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 Pap test in the past 3 years (ages 21-65) 82.7% (BRFSS, 2018) 92.6%
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