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Contents 1 New Haven Health Atlas: Access to Health Care 1.1 Percent of adults with no health insurance 1.1.1 Headlines 1.2 Percentage of adults with regular source of medical care 1.2.1 Headlines 1.3 Additional Resources

New Haven Health Atlas: Access to Health Care

Lack of health insurance and cost concerns are barriers to seeking medical treatment and obtaining preventive health services. People without health‐care coverage are more likely than those who are insured to be in poor health and at increased risk for chronic diseases. Having a regular source of healthcare is highly correlated with health insurance status.

Health insurance provides the ability to seek preventative services and to receive emergency care without large financial burden to the resident. Those with health insurance are more likely to seek preventive care before disease worsens and creates the need for costly treatment services.

Please note that all of the estimates below are based on surveys, and subject to margins of error.

Percent of adults with no health insurance

Headlines

• From 1998‐2003, New Haven had a slightly higher percentage of adults without insurance than the state, but fewer without insurance than Bridgeport and Hartford.
• Whites are over two times as likely to have health insurance as Hispanics.
• Estimates of insurance coverage have recently become available from the American Community Survey (ACS). These estimates show significant disparities by age, gender, race, ethnicity, income, employment history, education level, national origin and other factors.

Data – Percentage of Adults 18 years of age or older with no health insurance, 1998-2003, by Connecticut City

• 13.5% ‐ New Haven
• 26.0% ‐ Bridgeport
• 21.8 % ‐ Hartford
• 12.0% ‐ Connecticut

Source: BRFSS

Data – Percentage of Adults 18 years of age or older with no health insurance by race/ethnicity, 1998‐2003, in City of New Haven

• 8.5% ‐ White, non‐Hispanic
• 11.5% ‐ Black, non‐Hispanic
• 25.7% ‐ Hispanic

Source: BRFSS

Data - American Community Survey, 2009 Estimates: Percent Uninsured in City of New Haven

Further reading on ACS Estimates

• State Health Access Data Assistance Center. 2009. “An Introduction to the American Community Survey Health Insurance Coverage Estimates.” Issue Brief #18. Minneapolis, MN: University of Minnesota.
• Data available at American Factfinder, as of 4/21/11: http://factfinder.census.gov/servlet/STTable?_bm=y&-state=st&-context=st&-qr_name=ACS_2009_1YR_G00_S2701&-ds_name=ACS_2009_1YR_G00_&-CONTEXT=st&-tree_id=309&-redoLog=false&-_caller=geoselect&-geo_id=16000US0952000&-format=&-_lang=en

Percent Uninsured

BY AGE

• All residents (civilian, noninstitutionalized population) 14.4%
• Under 18 years 8.70%
• 18 to 64 years 17.70%
• 65 years and older 0.00%

SEX

• Male 19.50%
• Female 9.80%

BY RACE

• White alone 12.30%
• Black or African American alone 14.00%

BY HISPANIC OR LATINO ORIGIN

• White alone, not Hispanic or Latino 7.30%
• Hispanic or Latino (of any race) 30.10%

PLACE OF BIRTH AND U.S. CITIZENSHIP STATUS

• Native born 10.70%
• Foreign born 34.20%
• Naturalized 8.30%
• Not a citizen 43.60%

EDUCATIONAL ATTAINMENT

• Civilian noninstitutionalized population 25 years and older 16.40%
• Less than high school graduate 30.50%
• High school graduate, GED, or alternative 22.20%
• Some college or associate's degree 10.60%
• Bachelor's degree or higher 7.80%

EMPLOYMENT STATUS

• Civilian noninstitutionalized population 18 years and older 16.10%
• In labor force 18.00%
• Employed 15.20%
• Unemployed 40.50%
• Not in labor force 11.90%

WORK EXPERIENCE

• Civilian noninstitutionalized population 18 years and older 16.10%
• Worked full-time, year round in the past 12 months 14.60%
• Worked less than full-time, year round in the past 12 months 19.30%
• Did not work 13.70%

HOUSEHOLD INCOME (IN 2009 INFLATION ADJUSTED DOLLARS)

• Civilian household population 15.10%
• Under $25,000 17.70%
• $25,000 to $49,999 17.70%
• $50,000 to $74,999 10.90%
• $75,000 to $99,999 12.10%
• $100,000 and over 13.00%

RATIO OF INCOME TO POVERTY LEVEL IN THE PAST 12 MONTHS

• Civilian noninstitutionalized population for whom poverty status is determined 15.10%
• Under 1.00 of poverty threshold 23.90%
• 1.00 to 1.99 of poverty threshold 14.80%
• 2.00 of poverty threshold and over 10.90%

Percentage of adults with regular source of medical care

Headlines

• New Haven adults have comparable percentage of adults with a regular source of healthcare as other similar urban areas. The state overall ahs a higher proportion of adults with a regular source of care.
• Hispanics are 38% less likely to have a regular source of care than White, non‐Hispanics.

Data – Percentage of Adults with a Regular Source of Medical Care, 1998‐2003

• 74.6% ‐ New Haven
• 74.3% ‐ Bridgeport
• 75.4% ‐ Hartford
• 84.8% ‐ Connecticut

Data – Percentage of Adults with a Regular Source of Medical Care by race/ethnicity, 1998‐2003

• 80.6% ‐ White, non‐Hispanic
• 76.4% ‐ Black, non‐Hispanic
• 58.5% ‐ Hispanic

Source: BRFSS

Additional Resources

1. Health Insurance Coverage for Low Wage Workers, 1979-2010 and Beyond (Center for Economic and Policy Research, 2012) http://www.cepr.net/documents/publications/health-low-wage-2012-02.pdf This paper uses data from the Current Population Surveys for 1980 through 2011 to review trends in health-insurance coverage rates for low-wage workers (defined as workers in the bottom fifth of the wage distribution in each survey year). In 2010, over 38 percent of low-wage workers lacked health insurance from any source, up from 16 percent in 1979. The biggest reason for the decline in coverage is the erosion of employer-provided health insurance, either through a worker’s own employer or as a dependent on another family member’s employer-provided policy.