Health Statistics Relating to Hawaii: a Bibliography

Virginia Shichida Tanji

INTRODUCTION

With health care reform in the forefront and Hawaii being touted as a model state, there is increased interest in health statistics relating to Hawaii. From the student doing a cursory report on child abuse to the researcher looking for the latest AIDS rates, there is a need to identify readily if and where these sometimes elusive statistics exist. This bibliography has been prepared for those students and researchers, as well as librarians, who need to know where to begin searching for a particular statistic. It evolved, over several years, from a card file in which was noted any useful source that might be wanted again. Brief annotations are provided, as some idea of the content of these sources may be necessary before a searcher can determine whether a specific statistic might be included there.

The bibliography is arranged by broad subject headings, then alphabetically by entry. Although more than one heading could apply to several of the publications listed, only one heading has been given to each. The headings, chosen with the general user in mind, are:

GENERAL (sources that are more inclusive in nature)

ABORTION

ADOLESCENCE

AIDS

BEHAVIOR

CANCER

CHILDREN

DRUG AND ALCOHOL ABUSE

ENVIRONMENT

EXPENDITURES

FACILITIES AND PERSONNEL (includes data relating to hospitals)

HAWAIIANS

INSURANCE

MORBIDITY1

VIOLENCE

VITAL STATISTICS2

WOMEN

Most monographs in this bibliography date from 1985 or later, while some of the serials have longer backfiles. The bibliography is not intended to be comprehensive; there are other avenues that the searcher might try, some of which are mentioned below.

Census data have not been included here as sources, although they are potentially valuable to the searcher. Most titles in the R & S Report series, published irregularly by the Hawaii State Department of Health Research and Statistics Office, have been excluded as these data generally refer to very specific topics; the exceptions are a few issues that include difficult-to-find and sought-after statistics. The R & S Report series is cataloged in the University of Hawaii’s UHCARL online library catalog and titles may be identified there. Information in non-health journals or non-peer-reviewed titles can be difficult to access. General rather than health or medical indexes and online databases can be consulted for these, for example, the Hawaii Newspaper Index available through the Hawaii State Library System, and the Hawaii Pacific Journal Index, Hawaii Data Book, and the periodical index, UnCover, available through the UHCARL system.

Statistics relating to a specific disease or topic can sometimes be found in journal articles. Many of these can be identified by using bibliographic databases produced by the National Library of Medicine, such as MEDLINE (1966-, covers biomedical journals) or HEALTH (1975–, covers non-clinical aspects of health-care delivery).3 Subheadings such as “statistics,” “epidemiology,” “mortality,” “utilization,” “manpower,” or “distribution” (for supply and distribution) would readily identify articles containing statistics. Simply combine a subject, such as “asthma,” with any of these headings and add the term “Hawaii.” For disease categories, use the subheadings “statistics,” or “epidemiology,” or “mortality.” For other categories such as services or named group headings, use “utilization,” “manpower,” or “distribution.” This is basically the strategy to employ when searching MEDLINE or HEALTH using the SilverPlatter software. If you are searching these databases using NLM’s end user searching software, Grateful Med, or direct command mode, consult your manual for directions on searching floating subheadings, that is, the ability to search for subheadings only, while ignoring the main subject heading.

Another strategy for finding a desired statistic is to identify an agency that might be collecting these data. The publication called Connections, or the telephone service known as ASK-2000, can be useful for identifying the agency concerned if that information is lacking.4 On the other hand, statistics on a specific aspect of health care or disease may not exist because no agency is responsible for gathering these data. Serious researchers will find that the Department of Health is more than willing to assist, especially with its current statistics. In addition, the National Center for Health Statistics collects and publishes various compilations of these data at the national level; some are broken down by state. The Center also is generally available to assist the serious researcher.

Statistics relating to the incidence of a disease (the number of new cases during a given period) or prevalence (the number of existing cases during a given period) are not always available. Generally, if the disease is communicable, cases must be reported to the Department of Health.

In recent years Papa Ola Lokahi, the health organization created by the federal Native Hawaiian Health Care Act, has been publishing compilations of these data relating to Hawaiian health. Their publications often include statistics by ethnicity.

As this article was going to press, the Hawaii Medical Service Association (HMSA) Foundation published a book of statistics related to health care in Hawaii. For years these data from HMSA have not been available. However, there is a strong push to share these data as part of the effort to make health care reform work. For a narrative overview of health care in Hawaii, another publication, The Aloha Way: Health Care Structure and Finance in Hawaii, commissioned by the HMSA Foundation, might be consulted. Emily Friedman, a prominent, national writer on health care issues, is the author.5

It is easy to manipulate statistics to support an argument but readers are reminded that statistics can also be a “slippery slope”; this bibliography does not attempt to evaluate or attest to the accuracy of any of the statistical compilations mentioned.


Ginny Tanji is the Librarian at the School of Public Health Library, University of Hawaii at Manoa. Internet: tanji@uhunix.uhcc.hawaii.edu Mailing Address: University of Hawaii at Manoa, School of Public Health Library, 1960 East-West Road, Biomed Building, Room D-206, Honolulu, Hawaii 96822-2319 USA. Phone: (808) 956-8666


Notes

1. Defined as the “state of being diseased” or “the number of sick persons or cases of disease in relationship to a specific population.” (From Taber’s Cyclopedic Medical Dictionary. 17th ed. Edited by Clayton L. Thomas. Philadelphia: F. A. Davis, 1993, p. 1236)

2. “Statistics relating to births (natality), deaths (mortality), marriages, health, and disease (morbidity).” (Taber’s, p. 2139)

3. Databases described in National Library of Medicine, MEDLARS: the world of medicine at your fingertips. [Bethesda, MD]: U.S. Dept. of Health & Human Services, Public Health Service, National Institutes of Health, 1991.

4. Connections ‘93–’94. Honolulu: ASK-2000, Hawai’i Community Service Council, 1993.

5. Friedman, Emily. The Aloha Way: Health Care Structure and Finance in Hawaii. Honolulu: Hawaii Medical Service Association Foundation, 1993.

Acknowledgments

I would like to thank Kimie Meguro, library volunteer, and student assistants Kristel Phears and Marisa Oshiro for their assistance in entering this bibliography into a Pro-Cite database. Thanks also to all the librarians and patrons who continue to ask “Where can I find a statistic on …?” I would appreciate hearing from any of you about suggestions, additions, etc., that would make this bibliography more useful.

BIBLIOGRAPHY

GENERAL

Hawaii health profile 1991. [Atlanta, Ga.]: U.S. Dept. of Health and Human Services, Public Health Service, Centers for Disease Control, 1991.

Includes data on mortality, infectious diseases, health and safety of young people, and health promotion strategies.

Hawaii. Dept. of Health. Annual report. Statistical supplement, 1971–. Honolulu: The Dept.

Called Statistical report, 1971–1989. Data reported by Branch include vital statistics, health promotion, AIDS and other communicable diseases, cancer, chronic diseases, nutrition, the environment, drug abuse, acute and long-term beds.

Health care in Hawaii: implications for national reform. Washington, D.C.: United States General Accounting Office, 1994. Report to the Chairman, Subcommittee on Oversight and Investigations, Committee on Energy and Commerce, House of Representatives.

This report includes data on access to health insurance, health services, and health care costs.

Health trends in Hawai’i: a statistics chartbook for policy makers and planners. Honolulu: Hawaii Medical Service Association Foundation, 1994.

A compilation of these data stress not detail, but the primary trends these data reveal. Sources are given. Includes data on demographics, health resources, utilization of resources, health status, health risk, and the health market.

Health, United States, 1975–. Hyattsville, Maryland: U.S. Public Health Service, National Center for Health Statistics.

Published annually. Data reported by state include infant and neonatal mortality rates; AIDS cases and mortality; physicians; community hospital bed rate; FTE employees per 100 average daily patients in community hospitals; per capita expenditures for personal health care, hospital and nursing home care; and state mental health agency per capita expenditures for mental health services.

State of Hawaii data book: a statistical abstract, 1967–. Honolulu: Hawaii. Dept. of Business, Economic Development and Tourism, Research and Economic Analysis Division, Statistics Branch.

Includes general demographic data. Section on vital statistics and health vital statistics, hospitalization data, and health expenditures.

Statistical abstract of the United States, 1878–. [Washington D.C.]: U.S. Dept. of Commerce, Bureau of the Census.

Published annually. Includes data from other sources; some reported by state, including health personnel data, Medicare/Medicaid expenditures, hospital facilities, and vital statistics.

ABORTION

Koonin LM; Atrash HK; Smith JC; Ramick M. Abortion surveillance, United States, 1986–1987. MMWR CDC surveillance summaries, 1991, Jul, 40(SS-2): 23–56.

Includes data by state recording the number of legal abortions, by age group, by weeks of gestation, and by procedure.

Koonin LM; Kochanek KD; Smith JC; Ramick M. Abortion surveillance, United States, 1988. MMWR CDC surveillance summaries, 1991 Jul, 40(SS-2): 15–42.

Includes data by state using the same categories as the 1986–1987 report.

Koonin LM; Smith JC; Ramick M; Lawson HW. Abortion surveillance, United States, 1989. MMWR CDC surveillance summaries, 1992 Sep 4, 41(SS-5): 1–33.

Includes data by state using the same categories as the 1986–1987 and 1988 reports, plus reported legal abortions by broad racial background, by marital status, by number of previous live births, and by number of previous legal abortions.

ADOLESCENCE

AIDS Education in Hawaii Project. Dept. of Education. 1991 Hawaii youth risk behavior survey report. [Honolulu]: Office of Instructional Services/General Education Branch, Dept. of Education, State of Hawaii, [1992].

First comprehensive health survey for adolescents which measured a set of priority health risk behaviors. Designed by the Centers for Disease Control. Behaviors included: tobacco, alcohol and other drug use; dietary behavior; physical activity; behaviors resulting in intentional and unintentional injuries. Hawaii did not include sexual behavior questions. Latest survey is 1993.

Hawaii. Dept. of Health. Adolescent health data source directory. [Honolulu]: Hawaii State Dept. of Health, [1991]

Provides a comprehensive review of data sources available in Hawaii on health status, access to health care, and socio-demographic characteristics of Hawaii’s adolescents, 10–19 years.

Hawaii. Dept. of Health. Adolescent Health Network. Adolescent health in Hawai’i: the Adolescent Health Network’s teen health advisor report. [Honolulu]: Hawaii State Dept. of Health, 1991.

The Hawai’i Teen Health Advisor Survey employed a stratified cluster sampling of Oahu 10th graders, excluding private schools. Results cover health status; family, peer, and school problems; depression and suicide; use of licit and illicit substances; sexuality and sexually transmitted diseases; and self-esteem.

AIDS

AIDS surveillance program quarterly report, 1991–. [Honolulu]: AIDS Surveillance Program, State Dept. of Health.

Quarterly. Detailed breakdown of AIDS data by age, ethnicity, mode of transmission, mortality, and cases.

HIV/AIDS surveillance report, (v.1)–, 1989–. [Atlanta, GA]: U.S. Dept. of Health and Human Services. Public Health Service. Centers for Disease Control and Prevention.

Quarterly. Gives data on AIDS cases and annual rates, reported by state, including Hawaii, and by metropolitan area, including Honolulu.

BEHAVIOR

Hawaii’s health risk behaviors, 1986–. [Honolulu]: Hawaii State Dept. of Health, Health Promotion & Education Office.

Published annually. Latest issue 1990. Includes data on seat belt use, hypertension, exercise, weight and diet, tobacco use, alcohol use, and multiple risk factors. Data also appear as part of the Behavioral Risk Factor Surveillance System summaries published in MMWR, see Siegel PZ et al. (below).

Siegel PZ; Brackbill RM; Frazier EL; Mariolis P; Sanderson LM; Waller MN. Behavioral risk factor surveillance, 1986–1990. MMWR CDC surveillance summaries, 1991, Dec, 40(SS-4): 1–23.

Data categories for 1986–1990 similar to data categories for 1991.

Siegel PZ; Frazier EL; Mariolis P; Brackbill RM; Smith C. Behavioral Risk Factor Surveillance System, 1991: monitoring progress toward the nation’s year 2000 objectives. MMWR CDC surveillance summary. 1993, Aug 27, 42(SS-4): 1–21.

Reporting period: 1991. State-based data are reported and related to the “Healthy People Year 2000” objectives. Data will enable states to monitor progress toward these objectives.

Siegel PZ; Waller MN; Frazier EL; Mariolis P. Behavioral Risk Factor Surveillance System: summary of data for 1991. MMWR CDC surveillance summary. 1993, Aug 27, 42(SS-4): 23–30.

Reporting period: 1991. State-based random-digit-dialing telephone survey of non-institutionalized adults 18 years and over. Focuses on behaviors related to one or more of the 10 leading causes of death. Substantial differences between states are reported for prevalence of risk factors such as chronic or binge alcohol consumption, sedentary lifestyle, and overweight.

CANCER

Boring CB; Squires TS; Tong T; Montgomery BA. Cancer statistics, 1994. CA: a cancer journal for clinicians, 1994, 44(1): 7–26.

Statistics are published annually in the January issue. Includes estimated new cancer cases by state, by type of cancer; and estimated cancer mortality by state, by type of cancer.

Burch, Thomas A. Cancer from selected sites in Hawaiians compared with other races in Hawaii, 1968–1972, and 1978–1982. R & S report, 1984, Apr, 48.

Compares data from Hawaiians, part-Hawaiians, Filipinos, Japanese, and Caucasians.

Le Marchand L; Kolonel LN. Cancer: epidemiolgy and prevention. Social process in Hawaii, 1989, 32: 134–148.

Overview of cancer morbidity and mortality; compares ethnic groups, 1978–1981.

Qualters JR; Lee NC; Smith RA; Aubert RE. Breast and cervical cancer surveillance, United States, 1973–1987. MMWR CDC surveillance summaries, 1992, Apr 24, 41(SS-2): 1–7.

Data reported by state; includes Hawaii.

CHILDREN

Baker, Susan P.; Waller, Anna E. Childhood injury state-by-state mortality facts. Baltimore, MD: The Johns Hopkins Injury Prevention Center, Johns Hopkins University School of Public Health, 1989.

Includes data on Hawaii for ages 0–14, 1980–1985

Hawaii. Dept. of Health. School Health Branch. Annual report, 1977/78–. Honolulu: The Branch.

Published annually. Includes data on all health services provided in the schools.

Hawaii. Office of Children and Youth. Hawaii’s children and youth: the bottom line, a compilation of data on children and youth issues. [Honolulu]: Office of the Governor, 1992.

Quick reference to selected children’s and youth issues; offers a sampling of data collected by other agencies, on demographics, education, health, child abuse and neglect, and juvenile justice. Source documents are listed.

Health of America’s children: maternal and child health data book. Washington D.C.: Children’s Defense Fund, 1989.

Includes state comparative data on births, teen births, prenatal care, infant mortality, and government program coverage.

Maternal and Child Health Studies Project. Infant and perinatal mortality rates by age and race: United States, each state, and county, 1976–1980, 1981–1985. Vienna, Va.: Maternal and Child Health Studies Project, Information Sciences Research Institute, 1988

Gives comparative data from 1976–1980 and 1981–1985 for infant mortality rates by county, and fetal and perinatal mortality rates by length of gestation.

Seto, Dexter SY; Burch, Thomas A. The epidemiology of sudden infant death syndrome in Hawaii. R & S report, 1984, 50.

A study of 640 infants born to Hawaii residents between 1974 and 1982 who subsequently died between the ages of 7 and 365 days.

Statistical report on child abuse & neglect in Hawaii, 1975–. [Honolulu, Hawaii]: State of Hawaii, Dept. of Human Services, Family and Adult Services Division and the Planning Office.

Published annually. Includes child abuse and neglect data by island, districts, age, and ethnicity. Military statistics included.

DRUG AND ALCOHOL ABUSE

Hawaii behavioral health survey, 1991. Honolulu: International Center for Health, University of Hawaii at Manoa, [1994].

The purpose of the survey was to provide data on Hawaii to compare its alcohol and other drug abuse prevalence rates to those of the nation. The sample was representative of the state population over 18 years as well as representative of the population in each of ten defined service areas of the state. Demographic and ethnic data are included. Based on a 1985 study by Raymond, Murakami and Ahern.

The health and economic impact of smoking in Hawaii. R & S report, 1988, Nov, 59.

Looking at the year 1985, estimates the state’s health costs and mortality that can be attributed to smoking.

National Institute of Drug Abuse. Community Epidemiology Work Group. Epidemiologic trends in drug abuse: proceedings, 1989–. Rockville, Md.: Division of Epidemiology and Prevention Research, National Institute on Drug Abuse, U.S. Dept. of Health and Human Services, Public Health Service, Alcohol, Drug Abuse and Mental Health Administration.

The 1989 report gives information on methamphetamine (ice) use in Hawaii, pp. III-58–III-83. Later volumes include chapters on illicit drug use in Honolulu.

Raymond, Jonathan S.; Murakami, Sharon; Ahern, Frank. Toward an epidemiology of mental health and alcohol and drug use in Hawaii. [Honolulu]: School of Public Health, University of Hawaii, 1985.

Prepared for the Hawaii State Dept. of Health, Mental Health Division. Report of a statewide epidemiological study of mental health, drug and alcohol use. 2503 face-to-face interviews were conducted in Hawaii’s eight catchment areas. Information includes socio-demographic characteristics of sample, health status, psychiatric symptomatology, alcohol and drug use, and other related problems, social variables, services and related information.

ENVIRONMENT

Environmental risks to Hawaii’s public health and ecosystems: a report of the Hawaii Environmental Risk Ranking Study to the Dept. of Health, State of Hawaii. 2 vols. Honolulu: East West Center, 1992.

Richard A. Carpenter, study director and Wayne Mitter, associate study director. Results reported are based on a comprehensive search for hazards in pollution or a degraded environment that might affect public health or ecosystems. Over 70 specific problems were identified. The report looks at risks to public health, ecosystems, and economic welfare.

EXPENDITURES

Levit KR; Lazenby HC; Cowan CA; Letsch SW. Health spending by state: new estimates for policy making. Health affairs, 1993, Sep, 12(3): 7–26.

Most tables include data on Hawaii. Hawaii and Maryland are singled out as state examples.

Medicare and Medicaid statistical supplement. Health care financing review, 1992, supplement.

Includes data on Medicare and Medicaid reported by state for calendar year 1990.

Social Security bulletin, annual statistical supplement, 1955–. Washington, D.C.: Office of Research and Statistics, Social Security Administration, U.S. Dept. of Health and Human Services.

Includes data on Medicare, Medicaid, and disability payments.

Source book of health insurance data, 1959–. Washington D.C.: Health Insurance Association of America.

Includes some data reported by state: HMO (Health Maintenance Organization) enrollment and percent of population in HMOs by state; expenditures of state health agencies and local health departments by program area; hospital semiprivate room charges.

FACILITIES AND PERSONNEL

American Hospital Association guide to the health care field. Chicago: American Hospital Association, 1900.

Includes brief listing of all hospitals in Hawaii; information on type of services provided, inpatients, and expenses.

Hospital statistics, 1972–. Chicago: American Hospital Association.

Published annually. Table 5C gives data by state for broad categories of hospitals, including utilization, personnel and finances. Table 6 includes Hawaii, giving data by two basic areas, metropolitan and non-metropolitan, on utilization, personnel, and finances in community hospitals. Table 7 gives the same data by 100 largest central cities, including Honolulu. Table 11 includes revenue in community hospitals by census division and by state.

Physician characteristics and distribution in the United States, 1981–. Chicago, Ill.: Survey & Data Resources, American Medical Association.

Data given by state include total number of physicians, and physician/population ratios; plus information on medical school graduates including those of the University of Hawaii Medical School.

State Health Planning and Development Agency utilization report of inpatient facilities by county, quarterly, year to date, for the period ending... 198?–. [Honolulu]: The Agency.

Includes statistics on hospital utilization, specialty care, and long-term-care beds.

HAWAIIANS

Bell, BZ; Nordyke EC; O’Hagan P. Fertility and maternal and child health. Social process in Hawaii, 1989, 32:87–103.

Compares ethnic groups in Hawaii with regard to fertility, prenatal care, and outcome of pregnancy.

Blaisdell RK. Health status of Kanaka Maoli (indigenous Hawaiians). Asian American and Pacific Islander journal of health, 1993, 1(2): 116–160.

Summarizes health status of native Hawaiians.

Johnson, David B. An overview of ethnicity and health in Hawaii. Social process in Hawaii, 1989, 32: 67–86.

Includes incidence and prevalence of morbidity and mortality due to specific conditions among the major ethnic groups of Hawaii. Data reported for the period 1980–1986 from the Hawaii Health Surveillance Program of the Dept. of Health.

Johnson, David B. Diabetes: epidemiology and disability. Social process in Hawaii, 1989, 32: 104–112

Data for the period 1980–1986 include other ethnic groups as well. Source of these data are the Hawaii Health Surveillance Survey of the Dept. of Health.

Native Hawaiian Health Research Consortium. Medical Task Force. E ola mau: native Hawaiian health needs study, Medical Task Force report. Honolulu, Hawaii: The Consortium, Alu Like, Inc., 1985.

Analyzes existing data sets to compare health status of native Hawaiians with other ethnic groups; summarizes data from agency reports regarding prevalence of risk factors and utilization of health services by native Hawaiians.

Native Hawaiian Health Research Consortium. Mental Health Task Force. E ola mau: native Hawaiian health needs study: Mental Health Task Force report. Honolulu, Hawaii: The Consortium, Alu Like, Inc., 1985.

Data from published and unpublished reports on native Hawaiian mental health. Brief surveys were conducted to supplement findings. Additional surveys of health officials and workers provided data on cultural accommodation.

Native Hawaiian Health Research Consortium. Nutrition/Dental Task Force. E ola mau: native Hawaiian health needs study, Nutrition/Dental Task Force report. Honolulu, Hawaii: The Consortium, 1985.

Data on nutritional and dental status of native Hawaiians, obtained from a review of the literature as well as from patient records from the Maternity and Infant Care Project in Waimanalo, Oahu, and the Waianae Coast Comprehensive Health Center.

Papa Ola Lokahi. State of Hawaii native Hawaiian health data book, 1990–. [Honolulu]: Office of Hawaiian Affairs.

Published annually. Includes data, extracted from other sources, on demographics, pregnancies, mortality, cancer, chronic conditions, risk factors, and services.

Wegner, Eldon L. Hypertension and heart disease. Social process in Hawaii, 1989, 32: 113–133.

Data on hypertension and heart disease reported by age and ethnicity, 1980–1986.

INSURANCE

Center for Health Research, Kaiser Permanente, Oregon; School of Public Health, University of Hawaii at Manoa; Hawaii Medical Service Association Foundation. State Health Insurance Program of Hawaii: from legislative priority to reality. [Honolulu]: 1991 Dec.

Includes utilization data from the State Health Insurance Program of Hawaii (SHIP), and various community health centers.

Wood, D. William; Mytinger Robert E. Preliminary report, uninsured school children in Hawai’i, 1988–1990. [Honolulu]: 1991 Mar.

Survey conducted to determine number of children in Hawaii without health insurance in Hawaii and demographics of this group.

MORBIDITY

Community Epidemiology Work Group for Diabetes Mellitus 1993 monograph. [Honolulu]: International Center for Health Promotion and Disease Prevention Research, University of Hawai’i at Manoa School of Public Health, 1994.

Includes data on prevalence and incidence of diabetes and complications by age and ethnicity. Time periods vary, 1988–1993.

Hawaii Health Surveillance Program 1986 survey data. R & S report, 1989, 60.

Statistics on chronic disease in Hawaii by geographic area, sex, age, and ethnicity, also acute conditions, number of restricted days, and number of bed days.

Hawaii Health Surveillance program 1987 survey data. R & S report, 1991, 61.

Same data categories as 1986 survey.

Hawaii. Dept. of Health. Epidemiology Branch. Communicable Disease Division. Communicable disease report, State of Hawaii. [Honolulu]: Hawaii State Dept. of Health, 1954.

Published bi-monthly. Includes a report on selected communicable diseases in Hawaii; also feature articles.

Hawaii. Dept. of Health. Research and Statistics Office. Hawaii’s health: reaching the nation’s 1990 objectives. [Honolulu]: Hawaii State Dept. of Health, Office of Research and Statistics, [1985].

Gives data from 1974–1983 on rates of injuries, selected infectious diseases, behavior, fitness, etc. in relation to 1990 health objectives.

Hawaii. Dept. of Health. Research and Statistics Office. Hawaii’s health: progress towards the state’s 1990 objectives, second report. [Honolulu]: Hawaii State Dept. of Health, Office of Research and Statistics, 1986.

Gives data from 1974–1985 on rates of injuries, selected infectious diseases, behavior, fitness, etc. in relation to 1990 health objectives.

Hawaii. Dept. of Health. Research and Statistics Office. Hawaii’s health: progress toward meeting the state’s 1990 objectives, third report. [Honolulu]: Hawaii State Dept. of Health, Office of Research and Statistics, 1990.

Cover subtitle: Attaining the State’s 1990 objectives. Gives data from 1974–1988 on rates of injuries, selected infectious diseases, behavior, fitness, etc. in relation to 1990 health objectives.

Lung disease statistics. [Honolulu]: American Lung Association of Hawaii, 1990.

Includes data on different aspects of respiratory disease in Hawaii.

MMWR morbidity and mortality weekly report, 1976–. Atlanta, GA: Centers for Disease Control and Prevention, Public Health Service, U.S. Dept. of Health and Human Services.

Weekly. Includes year-to-date reports by state for selected notifiable diseases.

Summary of notifiable diseases, United States. Atlanta, Georgia: Centers of Disease Control and Prevention, Public Health Service, U.S. Dept. of Health and Human Services.

Published annually as an issue of the MMWR morbidity and mortality weekly report. Includes data on certain notifiable communicable diseases by state.

Workers’ compensation data book, 1989–. Honolulu: State of Hawaii, Dept. of Labor and Industrial Relations.

Summarizes information on injuries and illness reported to the Disability Compensation division of the State Dept. of Labor and Industrial Relations.

VIOLENCE

Annual statistical report. Honolulu Police Department, 1975–. [Honolulu]. The Dept.

Data on number of adults and juveniles arrested; includes offenses against the family, and driving under the influence.

Crime in Hawaii, 1975–. [Honolulu]: State of Hawaii. Dept. of the Attorney General.

Section on "Adult and Juvenile Arrest Statistics" gives data by age and ethnicity, and on offenses against family/children (includes nonsupport and neglect or abuse of family and children).

Hammet M; Powell KE; O’Carrol PW; Clanton ST. Homicide surveillance, United States, 1979–1988. MMWR CDC surveillance summaries, 1992, May 29, 41(SS-3): 1–33.

Data reported by state include Hawaii.

VITAL STATISTICS

Advance report of final mortality statistics. Monthly vital statistics report. (See above)

Published as an annual supplement to Monthly vital statistics report. Includes one table with information reported by state on deaths and death rates for major causes of death. Generally data from two years prior are available in the current year.

Advance report of final natality statistics. Monthly vital statistics report. (See above)

Published annually as a supplement to Monthly vital statistics report. Data reported by state include births by race of mother (all races, white, black); birth rate, and fertility rate; low birth weight; births to unmarried mothers.

Annual summary of births, marriages, divorces and deaths: United States. Monthly vital statistics report. (See above)

Published annually (usually September) as an issue of Monthly vital statistics report. About one year in arrears. Provisional data, reported by state, include live births and birth rates, marriages, divorces, overall deaths and death rates, and infant deaths and death rates.

Monthly vital statistics report, 1952–. Hyattsville, MD: National Center for Health Statistics, Public Health Service, U.S. Dept. of Health and Human Services.

Monthly report includes provisional data by state on births, deaths, marriages and divorces.

Vital statistics of the United States, 1973–. Hyattsville, Md.: U.S. Dept. of Health, Education, and Welfare, Public Health Service, National Center for Health Statistics.

Published annually about 5 years in arrears. Three volumes: v. 1, Natality; v. 2, Mortality; v. 3, Marriage and Divorce. Volume 2 issued in two parts. Contains detailed data with respect to each of these topics by age, race, sometimes also by neighborhood. Latest data are not as detailed and are available in the Monthly vital statistics report.

WOMEN

Hawaii. Office of Family Planning. Family planning in Hawaii, 1982–. Honolulu: Office of Family Planning, Dept. of Health, State of Hawaii.

Editions before 1990 called Annual report. Includes data on clientele served by state-supported family-planning clinics.

International Center for Health Promotion and Disease Prevention Research. School of Public Health. University of Hawai’i. 1992 Hawai’i reproductive health survey. [Honolulu: 1994?].

Surveyed 2201 women aged 15–44 years with regard to their reproductive health status, practice and knowledge.

Women & infant numbers in Hawai’i, 1989–. [Honolulu]: State of Hawaii, Dept. of Health, Family Health Services Division, Maternal and Child Health Branch.

Published annually (latest 1993). Includes data on births, fertility, pregnancy teenage pregnancy, prenatal care, immunization, dental health, labor force, military, child abuse, violence toward women, substance abuse, and lead exposure.