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Hawaii Adolescent Reproductive Health Facts

Hawaii ranked 29 out of 51 (50 states plus the District of Columbia)a on final 2016 teen birth rates among females ages 15-19 (with 1 representing the highest rate, and 51 representing the lowest rate).RH1

Number of births to females under age 20, 2016RH1,RH2,RH3

Total1 Hawaii United States
Females under age 20 733 212,062
Mother's age Hawaii United States
Under 15 * 2,253
15-17 149 54,741
18-19 579 155,068
15-19 728 209,809
Mother's race/ethnicityb Hawaii United States
Non-Hispanic white2 137 81,774
Non-Hispanic black2 26 46,686
American Indian or Alaska Native2,3 * 4,446
Asian or Pacific Islander2,3 489 4,653
Hispanic4 174 75,708

Teen birth rate (births per 1,000 females ages 15-19), 2016RH1

Total Hawaii United States
Females ages 15-19 19.2 20.3
Mother's age Hawaii United States
15-17 6.4 8.8
18-19 39.8 37.5

Percent changea in the teen birth rate, 1991-2016 and 2015-2016RH1,RH4

  Hawaii United States
Change in rate to females ages 15-19 (1991 to 2016) -68% -67%
Change in rate to females ages 15-19 (2015 to 2016) -7% -9%

The U.S. teen birth rate in 1991 was 61.8 births per 1,000 teen females ages 15-19.RH4

Of all births to females under age 20, percenta by race/ethnicity, 2016RH1,RH2,RH3

Mother’s race /ethnicityb Hawaii United States
Non-Hispanic white2 19% 39%
Non-Hispanic black2 4% 22%
American Indian or Alaska Native2,3 * 2%
Asian or Pacific Islander2,3 67% 2%
Hispanic4 24% 36%

Of all births to females under age 20, percenta repeat births, 2016RH1,RH3

Total1 Hawaii United States
Females under age 20 16% 16%
Mother’s race/ethnicityb Hawaii United States
Non-Hispanic white2 10% 14%
Non-Hispanic black2 * 17%
American Indian or Alaska Native2,3 * 18%
Asian or Pacific Islander2,3 17% 16%
Hispanic4 16% 18%

Percenta low birthweight§ births, among females under age 20, 2016RH1,RH3

Total Hawaii United States
Females under age 20 9% 10%

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

Teen pregnancy rate (estimated pregnancies per 1,000 females ages 15-19), 2013RH5

Total Hawaii United States
Females ages 15-19 44 43
Age Hawaii United States
15-17 19 21
18-19 83 76

Percent changea in the teen pregnancy rate, 1988-2013RH5

  Hawaii United States
Change in rate to females ages 15-19 -67% -62%

In 1988, the teen pregnancy rate was 134 pregnancies per 1,000 females ages 15-19 in Hawaii, and 112 in the U.S. The U.S. teen pregnancy rate peaked in 1990 at 117.6 pregnancies per 1,000 females ages 15-19, but state data are not available for that year.RH5

Teen abortion rate (abortions per 1,000 females ages 15-19), 2013RH5

Total Hawaii United States
Female ages 15-19 13 11
Age Hawaii United States
15-17 6 6
18-19 24 18

Percent changea in the teen abortion rate, 1988-2013RH5

  Hawaii United States
Change in rate to females ages 15-19 -81% -75%

The U.S. teen abortion rate peaked in 1988 at 44 abortions per 1,000 females ages 15-19. The teen abortion rate for Hawaii was 68 per 1,000 females ages 15-19 in 1988.RH5

Sexual behaviors among high school students (grades 9-12), 2017RH6

Percent of high school students who report they have ever had sexual intercourse Hawaii United States
Total N/A 40%
Male N/A 41%
Female N/A 38%
Percent of high school students who report they had sexual intercourse for the first time before 13 years of age Hawaii United States
Total 3% 3%
Male 4% 5%
Female 2% 2%
Percent of high school students who report they have had sexual intercourse with 4 or more persons Hawaii United States
Total 5% 10%
Male 6% 12%
Female 5% 8%
Percent of high school students who report they drank alcohol or used drugs before last sexual intercourse (among students who were currently sexually active) Hawaii United States
Total 23% 19%
Male 26% 22%
Female 20% 16%

Birth control use among sexually active high school students (grades 9-12), 2017RH6

Percent of high school students who report they or their partner used a condom during last sexual intercourse Hawaii United States
Total 43% 54%
Male 45% 61%
Female 41% 47%
Percent of high school students who report they or their partner used birth control pills before last sexual intercourse Hawaii United States
Total 16% 21%
Male 16% 19%
Female 16% 22%
Percent of high school students who report they or their partner used an IUD (e.g., Mirena or Paragard) or implant (e.g., Implanon or Nexplanon) before last sexual intercourse (to prevent pregnancy) Hawaii United States
Total 8% 4%
Male 6% 3%
Female 9% 5%
Percent of high school students who report they or their partner used a shot (e.g., Depo-Provera), patch (e.g., OrthoEvra), or birth control ring (e.g., NuvaRing) before last sexual intercourse (to prevent pregnancy) Hawaii United States
Total 6% 5%
Male 4% 2%
Female 7% 7%
Percent of high school students who report they or their partner used birth control pills; an IUD or implant; or a shot, patch, or birth control ring before last sexual intercourse (to prevent pregnancy) Hawaii United States
Total 30% 29%
Male 27% 24%
Female 32% 35%
Percent of high school students who report they or their partner used both a condom during last sexual intercourse and birth control pills; an IUD or implant; or a shot, patch, or birth control ring before last sexual intercourse (to prevent pregnancy) Hawaii United States
Total 6% 9%
Male 4% 9%
Female 6% 9%
Percent of high school students who report they or their partner did not use any method to prevent pregnancy during last sexual intercourse Hawaii United States
Total 16% 14%
Male 15% 10%
Female 16% 17%

Relationship violence among high school students who report dating in the past 12 months (grades 9-12), 2017RH6

Percent of high school students who report they experienced physical dating violence including being hit, slammed into something, or injured with an object or weapon on purpose by someone they dated or went out with Hawaii United States
Total 11% 8%
Male 14% 7%
Female 9% 9%
Percent of high school students who report they experienced sexual dating violence, e.g. being forced to do sexual things (such as kissing, touching, or being physically forced to have sexual intercourse) they did not want to do by someone they dated or went out with Hawaii United States
Total N/A 7%
Male N/A 3%
Female N/A 11%

Forced sex among high school students (grades 9-12), 2017RH6

Percent of high school students who report they were ever physically forced to have sexual intercourse (when they did not want to) Hawaii United States
Total 8% 7%
Male 6% 3%
Female 10% 11%

Data notes

All percentages 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.
N/A: Data are not available on this item for this state.
National and state data sheets are updated annually. The specific timing of updates depends on the release schedule of the data sources cited for each topic.
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, non-Hispanic and origin not stated according to mother’s reported race.
4
Includes all persons of Hispanic origin, of any race.
a
Calculated for this webpage.
b
Beginning with the 2016 birth data, the National Center for Health Statistics (NCHS) reports race consistent with the 1997 Office of Management and Budget (OMB) standards, where “single race” is defined as one race reported on the birth certificate. In order to show 2015 estimates for comparison, this webpage shows estimates by race/ethnicity using the “bridged race” categories that are consistent with the previous 1977 OMB standards, provided through NCHS and the CDC WONDER interactive vital statistics tool.

Data sources

RH1
Birth data from 2016 are from: Martin, J. A., Hamilton, B. E., Osterman, M. J., Driscoll, A. K., & Drake, P. (2018). Births: Final data for 2016. National Vital Statistics Reports, 67(1). Retrieved from https://www.cdc.gov/nchs/data/nvsr/nvsr67/nvsr67_01.pdf
RH2
National birth data by race/ethnicity using bridged race categories provided by: Reproductive Statistics Branch of the Division of Vital Statistics, National Center for Health Statistics, Hyattsville, MD. Received February 14, 2018.
RH3
State-level birth data by race/ethnicity are from: Centers for Disease Control and Prevention. (n.d.). About natality, 2007-2016 [Data set]. Retrieved from https://wonder.cdc.gov/natality-current.html
RH4
Birth data from 1991 and 2015 are from: Martin, J. A., Hamilton, B.E., Osterman, M. J. K., Driscoll A. K., & Mathews, T. J. (2017). Births: Final data for 2015. National Vital Statistics Reports, 66(1). Retrieved from http://www.cdc.gov/nchs/data/nvsr/nvsr66/nvsr66_01.pdf - PDF
RH5
Pregnancy and abortion rate data are from: Kost, K., Maddow-Zimet, I., & Arpaia, A. (2017). Pregnancies, births and abortions among adolescents and young women in the United States, 2013: National and state trends by age, race and ethnicity. Retrieved from https://www.guttmacher.org/sites/default/files/report_pdf/us-adolescent-pregnancy-trends-2013.pdf
RH6
High school data are from: Centers for Disease Control and Prevention. (2018). 1991-2017 Youth Risk Behavior Survey [Data set]. Retrieved from http://nccd.cdc.gov/YouthOnline/App/Default.aspx
Content created by Office of Adolescent Health
Content last reviewed on March 27, 2019