How many states report a burden among Native Hawaiian individuals?

The correct choice indicates that only one state reports a significant burden among Native Hawaiian individuals. This aligns with current public health data that shows the majority of Native Hawaiians reside in Hawaii, and therefore, the health disparities and burdens prevalent in this population are primarily reported there.

The specificity of the information suggests that many other states have a smaller or negligible Native Hawaiian population, which could lead to a lack of comprehensive health data being collected or reported outside of Hawaii. For other states, even if Native Hawaiian individuals are present, they may represent a small fraction of the population, making it difficult to establish significant reporting of health burdens.

Understanding the context of health disparities among Native Hawaiian populations is crucial, as it underscores the importance of localized data collection and highlights the unique social and economic challenges faced by this community, particularly in Hawaii. The singular report reflects a focused concentration of health issues linked to historical, cultural, and environmental factors that are predominantly experienced within Hawaii.