1. 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
2. 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. 3 Source: Mach and Blumenthal. 2010. “Health Insurance Coverage of Children Under Age 19: 2008 and 2009.” U.S. Census Bureau.
4. 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
6. 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
7. 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
8. Percentage of Uninsured Children by Race and Ethnicity 8 * Statistically different at the 90 percent confidence level Source: 2009 American Community Survey
9. Race and Ethnicity of Uninsured Children vs. Population 9 Source: 2009 American Community Survey
10. Percentage of Uninsured Children by Poverty Level 10 * Statistically different at the 90 percent confidence level Source: 2009 American Community Survey
11. Poverty Level of Uninsured Children vs. Population 11 Source: 2009 American Community Survey
12. Percentage of Uninsured Children by Family Characteristic 12 * Statistically different at the 90 percent confidence level Source: 2009 American Community Survey
13. Uninsured Rates for Children by PUMA 13 Source: 2009 American Community Survey
14. Minnesota does not Reflect National Trends 14 Minnesota United States Source: 2008 and 2009 American Community Survey
15. 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
16. Change in Uninsured Rates for Children by PUMA, 2008-2009 16 Source: 2008 and 2009 American Community Survey
17. 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
18. 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
20. 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
