T16_2_2_2c

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_2.2c
People under age 65 with private insurance whose family's out-of-pocket medical expenditures were more than 10% of total family income,^a by family income,^b United States, 2008
		Total		Negative/poor		Near poor/low		Middle		High
Population group		Percent	SE	Percent	SE	Percent	SE	Percent	SE	Percent	SE
Total		4.8	0.3	34.8	3.6	13.2	1.7	4.7	0.6	1.5	0.3
Age	0-17	4.6	0.6	26.5	5.1	10.5	2.5	4.1	0.9	DSU	DSU
	18-44	4.1	0.4	25.9	4.6	9.8	1.8	4.3	0.7	1.6	0.4
	45-64	5.7	0.5	54.4	6.2	21.8	3.0	6.1	0.8	1.6	0.4
Gender	Male	4.5	0.4	29.6	3.9	12.5	1.8	4.7	0.8	1.7	0.3
Gender	Female	5.0	0.4	39.5	4.0	13.8	1.9	4.8	0.6	1.3	0.3
Race	White, single race	5.2	0.4	44.3	4.5	13.9	2.0	5.6	0.7	1.6	0.3
	Black, single race	2.9	0.6	12.6	3.6	DSU	DSU	DSU	DSU	DSU	DSU
	Asian, single race	2.4	0.7	DSU	DSU	DSU	DSU	DSU	DSU	DSU	DSU
	NHOPI, single race	DSU	DSU	DSU	DSU	DSU	DSU	DSU	DSU	DSU	DSU
	AI/AN, single race	DSU	DSU	DSU	DSU	DSU	DSU	DSU	DSU	DSU	DSU
	Multiple races	DSU	DSU	DSU	DSU	DSU	DSU	0.0	0.0	DSU	DSU
Ethnicity	Non-Hispanic, all races	4.9	0.3	35.6	4.1	15.2	2.0	4.9	0.7	1.5	0.3
	Non-Hispanic, White	5.3	0.4	47.0	5.3	16.6	2.5	5.8	0.8	1.6	0.3
	Non-Hispanic, Black	2.9	0.6	12.9	3.6	DSU	DSU	DSU	DSU	DSU	DSU
	Hispanic, all races	3.9	0.6	30.2	6.8	DSU	DSU	3.6	0.8	DSU	DSU
Education,^c ages 18-64	Less than high school	6.3	0.8	DSU	DSU	10.7	2.9	4.2	1.2	DSU	DSU
	High school graduate	5.2	0.6	40.4	6.4	17.1	3.2	3.8	0.7	DSU	DSU
	At least some college	4.5	0.4	41.8	5.4	14.0	2.0	6.0	0.9	1.6	0.3
Employment status, ages 18-64	Employed	3.5	0.3	31.2	4.1	11.3	1.5	4.1	0.5	1.1	0.2
Employment status, ages 18-64	Not employed	13.4	1.1	51.5	6.2	26.7	4.2	10.6	1.8	5.5	1.3
Health insurance^d	Private, employer sponsored	4.4	0.3	31.5	3.7	12.7	1.7	4.5	0.6	1.4	0.2
Health insurance^d	Private, nongroup	15.9	2.8	DSU	DSU	DSU	DSU	DSU	DSU	DSU	DSU
Residence location^d	Metropolitan	4.6	0.3	33.9	3.8	13.9	2.0	4.9	0.6	1.4	0.3
	Large central metro	4.8	0.6	24.0	5.5	15.2	3.6	4.9	1.3	DSU	DSU
	Large fringe metro	4.0	0.5	46.2	8.5	9.8	2.4	4.7	1.0	1.4	0.3
	Medium metro	4.8	0.8	26.7	7.1	15.3	4.4	5.1	1.2	DSU	DSU
	Small metro	6.0	1.1	DSU	DSU	DSU	DSU	DSU	DSU	DSU	DSU
	Nonmetropolitan	5.6	1.0	37.7	9.5	10.4	2.8	DSU	DSU	DSU	DSU
	Micropolitan	5.5	1.3	DSU	DSU	8.5	2.5	DSU	DSU	DSU	DSU
	Noncore	6.0	1.5	DSU	DSU	DSU	DSU	DSU	DSU	DSU	DSU
Language spoken most often at home	English	4.8	0.3	36.6	3.8	14.1	1.9	4.9	0.7	1.5	0.3
Language spoken most often at home	Other	3.8	0.8	DSU	DSU	DSU	DSU	DSU	DSU	DSU	DSU
Perceived health status	Excellent/very good/good	4.2	0.3	32.0	3.8	12.0	1.7	4.1	0.5	1.3	0.2
Perceived health status	Fair/poor	13.4	1.6	DSU	DSU	25.5	5.0	12.1	2.8	DSU	DSU
Activity limitations,^d ages 18-64	Basic activities	13.0	1.9	DSU	DSU	DSU	DSU	11.5	2.8	DSU	DSU
	Complex activities	18.7	2.6	DSU	DSU	DSU	DSU	15.3	4.4	DSU	DSU
	Neither basic nor complex activities	4.0	0.3	32.9	4.1	12.9	1.7	4.4	0.5	1.3	0.2
U.S. born	Yes	4.8	0.3	35.9	3.7	13.7	1.9	4.8	0.6	1.5	0.3
U.S. born	No	3.8	0.6	DSU	DSU	DSU	DSU	3.3	0.9	DSU	DSU

^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. 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.

^c. 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.

^d. Insurance categories are defined hierarchically in the order shown. 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_2_2c: 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_2_2c.html