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Pres mnhsr2011 mar1_turner

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Pres mnhsr2011 mar1_turner

  1. 1. New Estimates of Health Insurance CoverageAmerican Community Survey:Increases in Uninsurance for Minnesota Children<br />Minnesota Health Services Research Conference<br />St. Paul, Minnesota<br />March 1, 2011<br />Joanna Turner, Lynn Blewett, and Julie Sonier<br />State Health Access Data Assistance Center (SHADAC)<br />University of Minnesota, School of Public Health<br />
  2. 2. Overview<br />Motivation – increases in uninsured children in Minnesota from 2008 to 2009<br />Introduction to the American Community Survey (ACS)<br />Uninsured children (0-18) by:<br />Characteristics<br />Sub-state geography<br />Data Dissemination<br />2<br />
  3. 3. 3<br />Source: Mach and Blumenthal. 2010. “Health Insurance Coverage of Children Under Age 19: 2008 and 2009.” U.S. Census Bureau.<br />
  4. 4. U.S. Census BureauAmerican Community Survey (ACS)<br />Designed to collect and produce economic, social, demographic, and housing information <br />Separate housing unit (HU) and group quarters (GQ) samples<br />About three million housing unit addresses sampled annually<br />Three modes of data collection (mail, telephone, personal visit)<br />Health insurance coverage question added to the 2008 ACS<br />4<br />
  5. 5. 5<br />
  6. 6. Data Analysis<br />Public Use Microdata (PUMS) file<br />Smallest identifiable geographic unit is the Public Use Microdata Area (PUMA) <br />Represents about 100,000 people<br />13,093 children in the 2009 PUMS file for Minnesota<br />6<br />
  7. 7. Children's Uninsurance Rank Lags Adults<br />U.S. total uninsured rate is 15.2% and MN uninsured rate is 9.0%<br />MN is ranked 7th among states<br />U.S. uninsured rate for children under 18 years is 9.0% and MN uninsured rate is 7.2%<br />MN is ranked 27th among states<br />Source: 2009 American Community Survey <br />7<br />
  8. 8. Percentage of Uninsured Children by Race and Ethnicity<br />8<br />* Statistically different at the 90 percent confidence level<br />Source: 2009 American Community Survey<br />
  9. 9. Race and Ethnicity of Uninsured Children vs. Population<br />9<br />Source: 2009 American Community Survey<br />
  10. 10. Percentage of Uninsured Children by Poverty Level<br />10<br />* Statistically different at the 90 percent confidence level<br />Source: 2009 American Community Survey<br />
  11. 11. Poverty Level of Uninsured Children vs. Population <br />11<br />Source: 2009 American Community Survey<br />
  12. 12. Percentage of Uninsured Children by Family Characteristic<br />12<br />* Statistically different at the 90 percent confidence level<br />Source: 2009 American Community Survey<br />
  13. 13. Uninsured Rates for Children by PUMA<br />13<br />Source: 2009 American Community Survey<br />
  14. 14. Minnesota does not Reflect National Trends<br />14<br />Minnesota<br />United States<br />Source: 2008 and 2009 American Community Survey<br />
  15. 15. Uninsured Rates for Minnesota Children by Characteristic: 2008 vs. 2009<br />No significant difference by race and ethnicity, poverty level, or citizenship status<br />Significant increase in uninsured by:<br />At least one full-time worker in family<br />5.5% in 2008 increased to 7.2% in 2009<br />Highest educational attainment in family is high school education<br />9.7 in 2008 increased to 13.7% in 2009<br />15<br />
  16. 16. Change in Uninsured Rates for Children by PUMA, 2008-2009<br />16<br />Source: 2008 and 2009 American Community Survey<br />
  17. 17. Conclusions<br />Minnesota and Alaska were the only states to have an increase in uninsured children from 2008 to 2009<br />Minnesota falling in the rankings among states for coverage of children<br />Uninsurance rates varied substantially across Minnesota<br />ACS is a new tool for evaluating health insurance coverage at the sub-state level<br />17<br />
  18. 18. Data Dissemination <br />SHADAC Data Center - Tables<br />http://www.shadac.org/datacenter<br />Minnesota Population Centers Integrated Public Use Microdata Series (IPUMS)<br />http://usa.ipums.org/usa<br />18<br />
  19. 19. 19<br />SHADAC’s Data Center <br />http://www.shadac.org/datacenter<br />
  20. 20. Data Dissemination (2)<br />American FactFinder<br />http://factfinder.census.gov/<br />ACS Main Page<br />http://www.census.gov/acs/www/<br />Census Bureau’s Health Insurance Main Page<br />http://www.census.gov/hhes/www/hlthins/hlthins.html<br />20<br />
  21. 21. 21<br />Contact Information<br />Joanna Turner<br />State Health Access Data Assistance Center <br />University of Minnesota, Minneapolis, MN<br />www.shadac.org<br />turn0053@umn.edu<br />612-624-1632<br />©2002-2009 Regents of the University of Minnesota. All rights reserved.The University of Minnesota is an Equal Opportunity Employer<br />

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