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Purpose
Plan Framework
Background
Priority Populations
Long-Term Measures
Partners & Implementation
References
The long-term measures were identified to summarize and evaluate progress toward achieving the HHSP objectives. The long-term measures will be monitored throughout the decade to collectively illustrate the overall health and well-being of the people of Hawaiʻi and demonstrate improvements. Long-term measures will be reviewed and updated periodically as changes are made to the HHSP.
The long-term measures are broad measures that help assess progress toward achieving the Healthy Hawaiʻi Vision 2030.
| Program Area | Long-term Measures | Baseline | Target |
|---|---|---|---|
| Asthma | Hospitalizations for Asthma | Children under 5 years of age:17.5 per 100,000 (HHIC, 2015) Persons between 5-64 years of age: 5.2 per 100,000 (HHIC, 2015) Adults 65 years of age and older: 15.5 per 100,000 (HHIC, 2015) |
Children under 5 years of age: 14.9 per 100,000 Persons between 5-64 years of age: 4.4 per 100,000 Adults 65 years of age and older: 13.2 per 100,000 |
| Asthma | ED Visits for Asthma | Children under 5 years of age: 98.9 per 10,000 (HHIC, 2015) Persons between 5-64 years of age: 51.9 per 10,000 (HHIC, 2015) Adults 65 years of age and older: 30.9 per 10,000 (HHIC, 2015) |
Children under 5 years of age: 84.1 per 10,000 Persons between 5-64 years of age: 44.1 per 10,000 Adults 65 years of age and older: 26.3 per 10,000 |
| Asthma | Use of Appropriate Medications for Asthma | 82.5% (UDS, 2019) | 91.6% |
| Cancer | Cancer death rate | 128.5 per 100,000 (CDC National Center for Health Statistics National Vital Statistics System, 2017) | 122.7 per 100,000 |
| Cancer | Lung cancer death rate | 28.4 per 100,000 (CDC National Center for Health Statistics National Vital Statistics System, 2017) | 25.1 per 100,000 |
| Cancer | Breast cancer death rate | 15.6 per 100,000 (CDC National Center for Health Statistics National Vital Statistics System, 2017) | 15.3 per 100,000 |
| Cancer | Colon cancer death rate | 11.7 per 100,000 (CDC National Center for Health Statistics National Vital Statistics System, 2017) | 8.9 per 100,000 |
| Cancer | Prostate cancer death rate | 14.5 per 100,000 (CDC National Center for Health Statistics National Vital Statistics System, 2017) | 12.6 per 100,000 |
| Cancer | Mammogram in the past 2 years (ages 50-74) | 87.0% (BRFSS, 2018) | 97.4% |
| Cancer | Cervical Cancer Screening, female (ages 21-65) (BRFSS, 2020) | 80.2% | 84.3% |
| Cancer | Colorectal cancer screening (ages 50-75) | 75.1% (BRFSS, 2018) | 84.1% |
| Cancer | Five-year cancer survivorship | 66.7% (BRFSS, 2012) | 78.7% |
| Cancer | Sunscreen use (ages 11-18) | Middle school students: 11.5% (YRBS, 2017) High school students: 11.7% (YRBS, 2017) |
Middle school students: 13.0% High school students: 13.2% |
| Diabetes | Diabetes death rate - multiple cause of death | 60.1 per 100,000 (DOH Vital Statistics, 2018) | 52.9 per 100,000 |
| Diabetes | New cases of diabetes | 7.6 per 1,000 (CDC Diabetes Atlas, 2015) | 5.6 per 1,000 |
| Diabetes | Diabetes test in the past 3 years (ages 40-70, BMI over 25) | 65.3% (BRFSS, 2018) | 73.1% |
| Diabetes | People with diagnosed diabetes who received formal diabetes education | 56.0% (BRFSS, 2016) | 63.8% |
| Diabetes | People with diabetes with an A1C greater than 9 | 34.9% (UDS, 2019) | 31.1% |
| Heart Disease and Stroke | Coronary heart disease death rate | 66.0 per 100,000 (CDC Interactive Atlas of Heart Disease and Stroke, 2016-2018) | 58.1 per 100,000 |
| Heart Disease and Stroke | Stroke death rate | 36.0 per 100,000 (CDC Interactive Atlas of Heart Disease and Stroke, 2016-2018) | 33.4 per 100,000 |
| Heart Disease and Stroke | Adults (with high blood pressure) who report taking medications for high blood pressure | 75.0% (BRFSS, 2017) | 84.8% |
| Heart Disease and Stroke | Adults with hypertension with controlled blood pressure | 63.1% (UDS, 2019) | 70% |
| Heart Disease and Stroke | Adults at risk for cardiovascular events prescribed statin therapy (age 21 years and older) | 68.7% (UDS, 2019) | 76.3% |
| Physical Activity and Nutrition | Adults who eat five or more servings of fruits and vegetables per day | 19.8% (BRFSS, 2015) | 22.8% |
| Physical Activity and Nutrition | Teens (high school) who eat five or more servings of fruits and vegetables per day | 14.2% (YRBS, 2017) | 16.0% |
| Physical Activity and Nutrition | Adults who have a healthy body weight (BMI 18.5 - 25.0) | 37.9% (BRFSS, 2018) | 42.4% |
| Physical Activity and Nutrition | Teens (high school) who have a healthy body weight (BMI 18.5 - 25.0) | 71.6% (YRBS, 2017) | 80.9% |
| Physical Activity and Nutrition | Adults who meet aerobic PA guidelines (150 minutes per week) | 56.5% (BRFSS, 2017) | 63.8% |
| Physical Activity and Nutrition | Adults who meet muscle strengthening PA guidelines (2 or more days per week) | 35.4% (BRFSS, 2017) | 40.0% |
| Physical Activity and Nutrition | Teens (high school) who meet aerobic PA guidelines (60 minutes per day) | 19.6% (YRBS, 2017) | 30.6% |
| Physical Activity and Nutrition | Teens (high school) who meet muscle strengthening PA guidelines (3 or more days per week) | 42.4% (YRBS, 2017) | 56.1% |
| Physical Activity and Nutrition | Young teens (middle school) who meet aerobic PA guidelines (60 minutes per day) | 27.0% (YRBS, 2017) | 30.5% |
| Physical Activity and Nutrition | Young teens (middle school) who meet muscle strengthening PA guidelines (3 or more days per week) | 50.6% (YRBS, 2017) | 57.2% |
| Physical Activity and Nutrition | Adults who self-reported their health status as ‘Good’, ‘Very Good’, or ‘Excellent. | 83.7% (BRFSS, 2018) | 93.7% |
| Physical Activity and Nutrition | Adults who drink soda (non-diet) at least once/day | 11.7% (BRFSS, 2017) | 10.2% |
| Physical Activity and Nutrition | Teens (high school) who drink soda (non-diet) at least once/day | 11.0% (YRBS, 2017) | 9.6% |
| Physical Activity and Nutrition | Infants who were breastfed exclusively at 6 months | 30.6% (NIS, 2017) | 42.4% |
| Physical Activity and Nutrition | Infants who were breastfed exclusively through 3 months | 57.4% (NIS, 2017) | 64.9% |
| Physical Activity and Nutrition | Infants who were ever breastfed | 89.1% (NIS, 2017) | 94.9% |
| Physical Activity and Nutrition | Infants still breastfeeding at 8 weeks | 79.4% (PRAMS, 2016) | 90.5% |
| Tobacco | Current cigarette use among adults in Hawaii | 13.4% (BRFSS, 2018) | 5% |
| Tobacco | Current cigarette use among Native Hawaiian adults | 22.3% (BRFSS, 2018) | 8.3% |
| Tobacco | Current cigarette use among adults with low income | 22.1% (BRFSS, 2018) | 8.2% |
| Tobacco | Current cigarette use among adults who are unemployed | 32.3% (BRFSS, 2018) | 12% |
| Tobacco | Current cigarette use among adults with low educational attainment (less than a HS diploma/ GED) | 26.4% (BRFSS, 2018) | 9.8% |
| Tobacco | Current cigarette use among adults with diagnosed depressive disorder | 25.5% (BRFSS, 2018) | 9.5% |
| Tobacco | Current cigarette use among adults who reported at least 14 poor mental health days in the last 30 days | 24.9% (BRFSS, 2018) | 9.3% |
| Tobacco | Current cigarette use among adults who reported excessive drinking | 24.0% (BRFSS, 2018) | 9% |
| Tobacco | Current cigarette use among adults who identify as lesbian, gay, bisexual, or transgender | 21.6% (BRFSS, 2018) | 8.1% |
| Tobacco | Current cigarette use among young teens (middle school) | 3.9% (National YRBS, 2019) | 3.4% |
| Tobacco | Current cigarette use among teens (high school) | 5.3% (National YRBS, 2019) | 3.4% |
| Tobacco | Current e-cigarette use among young teens (middle school) | 17.7% (National YRBS, 2019) | 10.5% |
| Tobacco | Current e-cigarette use among teens (high school) | 30.6% (National YRBS, 2019) | 10.5% |
| Tobacco | Young teens (middle school) who never tried smoking cigarettes | 89.5% (National YRBS, 2019) | 99.3% |
| Tobacco | Teens (high school) who never tried smoking cigarettes | 82.2% (National YRBS, 2019) | 91.2% |
| Tobacco | Young teens (middle school) who never tried e-cigarettes | 69.4% (National YRBS, 2019) | 77% |
| Tobacco | Teens (high school) who never tried e-cigarettes | 51.7% (National YRBS, 2019) | 57.4% |
| Tobacco | Adult awareness of Hawaii Tobacco Quitline Services | 72.3% (BRFSS, 2018) | 81% |
| Tobacco | Insurance plan coverage for smoking cessation | 62.4% (BRFSS, 2015) | 71.8% |
| Tobacco | Adults who tried to quit smoking | 56.4% (BRFSS, 2018) | 65.7% |
| Tobacco | Young teens (middle school) who tried to quit using tobacco in the last year | 57% (YTS, 2019) | 63.3% |
| Tobacco | Teens (high School)who tried to quit using tobacco in the last year | 60% (YTS, 2019) | 66.6% |
| Tobacco | Young teens (middle school) who have been exposed to secondhand smoke in the home | 27% (YTS, 2019) | 24.0% |
| Tobacco | Teens (high school) who have been exposed to secondhand smoke in the home | 30% (YTS, 2019) | 26.7% |
| Tobacco | Adult who are exposed to SHS inside their living space from somewhere else in or around their building | No baseline | TBD |