How does
Hawaii
Perform on Health Opportunity and Equity?

This graphic illustrates how each state compares to other states across various factors that influence health

HEALTH OUTCOMES
20th
Domain score:
53
SOCIAL & ECONOMIC FACTORS
1st
Domain score:
66
COMMUNITY & SAFETY FACTORS
5th
Domain score:
78
PHYSICAL
ENVIRONMENT
1st
Domain score:
64
ACCESS TO
HEALTH CARE
1st
Domain score:
93
Key State Highlights.
Hawaii ranks among the top 20 states for health outcomes, health care access, social and economic factors, and community and safety factors.
  • All of Hawaii's racial and ethnic groups live in areas with adequate access to primary and psychiatric care, low liquor store density, and low rates of physical assault and homicide.
  • The American Indian/Alaska Native population in Hawaii face some of the greatest challenges in socioeconomic and health care opportunity. They are least likely to have a dedicated health care provider or a livable income, and they have an infant mortality rate that is more than 4 times higher than the state rate for all population groups.
  • The Hispanic population also face steep socioeconomic challenges in Hawaii. They have the lowest rates of attaining post-secondary education, livable income, and home ownership.
  • Black infants face some of the worst health outcomes in the state, having an infant mortality rate that is 3 times higher than state rate.
Adult Health Status
Child Health Status
Infant Mortality
Low Birthweight
Premature Mortality
Affordable Housing
Employment
Livable Income
Post-Secondary Education
Youth in School or Working
Low Homicide
Low Physical Assault
Low Robbery
Low Sexual Assault
Food Security
Home Ownership
Housing Quality
Low Liquor Store Density
Access to Primary Care
Access to Psychiatric Care
Affordable Health Care
Dedicated Healthcare Provider
Health Insurance Coverage
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Youth in School or Working
89%
of young people are in school or working
100%
More young people would need to obtain jobs or enroll in school to achieve the HOPE Goal
16,386
More young people would need to obtain jobs or enroll in school to achieve the HOPE Goal
How Does 
Hawaii
Compare to Other States?
HIGHER
LOWER
RACIAL INEQUITY
HIGHER
LOWER
DISTANCE TO GOAL
State Distance to Goal.
Youth in School or Working
Hope Goal
100%
60%
70%
80%
90%
100%
HI
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Post-Secondary Education
65%
of adults have post-secondary education
83%
More adults would need to attain post-secondary education to achieve the HOPE Goal
180,512
More adults would need to attain post-secondary education to achieve the HOPE Goal
How Does 
Hawaii
Compare to Other States?
HIGHER
LOWER
RACIAL INEQUITY
HIGHER
LOWER
DISTANCE TO GOAL
State Distance to Goal.
Post-Secondary Education
Hope Goal
83%
20%
30%
40%
50%
60%
70%
80%
90%
HI
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Premature Mortality
347.71
deaths per 100,000 adults age 25-64
More 25-64 year old adults surviving per year to achieve the HOPE Goals
1,544
More 25-64 year old adults surviving per year to achieve the HOPE Goals
How Does 
Hawaii
Compare to Other States?
HIGHER
LOWER
RACIAL INEQUITY
HIGHER
LOWER
DISTANCE TO GOAL
State Distance to Goal.
Premature Mortality
Hope Goal
241
0
400
800
1200
1600
HI
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Low Sexual Assault
87%
of people live in counties with low sexual assault rates
100%
More people would need to live in counties with low sexual assault rates to achieve the HOPE Goal
166,657
More people would need to live in counties with low sexual assault rates to achieve the HOPE Goal
How Does 
Hawaii
Compare to Other States?
HIGHER
LOWER
RACIAL INEQUITY
HIGHER
LOWER
DISTANCE TO GOAL
State Distance to Goal.
Low Sexual Assault
Hope Goal
100%
0%
20%
40%
60%
80%
100%
HI
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Low Robbery
23%
of people live in counties with low robbery rates
100%
More people would need to live in counties with low robbery rates to achieve the HOPE Goal
979,682
More people would need to live in counties with low robbery rates to achieve the HOPE Goal
How Does 
Hawaii
Compare to Other States?
HIGHER
LOWER
RACIAL INEQUITY
HIGHER
LOWER
DISTANCE TO GOAL
State Distance to Goal.
Low Robbery
Hope Goal
100%
0%
20%
40%
60%
80%
100%
HI
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Low Physical Assault
100%
of people live in counties with low physical assault rates
100%
More people would need to live in counties with low physical assault rates to achieve the HOPE Goal
-
More people would need to live in counties with low physical assault rates to achieve the HOPE Goal
How Does 
Hawaii
Compare to Other States?
HIGHER
LOWER
RACIAL INEQUITY
HIGHER
LOWER
DISTANCE TO GOAL
State Distance to Goal.
Low Physical Assault
Hope Goal
100%
0%
20%
40%
60%
80%
100%
HI
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Low Homicide
100%
of people live in counties with low murder rates
100%
More people would need to live in counties with low murder rates to achieve the HOPE Goal
-
More people would need to live in counties with low murder rates to achieve the HOPE Goal
How Does 
Hawaii
Compare to Other States?
HIGHER
LOWER
RACIAL INEQUITY
HIGHER
LOWER
DISTANCE TO GOAL
State Distance to Goal.
Low Homicide
Hope Goal
100%
0%
20%
40%
60%
80%
100%
HI
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Low Liquor Store Density
100%
of people are living in counties with low liquor store density
100%
More people would need to live in counties with low liquor store density to achieve the HOPE Goal
-
More people would need to live in counties with low liquor store density to achieve the HOPE Goal
How Does 
Hawaii
Compare to Other States?
HIGHER
LOWER
RACIAL INEQUITY
HIGHER
LOWER
DISTANCE TO GOAL
State Distance to Goal.
Low Liquor Store Density
Hope Goal
100%
0%
20%
40%
60%
80%
100%
HI
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Livable Income
73%
of adults live in households with livable income
88%
More adults would need to live in households with livable incomes to achieve the HOPE Goal
149,826
More adults would need to live in households with livable incomes to achieve the HOPE Goal
How Does 
Hawaii
Compare to Other States?
HIGHER
LOWER
RACIAL INEQUITY
HIGHER
LOWER
DISTANCE TO GOAL
State Distance to Goal.
Livable Income
Hope Goal
88%
20%
30%
40%
50%
60%
70%
80%
90%
HI
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Low Birthweight
8%
of infants are born with low birth weight
5%
Fewer low-weight births would need to happen per year to achieve the HOPE Goal
558
Fewer low-weight births would need to happen per year to achieve the HOPE Goal
How Does 
Hawaii
Compare to Other States?
HIGHER
LOWER
RACIAL INEQUITY
HIGHER
LOWER
DISTANCE TO GOAL
State Distance to Goal.
Low Birthweight
Hope Goal
5%
4%
6%
8%
10%
12%
14%
16%
18%
HI
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Health Insurance Coverage
95%
of people under age 65 have health insurance coverage
98%
More people under the age of 65 would need to obtain health insurance coverage to achieve the HOPE Goal
31,070
More people under the age of 65 would need to obtain health insurance coverage to achieve the HOPE Goal
How Does 
Hawaii
Compare to Other States?
HIGHER
LOWER
RACIAL INEQUITY
HIGHER
LOWER
DISTANCE TO GOAL
State Distance to Goal.
Health Insurance Coverage
Hope Goal
98%
50%
60%
70%
80%
90%
100%
HI
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Infant Mortality
5.3
infant deaths per 1,000 live births
2.5
More infants surviving to their first birthday per year to achieve the HOPE Goal
46
More infants surviving to their first birthday per year to achieve the HOPE Goal
How Does 
Hawaii
Compare to Other States?
HIGHER
LOWER
RACIAL INEQUITY
HIGHER
LOWER
DISTANCE TO GOAL
State Distance to Goal.
Infant Mortality
Hope Goal
2.5
0.0
2.0
4.0
6.0
8.0
10.0
12.0
14.0
16.0
HI
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Housing Quality
76%
of households have good housing quality
92%
More households would need to have good housing quality to achieve the HOPE Goal
72,755
More households would need to have good housing quality to achieve the HOPE Goal
How Does 
Hawaii
Compare to Other States?
HIGHER
LOWER
RACIAL INEQUITY
HIGHER
LOWER
DISTANCE TO GOAL
State Distance to Goal.
Housing Quality
Hope Goal
92%
55%
60%
65%
70%
75%
80%
85%
90%
95%
HI
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Home Ownership
61%
of households live in a home they own
81%
More households would need to own their homes to achieve the HOPE Goal
89,900
More households would need to own their homes to achieve the HOPE Goal
How Does 
Hawaii
Compare to Other States?
HIGHER
LOWER
RACIAL INEQUITY
HIGHER
LOWER
DISTANCE TO GOAL
State Distance to Goal.
Home Ownership
Hope Goal
81%
0%
20%
40%
60%
80%
100%
HI
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Food Security
84%
of people with food security
97%
More people would need to have food security to achieve the HOPE Goal
200,786
More people would need to have food security to achieve the HOPE Goal
How Does 
Hawaii
Compare to Other States?
HIGHER
LOWER
RACIAL INEQUITY
HIGHER
LOWER
DISTANCE TO GOAL
State Distance to Goal.
Food Security
Hope Goal
97%
30%
40%
50%
60%
70%
80%
90%
100%
HI
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Employment
90%
of people in the labor force are employed
99%
More people in the labor force would need to be employed to achieve the HOPE Goal
66,405
More people in the labor force would need to be employed to achieve the HOPE Goal
How Does 
Hawaii
Compare to Other States?
HIGHER
LOWER
RACIAL INEQUITY
HIGHER
LOWER
DISTANCE TO GOAL
State Distance to Goal.
Employment
Hope Goal
99%
75%
80%
85%
90%
95%
100%
HI
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Dedicated Healthcare Provider
88%
of adults have a usual source of care
92%
More adults would need to report having a dedicated health care provider to achieve the HOPE Goal
40,215
More adults would need to report having a dedicated health care provider to achieve the HOPE Goal
How Does 
Hawaii
Compare to Other States?
HIGHER
LOWER
RACIAL INEQUITY
HIGHER
LOWER
DISTANCE TO GOAL
State Distance to Goal.
Dedicated Healthcare Provider
Hope Goal
96%
40%
50%
60%
70%
80%
90%
100%
HI
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Child Health Status
92%
of children in very good or excellent health
98%
More children would need to be in very good or excellent health to achieve the HOPE Goal
More children would need to be in very good or excellent health to achieve the HOPE Goal
How Does 
Hawaii
Compare to Other States?
HIGHER
LOWER
RACIAL INEQUITY
HIGHER
LOWER
DISTANCE TO GOAL
State Distance to Goal.
Child Health Status
HI
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Adult Health Status
53%
of U.S. adults are in very good or excellent health
73%
More adults would need to be in very good or excellent health to achieve the HOPE Goal
276,887
More adults would need to be in very good or excellent health to achieve the HOPE Goal
How Does 
Hawaii
Compare to Other States?
HIGHER
LOWER
RACIAL INEQUITY
HIGHER
LOWER
DISTANCE TO GOAL
State Distance to Goal.
Adult Health Status
Hope Goal
73%
20%
30%
40%
50%
60%
70%
HI
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Affordable Housing
56%
of households with affordable housing
87%
More households would need affordable housing to achieve the HOPE Goal
104,767
More households would need affordable housing to achieve the HOPE Goal
How Does 
Hawaii
Compare to Other States?
HIGHER
LOWER
RACIAL INEQUITY
HIGHER
LOWER
DISTANCE TO GOAL
State Distance to Goal.
Affordable Housing
Hope Goal
87%
30%
40%
50%
60%
70%
80%
HI
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Oops! Something went wrong while submitting the form.
Affordable Health Care
94%
of adults with affordable health care
96%
More adults would need to have affordable health care to achieve the HOPE Goal
22,449
More adults would need to have affordable health care to achieve the HOPE Goal
How Does 
Hawaii
Compare to Other States?
HIGHER
LOWER
RACIAL INEQUITY
HIGHER
LOWER
DISTANCE TO GOAL
State Distance to Goal.
Affordable Health Care
Hope Goal
97%
50%
60%
70%
80%
90%
100%
HI
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Access to Psychiatric Care
100%
of people live in counties with access to psychiatric care
100%
More people would need to live in counties with access to psychiatric care to achieve the HOPE Goal
78
More people would need to live in counties with access to psychiatric care to achieve the HOPE Goal
How Does 
Hawaii
Compare to Other States?
HIGHER
LOWER
RACIAL INEQUITY
HIGHER
LOWER
DISTANCE TO GOAL
State Distance to Goal.
Access to Psychiatric Care
Hope Goal
100%
20%
30%
40%
50%
60%
70%
80%
90%
100%
HI
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Access to Primary Care
100%
of people live in counties with access to primary care
100%
More people would need to live in counties with access to primary care to achieve the HOPE Goal
78
More people would need to live in counties with access to primary care to achieve the HOPE Goal
How Does 
Hawaii
Compare to Other States?
HIGHER
LOWER
RACIAL INEQUITY
HIGHER
LOWER
DISTANCE TO GOAL
State Distance to Goal.
Access to Primary Care
Hope Goal
100%
20%
30%
40%
50%
60%
70%
80%
90%
100%
HI
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