Hawaii

State Office of Rural Health

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

21

Rural Health Clinics

32

Federally Qualified Health Centers*

5

Short Term/PPS Hospitals*

*Sites according to data.HRSA.gov (July 2023), showing only locations outside of U.S Census Bureau Urban Areas with a population of 50,000 or more

Selected Social Determinants of Health for Rural Hawaii

Although most Hawaiians have some form of health insurance coverage, 3.6% of residents remain uninsured (Kaiser, 2022). According to the Economic Research Service, the average per capita income in 2021 was $60,947 with the rural per capita income at $51,650. The ERS reports, based on 2021 ACS data, that the poverty rate in rural Hawaii is 13.8%, compared with 10.2% in urban areas of the state. 7.4% of the rural population has not completed high school, while 7.3% of the urban population lacks a high school diploma according to 2017-2021 ACS data reported by ERS. The unemployment rate in rural Hawaii is 3.6%, while in urban Hawaii it is 3.5% (USDA-ERS, 2022).