- National data for this population is limited.
- In 2021, Native Hawaiian/Pacific Islander adults were 40% more likely than non-Hispanic white adults to be diagnosed with diabetes.1
- In 2021, non-Hispanic Native Hawaiians/Pacific Islanders were 50% more likely than non-Hispanic whites to die from diabetes.2
- In 2014, American Samoans had the highest rate of diagnosed diabetes among surveyed Native Hawaiian and Pacific Islander sub-populations. They were three times more likely to be diagnosed with diabetes than the white population.3
Diagnosed Cases of Diabetes
| Adults age 18 and over with diagnosed diabetes, percentage, 2021 | ||
|---|---|---|
| Native Hawaiian/Pacific Islander | Non-Hispanic White | Native Hawaiian/Pacific Islander / Non-Hispanic White Ratio |
| 11.9 | 8.6 | 1.4 |
| Adults age 18 and over with diagnosed diabetes, percentage, 2019–2021 | ||
|---|---|---|
| Non-Hispanic Native Hawaiian/Pacific Islander | Non-Hispanic White | Native Hawaiian/Pacific Islander / Non-Hispanic White Ratio |
| 11.7 | 8.5 | 1.4 |
| Adults age 18 and over with diagnosed diabetes by Native Hawaiian/Pacific Islander single race subgroup, age-adjusted percentage, 2014 | |||
|---|---|---|---|
| Population | Population / All NH/PI Ratio | Population / White Ratio | |
| White | 7.9 | 0.4 | -- |
| All NH/PI | 17.8 | -- | 2.3 |
| Native Hawaiian | 17.8 | 1.0 | 2.3 |
| Pacific Islander | 18.0 | 1.0 | 2.3 |
| Samoan | 23.4 | 1.3 | 3.0 |
| Guamanian or Chamorro | 14.4 | 0.8 | 1.8 |
| Other Pacific Islander | 15.9 | 0.9 | 2.0 |
| Adults age 18 and over with diagnosed diabetes, age-adjusted percentage, 2022 | ||
|---|---|---|
| Native Hawaiian/Pacific Islander | Non-Hispanic White | Native Hawaiian/Pacific Islander / Non-Hispanic White Ratio |
| -- | 7.2 | -- |
| Adults age 18 and over with diagnosed diabetes, age-adjusted percentage, 2019–2021 | |||
|---|---|---|---|
| Native Hawaiian/Pacific Islander | Non-Hispanic White | Native Hawaiian/Pacific Islander / Non-Hispanic White Ratio | |
| Men | -- | 7.7 | -- |
| Women | -- | 6.1 | -- |
| Total | -- | 6.9 | -- |
Death Rates
| Diabetes mortality, age-adjusted rate per 100,000 population, 2021 | |||
|---|---|---|---|
| Non-Hispanic Native Hawaiian/Pacific Islander | Non-Hispanic White | Non-Hispanic Asian / Non-Hispanic White Ratio | |
| Male | 55.3 | 39.3 | 1.4 |
| Female | 44.9 | 27.6 | 1.6 |
| Both Sexes | 50.1 | 33.4 | 1.5 |
Related Conditions
| Visual impairment among adults age 18 and over with diabetes, age-adjusted percentage, 2022 | ||
|---|---|---|
| Native Hawaiian/Pacific Islander | Non-Hispanic White | Native Hawaiian/Pacific Islander / Non-Hispanic White Ratio |
| -- | 26.3 | -- |
| Hospital admissions for uncontrolled diabetes without complications among adults age 18 and over, rate per 100,000 population, 2020 | ||
|---|---|---|
| Native Hawaiian/Pacific Islander | Non-Hispanic White | Native Hawaiian/Pacific Islander / Non-Hispanic White Ratio |
| -- | 26.8 | -- |
| Lower extremity amputations among admissions for diabetes among adults age 18 and over, rate per 100,000 population, 2020 | ||
|---|---|---|
| Native Hawaiian/Pacific Islander | Non-Hispanic White | Native Hawaiian/Pacific Islander / Non-Hispanic White Ratio |
| -- | 27.8 | -- |
| Incidence of end stage renal disease (ESRD) due to diabetes, age-adjusted rate per million population, 2020 | ||
|---|---|---|
| Native Hawaiian/Pacific Islander | Non-Hispanic White | Native Hawaiian/Pacific Islander / Non-Hispanic White Ratio |
| -- | 121.1 | -- |
Preventative Health
| Adults age 40 and over with diagnosed diabetes who received a flu vaccination in the calendar year, percentage, 2020 | ||
|---|---|---|
| Native Hawaiian/Pacific Islander | Non-Hispanic White | Native Hawaiian/Pacific Islander / Non-Hispanic White Ratio |
| -- | 69.3 | -- |
| Adults age 40 and over with diagnosed diabetes who had their feet checked for sores or irritation in the calendar year, percentage, 2020 | ||
|---|---|---|
| Native Hawaiian/Pacific Islander | Non-Hispanic White | Native Hawaiian/Pacific Islander / Non-Hispanic White Ratio |
| -- | 63.2 | -- |
| Adults age 18 and over with diagnosed diabetes who received an annual eye examination in the calendar year, percentage, 2023 | ||
|---|---|---|
| Non-Hispanic Native Hawaiian/Pacific Islander | Non-Hispanic White | Non-Hispanic Native Hawaiian/Pacific Islander / Non-Hispanic White Ratio |
| -- | 63.6 | -- |
| Adults age 40 and over with diagnosed diabetes who received a dilated eye examination in the calendar year, percentage, 2020 | ||
|---|---|---|
| Native Hawaiian/Pacific Islander | Non-Hispanic White | Native Hawaiian/Pacific Islander / Non-Hispanic White Ratio |
| -- | 59.2 | -- |
| Adults age 40 and over with diagnosed diabetes who received at least two hemoglobin A1c measurements in the calendar year, percentage, 2020 | ||
|---|---|---|
| Native Hawaiian/Pacific Islander | Non-Hispanic White | Native Hawaiian/Pacific Islander / Non-Hispanic White Ratio |
| -- | 80.7 | -- |
1 CDC. National Center for Health Statistics. Interactive Summary Health Statistics for Adults. Percentage of diagnosed diabetes for adults aged 18 and over, United States, 2023. (Back to top)
2 CDC, 2024. Deaths: Final Data for 2021. National Vital Statistics Report, Vol. 73, No. 8. Table 10. (Back to top)
3 CDC, 2017. National Center for Health Statistics. Health Conditions and Behaviors of Native Hawaiian and Pacific Islander Persons in the United States, 2014. Table 9. (Back to top)