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 2018, Native Hawaiians/Pacific Islanders were 2.5 times more likely than non-Hispanic whites to die from diabetes.
• 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.

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

Age-adjusted percentage of persons 18 years of age and over with diabetes, 2018
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

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

Death Rates

Age-adjusted diabetes death rates per 100,000 (2018)
	Non-Hispanic Native Hawaiian/Pacific Islander	Non-Hispanic White	Non-Hispanic Native Hawaiian/Pacific Islander / Non-Hispanic White Ratio
Male	56.5	24.3	2.3
Female	40.1	14.3	2.8
Total	48.1	18.9	2.5

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, 2017
Native Hawaiians/Pacific Islander	Non-Hispanic White	Native Hawaiians/Pacific Islander / Non-Hispanic White Ratio
56.6	70.0	0.8