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U.S. Department of Health and Human Services

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Infant Mortality and Native Hawaiians/Pacific Islanders

While the overall infant mortality rate for Native Hawaiians/Pacific Islanders is comparable to the white population, disparities still exist among Pacific Islander sub-populations. Data from national surveillance reports is limited.

  • The infant mortality rate for Native Hawaiians/Pacific Islanders was 60 percent greater as compared to non-Hispanic whites in 2017.
  • In 2017, Native Hawaiian/Pacific Islander mothers were over four times more likely to receive late or no prenatal care as compared to non-Hispanic white mothers.
  • The infant mortality rate on the island of Guam was 70 percent higher than that of non-Hispanic white infants born on the mainland of the United States, in 2017. 

Infant Mortality Rate

Infant mortality rate per 1,000 live births, 2017
Native Hawaiian/Pacific Islander* Non-Hispanic White All Races Native Hawaiian/Pacific Islander / Non-Hispanic White Ratio
7.6 4.7 5.8 1.6

Source:  CDC 2019.  Infant Mortality Statistics from the 2017 Period Linked Birth/Infant Death Data Set.  National Vital Statistics Reports. Table 2.
https://www.cdc.gov/nchs/data/nvsr/nvsr68/nvsr68_10-508.pdf [474.53KB]

Infant mortality rate per 1,000 live births, by territory
Race of Mother Infant Mortality Rate Ratio** vs. Non-Hispanic White
Non-Hispanic White (U.S. National, 2017)* 4.7 --
Guam (2017)* 7.3 1.6
Marshall Islands (2017)** 15.7 3.3
Northern Mariana Islands (2012)*** 6.4 1.4
Palau (2017)** 7.9 1.7
American Samoa (2012)*** 6.8 1.4
Federated States of Micronesia (2017)** 16.5 3.5

Comparable data is not available; this is for illustration only.

* Source:  CDC 2019.  Infant Mortality Statistics from the 2017 Period Linked Birth/Infant Death Data Set.  National Vital Statistics Reports. Table 2 and 3.
https://www.cdc.gov/nchs/data/nvsr/nvsr68/nvsr68_10-508.pdf [474.53KB]

**Source: WHO Data Visualization Dashboard. Neonatal Mortality
https://www.who.int/gho/database/en/  

***Source:  WHO Regional Office for the Western Pacific, Country Health Information Profiles
http://hiip.wpro.who.int/portal/DataAnalytics.aspx

Leading Causes of Infant Mortality

  • National data not available at this time.

Characteristics of Mother

Percentage of mothers who received prenatal care (first trimester), 2017
Native Hawaiian/Pacific Islander Non-Hispanic White Native Hawaiian/Pacific Islander / Non-Hispanic White Ratio
52.5 82.4 0.6

Source:  CDC 2019.  Births: Final Data for 2017  National Vital Statistics Reports. Table 13.
https://www.cdc.gov/nchs/data/nvsr/nvsr67/nvsr67_08-508.pdf [987.68KB]

Percentage of mothers who received late or no prenatal care, 2017
Native Hawaiian/Pacific Islander Non-Hispanic White Native Hawaiian/Pacific Islander / Non-Hispanic White Ratio
19.6 4.5 4.4

Source:  CDC 2019.  Births: Final Data for 2017  National Vital Statistics Reports. Table 13.
https://www.cdc.gov/nchs/data/nvsr/nvsr67/nvsr67_08-508.pdf [987.68KB]

Percentage of mothers who smoked during pregnancy, 2017
Native Hawaiian/Pacific Islander Non-Hispanic White Native Hawaiian/Pacific Islander / Non-Hispanic White Ratio
4.6 10.1 0.5

Source:  CDC 2019.  Births: Final Data for 2017  National Vital Statistics Reports. Table 13.
https://www.cdc.gov/nchs/data/nvsr/nvsr67/nvsr67_08-508.pdf [987.68KB]

Percentage of mothers who received late or no prenatal care, 2014**
Race of Mother Percent Ratio vs. Non-Hispanic White
Non-Hispanic White 4.3 --
Total Asian 5.7 1.3
Filipino 3.7 0.9
Native Hawaiian 8.8 2.0
Other Asian or Pacific Islander 6.8 1.6

Source: Child Trends Databank, 2019.
https://www.childtrends.org/indicators/late-or-no-prenatal-care/

** More recent data is not available from CDC at this time

*All data in the above surveys relate to non-Hispanic Native Hawaiians/Pacific Islanders.

Last Modified: 11/8/2019 4:21:00 PM