This issue brief presents findings from the 2009 District of Columbia Health Insurance Survey conducted August to November 2009. It presents a profile of nonelderly adult residents in DC who reported that they were uninsured looking at gender, race and ethnicity, income, length of residence in DC, ward of residence, and employment status. It also presents the reasons that residents gave for not having health coverage.
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Between August and November 2009, the Urban Institute and Social Sciences Research Solutions conducted a survey of households in the District of Columbia for the DC Department of Health Care Finance. The 2009 DC Health Insurance Survey (DC-HIS) includes interviews with 4,717 households. The sample covered only non-institutionalized residents and did not include homeless residents. The survey used a combination of random digit dial (RDD) telephone and address-based sampling in order to contact households with and without landline telephones. The combined response rate was 34.1 percent. The survey data was analyzed by the Urban Institute.1 In this brief, we present estimates of uninsurance among District residents and explore the characteristics of the uninsured and the reasons for their lack of insurance using data from the 2009 DC-HIS.
Who are the uninsured?
In the District, 6.2 percent of all residents reported that they were uninsured at the time of the survey, and 10.6 percent reported that they had been uninsured at some point in the last 12 months. Uninsurance rates were highest among nonelderly adults (ages 18 to 64), with 7.9 percent uninsured at the time of the survey and 13.4 percent uninsured at some point in the past 12 months. Uninsurance rates for both children (up to age 18) and the elderly (age 65 and above) were lower. Only 3.2 percent of children were reported as uninsured at the time of the survey and 5.6 percent at any point in the past 12 months. Uninsurance among the elderly was low at approximately 1 percent.
In this brief, we report details about nonelderly adult residents who reported that they were uninsured at the time of the survey. We look first at the demographic characteristics of uninsured residents as compared with insured residents, including gender, race/ethnicity, income, educational attainment, and citizenship. We then consider how long they have lived in the District and where they live within the city. Next, we examine differences in employment between uninsured and insured residents. Finally, we present the reasons that uninsured residents gave for why they did not have insurance. Unless otherwise stated, statistics refer to nonelderly adult residents and all differences that we report are statistically significant at the p < 0.10 level or better.
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