Why They Live Longest in Hawaii

The US State That Has The Highest Life Expectancy (healthdigest.com).

If you really want to know what is going on in this country talk to a Cop, Cashier, Taxi Driver and a Barber. And one of my favorites used to be my barber George Romer and before he passed over to the otherside. What George told me years ago, “if you want to learn about the issue of cancer and what causes it, look at the density of population, air pollution and contaminants in our food supply.” Unfortunately, George did eventually
passed from throat cancer and smoking too many damn cigarettes.

This article presents a list of United States and territories sorted by their life expectancy at birth, sex, race, and in the past. The data in the 2018 column is taken from work funded by the Robert Wood Johnson Foundation for the 50 states and the District of Columbia;[3] from the World Bank for GuamPuerto Rico and the U.S. Virgin Islands; and from the CIA World Factbook for American Samoa and the Northern Mariana Islands.[4] Data in the 2010 columns comes from Health Data.[5]
Overall, life expectancy at birth in HawaiiWashingtonCalifornia, and New York (state) are among the longest in the nation, while life expectancy at birth in Mississippi,  American Samoa, and West Virginia are among the shortest in the nation.
The life expectancy in some states has fallen in recent years; for example, Maine’s life expectancy in 2010 was 79.1 years, and in 2018 it was 78.7 years. The Washington Post noted in November 2018 that overall life expectancy in the United States was declining although in 2018 life expectancy had a slight increase of 0.1 and bringing
it to having not changed since 2010.[6]   List of U.S. states and territories by life expectancy – Wikipedia
Life Expectancy by State 2024 (worldpopulationreview.com)

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The US State That Has the Highest Life Expectancy
BY BETH BRADFORD/JAN. 14, 2024, 7:30 PM EST

Story at a glance
Why They Live Longest in Hawaii – Search Videos (bing.com)
Hawaii has the longest life expectancy at birth out of all 50 states, according to the U.S. Centers for Disease Control and Prevention. On average, a person born in Hawaii can now expect to live until 80.7 years of age. The factors that go into lifespan are complicated, but a few things that can positively affect life expectancy are diet, exercise and access to medical care.

Hawaii’s rich natural beauty and year-round warm weather are not the only perks of the Aloha State. Research shows Hawaii residents, on average, live the longest out of anyone else in the United States.  
In 2021, the average lifespan in the U.S. followed a now years long
trend by dropping to 76.1 years, the shortest it has been since 1996.  
That decline stems mostly from COVID-19 and overdose deaths,
according to the U.S. Centers for Disease Control and Prevention.  
But while every state’s life expectancy has decreased since 2019, 
Hawaii is the only state to have not fallen below the 80-year mark.  
The Hill spoke to experts to try to understand why life expectancy in Hawaii is longer
than the national average. Experts agreed on a few things but wanted to stress that not everyone on the archipelago is living a longer life. Disparities concerning life expectancy exist along race, education, income and gender lines. Here are few factors that contribute to the archipelago long-life expectancy.

Low rates of heart disease and cancer  
Apart from COVID-19 and accidents, the leading causes of death in the United States are cardiovascular disease, cancer and stroke.  
In 2020, almost 697,000 people in the U.S. died from cardiovascular disease, and another 602,305 passed away from some type of cancer, according to data from the Centers for Disease Control and Prevention. 
And while Hawaii residents have their face share of strokes, inhabitants of the archipelago have the second-lowest cardiovascular disease death rate and cancer death rate in the country, according to CDC data. 
Those low rates of cancer deaths and heart disease are, in part, linked to Hawaii’s low smoking rate and relatively low rate of obesity, according to Deborah Carr, a professor of sociology at Boston University.  
Lack of exercise and poor diet are the two main contributors to obesity, and Hawaii residents have a few advantages in those two areas, explained Carr.  
“The fact that they have really temperate weather there helps people to exercise and to walk outdoors,” said Carr. “So, they have that strength going for them.”  
CDC data also show that out of all 50 states, Hawaii has the second lowest obesity rate, with 25 percent of residents 18 years of age and older considered obese.  
While that number has gone up in recent years, it is still far lower than the national average. Meanwhile, about 42 percent of U.S. adults 20 years old and older are considered obese, according to the most recent National Health Statistics report.  

Better access to healthcare 
Along with healthy lifestyle choices, Hawaii residents might have the longest life expectancy out of anyone in the U.S. due to health care on the archipelago, according to Yeonjung Jane Lee, an associate professor of sociology at the Thompson School of Social Work & Public Health at the University of Hawai’i at Manoa.  
Hawaii ranked the highest out of all 50 states and Washington, D.C., in state health care system performance in 2022, according to a study from the Commonwealth Fund.  
The Aloha State was also deemed the best state for health care in the nation in a U.S. News and World Report analysis published last year. Hawaii earned the top spot in the analysis in part because of the low number of preventable hospital admissions and low uninsured rate.  
Hawaii had 2,109 preventable hospital admissions per 100,000 Medicaid and Medicare patients in 2021, a far fall from the national average of 4,378, according to the U.S. News and World Report analysis.  
The analysis also found that a very small percentage of Hawaii residents are uninsured. Only 5.9 percent of the state’s population between the ages of 19 and 64 doesn’t have health insurance — 7 percentage points lower than the national average.  
This is in part due to the Hawaii Prepaid Healthcare Act, a 1970s-enacted law that requires private employers to provide health insurance to employees who work at least 20 hours a week for at least four weeks a year. 
 
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Sunshine and clean(er) air  

Hawaii is famous for its sunny and temperate climate. And that climate essentially remains unchanged throughout the year. The longest and shortest days of the year only have a two- and half-hour difference in length, at 13.5 and 11 hours respectively, according to the National Weather Service.  
The resulting minimal seasonal variations in climate mean Hawaii gets a constant and plentiful supply of sunshine all year round. That sunshine means that many Hawaii residents get a significant amount of vitamin D, which is essential to maintain good health.  
Adequate vitamin D is needed to keep bones healthy, but some studies show that proper vitamin D intake can protect humans against other diseases like breast cancer and hypertension. 
 
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Lee added that Hawaii’s air quality might also play a role in the state’s extended lifespan. At least two cities in Hawaii, Honolulu and the Kahului-Wailuku-Lahaina area, made it to the top five cleanest cities for year-round particle pollution in a 2022 American Lung Association “State of the Air” report.  
Studies indeed show that air quality does have an effect on life expectancy. Air pollution takes about 2.2 years off a person’s life expectancy, according to a report from the Energy Policy Institute at the University of Chicago. 

While many nutritional supplements or alternative therapies might promise a longer life, longevity depends on many factors. A 2023 article in The Lancet says you can look to your family to estimate how long you live, and certain genes combined with your environment factor into your likelihood of developing certain health conditions. Lifestyle also plays a role in how long you live, such as whether or not you consume alcohol, drugs, or tobacco. A healthy diet that limits unhealthy fats, refined sugar, and artificial ingredients can influence your health. Physical, intellectual, and social activity are also included in your longevity.

Your life expectancy can also depend on where you live, according to a 2022 report from the National Center for Vital Statistics. Based on the mortality statistics for 2020, people who live in Hawaii have a life expectancy of 80.7, compared to the national average of 77. Women in Hawaii are expected to live longer (to age 83.8) compared to men in Hawaii (whose life expectancy is 77.6). Residents of Hawaii who have already reached age 65 can expect to live another 21 years.

Why residents of Hawaii might live longer
A 2023 analysis conducted by Ozmosi found that Hawaii has some of the healthiest residents. The study took data from the Centers for Disease Control and Prevention that considered factors such as air quality, prevalence of obesity, chronic disease, and physical activity. Hawaii’s air quality, a lower percentage of inactive people, and a lower obesity rate contributed to its top rating. Hawaii has a mental health program called “Hawaii Cares,” which could point to its lower levels of depression compared to other states. Just 5.35% of people who live in Hawaii have cancer, and less than 5% have coronary heart disease.

Sociologists tell The Hill that Hawaii’s warm climate makes it easier to get outside and exercise. It also has a smaller variation in hours of daylight between the winter and summer solstices, which means more sunshine and healthy vitamin D. Hawaii also has a low percentage of residents who are uninsured because it mandates health insurance for employees who work 20 hours or more a week.

A big difference in life expectancy between states
Life expectancy provides a good snapshot of a state’s quality of life, such as its health habits, health risks, positive community development, and economic resources (per the University of Texas at Austin). You can compare Hawaii’s life expectancy to countries such as Sweden, Iceland, and Canada. The United States has a large discrepancy among states in terms of life expectancy, with an 8.8-year difference between Hawaii and the lowest life expectancy in Mississippi. States in the Deep South have lower life expectancies than those in the Northeast and West Coast. This is partially due to the shift in policies from the federal government to the state government.

A 2020 article in Milbank Quarterly said that states with more liberal policies tend to have longer life expectancies. These policies include how the state approaches tobacco use, civil rights, the environment, gun control, and women’s reproductive health.

Access to healthcare for underserved populations is often cited as the chief reason for poor health outcomes. However, a 2019 article in the Annals of Family Medicine said that access to healthcare can only explain about 10% of premature deaths or unhealthy outcomes. Instead, life expectancy might depend on other factors, such as health behaviors and social circumstances. Unhealthy behaviors include smoking, an unhealthy diet, and a lack of exercise.

Read More: https://www.healthdigest.com/1490478/united-states-state-highest-life-expectancy-hawaii-death/

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We already know that lifestyle choices can help influence how long you live.
But where you live may also factor into your longevity.
Consider this: in 2019, the U.S. landed at No. 40 for life expectancy when compared to other countries, according to the World Health Organization. With America’s advanced healthcare system in mind, an average life expectancy of 78.5 years, prior to Covid-19, was pretty low.
But there are some states where residents have a better chance at living longer lives, and it may be due, in large part, to their healthy lifestyles.
Life Extension, a company that aims to “extend the healthy human lifespan,” compiled federal data to determine the best states for longevity based on life expectancy at birth and eight lifestyle factors:

Exercise
Healthy diet
Healthy weight
Sleep quality
Stress levels
Social isolation
Proximity to parks

Amount that people spend on outdoor recreation:
States ranked high not only because of long life expectancies, but also if their residents live a healthy lifestyle.
The No. 1 state for a long, healthy life: Hawaii
It’s not surprising that Hawaii landed the number one spot as the best state for longevity. The Aloha State’s life expectancy at birth is 80.7 years, which exceeds all other states and is three years longer than the national average.
But it wasn’t life expectancy alone that helped the state rise to the top. Two-thirds of their residents report that they eat fruits and vegetables every day, according to data from the Centers for Disease Control and Prevention.
And 82.6% of them also say they have a park or school within a half-mile of their homes, the CDC’s data shows.

Top 10 best states in the U.S. for a long, healthy life
Hawaii
Minnesota and Vermont (tie)
Washington
New Hampshire
Utah
Colorado
Massachusetts
California
Oregon

Washington has the second-highest life expectancy, but it was displaced by Minnesota and Vermont for the No. 2 spot on this list due to lifestyle factors.
More than 80% of Vermonters say they’ve exercised within the past month. While, around 70% of people who reside in Minnesota claim they get sufficient sleep.
Still, Washington didn’t lag far behind, snagging the fourth spot, largely because of its high life expectancy and its residents’ low levels of stress. Less than 30% of those living in the Evergreen State report symptoms of anxiety.

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