Hawaii

Please be sure to read the data notes & limitations page. This explains many aspects of these comments, including how only changes over time can be discussed as statistically significant, and why the comparisons with national rates discuss data for selected subgroups.

Overview of Findings

Measures changed little for most of Hawaii’s objectives. An encouraging exception is a decrease in overall mortality among older adolescents; however, overall mortality increased among young adults. Rates of mortality due to motor vehicle crashes were mostly flat from baseline, as were rates for all behavioral objectives.

Hawaii rates compared favorably to national rates of overall mortality, as well as mortality due to motor vehicle crashes and rates of current sexual activity.  However, Hawaii rates of tobacco use were higher than national rates, as were rates of riding with a driver who had been drinking alcohol and suicide attempts requiring medical attention; reported condom use was lower in Hawaii. Hawaii fared comparably to national rates of sexual experience, physical fighting, and weapon carrying.

Highlights of Findings by Objective

Jump To: Mortality; Unintentional Injury; Violence; Substance Use and Mental Health; Reproductive Health; Chronic Disease Prevention

Mortality

The rate of overall mortality in Hawaii decreased from baseline among older adolescents, with particularly large decreases among males and Asian/Pacific Islanders; data suggest a dramatic decrease among Asian/Pacific Islander males. By contrast, mortality increased among young adults, with variation among groups. There was a striking increase among males overall and Asian/Pacific Islander males in this age group, while data suggest a sizable decrease among young adult females overall. Among young adults, Whites had a higher rate than Asian/Pacific Islanders. Rates for most other groups were based on fewer than 20 deaths and thus were unsuitable for analysis.

Comparison with national data. National mortality rates also decreased for older adolescents, although decreases were smaller nationally than in Hawaii. Also similar to Hawaii, mortality increased among young adults nationally, overall and among males and Asian/Pacific Islanders; these increases were also smaller nationally than in Hawaii. In 2007, Hawaii mortality rates were substantially lower than national rates overall and for males and females; however, Hawaii rates for White young adults and Asian/Pacific Islander older adolescents and young adults were higher than national rates for those groups. As in Hawaii, Whites had a higher rate than Asian/Pacific Islanders among young adults.

Unintentional Injury

(motor vehicle crashes & riding with a driver who has been drinking alcohol)

Adolescent mortality in Hawaii due to motor vehicle crashes (MVCs) changed little from baseline.

Comparison with national data. The national MVC mortality rate was also flat from baseline. In 2007, the Hawaii MVC mortality rate was lower than the national rate.

Reported rates of adolescents riding with a driver who had been drinking alcohol were flat from baseline, overall and among all subgroups. In 2009, females had a higher rate of this behavior than males. Native Hawaiians and other Pacific Islanders had the highest rate, followed by Hispanics, Whites, adolescents of multiple races, and Asians. Racial/ethnic differences were fairly large.

Comparison with national data. National rates of riding with a driver who had been drinking decreased slightly from baseline, in contrast to a flat rate in Hawaii. In 2009, Hawaii rates of riding with a driver who had been drinking alcohol were much higher than the national rates, overall and among all subgroups. Nationally males and females had roughly matching rates, compared to higher rates among females in Hawaii. The national racial/ethnic pattern mostly matched the pattern in Hawaii; one exception is a higher rate among adolescents of multiple races compared to Whites nationally, the reverse of the pattern in Hawaii.

Violence

(homicide, physical fighting, weapon carrying)

Homicide rates were based on fewer than 20 deaths and thus were unsuitable for analyses.

Rates of physical fighting in Hawaii were flat from baseline, overall and for most subgroups. A notable exception was a large increase among female Native Hawaiians and other Pacific Islanders. This group had the highest rate of physical fighting overall, followed by Hispanics, and then Whites and adolescents of multiple races, with similar rate for these two groups. Asians had the lowest rate. Males had a much higher rate than females.

Comparison with national data. The national rate of physical fighting decreased slightly, in contrast to a flat rate in Hawaii. The overall rate of physical fighting in Hawaii roughly matched the national rate in 2009, with much higher rates among Native Hawaiians and other Pacific Islanders nationally than in Hawaii. As in Hawaii, males had a higher rate than females nationally and Asians had the lowest rate.  Unlike Hawaii, Hispanics had the highest rate nationally, followed by adolescents of multiple races, Native Hawaiians and other Pacific Islanders and then Whites.

The rate of weapon carrying among adolescents in Hawaii did not change significantly from baseline, overall and among most subgroups. One exception is a large increase among female Native Hawaiians and other Pacific Islanders. Overall, males had twice the rate of females in 2009. Native Hawaiians and other Pacific Islanders had by far the highest rate, followed by Hispanics, adolescents of multiple races, Whites and Asians.

Comparison with national data. National rates of weapon carrying were also flat from baseline. The overall rate of weapon carrying in Hawaii roughly matched the national rate. As in Hawaii, males had a higher rate than females nationally, although this gender gap was smaller in Hawaii. Also similar to Hawaii, Asians had the lowest rate and Native Hawaiians and other Pacific Islanders had the highest rates nationally. In contrast to Hawaii, Whites had higher rates than adolescents of multiple races and Hispanics.

Substance Abuse and Mental Health

(binge drinking, marijuana use, suicide, suicide attempts requiring medical attention)

Rates of binge drinking in Hawaii did not change from baseline, overall and for most groups; notable exceptions include sizable decreases among males overall, Asian males and adolescents of multiple races.  In 2009, males and females had roughly matching rates.  Native Hawaiians and other Pacific Islanders had the highest rate, followed by Hispanics and Whites, who had similar rates. Adolescents of multiple races had the next highest rate; Asians had by far the lowest rate.

Comparison with national data. National rates of binge drinking were also mostly flat from baseline. National gender and racial/ethnic patterns roughly matched patterns noted for Hawaii.

Rates of marijuana use in Hawaii were flat from baseline, overall and for most subgroups. However, rates decreased among males overall. Males and females had matching rates in 2009, in contrast to much higher rates among males at baseline. Native Hawaiians and other Pacific Islanders and Hispanics had similar rates, the highest among racial/ethnic groups; adolescents of multiple races and Whites also had similar rates, the next highest among racial/ethnic groups; Asians had by far the lowest rate.

Comparison with national data. National rates of marijuana use decreased very slightly from baseline, compared to the flat rate in Hawaii. Nationally, males had a slightly higher rate than females, compared to matching rates in Hawaii. Unlike the pattern noted for Hawaii, Whites had the highest rates nationally, followed by adolescent of multiple races, Hispanics and then Asians.

Rates of suicide were based on fewer than 20 deaths and thus were unsuitable for analyses.

There was no change in the rate of adolescent suicide attempts requiring medical attention from baseline, overall and among most subgroups. However, the rate increased substantially among males overall. Males and females had roughly matching rates in 2009. Native Hawaiians and other Pacific Islanders had by far the highest rate, followed by Whites, Hispanics, adolescents of multiple races and then Asians.

Comparison with national data. The national of rate of suicide attempts requiring medical attention decreased from baseline, in contrast to a flat rate in Hawaii. In 2009, the rate in Hawaii was much higher than the national rate. Nationally, females had a higher rate than males, in contrast to similar rates in Hawaii. The national racial/ethnic pattern mostly matched the pattern in Hawaii; one difference is the higher rate among Hispanics compared to Whites nationally.

 

Reproductive Health

(sexual inexperience, no current sexual activity, condom use)

Please note, for the first two objectives, the text and tables present findings about adolescents who are sexually experienced and currently sexually active, the inverse of the actual objective. For the third objective, the table presents findings for lack of condom use, the inverse of the objective. The text describes condom use. (See Data Notes & Limitations).

Rates of adolescents having engaged in sexual intercourse in Hawaii were flat from baseline, overall and among all subgroups. Females had a slightly higher rate than males.   Native Hawaiians and other Pacific Islanders had the highest rate, followed by Hispanics, Whites, adolescents of multiple races and then Asians.

Comparison with national data. The overall rate of adolescents having engaged in sexual intercourse was also flat from baseline. Unlike Hawaii, national rates decreased among Hispanic males and Native Hawaiians and other Pacific Islanders overall. In 2009, the rate in Hawaii roughly matched the national rate; Hawaii rates among Asians and Native Hawaiians and other Pacific Islanders were much higher than national rate for those groups. Males and females had roughly matching rates nationally, compared to higher rates for females in Hawaii. Also in contrast to Hawaii, Hispanics had the highest rate nationally, followed by Native Hawaiians and other Pacific Islanders, adolescents of multiple races, Whites, and then Asians.

Rates of sexually experienced adolescents in Hawaii reporting current sexual activity were flat from baseline overall and for all subgroups. In 2009, females had a higher rate than males. Native Hawaiians and other Pacific Islanders and Hispanics had similar rates, the highest rate among racial/ethnic groups; Whites and adolescents of multiple races had very similar rates, the next highest among racial/ethnic groups; Asians had the lowest rate.

Comparison with national data. The national rate of current sexual activity was also flat from baseline. In 2009, the rate in Hawaii was slightly lower than the national rate. The national gender pattern matched the pattern in Hawaii. However the national racial/ethnic pattern differed somewhat; Hispanics, adolescents of multiple races, Native Hawaiians and other Pacific Islanders and Whites all had very similar rates; as in Hawaii, Asians had the lowest rate.

The overall rate of adolescent condom use in Hawaii was flat from baseline. Males reported a much higher rate than females.

Comparison with national data. National rates of condom use were also flat from baseline. In 2009, the Hawaii rate of condom use was lower than the national rate, with an especially large state-national difference among females. Males also had a higher rate than females nationally, although the gender difference nationally was smaller than in Hawaii.

Chronic Disease Prevention

(tobacco use)

In 2009, males and females had roughly matching rates of tobacco use. Hispanics had the highest rate, followed by adolescents of multiple races, Native Hawaiians and other Pacific Islanders, Whites and then Asians.

Comparison with national data. In 2009, the Hawaii rate of tobacco use was slightly higher than the national rate; the Hawaii rate for females was much higher. Males had a higher rate than females nationally, in contrast to matching rates in Hawaii. The national racial/ethnic pattern also differed somewhat: Whites had the highest rate, followed by Native Hawaiians and other Pacific Islanders, adolescents of multiple races, and Hispanics; as in Hawaii, Asians had the lowest rate.

Additional data may be available at: http://www.hhdw.org/