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<h1 class="page__title title" id="page-title">National Healthcare Disparities Report, 2013</h1> <h2>Chapter 11: Text Descriptions</h2><div id="block-book-helper-book-helper-inline-navigation" class="block block-book-helper first odd">
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<div class="view-header">
<h3>Table of Contents</h3>
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<div>
<div class="views-field views-field-title"><span class="field-content"><a href="/research/findings/nhqrdr/nhdr13/index.html" title="National Healthcare Disparities Report, 2013">National Healthcare Disparities Report, 2013</a></span></div> </div>
<div>
<a href="/research/findings/nhqrdr/nhdr13/acknow.html" title="Acknowledgments">Acknowledgments</a> </div>
<div>
<a href="/research/findings/nhqrdr/nhdr13/highlights.html" title="Highlights from the 2013 National Healthcare Quality and Disparities Reports">Highlights from the 2013 National Healthcare Quality and Disparities Reports</a> </div>
<div>
<a href="/research/findings/nhqrdr/nhdr13/chap1.html" title="Chapter 1. Introduction and Methods">Chapter 1. Introduction and Methods</a> </div>
<div>
<a href="/research/findings/nhqrdr/nhdr13/chap2.html" title="Chapter 2. Effectiveness of Care for Common Clinical Conditions">Chapter 2. Effectiveness of Care for Common Clinical Conditions</a> </div>
<div>
<a href="/research/findings/nhqrdr/nhdr13/chap3.html" title="Chapter 3. Effectiveness of Care Across the Lifespan">Chapter 3. Effectiveness of Care Across the Lifespan</a> </div>
<div>
<a href="/research/findings/nhqrdr/nhdr13/chap4.html" title="Chapter 4. Patient Safety">Chapter 4. Patient Safety</a> </div>
<div>
<a href="/research/findings/nhqrdr/nhdr13/chap5.html" title="Chapter 5. Timeliness">Chapter 5. Timeliness</a> </div>
<div>
<a href="/research/findings/nhqrdr/nhdr13/chap6.html" title="Chapter 6. Patient Centeredness">Chapter 6. Patient Centeredness</a> </div>
<div>
<a href="/research/findings/nhqrdr/nhdr13/chap7.html" title="Chapter 7. Care Coordination">Chapter 7. Care Coordination</a> </div>
<div>
<a href="/research/findings/nhqrdr/nhdr13/chap8.html" title="Chapter 8. Efficiency">Chapter 8. Efficiency</a> </div>
<div>
<a href="/research/findings/nhqrdr/nhdr13/chap9.html" title="Chapter 9. Health System Infrastructure">Chapter 9. Health System Infrastructure</a> </div>
<div>
<a href="/research/findings/nhqrdr/nhdr13/chap10.html" title="Chapter 10. Access to Health Care">Chapter 10. Access to Health Care</a> </div>
<div>
<a href="/research/findings/nhqrdr/nhdr13/chap11.html" title="Chapter 11. Priority Populations">Chapter 11. Priority Populations</a> </div>
</div>
</div> </div>
</div>
</div>
<div class="field field-name-ahrq-generic-body field-type-text-long field-label-hidden"><div class="field-items"><div class="field-item even"><h4><a id="fig111" name="fig111"> </a>Figure 11.1. People living with disability, by age, sex, 2012, and economic status, 2010 and 2012</h4>
<table border="1" cellpadding="3" cellspacing="1" width="95%">
<tbody>
<tr>
<th scope="col">Financial Status of People with Disabilities</th>
<th scope="col">Percent</th>
</tr>
<tr>
<td scope="row">Severe Disability: Received Public Assistance</td>
<td>59.0</td>
</tr>
<tr>
<td scope="row">Nonsevere Disability: Received Public Assistance</td>
<td>22.9</td>
</tr>
<tr>
<td scope="row">Below Poverty Level</td>
<td>22.1</td>
</tr>
<tr>
<td scope="row">100-149% of Poverty Level</td>
<td>14.4</td>
</tr>
<tr>
<td scope="row"><strong>People with Disabilities</strong></td>
<td><strong>Percent</strong></td>
</tr>
<tr>
<td scope="row">Total</td>
<td>12.2</td>
</tr>
<tr>
<td scope="row">&lt;5</td>
<td>0.8</td>
</tr>
<tr>
<td scope="row">5-17</td>
<td>5.3</td>
</tr>
<tr>
<td scope="row">18-64</td>
<td>10.1</td>
</tr>
<tr>
<td scope="row">65+</td>
<td>35.9</td>
</tr>
<tr>
<td scope="row">Male</td>
<td>12.0</td>
</tr>
<tr>
<td scope="row">Female</td>
<td>12.4</td>
</tr>
<tr>
<td scope="row"><strong>Employment Status of People with Disabilities</strong></td>
<td><strong>Percent</strong></td>
</tr>
<tr>
<td scope="row">Ages 18-64 and Employed</td>
<td>33.0</td>
</tr>
<tr>
<td scope="row">Age 16+ With Earnings greater or equal to $100</td>
<td>4.1</td>
</tr>
</tbody>
</table>
<p><strong>Source:</strong> U.S. Census Bureau, American Community Survey 1-year estimates, 2012.<br />
<strong>Note: </strong>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: <a href="http://factfinder2.census.gov/bkmk/table/1.0/en/EEO/10_3YR/DOLALL7AN">http://factfinder2.census.gov/bkmk/table/1.0/en/EEO/10_3YR/DOLALL7AN</a>. 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.</p>
<p><a href="/research/findings/nhqrdr/nhdr13/chap11.html#fig111">Return to Document</a></p>
<h4><a id="fig112" name="fig112"> </a>Figure 11.2. Medicare FFS beneficiaries by number of chronic conditions, age and sex, and race/ethnicity, 2010</h4>
<p>&nbsp;</p>
<table border="1" cellpadding="3" cellspacing="1" width="95%">
<tbody>
<tr>
<th scope="col">Number of chronic conditions</th>
<th scope="col">Total</th>
<th scope="col">&lt;65</th>
<th scope="col">65-74</th>
<th scope="col">75-84</th>
<th scope="col">85+</th>
<th scope="col">Male</th>
<th scope="col">Female</th>
<th scope="col">White</th>
<th scope="col">Black</th>
<th scope="col">API</th>
<th scope="col">Hispanic</th>
</tr>
<tr>
<td scope="row">0 or 1</td>
<td>32%</td>
<td>47%</td>
<td>37%</td>
<td>23%</td>
<td>17%</td>
<td>35%</td>
<td>29%</td>
<td>31%</td>
<td>31%</td>
<td>32%</td>
<td>34%</td>
</tr>
<tr>
<td scope="row">2 or 3</td>
<td>32%</td>
<td>28%</td>
<td>34%</td>
<td>33%</td>
<td>29%</td>
<td>30%</td>
<td>34%</td>
<td>33%</td>
<td>30%</td>
<td>33%</td>
<td>28%</td>
</tr>
<tr>
<td scope="row">4 or 5</td>
<td>23%</td>
<td>17%</td>
<td>20%</td>
<td>27%</td>
<td>29%</td>
<td>22%</td>
<td>23%</td>
<td>23%</td>
<td>23%</td>
<td>23%</td>
<td>22%</td>
</tr>
<tr>
<td scope="row">6+</td>
<td>14%</td>
<td>9%</td>
<td>9%</td>
<td>18%</td>
<td>25%</td>
<td>13%</td>
<td>15%</td>
<td>14%</td>
<td>16%</td>
<td>11%</td>
<td>16%</td>
</tr>
</tbody>
</table>
<p><strong>Key:</strong> API = Pacific Islander<br />
<strong>Source:</strong> Centers for Medicare &amp; Medicaid Services, Chronic conditions and Medicare beneficiaries: chartbook, 2012 edition.<br />
<strong>Note: </strong>White, Black, and API are non-Hispanic. Hispanic includes all races.</p>
<p><a href="/research/findings/nhqrdr/nhdr13/chap11.html#fig112">Return to Document</a></p>
<h4><a id="fig113" name="fig113"> </a>Figure 11.3. Medicare FFS beneficiaries by number of ED visits and number of chronic conditions, 2010</h4>
<p>&nbsp;</p>
<table border="1" cellpadding="3" cellspacing="1" width="95%">
<tbody>
<tr>
<th scope="col">Number of Chronic Conditions</th>
<th scope="col">0 ED Visits</th>
<th scope="col">1 ED Visit</th>
<th scope="col">2 ED Visits</th>
<th scope="col">3+ ED Visits</th>
</tr>
<tr>
<td scope="row">Total</td>
<td>68%</td>
<td>18%</td>
<td>7%</td>
<td>7%</td>
</tr>
<tr>
<td scope="row">0 or 1</td>
<td>86%</td>
<td>10%</td>
<td>2%</td>
<td>2%</td>
</tr>
<tr>
<td scope="row">2 or 3</td>
<td>75%</td>
<td>17%</td>
<td>5%</td>
<td>4%</td>
</tr>
<tr>
<td scope="row">4 or 5</td>
<td>59%</td>
<td>24%</td>
<td>9%</td>
<td>8%</td>
</tr>
<tr>
<td scope="row">6+</td>
<td>30%</td>
<td>26%</td>
<td>17%</td>
<td>27%</td>
</tr>
</tbody>
</table>
<p><strong>Source:</strong> Centers for Medicare &amp; Medicaid Services, Chronic conditions and Medicare beneficiaries: chartbook, 2012 edition.</p>
<p><a href="/research/findings/nhqrdr/nhdr13/chap11.html#fig113">Return to Document</a></p>
<h4><a id="fig114" name="fig114"> </a>Figure 11.4. Hospital admissions with a readmission within 30 days for Medicare FFS beneficiaries, by number of chronic conditions, age, and sex, 2010</h4>
<table border="1" cellpadding="3" cellspacing="1" width="95%">
<tbody>
<tr>
<th scope="col">Number of Chronic Conditions</th>
<th scope="col">All FFS Beneficiaries</th>
<th scope="col">&lt;65</th>
<th scope="col">65+</th>
<th scope="col">Male</th>
<th scope="col">Female</th>
</tr>
<tr>
<td scope="row">0 or 1</td>
<td>9%</td>
<td>11%</td>
<td>7%</td>
<td>10%</td>
<td>8%</td>
</tr>
<tr>
<td scope="row">2 or 3</td>
<td>10%</td>
<td>16%</td>
<td>8%</td>
<td>11%</td>
<td>9%</td>
</tr>
<tr>
<td scope="row">4 or 5</td>
<td>14%</td>
<td>20%</td>
<td>13%</td>
<td>15%</td>
<td>13%</td>
</tr>
<tr>
<td scope="row">6+</td>
<td>25%</td>
<td>32%</td>
<td>24%</td>
<td>27%</td>
<td>24%</td>
</tr>
</tbody>
</table>
<p><strong>Source:</strong> Centers for Medicare &amp; Medicaid Services, Chronic conditions and Medicare beneficiaries: chartbook, 2012 edition.</p>
<p><a href="/research/findings/nhqrdr/nhdr13/chap11.html#fig114">Return to Document</a></p>
<h4><a id="fig115" name="fig115"> </a>Figure 11.5. Heart failure admissions for Medicare FFS beneficiaries, by number of chronic conditions, age and sex, and race/ethnicity, 2011</h4>
<table border="1" cellpadding="3" cellspacing="1" width="95%">
<tbody>
<tr>
<th scope="col">&nbsp;</th>
<th scope="col">0 or 1</th>
<th scope="col">2 or 3</th>
<th scope="col">4 or 5</th>
<th scope="col">6+</th>
</tr>
<tr>
<td scope="row">Total (per 100,000)</td>
<td>9</td>
<td>97</td>
<td>825</td>
<td>8,203</td>
</tr>
<tr>
<td scope="row">&lt;65 (per 100,000)</td>
<td>8</td>
<td>110</td>
<td>895</td>
<td>8,260</td>
</tr>
<tr>
<td scope="row">65+ (per 100,000)</td>
<td>9</td>
<td>94</td>
<td>814</td>
<td>8,195</td>
</tr>
<tr>
<td scope="row">Male (per 100,000)</td>
<td>9</td>
<td>109</td>
<td>914</td>
<td>9,069</td>
</tr>
<tr>
<td scope="row">Female (per 100,000)</td>
<td>9</td>
<td>87</td>
<td>757</td>
<td>7,584</td>
</tr>
<tr>
<td scope="row">White (per 100,000)</td>
<td>9</td>
<td>90</td>
<td>779</td>
<td>7,885</td>
</tr>
<tr>
<td scope="row">Black (per 100,000)</td>
<td>14</td>
<td>178</td>
<td>1,360</td>
<td>11,239</td>
</tr>
<tr>
<td scope="row">API (per 100,000)</td>
<td>7</td>
<td>62</td>
<td>531</td>
<td>6,480</td>
</tr>
<tr>
<td scope="row">AI/AN (per 100,000)</td>
<td>0</td>
<td>140</td>
<td>1,037</td>
<td>8,739</td>
</tr>
<tr>
<td scope="row">Hispanic (per 100,000)</td>
<td>7</td>
<td>79</td>
<td>658</td>
<td>7,384</td>
</tr>
</tbody>
</table>
<p><strong>Key:</strong> API = Asian or Pacific Islander; AI/AN = American Indian or Alaska Native.<br />
<strong>Source:</strong> Centers for Medicare &amp; Medicaid Services, Medicare beneficiary enrollment and claims for both institutional and noninstitutional settings available from the CMS Chronic Conditions Data Warehouse (CCW), <a href="http://www.ccwdata.org">www.ccwdata.org</a>.<br />
<strong>Note: </strong>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.</p>
<p><a href="/research/findings/nhqrdr/nhdr13/chap11.html#fig115">Return to Document</a></p>
<h4><a id="fig116" name="fig116"> </a>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</h4>
<table border="1" cellpadding="3" cellspacing="1" width="95%">
<tbody>
<tr>
<th scope="col">&nbsp;</th>
<th scope="col">0 or 1</th>
<th scope="col">2 or 3</th>
<th scope="col">4 or 5</th>
<th scope="col">6+</th>
</tr>
<tr>
<td scope="row">Total (per 100,000)</td>
<td>5</td>
<td>68</td>
<td>363</td>
<td>1,759</td>
</tr>
<tr>
<td scope="row">&lt;65 (per 100,000)</td>
<td>13</td>
<td>230</td>
<td>1,316</td>
<td>5,141</td>
</tr>
<tr>
<td scope="row">65+ (per 100,000)</td>
<td>3</td>
<td>37</td>
<td>217</td>
<td>1,307</td>
</tr>
<tr>
<td scope="row">Male (per 100,000)</td>
<td>7</td>
<td>99</td>
<td>473</td>
<td>2,140</td>
</tr>
<tr>
<td scope="row">Female (per 100,000)</td>
<td>3</td>
<td>45</td>
<td>279</td>
<td>1,486</td>
</tr>
<tr>
<td scope="row">White (per 100,000)</td>
<td>4</td>
<td>48</td>
<td>254</td>
<td>1,350</td>
</tr>
<tr>
<td scope="row">Black (per 100,000)</td>
<td>11</td>
<td>189</td>
<td>967</td>
<td>3,787</td>
</tr>
<tr>
<td scope="row">API (per 100,000)</td>
<td>2</td>
<td>46</td>
<td>318</td>
<td>1,607</td>
</tr>
<tr>
<td scope="row">AI/AN (per 100,000)</td>
<td>22</td>
<td>229</td>
<td>1,116</td>
<td>3,787</td>
</tr>
<tr>
<td scope="row">Hispanic (per 100,000)</td>
<td>10</td>
<td>149</td>
<td>770</td>
<td>3,076</td>
</tr>
</tbody>
</table>
<p><strong>Key:</strong> API = Asian or Pacific Islander; AI/AN = American Indian or Alaska Native.<br />
<strong>Source:</strong> Centers for Medicare &amp; Medicaid Services, Medicare beneficiary enrollment and claims for both institutional and noninstitutional settings available from the CMS Chronic Conditions Data Warehouse (CCW), <a href="http://www.ccwdata.org">www.ccwdata.org</a>.<br />
<strong>Note: </strong>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.</p>
<p><a href="/research/findings/nhqrdr/nhdr13/chap11.html#fig116">Return to Document</a></p>
<h4><a id="fig117" name="fig117"> </a>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</h4>
<table border="1" cellpadding="3" cellspacing="1" width="95%">
<tbody>
<tr>
<th scope="col">&nbsp;</th>
<th scope="col">Straight / Heterosexual</th>
<th scope="col">Gay / Lesbian / Bisexual</th>
</tr>
<tr>
<td scope="row"><strong>Perceived need for professional mental health or substance abuse counseling</strong></td>
<td colspan="2">&nbsp;</td>
</tr>
<tr>
<td scope="row">Total</td>
<td>16.1</td>
<td>37.2</td>
</tr>
<tr>
<td scope="row">Private</td>
<td>15.1</td>
<td>36.7</td>
</tr>
<tr>
<td scope="row">Public</td>
<td>23.1</td>
<td>48.6</td>
</tr>
<tr>
<td scope="row">Uninsured</td>
<td>15.3</td>
<td>28.9</td>
</tr>
<tr>
<td scope="row">Poor</td>
<td>17.8</td>
<td>37.8</td>
</tr>
<tr>
<td scope="row">Low Income</td>
<td>17.7</td>
<td>43.5</td>
</tr>
<tr>
<td scope="row">Middle</td>
<td>16.1</td>
<td>34.0</td>
</tr>
<tr>
<td scope="row">High</td>
<td>14.9</td>
<td>35.7</td>
</tr>
<tr>
<td scope="row">English Only</td>
<td>19.0</td>
<td>39.6</td>
</tr>
<tr>
<td scope="row">Well/Very Well</td>
<td>14.0</td>
<td>33.7</td>
</tr>
<tr>
<td scope="row">Not Well/Not at all</td>
<td>10.2</td>
<td>30.0</td>
</tr>
<tr>
<td scope="row"><strong>Received treatment by primary care provider or psychiatrist for mental health or substance abuse problem</strong></td>
<td colspan="2">&nbsp;</td>
</tr>
<tr>
<td scope="row">Total</td>
<td>12.2</td>
<td>28.2</td>
</tr>
<tr>
<td scope="row">Private</td>
<td>11.9</td>
<td>29.4</td>
</tr>
<tr>
<td scope="row">Public</td>
<td>20.3</td>
<td>37.4</td>
</tr>
<tr>
<td scope="row">Uninsured</td>
<td>8.0</td>
<td>16.8</td>
</tr>
<tr>
<td scope="row">Poor</td>
<td>13.7</td>
<td>27.7</td>
</tr>
<tr>
<td scope="row">Low Income</td>
<td>12.9</td>
<td>28.6</td>
</tr>
<tr>
<td scope="row">Middle</td>
<td>11.9</td>
<td>37.2</td>
</tr>
<tr>
<td scope="row">High</td>
<td>11.6</td>
<td>26.1</td>
</tr>
<tr>
<td scope="row">English Only</td>
<td>15.0</td>
<td>31.5</td>
</tr>
<tr>
<td scope="row">Well/Very Well</td>
<td>10.7</td>
<td>24.8</td>
</tr>
<tr>
<td scope="row">Not Well/Not at all</td>
<td>6.1</td>
<td>NA</td>
</tr>
</tbody>
</table>
<p>&nbsp;</p>
<p><strong>Source:</strong> University of California, Los Angeles, Center for Health Policy Research, California Health Interview Survey, 2009.<br />
<strong>Note: </strong>Data for Gay/Lesbian/Bisexual who received treatment is not available for individuals who did not speak English well or at all.</p>
<p><a href="/research/findings/nhqrdr/nhdr13/chap11.html#fig117">Return to Document</a></p>
<h4><a id="fig118" name="fig118"> </a>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</h4>
<table border="1" cellpadding="3" cellspacing="1" width="95%">
<tbody>
<tr>
<th scope="col">&nbsp;</th>
<th scope="col">Straight / Heterosexual</th>
<th scope="col">Gay / Lesbian / Bisexual</th>
</tr>
<tr>
<td scope="row">Total</td>
<td>59.0</td>
<td>62.7</td>
</tr>
<tr>
<td scope="row">Private</td>
<td>41.4</td>
<td>47.0</td>
</tr>
<tr>
<td scope="row">Public</td>
<td>60.8</td>
<td>64.6</td>
</tr>
<tr>
<td scope="row">Uninsured</td>
<td>91.3</td>
<td>NA</td>
</tr>
<tr>
<td scope="row">Urban</td>
<td>58.6</td>
<td>63.1</td>
</tr>
<tr>
<td scope="row">Rural</td>
<td>62.6</td>
<td>58.9</td>
</tr>
</tbody>
</table>
<p><strong>Source:</strong> University of California, Los Angeles, Center for Health Policy Research, California Health Interview Survey, 2009.<br />
<strong>Note: </strong>Data for uninsured gay/lesbian/bisexual are statistically unreliable.</p>
<p><a href="/research/findings/nhqrdr/nhdr13/chap11.html#fig118">Return to Document</a></p>
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