Table 78No usual source of health care among adults 18–64 years of age, by selected characteristics: United States, average annual, selected years 1993–1994 through 2009–2010

Updated data when available, Excel, PDF, more data years, and standard errors:

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

Characteristic1993–1994 11995–1996 11997–19981999–20002001–20022007–20082009–2010
Percent of adults without a usual source of health care 2
18–64 years 318.916.917.717.816.418.520.3
18–44 years21.719.621.121.620.623.626.0
 18–24 years26.622.627.
 25–44 years20.318.819.319.918.521.824.7
45–64 years12.811.311.
 45–54 years14.112.212.612.010.313.114.7
 55–64 years11.
Race 4
White only18.416.517.016.715.418.019.7
Black or African American only20.018.319.419.216.920.522.4
American Indian or Alaska Native only19.716.521.319.216.324.426.7
Asian only24.821.521.722.120.117.820.8
Native Hawaiian or Other Pacific Islander only- - -- - -- - -****
2 or more races- - -- - -- - -
 American Indian or Alaska Native; White- - -- - -- - -25.818.120.927.1
Hispanic origin and race 4
Hispanic or Latino30.327.430.432.632.532.533.3
Not Hispanic or Latino17.715.716.215.814.016.017.9
 White only17.115.015.414.913.115.116.8
 Black or African American only19.718.119.319.216.820.222.2
Percent of poverty level 5
Below 100%29.526.129.129.629.330.433.8
400% or more13.413.811.611.69.610.210.8
Hispanic origin and race and percent of poverty level 4,5
Hispanic or Latino:
 Below 100%40.034.342.844.446.343.745.5
 400% or more13.816.314.416.113.716.914.0
Not Hispanic or Latino:
 White only:
  Below 100%28.223.625.024.223.425.228.8
  400% or more13.413.711.311.29.19.510.3
 Black or African American only:
  Below 100%24.721.923.923.722.827.130.1
  400% or more11.712.611.212.09.610.210.5
Health insurance status at the time of interview 6
Health insurance status prior to interview 6
Insured continuously all 12 months12.710.810.610.
Uninsured for any period up to 12 months30.929.630.731.233.335.136.5
Uninsured more than 12 months46.944.851.454.854.656.159.5
Percent of poverty level and health insurance status prior to interview 5,6
Below 100%:
 Insured continuously all 12 months16.713.313.111.611.512.713.0
 Uninsured for any period up to 12 months33.628.533.031.936.537.437.8
 Uninsured more than 12 months50.146.154.357.158.861.165.3
 Insured continuously all 12 months14.712.213.012.311.011.912.5
 Uninsured for any period up to 12 months30.931.131.134.635.135.938.1
 Uninsured more than 12 months47.643.851.154.954.556.858.5
 Insured continuously all 12 months11.79.410.610.68.39.410.6
 Uninsured for any period up to 12 months29.228.330.
 Uninsured more than 12 months44.544.750.953.653.454.256.6
400% or more:
 Insured continuously all 12 months11.811.
 Uninsured for any period up to 12 months31.532.328.630.230.730.331.2
 Uninsured more than 12 months36.545.544.651.847.047.953.8
Disability measure 7
Any basic actions difficulty or complex activity limitation- - -- - -15.514.113.216.616.8
 Any basic actions difficulty- - -- - -15.714.113.116.516.7
 Any complex activity limitation- - -- - -13.111.610.413.613.5
No disability- - -- - -18.218.817.519.121.5
Geographic region
Location of residence
Within MSA 819.317.317.918.116.618.720.3
Outside MSA 817.515.417.016.815.416.920.4
- - -

Data not available


Estimates are considered unreliable. Data not shown have a relative standard error of greater than 30%.


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 (NHIS).


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


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


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.


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 starting in 1993. See Appendix II, Family income; Poverty; Table VI.


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 Children’s Health Insurance Program (CHIP) is included with 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, CHIP, 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. In 1993–1996, health insurance status was unknown for 8%–9% of adults in the sample. In 1997–2010, health insurance status was unknown for about 1% of adults. See Appendix II, Health insurance coverage.


Any basic actions difficulty or complex activity limitation is defined as having one or more of the following limitations or difficulties: movement difficulty, emotional difficulty, sensory (seeing or hearing) difficulty, cognitive difficulty, self-care (activities of daily living or instrumental activities of daily living) limitation, social limitation, or work limitation. For more information, see Appendix II, Basic actions difficulty; Complex activity limitation. Starting with 2007 data, the hearing question, a component of the basic actions difficulty measure, was revised. Consequently, data prior to 2007 are not comparable with data for 2007 and beyond. For more information on the impact of the revised hearing question, see Appendix II, Hearing trouble.


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​ Data for additional years are available. See Appendix III.

SOURCE: 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 adult questionnaires. See Appendix I, National Health Interview Survey (NHIS).

From: Trend Tables

Cover of Health, United States, 2011
Health, United States, 2011: With Special Feature on Socioeconomic Status and Health.
National Center for Health Statistics (US).
Hyattsville (MD): National Center for Health Statistics (US); 2012 May.

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