Heart Disease and Native Hawaiians/Pacific Islanders

From 2022-2024, Native Hawaiians/Pacific Islanders were diagnosed with heart disease 30% less frequently than the total U.S. population.
In 2022, Native Hawaiians/Pacific Islanders died from major cardiovascular disease 10% more frequently than the total U.S. population.

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Occurrence

Coronary heart disease among adults ages 18 and over, percentage, 2022-2024
NHPI, single or multiple races	Total Population	Ratio (NHPI / Total)
3.5	5.0	0.70

Source: U.S. Centers for Disease Control and Prevention, National Center for Health Statistics. (2025). Interactive summary health statistics for adults by detailed race and ethnicity: Percentage of coronary heart disease for adults aged 18 and over, United States, 2022-2024. U.S. Department of Health and Human Services.

Mortality

Death due to major cardiovascular disease, age-adjusted rate per 100,000 population, 2022
	NHPI*	Total Population	Ratio (NHPI* / Total)
Male	274.1	272.4	1.01
Female	215.9	182.0	1.19
Both Sexes	245.3	223.0	1.10

Source: U.S. Centers for Disease Control and Prevention, National Center for Health Statistics. (2025). Deaths: Final data for 2022 (National Vital Statistics Report, Vol. 74, No. 4, Table 11). U.S. Department of Health and Human Services.

Risk Factors for Complications

Hypertension

Adults ages 18 and over who have high blood pressure (diagnosed hypertension), percentage, 2024
NHPI	Total Population	Ratio (NHPI / Total)
27.8	27.3	1.02

Source: U.S. Centers for Disease Control and Prevention, National Center for Health Statistics. (2025). Interactive summary health statistics for adults: Percentage of diagnosed hypertension for adults aged 18 and over, United States, 2024. U.S. Department of Health and Human Services.

High Cholesterol

Adults ages 18 and over who have high cholesterol, percentage, 2022-2024
NHPI	Total Population	Ratio (NHPI / Total)
16.8	23.0	0.73

Source: U.S. Centers for Disease Control and Prevention, National Center for Health Statistics. (2025). Interactive summary health statistics for adults by detailed race and ethnicity: Percentage of high cholesterol for adults aged 18 and over, United States, 2022-2024. U.S. Department of Health and Human Services..

Cigarette Smoking

Adults ages 18 and over who are current cigarette smokers, percentage, 2022-2024
NHPI*	Total Population	Ratio (NHPI / Total)
10.5	10.8	0.97

Source: U.S. Centers for Disease Control and Prevention, National Center for Health Statistics. (2025). Interactive summary health statistics for adults by detailed race and ethnicity: Percentage of current cigarette smoking for adults aged 18 and over, United States, 2022-2024. U.S. Department of Health and Human Services.

Adults ages 18 and over who were current e-cigarette users, percentage, 2022-2024
NHPI*	Total Population	Ratio (NHPI* / Total)
15.8	6.5	2.40

Source: U.S. Centers for Disease Control and Prevention, National Center for Health Statistics. (2025). Interactive summary health statistics for adults by detailed race and ethnicity: Percentage of current electronic cigarette use for adults aged 18 and over, United States, 2022-2024. U.S. Department of Health and Human Services.

*Population is non-Hispanic in the data source.

Date Last Reviewed: January 2026