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.
The Behavioral Risk Factor Surveillance System (BRFSS) data for 2018 are now available on our Indicator-Based Information System (IBIS). The BRFSS is an annual landline and cell phone telephone survey of Hawai’i adults that is conducted throughout the year. The results are weighted to represent the Hawai’i adult resident population and population estimates are available at sub-county levels (24 communities and 40 school complexes).
We have expanded the number of indicators available under Oral Health, Immunization and Preventive Health, Cancer, Diabetes, and Tobacco Cessation and Second Hand Smoke. We have also expanded Demographics to include federal poverty level. Here are some highlights from 2018. Use the hyperlinks to create your own queries for each indicator!
Use Hawaii-IBIS to explore more of the results. You can filter by year, geography, age, sex, and 11 other demographic characteristics and display and group results by two different dimensions.
Here are some highlights:
- 28.1% of adults have a family history of cancer (a parent, grandparent, sibling or child who has been diagnosed with breast, ovarian or colorectal cancer) but only 10.7% of those at risk for hereditary cancer have been advised by a health care professional to see a genetic counselor to assess their personal risk of cancer (2017-2018).
- Fewer adults were immunized for the flu in 2018 than in previous years—only 27.7% of adults 18-64 and 52.7% of those aged 65 and older were immunized.
- 39.1% of adults have had at least one permanent tooth removed and it varied by federal poverty level (FPL) from 53.5% among those at 0-130% of FPL to 31.8% among those at 186% FPL or higher.
- 60.1% of Hawai’i adults are overweight or obese (body mass index of 25 or greater). Men were significantly more likely than women to be overweight or obese (67.7% compared to 52.2%).
- 10.0% of adults (124,200 people) have been diagnosed with diabetes (2018), and about half of all adults have at least one family member with diabetes; nevertheless, only 42.3% of those who do not have diabetes think that they are at risk for diabetes (2017-2018).
We are excited to announce the launch of the new Health Topics module in our Indicator-Based Information System (IBIS). If you know your subject matter but aren’t sure about the available data, you can now explore our data by health topic area. We currently have 10 different topics to choose from:
- Cardiovascular disease
- Immunizations and Screenings
- Injury and Violence
- Mental Health
- Obesity and Related Factors
Once you have selected your topic of interest, IBIS will direct you to a page that contains information on that topic, along with links to the associated Queryable Datasets and Indicator Reports. You can select an Indicator Report and customize it to create your own tables, charts and maps where available. These data query results pages will also have dataset details, including data sources and tips on how data can or cannot be used.
To learn more about the importance, risk factors and external resources for a particular topic area, visit our Health Topics module.
News & Current Updates
The Hawaii Governor’s Coordinator on Homelessness just released the results of the Hawaii Point in Time (PIT) Counts for 2020. PIT is an annual street and shelter count that determines the number of people experiencing homelessness in Hawaii on a single night in January each year. It is an important source of data on homelessness that is […]Read more >
The 2019 edition of the Native Hawaiian Data Book has arrived! This fully digital publication is a must-have, in-depth reference for statistical data concerning Hawaii and Native Hawaiian people. The Data Book is divided into 10 topics: Population, Housing, Labor and Employment, Income, Land, Water and Air, Education, Health and Vital Statistics, Human Services, Crime, and Legacy […]Read more >
The Hawaii State Department of Health’s weekly COVID-19 Community Bulletin updates are now available to read on our Hawaii Health Matters (HHM) website. Information on the state of COVID-19 in Hawaii, what local organizations are doing, and what you can do to help can be found in the Community Bulletin. The latest issue will be posted every Thursday on the […]Read more >
The 2019 National Youth Tobacco Survey (NYTS) report is this month’s featured content on Hawaii Health Matters. Tobacco use is the leading cause of preventable disease, disability and death in the United States and most people start using tobacco in their teens. The 2019 report shows: 1 in 4 high school and 1 in 8 […]Read more >