T16_2_1_2c

2011 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_1.2c
People under age 65 whose family's out-of-pocket health insurance premiums and medical expenditures were more than 10% of total family income,^a by family income,^b United States, 2008
		Total		Negative/poor		Near poor/low		Middle		High
Population group		Percent	SE	Percent	SE	Percent	SE	Percent	SE	Percent	SE
Total		17.3	0.5	29.1	1.5	25.3	1.3	20.2	1.0	6.7	0.6
Age	0-17	17.7	0.8	24.3	2.0	23.1	1.8	19.2	1.6	6.2	1.1
	18-44	14.5	0.5	26.1	1.5	19.9	1.3	16.7	1.0	5.4	0.6
	45-64	20.8	0.7	44.5	2.2	38.4	2.0	27.4	1.5	8.3	0.8
Gender	Male	16.2	0.5	27.6	1.6	24.0	1.5	19.3	1.1	6.5	0.6
Gender	Female	18.4	0.5	30.3	1.6	26.5	1.4	21.2	1.0	7.0	0.7
Race	White, single race	17.8	0.6	31.3	2.0	26.3	1.6	22.0	1.1	6.9	0.6
	Black, single race	14.7	0.8	20.1	2.0	21.1	1.8	11.7	1.3	5.8	1.2
	Asian, single race	14.7	1.6	42.7	7.3	25.7	5.0	15.7	2.8	5.1	1.1
	NHOPI, single race	DSU	DSU	DSU	DSU	DSU	DSU	DSU	DSU	DSU	DSU
	AI/AN, single race	16.3	3.7	29.5	7.6	DSU	DSU	DSU	DSU	DSU	DSU
	Multiple races	19.0	2.4	37.7	6.2	25.5	6.2	14.3	4.1	DSU	DSU
Ethnicity	Non-Hispanic, all races	18.1	0.5	32.8	1.7	29.4	1.7	21.7	1.1	6.9	0.6
	Non-Hispanic, White	18.9	0.7	38.7	2.6	32.4	2.2	24.1	1.3	7.1	0.7
	Non-Hispanic, Black	15.0	0.8	20.8	2.1	21.4	1.8	11.8	1.3	5.9	1.2
	Hispanic, all races	13.5	0.8	19.8	2.3	14.7	1.5	12.5	1.2	5.4	0.9
Education,^c ages 18-64	Less than high school	18.3	0.9	22.1	1.5	18.4	1.6	18.5	1.7	11.9	2.3
	High school graduate	18.6	0.7	32.7	2.0	28.0	1.9	19.0	1.4	7.0	0.9
	At least some college	16.0	0.6	44.8	2.4	31.5	2.2	22.6	1.2	6.3	0.6
Employment status, ages 18-64	Employed	13.8	0.4	25.7	1.7	24.1	1.4	18.6	0.9	5.5	0.4
Employment status, ages 18-64	Not employed	29.3	1.0	38.3	1.9	32.2	2.1	29.8	1.9	16.3	2.0
Health insurance^d	Private, employer sponsored	17.0	0.7	60.0	3.8	42.6	2.5	23.0	1.3	6.2	0.6
	Private, nongroup	48.7	4.2	DSU	DSU	DSU	DSU	52.2	8.0	17.7	4.1
	Public only	15.6	1.0	18.9	1.7	12.4	1.5	11.9	1.9	DSU	DSU
	Part-year uninsured	18.8	1.0	30.1	2.4	19.6	2.1	16.9	1.9	9.7	2.1
	Full-year uninsured	14.3	0.7	27.2	2.2	13.9	1.4	9.4	1.3	5.6	1.3
Residence location^e	Metropolitan	16.9	0.5	26.9	1.5	26.0	1.5	20.6	1.1	6.7	0.6
	Large central metro	16.2	0.8	26.6	1.9	23.3	1.7	17.4	1.5	6.8	1.1
	Large fringe metro	16.2	1.2	28.7	3.3	30.1	3.5	20.5	2.1	7.4	1.3
	Medium metro	17.9	1.3	26.3	3.7	25.8	3.4	24.2	2.6	5.3	1.1
	Small metro	18.9	1.5	26.0	2.7	27.3	3.9	22.5	2.7	6.9	1.7
	Nonmetropolitan	19.4	1.3	39.0	4.0	22.0	2.5	18.6	2.5	7.0	1.4
	Micropolitan	20.3	1.5	43.5	5.6	23.1	3.0	19.3	2.9	5.8	1.3
	Noncore	17.6	1.9	29.7	3.8	19.6	4.5	17.3	4.1	DSU	DSU
Language spoken most often at home	English	17.7	0.5	31.8	1.5	28.1	1.6	21.4	1.1	6.8	0.6
Language spoken most often at home	Other	14.6	0.9	21.1	2.7	16.7	1.7	11.8	1.6	5.5	1.3
Perceived health status	Excellent/very good/good	16.0	0.5	27.4	1.6	23.8	1.3	19.0	1.0	6.3	0.6
Perceived health status	Fair/poor	30.2	1.3	37.6	2.3	35.2	2.4	32.3	2.4	13.6	2.4
Activity limitations,^e ages 18-64	Basic activities	30.9	1.5	43.0	2.8	39.1	3.3	31.8	2.8	16.2	2.5
	Complex activities	36.8	2.0	44.7	3.3	40.9	4.0	35.0	3.4	25.1	3.9
	Neither basic nor complex activities	15.3	0.5	28.5	1.5	24.2	1.3	19.6	0.9	6.0	0.5
U.S. born	Yes	17.7	0.5	29.6	1.5	27.0	1.5	21.2	1.1	7.0	0.6
U.S. born	No	14.2	0.8	26.5	2.8	17.3	1.6	13.6	1.6	4.5	0.8

^a. For income, insurance, expenditures, and premiums, a family is defined in terms of health insurance eligibility units (HIEUs). For more information, see the Medical Expenditure Panel Survey (MEPS)� entry in Appendix B: Detailed Methods.

^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.

^e. 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.

Page last reviewed October 2014

Internet Citation: T16_2_1_2c: 2011 National Healthcare Quality and Disparities Reports. October 2014. Agency for Healthcare Research and Quality, Rockville, MD. http://archive.ahrq.gov/research/findings/nhqrdr/nhqrdr11/16_facilitators_barriers/T16_2_1_2c.html