Hawaiʻi Health Data Warehouse

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2021 KIDS COUNT Report

The 2021 KIDS COUNT Data Book is an annual report produced by the Annie E. Casey Foundation to assess the well-being of children in the United States. The 2021 KIDS COUNT focuses on sixteen indicators measuring four domains: health, family & community, education, and economic well-being. In 2021, Hawaii ranked 6th among states in health and 16th in family and community, but it ranked 32nd in education and 44th in economic well-being. You can find out more by reading the 2021 KIDS COUNT Data Book and Hawaii Profile on HawaiiHealthMatters.org or exploring their Interactive Data Book online.

Here are some highlights.

  • Health Insurance: In 2019, only 3% of Hawaii’s children lacked health insurance compared to 6% nationwide. Children with health insurance are more likely to have a regular source of care they can access for preventive care services and developmental screenings, to treat conditions or to address injuries.
  • Births to Resident Teens Age 15-19: The teen birth rate has dropped in half from 33 per 1000 in 2010 to 16 per 1000 in 2019. Teenage childbearing can have long-term negative health and economic effects for the mother and child.
  • Math Proficiency: 72% of children 8th graders were not proficient in math. Students with strong math and science skills are more likely to graduate high school, attend college and complete a degree.
  • Economic Well-being: In 2019, 12% of children inHawai‘i were living in poverty. Growing up in poverty increases the likelihood that a child may be exposed to factors that impair cognitive development and lead to poor academic and health outcomes.
Kids Count 2021 HHM Homepage Banner

Ka Huakaʻi 2021

The Ka Huakaʻi is a Native Hawaiian education assessment put together by Kamehameha Schools. The 2021 volume is the fifth installment of this assessment since 1983. Ka Huakaʻi is strengths-based and examines Native Hawaiian well-being from multiple dimensions including educational, social, physical, material and economic, as well as spiritual and emotional. This report utilizes the Pua Model, which interconnects the above-mentioned five aspects to assess the wellbeing of adults, families, communities, young children, and school-age children. The strengths and gains, mixed results, and challenges and opportunities of each aspect of the Pua Model are assessed, along with a list of recommendations. You can access the full report in HHM, or by clicking here. Here are some strengths mentioned in this report:

  • Educational Wellbeing: 52% of eligible Native Hawaiian keiki are enrolled in preschool, a rate that is higher than the statewide average.
  • Physical Wellbeing: The percentage of Native Hawaiian middle and high school students who breathed secondhand smoke in a public place (42%) is lower than the Hawai‘i total (47%).
  • Social Wellbeing: A 2018 statewide survey of Hawaiʻi residents found that Native Hawaiians are more likely than their non-Native Hawaiian peers to feel connected to their community and to have positive perceptions of community safety.
  • Material and Economic Wellbeing: All regions, except Honolulu, have Native Hawaiian owner-occupancy rates that exceed 50%. Kauaʻi has the highest owner-occupancy rate (66%) among Native Hawaiians.
  • Spiritual and Emotional Wellbeing: A 2018 statewide survey shows that 66% Native Hawaiians report that ʻāina has important cultural, spiritual, and subsistence purposes.

Updated: 10/4/2021

Healthy People 2030 Progress Tracker

Healthy People 2030 Tracker

The Healthy People 2030 Progress Tracker is now available to use in Hawaii Health Matters (HHM)! Healthy People 2030 is a comprehensive set of key disease prevention and health promotion objectives for the United States. The health objectives and targets allow communities to assess their health status and build an agenda for community health improvement. This tracker can be used to monitor Hawaiʻi’s progress towards national targets. It includes national and state data for over 60 objectives including most of the Leading Health Indicators (LHI).

When you click on an indicator in the tracker, you can check to see if the indicator is a LHI by hovering over the HP2030 Icon. For instance, “Adults with New Cases of Diabetes” is a LHI as shown in the light blue text box.

You can access the tracker any time under the “Track Progress” tab from the HHM homepage, and by clicking on the first option titled “HP 2030 Tracker”. Visit our YouTube channel if you would like to watch a video tutorial on how to utilize the tracker.

Updated: 09/14/2021

2019 BRFSS Data in Hawaiʻi-IBIS

The Behavioral Risk Factor Surveillance System (BRFSS) data for 2019 are now available in Hawaii-IBIS. The BRFSS collects uniform, state-specific data on preventive health practices and risk behaviors that are linked to chronic diseases, injuries, and preventable infectious diseases in the adult population. It is an annual landline and cell phone telephone survey of Hawai‘i adults that is conducted throughout the year.  We’ve added many new indicators, changed the default report, and added new health behavior and conditions dimensions for analysis. See the Data Release Notes for a complete list.

Here are some highlights from 2019. Use the hyperlinks to create your own queries for each indicator!

  • Adults who were unable to work were almost twice as likely (32.3%) to report poor mental health for at least 14 days in the past month than adults who were unemployed (17.3%), and three times more likely than adults who were employed for wages (9.9%). 
  • The primary care service areas (PCSA) with the highest prevalence of heavy or binge drinking were Molokaʻi (34.9%), Lānaʻi (32.8%), Lāhainā (32.3%), Hanalei (30.7%) and Makawao (27.9%). 
  • Adults with lower education attainment were more likely to skip going to the doctor when they needed to due to the cost. (27.6% for adults who never attended school/up to middle school compared to 5.4% of for college graduates).
  • While 9.1% of adults reported have been diagnosed with diabetes (age-adjusted prevalence), adults who had obesity were three times more likely to have diabetes  than those who did not have obesity (18.6% compared to 6.0%).  
  • Adults who have an independent living disability (difficulty running errands alone due to physical, mental or emotional condition) were more than three times as likely to be in the lowest poverty level (9.8% at 0-130%) than the highest poverty level (3.0% at 186%+). 

Healthy Hawaiʻi Strategic Plan 2030

The Healthy Hawaiʻi Strategic Plan 2030 (HHSP) is a roadmap for preventing and reducing the burden of chronic disease in our state. The HHSP provides a comprehensive roadmap to ensure that all residents of Hawaiʻi can live healthier lives without complications from chronic disease. The HHSP addresses the social determinants of health and achieving health equity through its focus on policy, systems, and environmental change in the four sector areas (Community Design and Access, Education, Health Care, and Worksite). The objectives assume there will be collective effort by partners to change policies, build health sustaining environments, and create meaningful connectedness across systems.

You can find the full HHSP 2030 Report in HHM. Here are some of their objectives for 2030:

  • Establish and sustain a funded, statewide Asthma Control Program Coordinator position to address the
    burden of asthma in the State of Hawaiʻi.
  • Develop at least one multi-island, small media campaign to increase awareness about each of the
    following topics: cancer as a chronic disease; the importance of family history for cancer; clinical
    trials; palliative care and hospice; prostate cancer; and cancer survivorship and issues faced by cancer
    survivors.
  • Enact at least two statewide policies to increase access to healthy food and/or decrease access to unhealthy food/beverages.
  • Increase by 50 miles, the total miles of low-stress pedestrian infrastructure including, but not limited to,
    sidewalks and trails.
  • 100% of eligible school-based clinics will become Vaccines for Children providers.

2019 Birth Record Data in Hawaiʻi-IBIS

You can now create your own report using the new 2019 Birth Record data in Hawaiʻi-IBIS! The Birth Record data is composed of variables extracted from birth certificates from live births as captured by the Hawaiʻi State Department of Health, Office of Health Status Monitoring (OHSM). It contains important information about the birth, the baby and the parents. Here are some highlights from the 2019 Birth Record data:

  • The number of live births in the state of Hawaiʻi has been steadily decreasing since 2008. In 2019, a record low of 16,835 live births were recorded compared to 19,462 in 2008.
  • The primary care service area (PCSA) with the highest number of births was Koʻolau Poko in Honolulu County (1,412). By comparison, the PCSA with the lowest number of births was Hana in Maui County (30).
  • Teen births (ages 15-19 years) continue to decrease from 644 in 2018 to 586 in 2019.
  • Across all counties, most prenatal care began in the first trimester (10,421), followed by second (3,234) and third trimester (1,175) respectively.  Alarmingly, the number of births to mothers who received no prenatal care continues to increase steadily from 125 births in 2015 to 879 births in 2019.
New Birth Record Data

Updated: 06/08/2021

2019 Death Record Data in Hawaiʻi-IBIS

The 2019 Death Record data is now available in Hawaiʻi-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 Hawaiʻi State Department of Health, Office of Health Status Monitoring (OHSM). Death certificates contain important information about the person who died and the date, time, location and cause of death. Cause(s) of death are determined by a physician, advanced practice registered nurse, medical examiner or coroner, and are coded and processed in accordance with International Classification of Diseases, 10th Revision (ICD-10). We have compiled a few highlights from the new 2019 Death Record data in Hawaiʻi-IBIS:

  • In 2019, there were a total of 11,736 deaths. This included 8,154 deaths in Oahu, 1,712 deaths in Hawaiʻi, 1,198 deaths in Maui, 599 deaths in Kauai, 50 deaths in Molokai, and 23 deaths in Lanai.
  • Major cardiovascular diseases (3,627 deaths) were the top leading cause of deaths, followed by malignant neoplasms  (2,484 deaths) and all other diseases (735 deaths).
  • Among all cancer deaths, deaths caused by lung, trachea, and bronchus malignant neoplasms were the most common.
  • There were 84 deaths by drowning and submersion while in natural water.  31 of them were Hawaiʻi residents and 53 of them were non-residents (foreign country and mainland).
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Updated: 06/08/2021

2021 County Health Rankings & Roadmaps

The County Health Rankings & Roadmaps is a program of the University of Wisconsin Population Health Institute supported by  the Robert Wood Johnson Foundation. The program aims to improve health outcomes for all communities by providing a reliable, sustainable source of local data and evidence to communities. Here are some highlights from the 2021 County Health Rankings & Roadmaps Report for Hawai‘i:

  • Maui County ranks first place in Health Outcome, followed by Honolulu County in second, Kauai County in third, and Hawaii County in fourth.  Health Outcomes are determined by life expectancy, child mortality, physical distress, mental distress, and related measures.
  • Honolulu County ranks first place in Health Factors, followed by Kauai County in second, Maui County in third, and Hawaii County in fourth. Health Factors are determined by health behaviors, clinical care, social and economic factors, and physical environment measures.
  • Life expectancy is longest in Maui County (82.9 years) and shortest in Hawaii County (80.6 years). Honolulu and Kauai County have similar life expectancies ( 82.5 and 82.0 years respectively).
  • Maui County has the highest number of Alcohol-impaired Driving Deaths (48 deaths). This is almost a half of all driving deaths in Maui County.
  • Hawaii County has the highest ratio (320:1) of population to mental health providers with 628 mental health providers.
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E-Newsletter Spring 2021

2019 YOUTH RISK BEHAVIOR SURVEY DATA

The 2019 Youth Risk Behavior Survey (YRBS) data are now available in Hawaii-IBIS, where we have added 5 new analytic dimensions, a demographics category and 31 new health indicators. The YRBS is part of the Center for Disease Control and Prevention’s Youth Risk Behavior Surveillance System and monitors behaviors that contribute to the leading causes of death and disability among youth and young adults. Over 12,000 Hawaii public school students participated in 2019. 

We’ve included a few highlights below. You can explore the 2019 YRBS in IBIS or Hawaii Health Matters.

TAKE OUR COFFEE BREAK SURVEY

Have you had a chance to attend one of our monthly Coffee Break webinars? Never heard of them? Either way, we want to hear from you!

Please take 5 minutes to complete this 10-question survey to help us tailor our Coffee Break series to meet your needs. The survey will close Thursday March 25th, 2021.

Mahalo!

Start Survey

NEW CDC PLACES DATA!

Users can now explore the newly updated CDC PLACES data in Hawaii Health Matters (HHM)! PLACES is an extension of the original 500 Cities Project that allows local health departments and jurisdictions to better understand the burden and geographic distribution of health-related outcomes in their areas and assists them in planning public health interventions.

29 Behavioral Risk Factor Surveillance System (BRFSS) health indicators in HHM can now be viewed at the census tract, census place, and zip code level for all islands (previously only available for Honolulu County). Click here to learn more! 

2019 YOUTH TOBACCO SURVEY

The Youth Tobacco Survey (YTS) is administered by the Centers for Disease Control and Prevention in collaboration with participating states. It is designed to help plan and evaluate state-based comprehensive tobacco prevention and control programs. Public middle and high school students answer questions about tobacco use, knowledge, attitudes, and beliefs. You can now build your own report with the newly released 2019 YTS data on Hawaii-IBIS.

Below are some highlights from the 2019 YTS results:

The Costs of the Vehicle Economy in Hawai‘i

“The Costs of the Vehicle Economy in Hawai‘i,” prepared for Ulupono Initiative by ICF Incorporated, LLC, presents a summary of the public and private costs in Hawaiʻi of the vehicle economy. This includes all roadways, vehicles, and transportation infrastructure costs (e.g., bridges, on-off ramps, signs, speedbumps, parking) as well as associated costs such as pollution and congestion that result from the use of the ground transportation system. Here are some highlights from the 2021 report:

  • Hawaii’s ground transportation system has an annual price tag of $21.8 billion.
  • More than half ($11.2 billion) of this is borne by the public in the form of state and county budget costs, social and economic costs, and the real estate value of land set aside for roadways and parking spaces.
  • The remaining $10.6 billion is borne directly by consumers in the form of vehicle ownership costs, including maintenance and operation.
  • Public costs amount to roughly $15,000 per taxpayer ($24,400 per household), annually, even if they don’t own a car.
  • Personal vehicles cost an additional $16,200 per household per year. Combined with the public costs above, each household’s cost total $31,200 per year (or 39 % of pre-tax income).

This report provides comprehensive local data to Hawai‘i leaders as they weigh expenditures and investments to address community needs. This information will also help Hawaii residents make informed choices for themselves about the costs they bear as both consumers and taxpayers. Click here to view the infographic.

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