Hawaii, the only U.S. state composed entirely of islands, covers 6,423 square miles, with a 2018 estimated population of 1,420,491 people – 273,116 living in rural Hawaii (USDA-ERS). Honolulu, the capital, is located on the island of Oahu. The state’s largest cities are Honolulu, Pearl City, Hilo, and Kailua. According to 2017 data from the U.S. Census Bureau, 25.7% of the state’s population is white, 2.2% is African-American, 37.8% is Asian, 0.4% is American Indian or Alaska Native, 10.2% is Native Hawaiian or Other Pacific Islander, and 10.5% is of Hispanic or Latino origin.
Hawaii Rural Healthcare Facilities
According to data.HRSA.gov, as of January 2019 Hawaii had:
- 9 Critical Access Hospitals
- 7 Rural Health Clinics
- 26 Federally Qualified Health Center sites located outside of Urbanized Areas
- 4 short term hospitals located outside of Urbanized Areas
Selected Social Determinants of Health for Rural Hawaii
Although most Hawaiians have some form of health insurance coverage, 4% of residents remain uninsured (Kaiser, 2017). According to the Economic Research Service, the average per capita income in 2017 was $52,787, while rural per capita income lagged at $41,885. The ERS reports, based on 2017 ACS data, that the poverty rate in rural Hawaii is 13.6%, compared with 8.6% in urban areas of the state. 7.8% of the rural population has not completed high school, while 8.5% of the urban population lacks a high school diploma according to 2013-2017 ACS data reported by ERS. The unemployment rate in rural Hawaii is 2.9%, while in urban Hawaii it is 2.4% (USDA-ERS, 2018).For a national comparison, please see an overview of the United States.
Coordinates federal, state, and local efforts aimed at improving the health of Hawaii’s rural and medically underserved populations.
There are more organizations related to Hawaii in the organizations section.
Last Reviewed: 11/9/2018