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Print This PageHonolulu, HI
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What's Good
- Honolulu's violent crime rate is 71 percent lower than average, the 2nd lowest in our survey, in fact.
- Hawaii has among the most generous family-leave and disability laws in our survey.
- Honolulu is home to Kaiser Permanente Medical Center, recognized as a Baby-Friendly Hospital by the World Health Organization (WHO) and the United Nations Children's Fund (UNICEF) for supporting breastfeeding.
- State laws require health insurance companies to provide or offer at least some coverage for fertility-related services.
- State laws require stringent background checks for day-care workers.
- Honolulu lacks access to fertility clinics that offer advanced reproductive technology, as reported to the CDC.
- 24.6 percent of Honolulu mothers breastfeed their babies exclusively (meaning no solids, formula or other liquids) for 6 months or longer as recommended by the American Academy of Pediatrics. That's among the top 46 percent of cities in our survey.
- Once Honolulu mothers begin breastfeeding, they are 25 percent more likely than average to continue through 6 months. That's the 2nd highest level of follow-through of any city in our report.
- Hawaii allows greater dependent-related tax breaks than most.
- 22 percent of babies in Hawaii are born via Cesarean section. That rate is 19 percent less than average, and among the lowest in our survey.
- By six months of age, 45 percent of Honolulu babies are still being breastfed. That's the 3rd highest percentage of any city in our report.
- Expecting and new moms have plenty of parks: Honolulu has 113 percent more public parks than average, relative to population.
- According to data from the CDC, maternal mortality in Hawaii is especially low.
- Relative to the number of live births per year, Honolulu has 55 percent more doulas than average--that figure is the 8th highest in our survey.
- Air quality here is better here than most cities in our survey. Air quality has been linked to childhood asthma and fertility rates, among other health effects.
- Hawaii has particularly progressive laws guaranteeing a nursing mother the right to breastfeed in public.
- Compared to the number of babies born, Honolulu has 56 percent more lactation consultants than average. That's the 10th highest ratio in our survey.
- Relative to population, Honolulu has more specialty retailers of healthy/organic foods and vitamins than most places in our survey.
Needs Improvement
- Honolulu has relatively few NICU beds, 51 percent less than average, 9th lowest in our survey.
- Housing in Honolulu is less affordable than most places: When comparing household incomes to home values, a key measure of affordability, Honolulu has the 6th lowest ratio in our survey
- Honolulu has only 6 licensed home day cares for every 1,000 children under 4 years, the 5th lowest in our survey.
- Just 3.4 percent of births statewide are attended by midwives. That's 55 percent less than average.
- Pedestrians have a 103 percent higher than average risk of being killed by a motor vehicle--among the most dangerous in our survey.
- Honolulu babies are slightly more likely than average to be born with low birth weight.
- The CDC reports very high infant mortality rates for Hawaii.
- Hospital costs here are among the highest in our survey.
- There are fewer fertility doctors per capita here than average.
- Honolulu has 11 miles of stroller-friendly trails and public pathways, according to our survey of parks departments. In a per capita comparison, that's 73 percent less than the average city in our survey (9th lowest overall relative to population).
