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Health and access to Care among Hispanic Americans
 

Health and access to Care among Hispanic Americans

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    Health and access to Care among Hispanic Americans Health and access to Care among Hispanic Americans Presentation Transcript

    • Distribution of U.S. Population by Race/Ethnicity,2010Two or MoreRaces:2%White, Non-Hispanic64%Hispanic16%Black, Non-Hispanic12%American Indian/Alaska Native1%Asian5%Native Hawaiianand Other PacificIslander0.2%Some Other Race0.2%Total U.S. Population = 308.7millionSOURCE: 2010 U.S. Census
    • Distribution of Hispanic Americans, 2010Spainard3%Mexican53%Puerto Rican33%Cuban0.4%CentralAmerican4%SouthAmerican3%Other Hispanic4%SOURCE: 2010 U.S. CensusTotal U.S. Hispanic Population = 50.5million
    • No Usual Source of Care for Nonelderly Adults byRace and Ethnicity, 2008-200920%16%19%21%25%26%33%All NonelderlyAdultsWhite, Non-HispanicAsian Black, Non-HispanicAmericanIndian/AlaskaNativeTwo or MoreRacesHispanicSOURCE: Table 75. No usual source of health care among adults 18–64 years of age, by selected characteristics: United States, averageannual, selected years 1993–1994 through 2008–2009. Health US, 2010. National Center for Health Statistics, Centers for Disease Controland Prevention.Percent reporting no usual source of care
    • Diagnosed Diabetes Among Adults Age 20 Yearsand Older, by Race/Ethnicity, 2007-20098%7%8%12%13%16%Overall White, Non-HispanicAsian Hispanic Black, Non-HispanicAmericanIndian/ AlaskaNative*Percent with diagnosed diabetesNOTE: Percentages are age-adjusted. Diabetes prevalence includes physician-diagnosed (self-reported). * Data for A/AN come from the 2009Indian Health Services user file.SOURCE: 2011 National Diabetes Fact Sheet. Centers for Disease Control and Prevention.http://www.cdc.gov/diabetes/pubs/estimates11.htm#4
    • Adult Hospital Admissions for UncontrolledDiabetes by Race/Ethnicity, 200720.910.112.737.465.0All Adults Asian & NHOPI White, Non-HispanicHispanic Black, Non-HispanicAdmissions per 100,000 populationNOTE: Data are for adult population only and reflect admissions for uncontrolled diabetes without complication.DATA: Agency for Healthcare Research and Quality, Healthcare Cost and Utilization Project.SOURCE: National Healthcare Disparities Report, 2010, available at: http://www.ahrq.gov/qual/qrdr10/2_diabetes/T2_3_1-2.htm.
    • Adults with Any Mental Illness* in the Past Yearby Race/Ethnicity, 201020%16%18% 19%20%21%25%All Adults Asian Hispanic AmericanIndian/AlaskaNativeBlack White MultiracialPercent with any mental illnessNOTE: Any Mental Illness (AMI) is defined as having a diagnosable mental, behavioral, or emotional disorder, other than a substance usedisorder, that med the criteria found in the DSM-IV.SOURCE: SAMHSA, Center for Behavioral health Statistics and Quality (formerly the Office of Applied Studies), National Survey on Drug useand Health, 2009 and 2010.
    • Adults with Any Mental Illness* Who ReceivedTreatment in the Past Year by Race/Ethnicity,201039%44%28% 27%16%All Adults White Hispanic Black AsianPercent with any mental illness whoreceived treatmentNOTE: Any Mental Illness (AMI) is defined as having a diagnosable mental, behavioral, or emotional disorder, other than a substance usedisorder, that med the criteria found in the DSM-IV.SOURCE: SAMHSA, Center for Behavioral health Statistics and Quality (formerly the Office of Applied Studies), National Survey on Drug useand Health, 2009 and 2010.
    • Untreated Dental Caries by Age and Race andEthnicity, 2005-200813%19%17%22%39%31%22%35%32%Ages 6-19 Years Ages 20-64 Years Ages 65-74 YearsWhite, Non-Hispanic Black HispanicSOURCE: Table 73 (page 1 of 2). Untreated dental caries, by selected characteristics: United States, selected years 1971–1974 through2005–2008. Health US, 2010. National Center for Health Statistics, Centers for Disease Control and Prevention.
    • Poverty Status of Nonelderly by Race/Ethnicity,201029%47% 48% 46%36% 33%24% 21%10%11% 12%12% 17%10%9%27%25%24%25%26% 23%25%29%33%17% 14% 17%26% 28%41% 42%15%All U.S. AI/AN Hispanic Black, Non-HispanicTwo or MoreRacesNHOPI Asian White, Non-HispanicLess than 138% FPL 138% - 199% FPL 200%-399% FPL 400% FPL or MoreDATA: 2011 March Supplement, Current Population Survey.NOTE: FPL in 2010 was $22,050 for a family of four.SOURCE: Kaiser Family Foundation Analyses
    • Median Income for Elderly Americans by Raceand Ethnicity, 2010$21,000$23,500$14,000 $13,500All Elderly White, Non-Hispanic Black, Non-Hispanic HispanicDATA: 2011 March Supplement, Current Population Survey.SOURCE: Kaiser Family Foundation Analyses
    • Nonelderly Health Coverage by Race/Ethnicity,201062%72% 67%55% 59%45% 42% 39%20%15%14%31% 23%33%28% 29%19% 14%19% 15% 18% 22%30% 32%All U.S. White Asian Two orMoreRacesNHOPI Black AI/AN HispanicEmployer Medicaid or Other Public UninsuredDATA: 2011 March Supplement, Current Population Survey.SOURCE: Kaiser Family Foundation Analyses266.0 Million 165.7 Million 12.6 Million 4.5 Million 0.7 Million 33.7 Million 1.7 Million 47.0 Million
    • Health Coverage of Nonelderly Hispanics bySubgroup, 201039%52% 48% 45% 42% 37%29%25%19%38%22% 30%24%34%17%36% 34%32%All NonelderlyHispanicsOtherHispanicCuban Puerto RicanCentral/SouthAmericanMexicanEmployer or Other Private Medicaid or Other Public UninsuredSOURCE: Kaiser Family Foundation Analyses of 2011 Current Population Survey.
    • Health Coverage by Industry, 201055%57%57%70%73%75%77%81%84%87%88%74%10%11%7%8%7%7%8%4%5%4%7%36%32%36%22%21%18%15%15%11%9%6%20%6%AgricultureServicesConstructionWholesale & RetailProfessionsUtilities & TransportationHealth & Social ServicesMining & ManufacturingFinanceInfo., Communication & EducPublic AdministrationAll Nonelderly EmployeesEmployer Sponsored Medicaid UninsuredSOURCE: Kaiser Family Foundation Analyses of 2011 Current Population Survey.
    • Annual Unemployment Rate Ages 16 and Olderby Race/Ethnicity, 20117.0%7.9%11.0%15.8%8.9%AsianWhiteHispanicBlackOverallNOTE: Data are not seasonally adjusted, with the exception of Asian workers.SOURCE: Labor Force Statistics. Bureau of Labor Statistics. http://data.bls.gov/PDQ/outside.jsp?survey=ln. Accessed 1/20/12.Percent Unemployed
    • Annual Unemployment Rate Ages 16 and Olderby Hispanic Ethnicity, 201111.2%11.6%14.1%8.9%CubanMexicanPuerto RicanAll HispanicNOTE: Data are not seasonally adjusted, with the exception of Asian workers.SOURCE: Labor Force Statistics. Bureau of Labor Statistics. http://data.bls.gov/PDQ/outside.jsp?survey=ln. Accessed 1/20/12.Percent Unemployed
    • Language Spoken at Home among U.S.Population 5 Years and Older, 2006-2008LanguageSpoken atHomeNumber ofSpeakersPercent ofNon-Englishat HomeSpeakersNumber WhoSpeakEnglish Lessthan “VeryWell”Percent WhoSpeakEnglish Lessthan “VeryWell”LanguageOther thanEnglish55,076,078 100% 24,252,429 44%Spanish 34,183,747 62% 16,120,772 47%Indo-EuropeanLanguage10,347,377 19% 3,405,878 33%Asian or PacificIslandLanguage8,267,977 15% 4,041,963 49%AfricanLanguages710,214 1% 234,509 33%SOURCE: U.S. Census Bureau, 2006-2008 American Community Survey. http://www.census.gov/hhes/socdemo/language/
    • Asian4%Two or MoreRaces1%White, non-Hispanic41%Hispanic35%Black, non-Hispanic18%AmericanIndian/Alaska Native1%NHOPI0.29%Total Nonelderly Uninsured Below 138% FPL = 26.3millionDistribution of Nonelderly Uninsured Below138% FPL by Race/Ethnicity, 2010DATA: 2011 March Supplement, Current Population Survey.SOURCE: Kaiser Family Foundation Analyses
    • Current and Projected Nonelderly MedicaidCoverage Rates by Race/Ethnicity, 201020%31%28%33%29%23%14% 15%10%7%18%14% 20%10%9% 6%All U.S. Two or MoreRacesAI/AN Black Hispanic NHOPI Asian White, Non-HispanicCurrent Medicaid or Other Public Coverage Medicaid Eligible (Income only)DATA: 2011 March Supplement, Current Population Survey.SOURCE: Kaiser Family Foundation Analyses
    • Coverage Restrictions for Immigrants UnderCurrent Reform ProposalsLawfullyResidingImmigrantsContinue to be subject to “five-year bar” on Medicaid (stateoption to eliminate bar for pregnant women and/orchildren).Eligible for subsidies for exchange coverage on same basisas citizens.May receive subsidies while subject to “five-year bar.”Must verify citizenship status (and income) to receivesubsidies.UndocumentedImmigrantsContinue to be barred from Medicaid.Not eligible for subsidies to purchase exchange coverage.Prohibited from purchasing coverage thru exchange; can buyon individual market.
    • Nonelderly Persons of Color, by State, 2010AZARMSLAWAMNNDWYIDUTCOORNVCAMTIAWIMINESDMEMOKSOHINNYKYTNNCNHMAVTPAVAWVCTNJDEMDRIHIDCAKSCNMOKGATXILFLALU.S. Minority Population = 37% (99 million)26 - 40% (13 states)16 - 25% (13 states)41 - 83% (12 states and DC)5 – 15% (12 states)Source: Kaiser Family Foundation analysis of March 2011 Current Population Surveys, U.S. Census Bureau.
    • Nonelderly Uninsured, by State, 2010AZARMSLAWAMNNDWYIDUTCOORNVCAMTIAWIMINESDMEMOKSOHINNYKYTNNCNHMAVTPAVAWVCTNJDEMDRIHIDCAKSCNMOKGATXILFLALU.S. Uninsured Population = 19% (50 million)16 - 20% (24 states)11 - 15% (13 states and DC)21 - 30% (10 states)4 – 10% (3 states)Source: Kaiser Family Foundation analysis of March 2010 Current Population Surveys, U.S. Census Bureau.
    • Distribution of U.S. Hispanic Population by State,2010New York 7%Illinois 4%Arizona 4%New Jersey 3%Colorado 2%California28%Texas19%Florida8%All Other States25%SOURCE: The Hispanic Population: 2010. U.S. Census Bureau, 2010Total U.S. Hispanic Population = 50.5million
    • Distribution of U.S. Medical School Enrollees byRace/Ethnicity, 2010White, Non-Hispanic59%Hispanic8%Black, Non-Hispanic7%AmericanIndian/AlaskaNative1%Asian 21%Native Hawaiianand Other PacificIslander0.3%Some Other Race0.1%U.S. RaceUnknown3%Non U.S. orPermanentResident1%Total U.S. Enrollees = 18,665SOURCE: AAMC Data Warehouse: Applicant Matriculant File as of October 4, 2010.https://www.aamc.org/download/152934/data/enrollment_data_2010.pdf. Accessed 1/20/12.