and improved access to COVID-19 testing among PI in Hawaii and Guam. Findings created a clearer understanding of SARS-CoV-2 infection patterns in PI communities and highlighted structural and cultural factors that influenced testing uptake.