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Pres mnhsr2011 mar1_turner Pres mnhsr2011 mar1_turner Presentation Transcript

  • 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 Sonier
    State Health Access Data Assistance Center (SHADAC)
    University of Minnesota, School of Public Health
  • 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
    2
  • 3
    Source: Mach and Blumenthal. 2010. “Health Insurance Coverage of Children Under Age 19: 2008 and 2009.” U.S. Census Bureau.
  • 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
    4
  • 5
  • 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
    6
  • 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
    7
  • Percentage of Uninsured Children by Race and Ethnicity
    8
    * Statistically different at the 90 percent confidence level
    Source: 2009 American Community Survey
  • Race and Ethnicity of Uninsured Children vs. Population
    9
    Source: 2009 American Community Survey
  • Percentage of Uninsured Children by Poverty Level
    10
    * Statistically different at the 90 percent confidence level
    Source: 2009 American Community Survey
  • Poverty Level of Uninsured Children vs. Population
    11
    Source: 2009 American Community Survey
  • Percentage of Uninsured Children by Family Characteristic
    12
    * Statistically different at the 90 percent confidence level
    Source: 2009 American Community Survey
  • Uninsured Rates for Children by PUMA
    13
    Source: 2009 American Community Survey
  • Minnesota does not Reflect National Trends
    14
    Minnesota
    United States
    Source: 2008 and 2009 American Community Survey
  • 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
    15
  • Change in Uninsured Rates for Children by PUMA, 2008-2009
    16
    Source: 2008 and 2009 American Community Survey
  • 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
    17
  • 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
    18
  • 19
    SHADAC’s Data Center
    http://www.shadac.org/datacenter
  • 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
    20
  • 21
    Contact Information
    Joanna Turner
    State Health Access Data Assistance Center
    University of Minnesota, Minneapolis, MN
    www.shadac.org
    turn0053@umn.edu
    612-624-1632
    ©2002-2009 Regents of the University of Minnesota. All rights reserved.The University of Minnesota is an Equal Opportunity Employer