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Hawaiis Uninsured Population by dffhrtcv3

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									Hawaii’s Uninsured
   Population:
  Estimates from the Behavioral Risk
 Factor Surveillance System, 2000 and
                 2001
              Lawrence Nitz
               Gerard Russo
              Sang-Hyop Lee
             Timothy Rupright
    Summary of the Full Population
    Sample Sizes:
          2000 = 6016
          2001 = 4500
    In Hawaii, women appear to have a significantly higher
     insurance rate than men
    The young, unsurprisingly, have a lower insurance rate
     than the old
    Other than the unemployed, the self-employed and
     students appear to have the highest risk of uninsurance
    The outer islands have lower insured rates than Oahu


    Source: Hawaii State Department of Health, Behavioral Risk Factor Surveillance System. Weighted Tabulations,
                           University of Hawaii, SSRI, February 2003. Subject to Revision
          Insured Rate by Ethnicity
                               Percent Insured by Ethnicity

  100
   90
   80
   70
   60
   50
   40
   30
   20
   10
    0




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                                                      2000        2001
Source: Hawaii State Department of Health, Behavioral Risk Factor Surveillance System. Weighted Tabulations,
                       University of Hawaii, SSRI, February 2003. Subject to Revision
    Hawaii’s Uninsured Population
    All tabulations on Hawaii’s uninsured
     population were completed using an island-level
     stratification according to the design specified
     by local DOH officials




    Source: Hawaii State Department of Health, Behavioral Risk Factor Surveillance System. Weighted Tabulations,
                           University of Hawaii, SSRI, February 2003. Subject to Revision
  Hawaii’s Uninsured Population
                                     Uninsured by Age, 2000 and 2001

                        20
                        18
                        16
                        14
              Percent




                        12
                        10
                         8
                         6
                         4
                         2
                         0
                             18-19 20-24 25-29 30-34 35-39 40-44 45-49 50-54 55-59 60-64 65+

                                                       2000   2001



Almost half of the uninsured are younger than 30, but
  there are also significant numbers of uninsured in the
  middle age range.
 Source: Hawaii State Department of Health, Behavioral Risk Factor Surveillance System. Weighted Tabulations,
                        University of Hawaii, SSRI, February 2003. Subject to Revision
    Hawaii’s Uninsured Population
    Males compose a majority of the uninsured

                                   Uninsured by Sex, 2001




                        Female
                         41%

                                                                                Male
                                                                                59%




    Source: Hawaii State Department of Health, Behavioral Risk Factor Surveillance System. Weighted Tabulations,
                           University of Hawaii, SSRI, February 2003. Subject to Revision
    Distribution of Hawaii’s Uninsured
                Population
                                      Percent Uninsured by Income, 2001

                     50
                     45
                     40
                     35
                     30
                     25
                     20
                     15
                     10
                       5
                       0
                           <$10,000   $10,001-   $15,001-   $20,001-   $25,001-   $35,001-   $50,001-   >$75,000
                                      $15,000    $20,000    $25,000    $35,000    $50,000    $75,000


                                                 Total Income      Per Capita Income


    Nearly 50% of the uninsured have a per capita income of less than $10,000
    Over total income, the distribution is much more regular

    Source: Hawaii State Department of Health, Behavioral Risk Factor Surveillance System. Weighted Tabulations,
                           University of Hawaii, SSRI, February 2003. Subject to Revision
    Hawaii’s Uninsured Population by
             FPL Standards
                                         Uninsured Population
                                                 by FPL Measures, 2001




                                                                    <100% FPL
                                                                       30%
                                     >200% FPL
                                        40%




                                                                  100-149%
                                               150-200%              FPL
                                                  FPL               20%
                                                 10%




    Roughly 60% of the Uninsured in Hawaii have incomes below 200% of the Federal
     Poverty Line

    Source: Hawaii State Department of Health, Behavioral Risk Factor Surveillance System. Weighted Tabulations,
                           University of Hawaii, SSRI, February 2003. Subject to Revision
        Distribution of the Uninsured
         Population by Employment
                Percent Uninsured by Employment Category
                                  2001
                                       Unable to
                                       Work, 0.78
                                   Retired, 1.58
                                                                 Employed,
                          Student, 12.73
                                                                  26.00
                       Homemaker,
                          7.53

                   Unemployed >1
                     year, 10.04


                          Unemployed <1                         Self-Employed,
                            year, 15.66                              25.68




Source: Hawaii State Department of Health, Behavioral Risk Factor Surveillance System. Weighted Tabulations,
                       University of Hawaii, SSRI, February 2003. Subject to Revision
Hawaii’s Population by Employment
            Category
    Note that though the                                       Hawaii's Population by Employment Status 2001

     self-employed compose
     only 8% of the                                                                    1%
                                                                        20%
     population, the previous
                                                                4%
     slide showed that they
     account for 26% of the                                   6%                                             58%

     uninsured.                                                 1%
                                                                 2%
                                                                        8%




                                                             Employed             Self Employed    Unemployed <1 Year
                                                             Unemployed >1 Year   Homemaker        Student
                                                             Retired              Unable to Work


    Source: Hawaii State Department of Health, Behavioral Risk Factor Surveillance System. Weighted Tabulations,
                           University of Hawaii, SSRI, February 2003. Subject to Revision
Distribution of Hawaii’s Uninsured
           by Ethnicity
              Uninsured by Ethnicity, 2001                              Hawaii's Population by Ethnicity
                                                                                       0%
                                                                                       0%
          0.27 10.79                                                          17%
  15.73                                         39.08                                                        38%



   14.76
                                          1.5                           31%
                            17.87                                                                       0%
                                                                                                14%

 Caucasian             Pacific Islander   Hawaiian
                                                                 Caucasian     Pac. Islander Hawaiian         East Asian
 East Asian            S/SE Asian         Black
 Other                                                           S/SE Asian    Black         Other




Source: Hawaii State Department of Health, Behavioral Risk Factor Surveillance System. Weighted Tabulations,
                       University of Hawaii, SSRI, February 2003. Subject to Revision
              Quest-Eligible Uninsured
                                 Uninsured Who Were Quest Eligible, Year 2001

                                                                     Percent Quest
                                                                     Eligible, 19.19




                                  Percent NOT
                                  Quest Eligible,
                                     80.81




    Almost 20% of the Uninsured qualify for Quest
    In this survey, the Quest-eligibility was determined by:
          Pregnant women below 185% of the FPL
                In both samples, ALL Pregnant women claimed to have health insurance
          Adults aged 18-64 below 100% of the FPL
    Source: Hawaii State Department of Health, Behavioral Risk Factor Surveillance System. Weighted Tabulations,
                           University of Hawaii, SSRI, February 2003. Subject to Revision
Summary of Hawaii’s Uninsured
    Young Adults
    Low Per Capita Income
    Self Employed appear to be at higher risk of not
     having insurance
    Simply enrolling those eligible for the Quest
     program could reduce the uninsured by nearly
     20%


    Source: Hawaii State Department of Health, Behavioral Risk Factor Surveillance System. Weighted Tabulations,
                           University of Hawaii, SSRI, February 2003. Subject to Revision
               Logistic Regression Results
    A series of Logistic Regressions appear to
     confirm that the self-employed are at a higher
     risk for not being insured.
    Males are also at higher risk of being uninsured.
    The data was not clear on the impact of low
     incomes, though high income certainly increased
     one’s chances of being insured.


    Source: Hawaii State Department of Health, Behavioral Risk Factor Surveillance System. Weighted Tabulations,
                           University of Hawaii, SSRI, February 2003. Subject to Revision
                                   Thank you




Source: Hawaii State Department of Health, Behavioral Risk Factor Surveillance System. Weighted Tabulations,
                       University of Hawaii, SSRI, February 2003. Subject to Revision

								
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