Death rates topple Hawaii from top spot in child health


POSTED: Wednesday, July 29, 2009

The well-being of Hawaii's children declined in 2006 and 2007 due to a big jump in child and teen death rates, according to the new Kids Count study.

The teen death rate rose to 57 per 100,000 teens (ages 15-19) in 2006, compared with a rate of 37 a year earlier—resulting in Hawaii losing the best ranking, according to the Kids Count report released yesterday by the Ann E. Casey Foundation. The number of deaths per 100,000 children (ages 1-14) increased in 2006 by 31 percent to 21 deaths from 16 deaths per 100,000 children in 2005.

Loretta Fuddy, state Family Health Services Division chief, said the leading cause of death for teens in Hawaii is traffic accidents, followed by suicide. For children, the primary cause of death is related to conditions at birth, but motor vehicle deaths rank fourth.

“;It's a growing concern for Hawaii as we see more reports of motor vehicle incidents related to speeding, use of substances while driving, and young children that are not using appropriate seat belt restraints,”; Fuddy said.

Hawaii ranked first in the nation for lowest teen death rate in 2004 and 2005, but dropped to 13th in the latest Kids Count report.

The 20th annual data book compared statistics from 2007 to measure children's welfare across the nation. Hawaii's overall ranking dropped to 18th, compared with 13th in 2006.

The study showed that the teen birthrate in Hawaii increased in 2006 to 41 from 36 in 2005 for every 1,000 births by 15-to-19-year-olds.

“;I think we need to support teens in making healthy life choices and be prepared before they make the choice to engage in sexual activity,”; said Fuddy.

;[Preview]    Hawaii Kids Ranked High In National Well-being Survey

Hawaii's kids are ranked in the top 10 in the U.S. in some key indicators of health and well-being, but officials see trouble in the near future.

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Hawaii improved in five indicators since last year's study and ranked in the top 10 in four categories.

The state placed second in the nation for lowest percentage of children in poverty, defined as a four-member family with an income below $21,027.

But Sylvia Yuen, the Hawaii Kids Count coordinator and director of Center on the Family, said the Kids Count percentage is “;really, really understated.”; A family of four in Hawaii would need $57,893 to cover bare minimum expenses, she said, citing research from Center on the Family.

“;The data is accurate in the sense they used federal poverty guidelines, but the cost of living is higher in Hawaii,”; Yuen added.

The state placed third for high school dropouts (ages 16-19) at 4 percent in 2007, compared with a national average of 7 percent. Hawaii also placed 10th for infant mortality rate and percentage of children in single-parent families.

Other indicators that improved include the percent of low birth-weight babies and the number of children living in families where no parent has full-time, year-round employment, which includes children living with a single parent or neither parent. Children under 18 fall into this category if the parent they live with worked less than 35 hours a week and less than 50 weeks in the prior year.

“;I think that we're doing pretty good, but we really should aim higher. We should be No. 1 in terms of providing the kind of supporting environment and nurturing that our keiki deserve,”; Yuen said.

New Hampshire, Minnesota and Utah ranked in the top three of the report, while Alabama, Louisiana and Mississippi placed last on the list.