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Indicator Gauge Icon Legend

Legend Colors

Red is bad, green is good, blue is not statistically different/neutral.

Compared to Distribution

an indicator guage with the arrow in the green the value is in the best half of communities.

an indicator guage with the arrow in the yellow the value is in the 2nd worst quarter of communities.

an indicator guage with the arrow in the red the value is in the worst quarter of communities.

Compared to Target

green circle with white tick inside it meets target; red circle with white cross inside it does not meet target.

Compared to a Single Value

green diamond with downward arrow inside it lower than the comparison value; red diamond with downward arrow inside it higher than the comparison value; blue diamond with downward arrow inside it not statistically different from comparison value.

Trend

green square outline with upward trending arrow inside it green square outline with downward trending arrow inside it non-significant change over time; green square with upward trending arrow inside it green square with downward trending arrow inside it significant change over time; blue square with equals sign no change over time.

Compared to Prior Value

green triangle with upward trending arrow inside it higher than the previous measurement period; green triangle with downward trending arrow inside it lower than the previous measurement period; blue equals sign no statistically different change  from previous measurement period.

More information about the gauges and icons

Health / Maternal, Fetal & Infant Health

Health / Maternal, Fetal & Infant Health

Health / Maternal, Fetal & Infant Health

County: Hawaii

Value
Compared to:

Health / Maternal, Fetal & Infant Health

County: Hawaii

Value
Compared to:

County: Hawaii Adults Who Visited an OB/GYN

Current Value:
12.7%
(2023)
Compared to:
Compared to the HI Value (15.9%), Hawaii has a value of 12.7%.
HI Value
(15.9%)
The regional value is compared to the Hawaii State value.
Compared to the US Value (15.7%), Hawaii has a value of 12.7%.
US Value
(15.7%)
The regional value is compared to the national value.
Compared to the prior value, Hawaii (12.7%) is greater  than the previously measured value (12.5%).
Prior Value
(12.5%)
Prior Value compares a measured value with the previously measured value. Confidence intervals were not taken into account in determining the direction of the comparison.
Over time, the Hawaii value is decreasing, not significantly.
Trend
This comparison measures the indicator’s values over multiple time periods.<br>The Mann-Kendall Test for Statistical Significance is used to evaluate the trend<br>over 4 to 10 periods of measure, subject to data availability and comparability.

County: Hawaii Attended a Childbirth Class During Last Pregnancy

16.1%
(2014)
Compared to:
Compared to the HI Value (20.5%), Hawaii has a value of 16.1% which is lower and worse.
HI Value
(20.5%)
The regional value is compared to the Hawaii State value.
Compared to the US Value (21.5%), Hawaii has a value of 16.1% which is lower and worse.
US Value
(21.5%)
The regional value is compared to the national value.
Compared to the prior value, Hawaii (16.1%) is not statistically different from the previously measured value (17.5%).
Prior Value
(17.5%)
Prior Value compares a measured value with the previously measured value. Confidence intervals were taken into account in determining the direction of the comparison.

County: Hawaii Babies with Low Birth Weight

Current Value:
9.0%
(2020-2022)
Compared to:
Compared to the HI Value (8.4%), Hawaii has a value of 9.0% which is higher and worse.
HI Value
(8.4% in 2022)
The regional value is compared to the Hawaii State value.
Compared to the US Value (8.5%), Hawaii has a value of 9.0% which is higher and worse.
US Value
(8.5% in 2021)
The regional value is compared to the national value.
Compared to the prior value, Hawaii (9.0%) is not statistically different from the previously measured value (9.0%).
Prior Value
(9.0%)
Prior Value compares a measured value with the previously measured value. Confidence intervals were taken into account in determining the direction of the comparison.
Over time, the Hawaii value is increasing significantly.
Trend
This comparison measures the indicator’s values over multiple time periods.<br>The Mann-Kendall Test for Statistical Significance is used to evaluate the trend<br>over 4 to 10 periods of measure, subject to data availability and comparability.

County: Hawaii Babies with Very Low Birth Weight

Current Value:
1.2%
(2020-2022)
Compared to:
Compared to the HI Value (1.3%), Hawaii has a value of 1.2% which is lower and better.
HI Value
(1.3% in 2022)
The regional value is compared to the Hawaii State value.
Compared to the US Value (1.4%), Hawaii has a value of 1.2% which is lower and better.
US Value
(1.4% in 2021)
The regional value is compared to the national value.
Compared to the prior value, Hawaii (1.2%) is not statistically different from the previously measured value (1.1%).
Prior Value
(1.1%)
Prior Value compares a measured value with the previously measured value. Confidence intervals were taken into account in determining the direction of the comparison.
Over time, the Hawaii value is increasing, not significantly.
Trend
This comparison measures the indicator’s values over multiple time periods.<br>The Mann-Kendall Test for Statistical Significance is used to evaluate the trend<br>over 4 to 10 periods of measure, subject to data availability and comparability.

County: Hawaii Birth Rate

Current Value:

County: Hawaii Birth Rate

10.0
Births per 1,000 population
(2022)
Compared to:
Compared to the HI Value (10.8), Hawaii has a value of 10.0.
HI Value
(10.8)
The regional value is compared to the Hawaii State value.
Compared to the US Value (11.0), Hawaii has a value of 10.0.
US Value
(11.0 in 2021)
The regional value is compared to the national value.
Compared to the prior value, Hawaii (10.0) is not statistically different from the previously measured value (10.1).
Prior Value
(10.1)
Prior Value compares a measured value with the previously measured value. Confidence intervals were taken into account in determining the direction of the comparison.
Over time, the Hawaii value is decreasing, significantly.
Trend
This comparison measures the indicator’s values over multiple time periods.<br>The Mann-Kendall Test for Statistical Significance is used to evaluate the trend<br>over 4 to 10 periods of measure, subject to data availability and comparability.

County: Hawaii Births Delivered by Cesarean Section

Current Value:
30.5%
(2022)
Compared to:
Compared to the HI Value (27.6%), Hawaii has a value of 30.5% which is higher and worse.
HI Value
(27.6%)
The regional value is compared to the Hawaii State value.
Compared to the US Value (32.1%), Hawaii has a value of 30.5% which is lower and better.
US Value
(32.1%)
The regional value is compared to the national value.
Compared to the prior value, Hawaii (30.5%) is less and better than the previously measured value (34.3%).
Prior Value
(34.3%)
Prior Value compares a measured value with the previously measured value. Confidence intervals were not taken into account in determining the direction of the comparison.
Over time, the Hawaii value is decreasing, not significantly.
Trend
This comparison measures the indicator’s values over multiple time periods.<br>The Mann-Kendall Test for Statistical Significance is used to evaluate the trend<br>over 4 to 10 periods of measure, subject to data availability and comparability.

County: Hawaii Births Delivered by Primary Cesarean Section

Current Value:
12.9%
(2022)
Compared to:
Compared to the HI Value (13.8%), Hawaii has a value of 12.9% which is lower and better.
HI Value
(13.8%)
The regional value is compared to the Hawaii State value.
Compared to the US Value (14.6%), Hawaii has a value of 12.9% which is lower and better.
US Value
(14.6%)
The regional value is compared to the national value.
Compared to the prior value, Hawaii (12.9%) is less and better than the previously measured value (14.4%).
Prior Value
(14.4%)
Prior Value compares a measured value with the previously measured value. Confidence intervals were not taken into account in determining the direction of the comparison.
Over time, the Hawaii value is decreasing, not significantly.
Trend
This comparison measures the indicator’s values over multiple time periods.<br>The Mann-Kendall Test for Statistical Significance is used to evaluate the trend<br>over 4 to 10 periods of measure, subject to data availability and comparability.

County: Hawaii Births to Mothers Under 18 Years

Current Value:
0.9%
% of births to mothers <18
(2019-2021)
Compared to:
Compared to the HI Value (0.6%), Hawaii has a value of 0.9% which is higher and worse.
HI Value
(0.6% in 2021)
The regional value is compared to the Hawaii State value.
Compared to the prior value, Hawaii (0.9%) is not statistically different from the previously measured value (1.2%).
Prior Value
(1.2%)
Prior Value compares a measured value with the previously measured value. Confidence intervals were taken into account in determining the direction of the comparison.
Over time, the Hawaii value is decreasing, significantly.
Trend
This comparison measures the indicator’s values over multiple time periods.<br>The Mann-Kendall Test for Statistical Significance is used to evaluate the trend<br>over 4 to 10 periods of measure, subject to data availability and comparability.

County: Hawaii Fetal Deaths

Current Value:

County: Hawaii Fetal Deaths

6.4
Deaths per 1,000 live births + fetal deaths
(2011-2013)
Compared to:
Compared to the HI Value (5.4), Hawaii has a value of 6.4 which is higher and worse.
HI Value
(5.4 in 2022)
The regional value is compared to the Hawaii State value.
Compared to the US Value (5.7), Hawaii has a value of 6.4 which is higher and worse.
US Value
(5.7 in 2020)
The regional value is compared to the national value.
Compared to the prior value, Hawaii (6.4) is greater and worse than the previously measured value (5.6).
Prior Value
(5.6)
Prior Value compares a measured value with the previously measured value. Confidence intervals were not taken into account in determining the direction of the comparison.
Over time, the Hawaii value is staying the same.
Trend
This comparison measures the indicator’s values over multiple time periods.<br>The Mann-Kendall Test for Statistical Significance is used to evaluate the trend<br>over 4 to 10 periods of measure, subject to data availability and comparability.

County: Hawaii HIV Test During Pregnancy

Current Value:

County: Hawaii HIV Test During Pregnancy

62.5%
(2015)
Compared to:
Compared to the HI Value (62.6%), Hawaii has a value of 62.5% which is lower and worse.
HI Value
(62.6%)
The regional value is compared to the Hawaii State value.
Compared to the US Value (65.2%), Hawaii has a value of 62.5% which is lower and worse.
US Value
(65.2% in 2011)
The regional value is compared to the U.S. value.
Compared to the prior value, Hawaii (62.5%) is not statistically different from the previously measured value (70.7%).
Prior Value
(70.7%)
Prior Value compares a measured value with the previously measured value. Confidence intervals were taken into account in determining the direction of the comparison.
Over time, the Hawaii value is decreasing, not significantly.
Trend
This comparison measures the indicator’s values over multiple time periods.<br>The Mann-Kendall Test for Statistical Significance is used to evaluate the trend<br>over 4 to 10 periods of measure, subject to data availability and comparability.

County: Hawaii Households that Received Maternity Care Services

Current Value:
3.4%
(2023)
Compared to:
Compared to the HI Value (5.3%), Hawaii has a value of 3.4%.
HI Value
(5.3%)
The regional value is compared to the Hawaii State value.
Compared to the US Value (5.8%), Hawaii has a value of 3.4%.
US Value
(5.8%)
The regional value is compared to the national value.
Compared to the prior value, Hawaii (3.4%) is less  than the previously measured value (3.8%).
Prior Value
(3.8%)
Prior Value compares a measured value with the previously measured value. Confidence intervals were not taken into account in determining the direction of the comparison.
Over time, the Hawaii value is decreasing, significantly.
Trend
This comparison measures the indicator’s values over multiple time periods.<br>The Mann-Kendall Test for Statistical Significance is used to evaluate the trend<br>over 4 to 10 periods of measure, subject to data availability and comparability.

County: Hawaii Infant Deaths Due to All Birth Defects

Current Value:
0.7
Deaths per 1,000 live births
(2011-2015)
Compared to:
Compared to the HI Value (0.9), Hawaii has a value of 0.7 which is lower and better.
HI Value
(0.9 in 2020-2022)
The regional value is compared to the Hawaii State value.
Compared to the US Value (1.1), Hawaii has a value of 0.7 which is lower and better.
US Value
(1.1 in 2019-2021)
The regional value is compared to the national value.
Compared to the prior value, Hawaii (0.7) is less and better than the previously measured value (1.1).
Prior Value
(1.1)
Prior Value compares a measured value with the previously measured value. Confidence intervals were not taken into account in determining the direction of the comparison.
Over time, the Hawaii value is increasing, not significantly.
Trend
This comparison measures the indicator’s values over multiple time periods.<br>The Mann-Kendall Test for Statistical Significance is used to evaluate the trend<br>over 4 to 10 periods of measure, subject to data availability and comparability.

County: Hawaii Infant Deaths Due to Sudden Infant Death Syndrome (SIDS)

0.6
Deaths per 1,000 live births
(2007-2011)
Compared to:
Compared to the HI Value (0.2), Hawaii has a value of 0.6 which is higher and worse.
HI Value
(0.2)
The regional value is compared to the Hawaii State value.
Compared to the US Value (0.4), Hawaii has a value of 0.6 which is higher and worse.
US Value
(0.4 in 2019-2021)
The regional value is compared to the national value.
Compared to the prior value, Hawaii (0.6) is less and better than the previously measured value (0.7).
Prior Value
(0.7)
Prior Value compares a measured value with the previously measured value. Confidence intervals were not taken into account in determining the direction of the comparison.
Over time, the Hawaii value is decreasing, not significantly.
Trend
This comparison measures the indicator’s values over multiple time periods.<br>The Mann-Kendall Test for Statistical Significance is used to evaluate the trend<br>over 4 to 10 periods of measure, subject to data availability and comparability.

County: Hawaii Infant Deaths Due to Sudden Unexpected Infant Deaths

1.1
Deaths per 1,000 live births
(2006-2008)
Compared to:
Compared to the HI Value (0.9), Hawaii has a value of 1.1 which is higher and worse.
HI Value
(0.9)
The regional value is compared to the Hawaii State value.
Compared to the US Value (0.9), Hawaii has a value of 1.1 which is higher and worse.
US Value
(0.9 in 2019-2021)
The regional value is compared to the national value.
Compared to the prior value, Hawaii (1.1) is less and better than the previously measured value (1.9).
Prior Value
(1.9)
Prior Value compares a measured value with the previously measured value. Confidence intervals were not taken into account in determining the direction of the comparison.
Over time, the Hawaii value is increasing, not significantly.
Trend
This comparison measures the indicator’s values over multiple time periods.<br>The Mann-Kendall Test for Statistical Significance is used to evaluate the trend<br>over 4 to 10 periods of measure, subject to data availability and comparability.

County: Hawaii Infant Mortality Rate

Current Value:

County: Hawaii Infant Mortality Rate

5.0
Deaths per 1,000 live births
(2019-2021)
Compared to:
Compared to the HI Value (4.5), Hawaii has a value of 5.0 which is higher and worse.
HI Value
(4.5)
The regional value is compared to the Hawaii State value.
Compared to the US Value (5.6), Hawaii has a value of 5.0 which is lower and better.
US Value
(5.6 in 2022)
The regional value is compared to the national value.
Compared to the prior value, Hawaii (5.0) is not statistically different from the previously measured value (5.2).
Prior Value
(5.2)
Prior Value compares a measured value with the previously measured value. Confidence intervals were taken into account in determining the direction of the comparison.
Over time, the Hawaii value is increasing, not significantly.
Trend
This comparison measures the indicator’s values over multiple time periods.<br>The Mann-Kendall Test for Statistical Significance is used to evaluate the trend<br>over 4 to 10 periods of measure, subject to data availability and comparability.
Compared to the HP 2030 LHI (5.0), the target has  been met.
HP 2030 LHI
(5.0)
<div><span>MICH-02: Reduce the rate of infant deaths <strong>(LEADING HEALTH INDICATOR) </strong><br /><br />The national indicator definition and data source are the same as for the state.</span></div>

County: Hawaii Infants Born to Mothers with <12 Yrs Education

Current Value:
11.3%
(2019-2021)
Compared to:
Compared to the HI Value (15.8%), Hawaii has a value of 11.3% which is lower and better.
HI Value
(15.8% in 2021)
The regional value is compared to the Hawaii State value.
Compared to the US Value (11.1%), Hawaii has a value of 11.3% which is higher and worse.
US Value
(11.1% in 2021)
The regional value is compared to the national value.
Compared to the prior value, Hawaii (11.3%) is not statistically different from the previously measured value (12.1%).
Prior Value
(12.1%)
Prior Value compares a measured value with the previously measured value. Confidence intervals were taken into account in determining the direction of the comparison.
Over time, the Hawaii value is decreasing, significantly.
Trend
This comparison measures the indicator’s values over multiple time periods.<br>The Mann-Kendall Test for Statistical Significance is used to evaluate the trend<br>over 4 to 10 periods of measure, subject to data availability and comparability.

County: Hawaii Infants Still Breastfeeding at 8 Weeks

Current Value:
81.1%
(2021)
Compared to:
Compared to the HI Value (80.9%), Hawaii has a value of 81.1% which is higher and better.
HI Value
(80.9%)
The regional value is compared to the Hawaii State value.
Compared to the US Value (68.5%), Hawaii has a value of 81.1% which is higher and better.
US Value
(68.5% in 2020)
The regional value is compared to the national value.
Compared to the prior value, Hawaii (81.1%) is not statistically different from the previously measured value (78.4%).
Prior Value
(78.4%)
Prior Value compares a measured value with the previously measured value. Confidence intervals were taken into account in determining the direction of the comparison.
Over time, the Hawaii value is increasing, not significantly.
Trend
This comparison measures the indicator’s values over multiple time periods.<br>The Mann-Kendall Test for Statistical Significance is used to evaluate the trend<br>over 4 to 10 periods of measure, subject to data availability and comparability.
Compared to the PAN Plan Target (94.4%), the target has not been met.
PAN Plan Target
(94.4%)

County: Hawaii Infants Who Are Put to Sleep on Their Backs

Current Value:
77.9%
(2021)
Compared to:
Compared to the HI Value (83.0%), Hawaii has a value of 77.9% which is lower and worse.
HI Value
(83.0%)
The regional value is compared to the Hawaii State value.
Compared to the US Value (79.5%), Hawaii has a value of 77.9% which is lower and worse.
US Value
(79.5% in 2020)
The regional value is compared to the national value.
Compared to the prior value, Hawaii (77.9%) is not statistically different from the previously measured value (76.6%).
Prior Value
(76.6%)
Prior Value compares a measured value with the previously measured value. Confidence intervals were taken into account in determining the direction of the comparison.
Over time, the Hawaii value is staying the same.
Trend
This comparison measures the indicator’s values over multiple time periods.<br>The Mann-Kendall Test for Statistical Significance is used to evaluate the trend<br>over 4 to 10 periods of measure, subject to data availability and comparability.

County: Hawaii Mothers Who Ever Breastfed

Current Value:
94.3%
(2021)
Compared to:
Compared to the HI Value (94.5%), Hawaii has a value of 94.3% which is lower and worse.
HI Value
(94.5%)
The regional value is compared to the Hawaii State value.
Compared to the US Value (87.9%), Hawaii has a value of 94.3% which is higher and better.
US Value
(87.9% in 2020)
The regional value is compared to the national value.
Compared to the prior value, Hawaii (94.3%) is not statistically different from the previously measured value (94.8%).
Prior Value
(94.8%)
Prior Value compares a measured value with the previously measured value. Confidence intervals were taken into account in determining the direction of the comparison.
Over time, the Hawaii value is decreasing, not significantly.
Trend
This comparison measures the indicator’s values over multiple time periods.<br>The Mann-Kendall Test for Statistical Significance is used to evaluate the trend<br>over 4 to 10 periods of measure, subject to data availability and comparability.
Compared to the PAN Plan Target (100%), the target has not been met.
PAN Plan Target
(100%)

County: Hawaii Mothers Who Gained Appropriate Weight During Pregnancy

38.0%
(2015)
Compared to:
Compared to the HI Value (36.9%), Hawaii has a value of 38.0% which is higher and better.
HI Value
(36.9%)
The regional value is compared to the Hawaii State value.
Compared to the prior value, Hawaii (38.0%) is not statistically different from the previously measured value (31.4%).
Prior Value
(31.4%)
Prior Value compares a measured value with the previously measured value. Confidence intervals were taken into account in determining the direction of the comparison.
Over time, the Hawaii value is increasing, not significantly.
Trend
This comparison measures the indicator’s values over multiple time periods.<br>The Mann-Kendall Test for Statistical Significance is used to evaluate the trend<br>over 4 to 10 periods of measure, subject to data availability and comparability.

County: Hawaii Mothers Who Had a Postpartum Care Visit

Current Value:
89.1%
(2021)
Compared to:
Compared to the HI Value (88.7%), Hawaii has a value of 89.1% which is higher and better.
HI Value
(88.7%)
The regional value is compared to the Hawaii State value.
Compared to the US Value (88.1%), Hawaii has a value of 89.1% which is higher and better.
US Value
(88.1% in 2020)
The regional value is compared to the national value.
Compared to the prior value, Hawaii (89.1%) is not statistically different from the previously measured value (89.1%).
Prior Value
(89.1%)
Prior Value compares a measured value with the previously measured value. Confidence intervals were taken into account in determining the direction of the comparison.
Over time, the Hawaii value is decreasing, not significantly.
Trend
This comparison measures the indicator’s values over multiple time periods.<br>The Mann-Kendall Test for Statistical Significance is used to evaluate the trend<br>over 4 to 10 periods of measure, subject to data availability and comparability.

County: Hawaii Mothers who Received Early and Adequate Prenatal Care

58.1%
(2021)
Compared to:
Compared to the HI Value (62.1%), Hawaii has a value of 58.1% which is lower and worse.
HI Value
(62.1%)
The regional value is compared to the Hawaii State value.
Compared to the US Value (87.1%), Hawaii has a value of 58.1% which is lower and worse.
US Value
(87.1% in 2020)
The regional value is compared to the national value.
Compared to the prior value, Hawaii (58.1%) is not statistically different from the previously measured value (59.9%).
Prior Value
(59.9%)
Prior Value compares a measured value with the previously measured value. Confidence intervals were taken into account in determining the direction of the comparison.
Over time, the Hawaii value is decreasing, not significantly.
Trend
This comparison measures the indicator’s values over multiple time periods.<br>The Mann-Kendall Test for Statistical Significance is used to evaluate the trend<br>over 4 to 10 periods of measure, subject to data availability and comparability.

County: Hawaii Mothers who Received Late or No Prenatal Care

Current Value:
11.3%
(2020-2022)
Compared to:
Compared to the HI Value (13.4%), Hawaii has a value of 11.3% which is lower and better.
HI Value
(13.4% in 2022)
The regional value is compared to the Hawaii State value.
Compared to the US Value (6.3%), Hawaii has a value of 11.3% which is higher and worse.
US Value
(6.3% in 2021)
The regional value is compared to the national value.
Compared to the prior value, Hawaii (11.3%) is not statistically different from the previously measured value (10.6%).
Prior Value
(10.6%)
Prior Value compares a measured value with the previously measured value. Confidence intervals were taken into account in determining the direction of the comparison.
Over time, the Hawaii value is decreasing, significantly.
Trend
This comparison measures the indicator’s values over multiple time periods.<br>The Mann-Kendall Test for Statistical Significance is used to evaluate the trend<br>over 4 to 10 periods of measure, subject to data availability and comparability.

County: Hawaii Mothers Who Smoked 3-6 Months Postpartum

Current Value:
7.1%
(2021)
Compared to:
Compared to the HI Value (3.8%), Hawaii has a value of 7.1% which is higher and worse.
HI Value
(3.8%)
The regional value is compared to the Hawaii State value.
Compared to the US Value (8.8%), Hawaii has a value of 7.1% which is lower and better.
US Value
(8.8% in 2020)
The regional value is compared to the national value.
Compared to the prior value, Hawaii (7.1%) is not statistically different from the previously measured value (4.8%).
Prior Value
(4.8%)
Prior Value compares a measured value with the previously measured value. Confidence intervals were taken into account in determining the direction of the comparison.
Over time, the Hawaii value is decreasing, significantly.
Trend
This comparison measures the indicator’s values over multiple time periods.<br>The Mann-Kendall Test for Statistical Significance is used to evaluate the trend<br>over 4 to 10 periods of measure, subject to data availability and comparability.

County: Hawaii Mothers Who Smoked in the Last Trimester of Pregnancy

4.5%
(2021)
Compared to:
Compared to the HI Value (3.7%), Hawaii has a value of 4.5% which is higher and worse.
HI Value
(3.7%)
The regional value is compared to the Hawaii State value.
Compared to the US Value (6.5%), Hawaii has a value of 4.5% which is lower and better.
US Value
(6.5% in 2020)
The regional value is compared to the national value.
Compared to the prior value, Hawaii (4.5%) is not statistically different from the previously measured value (4.0%).
Prior Value
(4.0%)
Prior Value compares a measured value with the previously measured value. Confidence intervals were taken into account in determining the direction of the comparison.
Over time, the Hawaii value is decreasing, significantly.
Trend
This comparison measures the indicator’s values over multiple time periods.<br>The Mann-Kendall Test for Statistical Significance is used to evaluate the trend<br>over 4 to 10 periods of measure, subject to data availability and comparability.

County: Hawaii Neonatal Mortality Rate

Current Value:

County: Hawaii Neonatal Mortality Rate

3.2
Deaths per 1,000 live births
(2018-2020)
Compared to:
Compared to the HI Value (3.2), Hawaii has a value of 3.2.
HI Value
(3.2 in 2021)
The regional value is compared to the Hawaii State value.
Compared to the US Value (3.5), Hawaii has a value of 3.2 which is lower and better.
US Value
(3.5 in 2021)
The regional value is compared to the national value.
Compared to the prior value, Hawaii (3.2) is not statistically different from the previously measured value (3.5).
Prior Value
(3.5)
Prior Value compares a measured value with the previously measured value. Confidence intervals were taken into account in determining the direction of the comparison.
Over time, the Hawaii value is decreasing, not significantly.
Trend
This comparison measures the indicator’s values over multiple time periods.<br>The Mann-Kendall Test for Statistical Significance is used to evaluate the trend<br>over 4 to 10 periods of measure, subject to data availability and comparability.

County: Hawaii Postpartum Relapse of Smoking

Current Value:
25.7%
(2014)
Compared to:
Compared to the HI Value (39.4%), Hawaii has a value of 25.7% which is lower and better.
HI Value
(39.4%)
The regional value is compared to the Hawaii State value.
Compared to the prior value, Hawaii (25.7%) is not statistically different from the previously measured value (37.0%).
Prior Value
(37.0%)
Prior Value compares a measured value with the previously measured value. Confidence intervals were taken into account in determining the direction of the comparison.
Over time, the Hawaii value is decreasing, not significantly.
Trend
This comparison measures the indicator’s values over multiple time periods.<br>The Mann-Kendall Test for Statistical Significance is used to evaluate the trend<br>over 4 to 10 periods of measure, subject to data availability and comparability.

County: Hawaii Pregnancies that Are Intended

Current Value:
53.0%
(2021)
Compared to:
Compared to the HI Value (57.6%), Hawaii has a value of 53.0% which is lower and worse.
HI Value
(57.6%)
The regional value is compared to the Hawaii State value.
Compared to the US Value (60.4%), Hawaii has a value of 53.0% which is lower and worse.
US Value
(60.4% in 2020)
The regional value is compared to the national value.
Compared to the prior value, Hawaii (53.0%) is not statistically different from the previously measured value (47.2%).
Prior Value
(47.2%)
Prior Value compares a measured value with the previously measured value. Confidence intervals were taken into account in determining the direction of the comparison.
Over time, the Hawaii value is increasing significantly.
Trend
This comparison measures the indicator’s values over multiple time periods.<br>The Mann-Kendall Test for Statistical Significance is used to evaluate the trend<br>over 4 to 10 periods of measure, subject to data availability and comparability.
Compared to the HP 2030 Target (36.5%), the target has  been met.
HP 2030 Target
(36.5%)
<div><span>FP-01: Reduce the proportion of unintended pregnancies<br /><br />The national indicator definition is limited to women aged 15-44 and uses live births as well as abortions and fetal losses for the denominator. The data source for the national indicator is the National Survey of Family Growth, from which state-level data for Hawaii cannot be obtained. The state data source is the Pregnancy Risk Assessment Monitoring System, which is comparable to the national data source.</span></div>

County: Hawaii Pregnant Women Who Talked with a Dentist

Current Value:
54.2%
(2021)
Compared to:
Compared to the HI Value (46.6%), Hawaii has a value of 54.2% which is higher and better.
HI Value
(46.6%)
The regional value is compared to the Hawaii State value.
Compared to the prior value, Hawaii (54.2%) is not statistically different from the previously measured value (60.4%).
Prior Value
(60.4%)
Prior Value compares a measured value with the previously measured value. Confidence intervals were taken into account in determining the direction of the comparison.
Over time, the Hawaii value is increasing significantly.
Trend
This comparison measures the indicator’s values over multiple time periods.<br>The Mann-Kendall Test for Statistical Significance is used to evaluate the trend<br>over 4 to 10 periods of measure, subject to data availability and comparability.

County: Hawaii Pregnant Women with Dental Insurance

Current Value:
70.4%
(2021)
Compared to:
Compared to the HI Value (81.5%), Hawaii has a value of 70.4% which is lower and worse.
HI Value
(81.5%)
The regional value is compared to the Hawaii State value.
Compared to the prior value, Hawaii (70.4%) is not statistically different from the previously measured value (68.8%).
Prior Value
(68.8%)
Prior Value compares a measured value with the previously measured value. Confidence intervals were taken into account in determining the direction of the comparison.
Over time, the Hawaii value is increasing, not significantly.
Trend
This comparison measures the indicator’s values over multiple time periods.<br>The Mann-Kendall Test for Statistical Significance is used to evaluate the trend<br>over 4 to 10 periods of measure, subject to data availability and comparability.
Compared to the HP 2030 Target (75.0%), the target has not been met.
HP 2030 Target
(75.0%)
<div><span>AHS-02: Increase the proportion of people with dental insurance </span></div> <div><span></span></div> <div><span>The national indicator is defined in exactly the same way. The data source for the national indicator is the National Health Interview Survey, from which state-level data for Hawaii cannot be obtained. The state data source is the Pregnancy Risk Assessment Monitoring Survey.</span></div>

County: Hawaii Preterm Births

Current Value:

County: Hawaii Preterm Births

11.1%
(2020-2022)
Compared to:
Compared to the HI Value (9.8%), Hawaii has a value of 11.1% which is higher and worse.
HI Value
(9.8% in 2022)
The regional value is compared to the Hawaii State value.
Compared to the US Value (10.5%), Hawaii has a value of 11.1% which is higher and worse.
US Value
(10.5% in 2021)
The regional value is compared to the national value.
Compared to the prior value, Hawaii (11.1%) is not statistically different from the previously measured value (10.9%).
Prior Value
(10.9%)
Prior Value compares a measured value with the previously measured value. Confidence intervals were taken into account in determining the direction of the comparison.
Over time, the Hawaii value is increasing, not significantly.
Trend
This comparison measures the indicator’s values over multiple time periods.<br>The Mann-Kendall Test for Statistical Significance is used to evaluate the trend<br>over 4 to 10 periods of measure, subject to data availability and comparability.
Compared to the HP 2030 Target (9.4%), the target has not been met.
HP 2030 Target
(9.4%)
<div><span>MICH-07: Reduce preterm births<br /> <br />The national indicator definition and data source are the same as for the state.</span></div>

County: Hawaii Teen Birth Rate

Current Value:

County: Hawaii Teen Birth Rate

15.7
Births per 1,000 women aged 15-19 years
(2022)
Compared to:
Compared to the HI Value (11.7), Hawaii has a value of 15.7 which is higher and worse.
HI Value
(11.7)
The regional value is compared to the Hawaii State value.
Compared to the US Value (13.9), Hawaii has a value of 15.7 which is higher and worse.
US Value
(13.9 in 2021)
The regional value is compared to the national value.
Compared to the prior value, Hawaii (15.7) is not statistically different from the previously measured value (16.2).
Prior Value
(16.2)
Prior Value compares a measured value with the previously measured value. Confidence intervals were taken into account in determining the direction of the comparison.
Over time, the Hawaii value is decreasing, significantly.
Trend
This comparison measures the indicator’s values over multiple time periods.<br>The Mann-Kendall Test for Statistical Significance is used to evaluate the trend<br>over 4 to 10 periods of measure, subject to data availability and comparability.

County: Hawaii Women who Abstained from Alcohol in Their Third Trimester

92.5%
(2021)
Compared to:
Compared to the HI Value (92.6%), Hawaii has a value of 92.5% which is lower and worse.
HI Value
(92.6%)
The regional value is compared to the Hawaii State value.
Compared to the US Value (92.0%), Hawaii has a value of 92.5% which is higher and better.
US Value
(92.0% in 2015)
The regional value is compared to the national value.
Compared to the prior value, Hawaii (92.5%) is not statistically different from the previously measured value (92.9%).
Prior Value
(92.9%)
Prior Value compares a measured value with the previously measured value. Confidence intervals were taken into account in determining the direction of the comparison.
Over time, the Hawaii value is decreasing, not significantly.
Trend
This comparison measures the indicator’s values over multiple time periods.<br>The Mann-Kendall Test for Statistical Significance is used to evaluate the trend<br>over 4 to 10 periods of measure, subject to data availability and comparability.
Compared to the HP 2030 Target (92.2%), the target has  been met.
HP 2030 Target
(92.2%)
<div> <div><a target="_blank" href="http://www.healthypeople.gov/node/4836/data_details" rel="noreferrer noopener"><span>MICH-09:  </span> <span>Increase abstinence from alcohol among pregnant women</span></a></div> <div> </div> <div>The national indicator is defined differently as the percent of pregnant females ages 15 to 44 years who report no alcohol use in the previous 30 days.  The data source for the national indicator is the National Survey on Drug Use and Health.  The state data source is the Pregnancy Risk Assessment Monitoring System.</div> </div>

County: Hawaii Women Who Abstained from Drinking Prior to Pregnancy

45.4%
(2021)
Compared to:
Compared to the HI Value (43.5%), Hawaii has a value of 45.4% which is higher and better.
HI Value
(43.5%)
The regional value is compared to the Hawaii State value.
Compared to the US Value (44.7%), Hawaii has a value of 45.4% which is higher and better.
US Value
(44.7% in 2015)
The regional value is compared to the national value.
Compared to the prior value, Hawaii (45.4%) is not statistically different from the previously measured value (47.3%).
Prior Value
(47.3%)
Prior Value compares a measured value with the previously measured value. Confidence intervals were taken into account in determining the direction of the comparison.
Over time, the Hawaii value is decreasing, not significantly.
Trend
This comparison measures the indicator’s values over multiple time periods.<br>The Mann-Kendall Test for Statistical Significance is used to evaluate the trend<br>over 4 to 10 periods of measure, subject to data availability and comparability.

County: Hawaii Women Who Abstained from Illicit Drugs During Pregnancy

93.5%
(2011)
Compared to:
Compared to the HI Value (96.6%), Hawaii has a value of 93.5% which is lower and worse.
HI Value
(96.6%)
The regional value is compared to the Hawaii State value.
Compared to the prior value, Hawaii (93.5%) is not statistically different from the previously measured value (97.0%).
Prior Value
(97.0%)
Prior Value compares a measured value with the previously measured value. Confidence intervals were taken into account in determining the direction of the comparison.
Over time, the Hawaii value is staying the same.
Trend
This comparison measures the indicator’s values over multiple time periods.<br>The Mann-Kendall Test for Statistical Significance is used to evaluate the trend<br>over 4 to 10 periods of measure, subject to data availability and comparability.

County: Hawaii Women Who Abstained from Illicit Drugs Prior to Pregnancy

93.1%
(2015)
Compared to:
Compared to the HI Value (94.6%), Hawaii has a value of 93.1% which is lower and worse.
HI Value
(94.6%)
The regional value is compared to the Hawaii State value.
Compared to the prior value, Hawaii (93.1%) is not statistically different from the previously measured value (90.7%).
Prior Value
(90.7%)
Prior Value compares a measured value with the previously measured value. Confidence intervals were taken into account in determining the direction of the comparison.
Over time, the Hawaii value is increasing, not significantly.
Trend
This comparison measures the indicator’s values over multiple time periods.<br>The Mann-Kendall Test for Statistical Significance is used to evaluate the trend<br>over 4 to 10 periods of measure, subject to data availability and comparability.

County: Hawaii Women Who Abstained from Smoking Prior to Pregnancy

85.9%
(2021)
Compared to:
Compared to the HI Value (90.6%), Hawaii has a value of 85.9% which is lower and worse.
HI Value
(90.6%)
The regional value is compared to the Hawaii State value.
Compared to the US Value (86.0%), Hawaii has a value of 85.9% which is lower and worse.
US Value
(86.0% in 2020)
The regional value is compared to the national value.
Compared to the prior value, Hawaii (85.9%) is not statistically different from the previously measured value (89.6%).
Prior Value
(89.6%)
Prior Value compares a measured value with the previously measured value. Confidence intervals were taken into account in determining the direction of the comparison.
Over time, the Hawaii value is increasing significantly.
Trend
This comparison measures the indicator’s values over multiple time periods.<br>The Mann-Kendall Test for Statistical Significance is used to evaluate the trend<br>over 4 to 10 periods of measure, subject to data availability and comparability.

County: Hawaii Women who Binge Drink Prior to Pregnancy

Current Value:
15.4%
(2021)
Compared to:
Compared to the HI Value (18.3%), Hawaii has a value of 15.4% which is lower and better.
HI Value
(18.3%)
The regional value is compared to the Hawaii State value.
Compared to the US Value (3.0%), Hawaii has a value of 15.4% which is higher and worse.
US Value
(3.0% in 2020)
The regional value is compared to the national value.
Compared to the prior value, Hawaii (15.4%) is not statistically different from the previously measured value (20.2%).
Prior Value
(20.2%)
Prior Value compares a measured value with the previously measured value. Confidence intervals were taken into account in determining the direction of the comparison.
Over time, the Hawaii value is decreasing, not significantly.
Trend
This comparison measures the indicator’s values over multiple time periods.<br>The Mann-Kendall Test for Statistical Significance is used to evaluate the trend<br>over 4 to 10 periods of measure, subject to data availability and comparability.

County: Hawaii Women Who Discussed Effects of Smoking with a HCW

68.6%
(2015)
Compared to:
Compared to the HI Value (72.1%), Hawaii has a value of 68.6% which is lower and worse.
HI Value
(72.1%)
The regional value is compared to the Hawaii State value.
Compared to the prior value, Hawaii (68.6%) is not statistically different from the previously measured value (72.0%).
Prior Value
(72.0%)
Prior Value compares a measured value with the previously measured value. Confidence intervals were taken into account in determining the direction of the comparison.
Over time, the Hawaii value is decreasing, not significantly.
Trend
This comparison measures the indicator’s values over multiple time periods.<br>The Mann-Kendall Test for Statistical Significance is used to evaluate the trend<br>over 4 to 10 periods of measure, subject to data availability and comparability.

County: Hawaii Women Who Discussed Preconception Health with a HCW

31.5%
(2011)
Compared to:
Compared to the HI Value (40.7%), Hawaii has a value of 31.5% which is lower and worse.
HI Value
(40.7%)
The regional value is compared to the Hawaii State value.
Compared to the US Value (33.6%), Hawaii has a value of 31.5% which is lower and worse.
US Value
(33.6%)
The regional value is compared to the U.S. value.
Compared to the prior value, Hawaii (31.5%) is not statistically different from the previously measured value (40.9%).
Prior Value
(40.9%)
Prior Value compares a measured value with the previously measured value. Confidence intervals were taken into account in determining the direction of the comparison.

County: Hawaii Women Who Drank Alcohol in Their Third Trimester of Pregnancy

7.5%
(2021)
Compared to:
Compared to the HI Value (7.4%), Hawaii has a value of 7.5% which is higher and worse.
HI Value
(7.4%)
The regional value is compared to the Hawaii State value.
Compared to the prior value, Hawaii (7.5%) is not statistically different from the previously measured value (7.1%).
Prior Value
(7.1%)
Prior Value compares a measured value with the previously measured value. Confidence intervals were taken into account in determining the direction of the comparison.
Over time, the Hawaii value is increasing significantly.
Trend
This comparison measures the indicator’s values over multiple time periods.<br>The Mann-Kendall Test for Statistical Significance is used to evaluate the trend<br>over 4 to 10 periods of measure, subject to data availability and comparability.

County: Hawaii Women Who Had a Healthy Body Weight Prior to Pregnancy

42.9%
(2021)
Compared to:
Compared to the HI Value (48.1%), Hawaii has a value of 42.9% which is lower and worse.
HI Value
(48.1%)
The regional value is compared to the Hawaii State value.
Compared to the US Value (43.0%), Hawaii has a value of 42.9% which is lower and worse.
US Value
(43.0% in 2020)
The regional value is compared to the national value.
Compared to the prior value, Hawaii (42.9%) is not statistically different from the previously measured value (46.7%).
Prior Value
(46.7%)
Prior Value compares a measured value with the previously measured value. Confidence intervals were taken into account in determining the direction of the comparison.
Over time, the Hawaii value is decreasing, significantly.
Trend
This comparison measures the indicator’s values over multiple time periods.<br>The Mann-Kendall Test for Statistical Significance is used to evaluate the trend<br>over 4 to 10 periods of measure, subject to data availability and comparability.

County: Hawaii Women Who Had Their Teeth Cleaned During Pregnancy

36.9%
(2021)
Compared to:
Compared to the HI Value (44.6%), Hawaii has a value of 36.9% which is lower and worse.
HI Value
(44.6%)
The regional value is compared to the Hawaii State value.
Compared to the US Value (40.0%), Hawaii has a value of 36.9% which is lower and worse.
US Value
(40.0% in 2020)
The regional value is compared to the national value.
Compared to the prior value, Hawaii (36.9%) is not statistically different from the previously measured value (32.2%).
Prior Value
(32.2%)
Prior Value compares a measured value with the previously measured value. Confidence intervals were taken into account in determining the direction of the comparison.
Over time, the Hawaii value is increasing, not significantly.
Trend
This comparison measures the indicator’s values over multiple time periods.<br>The Mann-Kendall Test for Statistical Significance is used to evaluate the trend<br>over 4 to 10 periods of measure, subject to data availability and comparability.

County: Hawaii Women Who Had Their Teeth Cleaned PRAMS

Current Value:
69.2%
(2021)
Compared to:
Compared to the HI Value (81.2%), Hawaii has a value of 69.2% which is lower and worse.
HI Value
(81.2%)
The regional value is compared to the Hawaii State value.
Compared to the prior value, Hawaii (69.2%) is not statistically different from the previously measured value (74.8%).
Prior Value
(74.8%)
Prior Value compares a measured value with the previously measured value. Confidence intervals were taken into account in determining the direction of the comparison.
Over time, the Hawaii value is increasing significantly.
Trend
This comparison measures the indicator’s values over multiple time periods.<br>The Mann-Kendall Test for Statistical Significance is used to evaluate the trend<br>over 4 to 10 periods of measure, subject to data availability and comparability.

County: Hawaii Women Who Knew Oral Health Was Important During Pregnancy

81.8%
(2021)
Compared to:
Compared to the HI Value (88.4%), Hawaii has a value of 81.8% which is lower and worse.
HI Value
(88.4%)
The regional value is compared to the Hawaii State value.
Compared to the prior value, Hawaii (81.8%) is not statistically different from the previously measured value (85.3%).
Prior Value
(85.3%)
Prior Value compares a measured value with the previously measured value. Confidence intervals were taken into account in determining the direction of the comparison.
Over time, the Hawaii value is increasing, not significantly.
Trend
This comparison measures the indicator’s values over multiple time periods.<br>The Mann-Kendall Test for Statistical Significance is used to evaluate the trend<br>over 4 to 10 periods of measure, subject to data availability and comparability.

County: Hawaii Women Who Needed a Dentist During Pregnancy

Current Value:
81.0%
(2021)
Compared to:
Compared to the HI Value (84.9%), Hawaii has a value of 81.0% which is lower and better.
HI Value
(84.9%)
The regional value is compared to the Hawaii State value.
Compared to the prior value, Hawaii (81.0%) is not statistically different from the previously measured value (84.4%).
Prior Value
(84.4%)
Prior Value compares a measured value with the previously measured value. Confidence intervals were taken into account in determining the direction of the comparison.
Over time, the Hawaii value is decreasing, not significantly.
Trend
This comparison measures the indicator’s values over multiple time periods.<br>The Mann-Kendall Test for Statistical Significance is used to evaluate the trend<br>over 4 to 10 periods of measure, subject to data availability and comparability.

County: Hawaii Women Who Quit Smoking Cigarettes During Pregnancy

68.2%
(2021)
Compared to:
Compared to the HI Value (61.1%), Hawaii has a value of 68.2% which is higher and better.
HI Value
(61.1%)
The regional value is compared to the Hawaii State value.
Compared to the prior value, Hawaii (68.2%) is not statistically different from the previously measured value (52.0%).
Prior Value
(52.0%)
Prior Value compares a measured value with the previously measured value. Confidence intervals were taken into account in determining the direction of the comparison.
Over time, the Hawaii value is increasing, not significantly.
Trend
This comparison measures the indicator’s values over multiple time periods.<br>The Mann-Kendall Test for Statistical Significance is used to evaluate the trend<br>over 4 to 10 periods of measure, subject to data availability and comparability.
Compared to the HP 2030 Target (24.4%), the target has  been met.
HP 2030 Target
(24.4%)
<div> <div>TU-15: Increase successful quit attempts in pregnant women who smoke cigarettes </div> <div> </div> <div>The national indicator is defined as the percent of females who reported smoking cigarettes <span>at any time during the first and/or second trimester and reported not smoking during the third trimester of their pregnancy</span>.  The data source for the national indicator is the National Vital Statistics System.  The state data source is the Pregnancy Risk Assessment Monitoring System, which is comparable to the national data source.</div> </div>

County: Hawaii Women Who Took Folic Acid or Vitamins Prior to Pregnancy

38.7%
(2021)
Compared to:
Compared to the HI Value (45.1%), Hawaii has a value of 38.7% which is lower and worse.
HI Value
(45.1%)
The regional value is compared to the Hawaii State value.
Compared to the US Value (43.6%), Hawaii has a value of 38.7% which is lower and worse.
US Value
(43.6% in 2020)
The regional value is compared to the national value.
Compared to the prior value, Hawaii (38.7%) is not statistically different from the previously measured value (33.4%).
Prior Value
(33.4%)
Prior Value compares a measured value with the previously measured value. Confidence intervals were taken into account in determining the direction of the comparison.
Over time, the Hawaii value is increasing significantly.
Trend
This comparison measures the indicator’s values over multiple time periods.<br>The Mann-Kendall Test for Statistical Significance is used to evaluate the trend<br>over 4 to 10 periods of measure, subject to data availability and comparability.

County: Hawaii Women Who Visited a Dentist for a Problem During Pregnancy

14.0%
(2021)
Compared to:
Compared to the HI Value (11.4%), Hawaii has a value of 14.0% which is higher and worse.
HI Value
(11.4%)
The regional value is compared to the Hawaii State value.
Compared to the prior value, Hawaii (14.0%) is not statistically different from the previously measured value (10.8%).
Prior Value
(10.8%)
Prior Value compares a measured value with the previously measured value. Confidence intervals were taken into account in determining the direction of the comparison.
Over time, the Hawaii value is increasing, not significantly.
Trend
This comparison measures the indicator’s values over multiple time periods.<br>The Mann-Kendall Test for Statistical Significance is used to evaluate the trend<br>over 4 to 10 periods of measure, subject to data availability and comparability.

County: Hawaii Women with Any Dental Visit During Pregnancy

Current Value:
41.6%
(2021)
Compared to:
Compared to the HI Value (47.4%), Hawaii has a value of 41.6% which is lower and worse.
HI Value
(47.4%)
The regional value is compared to the Hawaii State value.
Compared to the prior value, Hawaii (41.6%) is not statistically different from the previously measured value (36.8%).
Prior Value
(36.8%)
Prior Value compares a measured value with the previously measured value. Confidence intervals were taken into account in determining the direction of the comparison.
Over time, the Hawaii value is staying the same.
Trend
This comparison measures the indicator’s values over multiple time periods.<br>The Mann-Kendall Test for Statistical Significance is used to evaluate the trend<br>over 4 to 10 periods of measure, subject to data availability and comparability.

County: Hawaii Women with Depression Before Pregnancy

Current Value:
9.5%
(2021)
Compared to:
Compared to the HI Value (9.1%), Hawaii has a value of 9.5% which is higher and worse.
HI Value
(9.1%)
The regional value is compared to the Hawaii State value.
Compared to the prior value, Hawaii (9.5%) is not statistically different from the previously measured value (9.1%).
Prior Value
(9.1%)
Prior Value compares a measured value with the previously measured value. Confidence intervals were taken into account in determining the direction of the comparison.
Over time, the Hawaii value is increasing, not significantly.
Trend
This comparison measures the indicator’s values over multiple time periods.<br>The Mann-Kendall Test for Statistical Significance is used to evaluate the trend<br>over 4 to 10 periods of measure, subject to data availability and comparability.

County: Hawaii Women with Post-Partum Depression

Current Value:
14.7%
(2021)
Compared to:
Compared to the HI Value (14.4%), Hawaii has a value of 14.7% which is higher and worse.
HI Value
(14.4%)
The regional value is compared to the Hawaii State value.
Compared to the prior value, Hawaii (14.7%) is not statistically different from the previously measured value (14.3%).
Prior Value
(14.3%)
Prior Value compares a measured value with the previously measured value. Confidence intervals were taken into account in determining the direction of the comparison.
Over time, the Hawaii value is increasing, not significantly.
Trend
This comparison measures the indicator’s values over multiple time periods.<br>The Mann-Kendall Test for Statistical Significance is used to evaluate the trend<br>over 4 to 10 periods of measure, subject to data availability and comparability.