We are excited to announce that the long-awaited Death Records – counts module is now fully operation in Hawaii-IBIS!
Death record data is composed of variables extracted from death certificates based on deaths that occur in the State of Hawaii as captured by the Hawaii State Department of Health, Office of Health Status Monitoring (OHSM). The Death Records module contains data from 2000-2018 and allows users to create custom data queries where they can select cause of death, place of occurrence or residence of the decedent and years of interest. Queries can filtered by age group, sex, race/ethnicity, marital status, education and military service. As always, users can display or group their data by up to two dimensions. The current system provides count data only, but enhancements to provide population-based rates are in development.
Please come and explore the new module. We will also be offering a 30-minute, Coffee Break training on the Death Records -counts module on October 6th at 11 am. Click here to register.
Here are some key findings from the 2018 Death Record:
- There were 11,531 deaths in the state in 2018, a slight increase from 11,500 in 2017
- The top 5 leading causes of death in the state were: major cardiovascular diseases (3,662), malignant neoplasms (2,405), accidents/unintentional injuries (688), influenza/pneumonia (541), and chronic lower respiratory diseases (391).
- Individuals aged 85+ made up the largest majority (36.9% / 4,251) of all deaths, while individuals aged between 1-14 made up the smallest portion (0.26% / 31) of all deaths.
- Almost two-thirds of the deaths from major cardiovascular disease occurred among those 75 years and older: 1,527 (42%) among those 85 years or older and 768 (21%) occurred among those aged 75-84 years
- There were 316 deaths to non-residents (64 deaths among foreigners and 252 deaths among residents of another state).
- There were 211 deaths due to drug overdose (intentional, unintentional and undetermined) with 155 deaths among men and 56 deaths among men.
- Deaths due to drug overdose have increased steadily from 162 per year in 2014 to 211 per year in 2018.
Vital statistics including birth record data can be important barometers of health. Significant trends in vital statistics influence policy development, program/research funding and etc. The Hawaii-IBIS birth record data is composed of variables extracted from birth certificates from live births as captured by the Hawaii State Department of Health, Office of Health Status Monitoring (OHSM). The birth record contains important information about the birth, the baby and the parents. Here are some highlights from the 2018 Birth Record data:
- 17,026 babies were born in Hawaii to mothers who were Hawaii residents. Of those, 12,564 were born in Oahu, 2,095 in Hawaii, 1,621 in Maui, 724 in Kauai, and 22 in Molokai.
- 8.2% babies were low birth weight (weighing less than 2500 grams) and 6.7% were high birth weight (4000 grams or more).
- 66% of mothers who had live births began prenatal care in the first trimester.
- 4% of mothers who had live births did not receive any prenatal care.
- About 90% of mothers who received prenatal care delivered their babies at term compared to only 64% of mothers who did not receive any prenatal care.
- Teen births (births to mothers 15-19 years) decreased for the tenth consecutive year comprising less than 4% of all births
- Mothers aged between 30-34 years were more likely to have twins than any other 5 year age group.
The Pregnancy Risk Assessment Monitoring System (PRAMS) is a mixed mode survey of women who have recently given birth in Hawaii. The Hawaii Department of Health conducts the survey each year in conjunction with the Centers for Disease Control and Prevention (CDC). PRAMS provides state-specific, population-based data on maternal attitudes and experiences before, during and shortly after pregnancy. The 2016 PRAMS data are now available in Hawaii-IBIS. Use the Hawaii-IBIS PRAMS data tool to explore over 90 indicators of state and county level data collected to improve the health of mothers and infants and reduce adverse outcomes. Plus, we’ve added a brand new section on participant demographics.
Here are some highlights from the 2016 PRAMS data for Hawaii:
· Over 56% of women reported that their pregnancy was intended meaning they had been trying to get pregnant when they conceived. About 18% said their pregnancy was mis-timed meaning they wanted to be pregnant sometime but were not trying to get pregnant when they conceived; 20% were unsure how they felt and 5% were said their pregnancy was unintended. Unintended pregnancy was down from 8.5% in 2012. Unintended pregnancy is associated with increased morbidity for women and health behaviors that are associated with adverse health outcomes for infants.
· About 27% of women were insured through Medicaid or QUEST before they became pregnant, 75% of new mothers reported having dental insurance during their pregnancy. Adequate health insurance before during and after pregnancy supports healthy mothers and babies.
· Diabetes is a chronic condition that can affect the health of mothers and babies. Over 5% of new mothers reported having diabetes before pregnancy and 14% developed gestational diabetes during their pregnancy. Mothers 35 years and older were more likely than younger mothers to have diabetes before pregnancy (6%) and to develop gestational diabetes (24%). Diabetes before and during pregnancy is associated with adverse outcomes for both mothers and babies. Women who develop gestational diabetes are at increased risk of developing Type II diabetes later in life.
· 12% of women reported symptoms of post-partum depression. Closer examination reveals that women in Kauai County (18%) and Hawaii County (16%) were more likely to report symptoms of post-partum depression than women in Maui County (13%) or Honolulu County (11%) (data from 2014-2016).
· 90% of women reported having a post-partum health checkup since delivery, but 3-year averages reveal that women in Hawaii County (85%) were significantly less likely receive a post-partum health checkup than their peers. Postpartum care visits are an important opportunity to assess a woman’s health, follow up on pregnancy-related conditions, address family planning, answer questions and obtain referrals to support optimum health for mothers and babies.
News & Current Updates
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The County Health Rankings & Roadmaps (CHR&R) program is a collaboration between the Robert Wood Johnson Foundation and the University of Wisconsin Population Health Institute. The program provides data, evidence, guidance, and examples to help identify factors that impact health, and supports community leaders working to increase health equity. Ranking the health of nearly every county in the nation, CHR&R illustrates […]Read more >