health and access to care among hispanic americans

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Distribution of U.S. Population by Race/Ethnicity, 2010 Two or More Races: 2% White, Non- Hispanic 64% Hispanic 16% Black, Non- Hispanic 12% American Indian/ Alaska Native 1% Asian 5% Native Hawaiian and Other Pacific Islander 0.2% Some Other Race 0.2% Total U.S. Population = 308.7 million SOURCE: 2010 U.S. Census

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Distribution of U.S. Population by Race/Ethnicity, 2010

Two or More

Races:

2%

White, Non-

Hispanic

64%

Hispanic

16%

Black, Non-

Hispanic

12%

American Indian/

Alaska Native

1%

Asian

5%

Native Hawaiian

and Other Pacific

Islander

0.2%

Some Other Race

0.2%

Total U.S. Population = 308.7 million

SOURCE: 2010 U.S. Census

Distribution of Hispanic Americans, 2010

Spainard

3%

Mexican

53%Puerto Rican

33%

Cuban

0.4%

Central

American

4%

South

American

3%

Other Hispanic

4%

SOURCE: 2010 U.S. Census

Total U.S. Hispanic Population = 50.5 million

No Usual Source of Care for Nonelderly Adults by Race and Ethnicity, 2008-2009

20%

16%

19%

21%

25%26%

33%

All Nonelderly

Adults

White, Non-

Hispanic

Asian Black, Non-

Hispanic

American

Indian/Alaska

Native

Two or More

Races

Hispanic

SOURCE: Table 75. No usual source of health care among adults 18–64 years of age, by selected characteristics: United States, average annual, selected years 1993–1994 through 2008–2009. Health US, 2010. National Center for Health Statistics, Centers for Disease Control and Prevention.

Percent reporting no usual source of care

Diagnosed Diabetes Among Adults Age 20 Years and Older, by Race/Ethnicity, 2007-2009

8%7%

8%

12%13%

16%

Overall White, Non-

Hispanic

Asian Hispanic Black, Non-

Hispanic

American

Indian/ Alaska

Native*

Percent with diagnosed diabetes

NOTE: Percentages are age-adjusted. Diabetes prevalence includes physician-diagnosed (self-reported). * Data for A/AN come from the 2009 Indian Health Services user file. SOURCE: 2011 National Diabetes Fact Sheet. Centers for Disease Control and Prevention. http://www.cdc.gov/diabetes/pubs/estimates11.htm#4

Adult Hospital Admissions for Uncontrolled Diabetes by Race/Ethnicity, 2007

20.9

10.112.7

37.4

65.0

All Adults Asian & NHOPI White, Non-

Hispanic

Hispanic Black, Non-

Hispanic

Admissions per 100,000 population

NOTE: Data are for adult population only and reflect admissions for uncontrolled diabetes without complication. DATA: Agency for Healthcare Research and Quality, Healthcare Cost and Utilization Project. SOURCE: National Healthcare Disparities Report, 2010, available at: http://www.ahrq.gov/qual/qrdr10/2_diabetes/T2_3_1-2.htm.

Adults with Any Mental Illness* in the Past Year by Race/Ethnicity, 2010

20%

16%

18% 19%20%

21%

25%

All Adults Asian Hispanic American

Indian/

Alaska

Native

Black White Multiracial

Percent with any mental illness

NOTE: Any Mental Illness (AMI) is defined as having a diagnosable mental, behavioral, or emotional disorder, other than a substance use disorder, that med the criteria found in the DSM-IV. SOURCE: SAMHSA, Center for Behavioral health Statistics and Quality (formerly the Office of Applied Studies), National Survey on Drug use and Health, 2009 and 2010.

Adults with Any Mental Illness* Who Received Treatment in the Past Year by Race/Ethnicity,

2010

39%

44%

28% 27%

16%

All Adults White Hispanic Black Asian

Percent with any mental illness who received treatment

NOTE: Any Mental Illness (AMI) is defined as having a diagnosable mental, behavioral, or emotional disorder, other than a substance use disorder, that med the criteria found in the DSM-IV. SOURCE: SAMHSA, Center for Behavioral health Statistics and Quality (formerly the Office of Applied Studies), National Survey on Drug use and Health, 2009 and 2010.

Untreated Dental Caries by Age and Race and Ethnicity, 2005-2008

13%

19%17%

22%

39%

31%

22%

35%

32%

Ages 6-19 Years Ages 20-64 Years Ages 65-74 Years

White, Non-Hispanic Black Hispanic

SOURCE: Table 73 (page 1 of 2). Untreated dental caries, by selected characteristics: United States, selected years 1971–1974 through 2005–2008. Health US, 2010. National Center for Health Statistics, Centers for Disease Control and Prevention.

Poverty Status of Nonelderly by Race/Ethnicity, 2010

29%

47% 48% 46%36% 33%

24% 21%

10%

11% 12%

12% 17%

10%9%

27%

25%24%

25%

26% 23%

25%29%

33%

17% 14% 17%26% 28%

41% 42%

15%

All U.S. AI/AN Hispanic Black, Non-

Hispanic

Two or More

Races

NHOPI Asian White, Non-

Hispanic

Less than 138% FPL 138% - 199% FPL 200%-399% FPL 400% FPL or More

DATA: 2011 March Supplement, Current Population Survey. NOTE: FPL in 2010 was $22,050 for a family of four. SOURCE: Kaiser Family Foundation Analyses

Median Income for Elderly Americans by Race and Ethnicity, 2010

$21,000

$23,500

$14,000 $13,500

All Elderly White, Non-Hispanic Black, Non-Hispanic Hispanic

DATA: 2011 March Supplement, Current Population Survey. SOURCE: Kaiser Family Foundation Analyses

Nonelderly Health Coverage by Race/Ethnicity, 2010

62%72% 67%

55% 59%

45% 42% 39%

20%

15%14%

31% 23%

33%28% 29%

19% 14%19% 15% 18% 22%

30% 32%

All U.S. White Asian Two or

More

Races

NHOPI Black AI/AN Hispanic

Employer Medicaid or Other Public Uninsured

DATA: 2011 March Supplement, Current Population Survey. SOURCE: Kaiser Family Foundation Analyses

266.0 Million 165.7 Million 12.6 Million 4.5 Million 0.7 Million 33.7 Million 1.7 Million 47.0 Million

Health Coverage of Nonelderly Hispanics by Subgroup, 2010

39%

52% 48% 45% 42% 37%

29%

25%

19%

38%

22% 30%

24%34%

17%

36% 34%32%

All Nonelderly

Hispanics

Other

Hispanic

Cuban Puerto RicanCentral/South

American

Mexican

Employer or Other Private Medicaid or Other Public Uninsured

SOURCE: Kaiser Family Foundation Analyses of 2011 Current Population Survey.

Health Coverage by Industry, 2010

55%

57%

57%

70%

73%

75%

77%

81%

84%

87%

88%

74%

10%

11%

7%

8%

7%

7%

8%

4%

5%

4%

7%

36%

32%

36%

22%

21%

18%

15%

15%

11%

9%

6%

20%

6%

Agriculture

Services

Construction

Wholesale & Retail

Professions

Utilities & Transportation

Health & Social Services

Mining & Manufacturing

Finance

Info., Communication & Educ

Public Administration

All Nonelderly Employees

Employer Sponsored Medicaid Uninsured

SOURCE: Kaiser Family Foundation Analyses of 2011 Current Population Survey.

Annual Unemployment Rate Ages 16 and Older by Race/Ethnicity, 2011

7.0%

7.9%

11.0%

15.8%

8.9%

Asian

White

Hispanic

Black

Overall

NOTE: Data are not seasonally adjusted, with the exception of Asian workers. SOURCE: Labor Force Statistics. Bureau of Labor Statistics. http://data.bls.gov/PDQ/outside.jsp?survey=ln. Accessed 1/20/12.

Percent Unemployed

Annual Unemployment Rate Ages 16 and Older by Hispanic Ethnicity, 2011

11.2%

11.6%

14.1%

8.9%

Cuban

Mexican

Puerto Rican

All Hispanic

NOTE: Data are not seasonally adjusted, with the exception of Asian workers. SOURCE: Labor Force Statistics. Bureau of Labor Statistics. http://data.bls.gov/PDQ/outside.jsp?survey=ln. Accessed 1/20/12.

Percent Unemployed

Language Spoken at Home among U.S. Population 5 Years and Older, 2006-2008

Language Spoken at

Home

Number of Speakers

Percent of Non-English

at Home Speakers

Number Who Speak

English Less than “Very

Well”

Percent Who Speak

English Less than “Very

Well”

Language Other than English

55,076,078 100% 24,252,429 44%

Spanish 34,183,747 62% 16,120,772 47%

Indo-European Language

10,347,377 19% 3,405,878 33%

Asian or Pacific Island Language

8,267,977 15% 4,041,963 49%

African Languages

710,214 1% 234,509 33%

SOURCE: U.S. Census Bureau, 2006-2008 American Community Survey. http://www.census.gov/hhes/socdemo/language/

Asian

4%

Two or More

Races

1%

White, non-

Hispanic

41%

Hispanic

35%

Black, non-

Hispanic

18%

American

Indian/

Alaska Native

1%

NHOPI

0.29%

Total Nonelderly Uninsured Below 138% FPL = 26.3 million

Distribution of Nonelderly Uninsured Below 138% FPL by Race/Ethnicity, 2010

DATA: 2011 March Supplement, Current Population Survey. SOURCE: Kaiser Family Foundation Analyses

Current and Projected Nonelderly Medicaid Coverage Rates by Race/Ethnicity, 2010

20%

31% 28%

33% 29%

23%

14% 15%

10%

7% 18%

14% 20%

10%

9% 6%

All U.S. Two or MoreRaces

AI/AN Black Hispanic NHOPI Asian White, Non-Hispanic

Current Medicaid or Other Public Coverage Medicaid Eligible (Income only)

DATA: 2011 March Supplement, Current Population Survey. SOURCE: Kaiser Family Foundation Analyses

Coverage Restrictions for Immigrants Under Current Reform Proposals

Lawfully Residing Immigrants

Continue to be subject to “five-year bar” on Medicaid (state option to eliminate bar for pregnant women and/or children).

Eligible for subsidies for exchange coverage on same basis as citizens.

May receive subsidies while subject to “five-year bar.”

Must verify citizenship status (and income) to receive subsidies.

Undocumented Immigrants

Continue to be barred from Medicaid.

Not eligible for subsidies to purchase exchange coverage.

Prohibited from purchasing coverage thru exchange; can buy on individual market.

Nonelderly Persons of Color, by State, 2010

AZ AR

MS

LA

WA

MN

ND

WY

ID

UT CO

OR

NV

CA

MT

IA

WI MI

NE

SD

ME

MO KS

OH IN

NY

KY

TN

NC

NH

MA

VT

PA

VA

WV

CT

NJ

DE

MD

RI

HI

DC

AK

SC

NM

OK

GA

TX

IL

FL

AL

U.S. Minority Population = 37% (99 million)

26 - 40% (13 states)

16 - 25% (13 states)

41 - 83% (12 states and DC)

5 – 15% (12 states)

Source: Kaiser Family Foundation analysis of March 2011 Current Population Surveys, U.S. Census Bureau.

Nonelderly Uninsured, by State, 2010

AZ AR

MS

LA

WA

MN

ND

WY

ID

UT CO

OR

NV

CA

MT

IA

WI MI

NE

SD

ME

MO KS

OH IN

NY

KY

TN

NC

NH

MA

VT

PA

VA

WV

CT

NJ

DE

MD

RI

HI

DC

AK

SC

NM

OK

GA

TX

IL

FL

AL

U.S. Uninsured Population = 19% (50 million)

16 - 20% (24 states)

11 - 15% (13 states and DC)

21 - 30% (10 states)

4 – 10% (3 states)

Source: Kaiser Family Foundation analysis of March 2010 Current Population Surveys, U.S. Census Bureau.

Distribution of U.S. Hispanic Population by State, 2010

New York 7%

Illinois 4%

Arizona 4%

New Jersey 3%

Colorado 2%

California

28%

Texas

19%

Florida

8%

All Other States

25%

SOURCE: The Hispanic Population: 2010. U.S. Census Bureau, 2010

Total U.S. Hispanic Population = 50.5 million

Distribution of U.S. Medical School Enrollees by Race/Ethnicity, 2010

White, Non-

Hispanic

59%

Hispanic

8%

Black, Non-

Hispanic

7%

American

Indian/Alaska

Native

1%

Asian 21%

Native Hawaiian

and Other Pacific

Islander

0.3%Some Other Race

0.1%

U.S. Race

Unknown

3%

Non U.S. or

Permanent

Resident

1%

Total U.S. Enrollees = 18,665

SOURCE: AAMC Data Warehouse: Applicant Matriculant File as of October 4, 2010. https://www.aamc.org/download/152934/data/enrollment_data_2010.pdf. Accessed 1/20/12.