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U.S. Department of Health and Human Services

Office of Minority Health

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Diabetes and Native Hawaiians/Pacific Islanders

  • In 2018, Native Hawaiians/Pacific Islanders were 2.5 times more likely to be diagnosed with diabetes, as compared to the non-Hispanic white population.
  • In 2014, American Samoans had the highest diabetes rate among surveyed Pacific Islander sub-populations. Their rate was 2.8 times higher than the national white population.
  • In 2018, the diabetes death rate in the territory of American Samoa was 6.2 times higher than the national death rate for non-Hispanic whites.

Diagnosed Cases of Diabetes

Age-adjusted percentage of persons 18 years of age and over with diabetes, 2018
Native Hawaiian/Pacific Islander Non-Hispanic White Native Hawaiian/Pacific Islander / White Ratio
19.8 8.0 2.5

Source: CDC 2019. Summary Health Statistics: National Health Interview Survey: 2018. Table A-4a.
http://www.cdc.gov/nchs/nhis/shs/tables.htm

Age-adjusted percentage of persons 18 years of age and over with diagnosed diabetes, 2014

Population Percent Population / White Ratio
White 7.9 --
Native Hawaiian/Pacific Islander 15.2 1.9
Native Hawaiian 14.2 1.8
Pacific Islander 17.7 2.2
Samoan 22.1 2.8
Guamanian or Chamorro 14.8 1.9
Other Pacific Islander 15.8 2.0

Source; CDC, 2017. Health Conditions and Behaviors of Native Hawaiian and Pacific Islander Persons in the United States, 2014. Vital and Health Statistics, Series 3, No. 40. Table 9.
https://www.cdc.gov/nchs/data/series/sr_03/sr03_040.pdf


National Diabetes Surveillance System
National data not available at this time.

Death Rate
National data not available at this time.

Death Rates – States and Territories

Age-Adjusted Diabetes Death Rates per 100,000 (2017)
State Rate Population /
Non-Hispanic White Ratio
National Non-Hispanic White 18.8 --
Guam 21.8 1.2
American Samoa 116.8 6.2
Hawaii 15.9 0.8

Source: CDC, 2019. National Vital Statistics Report. Vol. 68, No. 9. Table I-16.
https://www.cdc.gov/nchs/data/nvsr/nvsr68/nvsr68_09-508.pdf [PDF | 1.76MB]

Risk Factors

There are several risk factors related to diabetes. Some of these risk factors are:

Obesity and Overweight – See Obesity and Native Hawaiians/Pacific Islanders
Hypertension – See Heart Disease and Native Hawaiians/Pacific Islanders
High Cholesterol – See Heart Disease and Native Hawaiians/Pacific Islanders
Cigarette Smoking – See Heart Disease and Native Hawaiians/Pacific Islanders

Treatment

Age-adjusted percentage of persons 18 years of age and over with diabetes who had a foot examination, 2015
Native Hawaiians/Pacific Islander Non-Hispanic White Native Hawaiians/Pacific Islander / Non-Hispanic White Ratio
77.4 69.6 1.1

Source: CDC 2019. Healthy People 2020 Database. Table D-9.
http://www.healthypeople.gov/2020/Data/default.aspx

12/19/2019 10:12:00 AM