Search for Indicators
Asthma Tracker
The Hawaii Asthma Plan provides a clear and unified road map for communities to collaborate and mobilize to reduce the burden of asthma in Hawaii. The revised plan builds on lessons learned from almost a decade of addressing asthma in the state and identifies the following priority areas: disparities; data and surveillance; partnerships; health care system; self-management; and environment.
This tracker focuses on long-term outcomes outlined in the Hawaii Asthma Plan and indicators derived from the Hawaii State Asthma Control Program's surveillance system. Collectively, these data describe asthma prevalence, management, and morbidity and mortality and measure progress towards improving the quality of life for people with asthma in Hawaii.
Note: This tracker will be retired at the end of 2023. Look for a future asthma tracker aligned with the Hawaiʻi Asthma Plan 2030 later in 2024.
Indicator Gauge Icon Legend
Legend Colors
Red is bad, green is good, blue is not statistically different/neutral.
Compared to Distribution
the value is in the best half of communities.
the value is in the 2nd worst quarter of communities.
the value is in the worst quarter of communities.
Compared to Target
meets target; 
does not meet target.
Compared to a Single Value
lower than the comparison value;
higher than the comparison value;
not statistically different from comparison value.
Trend
non-significant change over time; 
significant change over time; 
no change over time.
Compared to Prior Value
higher than the previous measurement period;
lower than the previous measurement period;
no statistically different change from previous measurement period.
Morbidity and Mortality
Morbidity and Mortality
State: Hawaii
Value
Compared to:
State: Hawaii Asthma: Medicare Population
State: Hawaii Asthma: Medicare Population
7.0%
(2022)
Compared to:
U.S. States
The distribution is based on data from 50 U.S. states and the District of Columbia.
US Value
(7.0%)
The regional value is compared to the national value.
Prior Value
(7.0%)
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.
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.
Asthma Plan
(4.9%)
<div>Value reflects a 5% change from the baseline value in 2011.</div>
State: Hawaii Children with Current Asthma
State: Hawaii Children with Current Asthma
9.2%
(2022)
Compared to:
Prior Value
(5.1%)
Prior Value compares a measured value with the previously measured value. Confidence intervals were taken into account in determining the direction of the comparison.
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.
Asthma Plan
(10.4%)
<div>Value reflects a 5% change from the baseline value in 2011.</div>
State: Hawaii Asthma Death Rate <35 Yrs
State: Hawaii Asthma Death Rate <35 Yrs
2.7
Deaths per 1,000,000 population <35
(2006-2015)
Compared to:
US Value
(3.6)
The regional value is compared to the national value.
Prior Value
(3.2)
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.
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.
State: Hawaii Asthma Death Rate 35-64 Yrs
State: Hawaii Asthma Death Rate 35-64 Yrs
28.8
Deaths per 1,000,000 population 35-64
(2016-2020)
Compared to:
US Value
(11.8)
The regional value is compared to the national value.
Prior Value
(19.5)
Prior Value compares a measured value with the previously measured value. Confidence intervals were taken into account in determining the direction of the comparison.
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.
State: Hawaii Asthma Death Rate 65+ Yrs
State: Hawaii Asthma Death Rate 65+ Yrs
47.6
Deaths per 1,000,000 population 65+
(2016-2020)
Compared to:
US Value
(29.3)
The regional value is compared to the national value.
Prior Value
(44.3)
Prior Value compares a measured value with the previously measured value. Confidence intervals were taken into account in determining the direction of the comparison.
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.
State: Hawaii ED Visits for Asthma among Children 0-4
State: Hawaii ED Visits for Asthma among Children 0-4
54.2
Visits per 10,000 population < 5 yrs
(2022)
Compared to:
Prior Value
(33.1)
Prior Value compares a measured value with the previously measured value. Confidence intervals were taken into account in determining the direction of the comparison.
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.
Asthma Plan Target
(65.7)
HP 2030 Target
(64.3)
<div>
<div><span>RD-02: </span> <span> Reduce emergency department visits for children under 5 years with asthma</span></div>
<div><span> </span></div>
<div><span>The </span>national indicator is defined in exactly the same way. The data source for the national indicator is the National Hospital Ambulatory Medical Care Survey, which does not provide state-level data. The state data source is the Laulima Data Alliance, which is comparable to the national data source.</div>
</div>
State: Hawaii ED Visits for Asthma: 5-64 yrs
State: Hawaii ED Visits for Asthma: 5-64 yrs
35.6
Visits per 10,000 people 5-64 yrs
(2022)
Compared to:
Prior Value
(26.2)
Prior Value compares a measured value with the previously measured value. Confidence intervals were taken into account in determining the direction of the comparison.
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.
Asthma Plan Target
(41.4)
HP 2030 Target
(40.2)
<div>
<div><span>RD-03: </span> <span> Reduce emergency department visits for people aged 5 years and over with asthma</span></div>
<div><span> </span></div>
<div><span>The </span>national indicator is defined for people aged 5 years and older. Hawaii tracks 5-64 years and 65+ years separately. The data source for the national indicator is the National Hospital Ambulatory Medical Care Survey, which does not provide state-level data. The state data source is the Laulima Data Alliance, which is comparable to the national data source.</div>
</div>
State: Hawaii ED Visits for Asthma among Adults 65+
State: Hawaii ED Visits for Asthma among Adults 65+
32.5
Visits per 10,000 population 65+ yrs
(2022)
Compared to:
Prior Value
(23.9)
Prior Value compares a measured value with the previously measured value. Confidence intervals were taken into account in determining the direction of the comparison.
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.
Asthma Plan Target
(26.1)
HP 2030 Target
(40.2)
<div>
<div>RD-03: Reduce emergency department visits for people aged 5 years and over with asthma</div>
<div> </div>
<div>The national indicator is defined for people ages 5 years and older. Hawaiʻi tracks 5-64 years and 65+ years separately. The data source for the national indicator is the National Ambulatory Medical Care Survey, which does not provide state-level data. The state data source is the Laulima Data Alliance, which is comparable to the national data source.</div>
</div>
State: Hawaii Hospitalizations for Asthma Among Children 0-4
State: Hawaii Hospitalizations for Asthma Among Children 0-4
10.2
Hospitalizations per 10,000 population < 5 yrs
(2022)
Compared to:
Prior Value
(4.1)
Prior Value compares a measured value with the previously measured value. Confidence intervals were taken into account in determining the direction of the comparison.
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.
Asthma Plan Target
(6.7)
State: Hawaii Hospitalizations for Asthma 5-64 yrs
State: Hawaii Hospitalizations for Asthma 5-64 yrs
2.0
Hospitalizations per 10,000 population 5-64 yrs
(2022)
Compared to:
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.
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.
Asthma Plan Target
(2.4)
State: Hawaii Hospitalizations for Asthma among Adults 65+
State: Hawaii Hospitalizations for Asthma among Adults 65+
1.7
Hospitalizations per 10,000 population 65+ yrs
(2022)
Compared to:
Prior Value
(1.7)
Prior Value compares a measured value with the previously measured value. Confidence intervals were taken into account in determining the direction of the comparison.
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.
Asthma Plan Target
(4.8)
State: Hawaii Teens Who Smoke Cigarettes
State: Hawaii Teens Who Smoke Cigarettes
3.0%
(2021)
Compared to:
US Value
(3.8%)
The regional value is compared to the national value.
Prior Value
(5.3%)
Prior Value compares a measured value with the previously measured value. Confidence intervals were taken into account in determining the direction of the comparison.
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.
HP 2030 Target
(3.4%)
<div><span>TU-06: Reduce current cigarette smoking in adolescents<br /><br />The national indicator is defined in exactly the same way. The data source for the national indicator is the National Youth Tobacco Survey. The state data source is the Youth Risk Behavior Survey, which is comparable to the national data source. It is divided into two groups: grades 6-8 and grades 9-12. This indicator reports data for students in grades 9-12, while the indicator ‘Young Teens Who Smoke Cigarettes' reports for those in grades 6-8. </span></div>
TPC Plan Target
(3.4%)
State: Hawaii Young Teens Who Smoke Cigarettes
State: Hawaii Young Teens Who Smoke Cigarettes
1.9%
(2021)
Compared to:
Prior Value
(3.9%)
Prior Value compares a measured value with the previously measured value. Confidence intervals were taken into account in determining the direction of the comparison.
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.
HP 2030 Target
(3.4%)
<div><span>TU-06: Reduce current cigarette smoking in adolescents<br /><br />The national indicator is defined in exactly the same way. The data source for the national indicator is the National Youth Tobacco Survey. The state data source is the Youth Risk Behavior Survey, which is comparable to the national data source. It is divided into two groups: grades 6-8 and grades 9-12. This indicator reports data for students in grades 6-8, while the indicator ‘Teens Who Smoke Cigarettes' reports for those in grades 9-12. </span></div>
TPC Plan Target
(3.4%)
State: Hawaii Women Who Quit Smoking Cigarettes During Pregnancy
State: Hawaii Women Who Quit Smoking Cigarettes During Pregnancy
61.1%
(2021)
Compared to:
Prior Value
(68.4%)
Prior Value compares a measured value with the previously measured value. Confidence intervals were taken into account in determining the direction of the comparison.
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.
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>
Environment
Environment
State: Hawaii
Value
Compared to:
State: Hawaii Days with Unsatisfactory Air Quality
State: Hawaii Days with Unsatisfactory Air Quality
11
Days
(2020)
Compared to:
Prior Value
(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.
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.
HP 2030 LHI
(275)
<div><span>EH-01: Reduce the number of days people are exposed to unhealthy air <strong>(LEADING HEALTH INDICATOR)</strong><br /><br />The national indicator is defined differently as it is weighted by score and population and is reported in people-days. Although the national target is 3,866,365,816 people-days, we chose a target based on the 2020 baseline value for the state, 306 days. Using the common target-setting method of a 10% improvement, we set the target for Hawaii state at 275 days.</span></div>
State: Hawaii Adults Exposed to Secondhand Smoke
State: Hawaii Adults Exposed to Secondhand Smoke
8.4%
(2022)
Compared to:
Prior Value
(7.9%)
Prior Value compares a measured value with the previously measured value. Confidence intervals were taken into account in determining the direction of the comparison.
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.
HP 2030 Target
(17.3%)
<div>TU-19: Reduce the proportion of people who donʻt smoke but are exposed to secondhand smoke</div>
<div><span style="font-weight:400;"><span></span></span></div>
<div><span style="font-weight:400;"><span>The national indicator is defined differently as the proportion of children, nonsmoking adolescents, and nonsmoking adults aged 3 years and over who had a serum cotinine level greater than or equal to 0.05 ng/mL and less than or equal to 10 ng/ml. </span>The data source for the national indicator is the National Health and Nutrition Examination Survey, which is not conducted in Hawaiʻi. The state data source is the Behavioral Risk Factor Surveillance System, which is self-reported data and only includes adults ages 18+.</span></div>
State: Hawaii Teens Exposed to Secondhand Smoke
State: Hawaii Teens Exposed to Secondhand Smoke
30.9%
(2019)
Compared to:
Prior Value
(23.8%)
Prior Value compares a measured value with the previously measured value. Confidence intervals were taken into account in determining the direction of the comparison.
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.
State: Hawaii Young Teen Nonsmokers Exposed to Secondhand Smoke
State: Hawaii Young Teen Nonsmokers Exposed to Secondhand Smoke
27.9%
(2019)
Compared to:
Prior Value
(25.6%)
Prior Value compares a measured value with the previously measured value. Confidence intervals were taken into account in determining the direction of the comparison.
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.
TPC Plan Target
(0%)
State: Hawaii Indoor Worksites that Prohibit Smoking
State: Hawaii Indoor Worksites that Prohibit Smoking
69.8%
(2010-2011)
Compared to:
Prior Value
(69.8%)
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.
State: Hawaii Smoke-Free Homes
State: Hawaii Smoke-Free Homes
93.2%
(2020)
Compared to:
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.
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.
State: Hawaii Smoke-Free Vehicles with Children
State: Hawaii Smoke-Free Vehicles with Children
0
(2018)
Compared to:
Prior Value
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.
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.
State: Hawaii Smoke-Free Public Entrances and Exits
State: Hawaii Smoke-Free Public Entrances and Exits
0
(2018)
Compared to:
Prior Value
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.
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.
State: Hawaii Smoke-Free Multiunit Housing
State: Hawaii Smoke-Free Multiunit Housing
0
(2018)
Compared to:
Prior Value
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.
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.
State: Hawaii Smoke-Free Commercial Daycare Centers
State: Hawaii Smoke-Free Commercial Daycare Centers
1
(2018)
Compared to:
Prior Value
(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.
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.
State: Hawaii Smoke-Free Home-Based Daycare Centers
State: Hawaii Smoke-Free Home-Based Daycare Centers
1
(2018)
Compared to:
Prior Value
(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.
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.
Self-Management
Self-Management
State: Hawaii
Value
Compared to:
State: Hawaii Adults with a Usual Source of Health Care
State: Hawaii Adults with a Usual Source of Health Care
88.4%
(2022)
Compared to:
Median Value for States and Territories
(76.8%)
The regional value is compared to the median value for states and territories.
Prior Value
(90.1%)
Prior Value compares a measured value with the previously measured value. Confidence intervals were taken into account in determining the direction of the comparison.
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.
PAN Plan Target
(83.9%)
Schools
Schools
State: Hawaii
Value
Compared to:
State: Hawaii Smoke-Free College Campuses
State: Hawaii Smoke-Free College Campuses
0
(2018)
Compared to:
Prior Value
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.
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.
