Key Contact for Hawaii

Hawaii State Office of Primary Care and Rural Health

Phone: 808.586.4122

Coordinates federal, state, and local efforts aimed at improving the health of Hawaii's rural and medically underserved populations.
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Hawaii Nonmetro Population

1,420,074

Estimated population

273,735 (19.3%)

People living in nonmetro areas

Source: U.S. Census ACS 2020 estimate

Hawaii Rural Healthcare Facilities

9

Critical Access Hospitals

20

Rural Health Clinics

28

Federally Qualified Health Centers*

4

Short Term/PPS Hospitals*

*Sites located outside of Urbanized Areas according to data.HRSA.gov. July 2022.

Selected Social Determinants of Health for Rural Hawaii

Although most Hawaiians have some form of health insurance coverage, 4.3% of residents remain uninsured (Kaiser, 2021). According to the Economic Research Service, the average per capita income in 2020 was $58,655, with the rural per capita income at $48,320. The ERS reports, based on 2020 ACS data, that the poverty rate in rural Hawaii is 11.6%, compared with 8.2% in urban areas of the state. 7.3% of the rural population has not completed high school, while 7.6% of the urban population lacks a high school diploma according to 2016-2020 ACS data reported by ERS. The unemployment rate in rural Hawaii is 6.1%, while in urban Hawaii it is 5.6% (USDA-ERS, 2021).