The Hawaiʻi Heart Disease and Stroke Plan (HDSP) 2030 represents a coordinated effort between stakeholders and partners throughout the state, who worked together to develop objectives and strategies that utilize data, best practices, and evidence-based science. The resulting HDSP 2030 reflects a common vision for preventing and managing heart disease and stroke to help the people of Hawaiʻi, especially those most at-risk, lead healthy lives.

Cardiovascular disease is a widespread and serious problem in both Hawaiʻi and the United States. Cardiovascular disease is a group of disorders related to the heart and blood vessels, and is the leading cause of death in Hawaiʻi.⁵⁵ Across the nation, one person dies every 37 seconds from cardiovascular disease.⁵⁶ Two of the most common and deadly forms of cardiovascular disease include heart disease and stroke.

• High blood pressure
• High blood cholesterol
• Smoking
• Type 2 diabetes
• Poor diet and physical inactivity
• Overweight and obesity

Despite Hawaiʻi being ranked third in the nation for heart health, there is still much more work to be done.⁵⁷ Hawaiʻi has a large population of at-risk groups, such as Native Hawaiians and Other Pacific Islanders, who have higher rates of coronary heart disease, angina, history of a heart attack, and heart attack deaths than Caucasian persons.^{58, 55}

The HDSP 2030 incorporates principles of the Social Ecological Model and is organized into four sector areas: Community Design and Access, Education, Health Care, and Worksite. The plan prioritizes goals, objectives, and strategies that lead to policy, systems, and environmental change. Objectives were developed using current data, best practices, and evidence-based science, and reflect one or more cross-cutting themes.

The HDSP 2030 is meant to be a living document that is reviewed and updated throughout the plan’s timeframe. Implementation of the plan will be a collective effort by individuals and organizations across the state.