A new report Tuesday confirms other studies that give Hawaii the dubious distinction as the most dangerous state for pedestrians over the age of 65.

The Aloha State has the highest fatality rate in the nation per capita for older pedestrians, with 6.81 deaths per every 100,000 adults 65 and older from 2003 to 2010, according to a new report out from Smart Growth America.

It’s even more dangerous for pedestrians in Hawaii who are 75 or older, who have a fatality rate of 9.75 per 100,000, the report found.

The group’s analysis is based on injury statistics from the Center for Disease Control and Prevention.

It’s not the first time Hawaii has been listed as the most dangerous state for people crossing the street.

A separate National Highway Traffic Safety study listed the state as having the highest rate of fatalities involving pedestrians 65 or older from 2007 to 2011.  During that period, the state saw a rate of five deaths a year per every 100,000 seniors, the study found.