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E-Rankings by State >
Hawaii
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Hawaii (2009)
America’s Health Rankings™
Ranking:
Hawaii is 4th this year; it was 1st in 2008.
Strengths:
Strengths include a low prevalence of smoking at 15.4 percent of
the population, a low prevalence of obesity at 23.1 percent of the population, low
levels of air pollution at 4.8 micrograms of fine particulate per cubic meter, a
low rate of uninsured population at 7.7 percent, strong public health funding at
$220 per person, ready availability of primary care physicians with 149.4 primary
care physicians per 100,000 population, a low rate of preventable hospitalizations
with 29.3 discharges per 1,000 Medicare enrollees and low rates of deaths from cancer
and cardiovascular disease at 157.5 deaths and 230.7 deaths per 100,000 population,
respectively.
Challenges:
Challenges include a high prevalence of binge drinking at 18.1
percent of the population.
Significant Changes:
In the past year, the percentage of children in poverty increased from 11.6 percent
to 14.3 percent of persons under age 18.
In the past five years, the prevalence of smoking decreased from 17.2 percent to
15.4 percent of the population.
In the past ten years, the rate of deaths from cardiovascular disease decreased
from 286.0 to 230.7 deaths per 100,000 population.
Since 1990, the prevalence of obesity increased from 9.1 percent to 23.1 percent
of the population.
Health Disparities:
In Hawaii, obesity is more prevalent among non-Hispanic whites
at 18.3 percent than non-Hispanic Asians at 12.6 percent. The prevalence of diabetes
also varies by race and ethnicity in the state; 4.6 percent of non-Hispanic whites
have diabetes compared to 9.5 percent of non-Hispanic Asians. In addition, mortality
rates vary in Hawaii, with 692.3 deaths per 100,000 population among whites compared
to Asians, who experience 639.3 deaths per 100,000 population.
State Health Department Web Site:
www.hawaii.gov/health
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Download this state summary as a PDF file
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New! Supplemental Measures
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America’s Health Rankings™ have been expanded to include 15 more state-specific measures of health, from Daily Vegetable and Fruit intake to Incidence of High Blood Pressure and Diabetes. GO
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View Supplemental Measures
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| Hawaii - Core Measures | | | 2009 | 1990 | No. 1 | | Behaviors | Value | Rank | Value | Rank | State | | High School Graduation (Percent of incoming ninth graders) | 75.5 | 29 | - | - | 87.5 | | Prevalence of Obesity (Percent of population) | 23.1 | 5 | 9.1 | 3 | 19.1 | | Prevalence of Smoking (Percent of population) | 15.4 | 5 | 27.6 | 10 | 9.3 | | Prevalence of Binge Drinking (Percent of population) | 18.1 | 43 | - | - | 9.0 | | Community & Environment | | | | | | | Occupational Fatalities (Deaths per 100,000 workers) | 5.2 | 22 | 9.5 | 27 | 3.1 | | Infectious Disease (Cases per 100,000 population) | 17.6 | 36 | 32.6 | 30 | 2.4 | | Air Pollution (Micrograms of fine particles per cubic meter) | 4.8 | 1 | - | - | 4.8 | | Children in Poverty (Percent of persons under age 18) | 14.3 | 13 | 20.7 | 29 | 8.6 | | Violent Crime (Offenses per 100,000 population) | 272 | 14 | 263 | 13 | 117 | | Public & Health Policies | | | | | | | Lack of Health Insurance (Percent of population) | 7.7 | 2 | - | - | 5.4 | | Immunization Coverage (Percent of children ages 19 to 35 months) | 78.3 | 19 | - | - | 85.0 | | Public Health Funding (Dollars per person) | $220 | 1 | $- | - | $220 | | Clinical Care | | | | | | | Prenatal Care (Percent of pregnant women) | 62.9 | 42 | - | - | 86.1 | | Preventable Hospitalizations (Number per 1,000 Medicare enrollees) | 29.3 | 1 | - | - | 29.3 | | Primary Care Physicians (Number per 100,000 population) | 149.4 | 7 | - | - | 190.0 | | Health Outcomes | | | | | | | Premature Death (Years lost per 100,000 population) | 6277 | 9 | 6818 | 2 | 5595 | | Poor Physical Health Days (Days in the previous 30 days) | 3.2 | 8 | - | - | 2.7 | | Infant Mortality (Deaths per 1,000 live births) | 6.0 | 13 | 9.1 | 13 | 4.8 | | Poor Mental Health Days (Days in the previous 30 days) | 3.1 | 12 | - | - | 2.2 | | Geographic Disparity (Relative standard deviation) | 8.3 | 10 | - | - | 4.3 | | Cancer Deaths (Deaths per 100,000 population) | 157.5 | 2 | 160.3 | 2 | 144.7 | | Cardiovascular Deaths (Deaths per 100,000 population) | 230.7 | 2 | 295.6 | 1 | 212.6 | | | | Summation | | | | | | | All Determinants | 0.592 | 5 | 0.391 | 10 | 0.827 | | All Outcomes | 0.300 | 2 | 0.697 | 2 | 0.348 | | Overall | 0.892 | 4 | 1.088 | 4 | 1.064 |
| Hawaii - Supplemental Measures | | | 2009 | 1990 | No. 1 | | Behaviors | Value | Rank | Value | Rank | State | | Cholesterol Check (Percent of adult population) | 73.0 | 34 | - | - | 84.6 | | Recent Dental Visit (Percent of adult population) | 75.3 | 9 | - | - | 80.2 | | Daily Vegetables and Fruit (Percent of population) | 28.7 | 3 | - | - | 30.0 | | Physical Activity (Percent of adult population) | 80.4 | 6 | - | - | 81.9 | | Chronic Disease | | | | | | | Stroke (Percent of adult population) | 2.6 | 26 | - | - | 1.8 | | High Cholesterol (Percent of adult population) | 36.3 | 13 | - | - | 32.4 | | High Blood Pressure (Percent of adult population) | 24.2 | 4 | - | - | 19.7 | | Heart Attack (Percent of adult population) | 3.3 | 6 | - | - | 2.9 | | Cardiac Heart Disease (Percent of adult population) | 3.0 | 2 | - | - | 2.7 | | Diabetes (Percent of adult population) | 8.2 | 24 | - | - | 5.9 | | Economic | | | | | | | Per Capita Personal Income (Dollars per person) | $40490 | 17 | $20521 | 9 | $56248 | | Underemployment Rate (Percent) | 8.8 | 14 | - | - | 5.7 | | Annual Unemployment Rate (Percent) | 3.9 | 8 | 2.4 | 1 | 3.0 | | Median Household Income (Dollars per household) | $61521 | 8 | $58738 | 7 | $66176 | | August 2009 Unemployment Rate (Percent) | 7.2 | 14 | 2.3 | 1 | 4.3 | | Health Outcomes | | | | | | | Health Status (Percent report fair or poor health) | 14.8 | 26 | - | - | 10.7 |
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