T16_2_1_2d

2011 National Healthcare Quality and Disparities Reports

The National Healthcare Quality Report (NHQR) is a comprehensive national overview of quality of health care in the United States. It is organized around four dimensions of quality of care: effectiveness, patient safety, timeliness, and patient centeredness.

Table 16_2_1.2d
People under age 65 whose family's out-of-pocket health insurance premiums and medical expenditures were more than 10% of total family income,^a by education,^b United States, 2008
		Total		Less than high school		High school graduate		At least some college
Population group		Percent	SE	Percent	SE	Percent	SE	Percent	SE
Total		17.2	0.5	18.3	0.9	18.6	0.7	16.0	0.6
Age	18-44	14.5	0.5	14.7	1.0	14.8	0.7	14.3	0.7
Age	45-64	20.9	0.7	25.4	1.7	23.5	1.2	18.2	0.9
Gender	Male	15.9	0.5	17.1	1.1	16.5	0.9	15.0	0.7
Gender	Female	18.4	0.5	19.8	1.1	20.6	1.0	16.9	0.7
Race	White, single race	17.7	0.5	18.9	1.1	19.2	0.9	16.5	0.7
	Black, single race	15.1	0.9	16.7	1.5	16.8	1.5	12.9	0.9
	Asian, single race	15.0	1.5	15.7	4.1	15.9	3.1	14.7	1.7
	NHOPI, single race	DSU	DSU	DSU	DSU	DSU	DSU	DSU	DSU
	AI/AN, single race	15.0	3.3	DSU	DSU	DSU	DSU	DSU	DSU
	Multiple races	16.5	2.7	DSU	DSU	14.0	4.0	17.4	3.6
Ethnicity	Non-Hispanic, all races	17.9	0.5	21.4	1.2	19.5	0.8	16.3	0.6
	Non-Hispanic, White	18.7	0.6	23.3	1.6	20.4	1.0	16.9	0.7
	Non-Hispanic, Black	15.3	0.9	17.2	1.5	17.0	1.5	13.0	1.0
	Hispanic, all races	12.8	0.7	12.5	1.0	13.1	1.2	13.1	1.3
Family income^c	Negative/poor	32.1	1.3	22.1	1.5	32.7	2.0	44.8	2.4
	Near poor/low	26.6	1.3	18.4	1.6	28.0	1.9	31.5	2.2
	Middle	20.7	0.9	18.5	1.7	19.0	1.4	22.6	1.2
	High	6.9	0.5	11.9	2.3	7.0	0.9	6.3	0.6
Employment status, ages 18-64	Employed	13.9	0.4	13.9	1.1	15.2	0.7	13.2	0.6
Employment status, ages 18-64	Not employed	29.3	1.0	25.5	1.5	29.9	1.7	31.8	1.5
Health insurance^d	Private, employer sponsored	16.3	0.6	22.9	1.8	19.1	1.1	14.3	0.7
	Private, nongroup	48.6	3.8	DSU	DSU	DSU	DSU	45.5	4.6
	Public only	18.9	1.5	14.6	2.0	20.6	2.4	23.4	2.8
	Part-year uninsured	19.5	1.0	23.5	2.3	18.7	1.5	18.3	1.6
	Full-year uninsured	14.0	0.7	12.7	1.2	13.9	1.1	15.5	1.3
Residence location^e	Metropolitan	16.6	0.5	17.7	1.0	18.3	0.9	15.5	0.6
	Large central metro	15.4	0.8	14.9	1.1	16.5	1.5	15.0	1.0
	Large fringe metro	16.3	1.0	21.4	2.4	16.2	1.6	15.2	1.2
	Medium metro	17.7	1.2	18.3	2.2	21.7	1.9	15.3	1.2
	Small metro	19.2	1.5	18.7	2.3	20.9	2.9	18.2	2.0
	Nonmetropolitan	20.0	1.3	21.1	2.1	19.7	1.4	19.8	2.0
	Micropolitan	20.5	1.5	21.6	3.1	21.1	1.6	19.3	2.4
	Noncore	19.2	2.0	20.2	3.0	16.6	2.2	20.9	3.2
Language spoken most often at home	English	17.5	0.5	20.5	1.1	19.3	0.8	15.9	0.6
Language spoken most often at home	Other	14.4	0.9	13.5	1.3	13.3	1.7	16.4	1.5
Perceived health status	Excellent/very good/good	15.3	0.4	15.9	1.0	16.3	0.8	14.6	0.5
Perceived health status	Fair/poor	31.0	1.3	27.9	2.0	33.2	2.2	31.4	2.4
Activity limitations,^e ages 18-64	Basic activities	30.9	1.5	30.4	3.0	33.1	2.6	29.4	2.5
	Complex activities	36.7	2.0	34.2	3.3	37.7	3.2	37.5	3.2
	Neither basic nor complex activities	15.3	0.5	15.6	0.9	16.5	0.7	14.6	0.6
U.S. born	Yes	17.7	0.5	20.3	1.1	19.2	0.8	16.2	0.6
U.S. born	No	14.2	0.8	13.8	1.3	14.5	1.6	14.3	1.2

^a. For income, insurance, expenditures, and premiums, a family is defined in terms of health insurance eligibility units (HIEUs). For more information, see the Medical Expenditure Panel Survey (MEPS)� entry in Appendix B: Detailed Methods.

^b. Persons age 18 and over. Less than high school refers to fewer than 12 years of education; high school graduate, 12 years of education; and at least some college, more than 12 years of education.

^c. Negative/poor refers to household incomes below the Federal poverty line; near poor/low, the poverty line to just below 200 percent of the poverty line; middle, 200 percent to just below 400 percent of the poverty line; and high, 400 percent of the poverty line and over.

^d. Insurance categories are defined hierarchically in the order shown. For more information, see the MEPS entry in Appendix B: Detailed Methods.

^e. For more information, see the MEPS entry in Appendix B: Detailed Methods.

DSU - Data do not meet the criteria for statistical reliability, data quality, or confidentiality.

Key: AI/AN: American Indian or Alaska Native; NHOPI: Native Hawaiian or Other Pacific Islander; SE: standard error.

Source: Agency for Healthcare Research and Quality, Center for Financing, Access, and Cost Trends, Medical Expenditure Panel Survey.

Page last reviewed October 2014

Internet Citation: T16_2_1_2d: 2011 National Healthcare Quality and Disparities Reports. October 2014. Agency for Healthcare Research and Quality, Rockville, MD. http://archive.ahrq.gov/research/findings/nhqrdr/nhqrdr11/16_facilitators_barriers/T16_2_1_2d.html