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This research is funded in part through a U.S. Health Resources and Services Administration, State Planning Grant to the Hawaii State Department of Health.

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Presentation on theme: "This research is funded in part through a U.S. Health Resources and Services Administration, State Planning Grant to the Hawaii State Department of Health."— Presentation transcript:

1 This research is funded in part through a U.S. Health Resources and Services Administration, State Planning Grant to the Hawaii State Department of Health. Sub-Contract Research Corporation of the University of Hawaii. Research conducted by the University of Hawaii, Social Science Research Institute in collaboration with the Hawaii State Department of Health, Hawaii Institute for Public Affairs: Hawaii Uninsured Project and the Hawaii Health Information Corporation. 1 Hawai`i Uninsured Population: Overview Gerard Russo, Ph.D. Sang-Hyop Lee, Ph.D. Lawrence Nitz, Ph.D. Thamana Lekprichakul, Ph.D. Rui Wang, Ph.D. Candidate Jaclyn Lindo, Ph.D. Student University of Hawai`i at Mānoa Kathleen Baker, Ph.D., Hawaii Department of Health HRSA SPG Technical Workshop VIII 30 January 2006

2 Preliminary results. Revised January 2006. Subject to further revision. 2 Survey Data Current Population Survey U.S Census Bureau http://www.census.gov/hhes/www/hlthins/hlthins.html Hawaii Health Survey Hawaii Department of Health http://www.hawaii.gov/health/statistics/hhs/index.html/ Behavioral Risk Factor Surveillance System Centers for Disease Control & Prevention http://www.cdc.gov/brfss/ Hawaii Department of Health http://www.hawaii.gov/health/statistics/brfss/index.html

3 30 January 2006Preliminary results. Revised January 2006. Subject to further revision. 3 Uninsured Population Overview Total Number of Uninsured Persons Breakdown Age Sex County

4 30 January 2006Preliminary results. Revised January 2006. Subject to further revision. 4 Percent Without Health Insurance, Hawai`i: Current Population Survey (CPS) 1988-2005 Hawai`i Health Survey (HHS) 1997-2004 Behavioral Risk Factor Surveillance System (BRFSS) 1994-2004 Note: U.S. Census Bureau CPS definition of uninsured is no health insurance in the entire 12-month period of the preceding year. CPS Verification question added March 2001. Hawaii State Department of Health definition of uninsured is no health insurance at the time of the interview. BRFSS surveys adults only. Sources: Current Population Survey (CPS), Annual Social and Economic (ASEC) Supplements (Annual Demographic Supplements), 1988-2005 Public Use Files, Hawaii Sample. Hawaii State Department of Health, Hawaii Health Survey, 1997-2004 Confidential Version and Behavioral Risk Factor Surveillance System, 1994-2004 Confidential Version. Weighted tabulations. University of Hawaii, Social Science Research Institute. January 2006. CPS estimates based on March Supplement population weights.

5 30 January 2006Preliminary results. Revised January 2006. Subject to further revision. 5 Hawai ` i Uninsured Population: Multi-Year Survey Averages with 95% Confidence Intervals CPS 2003-2005 (3-year Average) Persons Age 0-99 HHS 2002-2004 (3-year Average) Persons Age 0-99 BRFSS 2002-2004 (3-year Average) Persons Age 18-99

6 30 January 2006Preliminary results. Revised January 2006. Subject to further revision. 6 Percent Without Health Insurance, Hawai`i with 95% Confidence Intervals: Current Population Survey (CPS) 1994-2005

7 30 January 2006Preliminary results. Revised January 2006. Subject to further revision. 7 Uninsured Persons Hawai ` i 1993-2004: Current Population Survey 1994-2005

8 30 January 2006Preliminary results. Revised January 2006. Subject to further revision. 8 Table 1: Hawaii Uninsured Population: CPS 2001 – 2005 Survey Year Total Population Uninsured Population Standard Error 95% Confidence Interval Percent Uninsured Standard Error 95% Confidence Interval Lower Limit Upper Limit Lower Limit Upper Limit 20011,155,864116,00618,16480,303151,70910.04%1.49%7.11%12.96% 20021,213,328116,90410,79195,730138,0779.63%0.83%8.00%11.27% 20031,224,275122,80310,421102,356143,25110.03%0.81%8.44%11.63% 20041,253,067127,69111,051106,008149,37410.19%0.84%8.55%11.83% 20051,249,806120,29110,68599,327141,2569.62%0.81%8.04%11.21% Source: U.S. Census Bureau, Current Population Survey (CPS), Annual Social and Economic (ASEC) Supplement, Hawaii Sample (2001-2005). Weighted tabulations, University of Hawai`i at Mānoa.

9 30 January 2006Preliminary results. Revised January 2006. Subject to further revision. 9 Age Distribution of Hawai`i’s Uninsured Population: CPS 2003- 2005, 3-year Average 123,595 22,580 99,408 1,607

10 30 January 2006Preliminary results. Revised January 2006. Subject to further revision. 10 0 5000 10000 15000 20000 020406080100 Age Total PopulationInsured Uninsured Frequency Distribution of Hawai`i Population by Age and Insurance Status: Five-Year Average, HHS 2000-2004 Age Distribution: HHS 2000-2004

11 30 January 2006Preliminary results. Revised January 2006. Subject to further revision. 11 Density of the Hawai ` i Population by Age and Insurance Status: HHS 2000-2004 0.005.01.015 020406080100 Age Total PopulationInsured Uninsured Probability Density of Hawai`i Population by Age and Insurance Status: Five-Year Average, HHS 2000-2004

12 30 January 2006Preliminary results. Revised January 2006. Subject to further revision. 12 0 5000 10000 15000 20000 Frequency 020406080100 Age Total PopulationUninsured Insured Frequency Distribution of Hawai`i Population by Age and Insurance Status: Five-Year Average CPS 2001-2005 Age Distribution: CPS 2000-2004

13 30 January 2006Preliminary results. Revised January 2006. Subject to further revision. 13 0.005.01.015.02.025 020406080100 Age Total PopulationUninsured Insured Probability Density of Hawai`i Population by Age and Insurance Status: Five-Year Average, CPS 2001-2005 Density of the Hawai ` i Population by Age and Insurance Status: CPS 2001-2005

14 30 January 2006Preliminary results. Revised January 2006. Subject to further revision. 14 Percent Uninsured by Age: Comparison of Three Surveys AgeCPS 2001-2005 HHS 2000-2004 BRFSS 2000-2004 0-188.10%3.81%n.a. 19-3417.83%8.70%13.05% 35-5410.06%5.77%8.09% 55-649.76%5.12%6.28% 65 +0.94%1.90%0.80%

15 30 January 2006Preliminary results. Revised January 2006. Subject to further revision. 15 Percent Uninsured by Gender with 95% Confidence Interval: CPS 2001-2005 5-year Average

16 30 January 2006Preliminary results. Revised January 2006. Subject to further revision. 16 Percent Uninsured by Gender with 95% Confidence Interval: BRFSS 2000-2004 5-year Average

17 30 January 2006Preliminary results. Revised January 2006. Subject to further revision. 17 Percent Uninsured by Gender with 95% Confidence Interval: HHS 2000-2004 5-year Average

18 30 January 2006Preliminary results. Revised January 2006. Subject to further revision. 18 Percent Uninsured by Gender: Comparison of Three Surveys SexCPS 2001-2005 HHS 2000-2004 BRFSS 2000-2004 Female8.904.776.57 Male10.915.789.49 Total9.905.278.03

19 30 January 2006Preliminary results. Revised January 2006. Subject to further revision. 19 Uninsured Population by Gender: Comparison of Three Surveys SexCPS 2001-2005 HHS 2000-2004 BRFSS 2000-2004 Female54,30628,73330,708 Male66,43334,41644,443 Total120,73963,19075,151

20 30 January 2006Preliminary results. Revised January 2006. Subject to further revision. 20 Percent Uninsured by County with 95% Confidence Interval: CPS 2003-2005 3-year Average

21 30 January 2006Preliminary results. Revised January 2006. Subject to further revision. 21 Percent Uninsured by County with 95% Confidence Intervals: HHS 2002-2004 3-Year Average

22 30 January 2006Preliminary results. Revised January 2006. Subject to further revision. 22 Percent Uninsured by County with 95% Confidence Intervals: BRFSS 2002-2004 (Adults Age 18+) 3-Year Average

23 30 January 2006Preliminary results. Revised January 2006. Subject to further revision. 23 Uninsured Persons by County: State of Hawaii Three-Year Survey Averages CountyCPS 2003-2005 HHS 2002-2004 BRFSS 2002-2004 Honolulu88,41234,91048,420 Hawaii 35,183 13,01113,899 Kauai4,6386,902 Maui10,58012,826 TOTAL123,59563,13982,047

24 30 January 2006Preliminary results. Revised January 2006. Subject to further revision. 24 Percent Uninsured by County: State of Hawaii Three-Year Survey Averages CountyCPS 2003-2005 HHS 2002-2004 BRFSS 2002-2004 Honolulu9.394.027.03 Hawaii 11.68 8.2711.91 Kauai7.7315.31 Maui7.8412.53 TOTAL9.955.178.61

25 30 January 2006Preliminary results. Revised January 2006. Subject to further revision. 25 Mahalo! This research is funded in part by U.S. Department of Health and Human Services Health Resources & Services Administration State Planning Grant Hawaii State Department of Health.


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