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Subject:
From:
Dennis Raphael <[log in to unmask]>
Reply To:
Social Determinants of Health <[log in to unmask]>
Date:
Fri, 27 Aug 2004 14:48:05 -0400
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--from:

To:    "Population Health Forum" <[log in to unmask]>
cc:

Subject:    Census Data on Income, Poverty etc for US


There is some material about this in the newspapers, but this summary and
leads to the full report tells much more.  Consider that in Hidalgo County
in Texas, almost half the children are poor.  This in the richest and most
powerful country in world history, with over half of the world's
billionaires.  No small accomplishment!  Stephen

****
  Income Stable, Poverty Up, Numbers of Americans With and Without Health
                   Insurance Rise, Census Bureau Reports


      Real median household income remained unchanged between 2002 and 2003
at $43,318, according to a report released today by the U.S. Census Bureau.
At the same time, the nation's official poverty rate rose from 12.1 percent
in 2002 to 12.5 percent in 2003. The number of people with health insurance
increased by 1.0 million to 243.3 million between 2002 and 2003, and the
number without such coverage rose by 1.4 million to 45.0 million. The
percentage of the nation's population without coverage grew from 15.2
percent in 2002 to 15.6 percent in 2003.


               Source of Estimates and Statistical Accuracy
As with all surveys, the estimates may differ from the actual values
because of sampling variation or other factors. All statements in this
report have undergone statistical testing, and all comparisons are
significant at the 90-percent confidence level, unless otherwise noted.


      The report, Income, Poverty, and Health Insurance Coverage in the
United States: 2003, is available on the Internet at <
http://www.census.gov/hhes/www/income.html>. The report's data were
compiled from information collected in the 2004 Annual Social and Economic
Supplement (ASEC) to the Current Population Survey (CPS).

      Also released today were tabulations from the 2003 American Community
Survey (ACS). The survey is the largest household survey in the United
States (800,000 housing units per year during the test phase). Like the
decennial census long form it is designed to replace, the ACS provides
information on money income and poverty, as well as a range of other social
and economic indicators. ACS data for 2003 are shown for 116 metropolitan
areas, 233 counties and 68 cities, all with populations of 250,000 or more.
Starting in 2006, the Census Bureau expects data will be available for all
areas with populations of 65,000 or more. And by 2010, data will be
available down to the census tract and block group levels.

      The fact sheet, Differences Between the Income and Poverty Estimates
>From the American Community Survey and the Current Population Survey
Annual
Social and Economic Supplement, provides information on the differences in
concepts and purposes of the ACS and the CPS.

                                  Income

Overview

-- Real median income for the nation remained unchanged between 2002 and
2003 for all types of family and nonfamily households.

Race and Hispanic Origin

-- Real median income did not change between 2002 and 2003 for non-Hispanic
white households (about $48,000), black households (about $30,000) or Asian
households (about $55,500).

-- Households with Hispanic householders (who can be of any race)
experienced a real decline in median income of 2.6 percent between 2002 and
2003.

-- Comparison of two-year moving averages (2001-2002 and 2002-2003) showed
that the real median income for households with householders who reported
American Indian and Alaska native, regardless of whether they reported any
other races, increased by 4.0 percent to $35,441. There was no change for
those who chose the single race of American Indian and Alaska native
($32,866).

Regions

-- Real median household income remained unchanged between 2002 and 2003 in
three of the four census regions ? Northeast ($46,742), Midwest ($44,732)
and West ($46,820). The exception was the South, where income declined 1.5
percent. The South continued to have the lowest median household income of
all four regions ($39,823). The difference between median household incomes
in the Northeast and West was not statistically significant.

Nativity

-- Native households had a real median income in 2003 ($44,347), not
different from that in 2002. Foreign-born households experienced a real
decline of 3.5 percent to $37,499.

Earnings

-- Real median earnings of men age 15 and older who worked full-time,
year-round in 2003 ($40,668) remained unchanged from 2002. Women with
similar work experience  saw their earnings decline ? 0.6 percent to
$30,724 ? their first annual decline since 1995. As a result, the ratio of
female-to-male earnings for full-time, year-round workers was 76 cents for
every dollar in 2003, down from 77 cents for every dollar in 2002.

Income Inequality

-- Income inequality showed no change between 2002 and 2003 when measured
by the Gini index. The share of aggregate income received by the lowest
household income quintile (20 percent of households) declined from 3.5
percent to 3.4 percent, while remaining unchanged for the other quintiles.


                                  Poverty
Overview

-- The number of people below the official poverty thresholds numbered 35.9
million in 2003, or 1.3 million more than in 2002, for a 2003 poverty rate
of 12.5 percent. Although up from 2002, this rate is below the average of
the 1980s and 1990s.


-- The poverty rate and number of families in poverty increased from 9.6
percent and 7.2 million in 2002 to 10.0 percent and 7.6 million in 2003.
The corresponding numbers for unrelated individuals in poverty in 2003 were
20.4 percent and 9.7 million (not different from 2002).

-- As defined by the Office of Management and Budget and updated for
inflation using the Consumer Price Index, the average poverty threshold for
a family of four in 2003 was $18,810; for a family of three, $14,680; for a
family of two, $12,015; and for unrelated individuals, $9,393.

Race and Hispanic Origin

-- In 2003, among people who reported a single race, the poverty rate for
non-Hispanic whites was 8.2 percent, unchanged from 2002. Although
non-Hispanic whites had a lower poverty rate than other racial groups, they
accounted for 44 percent of the people in poverty.

-- For blacks, neither the poverty rate nor the number in poverty changed
between 2002 and 2003. People who reported black as their only race, for
example, had a poverty rate of 24.4 percent in 2003.

-- Among those who indicated Asian as their only race, 11.8 percent were in
poverty in 2003, up from 10.1 percent in 2002. The number in poverty also
rose, from 1.2 million to 1.4 million. For the population that reported
Asian, regardless of whether they also reported another race, the rate and
the number increased to 11.8 percent and 1.5 million.

-- Among Hispanics, the poverty rate remained unchanged, at 22.5 percent in
2003, while the number in poverty increased from 8.6 million in 2002 to 9.1
million in 2003.

-- The poverty rate of American Indians and Alaska natives did not change
when comparing two-year averages for 2001-2002 and 2002-2003.

-- The three-year average poverty rate for people who reported American
Indian and Alaska native as their only race (23.2 percent) was not
different from the rates for blacks or Hispanics. It was higher than the
rate for non-Hispanic whites who reported only one race. The three-year
average poverty rate for people who reported American Indian and Alaska
native, regardless of whether they also reported another race (20.0
percent), was lower than the rates for blacks or Hispanics and higher than
the rate for non-Hispanic whites who reported only one race.

Age

-- For all children under 18, the poverty rate increased from 16.7 percent
in 2002 to 17.6 percent in 2003. The number in poverty rose, from 12.1
million to 12.9 million.

-- Neither people 18 to 64 years old nor those age 65 and over experienced
a change in their poverty rate, 10.8 percent and 10.2 percent in 2003,
respectively.

States

-- The poverty rate for Arkansas (18.5 percent) ? although not different
from the rates for New Mexico, Mississippi, Louisiana, West Virginia and
the District of Columbia ? was higher than the rates for the other 45
states when comparing three-year average poverty rates for 2001 to 2003.
Conversely, New Hampshire's rate (6.0 percent) ? though not different from
the rate for Minnesota ? was lower than those of the other 48 states and
the District of Columbia.

-- Seven states ? Illinois, Michigan, Nevada, North Carolina, South Dakota,
Texas and Virginia ? showed increases in their poverty rates based on
two-year moving averages (2001-2002 and 2002-2003), while two states ?
Mississippi and North Dakota ? showed decreases.

Nativity

-- The native population had increases in their poverty rate (from 11.5
percent in 2002 to 11.8 percent in 2003) and their number in poverty (from
29.0 million in 2002 to 30.0 million in 2003). Poverty rates remained
unchanged for foreign-born naturalized citizens (10.0 percent) and for
foreign-born noncitizens (21.7 percent). Although the number for
foreign-born naturalized citizens in poverty (1.3 million) did not change
from 2002, the number of foreign-born noncitizens in poverty increased (to
4.6 million in  2003 from 4.3 million in 2002).


                         American Community Survey

Income

            Counties

-- In the 2003 ACS, Somerset County, N.J., while not different from Howard
County, Md., or Prince William County, Va., had the highest median
household income ($89,289) of the 233 counties with populations of 250,000
or more in the sample.

-- The median household income of Hidalgo County, Texas ($24,926), while
not different from Cameron County, Texas; Bronx County, N.Y.; or Lubbock
County, Texas, was lower than those of the remaining 229 counties.

Poverty

            Counties

-- Somerset County, N. J., while not different from Waukesha County, Wis.;
Anne Arundel County, Md.; Howard County, Md.; Prince William County, Va.;
or Anoka County, Minn., had a poverty rate (1.7 percent) that was lower
than those of any of the other counties with a population of 250,000 or
more.

-- Hidalgo County, Texas (38.0 percent), and Cameron County, Texas (36.5
percent), had poverty rates higher than those of the other 231 counties,
though not different from one another.

Children Under 18 Years Old

            Counties

-- Somerset County, N. J., while not different from 17 other counties, had
a child poverty rate (2.0 percent) that was lower than any of the remaining
counties of 250,000 or more in the 2003 ACS.

-- Hidalgo County, Texas, while not different from Cameron County, Texas,
had a child poverty rate (48.6 percent) that was higher than those of the
other counties of 250,000 or more.


                             Health Insurance

Overview

-- The number of people with health insurance coverage rose from 242.4
million in 2002 to 243.3 million in 2003. Nonetheless, the percentage with
coverage dropped from 84.8 percent to 84.4 percent, mirroring a drop in the
percentage of people covered by employment-based health insurance (61.3
percent in 2002 to 60.4 percent in 2003). This decline in employment-based
health insurance coverage essentially explains the drop in total private
health insurance coverage, from 69.6 percent in 2002 to 68.6 percent in
2003.

-- The percentage of people covered by government health insurance programs
rose in  2003, from 25.7 percent to 26.6 percent, largely as the result of
increases in Medicaid and Medicare coverage. Medicaid coverage rose 0.7
percentage points to 12.4 percent in 2003, and Medicare coverage increased
0.2 percentage points to 13.7 percent.

-- The proportion of uninsured children did not change in 2003, remaining
at 11.4 percent of all children, or 8.4 million.

Race and Hispanic Origin

-- The uninsured rate did not change for blacks (about 19.5 percent) or
Asians (about 18.7 percent) between 2002 and 2003. (The health insurance
coverage rates of blacks and Asians were not different in 2003.)
Non-Hispanics who reported white as their only race saw their uninsured
rate increase from 10.7 percent to 11.1 percent.

-- The uninsured rate for Hispanics, who may be of any race, was 32.7
percent in 2003 ? unchanged from 2002.

-- Based on a three-year average (2001-2003), 27.5 percent of people who
reported American Indian and Alaska native as their only race were without
coverage, lower than the uninsured rate for Hispanics (32.8 percent) but
higher than that of the other race groups. Comparisons of two-year moving
averages (2001-2002 and 2002-2003) showed that the uninsured rate for
American Indians and Alaska natives did not change.

Nativity

-- The proportion of the foreign-born population without health insurance
(34.5 percent) was about two-and-a-half times that of the native population
(13.0 percent) in 2003.

Regions

-- The South was the only region to show an increase in its uninsured rate
in 2003, up from 17.5 percent in 2002 to 18.0 percent. The health insurance
coverage rates of people in the South and in the West (17.6 percent) were
not different in 2003. The percentages for the Northeast and Midwest were
12.9 percent and 12.0 percent, respectively.

Methodology

      The estimates in the income, poverty and health insurance report are
based on the 2002,
2003 and 2004 Annual Social and Economic Supplements to the Current
Population Survey (CPS ASEC), which is conducted in February, March and
April at about 100,000 addresses nationwide. The CPS is a labor force
survey conducted monthly by the Census Bureau for the Bureau of Labor
Statistics using Computer-Assisted Telephone Interviewing (CATI) and
Computer-Assisted Personal Interviewing (CAPI).

      The American Community Survey (ACS) is an integral part of the plan
to redesign the decennial census and will replace the "long form." During
the 2000-2004 testing program, the ACS has been collecting data from a
sample of about 800,000 addresses per year. These estimates are collected
on a rolling basis every month. The ACS uses the Census 2000 self-response
mail-out/mail-back methodology, followed by CATI, followed by CAPI.

      Estimates from the CPS ASEC may not match the estimates from the ACS
because of differences in the questionnaires, data collection methodology,
reference period, processing procedures, etc. As both are surveys, they are
subject to sampling and nonsampling errors. All comparisons made in the
report have been tested and found to be statistically significant at the
90-percent confidence level, unless otherwise noted.

      For additional information on the CPS data, visit
<http://www.census.gov/hhes/www/p60-226sa.pdf>. For additional information
on ACS data, visit <
 http://www.census.gov/acs/www/UseData/Accuracy/Accuracy1.htm>.

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