Table 16_2_1-1c

2009 National Healthcare Quality and Disparities Reports

The National Healthcare Quality Report (NHQR) is a comprehensive national overview of quality of health care in the United States. It is organized around four dimensions of quality of care: effectiveness, patient safety, timeliness, and patient centeredness.

Table 16_2_1.1c
People under age 65 whose family's health insurance premium and out-of-pocket medical expenditures were more than 10% of total family income,^a by family income,^b United States, 2006
		Total		Negative/poor		Near poor/low		Middle		High
Population group		Percent	SE	Percent	SE	Percent	SE	Percent	SE	Percent	SE
Total		17.5	0.4	33.9	1.4	23.6	1.2	18.8	0.9	8.2	0.6
Age	0–17	17.3	0.7	27.8	1.8	21.8	1.7	18.0	1.3	6.4	1.0
	18–44	13.8	0.5	30.7	1.6	18.0	1.1	13.5	0.9	6.4	0.6
	45–64	23.0	0.7	53.3	2.2	38.5	1.9	29.1	1.4	11.1	0.8
Gender	Male	16.3	0.5	33.3	1.7	22.9	1.2	17.4	0.9	7.7	0.6
Gender	Female	18.6	0.5	34.5	1.5	24.3	1.4	20.2	1.0	8.8	0.6
Race	White, single race	18.0	0.5	36.7	1.8	25.2	1.4	20.2	1.0	8.7	0.6
	Black, single race	15.7	0.8	28.6	2.0	18.6	2.2	11.0	1.4	4.4	0.9
	Asian, single race	12.7	2.0	38.7	9.2	DSU	DSU	15.0	3.3	DSU	DSU
	NHOPI, single race	17.5	4.4	DSU	DSU	DSU	DSU	DSU	DSU	DSU	DSU
	AI/AN, single race	24.5	5.4	DSU	DSU	DSU	DSU	DSU	DSU	DSU	DSU
	Multiple races	14.3	1.9	25.5	5.5	19.0	4.9	DSU	DSU	DSU	DSU
Ethnicity	Non-Hispanic, all races	18.0	0.5	36.7	1.7	27.2	1.5	20.2	1.0	8.3	0.6
	Non-Hispanic, White	18.9	0.6	42.5	2.5	31.6	1.9	22.4	1.1	8.9	0.6
	Non-Hispanic, Black	15.7	0.8	29.1	2.0	18.7	2.2	11.2	1.4	4.0	0.9
	Hispanic, all races	14.9	0.7	26.1	1.9	14.7	1.4	11.6	1.3	7.4	1.8
Education,^c ages 18–64	Less than high school	20.7	0.8	32.1	2.1	20.4	1.4	16.7	1.2	12.6	2.1
	High school graduate	20.1	0.6	38.1	2.3	25.6	1.7	20.9	1.2	9.4	1.0
	At least some college	15.0	0.6	45.8	2.8	27.6	1.9	18.7	1.2	8.1	0.6
Employment status, ages 18–64	Employed	13.9	0.4	30.7	2.0	21.1	1.1	16.6	0.8	7.5	0.5
Employment status, ages 18–64	Not employed	31.8	0.9	44.6	1.9	34.0	1.8	31.4	1.9	17.1	1.7
Health insurance^d	Private, employer sponsored	16.9	0.6	64.9	3.1	38.6	2.3	21.6	1.2	7.4	0.6
	Private, nongroup	51.5	3.5	DSU	DSU	80.2	6.3	54.0	6.2	33.9	5.4
	Public only	18.0	0.9	22.6	1.6	14.7	1.5	12.6	2.1	DSU	DSU
	Part-year uninsured	16.9	1.0	38.6	2.7	13.9	1.4	12.3	1.5	7.7	1.5
	Full-year uninsured	14.2	0.9	28.2	2.3	13.3	1.2	8.7	1.3	8.6	2.1
Residence location^d	Metropolitan	16.5	0.5	33.5	1.6	22.0	1.3	17.9	1.0	8.0	0.6
	Large central metro	14.3	0.7	30.7	2.0	18.3	1.4	13.1	1.2	6.6	1.0
	Large fringe metro	15.5	0.9	37.7	3.5	22.2	2.9	19.4	1.9	8.0	0.9
	Medium metro	20.0	1.0	35.6	3.5	27.3	2.5	20.7	1.9	10.5	1.3
	Small metro	18.5	1.8	32.5	5.3	22.6	4.5	23.3	3.9	6.7	1.5
	Nonmetropolitan	22.9	1.2	35.5	2.9	30.7	3.0	22.9	1.7	10.1	1.5
	Micropolitan	22.1	1.5	36.3	3.1	27.3	3.7	25.0	2.3	9.3	1.5
	Noncore	24.4	2.3	34.0	5.5	35.7	4.6	19.0	2.8	12.6	3.6
Language spoken most often at home	English	18.1	0.5	36.7	1.6	26.7	1.4	20.2	0.9	8.5	0.6
Language spoken most often at home	Other	12.7	1.0	24.0	2.7	12.8	1.5	9.6	1.4	DSU	DSU
Perceived health status	Excellent/very good/good	16.0	0.4	31.5	1.5	21.9	1.1	17.8	0.9	7.8	0.5
Perceived health status	Fair/poor	33.1	1.2	45.9	2.3	36.4	2.4	31.2	2.3	17.7	2.0
Activity limitations,^d ages 18–64	Basic activities	34.1	1.4	49.0	2.6	44.4	2.9	32.6	2.5	16.4	2.0
	Complex activities	40.2	1.6	50.7	2.5	48.2	3.2	36.4	3.0	20.3	3.0
	Neither basic nor complex activities	15.5	0.4	34.2	1.6	21.5	1.1	17.8	0.8	8.1	0.5

^a Health insurance premium is the sum of insurance premiums (imputed) and Medicare Part B. Total family income is the sum of person-level pre-tax total income, refund income, and sale income. "Family" is defined in terms of health insurance eligibility units.

^b Negative/poor refers to household incomes below the Federal poverty line; near poor/low, the poverty line to just below 200 percent of the poverty line; middle, 200 percent to just below 400 percent of the poverty line; and high, 400 percent of the poverty line and over.

^c Less than high school refers to fewer than 12 years of education; high school graduate, 12 years of education; and at least some college, more than 12 years of education.

^d Insurance categories are defined hierarchically in the order shown. For more information, see the MEPS entry in Appendix B, Detailed Methods.

DSU - Data do not meet the criteria for statistical reliability, data quality, or confidentiality.

Key: AI/AN: American Indian or Alaska Native; NHOPI: Native Hawaiian or Other Pacific Islander; SE: standard error.

Source: Agency for Healthcare Research and Quality, Center for Financing, Access, and Cost Trends, Medical Expenditure Panel Survey.

Current as of March 2010

Internet Citation: Table 16_2_1-1c: 2009 National Healthcare Quality and Disparities Reports. March 2010. Agency for Healthcare Research and Quality, Rockville, MD. http://www.ahrq.gov/research/findings/nhqrdr/nhqrdr09/16_facilitators_barriers/T16_2_1-1c.html