Native Hawaiian/Pacific Islander Child and Adolescent Health

Many health habits that affect well-being later in life begin during childhood and adolescence (teenage years). Childhood is a key time for growth and development, and early experiences can have lifelong effects. Regular checkups and developmental screenings help find health problems early, when treatment works best. Healthy habits like good nutrition, regular physical activity, and enough sleep can prevent illness and injury. Safe, stable, and supportive relationships at home, in schools, and in communities are essential for children’s health and well-being and can improve outcomes over time.

Teens face higher risks for preventable problems, such as substance use and sexually transmitted infections. They also go through physical, emotional, and mental changes that affect their health. Encouraging healthy behaviors—like getting preventive care, avoiding excessive screen time, having regular physical activity, eating a healthy diet, and getting enough sleep—can help teens stay safe and healthy.

The information and data on this page define childhood as ages 2-11 and adolescence as ages 12-18, or youth in grades 9 -12.

See the “Related Data” section for additional insight into children and adolescent health topics.

Prescription Medication Use

Prescription medication use in the past 12 months for children under age 18 years, percentage, 2024
NHPITotal PopulationRatio (NHPI / Total)
27.141.00.66
Source: U.S. Centers for Disease Control and Prevention, National Center for Health Statistics. (2025). Interactive summary health statistics for children: Percentage of prescription medication use in the past 12 months for children under age 18 years, United States, 2024. U.S. Department of Health and Human Services.
Students in grades 9-12 who currently take prescription pain medicine without a doctor's prescription or differently than how a doctor told them to use it, percentage, 2023
NHPI*Total PopulationRatio (NHPI* / Total)
Male3.93.31.18
Female9.25.81.59
Both Sexes7.04.41.59
Source: U.S. Centers for Disease Control and Prevention, Youth Risk Behavior Surveillance System. (2024). 1991-2023 High School Youth Risk Behavior Survey data: High school students who currently took prescription pain medicine without a doctor's prescription or differently than how a doctor told them to use it. U.S. Department of Health and Human Services.
Students in grades 9-12 who ever took prescription pain medicine without a doctor's prescription or differently than how a doctor told them to use it, percentage, 2023
NHPI*Total PopulationRatio (NHPI* / Total)
Male5.59.30.59
Female10.613.80.77
Both Sexes8.511.60.73
Source: U.S. Centers for Disease Control and Prevention, Youth Risk Behavior Surveillance System. (2024). 1991-2023 High School Youth Risk Behavior Survey data: High school students who ever took prescription pain medicine without a doctor's prescription or differently than how a doctor told them to use it. U.S. Department of Health and Human Services.

Screen Time

Children ages 2 to 5 years with total screen time of no more than 1 hour a day, percentage, 2022-2023
NHPI*Total PopulationRatio (NHPI* / Total)
24.144.80.54
Source: Health Resources and Services Administration, Maternal and Child Health Bureau. (2025). National Survey of Children's Health, Healthy People 2030: Increase the proportion of children aged 2 to 5 years who get no more than 1 hour of screen time a day. U.S. Department of Health and Human Services.
Students in grades 9-12 who used social media at least several times a day, percentage, 2023
NHPI*Total PopulationRatio (NHPI* / Total)
Male58.272.90.80
Female88.381.81.08
Both Sexes75.877.00.98
Source: U.S. Centers for Disease Control and Prevention, Youth Risk Behavior Surveillance System. (2024). 1991-2023 High School Youth Risk Behavior Survey data: High school students who used social media at least several times a day. U.S. Department of Health and Human Services.

Sleep

Students in grades 9-12 who got 8 or more hours of sleep, percentage, 2023
NHPI*Total PopulationRatio (NHPI* / Total)
Male30.524.61.24
Female23.721.71.09
Both Sexes26.123.21.13
Source: U.S. Centers for Disease Control and Prevention, Youth Risk Behavior Surveillance System. (2024). 1991-2023 High School Youth Risk Behavior Survey data: High school students who got 8 or more hours of sleep. U.S. Department of Health and Human Services.

*Population is non-Hispanic in the data source.


HIV/AIDS

NHPI children have lower rates of HIV infection than U.S. children overall.

Explore more HIV/AIDS data.

Immunizations

NHPI youth have lower vaccination rates than U.S. youth overall.

Explore more immunizations data.

Infant Mortality

NHPI infants have higher mortality rates than U.S. infants overall.

Explore more infant mortality data.

Mental Health

NHPI adolescents have higher rates of suicide that U.S. adolescents overall.

Explore more mental health data.

Neurodevelopmental Disorders

NHPI children are diagnosed with a neurodevelopmental disorder less often than U.S. children overall.

Explore more neurodevelopmental disorders data.

Nutrition

NHPI adolescents report eating fruits and vegetables less often than U.S. adolescents overall.

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Obesity

NHPI adolescents are more likely to be obese than U.S. adolescents overall.

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Physical Activity

NHPI youth are more likely to meet physical activity guidelines compared to U.S. youth overall.

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Smoking, Vaping, and Tobacco Use

NHPI adolescents are more likely to use smokeless tobacco than U.S. adolescents overall.

Explore more smoking, vaping, and tobacco use data.

Substance Use

NHPI youth are less likely to use illicit drugs and alcohol compared to U.S. youth overall.

Explore more substance use data.


Date Last Reviewed: March 2026