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Rural Health Information Hub

Formerly the
Rural Assistance Center



Hawaii, the only U.S. state composed entirely of islands, covers 6,423 square miles, with a 2016 estimated population of 1,428,557 people – 270,478 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 the U.S. Census Bureau, 26.7% of the state’s population is white, 37.3% is Asian, 9.9% is Native Hawaiian or other Pacific Islander, 2.6% is African American/Black, and 10.4% is of Hispanic/Latino origin (U.S. Census, 2015).

Hawaii Rural Healthcare Facilities

Hawaii Rural Healthcare Facilities map

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There are 24 hospitals in Hawaii (Kaiser, 2015). The state has 9 hospitals identified as Critical Access Hospitals (Flex Team, 2/2017). There are 2 Rural Health Clinics in Hawaii (CMS, 2016), and 14 Federally Qualified Health Centers provide services at 71 sites in the state (NACHC, 2015).

Selected Social Determinants of Health for Rural Hawaii

Although most Hawaiians have some form of health insurance coverage, 5% of residents remain uninsured (Kaiser, 2015). According to the Economic Research Service, the average per-capita income in 2015 was $48,288, while rural per-capita income lagged at $37,609. The ERS reports, based on 2015 ACS data, that the poverty rate in rural Hawaii is 16.5%, compared with 9.2% in urban areas of the state. 8.6% of the rural population has not completed high school, while 9.0% of the urban population lacks a high school diploma according to 2011-2015 ACS data reported by ERS. The unemployment rate in rural Hawaii is 4.4%, while in urban Hawaii it is 3.5% (USDA-ERS, 2015).

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

Data Sources
Centers for Medicare and Medicaid Services: Rural Health Clinic List; Flex Monitoring Team: Critical Access Hospital List; Kaiser Family Foundation State Health Facts; National Association of Community Health Centers: Key Health Center Data By State; U.S. Census Bureau QuickFacts; USDA Economic Research Service: State Fact Sheets


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: 9/12/2016