Health and Health Care for Blacks in the United States

Slides:

Advertisements

Similar presentations

Considerations for Moving Forward Cindy Mann Executive Director Georgetown University Health Policy Institute Center for Children and Families Health Foundation.

Advertisements

Asthma Prevalence in the United States

Poverty and the HIV Health Disparity The Season for Change Advent Study Week Two.

Exhibit 1. Uninsured Rates for Blacks and Hispanics Are One-and-a-Half to Two Times Higher Than for Whites (2013) Notes: Black and white refer to black.

Changes in Health Insurance Coverage John Holahan Alliance for Health Reform December 6, 2010.

TABLE OF CONTENTS CHAPTER 7.0: Community Health Indicators Chart 7.1: U.S. Population Trends and Projections by Age, 1980 – 2050 Chart 7.2: U.S. Population.

A-50 Table 7.1: U.S. Population Trends and Projections (1) by Age, 1980 – 2050 Source: U.S. Department of Commerce, Bureau of the Census. U.S. Interim.

Impact of the Affordable Care Act on the Latino Community National Hispanic Medical Association Meeting Steven Weinberger, MD, FACP Executive Vice President.

A-50 Table 7.1: U.S. Population Trends and Projections (1) by Age, 1980 – 2050 Source: U.S. Department of Commerce, Bureau of the Census. Projections.

HIV Surveillance by Race/Ethnicity

A-52 Table 7.1: U.S. Population Trends and Projections by Age, 1980 – 2060 (1) Source: U.S. Department of Commerce, Bureau of the Census. Projections.

Who is Impacted by the Coverage Gap in States that Have Not Adopted the Medicaid Expansion? Updated January 2016.

Supplementary Data Tables Community Health Indicators APPENDIX 7.

The Uninsured in Virginia: An Update for the Virginia Health Care Foundation May 2016 Laura Skopec, Jason Gates, Michael Karpman, and Genevieve M. Kenney.

Health and Health Care For Hispanics in the United States October 2016.

More than 24 Million More People Under Age 65 Purchased Coverage on Their Own Or Enrolled in Medicaid, Among 271 million people under age 65.

Blacks account for 13% of the population in the United States.

Pengjun Lu, PhD, MPH;1 Kathy Byrd, MD, MPH;2

Conceptual Framework: Health Disparities in African-American Women

Mesfin S. Mulatu, Ph.D., M.P.H. The MayaTech Corporation

Extreme Poverty, Poverty, and Near Poverty Rates for Children Under Age 5, by Living Arrangement: 2015 The data for Extreme Poverty, Poverty, and Near.

Nonelderly uninsured = 46.4 million

The Access Crisis: Are Employer Mandates Part of the Solution?

Exhibit 1 Racial and Ethnic Disparities in Adult Uninsured Rates Narrowed After the ACA’s Major Coverage Expansions Percent of uninsured adults ages 19–64,

Health and Health Care for American Indians and Alaska Natives (AIANs) in the United States April 2017.

Medicare Household Spending Non-Medicare Household Spending

Laura Skopec, Jason Gates, and Genevieve M. Kenney

Exhibit 1 The Number of Uninsured People Under Age 65 Declined to 27.5 Million in 2016 Source: Source: U.S. Census Bureau, 2013, 2014, 2015, and 2016.

How do health expenditures vary across the population?

Who is Impacted by the Coverage Gap in States that Have Not Adopted the Medicaid Expansion? November 2015.

Health and Health Care for Blacks in the United States

Illustrating HIV/AIDS in the United States

Who is Impacted by the Coverage Gap in States that Have Not Adopted the Medicaid Expansion? Updated November 2016.

Urban Indian Health Institute Seattle Indian Health Board

Percent of population under age 65 uninsured, 2013−2016

Percent of Population Under Age 65 Uninsured, 2013, 2014, and 2015

Medicaid’s role for selected populations.

Illustrating HIV/AIDS in the United States

Characteristics of the Nonelderly Uninsured, 2014

Distribution of U.S. Residents by Geographic Region,

Illustrating HIV/AIDS in the United States

Extreme Poverty, Poverty, and Near Poverty Rates for Children Under Age 5, by Living Arrangement: 2011 The data for Extreme Poverty, Poverty, and Near.

Who is Impacted by the Coverage Gap in States that Have Not Adopted the Medicaid Expansion? June 2015.

Addressing Disparities in Survivorship Care

The Latest Trends in Income, Assets, and Personal Health Care Spending Among People on Medicare November 2015.

Illustrating HIV/AIDS in the United States

Illustrating HIV/AIDS in the United States

Health and Health Care for Asian Americans, Native Hawaiians and Other Pacific Islanders (NHOPIs) in the United States May 2017.

Table 7.3: Age-adjusted Death Rates, Selected Causes, by Race, 2014

Illustrating HIV/AIDS in the United States

Health and Health Care for Asian Americans, Native Hawaiians and Other Pacific Islanders (NHOPIs) in the United States Updated January 2018.

Media teleconference: March 15, 2017

States That Expanded Medicaid Experienced Greater Improvement in Health Care Access Among Low-Income Populations, 2013 to 2015 Average percentage-point.

HIV PREVALENCE AMONG NON-MEDICAID EXPANSION STATES

Table 7.6: Percent Uninsured by Race,(1) 1984 – 2014

Greater Declines in Share of Adults Who Went Without Care Because of Costs in States That Expanded Medicaid Average percentage-point change, 2013 to 2016*

Poverty and hunger Updated data for 2018.

Chartbook Section 6 Uninsurance and the Safety Net.

Percent of population under age 65 uninsured, 2013−2016

Supplementary Data Tables, Community Health Indicators

How do health expenditures vary across the population?

2007 World Population Data Sheet

Illustrating HIV/AIDS in the United States

Trends in Insurance Coverage

Did not have a usual source of care Went without care because of cost

Coverage gaps in California and health care cost trends

Barriers to Care Experienced by Women in the United States

Health and Health Care for American Indians and Alaska Natives (AIANs) in the United States Updated May 2019.

Colorectal cancer survival disparities in California

The first map shows the 2013 Medicaid eligibility thresholds for working parents of Medicaid-eligible children. (In almost all states, limited-income adults.

Presentation transcript:

Health and Health Care for Blacks in the United States Updated May 2019

Blacks account for 12% of the population in the United States. 2017: Nearly 40 million people living in the U.S. are Black, making up almost 1 in 8 of the population. 2060: Blacks are projected to account for about 55 million people living in the U.S. by 2060. Note: Blacks are non-Hispanic. Source: Kaiser Family Foundation analysis of 2017 American Community Survey (ACS), 1-Year Estimates and U.S. Census Bureau 2017 National Population Projections Tables, https://www.census.gov/data/tables/2017/demo/popproj/2017-summary-tables.html.

Blacks make up a greater share of the population in the South, where most states have not expanded Medicaid. SHARE OF TOTAL POPULATION THAT IS BLACK BY STATE, 2017 <5% (19 States) 5%-15% (21 States) >15% (10 States + DC) 14 States with No Medicaid Expansion Note: Blacks are non-Hispanic and exclude individuals of mixed race. States outlined in black have not adopted Medicaid expansion as of May 2019. Source: Kaiser Family Foundation analysis of 2017 American Community Survey, 1-Year Estimates and Kaiser Family Foundation, Status of State Action on the Medicaid Expansion Decision, as of April 26, 2019, https://www.kff.org/health-reform/state-indicator/state-activity-around-expanding-medicaid-under-the-affordable-care-act/.

Nonelderly Blacks are younger, more likely to be poor, and less likely to have a full-time worker in the family compared to Whites. Note: Blacks and Whites are non-Hispanic and exclude individuals of mixed race. Includes nonelderly individuals 0-64 years of age. All values have a statistically significant difference from the White population at the p<0.05 level. Source: Kaiser Family Foundation analysis of 2017 American Community Survey (ACS), 1-Year Estimates.

There have been large improvements in some health measures for Blacks, but they still fare worse than Whites. HIV Diagnosis Rate per 100,000 among Teens and Adults, 2008-2017 Birth Rate per 1,000 among Teen Girls Ages 15-19, 1991-2017 Notes: HIV diagnoses rates are for ages 13 and older. Birth rate for 1991 excludes data for New Hampshire. For birth rate, Whites and Blacks are non-Hispanic. Source: Centers for Disease Control and Prevention, National Center for HIV/AIDS, Viral Hepatitis, STD, and TB Prevention (NCHHSTP) AtlasPlus; NCHS, National Vital Statistics System, Natality, reported in https://www.cdc.gov/nchs/data/nvsr/nvsr67/nvsr67_08-508.pdf and https://www.cdc.gov/nchs/data/nvsr/nvsr66/nvsr66_01.pdf.

Nonelderly Black adults also face disparities in other health measures compared to Whites. HEALTH STATUS AND SELECTED HEALTH CONDITIONS AMONG NONELDERLY ADULTS (18-64) Note: Blacks and Whites are non-Hispanic and exclude individuals of mixed race. Includes nonelderly adults 18-64 years of age. All values have a statistically significant difference from the White population at the p<0.05 level. Source: Kaiser Family Foundation analysis of 2017 National Health Interview Survey (NHIS) and 2017 Behavioral Risk Factor Surveillance System (BRFSS).

Additionally, Blacks are more likely to face other challenges that affect health and access to care. Note: Blacks and Whites are non-Hispanic and exclude individuals of mixed race. Source: Kaiser Family Foundation analysis of 2017 American Community Survey (ACS) for Educational Attainment among nonelderly adults (ages 19-64), U.S. Department of Agriculture, Economic Research Services, Household Food Security in the United States in 2017, U.S. Census Bureau, and Child Trends, Neighborhood Safety, 2016.

The uninsured rate for Blacks declined after the ACA, but they still are more likely than Whites to be uninsured. UNINSURED RATE AMONG NONELDERLY INDIVIDUALS, 2013-2017 Note: Whites and Blacks are non-Hispanic and exclude individuals of mixed race. Includes nonelderly individuals 0-64 years of age. All values have a statistically significant difference from the White population at the p<0.05 level. Source: Kaiser Family Foundation analysis of 2017 American Community Survey (ACS), 1-Year Estimates.

Uninsured Blacks are significantly more likely to fall into the coverage gap than Whites, earning too much for Medicaid but not enough for tax credits. Note: Blacks and Whites are non-Hispanic and exclude individuals of mixed race. Includes nonelderly individuals 0-64 years of age. Totals may not sum to 100% due to rounding. All values have a statistically significant difference from the White population at the p<0.05 level. Source: Kaiser Family Foundation analysis of 2017 American Community Survey (ACS), 1-Year Estimates.