Pres mnhsr2011 mar1_turner
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New Estimates of Health Insurance Coverage American Community Survey: Increases in Uninsurance for Minnesota Children Minnesota Health Services Research Conference St. Paul, Minnesota March 1, 2011 Joanna Turner, Lynn Blewett, and Julie Sonier State Health Access Data Assistance Center (SHADAC) University of Minnesota, School of Public Health
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Transcript of Pres mnhsr2011 mar1_turner
New Estimates of Health Insurance CoverageAmerican Community Survey:Increases in Uninsurance for Minnesota Children
Minnesota Health Services Research Conference
St. Paul, Minnesota
March 1, 2011
Joanna Turner, Lynn Blewett, and Julie SonierState Health Access Data Assistance Center (SHADAC)University of Minnesota, School of Public Health
www.shadac.org
Overview
• Motivation – increases in uninsured children in Minnesota from 2008 to 2009
• Introduction to the American Community Survey (ACS)
• Uninsured children (0-18) by:– Characteristics– Sub-state geography
• Data Dissemination
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Source: Mach and Blumenthal. 2010. “Health Insurance Coverage of Children Under Age 19: 2008 and 2009.” U.S. Census Bureau.
www.shadac.org
U.S. Census BureauAmerican Community Survey (ACS)
• Designed to collect and produce economic, social, demographic, and housing information
• Separate housing unit (HU) and group quarters (GQ) samples
• About three million housing unit addresses sampled annually
• Three modes of data collection (mail, telephone, personal visit)
• Health insurance coverage question added to the 2008 ACS
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Data Analysis
• Public Use Microdata (PUMS) file
• Smallest identifiable geographic unit is the
Public Use Microdata Area (PUMA) – Represents about 100,000 people
• 13,093 children in the 2009 PUMS file for Minnesota
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Children's Uninsurance Rank Lags Adults
• U.S. total uninsured rate is 15.2% and MN uninsured rate is 9.0%– MN is ranked 7th among states
• U.S. uninsured rate for children under 18 years is 9.0% and MN uninsured rate is 7.2%– MN is ranked 27th among states
– Source: 2009 American Community Survey
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Percentage of Uninsured Children by Race and Ethnicity
Minnesota United States
Total 7.2* 9.0
Race and Hispanic Origin
White alone non-Hispanic 5.6 6.1
Black alone non-Hispanic 7.5 8.4
Asian alone non-Hispanic 6.3 8.4
Other non-Hispanic 10.9 9.0
Hispanic 21.3 16.6
Source: 2009 American Community Survey
* Statistically different at the 90 percent confidence level
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Race and Ethnicity of Uninsured Children vs. Population
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White 60.0%
Black 6.3%
Asian 4.2%
Other 8.3%
Hispanic 21.2%
MN Uninsured
Source: 2009 American Community Survey
White 76.7%
Black 6.0%
Asian 4.7%
Other 5.5%Hispanic 7.1%
MN Population
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Percentage of Uninsured Children by Poverty Level
Minnesota United States
Poverty Level
0-138% FPL 13.3 13.6
139-199% FPL 13.8 13.4
200-399% FPL 6.5* 8.4
400%+ FPL 2.4 2.7
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Source: 2009 American Community Survey
* Statistically different at the 90 percent confidence level
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Poverty Level of Uninsured Children vs. Population
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Source: 2009 American Community Survey
0-138 FPL37.6%
139-199 FPL20.4%
200-299 FPL
30.7%
400 + FPL11.3%
MN Uninsured
0-138 FPL20.6%
139-199 FPL
10.8%
200-299 FPL34.1%
400+ FPL34.5%
MN Population
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Percentage of Uninsured Children by Family Characteristic
Minnesota United States
Educational Attainment
< High School 16.6 18.4
High School 13.7 13.3
Some college 7.9 8.9
College or more 3.2* 4.0
Work Status
No one working in family 5.1* 8.3
At least 1 part-time worker 7.5* 11.2
At least 1 full-time worker 7.2* 8.8
12Source: 2009 American Community Survey
* Statistically different at the 90 percent confidence level
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Uninsured Rates for Children by PUMA
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Source: 2009 American Community Survey
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Minnesota does not Reflect National Trends
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Private Public Uninsured Private Public Uninsured0%
20%
40%
60%
80%
100%
77.9%
16.2%
6.0%
64.0%
26.3%
9.7%
74.3%
18.5%
7.2%
61.4%
29.6%
9.0%
2008 2009
Health Insurance Coverage Trends for Children
Source: 2008 and 2009 American Community Survey
Minnesota United States
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Uninsured Rates for Minnesota Children by Characteristic: 2008 vs. 2009
• No significant difference by race and ethnicity, poverty level, or citizenship status
• Significant increase in uninsured by:– At least one full-time worker in family
• 5.5% in 2008 increased to 7.2% in 2009
– Highest educational attainment in family is high school education• 9.7 in 2008 increased to 13.7% in 2009
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Change in Uninsured Rates for Children by PUMA, 2008-2009
16Source: 2008 and 2009 American Community Survey
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Conclusions
• Minnesota and Alaska were the only states to have an increase in uninsured children from 2008 to 2009– Minnesota falling in the rankings among states for
coverage of children– Uninsurance rates varied substantially across
Minnesota
• ACS is a new tool for evaluating health insurance coverage at the sub-state level
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Data Dissemination
• SHADAC Data Center - Tables– http://www.shadac.org/datacenter
• Minnesota Population Centers Integrated Public Use Microdata Series (IPUMS)– http://usa.ipums.org/usa
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SHADAC’s Data Center
http://www.shadac.org/datacenter
www.shadac.org
Data Dissemination (2)
• American FactFinder– http://factfinder.census.gov/
• ACS Main Page– http://www.census.gov/acs/www/
• Census Bureau’s Health Insurance Main Page– http://www.census.gov/hhes/www/hlthins/hlthins.html
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Contact Information
©2002-2009 Regents of the University of Minnesota. All rights reserved.The University of Minnesota is an Equal Opportunity Employer
Joanna TurnerState Health Access Data Assistance Center
University of Minnesota, Minneapolis, MNwww.shadac.org
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