Analysis of Children's Health Insurance Patterns: Findings from the SIPP. 1. Uninsured At a Point in Time Versus Ever in a Year

05/12/1999

Table 12 compares demographic differentials in the number of children uninsured in September 1994 and the number ever uninsured during FY94, and Table 13 compares socioeconomic

differentials. In both tables we see that the percentages of children ever uninsured during the year are much higher than the percentages uninsured in September 1994, and this in itself is striking, but the differentials are not materially different except for race/ethnicity and region. Black non-Hispanic children are more likely than children in the "other" group of races to have been ever uninsured during the year but less likely to be uninsured in September 1994. With respect to region there is a very clear division between the Northeast and Midwest, on the one hand, and the South and West on the other in the percentage ever uninsured during FY94. In the Northeast and Midwest the proportions ever uninsured during the year vary from 12 to 17 percent while in the South and West these proportions range between 22 and 33 percent. We note as well that the very large differentials in the frequency of uninsurance by parents' education are even more impressive with respect to children ever uninsured during the year. The proportion of children ever uninsured in FY94 rises from 8 percent among children whose parents did some graduate work after college to 54 percent among children whose parents received less than 7 years of education

Consistent with the generally very limited change in differentials between children uninsured in September 1994 and children ever uninsured during FY94, shares of the two groups of uninsured show little difference. This holds true even where the differentials in the proportion ever uninsured during the year are clearly larger than the differentials in the proportion uninsured in September 1994. For example, while the difference between Hispanic children and non-Hispanic white children grows from 16 percentage points to 20 percentage points, the Hispanic share of children who were ever uninsured is actually 3 to 4 percentage points lower than the Hispanic share of children uninsured in September 1994. Because the white population is so much larger than the Hispanic population, a smaller percentage point change can nevertheless add more white children than Hispanic children to the number of uninsured. We see a similar phenomenon with respect to region. Despite larger percentage point increases in the proportion uninsured in the South and West, the share of uninsured children living in these regions is no higher for children ever uninsured in FY94 than for children uninsured in September 1994.

TABLE 12: CHILDREN UNINSURED IN SEPTEMBER 1994 AND EVER IN FY94, BY DEMOGRAPHIC CHARACTERISTICS
Demographic Characteristic Percent Uninsured Share of Uninsured
In Sept. 1994 Ever in FY94 In Sept. 1994 Ever in FY94
All Children 12.7 21.5 100 100
Age of Child     100 100
    Infant (0) 9.3 14.2 3.1 2.8
    1 to 5 10.5 19.9 22.3 25.1
    6 to 8 11.9 20.9 15.3 15.9
    9 to 10 13.8 21.4 11.4 10.5
    11 to 15 13.6 22.3 28.7 27.9
    16 to 18 16.3 25.5 19.3 17.9
Race/Ethnicity of Child     100 100
    White Non-Hispanic 10 17.8 53.2 56.3
    Black Non-Hispanic 12.5 23.7 14.6 16.5
    Hispanic 26.3 38.3 26.2 22.7
    Other 16.8 21.4 5.9 4.5
Family Composition     100 100
    Both Parents Present 11.5 19.5 64.9 65.2
    Mother Only Present 14.7 25.1 27.4 27.8
    Father Only Present 21.3 33.7 3.6 3.4
    No Parent Present 23 34.8 4 3.6
Metropolitan Residence     100 100
    Metro 12.2 20.7 70.5 71.2
    Non-Metro 14.3 23.3 28.1 27.2
    Not Applicable 14.7 27.9 1.4 1.5
Region     100 100
    New England 7.1 11.9 2.4 2.4
    Middle Atlantic 9.2 15.3 10.3 10.1
    East North Central 10.6 17.3 15 14.5
    West North Central 7.9 15.3 5.4 6.2
    South Atlantic 12.5 22 16 16.7
    East South Central 16 26.6 8.6 8.5
    West South Central 21.5 33.3 18.5 17
    Mountain 11.7 24.9 4.4 5.6
    Pacific 15.6 25.7 19.5 19.1
SOURCE: Survey of Income and Program Participation, 1992 Panel.

 

TABLE 13: CHILDREN UNINSURED IN SEPTEMBER 1994 AND EVER IN FY94, BY SOCIOECONOMIC CHARACTERISTICS
Socioeconomic Characteristic Percent Uninsured Share of Uninsured
In Sept. 1994 Ever in FY94 In Sept. 1994 Ever in FY94
Poverty Level     100 100
    Less than 50% FPL 16.2 27.6 11.8 11.9
    50% to < 100% FPL 23.3 34.2 21.2 18.5
    100% to < 200% FPL 20.9 32.4 38.7 35.5
    200% to < 300% FPL 11.1 20.5 17.8 19.5
    300% FPL or Greater 3.8 8.9 10.5 14.6
Parents' Employment     100 100
    1 or More Full Time 11.1 19.1 68.7 69.8
    Part Time Only 22.3 35.6 9.1 8.6
    No Working Parent 16.5 27.3 18.2 17.9
    No Parent Present 23 34.8 4 3.6
Parents' Education     100 100
    No Parent Present 23 34.8 4 3.6
    6 Years or Less 43.1 53.6 7.7 5.7
    7 to 11 Years 22.9 33.6 17.4 15.2
    12 Years 15.9 27.2 41.7 42.2
    Attended College 9.7 18.4 18.1 20.3
    4-Year College Degree 6 11.3 6.9 7.8
    Graduate Work 3.8 8 4.1 5.2
SOURCE: Survey of Income and Program Participation, 1992 Panel.

 

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