Virginia State Chartbook
Content
Virginia
SHAP Grantee Chartbook
Health Insurance Coverage Estimates
from the 2008 American Community Survey (ACS)
Prepared for:
State Health Access Program (SHAP)
Last Updated: August 23, 2010
Virginia SHAP Grantee Chartbook
This chartbook was prepared for the U.S. Department of Health and Human Services Health Resources and Services Administration’s State Health Access Program (SHAP) by the State Health Access Data Assistance Center (SHADAC).
5600 Fishers Lane Rockville, MD 20857 HRSA Contact Person Michelle Herzog Ph. 301-443-0650 Email. [email protected]
2221 University Ave SE, Suite 345 Minneapolis, MN 55414 Ph. 612-624-4802 Fax. 612-624-1493 Email. [email protected] www.shadac.org/shap
Virginia SHAP Grantee Organization:
Virginia Department of Health Office of Minority Health and Public Policy Project Director Kathy H. Wibberly Ph. 804-864-7426 Email. [email protected]
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Virginia SHAP Grantee Chartbook
Table of Contents
Page
Introduction .................................................................................................................................................. 1 Summary Statistics ........................................................................................................................................ 1 Exhibit 1: Any Source of Health Insurance Coverage by Poverty Level, Age 0-64, ACS 2008 ......................................................................................................................................................... 1 Maps and Data Tables................................................................................................................................... 2 Exhibit 2.1: Sub-State Uninsurance Estimates, Age 0-64, ACS 2008 ....................................................... 3 Exhibit 2.2: Demographic Profile by Source of Health Insurance Coverage, Age 0-64, ACS 2008 .................................................................................................................................................. 4 Exhibit 2.3: Sub-State Uninsurance Estimates, Age 0-64, <200% FPL, ACS 2008 .................................... 5 Exhibit 2.4: Demographic Profile by Source of Health Insurance Coverage, Age 0-64, <200% FPL, ACS 2008 ............................................................................................................................... 6 Exhibit 2.5: Sub-State Uninsurance Estimates, Age 0-64 by Federal Poverty Level (FPL), ACS 2008 ........................................................................................................................................ 7 Exhibit 3.1: Sub-State Uninsurance Estimates, Age 0-18, ACS 2008 ....................................................... 9 Exhibit 3.2: Demographic Profile by Source of Health Insurance Coverage, Age 0-18, ACS 2008 ................................................................................................................................................ 10 Exhibit 3.3: Sub-State Uninsurance Estimates, Age 0-18, <200% FPL, ACS 2008 .................................. 11 Exhibit 3.4: Demographic Profile by Source of Health Insurance Coverage, Age 0-18, <200% FPL, ACS ...................................................................................................................................... 12 Exhibit 3.5: Sub-State Uninsurance Estimates, Age 0-18 by Federal Poverty Level (FPL), ACS 2008 ...................................................................................................................................... 13 Exhibit 4.1: Sub-State Uninsurance Estimates, Age 19-64, ACS 2008 ................................................... 15 Exhibit 4.2: Demographic Profile by Source of Health Insurance Coverage, Age 19-64, ACS 2008 ................................................................................................................................................ 16 Exhibit 4.3: Sub-State Uninsurance Estimates, Age 19-64, <200% FPL, ACS 2008 ................................ 17 Exhibit 4.4: Demographic Profile by Source of Health Insurance Coverage, Age 19-64, <200% FPL, ACS ...................................................................................................................................... 18 Exhibit 4.5: Sub-State Uninsurance Estimates, Age 19-64 by Federal Poverty Level (FPL), ACS 2008 ...................................................................................................................................... 19 Appendix A. Technical Assistance Available from SHADAC ....................................................................... 21 Appendix B. Data Source............................................................................................................................ 22 Appendix C. County Groupings in Sub-state Areas .................................................................................... 23 Appendix D. Virginia Map of Major Cities .................................................................................................. 31 Appendix E. Virginia Map of County Boundaries ....................................................................................... 32
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Virginia SHAP Grantee Chartbook
Introduction
This chartbook of health insurance coverage estimates is designed to be an easily accessed resource for State Health Access Program (SHAP) grantees. Estimates for key population groups within your state are provided in summary map format, with detailed tables for reference. Data provided in this chartbook are from the 2008 American Community Survey (ACS). Your chartbook includes the following information for your state: Maps of uninsurance estimates for children and adults, as well as children and adults under 200% FPL Tables of health insurance coverage estimates for the above mentioned population groups, with variance information County-level estimates of uninsurance Demographic profiles of state populations
Summary Statistics
Any source of health insurance coverage for Virginia is shown in Exhibit 1. In 2008, 86.7% of the total population age 0-64 had health insurance coverage. Over three quarters (78.2%) had private coverage, while 11.2% reported having government coverage. This is in contrast to individuals under 200% of the Federal Poverty Level (FPL), of which only 71.1% had insurance, with 44.3% having private coverage, and 30.3% having government coverage. Exhibit 1: Any Source of Health Insurance Coverage by Poverty Level, Age 0-64, ACS 2008
100% 90% 80% 70% 60% 50% 40% 30% 20% 10% 0%
86.7% 78.2% 71.1%
44.3% 28.9% 13.3% 11.2% 30.3%
Uninsured
Insured Total
Private Coverage < 200% FPL
Government Coverage
Source: U.S. Census Bureau, 2008 American Community Survey. Note: Those who report multiple types of insurance coverage (i.e., private or public) are included in each category; therefore, totals may add to more than 100 percent.
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Virginia SHAP Grantee Chartbook
Maps and Data Tables
Detailed uninsurance estimates begin with Exhibit 2.1. Each subpopulation is shown as a map, followed by a detailed table. The estimates in the tables provide percent and standard error (for calculation of confidence intervals). Additional subgroup estimates are available upon request.
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August 23, 2010 Exhibit 2.1: Sub-State Uninsurance Estimates, Age 0-64, ACS 2008
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Source: U.S. Census Bureau, 2008 American Community Survey. * Statistically different from the state uninsurance estimate for people age 0-64 (13.3%).
Note: Sub-state estimates are typically collections of counties and reflect the lowest level of geography available for a single year of ACS data. In most metro areas sub-county estimates are available, but where possible the sub-county estimates are aggregated to the county.
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Virginia SHAP Grantee Chartbook
Exhibit 2.2: Demographic Profile by Source of Health Insurance Coverage, Age 0-64, ACS 2008
Population (000) Race and Ethnicity Hispanic White Alone Black Alone Asian Alone Multiple/other non-Hispanic Total Age 0-18 19-24 25-44 45-64 Total P o ve r t y L e ve l 0-99% FPL 100-199% FPL 200-399% FPL 4 0 0 % + FP L Total Se x Male Female Total Work Status Not working Part-time Full-time Total 791 759 3,242 4,792 20.0 21.9 12.9 15.5 0.64 0.64 0.30 0.28 80.0 78.1 87.1 84.5 0.64 0.64 0.30 0.28 60.6 73.1 85.6 79.5 0.76 0.68 0.31 0.31 27.9 7.2 3.4 8.1 0.64 0.37 0.13 0.17 3,245 3,372 6,617 14.3 12.4 13.3 0.33 0.28 0.25 85.7 87.6 86.7 0.33 0.28 0.25 77.8 78.7 78.2 0.40 0.38 0.34 11.3 11.2 11.2 0.26 0.28 0.23 695 884 1,920 3,015 6,513 32.0 26.5 14.6 4.5 13.4 1.06 0.88 0.49 0.20 0.26 68.0 73.5 85.4 95.5 86.6 1.06 0.88 0.49 0.20 0.26 29.9 55.6 80.4 94.4 78.1 1.14 1.08 0.57 0.23 0.34 41.2 21.8 7.6 3.5 11.2 1.17 0.78 0.30 0.14 0.23 1,942 609 2,048 2,018 6,617 7.9 26.3 17.3 10.5 13.3 0.37 0.87 0.42 0.31 0.25 92.1 73.7 82.7 89.5 86.7 0.37 0.87 0.42 0.31 0.25 75.1 68.4 78.6 83.9 78.2 0.60 0.93 0.45 0.36 0.34 19.0 6.6 5.9 10.5 11.2 0.55 0.49 0.22 0.25 0.23 497 4,319 1,303 338 160 6,617 32.9 9.9 16.8 15.1 11.6 13.3 1.41 0.25 0.61 1.19 1.34 0.25 67.1 90.1 83.2 84.9 88.4 86.7 1.41 0.25 0.61 1.19 1.34 0.25 57.7 84.2 66.0 81.2 74.3 78.2 1.61 0.34 0.88 1.44 2.11 0.34 11.0 8.6 20.8 5.0 17.4 11.2 0.86 0.22 0.72 0.70 1.87 0.23 Uninsured % SE % Insured SE Private Coverage % SE Government Coverage % SE
Definitions: % = Percent; SE = Standard Error Note: Counts are presented in thousands. Source: U.S. Census Bureau, 2008 American Community Survey.
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August 23, 2010 Exhibit 2.3: Sub-State Uninsurance Estimates, Age 0-64, <200% FPL, ACS 2008
Virginia SHAP Grantee Chartbook
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Source: U.S. Census Bureau, 2008 American Community Survey. * Statistically different from the state uninsurance estimate for people age 0-64 under 200% FPL (28.9%).
Note: Sub-state estimates are typically collections of counties and reflect the lowest level of geography available for a single year of ACS data. In most metro areas sub-county estimates are available, but where possible the sub-county estimates are aggregated to the county.
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Virginia SHAP Grantee Chartbook
Exhibit 2.4: Demographic Profile by Source of Health Insurance Coverage, Age 0-64, <200% FPL, ACS 2008
Population (000) Race and Ethnicity Hispanic White Alone Black Alone Asian Alone Multiple/other non-Hispanic Total Age 0-18 19-24 25-44 45-64 Total P o ve r t y L e ve l 0-99% FPL 100-199% FPL 200-399% FPL 4 0 0 % + FP L Total Se x Male Female Total Work Status Not working Part-time Full-time Total 339 221 454 1,015 31.7 42.4 38.7 37.2 1.14 1.42 1.10 0.76 68.3 57.6 61.3 62.8 1.14 1.42 1.10 0.76 33.6 45.2 55.1 45.8 1.15 1.45 1.14 0.81 41.6 14.5 7.4 20.4 1.16 0.95 0.59 0.57 734 845 1,579 30.3 27.7 28.9 0.91 0.77 0.69 69.7 72.3 71.1 0.91 0.77 0.69 43.7 44.8 44.3 1.03 0.94 0.84 30.0 30.7 30.3 0.88 0.84 0.71 695 884 --1,579 32.0 26.5 --28.9 1.06 0.88 --0.69 68.0 73.5 --71.1 1.06 0.88 --0.69 29.9 55.6 --44.3 1.14 1.08 --0.84 41.2 21.8 --30.3 1.17 0.78 --0.71 590 206 453 330 1,579 14.6 36.5 41.8 32.1 28.9 0.96 1.71 1.13 1.10 0.69 85.4 63.5 58.2 67.9 71.1 0.96 1.71 1.13 1.10 0.69 41.6 52.2 44.3 44.1 44.3 1.30 1.83 1.16 1.16 0.84 47.7 13.1 16.0 29.8 30.3 1.34 1.19 0.77 0.99 0.71 171 787 516 59 46 1,579 50.1 26.7 25.2 34.7 22.9 28.9 2.53 0.88 1.12 3.92 3.62 0.69 49.9 73.3 74.8 65.3 77.1 71.1 2.53 0.88 1.12 3.92 3.62 0.69 31.2 49.9 39.4 52.5 41.0 44.3 2.66 1.11 1.48 4.68 4.35 0.84 20.7 27.6 38.8 14.4 38.9 30.3 1.87 0.87 1.42 2.85 4.78 0.71 Uninsured % SE % Insured SE Private Coverage % SE Government Coverage % SE
Definitions: % = Percent; SE = Standard Error Note: Counts are presented in thousands. Source: U.S. Census Bureau, 2008 American Community Survey.
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Virginia SHAP Grantee Chartbook
Exhibit 2.5: Sub-State Uninsurance Estimates, Age 0-64 by Federal Poverty Level (FPL), ACS 2008
All Poverty Levels % SE County A c c o m a c k , C a r o l i n e , E s s e x , K i n g a n d Q u e e n , K in g W i l li a m , Lancaster, Middlesex, Northampton, Northumberland, Richmond, Westmoreland A l b e m a r l e , C h a r l o t t e s v i l l e ^ , F l u va n n a , G r e e n e Alexandria^ A l l e g h a n y , A u g u s t a , B a t h , B u e n a V is t a ^ , C l if t o n F o r g e ^ , C o vi n g t o n ^ , C r a i g , H i g h l a n d , L e x in g t o n ^ , Ne ls o n , R o c k b r i d g e , St a u n t o n ^ , W a y n e s b o r o ^ A m e l i a , A p p o m a t t o x , B u c k i n g h a m , C h a r lo t t e , C u m b e r la n d , Halifax, Nottoway, Prince Edward Amherst, Bedford^, Bedford, Campbell, Lynchburg^ Arlington Bland, Buchanan, Carroll, Galax^, Grayson, Tazewell, Wythe Botetourt, Roanoke B r i s t o l ^ , Sc o t t , S m y t h , W a s h i n g t o n B r u n s w i c k , E m p o r i a ^ , F r a n k l i n ^ , G r e e n s vi l le , L u n e n b u r g , Mecklenburg, Southampton, Surry, Sussex C h a r l e s ^ , C o l o n i a l H e i g h t s ^ , D i n w i d d ie , H o p e w e l l^ , Ne w K e n t , Petersburg^, Prince George Chesapeake^ Chesterfield Clarke, Fauquier, Loudoun, Warren C u l p e p e r , F r e d e r i c k s b u r g ^ , S p o t s y l va n i a D a n v i l l e ^ , P i t t s y l va n i a Dickenson, Lee, Norton^, Russell, Wise Fairfax, Fairfax^, Falls Church^ Floyd, Giles, Montgomery, Pulaski, Radford^ F r a n k l i n , H e n r y , M a r t i n s v i l l e ^ , P a t r ic k Frederick, Shenandoah, Winchester^ G l o u c e s t e r , J a m e s ^ , M a t h e w s , P o q u o s o n ^ , W i l l ia m s b u r g ^ , Y o r k G o o c h l a n d , H a n o ve r , P o w h a t a n Hampton^ Harrisonburg^, Louisa, Madison, Orange, Page, Rappahannock, Rockingham Henrico Isle of Wight, Portsmouth^, Suffolk^ King George, Stafford M a n a s s a s ^ , M a n a s s a s P a r k ^ , P r i n c e W i ll ia m (p a r t ) <200% FPL % SE
17.0 12.1 12.5
1.9 1.7 2.0
28.1 27.4 34.0
4.7 4.8 6.7
16.9 * 17.6 14.6 8.3 * 18.7 * 8.8 * 15.8 21.3 * 20.1 * 10.6 * 11.7 10.1 * 10.8 17.3 * 16.0 11.9 13.4 19.1 * 18.8 * 6.9 * 5.3 * 13.6 15.8 11.6 11.3 8.8 * 15.8
1.7 2.3 1.4 1.3 1.7 1.6 1.8 2.5 2.3 1.1 1.2 1.0 1.5 1.9 2.1 0.7 1.6 2.1 2.1 1.2 0.9 2.1 1.7 1.3 1.2 1.4 1.4
33.3 27.2 26.0 25.6 29.6 16.6 * 26.4 34.3 34.7 25.9 30.6 39.3 * 21.4 32.9 24.7 33.6 26.1 31.8 35.4 24.3 17.4 * 23.4 31.5 25.8 27.7 36.7 39.3 *
4.1 3.7 3.2 5.4 3.0 4.4 3.1 4.5 5.1 3.7 3.8 4.9 4.0 3.7 3.0 2.8 3.0 3.7 4.7 5.2 4.6 5.9 4.0 4.1 3.2 6.1 4.8
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Virginia SHAP Grantee Chartbook
Continued: Sub-State Uninsurance Estimates, Age 0-64 by Federal Poverty Level (FPL), ACS 2008
County Newport News^ Norfolk^ Richmond^ R o a n o k e ^ , Sa l e m ^ Virginia Beach^
All Poverty Levels % SE 12.7 17.9 * 19.8 * 15.7 10.6 * 1.3 1.6 1.8 1.9 0.9
<200% FPL % 21.7 * 24.3 29.3 27.1 23.0 * SE 2.8 2.6 3.4 3.7 2.6
Definitions: % = Percent; SE = Standard Error Note: Sub-state estimates are typically collections of counties and reflect the lowest level of geography available for a single year of ACS data. In most metro areas sub-county estimates are available, but where possible the sub-county estimates are aggregated to the county. ^ Independent city. * Statistically different from the state uninsurance estimate for population group (Age 0-64, 13.3%; Age 0-64 <200% FPL, 28.9%). Source: U.S. Census Bureau, 2008 American Community Survey.
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August 23, 2010 Exhibit 3.1: Sub-State Uninsurance Estimates, Age 0-18, ACS 2008
Virginia SHAP Grantee Chartbook
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Source: U.S. Census Bureau, 2008 American Community Survey. * Statistically different from the state uninsurance estimate for people age 0-18 (7.9%).
Note: Sub-state estimates are typically collections of counties and reflect the lowest level of geography available for a single year of ACS data. In most metro areas sub-county estimates are available, but where possible the sub-county estimates are aggregated to the county.
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Virginia SHAP Grantee Chartbook
Exhibit 3.2: Demographic Profile by Source of Health Insurance Coverage, Age 0-18, ACS 2008
Population (000) Race and Ethnicity Hispanic White Alone Black Alone Asian Alone Multiple/other non-Hispanic Total Age 0-18 19-24 25-44 45-64 Total P o ve r t y L e ve l 0-99% FPL 100-199% FPL 200-399% FPL 4 0 0 % + FP L Total Se x Male Female Total Work Status Not working Part-time Full-time Total 36 64 17 117 13.7 10.5 19.5 12.8 2.88 1.69 3.96 1.43 86.3 89.5 80.5 87.2 2.88 1.69 3.96 1.43 72.1 83.2 74.9 78.6 3.43 1.93 4.62 1.68 19.1 7.4 5.6 10.7 2.93 1.20 3.15 1.23 999 943 1,942 7.8 8.0 7.9 0.46 0.45 0.37 92.2 92.0 92.1 0.46 0.45 0.37 75.3 74.9 75.1 0.72 0.73 0.60 18.9 19.1 19.0 0.65 0.67 0.55 268 322 600 701 1,890 16.2 13.3 8.1 2.3 8.0 1.53 1.21 0.62 0.28 0.38 83.8 86.7 91.9 97.7 92.0 1.53 1.21 0.62 0.28 0.38 24.4 56.0 83.3 96.2 75.1 1.66 1.72 0.86 0.37 0.61 62.9 35.1 10.0 2.5 19.0 1.98 1.63 0.67 0.28 0.56 1,942 ---1,942 7.9 ---7.9 0.37 ---0.37 92.1 ---92.1 0.37 ---0.37 75.1 ---75.1 0.60 ---0.60 19.0 ---19.0 0.55 ---0.55 186 1,165 418 87 86 1,942 20.0 5.7 8.8 9.6 6.0 7.9 1.86 0.40 0.88 1.57 1.50 0.37 80.0 94.3 91.2 90.4 94.0 92.1 1.86 0.40 0.88 1.57 1.50 0.37 57.9 83.7 57.9 81.5 73.2 75.1 2.32 0.61 1.55 2.62 3.03 0.60 24.3 12.6 36.0 9.2 22.4 19.0 2.04 0.54 1.52 2.09 2.98 0.55 Uninsured % SE % Insured SE Private Coverage % SE Government Coverage % SE
Definitions: % = Percent; SE = Standard Error Note: Counts are presented in thousands. Source: U.S. Census Bureau, 2008 American Community Survey.
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August 23, 2010 Exhibit 3.3: Sub-State Uninsurance Estimates, Age 0-18, <200% FPL, ACS 2008
Virginia SHAP Grantee Chartbook
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Source: U.S. Census Bureau, 2008 American Community Survey. * Statistically different from the state uninsurance estimate for people age 0-18 under 200% FPL (14.6%). ^ Data are suppressed for sub-state areas with fewer than 50 observations.
Note: Sub-state estimates are typically collections of counties and reflect the lowest level of geography available for a single year of ACS data. In most metro areas sub-county estimates are available, but where possible the sub-county estimates are aggregated to the county.
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Virginia SHAP Grantee Chartbook
Exhibit 3.4: Demographic Profile by Source of Health Insurance Coverage, Age 0-18, <200% FPL, ACS 2008
Population (000) Race and Ethnicity Hispanic White Alone Black Alone Asian Alone Multiple/other non-Hispanic Total Age 0-18 19-24 25-44 45-64 Total P o ve r t y L e ve l 0-99% FPL 100-199% FPL 200-399% FPL 4 0 0 % + FP L Total Se x Male Female Total Work Status Not working Part-time Full-time* Total 11 11 4 26 24.9 29.7 -26.8 6.96 6.02 -4.10 75.1 70.3 -73.2 6.96 6.02 -4.10 34.4 42.9 -41.1 6.51 5.86 -4.13 46.1 29.5 -35.2 7.19 5.22 -4.11 308 282 590 14.2 15.1 14.6 1.15 1.15 0.96 85.8 84.9 85.4 1.15 1.15 0.96 42.7 40.5 41.6 1.57 1.54 1.30 47.1 48.4 47.7 1.59 1.58 1.34 268 322 --590 16.2 13.3 --14.6 1.53 1.21 --0.96 83.8 86.7 --85.4 1.53 1.21 --0.96 24.4 56.0 --41.6 1.66 1.72 --1.30 62.9 35.1 --47.7 1.98 1.63 --1.34 590 ---590 14.6 ---14.6 0.96 ---0.96 85.4 ---85.4 0.96 ---0.96 41.6 ---41.6 1.30 ---1.30 47.7 ---47.7 1.34 ---1.34 73 247 225 18 28 590 28.3 14.1 10.5 20.9 12.6 14.6 3.66 1.40 1.37 5.46 4.12 0.96 71.7 85.9 89.5 79.1 87.4 85.4 3.66 1.40 1.37 5.46 4.12 0.96 32.6 49.1 36.1 46.7 40.7 41.6 3.97 1.88 2.15 7.75 5.77 1.30 42.2 41.9 56.7 33.1 49.8 47.7 4.00 1.84 2.27 7.30 6.29 1.34 Uninsured % SE % Insured SE Private Coverage % SE Government Coverage % SE
Definitions: % = Percent; SE = Standard Error Note: Counts are presented in thousands. * Sample size for this subpopulation is not sufficient to provide an estimate. Source: U.S. Census Bureau, 2008 American Community Survey.
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Virginia SHAP Grantee Chartbook
Exhibit 3.5: Sub-State Uninsurance Estimates, Age 0-18 by Federal Poverty Level (FPL), ACS 2008
All Poverty Levels % SE County A c c o m a c k , C a r o l i n e , E s s e x , K i n g a n d Q u e e n , K in g W i l li a m , Lancaster, Middlesex, Northampton, Northumberland, Richmond, Westmoreland A l b e m a r l e , C h a r l o t t e s v i l l e ^ , F l u va n n a , G r e e n e Alexandria^ A l l e g h a n y , A u g u s t a , B a t h , B u e n a V is t a ^ , C l if t o n F o r g e ^ , C o vi n g t o n ^ , C r a i g , H i g h l a n d , L e x in g t o n ^ , Ne ls o n , R o c k b r i d g e , St a u n t o n ^ , W a y n e s b o r o ^ A m e l i a , A p p o m a t t o x , B u c k i n g h a m , C h a r lo t t e , C u m b e r la n d , Halifax, Nottoway, Prince Edward Amherst, Bedford^, Bedford, Campbell, Lynchburg^ Arlington Bland, Buchanan, Carroll, Galax^, Grayson, Tazewell, Wythe Botetourt, Roanoke B r i s t o l ^ , Sc o t t , S m y t h , W a s h i n g t o n B r u n s w i c k , E m p o r i a ^ , F r a n k l i n ^ , G r e e n s vi l le , L u n e n b u r g , Mecklenburg, Southampton, Surry, Sussex C h a r l e s ^ , C o l o n i a l H e i g h t s ^ , D i n w i d d ie , H o p e w e l l^ , Ne w K e n t , Petersburg^, Prince George Chesapeake^ Chesterfield Clarke, Fauquier, Loudoun, Warren C u l p e p e r , F r e d e r i c k s b u r g ^ , S p o t s y l va n i a D a n v i l l e ^ , P i t t s y l va n i a Dickenson, Lee, Norton^, Russell, Wise Fairfax, Fairfax^, Falls Church^ Floyd, Giles, Montgomery, Pulaski, Radford^ F r a n k l i n , H e n r y , M a r t i n s v i l l e ^ , P a t r ic k Frederick, Shenandoah, Winchester^ G l o u c e s t e r , J a m e s ^ , M a t h e w s , P o q u o s o n ^ , W i l l ia m s b u r g ^ , Y o r k G o o c h l a n d , H a n o ve r , P o w h a t a n Hampton^ Harrisonburg^, Louisa, Madison, Orange, Page, Rappahannock, Rockingham Henrico Isle of Wight, Portsmouth^, Suffolk^ King George, Stafford M a n a s s a s ^ , M a n a s s a s P a r k ^ , P r i n c e W i ll ia m (p a r t ) <200% FPL % SE
11.0 8.1 6.6
3.0 2.4 3.4
19.9 17.5 --
6.5 7.1 --
12.5 9.5 8.1 4.2 * 5.9 6.9 7.9 12.7 16.2 * 3.9 * 7.3 5.0 * 6.2 8.2 8.6 7.2 6.8 11.1 11.8 3.1 * 1.6 * 6.5 15.3 * 7.4 4.5 * 5.8 12.1
3.1 3.0 2.0 1.7 1.8 2.2 2.3 3.2 3.9 1.0 1.8 1.1 1.6 2.6 2.8 0.9 2.2 3.2 3.0 1.6 0.8 2.7 3.2 2.0 1.7 1.7 2.2
20.7 12.9 10.8 -7.3 * 13.5 11.0 18.3 21.9 7.0 * 14.6 17.0 6.4 * 15.3 11.0 15.2 14.5 13.4 17.1 10.9 -12.6 29.0 * 14.6 8.5 22.1 24.0
6.8 4.3 3.9 -3.0 7.1 4.0 5.5 7.2 2.9 5.4 6.6 2.7 5.1 3.9 3.4 5.2 4.8 6.2 6.4 -6.3 7.2 5.6 4.2 8.2 6.1
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Virginia SHAP Grantee Chartbook
Continued: Sub-State Uninsurance Estimates, Age 0-18 by Federal Poverty Level (FPL), ACS 2008
County Newport News^ Norfolk^ Richmond^ R o a n o k e ^ , Sa l e m ^ Virginia Beach^
All Poverty Levels % SE 4.4 * 8.4 12.9 7.2 7.6 1.4 1.9 3.8 2.8 1.6
<200% FPL % 6.1 * 9.6 19.2 12.7 15.1 SE 2.3 2.9 6.2 5.2 4.8
Definitions: % = Percent; SE = Standard Error Note: Sub-state estimates are typically collections of counties and reflect the lowest level of geography available for a single year of ACS data. In most metro areas sub-county estimates are available, but where possible the sub-county estimates are aggregated to the county. ^Independent city. * Statistically different from the state uninsurance estimate for population group (Age 0-18, 7.9%; Age 0-18 <200% FPL, 14.6%). -- Data are suppressed for sub-state areas with fewer than 50 observations. Source: U.S. Census Bureau, 2008 American Community Survey.
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August 23, 2010 Exhibit 4.1: Sub-State Uninsurance Estimates, Age 19-64, ACS 2008
Virginia SHAP Grantee Chartbook
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Source: U.S. Census Bureau, 2008 American Community Survey. * Statistically different from the state uninsurance estimate for people age 19-64 (15.5%).
Note: Sub-state estimates are typically collections of counties and reflect the lowest level of geography available for a single year of ACS data. In most metro areas sub-county estimates are available, but where possible the sub-county estimates are aggregated to the county.
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Exhibit 4.2: Demographic Profile by Source of Health Insurance Coverage, Age 19-64, ACS 2008
Population (000) Race and Ethnicity Hispanic White Alone Black Alone Asian Alone Multiple/other non-Hispanic Total Age 0-18 19-24 25-44 45-64 Total P o ve r t y L e ve l 0-99% FPL 100-199% FPL 200-399% FPL 4 0 0 % + FP L Total Se x Male Female Total Work Status Not working Part-time Full-time Total 755 695 3,225 4,675 20.3 22.9 12.8 15.5 0.64 0.68 0.30 0.28 79.7 77.1 87.2 84.5 0.64 0.68 0.30 0.28 60.1 72.2 85.7 79.6 0.76 0.71 0.31 0.31 28.3 7.2 3.4 8.0 0.65 0.39 0.13 0.17 2,246 2,429 4,675 17.1 14.1 15.5 0.38 0.31 0.28 82.9 85.9 84.5 0.38 0.31 0.28 78.9 80.2 79.6 0.40 0.36 0.31 7.9 8.1 8.0 0.22 0.23 0.17 427 562 1,320 2,313 4,623 42.0 34.0 17.6 5.2 15.7 1.17 0.98 0.55 0.23 0.28 58.0 66.0 82.4 94.8 84.3 1.17 0.98 0.55 0.23 0.28 33.3 55.4 79.1 93.9 79.4 1.18 1.04 0.58 0.24 0.31 27.6 14.2 6.5 3.8 8.0 0.99 0.62 0.27 0.15 0.17 -609 2,048 2,018 4,675 -26.3 17.3 10.5 15.5 -0.87 0.42 0.31 0.28 -73.7 82.7 89.5 84.5 -0.87 0.42 0.31 0.28 -68.4 78.6 83.9 79.6 -0.93 0.45 0.36 0.31 -6.6 5.9 10.5 8.0 -0.49 0.22 0.25 0.17 312 3,154 885 251 74 4,675 40.6 11.5 20.6 17.0 18.1 15.5 1.62 0.27 0.71 1.28 1.83 0.28 59.4 88.5 79.4 83.0 81.9 84.5 1.62 0.27 0.71 1.28 1.83 0.28 57.6 84.4 69.8 81.2 75.6 79.6 1.62 0.31 0.80 1.33 2.04 0.31 3.2 7.2 13.7 3.5 11.6 8.0 0.40 0.18 0.51 0.52 1.39 0.17 Uninsured % SE % Insured SE Private Coverage % SE Government Coverage % SE
Definitions: % = Percent; SE = Standard Error Note: Counts are presented in thousands. Source: U.S. Census Bureau, 2008 American Community Survey.
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August 23, 2010 Exhibit 4.3: Sub-State Uninsurance Estimates, Age 19-64, <200% FPL, ACS 2008
Virginia SHAP Grantee Chartbook
www.shadac.org
Source: U.S. Census Bureau, 2008 American Community Survey. * Statistically different from the state uninsurance estimate for people age 19-64 under 200% FPL (37.5%).
Note: Sub-state estimates are typically collections of counties and reflect the lowest level of geography available for a single year of ACS data. In most metro areas sub-county estimates are available, but where possible the sub-county estimates are aggregated to the county.
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Exhibit 4.4: Demographic Profile by Source of Health Insurance Coverage, Age 19-64, <200% FPL, ACS 2008
Population (000) Race and Ethnicity Hispanic White Alone Black Alone Asian Alone Multiple/other non-Hispanic Total Age 0-18 19-24 25-44 45-64 Total P o ve r t y L e ve l 0-99% FPL 100-199% FPL 200-399% FPL 4 0 0 % + FP L Total Se x Male Female Total Work Status Not working Part-time Full-time Total 329 210 450 989 31.9 43.1 38.9 37.5 1.14 1.47 1.11 0.77 68.1 56.9 61.1 62.5 1.14 1.47 1.11 0.77 33.6 45.3 55.2 45.9 1.15 1.48 1.14 0.81 41.5 13.7 7.3 20.0 1.15 0.95 0.58 0.57 426 563 989 42.0 34.0 37.5 1.12 0.88 0.77 58.0 66.0 62.5 1.12 0.88 0.77 44.4 47.0 45.9 1.14 0.94 0.81 17.6 21.8 20.0 0.77 0.75 0.57 427 562 --989 42.0 34.0 --37.5 1.17 0.98 --0.77 58.0 66.0 --62.5 1.17 0.98 --0.77 33.3 55.4 --45.9 1.18 1.04 --0.81 27.6 14.2 --20.0 0.99 0.62 --0.57 -206 453 330 989 -36.5 41.8 32.1 37.5 -1.71 1.13 1.10 0.77 -63.5 58.2 67.9 62.5 -1.71 1.13 1.10 0.77 -52.2 44.3 44.1 45.9 -1.83 1.16 1.16 0.81 -13.1 16.0 29.8 20.0 -1.19 0.77 0.99 0.57 99 540 291 41 18 989 66.1 32.4 36.6 40.6 38.5 37.5 2.66 0.94 1.37 4.18 4.54 0.77 33.9 67.6 63.4 59.4 61.5 62.5 2.66 0.94 1.37 4.18 4.54 0.77 30.1 50.3 42.0 55.0 41.3 45.9 2.61 1.07 1.44 4.18 4.62 0.81 4.9 21.0 25.0 6.4 22.3 20.0 0.86 0.75 1.16 1.62 3.98 0.57 Uninsured % SE % Insured SE Private Coverage % SE Government Coverage % SE
Definitions: % = Percent; SE = Standard Error Note: Counts are presented in thousands. Source: U.S. Census Bureau, 2008 American Community Survey.
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Exhibit 4.5: Sub-State Uninsurance Estimates, Age 19-64 by Federal Poverty Level (FPL), ACS 2008
All Poverty Levels % SE County A c c o m a c k , C a r o l i n e , E s s e x , K i n g a n d Q u e e n , K in g W i l li a m , Lancaster, Middlesex, Northampton, Northumberland, Richmond, Westmoreland A l b e m a r l e , C h a r l o t t e s v i l l e ^ , F l u va n n a , G r e e n e Alexandria^ A l l e g h a n y , A u g u s t a , B a t h , B u e n a V is t a ^ , C l if t o n F o r g e ^ , C o vi n g t o n ^ , C r a i g , H i g h l a n d , L e x in g t o n ^ , Ne ls o n , R o c k b r i d g e , St a u n t o n ^ , W a y n e s b o r o ^ A m e l i a , A p p o m a t t o x , B u c k i n g h a m , C h a r lo t t e , C u m b e r la n d , Halifax, Nottoway, Prince Edward Amherst, Bedford^, Bedford, Campbell, Lynchburg^ Arlington Bland, Buchanan, Carroll, Galax^, Grayson, Tazewell, Wythe Botetourt, Roanoke B r i s t o l ^ , Sc o t t , S m y t h , W a s h i n g t o n B r u n s w i c k , E m p o r i a ^ , F r a n k l i n ^ , G r e e n s vi l le , L u n e n b u r g , Mecklenburg, Southampton, Surry, Sussex C h a r l e s ^ , C o l o n i a l H e i g h t s ^ , D i n w i d d ie , H o p e w e l l^ , Ne w K e n t , Petersburg^, Prince George Chesapeake^ Chesterfield Clarke, Fauquier, Loudoun, Warren C u l p e p e r , F r e d e r i c k s b u r g ^ , S p o t s y l va n i a D a n v i l l e ^ , P i t t s y l va n i a Dickenson, Lee, Norton^, Russell, Wise Fairfax, Fairfax^, Falls Church^ Floyd, Giles, Montgomery, Pulaski, Radford^ F r a n k l i n , H e n r y , M a r t i n s v i l l e ^ , P a t r ic k Frederick, Shenandoah, Winchester^ G l o u c e s t e r , J a m e s ^ , M a t h e w s , P o q u o s o n ^ , W i l l ia m s b u r g ^ , Y o r k G o o c h l a n d , H a n o ve r , P o w h a t a n Hampton^ Harrisonburg^, Louisa, Madison, Orange, Page, Rappahannock, Rockingham Henrico Isle of Wight, Portsmouth^, Suffolk^ King George, Stafford M a n a s s a s ^ , M a n a s s a s P a r k ^ , P r i n c e W i ll ia m (p a r t ) <200% FPL % SE
19.4 13.5 14.6
2.0 1.7 2.2
33.4 31.1 49.9
4.8 4.8 7.0
18.4 20.7 * 16.9 9.4 * 23.3 * 9.5 * 18.5 24.9 * 21.6 * 13.7 13.6 12.5 * 12.8 20.6 * 18.6 13.8 15.7 21.9 * 21.6 * 8.4 * 6.6 * 16.5 16.0 13.3 14.7 10.4 * 17.6
1.7 2.5 1.6 1.5 2.0 1.6 1.9 2.8 2.1 1.4 1.4 1.2 1.6 2.2 2.3 0.8 1.9 2.3 2.4 1.3 1.1 2.2 1.5 1.3 1.4 1.6 1.4
38.9 34.8 33.4 31.8 39.3 18.5 * 32.9 43.6 43.3 39.6 41.7 51.4 * 31.4 41.2 31.7 44.7 * 29.6 * 40.5 46.0 32.4 24.1 * 32.7 32.8 34.2 42.7 47.6 52.4 *
4.6 4.3 3.8 6.3 3.6 4.6 3.5 4.9 4.6 4.9 4.2 5.3 4.8 4.2 4.0 3.2 3.5 4.1 5.3 6.3 6.0 6.6 3.5 3.9 4.0 8.2 4.9
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Virginia SHAP Grantee Chartbook
Continued: Sub-State Uninsurance Estimates, Age 19-64 by Federal Poverty Level (FPL), ACS 2008
County Newport News^ Norfolk^ Richmond^ R o a n o k e ^ , Sa l e m ^ Virginia Beach^
All Poverty Levels % SE 17.2 23.1 * 22.5 * 19.5 12.0 * 1.6 1.9 1.9 2.1 0.9
<200% FPL % 34.6 36.5 35.2 36.6 29.1 * SE 3.6 3.4 3.7 4.2 3.0
Definitions: % = Percent; SE = Standard Error Note: Sub-state estimates are typically collections of counties and reflect the lowest level of geography available for a single year of ACS data. In most metro areas sub-county estimates are available, but where possible the sub-county estimates are aggregated to the county. * Statistically different from the state uninsurance estimate for population group (Age 19-64, 15.5%; Age 19-64 <200% FPL, 37.5%). Source: U.S. Census Bureau, 2008 American Community Survey.
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Appendix A. Technical Assistance Available from SHADAC
SHADAC has a contract with Health Resources and Services Administration (HRSA) at Health and Human Services (HHS) to provide technical assistance to states that have received State Health Access Program (SHAP) grants. This includes support for data collection, analysis and evaluation related to their SHAP project work. A summary of assistance is provided below. Questions and requests can be directed to Elizabeth Lukanen at 612-626-1537 or [email protected].
Data Assistance Several SHADAC resources are available to help SHAP grantees access and utilize data relating to health insurance coverage estimates, access to care, and understanding available data-specific technical assistance resources. Resources include: SHADAC’s Data Center, an online table and chart generator; issue briefs and technical briefs; and information on how to access microdata. Web page: http://www.shadac.org/shap/technical-assistance/data HRSA Benchmarks SHADAC will also assist states in reporting HSRA benchmark data. Web page: http://www.shadac.org/shap/technical-assistance/HRSA-Benchmarks Evaluation SHADAC staff are available to help SHAP grantees refine and implement evaluation plans, to ensure the fidelity and success of SHAP-funded programs. Web page: http://www.shadac.org/shap/technical-assistance/evaluations Surveys SHADAC has a variety of resources to help SHAP grantees conduct survey research and apply the results to relevant audiences. SHADAC’s technical assistance can facilitate the sharing of information and expertise among grantees, help policy makers understand the unique characteristics of state subpopulations, and provide assistance in developing survey tools and methods. Web page: http://www.shadac.org/shap/technical-assistance/surveys State Reform Research and Strategies SHADAC has provided evaluative information on health reform initiatives in states participating in the State Health Access Reform Evaluation (SHARE) program. Many of these evaluations provide descriptive information that may be useful for SHAP grantees. Web page: http://www.shadac.org/shap/technical-assistance/ state-reform-research-and-strategies August 23, 2010 www.shadac.org
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Appendix B. Data Source
Source: U.S. Census Bureau, 2008 American Community Survey (ACS). Calculations by SHADAC. Estimates for the ACS exclude military but include non-institutionalized group quarters such as college/university housing, group homes intended for adults, residential treatment facilities for adults, workers’ group living quarters and Job Corps centers, and religious group quarters. Population counts are presented in thousands. Definitions: '%' = Percent; 'SE' = Standard error as a percent. Confidence intervals can be calculated from the standard errors; for example, the 95% confidence interval is ±(1.96 * SE). Insurance coverage note: Listed Medicaid rates include SCHIP and state-specific public programs. Those who report multiple types of insurance coverage (i.e., private or public) are included in each category; therefore, row totals may add to more than 100 percent. Active duty military coverage (e.g., TRICARE) is considered employer-sponsored insurance, while VA coverage is considered government coverage. ACS methodology note: The ACS asks respondents about their health insurance coverage at the time of the interview. For technical documentation on the ACS please visit http://www.shadac.org/content/acs-info-andresources.
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Appendix C. County Groupings in Sub-state Areas
Sub-State Area^ 00100 00200 00301 00302 00303 00304 00305 00400 Counties Arlington Alexandria* Fairfax (part) Falls Church* Fairfax (part) Fairfax* Fairfax (part) Fairfax (part) Fairfax (part) Frederick Shenandoah Winchester* Manassas* Manassas Park* Prince William (part) Prince William (part) Clarke Fauquier Loudoun Warren Harrisonburg* Louisa Madison Orange Page Rappahannock Rockingham King George Stafford Culpeper Fredericksburg* Spotsylvania Albemarle Charlottesville* Fluvanna Greene Alleghany Augusta
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00501 00502 00600
00700
00800 00900
01000
01100
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Sub-State Area^
Counties Bath Buena Vista* Clifton Forge* Covington* Craig Highland Lexington* Nelson Rockbridge Staunton* Waynesboro* Richmond* Henrico Chesterfield Goochland Hanover Powhatan Roanoke* Salem* Botetourt Roanoke Amherst Bedford* Bedford Campbell Lynchburg* Accomack Caroline Essex King and Queen King William Lancaster Middlesex Northampton Northumberland Richmond Westmoreland Newport News* Hampton* Gloucester
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01100 (cont.)
01200 01300 01400 01500 01600 01700
01800
01900
02000 02100 02200
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Sub-State Area^
Counties James* Mathews Poquoson* Williamsburg* York Charles* Colonial Heights* Dinwiddie Hopewell* New Kent Petersburg* Prince George Floyd Giles Montgomery Pulaski Radford* Dickenson Lee Norton* Russell Wise Bristol* Scott Smyth Washington Bland Buchanan Carroll Galax* Grayson Tazewell Wythe Virginia Beach* (part) Virginia Beach* (part) Virginia Beach* (part) Norfolk* Chesapeake* Isle of Wight Portsmouth*
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02200 (cont.)
02300
02400
02500
02600
02700
02801 02802 02803 02900 03000 03100
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Virginia SHAP Grantee Chartbook
Sub-State Area^ 03100 (cont.)
Counties Suffolk* Brunswick Emporia* Franklin* Greensville Lunenburg Mecklenburg Southampton Surry Sussex Franklin Henry Martinsville* Patrick Amelia Appomattox Buckingham Charlotte Cumberland Halifax Nottoway Prince Edward Danville* Pittsylvania Arlington Alexandria* Fairfax (part) Falls Church* Fairfax (part) Fairfax* Fairfax (part) Fairfax (part) Fairfax (part) Frederick Shenandoah Winchester* Manassas* Manassas Park* Prince William (part) Prince William (part)
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03200
03300
03400
03500 00100 00200 00301 00302 00303 00304 00305 00400
00501 00502
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Virginia SHAP Grantee Chartbook
Sub-State Area^ 00600
Counties Clarke Fauquier Loudoun Warren Harrisonburg* Louisa Madison Orange Page Rappahannock Rockingham King George Stafford Culpeper Fredericksburg* Spotsylvania Albemarle Charlottesville* Fluvanna Greene Alleghany Augusta Bath Buena Vista* Clifton Forge* Covington* Craig Highland Lexington* Nelson Rockbridge Staunton* Waynesboro* Richmond* Henrico Chesterfield Goochland Hanover Powhatan Roanoke*
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00700
00800 00900
01000
01100
01200 01300 01400 01500 01600
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Sub-State Area^ 01600 (cont.) 01700
Counties Salem* Botetourt Roanoke Amherst Bedford* Bedford Campbell Lynchburg* Accomack Caroline Essex King and Queen King William Lancaster Middlesex Northampton Northumberland Richmond Westmoreland Newport News* Hampton* Gloucester James* Mathews Poquoson* Williamsburg* York Charles* Colonial Heights* Dinwiddie Hopewell* New Kent Petersburg* Prince George Floyd Giles Montgomery Pulaski Radford* Dickenson
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01800
01900
02000 02100
02200
02300
02400
02500
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Virginia SHAP Grantee Chartbook
Sub-State Area^ 02500 (cont.)
Counties Lee Norton* Russell Wise Bristol* Scott Smyth Washington Bland Buchanan Carroll Galax* Grayson Tazewell Wythe Virginia Beach* (part) Virginia Beach* (part) Virginia Beach* (part) Norfolk* Chesapeake* Isle of Wight Portsmouth* Suffolk* Brunswick Emporia* Franklin* Greensville Lunenburg Mecklenburg Southampton Surry Sussex Franklin Henry Martinsville* Patrick Amelia Appomattox Buckingham Charlotte
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02600
02700
02801 02802 02803 02900 03000 03100
03200
03300
03400
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Virginia SHAP Grantee Chartbook
Sub-State Area^ 03400 (cont.)
Counties Cumberland Halifax Nottoway Prince Edward Danville* Pittsylvania
03500
^ Sub-state areas are labeled according to Census Bureau-defined geographical areas known at PUMAs (Public Use Microdata Areas). For more information on these areas, contact SHADAC. *Independent city.
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Appendix D. Virginia Map of Major Cities
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31
Source: U.S. Census Bureau.
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Appendix E. Virginia Map of County Boundaries
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32
Source: U.S. Census Bureau.
SHAP Grantee Chartbook
Health Insurance Coverage Estimates
from the 2008 American Community Survey (ACS)
Prepared for:
State Health Access Program (SHAP)
Last Updated: August 23, 2010
Virginia SHAP Grantee Chartbook
This chartbook was prepared for the U.S. Department of Health and Human Services Health Resources and Services Administration’s State Health Access Program (SHAP) by the State Health Access Data Assistance Center (SHADAC).
5600 Fishers Lane Rockville, MD 20857 HRSA Contact Person Michelle Herzog Ph. 301-443-0650 Email. [email protected]
2221 University Ave SE, Suite 345 Minneapolis, MN 55414 Ph. 612-624-4802 Fax. 612-624-1493 Email. [email protected] www.shadac.org/shap
Virginia SHAP Grantee Organization:
Virginia Department of Health Office of Minority Health and Public Policy Project Director Kathy H. Wibberly Ph. 804-864-7426 Email. [email protected]
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Virginia SHAP Grantee Chartbook
Table of Contents
Page
Introduction .................................................................................................................................................. 1 Summary Statistics ........................................................................................................................................ 1 Exhibit 1: Any Source of Health Insurance Coverage by Poverty Level, Age 0-64, ACS 2008 ......................................................................................................................................................... 1 Maps and Data Tables................................................................................................................................... 2 Exhibit 2.1: Sub-State Uninsurance Estimates, Age 0-64, ACS 2008 ....................................................... 3 Exhibit 2.2: Demographic Profile by Source of Health Insurance Coverage, Age 0-64, ACS 2008 .................................................................................................................................................. 4 Exhibit 2.3: Sub-State Uninsurance Estimates, Age 0-64, <200% FPL, ACS 2008 .................................... 5 Exhibit 2.4: Demographic Profile by Source of Health Insurance Coverage, Age 0-64, <200% FPL, ACS 2008 ............................................................................................................................... 6 Exhibit 2.5: Sub-State Uninsurance Estimates, Age 0-64 by Federal Poverty Level (FPL), ACS 2008 ........................................................................................................................................ 7 Exhibit 3.1: Sub-State Uninsurance Estimates, Age 0-18, ACS 2008 ....................................................... 9 Exhibit 3.2: Demographic Profile by Source of Health Insurance Coverage, Age 0-18, ACS 2008 ................................................................................................................................................ 10 Exhibit 3.3: Sub-State Uninsurance Estimates, Age 0-18, <200% FPL, ACS 2008 .................................. 11 Exhibit 3.4: Demographic Profile by Source of Health Insurance Coverage, Age 0-18, <200% FPL, ACS ...................................................................................................................................... 12 Exhibit 3.5: Sub-State Uninsurance Estimates, Age 0-18 by Federal Poverty Level (FPL), ACS 2008 ...................................................................................................................................... 13 Exhibit 4.1: Sub-State Uninsurance Estimates, Age 19-64, ACS 2008 ................................................... 15 Exhibit 4.2: Demographic Profile by Source of Health Insurance Coverage, Age 19-64, ACS 2008 ................................................................................................................................................ 16 Exhibit 4.3: Sub-State Uninsurance Estimates, Age 19-64, <200% FPL, ACS 2008 ................................ 17 Exhibit 4.4: Demographic Profile by Source of Health Insurance Coverage, Age 19-64, <200% FPL, ACS ...................................................................................................................................... 18 Exhibit 4.5: Sub-State Uninsurance Estimates, Age 19-64 by Federal Poverty Level (FPL), ACS 2008 ...................................................................................................................................... 19 Appendix A. Technical Assistance Available from SHADAC ....................................................................... 21 Appendix B. Data Source............................................................................................................................ 22 Appendix C. County Groupings in Sub-state Areas .................................................................................... 23 Appendix D. Virginia Map of Major Cities .................................................................................................. 31 Appendix E. Virginia Map of County Boundaries ....................................................................................... 32
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Introduction
This chartbook of health insurance coverage estimates is designed to be an easily accessed resource for State Health Access Program (SHAP) grantees. Estimates for key population groups within your state are provided in summary map format, with detailed tables for reference. Data provided in this chartbook are from the 2008 American Community Survey (ACS). Your chartbook includes the following information for your state: Maps of uninsurance estimates for children and adults, as well as children and adults under 200% FPL Tables of health insurance coverage estimates for the above mentioned population groups, with variance information County-level estimates of uninsurance Demographic profiles of state populations
Summary Statistics
Any source of health insurance coverage for Virginia is shown in Exhibit 1. In 2008, 86.7% of the total population age 0-64 had health insurance coverage. Over three quarters (78.2%) had private coverage, while 11.2% reported having government coverage. This is in contrast to individuals under 200% of the Federal Poverty Level (FPL), of which only 71.1% had insurance, with 44.3% having private coverage, and 30.3% having government coverage. Exhibit 1: Any Source of Health Insurance Coverage by Poverty Level, Age 0-64, ACS 2008
100% 90% 80% 70% 60% 50% 40% 30% 20% 10% 0%
86.7% 78.2% 71.1%
44.3% 28.9% 13.3% 11.2% 30.3%
Uninsured
Insured Total
Private Coverage < 200% FPL
Government Coverage
Source: U.S. Census Bureau, 2008 American Community Survey. Note: Those who report multiple types of insurance coverage (i.e., private or public) are included in each category; therefore, totals may add to more than 100 percent.
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Virginia SHAP Grantee Chartbook
Maps and Data Tables
Detailed uninsurance estimates begin with Exhibit 2.1. Each subpopulation is shown as a map, followed by a detailed table. The estimates in the tables provide percent and standard error (for calculation of confidence intervals). Additional subgroup estimates are available upon request.
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August 23, 2010 Exhibit 2.1: Sub-State Uninsurance Estimates, Age 0-64, ACS 2008
Virginia SHAP Grantee Chartbook
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Source: U.S. Census Bureau, 2008 American Community Survey. * Statistically different from the state uninsurance estimate for people age 0-64 (13.3%).
Note: Sub-state estimates are typically collections of counties and reflect the lowest level of geography available for a single year of ACS data. In most metro areas sub-county estimates are available, but where possible the sub-county estimates are aggregated to the county.
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Virginia SHAP Grantee Chartbook
Exhibit 2.2: Demographic Profile by Source of Health Insurance Coverage, Age 0-64, ACS 2008
Population (000) Race and Ethnicity Hispanic White Alone Black Alone Asian Alone Multiple/other non-Hispanic Total Age 0-18 19-24 25-44 45-64 Total P o ve r t y L e ve l 0-99% FPL 100-199% FPL 200-399% FPL 4 0 0 % + FP L Total Se x Male Female Total Work Status Not working Part-time Full-time Total 791 759 3,242 4,792 20.0 21.9 12.9 15.5 0.64 0.64 0.30 0.28 80.0 78.1 87.1 84.5 0.64 0.64 0.30 0.28 60.6 73.1 85.6 79.5 0.76 0.68 0.31 0.31 27.9 7.2 3.4 8.1 0.64 0.37 0.13 0.17 3,245 3,372 6,617 14.3 12.4 13.3 0.33 0.28 0.25 85.7 87.6 86.7 0.33 0.28 0.25 77.8 78.7 78.2 0.40 0.38 0.34 11.3 11.2 11.2 0.26 0.28 0.23 695 884 1,920 3,015 6,513 32.0 26.5 14.6 4.5 13.4 1.06 0.88 0.49 0.20 0.26 68.0 73.5 85.4 95.5 86.6 1.06 0.88 0.49 0.20 0.26 29.9 55.6 80.4 94.4 78.1 1.14 1.08 0.57 0.23 0.34 41.2 21.8 7.6 3.5 11.2 1.17 0.78 0.30 0.14 0.23 1,942 609 2,048 2,018 6,617 7.9 26.3 17.3 10.5 13.3 0.37 0.87 0.42 0.31 0.25 92.1 73.7 82.7 89.5 86.7 0.37 0.87 0.42 0.31 0.25 75.1 68.4 78.6 83.9 78.2 0.60 0.93 0.45 0.36 0.34 19.0 6.6 5.9 10.5 11.2 0.55 0.49 0.22 0.25 0.23 497 4,319 1,303 338 160 6,617 32.9 9.9 16.8 15.1 11.6 13.3 1.41 0.25 0.61 1.19 1.34 0.25 67.1 90.1 83.2 84.9 88.4 86.7 1.41 0.25 0.61 1.19 1.34 0.25 57.7 84.2 66.0 81.2 74.3 78.2 1.61 0.34 0.88 1.44 2.11 0.34 11.0 8.6 20.8 5.0 17.4 11.2 0.86 0.22 0.72 0.70 1.87 0.23 Uninsured % SE % Insured SE Private Coverage % SE Government Coverage % SE
Definitions: % = Percent; SE = Standard Error Note: Counts are presented in thousands. Source: U.S. Census Bureau, 2008 American Community Survey.
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August 23, 2010 Exhibit 2.3: Sub-State Uninsurance Estimates, Age 0-64, <200% FPL, ACS 2008
Virginia SHAP Grantee Chartbook
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Source: U.S. Census Bureau, 2008 American Community Survey. * Statistically different from the state uninsurance estimate for people age 0-64 under 200% FPL (28.9%).
Note: Sub-state estimates are typically collections of counties and reflect the lowest level of geography available for a single year of ACS data. In most metro areas sub-county estimates are available, but where possible the sub-county estimates are aggregated to the county.
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Virginia SHAP Grantee Chartbook
Exhibit 2.4: Demographic Profile by Source of Health Insurance Coverage, Age 0-64, <200% FPL, ACS 2008
Population (000) Race and Ethnicity Hispanic White Alone Black Alone Asian Alone Multiple/other non-Hispanic Total Age 0-18 19-24 25-44 45-64 Total P o ve r t y L e ve l 0-99% FPL 100-199% FPL 200-399% FPL 4 0 0 % + FP L Total Se x Male Female Total Work Status Not working Part-time Full-time Total 339 221 454 1,015 31.7 42.4 38.7 37.2 1.14 1.42 1.10 0.76 68.3 57.6 61.3 62.8 1.14 1.42 1.10 0.76 33.6 45.2 55.1 45.8 1.15 1.45 1.14 0.81 41.6 14.5 7.4 20.4 1.16 0.95 0.59 0.57 734 845 1,579 30.3 27.7 28.9 0.91 0.77 0.69 69.7 72.3 71.1 0.91 0.77 0.69 43.7 44.8 44.3 1.03 0.94 0.84 30.0 30.7 30.3 0.88 0.84 0.71 695 884 --1,579 32.0 26.5 --28.9 1.06 0.88 --0.69 68.0 73.5 --71.1 1.06 0.88 --0.69 29.9 55.6 --44.3 1.14 1.08 --0.84 41.2 21.8 --30.3 1.17 0.78 --0.71 590 206 453 330 1,579 14.6 36.5 41.8 32.1 28.9 0.96 1.71 1.13 1.10 0.69 85.4 63.5 58.2 67.9 71.1 0.96 1.71 1.13 1.10 0.69 41.6 52.2 44.3 44.1 44.3 1.30 1.83 1.16 1.16 0.84 47.7 13.1 16.0 29.8 30.3 1.34 1.19 0.77 0.99 0.71 171 787 516 59 46 1,579 50.1 26.7 25.2 34.7 22.9 28.9 2.53 0.88 1.12 3.92 3.62 0.69 49.9 73.3 74.8 65.3 77.1 71.1 2.53 0.88 1.12 3.92 3.62 0.69 31.2 49.9 39.4 52.5 41.0 44.3 2.66 1.11 1.48 4.68 4.35 0.84 20.7 27.6 38.8 14.4 38.9 30.3 1.87 0.87 1.42 2.85 4.78 0.71 Uninsured % SE % Insured SE Private Coverage % SE Government Coverage % SE
Definitions: % = Percent; SE = Standard Error Note: Counts are presented in thousands. Source: U.S. Census Bureau, 2008 American Community Survey.
August 23, 2010
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Virginia SHAP Grantee Chartbook
Exhibit 2.5: Sub-State Uninsurance Estimates, Age 0-64 by Federal Poverty Level (FPL), ACS 2008
All Poverty Levels % SE County A c c o m a c k , C a r o l i n e , E s s e x , K i n g a n d Q u e e n , K in g W i l li a m , Lancaster, Middlesex, Northampton, Northumberland, Richmond, Westmoreland A l b e m a r l e , C h a r l o t t e s v i l l e ^ , F l u va n n a , G r e e n e Alexandria^ A l l e g h a n y , A u g u s t a , B a t h , B u e n a V is t a ^ , C l if t o n F o r g e ^ , C o vi n g t o n ^ , C r a i g , H i g h l a n d , L e x in g t o n ^ , Ne ls o n , R o c k b r i d g e , St a u n t o n ^ , W a y n e s b o r o ^ A m e l i a , A p p o m a t t o x , B u c k i n g h a m , C h a r lo t t e , C u m b e r la n d , Halifax, Nottoway, Prince Edward Amherst, Bedford^, Bedford, Campbell, Lynchburg^ Arlington Bland, Buchanan, Carroll, Galax^, Grayson, Tazewell, Wythe Botetourt, Roanoke B r i s t o l ^ , Sc o t t , S m y t h , W a s h i n g t o n B r u n s w i c k , E m p o r i a ^ , F r a n k l i n ^ , G r e e n s vi l le , L u n e n b u r g , Mecklenburg, Southampton, Surry, Sussex C h a r l e s ^ , C o l o n i a l H e i g h t s ^ , D i n w i d d ie , H o p e w e l l^ , Ne w K e n t , Petersburg^, Prince George Chesapeake^ Chesterfield Clarke, Fauquier, Loudoun, Warren C u l p e p e r , F r e d e r i c k s b u r g ^ , S p o t s y l va n i a D a n v i l l e ^ , P i t t s y l va n i a Dickenson, Lee, Norton^, Russell, Wise Fairfax, Fairfax^, Falls Church^ Floyd, Giles, Montgomery, Pulaski, Radford^ F r a n k l i n , H e n r y , M a r t i n s v i l l e ^ , P a t r ic k Frederick, Shenandoah, Winchester^ G l o u c e s t e r , J a m e s ^ , M a t h e w s , P o q u o s o n ^ , W i l l ia m s b u r g ^ , Y o r k G o o c h l a n d , H a n o ve r , P o w h a t a n Hampton^ Harrisonburg^, Louisa, Madison, Orange, Page, Rappahannock, Rockingham Henrico Isle of Wight, Portsmouth^, Suffolk^ King George, Stafford M a n a s s a s ^ , M a n a s s a s P a r k ^ , P r i n c e W i ll ia m (p a r t ) <200% FPL % SE
17.0 12.1 12.5
1.9 1.7 2.0
28.1 27.4 34.0
4.7 4.8 6.7
16.9 * 17.6 14.6 8.3 * 18.7 * 8.8 * 15.8 21.3 * 20.1 * 10.6 * 11.7 10.1 * 10.8 17.3 * 16.0 11.9 13.4 19.1 * 18.8 * 6.9 * 5.3 * 13.6 15.8 11.6 11.3 8.8 * 15.8
1.7 2.3 1.4 1.3 1.7 1.6 1.8 2.5 2.3 1.1 1.2 1.0 1.5 1.9 2.1 0.7 1.6 2.1 2.1 1.2 0.9 2.1 1.7 1.3 1.2 1.4 1.4
33.3 27.2 26.0 25.6 29.6 16.6 * 26.4 34.3 34.7 25.9 30.6 39.3 * 21.4 32.9 24.7 33.6 26.1 31.8 35.4 24.3 17.4 * 23.4 31.5 25.8 27.7 36.7 39.3 *
4.1 3.7 3.2 5.4 3.0 4.4 3.1 4.5 5.1 3.7 3.8 4.9 4.0 3.7 3.0 2.8 3.0 3.7 4.7 5.2 4.6 5.9 4.0 4.1 3.2 6.1 4.8
August 23, 2010
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Virginia SHAP Grantee Chartbook
Continued: Sub-State Uninsurance Estimates, Age 0-64 by Federal Poverty Level (FPL), ACS 2008
County Newport News^ Norfolk^ Richmond^ R o a n o k e ^ , Sa l e m ^ Virginia Beach^
All Poverty Levels % SE 12.7 17.9 * 19.8 * 15.7 10.6 * 1.3 1.6 1.8 1.9 0.9
<200% FPL % 21.7 * 24.3 29.3 27.1 23.0 * SE 2.8 2.6 3.4 3.7 2.6
Definitions: % = Percent; SE = Standard Error Note: Sub-state estimates are typically collections of counties and reflect the lowest level of geography available for a single year of ACS data. In most metro areas sub-county estimates are available, but where possible the sub-county estimates are aggregated to the county. ^ Independent city. * Statistically different from the state uninsurance estimate for population group (Age 0-64, 13.3%; Age 0-64 <200% FPL, 28.9%). Source: U.S. Census Bureau, 2008 American Community Survey.
August 23, 2010
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August 23, 2010 Exhibit 3.1: Sub-State Uninsurance Estimates, Age 0-18, ACS 2008
Virginia SHAP Grantee Chartbook
www.shadac.org
Source: U.S. Census Bureau, 2008 American Community Survey. * Statistically different from the state uninsurance estimate for people age 0-18 (7.9%).
Note: Sub-state estimates are typically collections of counties and reflect the lowest level of geography available for a single year of ACS data. In most metro areas sub-county estimates are available, but where possible the sub-county estimates are aggregated to the county.
9
Virginia SHAP Grantee Chartbook
Exhibit 3.2: Demographic Profile by Source of Health Insurance Coverage, Age 0-18, ACS 2008
Population (000) Race and Ethnicity Hispanic White Alone Black Alone Asian Alone Multiple/other non-Hispanic Total Age 0-18 19-24 25-44 45-64 Total P o ve r t y L e ve l 0-99% FPL 100-199% FPL 200-399% FPL 4 0 0 % + FP L Total Se x Male Female Total Work Status Not working Part-time Full-time Total 36 64 17 117 13.7 10.5 19.5 12.8 2.88 1.69 3.96 1.43 86.3 89.5 80.5 87.2 2.88 1.69 3.96 1.43 72.1 83.2 74.9 78.6 3.43 1.93 4.62 1.68 19.1 7.4 5.6 10.7 2.93 1.20 3.15 1.23 999 943 1,942 7.8 8.0 7.9 0.46 0.45 0.37 92.2 92.0 92.1 0.46 0.45 0.37 75.3 74.9 75.1 0.72 0.73 0.60 18.9 19.1 19.0 0.65 0.67 0.55 268 322 600 701 1,890 16.2 13.3 8.1 2.3 8.0 1.53 1.21 0.62 0.28 0.38 83.8 86.7 91.9 97.7 92.0 1.53 1.21 0.62 0.28 0.38 24.4 56.0 83.3 96.2 75.1 1.66 1.72 0.86 0.37 0.61 62.9 35.1 10.0 2.5 19.0 1.98 1.63 0.67 0.28 0.56 1,942 ---1,942 7.9 ---7.9 0.37 ---0.37 92.1 ---92.1 0.37 ---0.37 75.1 ---75.1 0.60 ---0.60 19.0 ---19.0 0.55 ---0.55 186 1,165 418 87 86 1,942 20.0 5.7 8.8 9.6 6.0 7.9 1.86 0.40 0.88 1.57 1.50 0.37 80.0 94.3 91.2 90.4 94.0 92.1 1.86 0.40 0.88 1.57 1.50 0.37 57.9 83.7 57.9 81.5 73.2 75.1 2.32 0.61 1.55 2.62 3.03 0.60 24.3 12.6 36.0 9.2 22.4 19.0 2.04 0.54 1.52 2.09 2.98 0.55 Uninsured % SE % Insured SE Private Coverage % SE Government Coverage % SE
Definitions: % = Percent; SE = Standard Error Note: Counts are presented in thousands. Source: U.S. Census Bureau, 2008 American Community Survey.
August 23, 2010
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August 23, 2010 Exhibit 3.3: Sub-State Uninsurance Estimates, Age 0-18, <200% FPL, ACS 2008
Virginia SHAP Grantee Chartbook
www.shadac.org
Source: U.S. Census Bureau, 2008 American Community Survey. * Statistically different from the state uninsurance estimate for people age 0-18 under 200% FPL (14.6%). ^ Data are suppressed for sub-state areas with fewer than 50 observations.
Note: Sub-state estimates are typically collections of counties and reflect the lowest level of geography available for a single year of ACS data. In most metro areas sub-county estimates are available, but where possible the sub-county estimates are aggregated to the county.
11
Virginia SHAP Grantee Chartbook
Exhibit 3.4: Demographic Profile by Source of Health Insurance Coverage, Age 0-18, <200% FPL, ACS 2008
Population (000) Race and Ethnicity Hispanic White Alone Black Alone Asian Alone Multiple/other non-Hispanic Total Age 0-18 19-24 25-44 45-64 Total P o ve r t y L e ve l 0-99% FPL 100-199% FPL 200-399% FPL 4 0 0 % + FP L Total Se x Male Female Total Work Status Not working Part-time Full-time* Total 11 11 4 26 24.9 29.7 -26.8 6.96 6.02 -4.10 75.1 70.3 -73.2 6.96 6.02 -4.10 34.4 42.9 -41.1 6.51 5.86 -4.13 46.1 29.5 -35.2 7.19 5.22 -4.11 308 282 590 14.2 15.1 14.6 1.15 1.15 0.96 85.8 84.9 85.4 1.15 1.15 0.96 42.7 40.5 41.6 1.57 1.54 1.30 47.1 48.4 47.7 1.59 1.58 1.34 268 322 --590 16.2 13.3 --14.6 1.53 1.21 --0.96 83.8 86.7 --85.4 1.53 1.21 --0.96 24.4 56.0 --41.6 1.66 1.72 --1.30 62.9 35.1 --47.7 1.98 1.63 --1.34 590 ---590 14.6 ---14.6 0.96 ---0.96 85.4 ---85.4 0.96 ---0.96 41.6 ---41.6 1.30 ---1.30 47.7 ---47.7 1.34 ---1.34 73 247 225 18 28 590 28.3 14.1 10.5 20.9 12.6 14.6 3.66 1.40 1.37 5.46 4.12 0.96 71.7 85.9 89.5 79.1 87.4 85.4 3.66 1.40 1.37 5.46 4.12 0.96 32.6 49.1 36.1 46.7 40.7 41.6 3.97 1.88 2.15 7.75 5.77 1.30 42.2 41.9 56.7 33.1 49.8 47.7 4.00 1.84 2.27 7.30 6.29 1.34 Uninsured % SE % Insured SE Private Coverage % SE Government Coverage % SE
Definitions: % = Percent; SE = Standard Error Note: Counts are presented in thousands. * Sample size for this subpopulation is not sufficient to provide an estimate. Source: U.S. Census Bureau, 2008 American Community Survey.
August 23, 2010
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Virginia SHAP Grantee Chartbook
Exhibit 3.5: Sub-State Uninsurance Estimates, Age 0-18 by Federal Poverty Level (FPL), ACS 2008
All Poverty Levels % SE County A c c o m a c k , C a r o l i n e , E s s e x , K i n g a n d Q u e e n , K in g W i l li a m , Lancaster, Middlesex, Northampton, Northumberland, Richmond, Westmoreland A l b e m a r l e , C h a r l o t t e s v i l l e ^ , F l u va n n a , G r e e n e Alexandria^ A l l e g h a n y , A u g u s t a , B a t h , B u e n a V is t a ^ , C l if t o n F o r g e ^ , C o vi n g t o n ^ , C r a i g , H i g h l a n d , L e x in g t o n ^ , Ne ls o n , R o c k b r i d g e , St a u n t o n ^ , W a y n e s b o r o ^ A m e l i a , A p p o m a t t o x , B u c k i n g h a m , C h a r lo t t e , C u m b e r la n d , Halifax, Nottoway, Prince Edward Amherst, Bedford^, Bedford, Campbell, Lynchburg^ Arlington Bland, Buchanan, Carroll, Galax^, Grayson, Tazewell, Wythe Botetourt, Roanoke B r i s t o l ^ , Sc o t t , S m y t h , W a s h i n g t o n B r u n s w i c k , E m p o r i a ^ , F r a n k l i n ^ , G r e e n s vi l le , L u n e n b u r g , Mecklenburg, Southampton, Surry, Sussex C h a r l e s ^ , C o l o n i a l H e i g h t s ^ , D i n w i d d ie , H o p e w e l l^ , Ne w K e n t , Petersburg^, Prince George Chesapeake^ Chesterfield Clarke, Fauquier, Loudoun, Warren C u l p e p e r , F r e d e r i c k s b u r g ^ , S p o t s y l va n i a D a n v i l l e ^ , P i t t s y l va n i a Dickenson, Lee, Norton^, Russell, Wise Fairfax, Fairfax^, Falls Church^ Floyd, Giles, Montgomery, Pulaski, Radford^ F r a n k l i n , H e n r y , M a r t i n s v i l l e ^ , P a t r ic k Frederick, Shenandoah, Winchester^ G l o u c e s t e r , J a m e s ^ , M a t h e w s , P o q u o s o n ^ , W i l l ia m s b u r g ^ , Y o r k G o o c h l a n d , H a n o ve r , P o w h a t a n Hampton^ Harrisonburg^, Louisa, Madison, Orange, Page, Rappahannock, Rockingham Henrico Isle of Wight, Portsmouth^, Suffolk^ King George, Stafford M a n a s s a s ^ , M a n a s s a s P a r k ^ , P r i n c e W i ll ia m (p a r t ) <200% FPL % SE
11.0 8.1 6.6
3.0 2.4 3.4
19.9 17.5 --
6.5 7.1 --
12.5 9.5 8.1 4.2 * 5.9 6.9 7.9 12.7 16.2 * 3.9 * 7.3 5.0 * 6.2 8.2 8.6 7.2 6.8 11.1 11.8 3.1 * 1.6 * 6.5 15.3 * 7.4 4.5 * 5.8 12.1
3.1 3.0 2.0 1.7 1.8 2.2 2.3 3.2 3.9 1.0 1.8 1.1 1.6 2.6 2.8 0.9 2.2 3.2 3.0 1.6 0.8 2.7 3.2 2.0 1.7 1.7 2.2
20.7 12.9 10.8 -7.3 * 13.5 11.0 18.3 21.9 7.0 * 14.6 17.0 6.4 * 15.3 11.0 15.2 14.5 13.4 17.1 10.9 -12.6 29.0 * 14.6 8.5 22.1 24.0
6.8 4.3 3.9 -3.0 7.1 4.0 5.5 7.2 2.9 5.4 6.6 2.7 5.1 3.9 3.4 5.2 4.8 6.2 6.4 -6.3 7.2 5.6 4.2 8.2 6.1
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Virginia SHAP Grantee Chartbook
Continued: Sub-State Uninsurance Estimates, Age 0-18 by Federal Poverty Level (FPL), ACS 2008
County Newport News^ Norfolk^ Richmond^ R o a n o k e ^ , Sa l e m ^ Virginia Beach^
All Poverty Levels % SE 4.4 * 8.4 12.9 7.2 7.6 1.4 1.9 3.8 2.8 1.6
<200% FPL % 6.1 * 9.6 19.2 12.7 15.1 SE 2.3 2.9 6.2 5.2 4.8
Definitions: % = Percent; SE = Standard Error Note: Sub-state estimates are typically collections of counties and reflect the lowest level of geography available for a single year of ACS data. In most metro areas sub-county estimates are available, but where possible the sub-county estimates are aggregated to the county. ^Independent city. * Statistically different from the state uninsurance estimate for population group (Age 0-18, 7.9%; Age 0-18 <200% FPL, 14.6%). -- Data are suppressed for sub-state areas with fewer than 50 observations. Source: U.S. Census Bureau, 2008 American Community Survey.
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August 23, 2010 Exhibit 4.1: Sub-State Uninsurance Estimates, Age 19-64, ACS 2008
Virginia SHAP Grantee Chartbook
www.shadac.org
Source: U.S. Census Bureau, 2008 American Community Survey. * Statistically different from the state uninsurance estimate for people age 19-64 (15.5%).
Note: Sub-state estimates are typically collections of counties and reflect the lowest level of geography available for a single year of ACS data. In most metro areas sub-county estimates are available, but where possible the sub-county estimates are aggregated to the county.
15
Virginia SHAP Grantee Chartbook
Exhibit 4.2: Demographic Profile by Source of Health Insurance Coverage, Age 19-64, ACS 2008
Population (000) Race and Ethnicity Hispanic White Alone Black Alone Asian Alone Multiple/other non-Hispanic Total Age 0-18 19-24 25-44 45-64 Total P o ve r t y L e ve l 0-99% FPL 100-199% FPL 200-399% FPL 4 0 0 % + FP L Total Se x Male Female Total Work Status Not working Part-time Full-time Total 755 695 3,225 4,675 20.3 22.9 12.8 15.5 0.64 0.68 0.30 0.28 79.7 77.1 87.2 84.5 0.64 0.68 0.30 0.28 60.1 72.2 85.7 79.6 0.76 0.71 0.31 0.31 28.3 7.2 3.4 8.0 0.65 0.39 0.13 0.17 2,246 2,429 4,675 17.1 14.1 15.5 0.38 0.31 0.28 82.9 85.9 84.5 0.38 0.31 0.28 78.9 80.2 79.6 0.40 0.36 0.31 7.9 8.1 8.0 0.22 0.23 0.17 427 562 1,320 2,313 4,623 42.0 34.0 17.6 5.2 15.7 1.17 0.98 0.55 0.23 0.28 58.0 66.0 82.4 94.8 84.3 1.17 0.98 0.55 0.23 0.28 33.3 55.4 79.1 93.9 79.4 1.18 1.04 0.58 0.24 0.31 27.6 14.2 6.5 3.8 8.0 0.99 0.62 0.27 0.15 0.17 -609 2,048 2,018 4,675 -26.3 17.3 10.5 15.5 -0.87 0.42 0.31 0.28 -73.7 82.7 89.5 84.5 -0.87 0.42 0.31 0.28 -68.4 78.6 83.9 79.6 -0.93 0.45 0.36 0.31 -6.6 5.9 10.5 8.0 -0.49 0.22 0.25 0.17 312 3,154 885 251 74 4,675 40.6 11.5 20.6 17.0 18.1 15.5 1.62 0.27 0.71 1.28 1.83 0.28 59.4 88.5 79.4 83.0 81.9 84.5 1.62 0.27 0.71 1.28 1.83 0.28 57.6 84.4 69.8 81.2 75.6 79.6 1.62 0.31 0.80 1.33 2.04 0.31 3.2 7.2 13.7 3.5 11.6 8.0 0.40 0.18 0.51 0.52 1.39 0.17 Uninsured % SE % Insured SE Private Coverage % SE Government Coverage % SE
Definitions: % = Percent; SE = Standard Error Note: Counts are presented in thousands. Source: U.S. Census Bureau, 2008 American Community Survey.
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August 23, 2010 Exhibit 4.3: Sub-State Uninsurance Estimates, Age 19-64, <200% FPL, ACS 2008
Virginia SHAP Grantee Chartbook
www.shadac.org
Source: U.S. Census Bureau, 2008 American Community Survey. * Statistically different from the state uninsurance estimate for people age 19-64 under 200% FPL (37.5%).
Note: Sub-state estimates are typically collections of counties and reflect the lowest level of geography available for a single year of ACS data. In most metro areas sub-county estimates are available, but where possible the sub-county estimates are aggregated to the county.
17
Virginia SHAP Grantee Chartbook
Exhibit 4.4: Demographic Profile by Source of Health Insurance Coverage, Age 19-64, <200% FPL, ACS 2008
Population (000) Race and Ethnicity Hispanic White Alone Black Alone Asian Alone Multiple/other non-Hispanic Total Age 0-18 19-24 25-44 45-64 Total P o ve r t y L e ve l 0-99% FPL 100-199% FPL 200-399% FPL 4 0 0 % + FP L Total Se x Male Female Total Work Status Not working Part-time Full-time Total 329 210 450 989 31.9 43.1 38.9 37.5 1.14 1.47 1.11 0.77 68.1 56.9 61.1 62.5 1.14 1.47 1.11 0.77 33.6 45.3 55.2 45.9 1.15 1.48 1.14 0.81 41.5 13.7 7.3 20.0 1.15 0.95 0.58 0.57 426 563 989 42.0 34.0 37.5 1.12 0.88 0.77 58.0 66.0 62.5 1.12 0.88 0.77 44.4 47.0 45.9 1.14 0.94 0.81 17.6 21.8 20.0 0.77 0.75 0.57 427 562 --989 42.0 34.0 --37.5 1.17 0.98 --0.77 58.0 66.0 --62.5 1.17 0.98 --0.77 33.3 55.4 --45.9 1.18 1.04 --0.81 27.6 14.2 --20.0 0.99 0.62 --0.57 -206 453 330 989 -36.5 41.8 32.1 37.5 -1.71 1.13 1.10 0.77 -63.5 58.2 67.9 62.5 -1.71 1.13 1.10 0.77 -52.2 44.3 44.1 45.9 -1.83 1.16 1.16 0.81 -13.1 16.0 29.8 20.0 -1.19 0.77 0.99 0.57 99 540 291 41 18 989 66.1 32.4 36.6 40.6 38.5 37.5 2.66 0.94 1.37 4.18 4.54 0.77 33.9 67.6 63.4 59.4 61.5 62.5 2.66 0.94 1.37 4.18 4.54 0.77 30.1 50.3 42.0 55.0 41.3 45.9 2.61 1.07 1.44 4.18 4.62 0.81 4.9 21.0 25.0 6.4 22.3 20.0 0.86 0.75 1.16 1.62 3.98 0.57 Uninsured % SE % Insured SE Private Coverage % SE Government Coverage % SE
Definitions: % = Percent; SE = Standard Error Note: Counts are presented in thousands. Source: U.S. Census Bureau, 2008 American Community Survey.
August 23, 2010
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Virginia SHAP Grantee Chartbook
Exhibit 4.5: Sub-State Uninsurance Estimates, Age 19-64 by Federal Poverty Level (FPL), ACS 2008
All Poverty Levels % SE County A c c o m a c k , C a r o l i n e , E s s e x , K i n g a n d Q u e e n , K in g W i l li a m , Lancaster, Middlesex, Northampton, Northumberland, Richmond, Westmoreland A l b e m a r l e , C h a r l o t t e s v i l l e ^ , F l u va n n a , G r e e n e Alexandria^ A l l e g h a n y , A u g u s t a , B a t h , B u e n a V is t a ^ , C l if t o n F o r g e ^ , C o vi n g t o n ^ , C r a i g , H i g h l a n d , L e x in g t o n ^ , Ne ls o n , R o c k b r i d g e , St a u n t o n ^ , W a y n e s b o r o ^ A m e l i a , A p p o m a t t o x , B u c k i n g h a m , C h a r lo t t e , C u m b e r la n d , Halifax, Nottoway, Prince Edward Amherst, Bedford^, Bedford, Campbell, Lynchburg^ Arlington Bland, Buchanan, Carroll, Galax^, Grayson, Tazewell, Wythe Botetourt, Roanoke B r i s t o l ^ , Sc o t t , S m y t h , W a s h i n g t o n B r u n s w i c k , E m p o r i a ^ , F r a n k l i n ^ , G r e e n s vi l le , L u n e n b u r g , Mecklenburg, Southampton, Surry, Sussex C h a r l e s ^ , C o l o n i a l H e i g h t s ^ , D i n w i d d ie , H o p e w e l l^ , Ne w K e n t , Petersburg^, Prince George Chesapeake^ Chesterfield Clarke, Fauquier, Loudoun, Warren C u l p e p e r , F r e d e r i c k s b u r g ^ , S p o t s y l va n i a D a n v i l l e ^ , P i t t s y l va n i a Dickenson, Lee, Norton^, Russell, Wise Fairfax, Fairfax^, Falls Church^ Floyd, Giles, Montgomery, Pulaski, Radford^ F r a n k l i n , H e n r y , M a r t i n s v i l l e ^ , P a t r ic k Frederick, Shenandoah, Winchester^ G l o u c e s t e r , J a m e s ^ , M a t h e w s , P o q u o s o n ^ , W i l l ia m s b u r g ^ , Y o r k G o o c h l a n d , H a n o ve r , P o w h a t a n Hampton^ Harrisonburg^, Louisa, Madison, Orange, Page, Rappahannock, Rockingham Henrico Isle of Wight, Portsmouth^, Suffolk^ King George, Stafford M a n a s s a s ^ , M a n a s s a s P a r k ^ , P r i n c e W i ll ia m (p a r t ) <200% FPL % SE
19.4 13.5 14.6
2.0 1.7 2.2
33.4 31.1 49.9
4.8 4.8 7.0
18.4 20.7 * 16.9 9.4 * 23.3 * 9.5 * 18.5 24.9 * 21.6 * 13.7 13.6 12.5 * 12.8 20.6 * 18.6 13.8 15.7 21.9 * 21.6 * 8.4 * 6.6 * 16.5 16.0 13.3 14.7 10.4 * 17.6
1.7 2.5 1.6 1.5 2.0 1.6 1.9 2.8 2.1 1.4 1.4 1.2 1.6 2.2 2.3 0.8 1.9 2.3 2.4 1.3 1.1 2.2 1.5 1.3 1.4 1.6 1.4
38.9 34.8 33.4 31.8 39.3 18.5 * 32.9 43.6 43.3 39.6 41.7 51.4 * 31.4 41.2 31.7 44.7 * 29.6 * 40.5 46.0 32.4 24.1 * 32.7 32.8 34.2 42.7 47.6 52.4 *
4.6 4.3 3.8 6.3 3.6 4.6 3.5 4.9 4.6 4.9 4.2 5.3 4.8 4.2 4.0 3.2 3.5 4.1 5.3 6.3 6.0 6.6 3.5 3.9 4.0 8.2 4.9
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Continued: Sub-State Uninsurance Estimates, Age 19-64 by Federal Poverty Level (FPL), ACS 2008
County Newport News^ Norfolk^ Richmond^ R o a n o k e ^ , Sa l e m ^ Virginia Beach^
All Poverty Levels % SE 17.2 23.1 * 22.5 * 19.5 12.0 * 1.6 1.9 1.9 2.1 0.9
<200% FPL % 34.6 36.5 35.2 36.6 29.1 * SE 3.6 3.4 3.7 4.2 3.0
Definitions: % = Percent; SE = Standard Error Note: Sub-state estimates are typically collections of counties and reflect the lowest level of geography available for a single year of ACS data. In most metro areas sub-county estimates are available, but where possible the sub-county estimates are aggregated to the county. * Statistically different from the state uninsurance estimate for population group (Age 19-64, 15.5%; Age 19-64 <200% FPL, 37.5%). Source: U.S. Census Bureau, 2008 American Community Survey.
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Appendix A. Technical Assistance Available from SHADAC
SHADAC has a contract with Health Resources and Services Administration (HRSA) at Health and Human Services (HHS) to provide technical assistance to states that have received State Health Access Program (SHAP) grants. This includes support for data collection, analysis and evaluation related to their SHAP project work. A summary of assistance is provided below. Questions and requests can be directed to Elizabeth Lukanen at 612-626-1537 or [email protected].
Data Assistance Several SHADAC resources are available to help SHAP grantees access and utilize data relating to health insurance coverage estimates, access to care, and understanding available data-specific technical assistance resources. Resources include: SHADAC’s Data Center, an online table and chart generator; issue briefs and technical briefs; and information on how to access microdata. Web page: http://www.shadac.org/shap/technical-assistance/data HRSA Benchmarks SHADAC will also assist states in reporting HSRA benchmark data. Web page: http://www.shadac.org/shap/technical-assistance/HRSA-Benchmarks Evaluation SHADAC staff are available to help SHAP grantees refine and implement evaluation plans, to ensure the fidelity and success of SHAP-funded programs. Web page: http://www.shadac.org/shap/technical-assistance/evaluations Surveys SHADAC has a variety of resources to help SHAP grantees conduct survey research and apply the results to relevant audiences. SHADAC’s technical assistance can facilitate the sharing of information and expertise among grantees, help policy makers understand the unique characteristics of state subpopulations, and provide assistance in developing survey tools and methods. Web page: http://www.shadac.org/shap/technical-assistance/surveys State Reform Research and Strategies SHADAC has provided evaluative information on health reform initiatives in states participating in the State Health Access Reform Evaluation (SHARE) program. Many of these evaluations provide descriptive information that may be useful for SHAP grantees. Web page: http://www.shadac.org/shap/technical-assistance/ state-reform-research-and-strategies August 23, 2010 www.shadac.org
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Appendix B. Data Source
Source: U.S. Census Bureau, 2008 American Community Survey (ACS). Calculations by SHADAC. Estimates for the ACS exclude military but include non-institutionalized group quarters such as college/university housing, group homes intended for adults, residential treatment facilities for adults, workers’ group living quarters and Job Corps centers, and religious group quarters. Population counts are presented in thousands. Definitions: '%' = Percent; 'SE' = Standard error as a percent. Confidence intervals can be calculated from the standard errors; for example, the 95% confidence interval is ±(1.96 * SE). Insurance coverage note: Listed Medicaid rates include SCHIP and state-specific public programs. Those who report multiple types of insurance coverage (i.e., private or public) are included in each category; therefore, row totals may add to more than 100 percent. Active duty military coverage (e.g., TRICARE) is considered employer-sponsored insurance, while VA coverage is considered government coverage. ACS methodology note: The ACS asks respondents about their health insurance coverage at the time of the interview. For technical documentation on the ACS please visit http://www.shadac.org/content/acs-info-andresources.
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Appendix C. County Groupings in Sub-state Areas
Sub-State Area^ 00100 00200 00301 00302 00303 00304 00305 00400 Counties Arlington Alexandria* Fairfax (part) Falls Church* Fairfax (part) Fairfax* Fairfax (part) Fairfax (part) Fairfax (part) Frederick Shenandoah Winchester* Manassas* Manassas Park* Prince William (part) Prince William (part) Clarke Fauquier Loudoun Warren Harrisonburg* Louisa Madison Orange Page Rappahannock Rockingham King George Stafford Culpeper Fredericksburg* Spotsylvania Albemarle Charlottesville* Fluvanna Greene Alleghany Augusta
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00501 00502 00600
00700
00800 00900
01000
01100
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Sub-State Area^
Counties Bath Buena Vista* Clifton Forge* Covington* Craig Highland Lexington* Nelson Rockbridge Staunton* Waynesboro* Richmond* Henrico Chesterfield Goochland Hanover Powhatan Roanoke* Salem* Botetourt Roanoke Amherst Bedford* Bedford Campbell Lynchburg* Accomack Caroline Essex King and Queen King William Lancaster Middlesex Northampton Northumberland Richmond Westmoreland Newport News* Hampton* Gloucester
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01100 (cont.)
01200 01300 01400 01500 01600 01700
01800
01900
02000 02100 02200
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Sub-State Area^
Counties James* Mathews Poquoson* Williamsburg* York Charles* Colonial Heights* Dinwiddie Hopewell* New Kent Petersburg* Prince George Floyd Giles Montgomery Pulaski Radford* Dickenson Lee Norton* Russell Wise Bristol* Scott Smyth Washington Bland Buchanan Carroll Galax* Grayson Tazewell Wythe Virginia Beach* (part) Virginia Beach* (part) Virginia Beach* (part) Norfolk* Chesapeake* Isle of Wight Portsmouth*
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02200 (cont.)
02300
02400
02500
02600
02700
02801 02802 02803 02900 03000 03100
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Sub-State Area^ 03100 (cont.)
Counties Suffolk* Brunswick Emporia* Franklin* Greensville Lunenburg Mecklenburg Southampton Surry Sussex Franklin Henry Martinsville* Patrick Amelia Appomattox Buckingham Charlotte Cumberland Halifax Nottoway Prince Edward Danville* Pittsylvania Arlington Alexandria* Fairfax (part) Falls Church* Fairfax (part) Fairfax* Fairfax (part) Fairfax (part) Fairfax (part) Frederick Shenandoah Winchester* Manassas* Manassas Park* Prince William (part) Prince William (part)
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03200
03300
03400
03500 00100 00200 00301 00302 00303 00304 00305 00400
00501 00502
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Sub-State Area^ 00600
Counties Clarke Fauquier Loudoun Warren Harrisonburg* Louisa Madison Orange Page Rappahannock Rockingham King George Stafford Culpeper Fredericksburg* Spotsylvania Albemarle Charlottesville* Fluvanna Greene Alleghany Augusta Bath Buena Vista* Clifton Forge* Covington* Craig Highland Lexington* Nelson Rockbridge Staunton* Waynesboro* Richmond* Henrico Chesterfield Goochland Hanover Powhatan Roanoke*
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00700
00800 00900
01000
01100
01200 01300 01400 01500 01600
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Sub-State Area^ 01600 (cont.) 01700
Counties Salem* Botetourt Roanoke Amherst Bedford* Bedford Campbell Lynchburg* Accomack Caroline Essex King and Queen King William Lancaster Middlesex Northampton Northumberland Richmond Westmoreland Newport News* Hampton* Gloucester James* Mathews Poquoson* Williamsburg* York Charles* Colonial Heights* Dinwiddie Hopewell* New Kent Petersburg* Prince George Floyd Giles Montgomery Pulaski Radford* Dickenson
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01800
01900
02000 02100
02200
02300
02400
02500
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Sub-State Area^ 02500 (cont.)
Counties Lee Norton* Russell Wise Bristol* Scott Smyth Washington Bland Buchanan Carroll Galax* Grayson Tazewell Wythe Virginia Beach* (part) Virginia Beach* (part) Virginia Beach* (part) Norfolk* Chesapeake* Isle of Wight Portsmouth* Suffolk* Brunswick Emporia* Franklin* Greensville Lunenburg Mecklenburg Southampton Surry Sussex Franklin Henry Martinsville* Patrick Amelia Appomattox Buckingham Charlotte
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02600
02700
02801 02802 02803 02900 03000 03100
03200
03300
03400
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Sub-State Area^ 03400 (cont.)
Counties Cumberland Halifax Nottoway Prince Edward Danville* Pittsylvania
03500
^ Sub-state areas are labeled according to Census Bureau-defined geographical areas known at PUMAs (Public Use Microdata Areas). For more information on these areas, contact SHADAC. *Independent city.
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Appendix D. Virginia Map of Major Cities
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Source: U.S. Census Bureau.
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Appendix E. Virginia Map of County Boundaries
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Source: U.S. Census Bureau.
