Chapter 9. Access to Health Care (Text Descriptions) National Healthcare Disparities Report, 2011 Figure 9.1. People under age 65 with health insurance, by race and income, 1999-2009Race19992000200120022003200420052006200720082009White85.484.685.184.584.083.984.183.383.783.382.9Black80.780.581.281.281.682.481.681.983.082.081.1Asian83.282.482.782.681.883.582.985.084.686.183.8NHOPI75.672.486.374.988.089.880.480.169.477.473.2AI/AN61.861.666.960.965.065.467.862.061.271.667.5>1 Race85.583.283.482.484.087.783.581.685.084.281.8 Income19992000200120022003200420052006200720082009Poor66.265.866.969.768.969.069.469.871.671.069.6Low Income69.769.070.971.370.271.071.470.470.069.470.2Middle Income86.484.685.183.484.484.484.384.583.183.482.2High Income94.594.193.993.494.494.193.793.594.493.894.2Source: Centers for Disease Control and Prevention, National Center for Health Statistics, National Health Interview Survey (NHIS), 1999-2009.Denominator: Civilian noninstitutionalized population under age 65.Note: NHIS respondents are asked about health insurance coverage at the time of interview. Respondents are considered insured if they have private health insurance, Medicare, Medicaid, State Children's Health Insurance Program, a State-sponsored health plan, other government-sponsored health plan, or a military health plan, or if their only coverage is through the Indian Health Service.Return to Document Figure 9.2. People under age 65 who were uninsured all year, by ethnicity and income, 2002-2008Ethnicity2002200320042005200620072008Non-Hispanic White (percent uninsured all year)10.110.310.310.310.811.811.7Hispanic (percent uninsured all year)28.228.028.928.528.629.528.9 Income2002200320042005200620072008Poor (percent uninsured all year)24.023.925.024.323.725.227.0Low Income (percent uninsured all year)24.924.823.824.324.526.425.0Middle Income (percent uninsured all year)15.312.713.713.915.515.814.9High Income (percent uninsured all year)5.26.36.06.25.76.67.0Source: Agency for Healthcare Research and Quality, Medical Expenditure Panel Survey, 2002-2008.Denominator: Civilian noninstitutionalized population under age 65.Note: For this measure, lower rates are better.Return to Document Figure 9.3. Predicted percentages of adults ages 18-64 who were uninsured all year, by race, age, gender, family income, and education, 2002-2008White17.3%Black15.6%NHOPI7.9%AI/AN20.8%Ages 18-4418.4%Ages 45-6414.6%Male20.2%Female14.1%Poor32.0%Low Income29.8%Middle Income16.5%High Income7.4%<High School23.9%High School Grad18.1%Any College12.6%Source: Agency for Healthcare Research and Quality, Medical Expenditure Panel Survey, pooled 2002-2008 Full Year files.Note: For this measure, lower rates are better. Predicted percentages are predicted marginals from a logistic regression model that includes the covariates race, age, gender, family income, education, health insurance, and residence location. Predicted percentages for Asians, multiple races, and metropolitan areas did not meet criteria for data reliability and are not reported.Return to Document Figure 9.4. People under age 65 who were uninsured all year, Hispanic only, California, 2009Race / Ethnicity / Income / English Proficiency / Place of Birth<65Hispanic Total18.1Non-Hispanic White7.5Mexican18.1Central American26.8Poor23.2Low Income22.1Middle Income13.3High Income9.8English Only2.5English Well/Very Well3.5English Not Well/Not At All4.5English Preferred17.0Spanish Preferred36.3Born in U.S.9.9Not Born in U.S.30.4Source: University of California, Los Angeles, Center for Health Policy Research, California Health Interview Survey, 2009.Denominator: Hispanic civilian noninstitutionalized population ages 0-64 in California.Note: For this measure, lower rates are better. Data for Puerto Ricans and South Americans did not meet criteria statistical reliability. The English proficiency of respondents is characterized by the following categories: English Only, English Well/Very Well, and English Not Well/Not at All. The preferred language of respondents is characterized as either English Preferred or Spanish Preferred for Hispanic respondents shown here.Return to Document Figure 9.5. People under age 65 who were uninsured all year, Asian only, California, 2009Race / Ethnicity / Income / English Proficiency / Place of Birth<65White7.5Asian Total8.7Chinese7.6Korean23.6Vietnamese7.5Poor21.7Low Income22.1Middle Income9.1High Income2.8English Only6.5English Well/Very Well8.6English Not Well/Not At All24.3English Preferred7.4Vietnamese Preferred17.5Korean Preferred49.8Born in U.S.4.2Not Born in U.S.12.0Source: University of California, Los Angeles, Center for Health Policy Research, California Health Interview Survey, 2009.Denominator: Asian civilian noninstitutionalized populations ages 0-64 in California.Note: For this measure, lower rates are better. Data for Filipinos, Japanese people, and South Asians did not meet criteria for statistical reliability. The English proficiency of respondents is characterized by the following categories: English Only, English Well/Very Well, and English Not Well/Not at All. The preferred language of respondents is characterized as English Preferred, Vietnamese Preferred , or Korean Preferred for Asian respondents shown here.Return to Document Figure 9.6. People under age 65 whose family's health insurance premium and out-of-pocket medical expenses were more than 10% of total family income, by race, ethnicity, and family income, 2008TotalWhiteBlackAI/ANAsian>1 RaceNon-Hispanic WhiteHispanicPoorLow IncomeMiddle IncomeHigh Income17.3%17.8%14.7%16.3%14.7%19.0%18.9%13.5%29.1%25.3%20.2%6.7%Source: Agency for Healthcare Research and Quality, Medical Expenditure Panel Survey, 2008.Denominator: Civilian noninstitutionalized population under 65.Note: Total financial burden includes premiums and out-of-pocket costs for health care services. Data do not meet the criteria for statistical reliability, data quality, or confidentiality for Native Hawaiians and Other Pacific Islanders.Return to Document Figure 9.7. People with a specific source of ongoing care, by ethnicity and income, 1999-2009EthnicityNon-Hispanic WhiteHispanic199988.477.3200089.475.8200190.476.7200290.276.8200390.378.0200489.275.9200589.476.9200688.874.3200788.577.4200888.677.1200987.976.9 IncomePoorLow IncomeMiddle IncomeHigh Income199977.780.387.591.0200078.980.588.191.9200178.382.088.993.3200279.681.888.592.3200381.182.188.192.9200477.180.987.692.1200578.181.487.292.3200677.879.787.491.7200779.579.886.392.3200877.578.387.092.1200977.580.485.691.7Source: Centers for Disease Control and Prevention, National Center for Health Statistics, National Health Interview Survey, 1999-2009.Denominator: Civilian noninstitutionalized population of all ages.Note: Measure is age adjusted. A hospital emergency room is not included as a specific source of primary care.Return to Document Figure 9.8. People with a usual primary care provider, by race and family income, 2002-2008YearTotalWhiteBlackAsianAI/AN>1 Race200277.378.174.969.373.175.7200377.678.573.471.379.078.6200477.478.173.375.278.577.9200576.677.571.970.279.377.0200677.678.775.464.780.175.5200776.377.273.369.472.077.1200875.676.372.271.779.777.6 IncomePoorLow IncomeMiddle IncomeHigh Income200270.471.777.781.8200369.372.778.082.3200472.273.676.881.4200570.473.075.781.1200672.372.777.082.2200770.571.575.181.5200868.471.475.580.3Source: Agency for Healthcare Research and Quality, Medical Expenditure Panel Survey, 2002-2008.Denominator: Civilian noninstitutionalized population of all ages.Note: A usual primary care provider is defined as the source of care that a person usually goes to for new health problems, preventive health care, and referrals to other health professionals.Return to Document Figure 9.9. People who were unable to get or delayed in getting needed medical care, dental care, or prescription medicines in the last 12 months, by race and income, 2002-2008YearWhiteBlackAsianAI/AN>1 Race200211.19.86.213.617.6200311.011.66.815.916.7200411.011.45.014.318.0200511.511.17.016.216.3200611.712.26.416.617.2200710.39.35.58.410.9200810.69.26.110.212.7 YearPoorLow IncomeMiddle IncomeHigh Income200216.414.010.28.2200316.414.710.97.5200416.514.111.27.4200516.514.711.77.8200615.414.612.88.2200714.713.29.77.2200814.613.19.38.1Source: Agency for Healthcare Research and Quality, Medical Expenditure Panel Survey, 2002-2008.Denominator: Civilian noninstitutionalized population, all ages.Note: For this measure, lower rates are better.Return to Document Current as of April 2012 Internet Citation: Chapter 9. Access to Health Care (Text Descriptions): National Healthcare Disparities Report, 2011. April 2012. Agency for Healthcare Research and Quality, Rockville, MD. http://www.ahrq.gov/research/findings/nhqrdr/nhdr11/chap9txt.html