Hawaii Adolescent Reproductive Health Facts

Hawaii was ranked 24 out of 51 (50 states + the District of Columbia) on 2011 final teen births rates among females aged 15-19 (with 1 representing the highest rate and 51 representing the lowest rate).RH1 On a similar scale – where 1 is the highest teen pregnancy rate and 51 is the lowest – Hawaii was ranked 12 out of 51 (50 states + the District of Columbia) in pregnancies to females aged 15- 19 in 2008.RH2

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 Number of births to females under 20 years of age, 2011 RH3
Total1HawaiiUnited States
Females under 20 years of age1,211333,746
Females agedHawaiiUnited States
Under 15*3,974
15-1729795,538
18-19902234,234
15-191,199329,772
Mother's race/ethnicityHawaiiUnited States
Non-Hispanic white194130,198
Non-Hispanic black2879,936
American Indian or Alaska Native2,3*6,897
Asian or Pacific Islander2,38895,773
Hispanic4291111,236

1 Includes all births, including those with Hispanic origin not stated and not shown separately.

2 Race and Hispanic origin are reported separately on birth certificates. Persons of Hispanic origin may be of any race. Race categories are consistent with the 1977 Office of Management and Budget (OMB) standards.

3 Includes persons of Hispanic origin according to mother’s reported race.

4 Includes all persons of Hispanic origin of any race.

 Teen birth rate (births per 1,000 females aged 15–19), 2011 RH1
TotalHawaiiUnited States
Females aged 15-1930.031.3
Females agedHawaiiUnited States
15-1712.015.4
18-1958.954.1

 Percent change in the teen birth rate, 1991-2011 and 2010-2011 RH1, RH3, RH4
TotalHawaiiUnited States
Change in rate to females aged 15-19 (1991 to 2011)-49%-49%
Change in rate to females aged 15-19 (2010 to 2011)-8%-8%

The U.S. teen birth rate peaked at 61.8 births per 1,000 teen females aged 15-19 in 1991.

 Of all births to females under 20 years of age, percent by race/ethnicity, 2011 RH1
Mother's race/ethnicity1HawaiiUnited States
Non-Hispanic white16%39%
Non-Hispanic black2%24%
American Indian or Alaska Native2,3*2%
Asian or Pacific Islander2,373%2%
Hispanic424%33%

1 Includes all births, including those with Hispanic origin not stated and not shown separately.

2 Race and Hispanic origin are reported separately on birth certificates. Persons of Hispanic origin may be of any race. Race categories are consistent with the 1977 Office of Management and Budget (OMB) standards.

3 Includes persons of Hispanic origin according to mother’s reported race.

4 Includes all persons of Hispanic origin of any race.

 Percent repeat births, of all births to females under 20 years of age, 2011 RH1
Total1HawaiiUnited States
Females under 20 years of age17%18%
Mother's race/ethnicityHawaiiUnited States
Non-Hispanic white15%14%
Non-Hispanic black*20%
American Indian or Alaska Native2,3*19%
Asian or Pacific Islander2,319%17%
Hispanic418%20%

1 Includes all births, including those with Hispanic origin not stated and not shown separately.

2 Race and Hispanic origin are reported separately on birth certificates. Persons of Hispanic origin may be of any race. Race categories are consistent with the 1977 Office of Management and Budget (OMB) standards.

3 Includes persons of Hispanic origin according to mother’s reported race.

4 Includes all persons of Hispanic origin of any race.

 Of all births to females under 20 years of age, percent outside of marriage (nonmarital), 2011 RH1
TotalHawaiiUnited States
Females under 20 years of age86%89%
Females agedHawaiiUnited States
Under 15*99%
15-1798%95%
18-1982%86%
15-1986%88%

 Percent low birthweight births, among females under 20 years of age, 2011 RH1
TotalHawaiiUnited States
Females under 20 years of age10.0%9.6%

Low birth weight is defined as less than 2,500 grams (about 5.5 pounds or 5 pounds and 8 ounces).

 Teen pregnancy rate (pregnancies per 1,000 females aged 15-19), 2008 RH2
TotalHawaiiUnited States
Females aged 15-197668
Females agedHawaiiUnited States
15-173837
18-19137113

 Percent change in the teen pregnancy rate, 1988-2008 RH2
TotalHawaiiUnited States
Change in rate to females aged 15-19 (1988 to 2008)-43%-39%

The teen pregnancy rate was 134 pregnancies per 1,000 females aged 15-19 in Hawaii in 1988, and 111 in the U.S. The U.S. teen pregnancy rate peaked in 1990 at 116.9 pregnancies per 1,000 females aged 15-19, but state data are not available for that year.

 Teen abortion rate (abortions per 1,000 females aged 15-19), 2008 RH2
TotalHawaiiUnited States
Females aged 15-192718
Females agedHawaiiUnited States
15-171610
18-194429

 Percent change in the teen abortion rate, 1988-2008 RH2
TotalHawaiiUnited States
Change in rate to females aged 15-19 (1988 to 2008)-60%-58%

The U.S. teen abortion rate peaked at 43.5 abortions per 1,000 females aged 15-19 in 1988. The teen abortion rate for Hawaii was 68 abortions per 1,000 females aged 15-19 in 1988.

 Sexual behaviors among high school students (grades 9-12), 2011 RH5
Percent of high school students who have ever had sexual intercourseHawaiiUnited States
Total37%47%
Male37%49%
Female37%46%
Percent of high school students who had sexual intercourse for the first time before 13 years of ageHawaiiUnited States
Total5%6%
Male8%9%
Female3%3%
Percent of high school students who have had sexual intercourse with 4 or more personsHawaiiUnited States
Total8%15%
Male9%18%
Female7%13%
Percent of high school students who drank alcohol or used drugs before last sexual intercourseHawaiiUnited States
Total21%22%
Male22%26%
Female20%18%

 HIV/AIDS education among high school students (grades 9-12), 2011 RH5
Percent of high school students who were ever taught in school about AIDS or HIV infectionHawaiiUnited States
Total84%84%
Male83%84%
Female84%84%

 Birth control use among sexually active high school students (grades 9-12), 2011 RH5
Percent of high school students who used a condom during last sexual intercourseHawaiiUnited States
Total44%60%
Male51%67%
Female39%54%
Percent of high school students who used birth control pills before last sexual intercourseHawaiiUnited States
Total14%18%
Male14%13%
Female15%23%
Used Depo-Provera (or any injectable birth control), Nuva Ring (or any birth control ring), Implanon (or any implant), or any IUD before last sexual intercourseHawaiiUnited States
Total7%5%
Male4%3%
Female8%7%
Used both a condom during last sexual intercourse and Depo-Provera (or any injectable birth control), Nuva Ring (or any birth control ring), Implanon (or any implant), or any IUD before last sexual intercourseHawaiiUnited States
Total5%9%
Male6%7%
Female5%12%
Percent of high school students who did not use any method to prevent pregnancy during last sexual intercourseHawaiiUnited States
Total20%13%
Male20%11%
Female19%15%

 Relationship violence and forced sex among high school students (grades 9-12), 2011 RH5
Percent of high school students who have been hit, slapped, or physically hurt on purpose by their boyfriend or girlfriend (during the 12 months before the survey)HawaiiUnited States
Total9%9%
Male8%9%
Female9%9%
Percent of high school students who were ever physically forced to have sexual intercourse (when they did not want to)HawaiiUnited States
Total7%8%
Male4%4%
Female10%12%

DATA NOTES

 
All percentages (other than percent low birthweight births), have been rounded to the nearest whole number.
*
Figure does not meet standards of reliability or precision; based on fewer than 20 births in the numerator.
**
Difference not statistically significant.
N/A
Data do not exist on this measure for this state.
1
Includes all births, including those with Hispanic origin not stated and not shown separately.
2
Race and Hispanic origin are reported separately on birth certificates. Persons of Hispanic origin may be of any race. Race categories are consistent with the 1977 Office of Management and Budget (OMB) standards.
3
Includes persons of Hispanic origin according to mother’s reported race.
4
Includes all persons of Hispanic origin of any race.

DATA SOURCES

RH1
2011 Birth data are from: Centers for Disease Control and Prevention (2013). National Vital Statistics System. Hyattsville, MD: National Center for Health Statistics.
RH2
Pregnancy and abortion rate data are from: Kost, K. and Henshaw, S. (2013) U.S. Teenage Pregnancies, Births and Abortions, 2008: State Trends by Age, Race and Ethnicity, New York: Guttmacher Institute. Retrieved August 7, 2013, from http://www.guttmacher.org/pubs/USTPtrendsState08.pdf
RH3
1991 Birth rate data are from: Martin, J. A., Hamilton, B. E., Ventura, S. J., Osterman, M. J. K., Kirmeyer, S., Mathews, T. J., Wilson, E. (2011). Births: Final data for 2009. Table B. National vital statistics reports 60(1). Hyattsville, MD: National Center for Health Statistics. Retrieved August 7, 2013, from http://www.cdc.gov/nchs/data/nvsr/nvsr60/nvsr60_01.pdf
RH4
2010 Birth rate data are from: Martin, J. A., Hamilton, B. E., Ventura, S. J., Osterman, M. J. K., Wilson, E.C., and Mathews, T. J. (2012). Births: Final data for 2010. National vital statistics reports 61(1). Hyattsville, MD: National Center for Health Statistics. Retrieved August 7, 2013, from http://www.cdc.gov/nchs/data/nvsr/nvsr61/nvsr61_01.pdf
RH5
High school data are from: Centers for Disease Control and Prevention. (2012). 1991-2011 High School Youth Risk Behavior Survey Data. Retrieved August 7, 2013, from http://apps.nccd.cdc.gov/youthonline
Last updated: November 13, 2014