Profile of access to health care among U.S. adults aged 18–64 years: NHANES 1999–2004*
| Access to care . | Diagnosed diabetes . | . | Undiagnosed diabetes . | . | Nondiabetic population . | . | |||
|---|---|---|---|---|---|---|---|---|---|
| . | n/N . | Estimated % (95% CI) . | n/N . | Estimated % (95% CI) . | n/N . | Estimated % (95% CI) . | |||
| Financing | |||||||||
| Uninsured | 144/704 | 19.3 (14.0–26.1) | 38/110 | 36.6 (32.8–40.6) | 1,314/4,782 | 21.2 (19.4–23.2) | |||
| Covered by private insurance in insured | 388/560 | 76.6 (66.2–84.6) | 57/72 | 89.9 (83.0–94.2) | 2,893/3,468 | 88.4 (87.1–89.7) | |||
| Continuity of insurance coverage | |||||||||
| Uninsured >1 year | 66/647† | 10.9 (6.8–17.1) | 24/101† | 25.6 (21.0–30.8) | 541/4,239† | 11.9 (10.3–13.7) | |||
| Uninsured ≤1 year | 63/647† | 11.6 (7.0–18.5) | 14/101† | 12.4 (6.9–21.4) | 572/4,239† | 11.3 (9.9–12.9) | |||
| Continuously insured over past year | 518/647† | 77.5 (71.4–82.7) | 63/101† | 62. 0 (54.7–68.7) | 3,126/4,239† | 76.8 (74.6–78.8) | |||
| Utilization | |||||||||
| Number of times received health care over past year | |||||||||
| None | 27/704 | 2.4 (1.4–4.0) | 27/110 | 24.0 (19.4–29.3) | 979/4,781 | 19.5 (17.9–21.2) | |||
| Once a year | 57/704 | 4.9 (3.3–7.4) | 18/110 | 9.2 (6.2–13.3) | 1,004/4,781 | 21.5 (19.9–23.3) | |||
| Two to three | 158/704 | 29.8 (22.1–38.9) | 26/110 | 33.8 (26.4–42.0) | 1,279/4,781 | 27.6 (26.3–28.9) | |||
| Four or more | 462/704 | 62.8 (54.2–70.7) | 39/110 | 33.0 (26.0–40.9) | 1,519/4,781 | 31.4 (29.7–33.1) | |||
| Routine patterns of health care utilization | |||||||||
| No place | 34/704 | 3.0 (1.5–6.0) | 17/110 | 14.1 (10.7–18.4) | 1,017/4,781 | 18.1 (16.7–19.7) | |||
| Hospital emergency room, outpatient department, or other | 63/704 | 5.2 (3.3–8.1) | 4/110 | 2.0 (0.8–4.8) | 273/4,781 | 5.0 (4.4–5.7) | |||
| Clinic or health care centers | 179/704 | 20.2 (13.8–28.5) | 26/110 | 15.2 (9.7–22.9) | 969/4,781 | 17.8 (15.0–21.0) | |||
| Doctor's office or HMO | 428/704 | 71.7 (63.2–78.8) | 63/110 | 68.7 (61.4–75.2) | 2,522/4,781 | 59.0 (56.5–61.5) | |||
| Access to care . | Diagnosed diabetes . | . | Undiagnosed diabetes . | . | Nondiabetic population . | . | |||
|---|---|---|---|---|---|---|---|---|---|
| . | n/N . | Estimated % (95% CI) . | n/N . | Estimated % (95% CI) . | n/N . | Estimated % (95% CI) . | |||
| Financing | |||||||||
| Uninsured | 144/704 | 19.3 (14.0–26.1) | 38/110 | 36.6 (32.8–40.6) | 1,314/4,782 | 21.2 (19.4–23.2) | |||
| Covered by private insurance in insured | 388/560 | 76.6 (66.2–84.6) | 57/72 | 89.9 (83.0–94.2) | 2,893/3,468 | 88.4 (87.1–89.7) | |||
| Continuity of insurance coverage | |||||||||
| Uninsured >1 year | 66/647† | 10.9 (6.8–17.1) | 24/101† | 25.6 (21.0–30.8) | 541/4,239† | 11.9 (10.3–13.7) | |||
| Uninsured ≤1 year | 63/647† | 11.6 (7.0–18.5) | 14/101† | 12.4 (6.9–21.4) | 572/4,239† | 11.3 (9.9–12.9) | |||
| Continuously insured over past year | 518/647† | 77.5 (71.4–82.7) | 63/101† | 62. 0 (54.7–68.7) | 3,126/4,239† | 76.8 (74.6–78.8) | |||
| Utilization | |||||||||
| Number of times received health care over past year | |||||||||
| None | 27/704 | 2.4 (1.4–4.0) | 27/110 | 24.0 (19.4–29.3) | 979/4,781 | 19.5 (17.9–21.2) | |||
| Once a year | 57/704 | 4.9 (3.3–7.4) | 18/110 | 9.2 (6.2–13.3) | 1,004/4,781 | 21.5 (19.9–23.3) | |||
| Two to three | 158/704 | 29.8 (22.1–38.9) | 26/110 | 33.8 (26.4–42.0) | 1,279/4,781 | 27.6 (26.3–28.9) | |||
| Four or more | 462/704 | 62.8 (54.2–70.7) | 39/110 | 33.0 (26.0–40.9) | 1,519/4,781 | 31.4 (29.7–33.1) | |||
| Routine patterns of health care utilization | |||||||||
| No place | 34/704 | 3.0 (1.5–6.0) | 17/110 | 14.1 (10.7–18.4) | 1,017/4,781 | 18.1 (16.7–19.7) | |||
| Hospital emergency room, outpatient department, or other | 63/704 | 5.2 (3.3–8.1) | 4/110 | 2.0 (0.8–4.8) | 273/4,781 | 5.0 (4.4–5.7) | |||
| Clinic or health care centers | 179/704 | 20.2 (13.8–28.5) | 26/110 | 15.2 (9.7–22.9) | 969/4,781 | 17.8 (15.0–21.0) | |||
| Doctor's office or HMO | 428/704 | 71.7 (63.2–78.8) | 63/110 | 68.7 (61.4–75.2) | 2,522/4,781 | 59.0 (56.5–61.5) | |||
Data source: NHANES 1999–2004; analytic population included participants with diagnosed diabetes, undiagnosed diabetes, and no diabetes; estimated percentages for the U.S. were weighted by morning fasting sample weights and adjusted by age, sex, and race/ethnicity.
Fifty-seven of 704 subjects with diagnosed diabetes, 9 of 110 subjects with undiagnosed diabetes, and 543 of 4,782 subjects without diabetes did not report their continuity of insurance coverage.