Table 16_2_2-1c 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_2.1cPeople under age 65 with private insurance whose family's out-of-pocket medical expenditures were more than 10% of total family income,a by family income,b United States, 2006 TotalNegative/poorNear poor/lowMiddleHighPopulation groupPercentSEPercentSEPercentSEPercentSEPercentSETotal 5.00.343.43.110.81.25.00.51.70.2Age0–174.70.535.54.78.31.74.70.9DSUDSU18–444.00.335.43.77.71.23.30.61.60.345–646.50.566.44.820.22.37.90.92.20.4GenderMale4.50.345.03.910.21.34.10.51.60.3Female5.50.342.03.711.31.35.90.61.70.3RaceWhite, single race5.40.349.13.713.21.55.40.61.80.3Black, single race3.30.524.84.5DSUDSUDSUDSUDSUDSUAsian, single raceDSUDSUDSUDSUDSUDSUDSUDSUDSUDSUNHOPI, single raceDSUDSUDSUDSUDSUDSUDSUDSUDSUDSUAI/AN, single raceDSUDSUDSUDSUDSUDSUDSUDSUDSUDSUMultiple racesDSUDSUDSUDSUDSUDSUDSUDSUDSUDSUEthnicityNon-Hispanic, all races5.10.344.73.412.11.45.40.61.70.2Non-Hispanic, White5.50.452.04.215.62.05.90.71.80.3Non-Hispanic, Black3.30.525.14.5DSUDSUDSUDSUDSUDSUHispanic, all races4.20.835.17.5DSUDSUDSUDSUDSUDSUEducation,c ages 18–64Less than high school9.61.148.27.112.72.56.01.2DSUDSUHigh school graduate5.20.542.85.410.11.74.70.8DSUDSUAt least some college4.40.349.44.413.82.05.30.71.80.3Employment status, ages 18–64Employed3.60.232.74.29.11.24.20.51.50.2Not employed14.51.066.74.622.42.810.81.64.81.1Residence locationdMetropolitan4.50.342.93.49.51.34.40.51.60.2 Large central metro3.90.543.35.67.81.93.30.7DSUDSU Large fringe metro3.90.5DSUDSU11.52.34.31.11.60.4 Medium metro5.60.734.25.59.32.76.21.42.20.7 Small metro5.61.1DSUDSUDSUDSUDSUDSUDSUDSUNonmetropolitan8.10.845.57.815.93.17.71.7DSUDSU Micropolitan7.71.1DSUDSU17.04.710.02.4DSUDSU Noncore9.01.3DSUDSUDSUDSUDSUDSUDSUDSULanguage spoken most often at homeEnglish5.20.345.03.112.11.45.20.61.70.2Other2.60.8DSUDSUDSUDSUDSUDSUDSUDSUPerceived health statusExcellent/very good/good4.40.339.33.29.31.24.70.51.50.2Fair/poor14.41.3DSUDSU24.24.110.32.15.51.2Activity limitations,d ages 18–64Basic activities12.41.3DSUDSU35.05.510.12.2DSUDSUComplex activities21.22.2DSUDSUDSUDSU15.23.58.82.4Neither basic nor complex activities4.40.342.83.29.41.14.70.51.60.2a 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 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 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_2-1c: 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_2-1c.html