America's Health Rankings
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HAWAII

Ranking:  Hawaii is 3rd this year; it was 4th in 2006. 

Strengths: Strengths include a low rate of uninsured population at 8.8 percent, a low rate of preventable hospitalizations with 32.2 discharges per 1,000 Medicare enrollees, a low rate of deaths from cardiovascular disease at 224.6 deaths per 100,000 population and a low rate of cancer deaths at 153.7 deaths per 100,000 population. 

Challenges: Challenges include a high prevalence of binge drinking at 17.5 percent of the population, low immunization coverage with 80.1 percent of children ages 19 to 35 months receiving complete immunizations, limited access to adequate prenatal care with 66.1 percent of pregnant women receiving adequate prenatal care and a high incidence of infectious disease at 21.5 cases per 100,000 population. 

Significant Changes:

↓ In the past year, the occupational fatalities rate decreased from 6.6 to 5.4 deaths per 100,000 workers.

↑ In the past year, the violent crime rate increased from 256 to 281 offenses per 100,000 population.

↓ Since 1990, the percentage of children in poverty decreased from 20.7 percent to 10.5 percent of persons under age 18.

↓ Since 1990, the prevalence of smoking decreased from 27.6 percent to 17.5 percent of the population.

Health Disparities: In Hawaii, deaths from cancer are 36 percent less prevalent among blacks than whites.  There are minimal differences among races for premature death. 

State Health Department Web Site:     www.state.hi.us/health/
 


 

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Hawaii                
  2007   2006   2000   1990  
DETERMINANTS - Personal Behaviors Value Rank Value Rank Value Rank Value Rank
Prevalence of Smoking (Percent of population) 17.5 6 17 4 18.5 2 27.6 10
Binge Drinking (Percent of population) 17.5 39 16.5* 39* 14* 19* --- ---
Prevalence of Obesity (Percent of population) 20.6↑ 3 19.7 2 15.7 7 9.1 3
High School Graduation (Percent of incoming ninth graders) 72.6↑ 36 71.3 39 62* 38* 84.5* 6
DETERMINANTS - Community Environment                
Violent Crime (Offenses per 100,000 population) 281↑ 15 256 10 247 7 263 13
Occupational Fatalities (Deaths per 100,000 workers) 5.4↓ 21 6.6 30 5.1 16 9.5* 27
Infectious Disease (Cases per 100,000 population) 21.5 37 21.4 34 37.5 37 32.7 30
Children in Poverty (Percent of persons under age 18) 10.5 4 10 4 13.5 18 20.7 29
DETERMINANTS - Public & Health Policies                
Lack of Health Insurance (Percent without health insurance) 8.8 2 8.6 3 9.9 16 10 16
Per Capita Public Health Spending (Dollars per person) $499 1 $499 1 --- --- --- ---
Immunization Coverage (Percent of children ages 19 to 35 months) 80.1 29 80.1 28 79.2 9 --- ---
DETERMINANTS - Clinical Care                
Adequacy of Prenatal Care (Percent of pregnant women) 66.1 46 66.1 46 75.5* 26* 65.8* 37*
Primary Care Physicians (Number per 100,000 population) 147.7 7 149.2 7 --- --- --- ---
Preventable Hospitalizations (Number per 1,000 Medicare enrollees) 32.2 1 32.6 1 --- --- --- ---
All Determinants 14 2 11 6 10.2 4 7.1 11
                 
HEALTH OUTCOMES                
Poor Mental Health Days (Days in previous 30 days) 2.6 5 2.8 5 2.2 2 --- ---
Poor Physical Health Days (Days in previous 30 days) 2.9 3 2.9 2 2.4 2 --- ---
Infant Mortality (Deaths per 1,000 live births) 6.3 21 6 16 6.7 15 9.1 13
Cardiovascular Deaths (Deaths per 100,000 population) 224.6 1 230.9 1 274.7 1 306.5 1
Cancer Deaths (Deaths per 100,000 population) 153.7 1 159.8