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Hawaii

Hawaii, the Aloha state, is comprised primarily of eight islands in the Pacific Ocean. Hawaii’s landscape is unique in that it exhibits towering volcanoes, lush valleys, and sandy beaches. It is the only state that has its own official native language. Hawaii covers 6,423 square miles, with a 2013 estimated population of 1,404,054 people – 260,333 living in rural Hawaii (USDA-ERS). Honolulu, the capital, is located on the island of Oahu. The state’s largest cities are Honolulu, Hilo, Kailua, Kaneohe and Waipahu. Hawaii is the most racially and ethnically diverse state in the nation. According to the U.S. Census Bureau, 26.6% of the state’s population is white, 37.7% is Asian, 10.0% is Native Hawaiian or other Pacific Islander, 2.3% is African American/Black, and 9.8% is of Hispanic/Latino origin (2013).

Hawaii Rural Healthcare Facilities

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There are 23 hospitals in Hawaii (Kaiser, 2011), 13 of which are located in rural areas (North Carolina Rural Health Research and Policy Analysis Center, Dec. 2008). The state has 9 hospitals identified by the Flex Monitoring Team as Critical Access Hospitals (February 2014). There are 2 Rural Health Clinics in Hawaii (Kaiser, 2012), and 14 Federally Qualified Health Centers provide services at 67 sites in the state (Kaiser, 2011).

Selected Social Determinants of Health for Rural Hawaii

Most Hawaiians have some form of health insurance coverage, although 8.0% of its residents lack health insurance (Kaiser, 2011). According to the Economic Research Service, The average per-capita income in 2012 for residents of Hawaii was $44,767 although rural per-capita income lagged at $34,725. Estimates from 2012 indicate a poverty rate of 17.1% exists in rural Hawaii, compared to a 10.5% level in urban areas of the state. 2012 ACS data reports that 9.8% of the rural population has not completed high school, compared to 9.7% of urban populations. The unemployment rate in rural Hawaii is 6.5%, while in urban Hawaii it is 4.4% (USDA-ERS, 2013).

For a national comparison, please see an overview of the United States.


Data Sources
U.S. Census Bureau: State & County QuickFacts; USDA Economic Research Service: State Fact Sheets; Kaiser Family Foundation State Health Facts; Flex Monitoring Team: Critical Access Hospital List

Contacts

Hawaii State Office of Primary Care and Rural Health
Phone: 808.586.4122
A division of the Hawaii Department of Health. Works closely with the statewide Hawaii Rural Health Association.
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There are more organizations related to Hawaii in the organizations section.

Last Reviewed: 8/15/2014

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Our state-by-state guide lists more resources that provide state-specific and comparative information.
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Funding for this project was supported by Grant Number U56RH05539 from the Office of Rural Health Policy, Health Resources and Services Administration, U.S. Department of Health and Human Services. The contents of this website are solely the responsibility of the authors and do not necessarily represent the official views of the funder.