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Percentage of children under age 19 without health insurance
Current Value
3.6%
Definition
"Percentage of children under age 19 without health insurance.
Lack of health insurance coverage is a significant barrier to accessing needed health care and maintaining financial security. One key finding from the Kaiser Family Foundation report on access to healthcare is that "Going without coverage can have serious health consequences for the uninsured because they receive less preventative care, and delayed care often results in serious illness or other health problems. Being uninsured can also have serious financial consequences, with many unable to pay their medical bills, resulting in medical debt." Uninsured children are less likely to receive preventive care such as vaccinations and well-child visits on time."
Source: Uninsured Children* | County Health Rankings & Roadmaps
Comparison
Story Behind the Curve
Partners
What Works
Strategy
Data Sources and Measure Methods
Data Source
"Small Area Health Insurance Estimates: The US Census Bureau's Small Area Health Insurance Estimates (SAHIE) program produces health insurance coverage estimates for all states and counties. In July 2005, SAHIE released the first nationwide set of county-level estimates on the number of people without health insurance coverage for all ages and those under 18 years old. SAHIE releases health insurance coverage estimates by age, sex, race, Hispanic origin, and income categories at the state level and by age, sex, and income categories at the county level."
Measure Methods
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"Uninsured Children is a percentage: Uninsured Children is the percentage of the population under age 19 with no health insurance coverage in a given county."
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"Uninsured Adults is created using statistical modeling: Uninsured Children is created using complex statistical modeling. Modeling generates more stable estimates for places with small numbers of residents or survey responses. There are also drawbacks to using modeled data. The smaller the population or sample size of a county, the more the estimates are derived from the model itself and the less they are based on survey responses. Models make statistical assumptions about relationships that may not hold in all cases. Finally, there is no perfect model, and each model generally has limitations specific to their methods."
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"Numerator: The numerator is the number of people under age 19 without health insurance coverage. A person is uninsured if they are not currently covered by insurance through a current/former employer or union, purchased from an insurance company, Medicare, Medicaid, Medical Assistance, any kind of government-assistance plan for those with low incomes or disability, TRICARE, or other military health care, Indian Health Services, VA, or any other health insurance or health coverage plan."
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"Denominator: The denominator is the county population under age 19."
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"Can This Measure Be Used to Track Progress?: This measure can be used to track progress with some caveats. Modeled estimates have specific drawbacks about their usefulness in tracking progress in communities. Modeled data are not particularly good at incorporating the effects of local conditions, such as health promotion policies or unique population characteristics, into their estimates. Counties measuring the effects of programs and policies on the data should use great caution when using modeled estimates. To better understand and validate modeled estimates, confirming this data with additional data sources at the local level is particularly valuable."
Source: Uninsured Children* | County Health Rankings & Roadmaps
References
- Kaiser Family Foundation. The Uninsured: A Primer - Key Facts about Health Insurance and the Uninsured Under the Affordable Care Act. December 2017.
- Hill HA, Elam-Evans LD, Yankey D, Singleton JA, and Kang Y. Vaccination Coverage Among Children Aged 19–35 Months — United States, 2017. Morbidity and Mortality Weekly Reports. 2018 October 12; 67(40): 1123-1128.
- Murphy D. Health Insurance Coverage Improves Child Well-Being. https://www.childtrends.org/publications/health-insurance-coverage-improves-child-well Accessed: November 27, 2019.