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GIS in Prevention, County Profiles, Series 4 (2007) 6. Risk Factors: Community Risk Factors – Extreme Economic & Social Deprivation 1 Indiana Prevention.

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Presentation on theme: "GIS in Prevention, County Profiles, Series 4 (2007) 6. Risk Factors: Community Risk Factors – Extreme Economic & Social Deprivation 1 Indiana Prevention."— Presentation transcript:

1 GIS in Prevention, County Profiles, Series 4 (2007) 6. Risk Factors: Community Risk Factors – Extreme Economic & Social Deprivation 1 Indiana Prevention Resource Center GIS in Prevention County Profiles Series, No. 4 Scott County, Indiana Barbara Seitz de Martinez, PhD, MLS, CPP, Project Director The Indiana Prevention Resource Center at Indiana University is funded, in part, by a contract with the Indiana Family and Social Services Administration, Division of Mental Health and Addiction, financially supported through HHS/Substance Abuse Mental Health Services Administration, Center for Substance Abuse Prevention, Substance Abuse Prevention and Treatment Block Grant. The IPRC is operated by the Department of Applied Health Science and The School of Health, Physical Education and Recreation.

2 GIS in Prevention, County Profiles, Series 4 (2007) 6. Risk Factors: Community Risk Factors – Extreme Economic & Social Deprivation GIS in Prevention County Profile Series, No. 4 Scott County, Indiana Barbara Seitz de Martinez, PhD, MLS, CPP Project Director Project Staff : Indiana Prevention Resource Center Opinions expressed herein are those of the authors, and not necessarily those of the Trustees of Indiana University or the Division of Mental Health and Addiction. Indiana University accepts full Responsibility for the content of this publication. ©2005 The Trustees of Indiana University. Permission is extended to reproduce this County Profile for non-profit educational purposes. All other rights reserved. Ritika Bhawal, MPH Ryan Chopra, MPH Kyoungsun Heo, MPA Tuba M. Pervin Altay, MPH

3 GIS in Prevention, County Profiles, Series 4 (2007) 6. Risk Factors: Community Risk Factors – Extreme Economic & Social Deprivation Scott County Map The maps and tables in this publication were prepared using PCensus for MapInfo and MapInfo Professional.

4 GIS in Prevention, County Profiles, Series 4 (2007) 6. Risk Factors: Community Risk Factors – Extreme Economic & Social Deprivation 6.16 - 6.26 Archival Risk Factors Community Risk Factors: Extreme Economic & Social Deprivation 6.16 Unemployment 6.17 Free Lunch/Textbooks 6.18 Food Stamp Recipients 6.19 TANF 6.20 Adults w/o HS Diploma 6.21 Single Parent Family Households Poverty: Introduction 6.22 Total Poverty and by Age 6.23 Families with Own Children in Poverty 6.24 Poverty by Race 6.25 Single Parent Families in Poverty 6.26 Lack of Health Insurance

5 GIS in Prevention, County Profiles, Series 4 (2007) 6. Risk Factors: Community Risk Factors – Extreme Economic & Social Deprivation 6.16 Unemployment Rates Extreme deprivation, either due lack of sufficient funds for basic necessities or due to lack of sufficient social support (e.g., parenting, mentoring and role modeling) has known detrimental implications for child development and creates a high risk environment for the community. This section will explore data related to various forms of extreme deprivation in the county. The archival indicators included by CSAP for this risk factor include unemployment, free and reduced school lunch, Aid to Families with Dependent Children, Food Stamp recipients, adults without a high school diploma, and single parent households. To these variables, PREV-STAT adds total poverty statistics, child poverty by age group, and single-parent families living in poverty, and lack of health insurance coverage. Table 6.16: Unemployment Rates, January of 2000, 2001, 2003, 2004, 2005 from the Bureau of Labor Statistics, for county and Indiana reported by www.stats.indiana.edu/laus/laus_view3.html. www.stats.indiana.edu/laus/laus_view3.html Unemployment rates from the U.S. Bureau of Labor Statistics. Unemployment Rates - Annual (Percents) ScottIndianaU.S. 20003.2(q)2.94 20014.9(t)4.24.7 20025.8(t)5.25.8 20036.2(t)5.36 20045.5(t)5.35.5 20056.2(d)5.45.1

6 GIS in Prevention, County Profiles, Series 4 (2007) 6. Risk Factors: Community Risk Factors – Extreme Economic & Social Deprivation 6.17 Free/Reduced Lunch/Textbooks Table 6.17: Percent of Children Eligible for Free Lunches/Textbooks, K-12, 2004 and 2005 (*Department of Education, Division of School and Community Nutrition Programs, 2006), and the Change from 2004 to 2005 (IPRC). The following table shows the percent of students in grades K-12 who received free lunch and textbooks, according to the Department of Education, and also the change over the past 2 years, for this county and for the state. Free Lunch/Textbook (DOE) ScottIndiana 200535.826.1 200435.526.1 % Change 2004-50.30 Rank for 20057

7 GIS in Prevention, County Profiles, Series 4 (2007) 6. Risk Factors: Community Risk Factors – Extreme Economic & Social Deprivation 6.18 Food Stamp Recipients Table 6.18: Food Stamp Recipients per Month in 2005 (FSSA, Division of Family and Children, 2007) and Rate per 1,000 Total Population for 2004 and 2005 and Change in Rate (calculations from the IPRC based on data from FSSA, Division of Family and Children, 2005 and 2006). Population figure from AGS, 2005 est., 2006. CSAP calculates this as the average number of persons who receive food stamps each month, stated as the rate per 1,000 persons in the total population. This statistic for Indiana comes from Indiana Family and Social Services Administration, Family Resources Bureau. The rate calculation comes from the Indiana Prevention Resource Center. The following table shows the rate for this county with comparisons for the state and nation. Food Stamps, 2005 (FSSA, Family Resources Bureau, 2007) ScottIndiana Population, 200523,9346,270,352 Food Stamp Recipients per mo., 20053,254550,416 Rate per 1000 persons, 2004136.087.8 Rate per 1000 persons, 2005130.582.9 Change in Rate per 1,000 from 2004 to 20055.44.9 Rank for 2005 Rate per 1,000 Persons2n/a

8 GIS in Prevention, County Profiles, Series 4 (2007) 6. Risk Factors: Community Risk Factors – Extreme Economic & Social Deprivation 6.19 Temporary Aid to Needy Families (TANF) Table 6.19: Temporary Aid to Needy Families as Rate per 1,000 Total Population (*data from FSSA, Division of Family and Children, 2006) CSAP calculates this indicator as the rate of persons of all ages who participate in the Aid to Families with Dependent Children (TANF in Indiana), stating the rate as the number per 1,000 persons. This table shows the average monthly average statistics for families and for recipients from the county and for Indiana as reported by the Indiana Family and Social Services Administration, Division of Family and Children. PREV-STAT has calculated the rate of TANF recipients per month per 1000 residents of the county. TANF Statistics for 2004 (FSSA) ScottIndiana Population237256,230,346 Average Monthly Cases26254,330 Average Monthly Persons701155,549 Rate of TANF per 1,000 persons29.525.0 Rank for Rate per 1,000 persons5

9 GIS in Prevention, County Profiles, Series 4 (2007) 6. Risk Factors: Community Risk Factors – Extreme Economic & Social Deprivation 6.20 Adults w/out a High School Diploma Lack of education places a person at extreme disadvantage in many areas of life, including health and income potential. CSAP calculates this risk factor as the percent of persons aged 25 and older who have reached 9th-12th grades but without obtaining a high school diploma. The following table presents 3 statistics for persons over 25 in the county: the percent who have not completed 9 th grade; the percent who attended high school but did not graduate; and the percent whose educational attainment is less than a high school diploma (the sum of the first 2 statistics), compared with the state and the nation. This information points to need and also is important to prevention planning for marketing and for activities involving parents and other adults. Table 6.20: Adults Who Have Not Finished High School (AGS, 2005 est., 2006) Educational Attainment, 2004 est. (AGS, 2005) Scott Co.IndianaU.S. Less than 9th grade 11.35.37.6 9th to 12th grade, no diploma 17.612.612 Total, Less Than 9th or less than HS Diploma 28.917.819.6

10 GIS in Prevention, County Profiles, Series 4 (2007) 6. Risk Factors: Community Risk Factors – Extreme Economic & Social Deprivation Map: Education Less Than 9 th Grade AGS, Core Demographics, 2005 est., 2006 Indiana Prevention Resource Center

11 GIS in Prevention, County Profiles, Series 4 (2007) 6. Risk Factors: Community Risk Factors – Extreme Economic & Social Deprivation Map: Education Less Than 9 th Grade Indiana Prevention Resource Center AGS, Core Demographics, 2005 est., 2006

12 GIS in Prevention, County Profiles, Series 4 (2007) 6. Risk Factors: Community Risk Factors – Extreme Economic & Social Deprivation Map: Education Less Than 9 th Grade Indiana Prevention Resource Center AGS, Core Demographics, 2005 est., 2006

13 GIS in Prevention, County Profiles, Series 4 (2007) 6. Risk Factors: Community Risk Factors – Extreme Economic & Social Deprivation Map: Education: Less Than HS Diploma Indiana Prevention Resource Center AGS, Core Demographics, 2005 est., 2006

14 GIS in Prevention, County Profiles, Series 4 (2007) 6. Risk Factors: Community Risk Factors – Extreme Economic & Social Deprivation Map: Education: Less Than HS Diploma Indiana Prevention Resource Center AGS, Core Demographics, 2005 est., 2006

15 GIS in Prevention, County Profiles, Series 4 (2007) 6. Risk Factors: Community Risk Factors – Extreme Economic & Social Deprivation Map: Education: Less Than HS Diploma Indiana Prevention Resource Center AGS, Core Demographics, 2005 est., 2006

16 GIS in Prevention, County Profiles, Series 4 (2007) 6. Risk Factors: Community Risk Factors – Extreme Economic & Social Deprivation 6.21 Single Parent Family Households CSAP calculates this risk factor as the percent of family households with a spouse absent. The following table reports the percent of households with children where one parent is absent. Table 6.21: Single Parent Families (AGS, 2005 est., 2006) In addition to the above risk factors listed by CSAP, PREV-STAT includes additional basic demographic statistics on total poverty, child poverty and poverty by age group, single parent families living in poverty, lack of health insurance, and households with no vehicle. Types of Households w/ Children and Median Family Income, 2005 est. (AGS, 2006) County ScottIndianaU.S. Lone Parent Male (percent)8.26.96.8 Lone Parent Female (Percent)21.421.823.2 Single Parent Families (M+F) %29.70.2

17 GIS in Prevention, County Profiles, Series 4 (2007) 6. Risk Factors: Community Risk Factors – Extreme Economic & Social Deprivation Map: Single Parent Families AGS, Core Demographics, 2005 est., 2006 Indiana Prevention Resource Center

18 GIS in Prevention, County Profiles, Series 4 (2007) 6. Risk Factors: Community Risk Factors – Extreme Economic & Social Deprivation Map: Single Parent Families (contour) Indiana Prevention Resource Center AGS, Core Demographics, 2005 est., 2006

19 GIS in Prevention, County Profiles, Series 4 (2007) 6. Risk Factors: Community Risk Factors – Extreme Economic & Social Deprivation Map: Single Parent Families (prism) Indiana Prevention Resource Center AGS, Core Demographics, 2005 est., 2006

20 GIS in Prevention, County Profiles, Series 4 (2007) 6. Risk Factors: Community Risk Factors – Extreme Economic & Social Deprivation Map: Single Moms with Children under 18 Indiana Prevention Resource Center AGS, Core Demographics, 2005 est., 2006

21 GIS in Prevention, County Profiles, Series 4 (2007) 6. Risk Factors: Community Risk Factors – Extreme Economic & Social Deprivation Map: Single Moms (contour) Indiana Prevention Resource Center AGS, Core Demographics, 2005 est., 2006

22 GIS in Prevention, County Profiles, Series 4 (2007) 6. Risk Factors: Community Risk Factors – Extreme Economic & Social Deprivation Map: Single Moms (prism) Indiana Prevention Resource Center AGS, Core Demographics, 2005 est., 2006

23 GIS in Prevention, County Profiles, Series 4 (2007) 6. Risk Factors: Community Risk Factors – Extreme Economic & Social Deprivation 6. 22 Community Risk Factor -- Poverty Poverty can be calculated based on the total population or subsets of the population. It can be expressed as a count of persons or as a percent of persons. The poverty statistics presented in this report come from the U.S. Census Bureau and from Claritas Core Demographics. Looking at the total population of persons living in a place, the poverty rate can be expressed as the number or count of persons living in poverty or as the percent of the total population in poverty. For example, in Indiana, as of the 2000 census, there were 559,484 persons living in poverty or 9% percent of the total population. This means that 9 of every 100 persons living in Indiana lived in poverty. By age, 2 of every 100 Indiana children ages 6-17 in the year 2000 lived in poverty, hence 2%. Looking at the population of persons who lived in poverty (that 9% of the total population), it can be very useful to know their ages. If we consider all persons living in poverty in Indiana as a group, we learned from the 2000 Census that of that group 11% were between the ages of 0 and 4 years, 2% were 5 years old, 11% were 6-11, and 9% were 12-17 years old. This description of poverty risk factors will report on total poverty and poverty by age group, on poverty and child poverty as percent of all persons living in poverty, poverty by race, and on single parent families in poverty.

24 GIS in Prevention, County Profiles, Series 4 (2007) 6. Risk Factors: Community Risk Factors – Extreme Economic & Social Deprivation Poverty Thresholds, 2005 Source: http://www.census.gov/hhes/www/poverty/threshld/thresh05.html, accessed 5/1/2007

25 GIS in Prevention, County Profiles, Series 4 (2007) 6. Risk Factors: Community Risk Factors – Extreme Economic & Social Deprivation 6.22a Total Poverty and Poverty by Age Table 6.22a: Total Poverty and Poverty by Age as Percent, 2004 (U.S. Census Bureau, on Stats Indiana website, 2006) The following table shows an overview of total poverty and poverty by age of the total population of the county with comparisons to the state of Indiana and the nation. Poverty: Total Poverty and by Age (%), US Census Bureau, 2004 est., 2006 ScottIndianaUnited States Total Persons (%)13.411.112.7 0-17 yrs.19.915.717.8 5-17 Yrs.1813.616.2 Rank for All Persons1031 of 51 Rank for Ages 0-17729 of 51 Rank for Ages 5-17729 of 51

26 GIS in Prevention, County Profiles, Series 4 (2007) 6. Risk Factors: Community Risk Factors – Extreme Economic & Social Deprivation 6.22b Total Poverty and Poverty by Age Table 6.22b: Children Ages 0-17 in Poverty as Number and Percent, 2004 (U.S. Census Bureau, on Stats Indiana website, 2006) The following table shows child poverty for children ages 0-17 as number (of children in poverty) and percent (of children in poverty) for this county. Child Poverty, Ages 0-17, US Census Bureau, 2004 est., 2006 ScottIndianaUnited States Poverty Estimate Under Age 181192250,99813,041,492 Rank for Number4415 of 51 90% CI Lower Bound870224,85312,694,086 90% CI Upper Bound1515277,14313,388,898 Poverty Percent Under Age 1819.915.717.8 Rank for Percent729 of 51 90% CI Lower Bound14.514.117.3 90% CI Upper Bound25.217.418.3

27 GIS in Prevention, County Profiles, Series 4 (2007) 6. Risk Factors: Community Risk Factors – Extreme Economic & Social Deprivation 6.22c Total Poverty and Poverty by Age Table 6.22c: Children Ages 5-17 in Poverty as Number and Percent, 2004 (U.S. Census Bureau, on Stats Indiana website, 2006) The following table shows child poverty for children ages 5-17 as number (of children in poverty) and percent (of children in poverty) for this county. Child Poverty, Ages 5-17, US Census Bureau, 2004 est., 2006 ScottIndianaUnited States Poverty Estimate Ages 5-17788155,5068,430,886 Rank for Number4316 of 51 90% CI Lower Bound537132,3268,142,299 90% CI Upper Bound1039178,6868,719,473 Poverty Percent Ages 5-171813.616.2 Rank for Percent729 of 51 90% CI Lower Bound12.311.615.6 90% CI Upper Bound23.715.716.7

28 GIS in Prevention, County Profiles, Series 4 (2007) 6. Risk Factors: Community Risk Factors – Extreme Economic & Social Deprivation 6.23 Families w/ Own Children in Poverty Table 6.23a: Families with Own Children in Poverty (Claritas 2005 est., 2006) The following table of 2004 estimates presents various statistics concerning families with own children that live in poverty: percent of families with own children that live in poverty, percent of married couple families, percent of single fathers, percent of single mothers, and percent of single parents for this county and for the state. Families in Poverty as Percent, 2005 est. (Claritas, 2006) ScottIndianaU.S. Percent of All Families Below Poverty As Percent of All Families11.37.19.3 Percent of Families w/ Own Children Below Poverty Level As Percent of All Families w/ Own Children17.710.613.7 Percent of Married Couples w/ Own Children Below Poverty10.33.86.4 Percent of Single Fathers w/ Own Children Below Poverty30.819.120.8 Percent of Single Mothers w/ Own Children Below Poverty37.730.533.9 Percent of Single Parents w/ Own Children < 18 Below Poverty35.627.730.9

29 GIS in Prevention, County Profiles, Series 4 (2007) 6. Risk Factors: Community Risk Factors – Extreme Economic & Social Deprivation 6.23 Families w/ Own Children in Poverty Table 6.23b: Rankings for Families with Own Children in Poverty (Claritas 2005 Core, 2006) The following table presents various statistics concerning families with own children that live in poverty: percent of families with own children that live in poverty, percent of married couple families, percent of single fathers, percent of single mothers, and percent of single parents for this county and for the state. Rankings of Counties and State for Families in Poverty as Percent, 2005 est. (Claritas, 2006) Scott Co in IN IN in US RANK, Families --Income below poverty level235 RANK, % All Fam w Child in Poverty335 RANK, % Married Coupl Fam w Child below pov242 RANK, % Single Dad w child below poverty733 RANK, % Single Moms w ch in Pov1737 RANK, % Single Parents w ch in Pov1435

30 GIS in Prevention, County Profiles, Series 4 (2007) 6. Risk Factors: Community Risk Factors – Extreme Economic & Social Deprivation Map: Families with Children in Poverty Indiana Prevention Resource Center No. of Families w/ Children under 18 as Percent of All Families with Children under 18 Claritas™, Core Demographics, 2005 est., 2006

31 GIS in Prevention, County Profiles, Series 4 (2007) 6. Risk Factors: Community Risk Factors – Extreme Economic & Social Deprivation 6.24 Poverty by Race Table 6.24: Poverty by Race, 2000 (U.S. Census 2K, SF3 Indiana) In the effort to understand the dynamics a community, its needs and how best to design and carry-out prevention programs to meet those needs, it is helpful to analyze data by many different variables. Poverty is an example of how this principle applies. Rates of poverty differ not only between age groups but also in conjunction with other variables, such as race/ethnicity and marital and parenting status. PREV-STAT can help the prevention professional look at such combinations of variables to identify an area of need or to better understand a target audience. First we report on poverty and race, secondly on marital status, parent status and poverty (single parents in poverty). Poverty Statistics by Race (Percent of Group in Poverty), 2000 Scott Co.IndianaU.S. Black25% 23%25% Asian0% 16%13% Hispanic/Latino33% 18%23% White13% 8%9%

32 GIS in Prevention, County Profiles, Series 4 (2007) 6. Risk Factors: Community Risk Factors – Extreme Economic & Social Deprivation 6.24 Poverty by Race in the U.S. Source: http://www.census.gov/hhes/www/poverty/poverty05/table5.html, accessed 5/1/2007

33 GIS in Prevention, County Profiles, Series 4 (2007) 6. Risk Factors: Community Risk Factors – Extreme Economic & Social Deprivation 6.25 Single Parent Families w/ Children in Poverty Table 6.25: Single Parent Families as Percent of All Persons in Poverty (Claritas™, 2005 est., 2006) The following table shows the various types of households with children under 18 living in poverty with comparisons to the state and the nation. Families in Poverty as Percent, 2005 est. (Claritas, 2006) ScottIndianaU.S. Percent of Single Fathers w/ Own Children Below Poverty30.819.120.8 Percent of Single Mothers w/ Own Children Below Poverty37.730.533.9 Percent of Single Parents w/ Own Children < 18 Below Poverty35.627.730.9

34 GIS in Prevention, County Profiles, Series 4 (2007) 6. Risk Factors: Community Risk Factors – Extreme Economic & Social Deprivation 6.25 Single Parent Families w/ Children in Poverty Table 6.25: Rankings for Single Parent Families as Percent of All Persons in Poverty (Claritas™, 2005 est., 2006) The following table shows the various types of households with children under 18 living in poverty with comparisons to the state and the nation. RANKINGS, Single Parent Families in Poverty as Percent, 2005 est. (Claritas, 2006) ScottIN in US RANK, % Single Dad w child below poverty733 RANK, % Single Moms w ch in Pov1737 RANK, % Single Parents w ch in Pov1435

35 GIS in Prevention, County Profiles, Series 4 (2007) 6. Risk Factors: Community Risk Factors – Extreme Economic & Social Deprivation Map: Single Moms w/ Children under 18 in Poverty Indiana Prevention Resource Center Claritas™, Core Demographics, 2005 est., 2006

36 GIS in Prevention, County Profiles, Series 4 (2007) 6. Risk Factors: Community Risk Factors – Extreme Economic & Social Deprivation 6.26 Lack of Health Insurance Table 6.26: Insurance Coverage, 2005 (MRI, Consumer Behavior Insurance 2005, 2006) We consider lack of health insurance to be a form of extreme deprivation. Research has shown that two of the strongest indicators of self-reported health status and routine preventative care are having a consistent source of medical care and having health insurance. Where either is absent there is a higher risk of health problems and particularly of not receiving preventative care. Lack of health insurance is often associated with lack of employment or underemployment, poverty, being in transition, and/or undocumented immigrant status. The following table shows rates of health insurance coverage for this county, compared with Indiana and the nation. Percent of Persons 18 and over with No Health Insurance, 2005, est. (AGS, 2006) ScottIndianaU.S. Current Year Population 18 years and over 17,8304,676,573233,030,794 Have any medical insurance12,6003,370,700156,002,300 No Health Insurance5,2301,305,87377,028,494 Percent of Pop 18 and over with No Health Insurance29.3%27.9%33.1% Rank for No Health Insurance 1037th of 51

37 GIS in Prevention, County Profiles, Series 4 (2007) 6. Risk Factors: Community Risk Factors – Extreme Economic & Social Deprivation 37 6.26b Source of Health Insurance The source of health insurance provides insight into the circumstances of the individual. A county where more people are receiving Medicaid or Medicare are more subject to the impact of legislation that would affect those programs. A county where more people are receiving insurance from a union may be impacted by factory closures and outsourcing of jobs. Insurance from jobs is a sign of employment status. The following table shows the sources of health insurance for this county compared with Indiana and the nation. Table 6.26b: Source of Insurance Coverage, 2005 (MRI, Consumer Behavior Insurance 2005, 2006) Health Insurance Source, 2005 est. (AGS, 2006) Scott IndianaU.S. Member of HMO or pre-paid group health care program18.523.424.3 From a union2.83.63.4 From a place of work41.546.844.9 From fraternal member group1.110.9 From a union or from work44.350.448.3 Medicaid7.34.44.1 RANK, Src HMO or Pre-Pd Gr Plan8229th of 51 RANK, Src Union or Pl of Wk8820th of 51 RANK, Medicaid516th of 51

38 GIS in Prevention, County Profiles, Series 4 (2007) 6. Risk Factors: Community Risk Factors – Extreme Economic & Social Deprivation Map: No Health Insurance AGS, Consumer Behavior, Insurance 2005 est., 2006 Indiana Prevention Resource Center

39 GIS in Prevention, County Profiles, Series 4 (2007) 6. Risk Factors: Community Risk Factors – Extreme Economic & Social Deprivation Map: Health Insurance from Union or Work AGS, Consumer Behavior, Insurance 2005 est., 2006 Indiana Prevention Resource Center

40 GIS in Prevention, County Profiles, Series 4 (2007) 6. Risk Factors: Community Risk Factors – Extreme Economic & Social Deprivation Additional Background on Health Insurance Source: U.S. Census Bureau web site: http://www.census.gov/Press-Release/www/releases/archives/income_wealth/002484.html, accessed 5/1/2007http://www.census.gov/Press-Release/www/releases/archives/income_wealth/002484.html Overview The number of people with health insurance coverage rose from 242.4 million in 2002 to 243.3 million in 2003. Nonetheless, the percentage with coverage dropped from 84.8 percent to 84.4 percent, mirroring a drop in the percentage of people covered by employment-based health insurance (61.3 percent in 2002 to 60.4 percent in 2003). This decline in employment-based health insurance coverage essentially explains the drop in total private health insurance coverage, from 69.6 percent in 2002 to 68.6 percent in 2003. The percentage of people covered by government health insurance programs rose in 2003, from 25.7 percent to 26.6 percent, largely as the result of increases in Medicaid and Medicare coverage. Medicaid coverage rose 0.7 percentage points to 12.4 percent in 2003, and Medicare coverage increased 0.2 percentage points to 13.7 percent. The proportion of uninsured children did not change in 2003, remaining at 11.4 percent of all children, or 8.4 million.

41 GIS in Prevention, County Profiles, Series 4 (2007) 6. Risk Factors: Community Risk Factors – Extreme Economic & Social Deprivation Additional Background on Health Insurance, cont. Source: http://www.census.gov/Press-Release/www/releases/archives/income_wealth/002484.html, accessed 5/1/2007 Race and Hispanic Origin The uninsured rate did not change for blacks (about 19.5 percent) or Asians (about 18.7 percent) between 2002 and 2003. (The health insurance coverage rates of blacks and Asians were not different in 2003.) Non-Hispanics who reported white as their only race saw their uninsured rate increase from 10.7 percent to 11.1 percent. The uninsured rate for Hispanics, who may be of any race, was 32.7 percent in 2003 — unchanged from 2002. Based on a three-year average (2001-2003), 27.5 percent of people who reported American Indian and Alaska native as their only race were without coverage, lower than the uninsured rate for Hispanics (32.8 percent) but higher than that of the other race groups. Comparisons of two-year moving averages (2001-2002 and 2002-2003) showed that the uninsured rate for American Indians and Alaska natives did not change.

42 GIS in Prevention, County Profiles, Series 4 (2007) 6. Risk Factors: Community Risk Factors – Extreme Economic & Social Deprivation Additional Background on Health Insurance, cont. Source: http://www.census.gov/Press-Release/www/releases/archives/income_wealth/002484.html, accessed 5/1/2007 Regions The South was the only region to show an increase in its uninsured rate in 2003, up from 17.5 percent in 2002 to 18.0 percent. The health insurance coverage rates of people in the South and in the West (17.6 percent) were not different in 2003. The percentages for the Northeast and Midwest were 12.9 percent and 12.0 percent, respectively. Methodology The estimates in the income, poverty and health insurance report are based on the 2002, 2003 and 2004 Annual Social and Economic Supplements to the Current Population Survey (CPS ASEC), which is conducted in February, March and April at about 100,000 addresses nationwide. The CPS is a labor force survey conducted monthly by the Census Bureau for the Bureau of Labor Statistics using Computer-Assisted Telephone Interviewing (CATI) and Computer-Assisted Personal Interviewing (CAPI). The American Community Survey (ACS) is an integral part of the plan to redesign the decennial census and will replace the “long form.” During the 2000-2004 testing program, the ACS has been collecting data from a sample of about 800,000 addresses per year. These estimates are collected on a rolling basis every month. The ACS uses the Census 2000 self-response mail-out/mail- back methodology, followed by CATI, followed by CAPI. Estimates from the CPS ASEC may not match the estimates from the ACS because of differences in the questionnaires, data collection methodology, reference period, processing procedures, etc. As both are surveys, they are subject to sampling and nonsampling errors. All comparisons made in the report have been tested and found to be statistically significant at the 90-percent confidence level, unless otherwise noted. For additional information on the CPS data, visit. For additional information on ACS data, visit.http://www.census.gov/hhes/income/p60_226sa.pdfhttp://www.census.gov/acs/www/UseData/Accuracy/Accuracy1.htm


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