Table 16_2_1-1d 2009 National Healthcare Quality and Disparities ReportsThe 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_1.1dPeople 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 education,b United States, 2006 TotalLess than high schoolHigh school graduateAt least some collegePopulation groupPercentSEPercentSEPercentSEPercentSETotal 17.50.420.70.820.10.615.00.6Age18–4413.80.515.30.916.80.911.60.645–6423.00.731.91.624.31.119.80.9GenderMale15.90.518.81.016.90.814.20.7Female19.20.523.01.023.40.815.80.6RaceWhite, single race18.00.521.00.920.70.815.60.6Black, single race16.00.920.71.517.11.512.81.1Asian, single race12.81.9DSUDSU15.93.910.81.8NHOPI, single raceDSUDSUDSUDSUDSUDSUDSUDSUAI/AN, single race26.56.2DSUDSUDSUDSUDSUDSUMultiple races13.62.2DSUDSUDSUDSU12.03.3EthnicityNon-Hispanic, all races18.00.524.11.120.80.715.20.6Non-Hispanic, White18.80.526.01.421.70.915.80.7Non-Hispanic, Black16.10.920.61.617.21.512.91.1Hispanic, all races14.60.714.41.015.71.413.71.4Family incomecNegative/poor37.91.532.12.138.12.345.82.8Near poor/low24.61.120.41.425.61.727.61.9Middle19.10.816.71.220.91.218.71.2High8.70.512.62.19.41.08.10.6Employment status, ages 18–64Employed13.90.415.40.915.80.712.40.5Not employed31.90.930.11.435.41.530.21.5Health insurancedPrivate, employer sponsored16.30.524.51.520.00.813.40.6Private, nongroup53.93.3DSUDSUDSUDSU47.93.9Public only23.51.321.91.623.52.326.93.2Part-year uninsured17.91.019.92.019.71.715.61.6Full-year uninsured14.00.814.31.315.31.212.11.4Residence locationdMetropolitan16.40.519.60.919.10.714.00.6 Large central metro14.20.716.91.115.81.112.40.9 Large fringe metro15.80.820.62.018.91.313.21.1 Medium metro19.71.022.61.922.41.617.11.4 Small metro18.21.721.83.521.62.615.11.5Nonmetropolitan23.51.025.51.724.01.621.91.6 Micropolitan22.41.326.01.922.61.820.51.9 Noncore25.72.024.83.026.83.025.23.7Language spoken most often at homeEnglish18.20.523.51.120.60.715.50.6Other12.50.913.61.314.52.09.61.3Perceived health statusExcellent/very good/good15.60.417.50.817.90.613.80.6Fair/poor33.51.235.12.134.62.031.02.0Activity limitations,d ages 18–64Basic activities34.01.338.72.638.72.227.12.2Complex activities39.91.541.82.641.62.836.42.8Neither basic nor complex activities15.50.417.30.817.60.713.90.6a Health insurance premium is the sum of insurance premiums (imputed) and Medicare Part B. Total family income is the sum of person-level pretax total income, refund income, and sale income. "Family" is defined in terms of health insurance eligibility units.b People age 18 and over. 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.c 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.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_1-1d: 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_1-1d.html