Table 78

No usual source of health care among children under 18 years of age, by selected characteristics: United States, average annual 1993–1994, 2001–2002, and 2005–2006

[Data are based on household interviews of a sample of the civilian noninstitutionalized population]

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Under 18 yearsUnder 6 years6–17 years
Characteristic1993–1994 12001–20022005–20061993–1994 12001–20022005–20061993–1994 12001–20022005–2006
Percent of children without a usual source of health care 2
All children 37.76.05.45.24.43.69.06.86.3
Race 4
White only7.05.25.34.74.03.58.35.86.1
Black or African American only10.36.65.77.63.63.511.98.06.7
American Indian or Alaska Native only*9.3**5.8****8.7**6.6
Asian only9.711.27.7*3.4**4.213.513.29.4
Native Hawaiian or Other Pacific Islander only- - -**- - -**- - -**
2 or more races- - -7.3*4.6- - -*7.0*- - -*7.5*4.9
Hispanic origin and race 4
Hispanic or Latino14.313.511.59.39.27.217.716.014.1
Not Hispanic or Latino6.74.43.94.43.22.57.84.94.6
 White only5.73.43.33.72.72.26.73.73.8
 Black or African American only10.26.65.47.73.6*3.211.68.06.5
Percent of poverty level 5
Below 100%13.911.78.69.48.25.616.813.710.5
100%–less than 200%9.88.98.16.77.05.211.69.99.6
200% or more3.73.33.31.82.12.14.63.83.9
Hispanic origin and race and percent of poverty level 4,5
Hispanic or Latino:
 Below 100%19.618.514.312.712.18.724.822.418.1
 100%–less than 200%15.316.012.79.911.28.418.918.715.3
 200% or more5.07.17.9*2.7*4.5*4.56.58.69.7
Not Hispanic or Latino:
 White only:
  Below 100%10.27.55.16.5**12.78.26.1
  100%–less than 200%8.75.45.96.3*4.8*3.610.15.76.9
  200% or more3.42.42.31.61.5*1.54.22.72.6
 Black or African American only:
  Below 100%13.79.05.810.9*4.0*3.415.511.57.2
  100%–less than 200%9.17.36.9*6.0*5.1*10.88.48.1
  200% or more4.64.24.0***5.85.14.7
Health insurance status at the time of interview 6
Insured5.03.32.83.32.22.05.93.83.2
 Private3.82.52.11.91.41.14.63.02.5
 Medicaid8.95.53.96.44.03.111.36.54.5
Uninsured23.529.130.618.025.223.226.030.733.3
Health insurance status prior to interview 6
Insured continuously all 12 months4.63.02.63.12.01.95.53.42.9
Uninsured for any period up to 12 months15.316.714.510.913.810.518.118.416.3
Uninsured more than 12 months27.636.539.021.432.129.930.038.141.6
Under 18 yearsUnder 6 years6–17 years
Characteristic1993–1994 12001–20022005–20061993–1994 12001–20022005–20061993–1994 12001–20022005–2006
Percent of poverty level and health insurance status prior to interview 5,6Percent of children without a usual source of health care 2
Below 100%:
 Insured continuously all 12 months8.65.03.85.8*2.73.010.76.44.4
 Uninsured for any period up to 12 months21.721.216.418.018.5*13.823.723.017.8
 Uninsured more than 12 months31.246.243.325.542.533.033.447.646.6
100%–less than 200%:
 Insured continuously all 12 months5.64.03.23.73.32.56.74.43.6
 Uninsured for any period up to 12 months14.518.716.9*9.7*15.8*12.218.020.218.7
 Uninsured more than 12 months27.633.838.121.429.928.430.235.340.9
200% or more:
 Insured continuously all 12 months2.82.12.01.41.31.33.52.52.3
 Uninsured for any period up to 12 months9.111.910.8*5.7*8.4*6.611.413.912.8
 Uninsured more than 12 months18.327.335.3*10.6*18.8*28.520.929.837.3
Geographic region
Northeast4.12.42.42.9*2.4*1.64.82.42.8
Midwest5.24.23.54.13.82.85.94.43.9
South10.97.36.97.34.64.412.78.78.1
West8.68.87.55.36.34.610.610.18.9
Location of residence
 Within MSA 77.76.15.45.04.53.59.26.96.4
 Outside MSA 77.85.75.56.03.94.18.76.56.2
*

Estimates are considered unreliable. Data preceded by an asterisk have a relative standard error (RSE) of 20%–30%. Data not shown have an RSE of greater than 30%.

- - -

Data not available.

1

Data prior to 1997 are not strictly comparable with data for later years due to the 1997 questionnaire redesign. See Appendix I, National Health Interview Survey.

2

Persons who report the emergency department as the place of their usual source of care are defined as having no usual source of care. See Appendix II, Usual source of care.

3

Includes all other races not shown separately and unknown health insurance status.

4

The race groups, white, black, American Indian or Alaska Native, Asian, Native Hawaiian or Other Pacific Islander, and 2 or more races, include persons of Hispanic and non-Hispanic origin. Persons of Hispanic origin may be of any race. Starting with 1999 data, race-specific estimates are tabulated according to the 1997 Revisions to the Standards for the Classification of Federal Data on Race and Ethnicity and are not strictly comparable with estimates for earlier years. The five single-race categories plus multiple-race categories shown in the table conform to the 1997 Standards. Starting with 1999 data, race-specific estimates are for persons who reported only one racial group; the category 2 or more races includes persons who reported more than one racial group. Prior to 1999, data were tabulated according to the 1977 Standards with four racial groups and the Asian only category included Native Hawaiian or Other Pacific Islander. Estimates for single-race categories prior to 1999 included persons who reported one race or, if they reported more than one race, identified one race as best representing their race. Starting with 2003 data, race responses of other race and unspecified multiple race were treated as missing, and then race was imputed if these were the only race responses. Almost all persons with a race response of other race were of Hispanic origin. See Appendix II, Hispanic origin; Race.

5

Percent of poverty level is based on family income and family size and composition using U.S. Census Bureau poverty thresholds. Missing family income data were imputed for 14% of children in 1993–1996, 21%–25% in 1997–1998, and 27%–31% in 1999–2006. See Appendix II, Family income; Poverty.

6

Health insurance categories are mutually exclusive. Persons who reported both Medicaid and private coverage are classified as having private coverage. Medicaid includes other public assistance through 1996. Starting with 1997 data, state-sponsored health plan coverage is included as Medicaid coverage. Starting with 1999 data, coverage by the State Children’s Health Insurance Program (SCHIP) is included as Medicaid coverage. In addition to private and Medicaid, the insured category also includes military, other government, and Medicare coverage. Persons not covered by private insurance, Medicaid, SCHIP, public assistance (through 1996), state-sponsored or other government-sponsored health plans (starting in 1997), Medicare, or military plans are considered to have no health insurance coverage. Persons with only Indian Health Service coverage are considered to have no health insurance coverage. Health insurance status was unknown for 8%–9% of children in 1993–1996 and about 1% in 1997–2006. See Appendix II, Health insurance coverage.

7

MSA is metropolitan statistical area. Starting with 2005–2006 data, MSA status is determined using 2000 census data and the 2000 standards for defining MSAs. For data prior to 2005, See Appendix II, Metropolitan statistical area (MSA) for the applicable standards.

NOTES: Standard errors are available in the spreadsheet version of this table. Available from: http://www​.cdc.gov/nchs/hus.htm. Data for additional years are available. See Appendix III.

SOURCES: CDC/NCHS, National Health Interview Survey, access to care and health insurance supplements (1993–1996). Starting in 1997, data are from the family core and sample child questionnaires.

From: Trend Tables

Cover of Health, United States, 2008
Health, United States, 2008: With Special Feature on the Health of Young Adults.
National Center for Health Statistics (US) .
Hyattsville (MD): National Center for Health Statistics (US); 2009 Mar.

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