Early Miss Hawaii USA results are listed here from the 1970s and Miss Hawaii Teen USA from the early years of the 1980s – including the state pageant won by Kelly Hu in 1985 – and all results are available from 2000 to now. In the 2000s to the early 2010s many Miss Hawaii USA winners had previously placed as a runner-up at least once previously. In contrast, four of the last five winners were competing in the USA system for the first time, and five of the last eight winners had no prior pageant experience at all.  Other than former Teens who “crossed over” to win the Miss title, few Hawaii winners have previously competed in the Teen system, exceptions being Nadine Tanega (1994,  Justine Michioka (2014) and Brianna Acosta (2013).

Most Miss Hawaii Teen USA titleholders have not placed in the state Teen pageant prior to winning (although 2020 Miss Teen USA Ki’ilani Arruda was second runner-up in 2019), but in recent years they have increasingly been holders of local pageant titles.