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Rural Health Information Hub

Hawaii Resources

Urban and Rural Areas in the State of Hawaii: 2020
Reports on changes to rural and urban definitions under the Census Bureau's urban-rural classification for 2020 in the state of Hawaii. Provides data and maps showing rural and urban land area, population, and housing by county.
Date: 04/2024
Sponsoring organizations: Hawaii State Data Center (HSDC), Research and Economic Analysis Division of the Department of Business, Economic Development & Tourism (DBEDT), State of Hawaii
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How Does Hawai'i's Economic Geography Affect Its Healthcare Industry?
Reports on geographic factors influencing healthcare economics in Hawai'i, including discussion of geographic decentralization, productivity, workforce recruitment, reimbursement and payment, and more. Highlights barriers to healthcare access and service availability in rural, isolated, and remote communities.
Author(s): Steven Bond-Smith, Daniela Bond-Smith
Date: 04/2024
Sponsoring organization: The Economic Research Organization at the University of Hawai'i (UHERO)
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The Health and Social Impacts of the Maui Wildfires: Post-Disaster Care from a Sociocultural Lens
Highlights the impact of a wildfire event on existing health and social service disparities in Maui, Hawaii. Discusses housing, employment, finances, mental health, suicide risk, culture, social isolation, rurality, and service limitations. Notes opportunities and challenges for addressing these impacts using telehealth and outside assistance.
Author(s): Ryan Holliday, Lauren S. Krishnamurti, Shiloh E. Jordan, et al.
Citation: Hawai'i Journal of Health & Social Welfare, 83(3), 85-87
Date: 03/2024
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Disparities in Colorectal Cancer Incidence among Asian and Pacific Islander Populations in Guam, Hawai'i, and the United States
Presents a study on the rates of colorectal cancer among Native Hawaiian, Filipino, and CHamoru populations living in the mainland U.S., Hawaii, and Guam. Breaks down data by sex, location, and age. Details incidence over time from 2000 to 2019.
Author(s): JaeYong Choi, Grazyna Badowski, Yurii B. Shvetsov, et al.
Citation: International Journal of Environmental Research and Public Health, 21(2), 170
Date: 02/2024
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Primary Care Legislative Report to the Thirty-Third Legislature: State of Hawaii 2024
Annual legislative report covering Hawaii State Department of Health program activities and partnerships with Primary Health Care Partners (PHCP). Offers recommendations to address healthcare workforce issues, COVID-19 response, telehealth, and more.
Date: 12/2023
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Formative Evaluation of Colorectal Cancer Screening Practices at Two Hawaiʻi Rural Community Health Centers and One Urban Hospital
Reports on colorectal cancer screening (CRCS) practices in 2 rural community health centers and 1 urban hospital in Hawaii. Covers types of intervention provided, barriers and facilitators of CRCS, and recommendations for increasing CRCS. Identifies challenges related to rural access to care.
Author(s): David A. Stupplebeen, Whitney Watts
Date: 10/2023
Sponsoring organization: University of Hawaii and Mānoa Office of Public Health Studies
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Native Hawaiian Health Care Systems Program: Services, Funding, and Oversight
Provides an overview of the Native Hawaiian Health Care Systems Program, which is administered by the Health Resources and Services Administration (HRSA) and aims to improve access to services for Native Hawaiians living in Hawaii. Describes the provision of culturally sensitive services, the size and other characteristics of the programs, how Native Hawaiian Health Care Systems Program funds are awarded, and how HRSA oversees the program. Includes a snapshot of each of the five Native Hawaiian Health Care Systems.
Additional links: Full Report
Date: 10/2023
Sponsoring organization: Government Accountability Office
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An Examination of Practices and Barriers of Procedures Performed by Physicians in Rural Hawai'i
Surveys 47 rural Hawaiian physicians to evaluate their scope of practice for procedures and learn the barriers to performing procedures. Discusses specialty care, reimbursement, training, time management, resource access, and more.
Author(s): Joseph W. Turban, Eun Ah Cho, Weston McCue, Kelley Withy
Citation: Hawai'i Journal of Health & Social Welfare, 82(8), 183-187
Date: 08/2023
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Bridging The Gap CoC: Homeless Point-in-Time Count January 22, 2023
Report offering point-in-time data on the homeless population in rural Hawaii counties. Discusses trends over time for various populations including veterans, children, families, people with substance use disorder, and more. Dashboard allows for manipulating data between 2015 and 2023. 2021 data was not gathered due to COVID-19.
Additional links: Dashboards
Date: 04/2023
Sponsoring organizations: Bridging the Gap, Ka Mana O Na Helu
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The Mental Health, Substance Use, Physical Health, and Mental Health Treatment Need of Community Individuals Experiencing Homelessness in Hawai'i
Results of a study detailing the health-related needs of Hawai'i's unhoused people, most of whom live in rural areas. Features statistics on self-reported rates of depression and anxiety, illicit substance use, alcohol use, smoking, obesity, and overall physical health.
Author(s): Andrew M. Subica, Daryl S. Sampaga, Jana Ortiz-Misiaszek, Tammy K. K. Martin, Scott K. Okamoto
Citation: Community Mental Health Journal, 59, 1021–1026
Date: 03/2023
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Additional resources are available. See a full list of Hawaii Resources.


Last Updated: 1/2/2026