Photo: 293.xx.xxx.xx · CC BY-SA 3.0Within Hawaii, Pukalani is healthier than 46% of graded towns
Pukalani differs from Hawaii on 4 of 32 measures CDC estimates: 2 better, 2 worse.
Modeled estimates for adults 18+, CDC’s own estimate for Pukalani. How CDC estimates town health
What stands out about health in Pukalani
Hawaii sets a high bar
Pukalani is healthier than 75% of U.S. towns, but only 46% of the 93 Hawaii towns we grade. Health Grade ↓
Pukalani is short on primary care and mental health care
Pukalani’s county is a federal shortage area for primary care and mental health care, meaning too few providers for the people who live there. Getting care ↓
Smoking is more common in Pukalani
1 in 7 adults smoke cigarettes (13.4%), vs 11% across Hawaii. Habits ↓
Cancer runs high in Pukalani
1 in 13 adults have had cancer (8%), vs 6.7% across Hawaii. Conditions ↓
Pukalani is an active town
Only 19.5% of adults get no exercise outside work, vs 23% across Hawaii. Habits ↓
Written from the CDC, Medicare and HRSA data on this page. CDC PLACES 2025 release: modeled estimates for adults, not counts; “higher” and “lower” mean the Hawaii figure falls outside Pukalani’s likely range; at the ends of CDC’s ranges the grade could be anywhere from B− to A.
What’s behind Pukalani’s grade
On seven CDC estimates for adults, Pukalani is healthier than 75% of U.S. towns, #51 of 93 in Hawaii. All seven estimates beat the typical U.S. town. The strongest is obesity (fewer adults with obesity than 90% of towns); the weakest is diabetes, still better than 52%.
Health estimates follow income closely across the country: towns with higher household incomes usually score higher (a correlation of 0.77 across 21,157 graded towns). Pukalani’s median household income is $102,976; among the 8,125 U.S. towns within 25% of that ($77K–$129K), it’s healthier than 62%, about where its income would put it.
Care in and near Pukalani
No hospital or community health center in Pukalani itself. These are the nearest.
Hospitals: Medicare overall star ratings, 1–5. Community health centers charge on a sliding scale by income. Distances are straight-line from the center of Pukalani; ≈ marks a hospital located by its town, not its street. Shortage areas: HRSA Health Professional Shortage Areas (a “population” designation covers specific residents, such as those with low incomes).
Everyday habits, side by side with Hawaii
Share of adults, with the Hawaii figure marked.
0.7 miles of trails across 1 park or preserve
Out of every 100 Pukalani adults…
Pukalani runs above HI on 1 of 12 conditions. Tap one to see it as people.
Keeping up with care
Share of Pukalani adults getting routine care. The full ring is 100%; the dark tick marks Hawaii.
How Pukalani adults are doing
About the same as Hawaii on each measure.
1 in 3 Pukalani adults feel lonely. A hello is a start.
Groups are the easiest way in: a walking group, a book club, your street.
If you or someone you know is struggling, call or text 988, the Suicide & Crisis Lifeline. It’s free, confidential and open 24/7.
Making ends meet
Needs that shape health as much as any doctor visit: food, housing, utilities and a way to get around.
13.7% of Pukalani adults receive SNAP (food stamps), compared with 12.2% across Hawaii.
Pukalani and the towns around it
Pukalani’s Health Grade ranks 3rd of 4 graded towns around it.
Nearby towns are shaded from CDC’s estimates for their ZIP codes, or CDC’s own figure for cities and villages.
Health next door
| Town | Health | Obesity | Diabetes | Smoking | Figures from |
|---|---|---|---|---|---|
| Pukalani | A− | 27.6% | 11.9% | 13.4% | CDC place |
| Kula | A− | 27.7% | 12.1% | 13.4% | CDC place |
| Haliimaile | B+ | 27.2% | 11.9% | 14% | CDC place |
| Makawao | A− | 28.5% | 10.8% | 13.8% | CDC place |
Same-state neighbors only, ordered by length of shared border.
Living with a disability
Shown without a better/worse judgment.
of Pukalani adults live with a disability (Hawaii 28.7%). Walking or climbing stairs is the most common.
Every CDC estimate for Pukalani
Share of adults, 40 measures, with CDC’s likely range.
On the 32 measures below that have a better and a worse direction, Pukalani is better than Hawaii on 2 and worse on 2; on the rest, the Hawaii figure falls inside Pukalani’s likely range, so we call them about the same. Disability and SNAP are described, not compared as better or worse.
| Adults who… | Pukalani | HI | U.S. | vs HI |
|---|---|---|---|---|
| Overall health | ||||
| Fair or poor health | 17.6%15.5–20 | 18.4% | 19.4% | About the same |
| Frequent physical distress (physical health not good 14+ days a month) | 13.1%11.7–14.7 | 12.3% | 13% | About the same |
| Frequent mental distress (mental health not good 14+ days a month) | 15.5%13.8–17.3 | 14.5% | 15.9% | About the same |
| Conditions | ||||
| Obesity | 27.6%23–32.5 | 25.6% | 32.9% | About the same |
| Diabetes | 11.9%10.5–13.6 | 12.4% | 12% | About the same |
| High blood pressure | 30.7%27.5–33.9 | 31.5% | 34.4% | About the same |
| High cholesterol (adults screened in 5 years) | 34.9%31.4–38.3 | 36.1% | 37.1% | About the same |
| Arthritis | 25.2%22.6–28 | 23.2% | 25.3% | About the same |
| Asthma | 10.9%9.7–12.2 | 9.8% | 9.9% | About the same |
| Cancer, other than skin cancer | 8%7.3–8.8 | 6.7% | 7.9% | Worse |
| Coronary heart disease | 6.4%5.7–7.2 | 6.2% | 6.4% | About the same |
| COPD | 6%5.3–6.9 | 5.3% | 6.3% | About the same |
| Stroke | 3.8%3.4–4.2 | 3.7% | 3.4% | About the same |
| Lost all teeth (ages 65+) | 7.2%5.8–8.8 | 8.5% | 12.3% | About the same |
| Habits | ||||
| Smoke cigarettes | 13.4%11.5–15.5 | 11% | 11.8% | Worse |
| No exercise outside work | 19.5%16.5–22.7 | 23% | 24.7% | Better |
| Binge drinking | 19.5%16.9–22.4 | 17.4% | 15.4% | About the same |
| Sleep under 7 hours | 40.4%35.5–45.6 | 45.7% | 36% | Better |
| Checkups and coverage | ||||
| No health insurance (ages 18–64) | 5.8%4.9–6.9 | 5.6% | 11% | About the same |
| Checkup in the past year | 74.2%70.8–77.4 | 77.3% | 77.4% | About the same |
| Dentist visit in the past year | 68.3%65–71.5 | 68.3% | 63.2% | About the same |
| Cholesterol check in 5 years | 84.3%82.5–86.2 | 82.8% | 87.1% | About the same |
| Taking blood pressure medicine (adults with high blood pressure) | 73.9%70.6–77 | 76.9% | 76.5% | About the same |
| Colorectal cancer screening (ages 45–75) | 62.8%58.5–67.2 | 62.6% | 65.5% | About the same |
| Mammogram in 2 years (women 50–74) | 78.1%72.2–83.5 | 78.3% | 76.4% | About the same |
| Mind and connection | ||||
| Ever told they have depression | 17.1%14.6–19.7 | 16% | 20.6% | About the same |
| Feel lonely | 31.3%27.3–35.8 | 32% | 32.5% | About the same |
| Lack social and emotional support | 27.1%23.6–30.9 | 30.1% | 23.6% | About the same |
| Everyday needs | ||||
| Worried about having enough food | 16.5%14.2–19.3 | 17.3% | 15% | About the same |
| Worried about keeping housing | 11.2%9.6–13.1 | 10.9% | 12% | About the same |
| Threatened with a utility shut-off | 6.5%5.5–7.6 | 5.8% | 7.6% | About the same |
| Lack reliable transportation | 8.1%7.1–9.4 | 7.5% | 7.9% | About the same |
| Received SNAP (food stamps) | 13.7%11.4–16.2 | 12.2% | 11.6% | About the same |
| Disability | ||||
| Any disability | 28.3%25–31.9 | 28.7% | 30.1% | About the same |
| Difficulty walking or climbing stairs | 14.1%12.4–16 | 13.2% | 13.6% | About the same |
| Difficulty concentrating or remembering | 12.8%11.3–14.5 | 12.5% | 13.9% | About the same |
| Hearing difficulty | 7.2%6.4–8.1 | 7.2% | 6.7% | About the same |
| Vision difficulty | 5.3%4.7–5.8 | 5.2% | 5.4% | About the same |
| Difficulty doing errands alone | 7.5%6.6–8.4 | 7.1% | 7.9% | About the same |
| Difficulty dressing or bathing | 3.8%3.4–4.3 | 3.4% | 3.8% | About the same |
Each figure is the share of adults 18+ unless the label says otherwise; small numbers after it are CDC’s likely range (95% interval). “About the same” means the Hawaii figure falls inside that range.
Questions about health in Pukalani
Is Pukalani a healthy place to live?
On seven CDC estimates for adults, Pukalani is healthier than 75% of U.S. towns: A− for health, #51 of 93 in Hawaii. Among U.S. towns with similar household incomes it’s healthier than 62%. These are modeled estimates of who lives there, not a measure of local care or habits alone.
What is the obesity rate in Pukalani?
CDC estimates 27.6% of adults have obesity, likely between 23% and 32.5%, against 25.6% across Hawaii and 32.9% nationally.
What hospital is closest to Pukalani?
Kula Hospital in Kula, 9.2 miles in a straight line from Pukalani’s center point, is the nearest general hospital with an emergency room; it has no Medicare star rating.
How many people in Pukalani have no health insurance?
CDC estimates 5.8% of adults ages 18–64 have no health insurance (likely 4.9–6.9%), against 5.6% across Hawaii.
How accurate are these numbers?
They’re modeled estimates: CDC applies national survey answers to each area’s age, sex, race and education mix, so they describe who lives in Pukalani more than anything measured there. At the ends of CDC’s ranges the grade could be anywhere from B− to A.
Neighbors talk health
Doctors taking patients, urgent care, staying active in Pukalani.
Health estimates: CDC PLACES: Local Data for Better Health, 2025 release. The Hawaii figure combines its counties, weighted by adult population. Hospitals and star ratings: Medicare Care Compare (CMS). Health centers and shortage areas: HRSA. The Health Grade is our own summary of CDC’s estimates, not an official rating. Ages: U.S. Census Bureau, American Community Survey. Town boundaries: U.S. Census Bureau. This page isn’t medical advice. In an emergency, call 911.