National Healthcare Disparities Report, 2013
Chapter 11: Text Descriptions
Figure 11.1. People living with disability, by age, sex, 2012, and economic status, 2010 and 2012
| Financial Status of People with Disabilities | Percent |
|---|---|
| Severe Disability: Received Public Assistance | 59.0 |
| Nonsevere Disability: Received Public Assistance | 22.9 |
| Below Poverty Level | 22.1 |
| 100-149% of Poverty Level | 14.4 |
| People with Disabilities | Percent |
| Total | 12.2 |
| <5 | 0.8 |
| 5-17 | 5.3 |
| 18-64 | 10.1 |
| 65+ | 35.9 |
| Male | 12.0 |
| Female | 12.4 |
| Employment Status of People with Disabilities | Percent |
| Ages 18-64 and Employed | 33.0 |
| Age 16+ With Earnings greater or equal to $100 | 4.1 |
Source: U.S. Census Bureau, American Community Survey 1-year estimates, 2012.
Note: Earnings data are taken from Disability employment 7A. Detailed census occupation by disability status, employment status (employed, total), earnings (8), sex, and race/ethnicity, Total population, number. Universe: civilian population 16 years and over. DOL Disability Employment Tabulation 2008-2010 (3-year ACS data). Available at: http://factfinder2.census.gov/bkmk/table/1.0/en/EEO/10_3YR/DOLALL7AN. Public assistance data are for ages 15-64 in 2010. Detailed data are available in Brault MW. Americans with disabilities: 2010, Current Population Reports, P70-131, Washington, DC: U.S. Census Bureau; 2012. Poverty level data are for people age 16 and over.
Figure 11.2. Medicare FFS beneficiaries by number of chronic conditions, age and sex, and race/ethnicity, 2010
| Number of chronic conditions | Total | <65 | 65-74 | 75-84 | 85+ | Male | Female | White | Black | API | Hispanic |
|---|---|---|---|---|---|---|---|---|---|---|---|
| 0 or 1 | 32% | 47% | 37% | 23% | 17% | 35% | 29% | 31% | 31% | 32% | 34% |
| 2 or 3 | 32% | 28% | 34% | 33% | 29% | 30% | 34% | 33% | 30% | 33% | 28% |
| 4 or 5 | 23% | 17% | 20% | 27% | 29% | 22% | 23% | 23% | 23% | 23% | 22% |
| 6+ | 14% | 9% | 9% | 18% | 25% | 13% | 15% | 14% | 16% | 11% | 16% |
Key: API = Pacific Islander
Source: Centers for Medicare & Medicaid Services, Chronic conditions and Medicare beneficiaries: chartbook, 2012 edition.
Note: White, Black, and API are non-Hispanic. Hispanic includes all races.
Figure 11.3. Medicare FFS beneficiaries by number of ED visits and number of chronic conditions, 2010
| Number of Chronic Conditions | 0 ED Visits | 1 ED Visit | 2 ED Visits | 3+ ED Visits |
|---|---|---|---|---|
| Total | 68% | 18% | 7% | 7% |
| 0 or 1 | 86% | 10% | 2% | 2% |
| 2 or 3 | 75% | 17% | 5% | 4% |
| 4 or 5 | 59% | 24% | 9% | 8% |
| 6+ | 30% | 26% | 17% | 27% |
Source: Centers for Medicare & Medicaid Services, Chronic conditions and Medicare beneficiaries: chartbook, 2012 edition.
Figure 11.4. Hospital admissions with a readmission within 30 days for Medicare FFS beneficiaries, by number of chronic conditions, age, and sex, 2010
| Number of Chronic Conditions | All FFS Beneficiaries | <65 | 65+ | Male | Female |
|---|---|---|---|---|---|
| 0 or 1 | 9% | 11% | 7% | 10% | 8% |
| 2 or 3 | 10% | 16% | 8% | 11% | 9% |
| 4 or 5 | 14% | 20% | 13% | 15% | 13% |
| 6+ | 25% | 32% | 24% | 27% | 24% |
Source: Centers for Medicare & Medicaid Services, Chronic conditions and Medicare beneficiaries: chartbook, 2012 edition.
Figure 11.5. Heart failure admissions for Medicare FFS beneficiaries, by number of chronic conditions, age and sex, and race/ethnicity, 2011
| 0 or 1 | 2 or 3 | 4 or 5 | 6+ | |
|---|---|---|---|---|
| Total (per 100,000) | 9 | 97 | 825 | 8,203 |
| <65 (per 100,000) | 8 | 110 | 895 | 8,260 |
| 65+ (per 100,000) | 9 | 94 | 814 | 8,195 |
| Male (per 100,000) | 9 | 109 | 914 | 9,069 |
| Female (per 100,000) | 9 | 87 | 757 | 7,584 |
| White (per 100,000) | 9 | 90 | 779 | 7,885 |
| Black (per 100,000) | 14 | 178 | 1,360 | 11,239 |
| API (per 100,000) | 7 | 62 | 531 | 6,480 |
| AI/AN (per 100,000) | 0 | 140 | 1,037 | 8,739 |
| Hispanic (per 100,000) | 7 | 79 | 658 | 7,384 |
Key: API = Asian or Pacific Islander; AI/AN = American Indian or Alaska Native.
Source: Centers for Medicare & Medicaid Services, Medicare beneficiary enrollment and claims for both institutional and noninstitutional settings available from the CMS Chronic Conditions Data Warehouse (CCW), www.ccwdata.org.
Note: White, Black, API, and AI/AN are non-Hispanic. Hispanic includes all races. Data for AI/ANs with zero or one chronic condition did not meet criteria for statistical reliability.
Figure 11.6. Admissions for long-term complications of diabetes for Medicare FFS beneficiaries, by number of chronic conditions, age and sex, and race/ethnicity, 2011
| 0 or 1 | 2 or 3 | 4 or 5 | 6+ | |
|---|---|---|---|---|
| Total (per 100,000) | 5 | 68 | 363 | 1,759 |
| <65 (per 100,000) | 13 | 230 | 1,316 | 5,141 |
| 65+ (per 100,000) | 3 | 37 | 217 | 1,307 |
| Male (per 100,000) | 7 | 99 | 473 | 2,140 |
| Female (per 100,000) | 3 | 45 | 279 | 1,486 |
| White (per 100,000) | 4 | 48 | 254 | 1,350 |
| Black (per 100,000) | 11 | 189 | 967 | 3,787 |
| API (per 100,000) | 2 | 46 | 318 | 1,607 |
| AI/AN (per 100,000) | 22 | 229 | 1,116 | 3,787 |
| Hispanic (per 100,000) | 10 | 149 | 770 | 3,076 |
Key: API = Asian or Pacific Islander; AI/AN = American Indian or Alaska Native.
Source: Centers for Medicare & Medicaid Services, Medicare beneficiary enrollment and claims for both institutional and noninstitutional settings available from the CMS Chronic Conditions Data Warehouse (CCW), www.ccwdata.org.
Note: White, Black, API, and AI/AN are non-Hispanic. Hispanic includes all races. Data for APIs with zero or one chronic condition did not meet criteria for statistical reliability.
Figure 11.7. Individuals ages 12 and older seen by their primary care provider or a psychiatrist in the last 12 months for problems with mental health or use of alcohol or drugs, by sexual orientation, insurance status, family income, and English proficiency, California, 2009
| Straight / Heterosexual | Gay / Lesbian / Bisexual | |
|---|---|---|
| Perceived need for professional mental health or substance abuse counseling | ||
| Total | 16.1 | 37.2 |
| Private | 15.1 | 36.7 |
| Public | 23.1 | 48.6 |
| Uninsured | 15.3 | 28.9 |
| Poor | 17.8 | 37.8 |
| Low Income | 17.7 | 43.5 |
| Middle | 16.1 | 34.0 |
| High | 14.9 | 35.7 |
| English Only | 19.0 | 39.6 |
| Well/Very Well | 14.0 | 33.7 |
| Not Well/Not at all | 10.2 | 30.0 |
| Received treatment by primary care provider or psychiatrist for mental health or substance abuse problem | ||
| Total | 12.2 | 28.2 |
| Private | 11.9 | 29.4 |
| Public | 20.3 | 37.4 |
| Uninsured | 8.0 | 16.8 |
| Poor | 13.7 | 27.7 |
| Low Income | 12.9 | 28.6 |
| Middle | 11.9 | 37.2 |
| High | 11.6 | 26.1 |
| English Only | 15.0 | 31.5 |
| Well/Very Well | 10.7 | 24.8 |
| Not Well/Not at all | 6.1 | NA |
Source: University of California, Los Angeles, Center for Health Policy Research, California Health Interview Survey, 2009.
Note: Data for Gay/Lesbian/Bisexual who received treatment is not available for individuals who did not speak English well or at all.
Figure 11.8. Delayed in getting medical care due to cost or lack of health insurance, by sexual orientation, insurance status, and residence location, 2009
| Straight / Heterosexual | Gay / Lesbian / Bisexual | |
|---|---|---|
| Total | 59.0 | 62.7 |
| Private | 41.4 | 47.0 |
| Public | 60.8 | 64.6 |
| Uninsured | 91.3 | NA |
| Urban | 58.6 | 63.1 |
| Rural | 62.6 | 58.9 |
Source: University of California, Los Angeles, Center for Health Policy Research, California Health Interview Survey, 2009.
Note: Data for uninsured gay/lesbian/bisexual are statistically unreliable.
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