West Virginia State Chartbook
Content
West Virginia
SHAP Grantee Chartbook
Health Insurance Coverage Estimates
from the 2008 American Community Survey (ACS)
Prepared for:
State Health Access Program (SHAP)
Last Updated: July 21, 2010
West 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).
2221 University Ave SE, Suite 345
Minneapolis, MN 55414
Ph. 612-624-4802
Fax. 612-624-1493
Email. [email protected]
www.shadac.org/shap
5600 Fishers Lane
Rockville, MD 20857
HRSA Contact Person
Michelle Herzog
Ph. 301-443-0650
Email. [email protected]
West Virginia SHAP Grantee Organization:
West Virginia Department of Health and Human Resources
Office of the Secretary
Project Liaison
Gerald Roueche
Ph. 304-558-0684
Email. [email protected]
July 21, 2010
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West 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 ....................................................... 8
Exhibit 3.2: Demographic Profile by Source of Health Insurance Coverage, Age 0-18, ACS 2008 .......... 9
Exhibit 3.3: Sub-State Uninsurance Estimates, Age 0-18, <200% FPL, ACS 2008 .................................. 10
Exhibit 3.4: Demographic Profile by Source of Health Insurance Coverage, Age 0-18, <200% FPL, ACS
................................................................................................................................................................ 11
Exhibit 3.5: Sub-State Uninsurance Estimates, Age 0-18 by Federal Poverty Level (FPL), ACS 2008 .... 12
Exhibit 4.1: Sub-State Uninsurance Estimates, Age 19-64, ACS 2008 ................................................... 13
Exhibit 4.2: Demographic Profile by Source of Health Insurance Coverage, Age 19-64, ACS 2008 ...... 14
Exhibit 4.3: Sub-State Uninsurance Estimates, Age 19-64, <200% FPL, ACS 2008 ................................ 15
Exhibit 4.4: Demographic Profile by Source of Health Insurance Coverage, Age 19-64, <200% FPL, ACS
................................................................................................................................................................ 16
Exhibit 4.5: Sub-State Uninsurance Estimates, Age 19-64 by Federal Poverty Level (FPL), ACS 2008 .. 17
Appendix A. Technical Assistance Available from SHADAC ....................................................................... 18
Appendix B. Data Source............................................................................................................................ 19
Appendix C. County Groupings in Sub-state Areas .................................................................................... 20
Appendix D. West Virginia Map of Major Cities ........................................................................................ 22
Appendix E. West Virginia Map of County Boundaries .............................................................................. 23
July 21, 2010
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West 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 West Virginia is shown in Exhibit 1. In 2008, 81.9% of the
total population age 0-64 had health insurance coverage. Nearly two thirds (65.1%) had private
coverage, while 21.4% reported having government coverage. This is in contrast to individuals under
200% of the Federal Poverty Level (FPL), of which only 69.0% had insurance, with 32.7% having private
coverage, and 40.8% having government coverage.
Exhibit 1: Any Source of Health Insurance Coverage by Poverty Level, Age 0-64, ACS 2008
90%
81.9%
80%
69.0%
70%
65.1%
60%
50%
40.8%
40%
32.7%
31.0%
30%
20%
21.4%
18.1%
10%
0%
Uninsured
Insured
Total
Private Coverage
Government
Coverage
< 200% FPL
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.
July 21, 2010
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West 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.
July 21, 2010
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West Virginia SHAP Grantee Chartbook
Exhibit 2.1: Sub-State Uninsurance Estimates, Age 0-64, ACS 2008
Source: U.S. Census Bureau, 2008 American Community Survey.
* Statistically different from the state uninsurance estimate for people age 0-64 (18.1%).
Note: Sub-state estimates are typically collections of counties and reflect the lowest level of geography available for a single
year of ACS data.
July 21, 2010
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West Virginia SHAP Grantee Chartbook
Exhibit 2.2: Demographic Profile by Source of Health Insurance Coverage, Age 0-64, ACS 2008
Population
(000)
%
SE
Private
Coverage
%
SE
Uninsured
%
SE
Insured
Government
Coverage
%
SE
Race and Ethnicity
Hispanic
19
33.1
8.93
66.9
8.93
53.0
8.49
20.3
5.55
1,412
17.8
0.53
82.2
0.53
65.9
0.78
20.9
0.56
Black Alone
52
21.0
2.97
79.0
2.97
53.4
4.43
30.6
3.71
Asian Alone
8
20.6
5.89
79.4
5.89
74.0
6.87
5.3
2.66
27
16.1
2.77
83.9
2.77
49.8
4.96
37.6
4.70
1,518
18.1
0.52
81.9
0.52
65.1
0.77
21.4
0.55
White Alone
Multiple/other
non-Hispanic
Total
Age
0-18
403
7.2
0.70
92.8
0.70
60.4
1.38
36.1
1.34
19-24
138
34.1
1.91
65.9
1.91
56.3
2.06
11.1
1.18
25-44
456
27.7
1.05
72.3
1.05
62.9
1.12
11.6
0.68
45-64
520
13.9
0.65
86.1
0.65
72.8
0.84
21.4
0.70
Total
1,518
18.1
0.52
81.9
0.52
65.1
0.77
21.4
0.55
0-99% FPL
266
34.1
1.44
65.9
1.44
19.4
1.28
50.5
1.50
100-199% FPL
305
28.3
1.24
71.7
1.24
44.3
1.73
32.3
1.26
200-399% FPL
497
13.6
0.84
86.4
0.84
79.6
1.07
12.0
0.74
400%+ FPL
427
6.6
0.61
93.4
0.61
91.3
0.74
6.3
0.52
1,495
18.3
0.53
81.7
0.53
65.0
0.77
21.4
0.56
Male
756
17.9
0.62
82.1
0.62
65.0
0.87
23.0
0.71
Female
761
18.3
0.64
81.7
0.64
65.1
0.88
19.9
0.65
1,518
18.1
0.52
81.9
0.52
65.1
0.77
21.4
0.55
Not working
303
21.2
0.97
78.8
0.97
46.4
1.23
43.3
1.15
Part-time
164
33.0
1.59
67.0
1.59
58.3
1.67
11.5
1.03
673
19.3
0.71
80.7
0.71
78.2
0.74
5.2
0.34
1,140
21.8
0.60
78.2
0.60
66.9
0.71
16.3
0.46
P o ve r t y L e ve l
Total
Se x
Total
Work Status
Full-time
Total
Definitions: % = Percent; SE = Standard Error
Note: Counts are presented in thousands.
Source: U.S. Census Bureau, 2008 American Community Survey.
July 21, 2010
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West Virginia SHAP Grantee Chartbook
Exhibit 2.3: Sub-State Uninsurance Estimates, Age 0-64, <200% FPL, ACS 2008
Source: U.S. Census Bureau, 2008 American Community Survey.
* Statistically different from the state uninsurance estimate for people age 0-64 under 200% FPL (31.0%).
Note: Sub-state estimates are typically collections of counties and reflect the lowest level of geography available for a single
year of ACS data.
July 21, 2010
www.shadac.org
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West Virginia SHAP Grantee Chartbook
Exhibit 2.4: Demographic Profile by Source of Health Insurance Coverage,
Age 0-64, <200% FPL, ACS 2008
Population
(000)
SE
%
SE
Private
Coverage
%
SE
Uninsured
%
Insured
Government
Coverage
%
SE
Race and Ethnicity
Hispanic
9
52.7
13.23
47.3
13.23
21.5
7.56
32.7
10.94
White Alone
521
31.0
0.98
69.0
0.98
33.2
1.24
40.3
1.03
Black Alone
25
28.4
4.39
71.6
4.39
29.2
4.59
46.9
5.15
3
--
--
--
--
--
--
--
--
14
21.8
4.48
78.2
4.48
22.7
5.94
60.0
6.18
571
31.0
0.96
69.0
0.96
32.7
1.18
40.8
1.01
182
10.0
1.24
90.0
1.24
30.9
1.91
64.2
1.98
19-24
66
47.5
2.95
52.5
2.95
37.3
2.93
16.6
2.06
25-44
170
47.1
1.82
52.9
1.82
31.0
1.68
23.8
1.47
45-64
152
31.0
1.55
69.0
1.55
34.7
1.63
42.4
1.60
Total
571
31.0
0.96
69.0
0.96
32.7
1.18
40.8
1.01
0-99% FPL
266
34.1
1.44
65.9
1.44
19.4
1.28
50.5
1.50
100-199% FPL
305
28.3
1.24
71.7
1.24
44.3
1.73
32.3
1.26
200-399% FPL
--
--
--
--
--
--
--
--
--
400%+ FPL
--
--
--
--
--
--
--
--
--
571
31.0
0.96
69.0
0.96
32.7
1.18
40.8
1.01
Male
272
29.4
1.23
70.6
1.23
32.5
1.43
43.5
1.36
Female
299
32.5
1.19
67.5
1.19
32.9
1.32
38.4
1.22
Total
571
31.0
0.96
69.0
0.96
32.7
1.18
40.8
1.01
175
28.7
1.43
71.3
1.43
24.1
1.40
54.0
1.56
Part-time
73
55.6
2.49
44.4
2.49
29.6
2.22
17.3
1.85
Full-time
150
46.5
1.81
53.5
1.81
46.6
1.81
9.0
0.94
Total
398
40.4
1.14
59.6
1.14
33.6
1.14
30.3
0.98
Asian Alone *
Multiple/other
non-Hispanic
Total
Age
0-18
P o ve r t y L e ve l
Total
Se x
Work Status
Not working
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.
July 21, 2010
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West 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
<200% FPL
%
SE
County
Brooke, Hancock, Marshall, Ohio, Wetzel
14.6 *
1.6
28.1
3.4
Doddridge, Harrison, Marion, Taylor
21.8
2.1
35.5
3.5
Monongalia, Preston
Berkeley, Grant, Hampshire, Hardy, Jefferson, Mineral, Morgan,
Pendleton
15.5
1.8
29.3
3.6
15.1
1.4
30.7
3.2
Barbour, Braxton, Gilmer, Lewis, Randolph, Tucker, Upshur
23.6 *
2.5
37.3
4.4
C a l h o u n , J a c k s o n , P l e a s a n t s , R i t c h i e , R o a n e , T y le r , W ir t , W o o d
18.8
1.6
31.8
2.8
Cabell, Mason
16.9
1.9
28.9
3.5
Boone, Clay, Kanawha, Putnam
16.0
1.1
29.8
2.2
Fayette, Greenbrier, Nicholas, Pocahontas, Webster
22.8 *
2.2
34.2
3.3
M o n r o e , R a l e i g h , Su m m e r s
17.1
2.3
22.1 *
3.1
McDowell, Mercer, Wyoming
21.2
2.2
34.2
3.4
Lincoln, Logan, Mingo, Wayne
20.0
2.3
29.2
3.4
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.
* Statistically different from the state uninsurance estimate for population group (Age 0-64, 18.1%; Age 0-64 <200% FPL, 31.0%).
Source: U.S. Census Bureau, 2008 American Community Survey.
July 21, 2010
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West Virginia SHAP Grantee Chartbook
Exhibit 3.1: Sub-State Uninsurance Estimates, Age 0-18, ACS 2008
Source: U.S. Census Bureau, 2008 American Community Survey.
* Statistically different from the state uninsurance estimate for people age 0-18 (7.2%).
Note: Sub-state estimates are typically collections of counties and reflect the lowest level of geography available for a single
year of ACS data.
July 21, 2010
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West Virginia SHAP Grantee Chartbook
Exhibit 3.2: Demographic Profile by Source of Health Insurance Coverage, Age 0-18, ACS 2008
Population
(000)
SE
%
SE
Private
Coverage
%
SE
Uninsured
%
Insured
Government
Coverage
%
SE
Race and Ethnicity
Hispanic
8
24.6
11.57
75.4
11.57
53.2
11.23
28.5
9.57
White Alone
367
7.1
0.70
92.9
0.70
61.6
1.43
35.2
1.38
Black Alone
14
2.6
1.55
97.4
1.55
49.3
8.23
52.3
8.37
1
--
--
--
--
--
--
--
--
13
4.3
2.06
95.7
2.06
43.0
7.15
52.7
7.20
403
7.2
0.70
92.8
0.70
60.4
1.38
36.1
1.34
Asian Alone *
Multiple/other
non-Hispanic
Total
Age
0-18
403
7.2
0.70
92.8
0.70
60.4
1.38
36.1
1.34
19-24
--
--
--
--
--
--
--
--
--
25-44
--
--
--
--
--
--
--
--
--
45-64
--
--
--
--
--
--
--
--
--
Total
403
7.2
0.70
92.8
0.70
60.4
1.38
36.1
1.34
86
10.7
2.10
89.3
2.10
16.6
2.07
78.2
2.49
100-199% FPL
96
9.4
1.40
90.6
1.40
43.6
2.88
51.5
2.88
200-399% FPL
135
6.9
1.17
93.1
1.17
81.8
1.84
14.3
1.63
74
1.7
0.64
98.3
0.64
95.2
1.06
5.7
1.35
391
7.4
0.72
92.6
0.72
60.6
1.40
35.9
1.36
Male
208
6.0
0.82
94.0
0.82
61.2
1.70
36.6
1.68
Female
195
8.4
0.94
91.6
0.94
59.6
1.69
35.7
1.62
Total
403
7.2
0.70
92.8
0.70
60.4
1.38
36.1
1.34
Not working
11
7.9
2.70
92.1
2.70
63.0
6.14
34.8
6.13
Part-time
10
7.8
3.31
92.2
3.31
83.7
4.26
8.5
2.88
P o ve r t y L e ve l
0-99% FPL
400%+ FPL
Total
Se x
Work Status
Full-time*
Total
4
--
--
--
--
--
--
--
--
25
8.5
1.97
91.5
1.97
72.7
3.72
21.7
3.52
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.
July 21, 2010
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West Virginia SHAP Grantee Chartbook
Exhibit 3.3: Sub-State Uninsurance Estimates, Age 0-18, <200% FPL, ACS 2008
Source: U.S. Census Bureau, 2008 American Community Survey.
* Statistically different from the state uninsurance estimate for people age 0-18 under 200% FPL (10.0%).
Note: Sub-state estimates are typically collections of counties and reflect the lowest level of geography available for a single
year of ACS data.
July 21, 2010
www.shadac.org
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West Virginia SHAP Grantee Chartbook
Exhibit 3.4: Demographic Profile by Source of Health Insurance Coverage,
Age 0-18, <200% FPL, ACS 2008
Population
(000)
Uninsured
%
Private
Coverage
%
SE
Insured
SE
%
SE
Government
Coverage
%
SE
Race and Ethnicity
Hispanic*
4
--
--
--
--
--
--
--
--
163
9.7
1.21
90.3
1.21
32.2
2.05
63.3
2.08
Black Alone
8
3.1
2.26
96.9
2.26
23.5
6.37
79.1
6.60
Asian Alone *
0
--
--
--
--
--
--
--
--
7
2.4
1.79
97.6
1.79
16.6
7.29
81.0
7.45
182
10.0
1.24
90.0
1.24
30.9
1.91
64.2
1.98
182
10.0
1.24
90.0
1.24
30.9
1.91
64.2
1.98
19-24
--
--
--
--
--
--
--
--
--
25-44
--
--
--
--
--
--
--
--
--
45-64
--
--
--
--
--
--
--
--
--
Total
182
10.0
1.24
90.0
1.24
30.9
1.91
64.2
1.98
0-99% FPL
86
10.7
2.10
89.3
2.10
16.6
2.07
78.2
2.49
100-199% FPL
96
9.4
1.40
90.6
1.40
43.6
2.88
51.5
2.88
200-399% FPL
--
--
--
--
--
--
--
--
--
White Alone
Multiple/other
non-Hispanic
Total
Age
0-18
P o ve r t y L e ve l
400%+ FPL
Total
--
--
--
--
--
--
--
--
--
182
10.0
1.24
90.0
1.24
30.9
1.91
64.2
1.98
Se x
Male
95
8.4
1.54
91.6
1.54
31.1
2.40
65.5
2.54
Female
87
11.8
1.61
88.2
1.61
30.6
2.32
62.7
2.42
182
10.0
1.24
90.0
1.24
30.9
1.91
64.2
1.98
Not working
6
14.1
5.27
85.9
5.27
31.0
7.70
60.6
8.31
Part-time*
2
--
--
--
--
--
--
--
--
Full-time*
1
--
--
--
--
--
--
--
--
Total
9
17.1
4.65
82.9
4.65
38.3
6.96
48.1
7.10
Total
Work Status
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.
July 21, 2010
www.shadac.org
11
West 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
<200% FPL
%
SE
County
Brooke, Hancock, Marshall, Ohio, Wetzel
Doddridge, Harrison, Marion, Taylor
Monongalia, Preston
Berkeley, Grant, Hampshire, Hardy, Jefferson, Mineral, Morgan,
Pendleton
5.1
1.8
6.8
3.6
12.6
3.2
15.4
5.0
4.9
1.7
8.4
4.1
6.7
1.8
12.3
4.0
13.3
4.8
18.4
7.8
C a l h o u n , J a c k s o n , P l e a s a n t s , R i t c h i e , R o a n e , T y le r , W ir t , W o o d
6.9
2.2
8.3
3.5
Cabell, Mason
2.8 *
1.2
4.6 *
2.2
Boone, Clay, Kanawha, Putnam
4.2 *
1.1
5.9
1.9
Fayette, Greenbrier, Nicholas, Pocahontas, Webster
8.1
2.5
13.4
4.5
M o n r o e , R a l e i g h , Su m m e r s
6.7
3.0
11.1
3.4
14.7
5.6
8.1
2.9
6.7
2.5
Barbour, Braxton, Gilmer, Lewis, Randolph, Tucker, Upshur
McDowell, Mercer, Wyoming
Lincoln, Logan, Mingo, Wayne
4.0 *
2.2
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.
* Statistically different from the state uninsurance estimate for population group (Age 0-18, 7.2%; Age 0-18 <200% FPL, 10.0%).
Source: U.S. Census Bureau, 2008 American Community Survey.
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Exhibit 4.1: Sub-State Uninsurance Estimates, Age 19-64, ACS 2008
Source: U.S. Census Bureau, 2008 American Community Survey.
* Statistically different from the state uninsurance estimate for people age 19-64 (22.1%).
Note: Sub-state estimates are typically collections of counties and reflect the lowest level of geography available for a single
year of ACS data.
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West Virginia SHAP Grantee Chartbook
Exhibit 4.2: Demographic Profile by Source of Health Insurance Coverage, Age 19-64, ACS 2008
Population
(000)
%
SE
Private
Coverage
%
SE
Uninsured
%
Insured
SE
Government
Coverage
%
SE
Race and Ethnicity
Hispanic
10
39.8
9.00
60.2
9.00
52.8
8.39
13.9
4.53
1,046
21.6
0.62
78.4
0.62
67.4
0.73
15.9
0.47
Black Alone
38
27.6
3.79
72.4
3.79
54.9
4.26
22.8
3.30
Asian Alone
7
22.3
6.47
77.7
6.47
75.0
6.80
2.7
1.81
14
27.8
4.80
72.2
4.80
56.5
5.54
22.7
4.40
1,115
22.1
0.61
77.9
0.61
66.7
0.71
16.1
0.46
--
--
--
--
--
--
--
--
--
19-24
138
34.1
1.91
65.9
1.91
56.3
2.06
11.1
1.18
25-44
456
27.7
1.05
72.3
1.05
62.9
1.12
11.6
0.68
45-64
520
13.9
0.65
86.1
0.65
72.8
0.84
21.4
0.70
Total
1,115
22.1
0.61
77.9
0.61
66.7
0.71
16.1
0.46
0-99% FPL
180
45.4
1.68
54.6
1.68
20.7
1.39
37.2
1.55
100-199% FPL
209
37.0
1.54
63.0
1.54
44.6
1.68
23.5
1.21
200-399% FPL
362
16.1
0.91
83.9
0.91
78.7
1.03
11.2
0.68
White Alone
Multiple/other
non-Hispanic
Total
Age
0-18
P o ve r t y L e ve l
400%+ FPL
353
7.7
0.68
92.3
0.68
90.5
0.80
6.5
0.51
1,103
22.1
0.61
77.9
0.61
66.6
0.72
16.3
0.47
Male
548
22.4
0.74
77.6
0.74
66.4
0.85
17.9
0.65
Female
566
21.7
0.73
78.3
0.73
67.0
0.84
14.4
0.57
1,115
22.1
0.61
77.9
0.61
66.7
0.71
16.1
0.46
Not working
292
21.7
0.99
78.3
0.99
45.7
1.24
43.7
1.16
Part-time
154
34.7
1.65
65.3
1.65
56.6
1.71
11.7
1.08
Full-time
669
19.3
0.71
80.7
0.71
78.2
0.75
5.2
0.34
1,115
22.1
0.61
77.9
0.61
66.7
0.71
16.1
0.46
Total
Se x
Total
Work Status
Total
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 4.3: Sub-State Uninsurance Estimates, Age 19-64, <200% FPL, ACS 2008
Source: U.S. Census Bureau, 2008 American Community Survey.
* Statistically different from the state uninsurance estimate for people age 19-64 under 200% FPL (40.9%).
Note: Sub-state estimates are typically collections of counties and reflect the lowest level of geography available for a single
year of ACS data.
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Exhibit 4.4: Demographic Profile by Source of Health Insurance Coverage,
Age 19-64, <200% FPL, ACS 2008
Population
(000)
Uninsured
%
Private
Coverage
%
SE
Insured
SE
%
SE
Government
Coverage
%
SE
Race and Ethnicity
Hispanic*
5
--
--
--
--
--
--
--
--
White Alone
357
40.7
1.19
59.3
1.19
33.7
1.20
29.8
1.02
Black Alone
18
39.0
5.63
61.0
5.63
31.6
5.07
33.3
5.15
Asian Alone
2
0.0
0.00
0.0
0.00
0.0
0.00
0.0
0.00
7
42.4
7.58
57.6
7.58
29.1
7.68
37.8
7.21
389
40.9
1.15
59.1
1.15
33.5
1.15
29.9
0.98
--
--
--
--
--
--
--
--
--
19-24
66
47.5
2.95
52.5
2.95
37.3
2.93
16.6
2.06
25-44
170
47.1
1.82
52.9
1.82
31.0
1.68
23.8
1.47
45-64
152
31.0
1.55
69.0
1.55
34.7
1.63
42.4
1.60
Total
389
40.9
1.15
59.1
1.15
33.5
1.15
29.9
0.98
0-99% FPL
180
45.4
1.68
54.6
1.68
20.7
1.39
37.2
1.55
100-199% FPL
209
37.0
1.54
63.0
1.54
44.6
1.68
23.5
1.21
200-399% FPL
--
--
--
--
--
--
--
--
--
Multiple/other
non-Hispanic
Total
Age
0-18
P o ve r t y L e ve l
400%+ FPL
--
--
--
--
--
--
--
--
--
389
40.9
1.15
59.1
1.15
33.5
1.15
29.9
0.98
Male
177
40.7
1.52
59.3
1.52
33.2
1.48
31.6
1.41
Female
212
41.1
1.42
58.9
1.42
33.8
1.35
28.4
1.23
Total
389
40.9
1.15
59.1
1.15
33.5
1.15
29.9
0.98
Total
Se x
Work Status
Not working
169
29.2
1.45
70.8
1.45
23.9
1.42
53.8
1.59
Part-time
70
56.6
2.53
43.4
2.53
29.1
2.25
16.8
1.89
Full-time
149
46.7
1.82
53.3
1.82
46.5
1.82
8.9
0.95
Total
389
40.9
1.15
59.1
1.15
33.5
1.15
29.9
0.98
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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West 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
<200% FPL
%
SE
County
Brooke, Hancock, Marshall, Ohio, Wetzel
18.0 *
1.8
38.0
4.2
Doddridge, Harrison, Marion, Taylor
25.4
2.3
47.8
4.1
Monongalia, Preston
Berkeley, Grant, Hampshire, Hardy, Jefferson, Mineral, Morgan,
Pendleton
18.8
2.3
36.5
5.0
18.5 *
1.6
40.4
3.8
Barbour, Braxton, Gilmer, Lewis, Randolph, Tucker, Upshur
27.1
2.6
47.0
4.2
C a l h o u n , J a c k s o n , P l e a s a n t s , R i t c h i e , R o a n e , T y le r , W ir t , W o o d
22.9
2.0
41.6
3.5
Cabell, Mason
21.7
2.4
39.9
4.6
Boone, Clay, Kanawha, Putnam
20.3
1.4
40.9
3.0
Fayette, Greenbrier, Nicholas, Pocahontas, Webster
27.7 *
2.6
42.5
3.7
M o n r o e , R a l e i g h , Su m m e r s
21.1
2.5
30.9 *
4.1
McDowell, Mercer, Wyoming
24.6
2.4
42.1
3.8
Lincoln, Logan, Mingo, Wayne
24.4
2.6
40.3
4.3
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.
* Statistically different from the state uninsurance estimate for population group (Age 19-64, 22.1%; Age 19-64 <200% FPL, 40.9%).
Source: U.S. Census Bureau, 2008 American Community Survey.
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West Virginia SHAP Grantee Chartbook
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
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West Virginia SHAP Grantee Chartbook
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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West Virginia SHAP Grantee Chartbook
Appendix C. County Groupings in Sub-state Areas
Sub-State Area^
00100
00200
00300
00400
00500
00600
00700
00800
July 21, 2010
Counties
Brooke
Hancock
Marshall
Ohio
Wetzel
Doddridge
Harrison
Marion
Taylor
Monongalia
Preston
Berkeley
Grant
Hampshire
Hardy
Jefferson
Mineral
Morgan
Pendleton
Barbour
Braxton
Gilmer
Lewis
Randolph
Tucker
Upshur
Calhoun
Jackson
Pleasants
Ritchie
Roane
Tyler
Wirt
Wood
Cabell
Mason
Boone
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West Virginia SHAP Grantee Chartbook
Sub-State Area^
00800 (cont.)
00900
01000
01100
01200
Counties
Clay
Kanawha
Putnam
Fayette
Greenbrier
Nicholas
Pocahontas
Webster
Monroe
Raleigh
Summers
McDowell
Mercer
Wyoming
Lincoln
Logan
Mingo
Wayne
^ 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.
July 21, 2010
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West Virginia SHAP Grantee Chartbook
Appendix D. West Virginia Map of Major Cities
Source: U.S. Census Bureau.
July 21, 2010
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West Virginia SHAP Grantee Chartbook
Appendix E. West Virginia Map of County Boundaries
Source: U.S. Census Bureau.
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SHAP Grantee Chartbook
Health Insurance Coverage Estimates
from the 2008 American Community Survey (ACS)
Prepared for:
State Health Access Program (SHAP)
Last Updated: July 21, 2010
West 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).
2221 University Ave SE, Suite 345
Minneapolis, MN 55414
Ph. 612-624-4802
Fax. 612-624-1493
Email. [email protected]
www.shadac.org/shap
5600 Fishers Lane
Rockville, MD 20857
HRSA Contact Person
Michelle Herzog
Ph. 301-443-0650
Email. [email protected]
West Virginia SHAP Grantee Organization:
West Virginia Department of Health and Human Resources
Office of the Secretary
Project Liaison
Gerald Roueche
Ph. 304-558-0684
Email. [email protected]
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West 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 ....................................................... 8
Exhibit 3.2: Demographic Profile by Source of Health Insurance Coverage, Age 0-18, ACS 2008 .......... 9
Exhibit 3.3: Sub-State Uninsurance Estimates, Age 0-18, <200% FPL, ACS 2008 .................................. 10
Exhibit 3.4: Demographic Profile by Source of Health Insurance Coverage, Age 0-18, <200% FPL, ACS
................................................................................................................................................................ 11
Exhibit 3.5: Sub-State Uninsurance Estimates, Age 0-18 by Federal Poverty Level (FPL), ACS 2008 .... 12
Exhibit 4.1: Sub-State Uninsurance Estimates, Age 19-64, ACS 2008 ................................................... 13
Exhibit 4.2: Demographic Profile by Source of Health Insurance Coverage, Age 19-64, ACS 2008 ...... 14
Exhibit 4.3: Sub-State Uninsurance Estimates, Age 19-64, <200% FPL, ACS 2008 ................................ 15
Exhibit 4.4: Demographic Profile by Source of Health Insurance Coverage, Age 19-64, <200% FPL, ACS
................................................................................................................................................................ 16
Exhibit 4.5: Sub-State Uninsurance Estimates, Age 19-64 by Federal Poverty Level (FPL), ACS 2008 .. 17
Appendix A. Technical Assistance Available from SHADAC ....................................................................... 18
Appendix B. Data Source............................................................................................................................ 19
Appendix C. County Groupings in Sub-state Areas .................................................................................... 20
Appendix D. West Virginia Map of Major Cities ........................................................................................ 22
Appendix E. West Virginia Map of County Boundaries .............................................................................. 23
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West 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 West Virginia is shown in Exhibit 1. In 2008, 81.9% of the
total population age 0-64 had health insurance coverage. Nearly two thirds (65.1%) had private
coverage, while 21.4% reported having government coverage. This is in contrast to individuals under
200% of the Federal Poverty Level (FPL), of which only 69.0% had insurance, with 32.7% having private
coverage, and 40.8% having government coverage.
Exhibit 1: Any Source of Health Insurance Coverage by Poverty Level, Age 0-64, ACS 2008
90%
81.9%
80%
69.0%
70%
65.1%
60%
50%
40.8%
40%
32.7%
31.0%
30%
20%
21.4%
18.1%
10%
0%
Uninsured
Insured
Total
Private Coverage
Government
Coverage
< 200% FPL
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.
July 21, 2010
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West 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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West Virginia SHAP Grantee Chartbook
Exhibit 2.1: Sub-State Uninsurance Estimates, Age 0-64, ACS 2008
Source: U.S. Census Bureau, 2008 American Community Survey.
* Statistically different from the state uninsurance estimate for people age 0-64 (18.1%).
Note: Sub-state estimates are typically collections of counties and reflect the lowest level of geography available for a single
year of ACS data.
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West Virginia SHAP Grantee Chartbook
Exhibit 2.2: Demographic Profile by Source of Health Insurance Coverage, Age 0-64, ACS 2008
Population
(000)
%
SE
Private
Coverage
%
SE
Uninsured
%
SE
Insured
Government
Coverage
%
SE
Race and Ethnicity
Hispanic
19
33.1
8.93
66.9
8.93
53.0
8.49
20.3
5.55
1,412
17.8
0.53
82.2
0.53
65.9
0.78
20.9
0.56
Black Alone
52
21.0
2.97
79.0
2.97
53.4
4.43
30.6
3.71
Asian Alone
8
20.6
5.89
79.4
5.89
74.0
6.87
5.3
2.66
27
16.1
2.77
83.9
2.77
49.8
4.96
37.6
4.70
1,518
18.1
0.52
81.9
0.52
65.1
0.77
21.4
0.55
White Alone
Multiple/other
non-Hispanic
Total
Age
0-18
403
7.2
0.70
92.8
0.70
60.4
1.38
36.1
1.34
19-24
138
34.1
1.91
65.9
1.91
56.3
2.06
11.1
1.18
25-44
456
27.7
1.05
72.3
1.05
62.9
1.12
11.6
0.68
45-64
520
13.9
0.65
86.1
0.65
72.8
0.84
21.4
0.70
Total
1,518
18.1
0.52
81.9
0.52
65.1
0.77
21.4
0.55
0-99% FPL
266
34.1
1.44
65.9
1.44
19.4
1.28
50.5
1.50
100-199% FPL
305
28.3
1.24
71.7
1.24
44.3
1.73
32.3
1.26
200-399% FPL
497
13.6
0.84
86.4
0.84
79.6
1.07
12.0
0.74
400%+ FPL
427
6.6
0.61
93.4
0.61
91.3
0.74
6.3
0.52
1,495
18.3
0.53
81.7
0.53
65.0
0.77
21.4
0.56
Male
756
17.9
0.62
82.1
0.62
65.0
0.87
23.0
0.71
Female
761
18.3
0.64
81.7
0.64
65.1
0.88
19.9
0.65
1,518
18.1
0.52
81.9
0.52
65.1
0.77
21.4
0.55
Not working
303
21.2
0.97
78.8
0.97
46.4
1.23
43.3
1.15
Part-time
164
33.0
1.59
67.0
1.59
58.3
1.67
11.5
1.03
673
19.3
0.71
80.7
0.71
78.2
0.74
5.2
0.34
1,140
21.8
0.60
78.2
0.60
66.9
0.71
16.3
0.46
P o ve r t y L e ve l
Total
Se x
Total
Work Status
Full-time
Total
Definitions: % = Percent; SE = Standard Error
Note: Counts are presented in thousands.
Source: U.S. Census Bureau, 2008 American Community Survey.
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West Virginia SHAP Grantee Chartbook
Exhibit 2.3: Sub-State Uninsurance Estimates, Age 0-64, <200% FPL, ACS 2008
Source: U.S. Census Bureau, 2008 American Community Survey.
* Statistically different from the state uninsurance estimate for people age 0-64 under 200% FPL (31.0%).
Note: Sub-state estimates are typically collections of counties and reflect the lowest level of geography available for a single
year of ACS data.
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West Virginia SHAP Grantee Chartbook
Exhibit 2.4: Demographic Profile by Source of Health Insurance Coverage,
Age 0-64, <200% FPL, ACS 2008
Population
(000)
SE
%
SE
Private
Coverage
%
SE
Uninsured
%
Insured
Government
Coverage
%
SE
Race and Ethnicity
Hispanic
9
52.7
13.23
47.3
13.23
21.5
7.56
32.7
10.94
White Alone
521
31.0
0.98
69.0
0.98
33.2
1.24
40.3
1.03
Black Alone
25
28.4
4.39
71.6
4.39
29.2
4.59
46.9
5.15
3
--
--
--
--
--
--
--
--
14
21.8
4.48
78.2
4.48
22.7
5.94
60.0
6.18
571
31.0
0.96
69.0
0.96
32.7
1.18
40.8
1.01
182
10.0
1.24
90.0
1.24
30.9
1.91
64.2
1.98
19-24
66
47.5
2.95
52.5
2.95
37.3
2.93
16.6
2.06
25-44
170
47.1
1.82
52.9
1.82
31.0
1.68
23.8
1.47
45-64
152
31.0
1.55
69.0
1.55
34.7
1.63
42.4
1.60
Total
571
31.0
0.96
69.0
0.96
32.7
1.18
40.8
1.01
0-99% FPL
266
34.1
1.44
65.9
1.44
19.4
1.28
50.5
1.50
100-199% FPL
305
28.3
1.24
71.7
1.24
44.3
1.73
32.3
1.26
200-399% FPL
--
--
--
--
--
--
--
--
--
400%+ FPL
--
--
--
--
--
--
--
--
--
571
31.0
0.96
69.0
0.96
32.7
1.18
40.8
1.01
Male
272
29.4
1.23
70.6
1.23
32.5
1.43
43.5
1.36
Female
299
32.5
1.19
67.5
1.19
32.9
1.32
38.4
1.22
Total
571
31.0
0.96
69.0
0.96
32.7
1.18
40.8
1.01
175
28.7
1.43
71.3
1.43
24.1
1.40
54.0
1.56
Part-time
73
55.6
2.49
44.4
2.49
29.6
2.22
17.3
1.85
Full-time
150
46.5
1.81
53.5
1.81
46.6
1.81
9.0
0.94
Total
398
40.4
1.14
59.6
1.14
33.6
1.14
30.3
0.98
Asian Alone *
Multiple/other
non-Hispanic
Total
Age
0-18
P o ve r t y L e ve l
Total
Se x
Work Status
Not working
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.
July 21, 2010
www.shadac.org
6
West 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
<200% FPL
%
SE
County
Brooke, Hancock, Marshall, Ohio, Wetzel
14.6 *
1.6
28.1
3.4
Doddridge, Harrison, Marion, Taylor
21.8
2.1
35.5
3.5
Monongalia, Preston
Berkeley, Grant, Hampshire, Hardy, Jefferson, Mineral, Morgan,
Pendleton
15.5
1.8
29.3
3.6
15.1
1.4
30.7
3.2
Barbour, Braxton, Gilmer, Lewis, Randolph, Tucker, Upshur
23.6 *
2.5
37.3
4.4
C a l h o u n , J a c k s o n , P l e a s a n t s , R i t c h i e , R o a n e , T y le r , W ir t , W o o d
18.8
1.6
31.8
2.8
Cabell, Mason
16.9
1.9
28.9
3.5
Boone, Clay, Kanawha, Putnam
16.0
1.1
29.8
2.2
Fayette, Greenbrier, Nicholas, Pocahontas, Webster
22.8 *
2.2
34.2
3.3
M o n r o e , R a l e i g h , Su m m e r s
17.1
2.3
22.1 *
3.1
McDowell, Mercer, Wyoming
21.2
2.2
34.2
3.4
Lincoln, Logan, Mingo, Wayne
20.0
2.3
29.2
3.4
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.
* Statistically different from the state uninsurance estimate for population group (Age 0-64, 18.1%; Age 0-64 <200% FPL, 31.0%).
Source: U.S. Census Bureau, 2008 American Community Survey.
July 21, 2010
www.shadac.org
7
West Virginia SHAP Grantee Chartbook
Exhibit 3.1: Sub-State Uninsurance Estimates, Age 0-18, ACS 2008
Source: U.S. Census Bureau, 2008 American Community Survey.
* Statistically different from the state uninsurance estimate for people age 0-18 (7.2%).
Note: Sub-state estimates are typically collections of counties and reflect the lowest level of geography available for a single
year of ACS data.
July 21, 2010
www.shadac.org
8
West Virginia SHAP Grantee Chartbook
Exhibit 3.2: Demographic Profile by Source of Health Insurance Coverage, Age 0-18, ACS 2008
Population
(000)
SE
%
SE
Private
Coverage
%
SE
Uninsured
%
Insured
Government
Coverage
%
SE
Race and Ethnicity
Hispanic
8
24.6
11.57
75.4
11.57
53.2
11.23
28.5
9.57
White Alone
367
7.1
0.70
92.9
0.70
61.6
1.43
35.2
1.38
Black Alone
14
2.6
1.55
97.4
1.55
49.3
8.23
52.3
8.37
1
--
--
--
--
--
--
--
--
13
4.3
2.06
95.7
2.06
43.0
7.15
52.7
7.20
403
7.2
0.70
92.8
0.70
60.4
1.38
36.1
1.34
Asian Alone *
Multiple/other
non-Hispanic
Total
Age
0-18
403
7.2
0.70
92.8
0.70
60.4
1.38
36.1
1.34
19-24
--
--
--
--
--
--
--
--
--
25-44
--
--
--
--
--
--
--
--
--
45-64
--
--
--
--
--
--
--
--
--
Total
403
7.2
0.70
92.8
0.70
60.4
1.38
36.1
1.34
86
10.7
2.10
89.3
2.10
16.6
2.07
78.2
2.49
100-199% FPL
96
9.4
1.40
90.6
1.40
43.6
2.88
51.5
2.88
200-399% FPL
135
6.9
1.17
93.1
1.17
81.8
1.84
14.3
1.63
74
1.7
0.64
98.3
0.64
95.2
1.06
5.7
1.35
391
7.4
0.72
92.6
0.72
60.6
1.40
35.9
1.36
Male
208
6.0
0.82
94.0
0.82
61.2
1.70
36.6
1.68
Female
195
8.4
0.94
91.6
0.94
59.6
1.69
35.7
1.62
Total
403
7.2
0.70
92.8
0.70
60.4
1.38
36.1
1.34
Not working
11
7.9
2.70
92.1
2.70
63.0
6.14
34.8
6.13
Part-time
10
7.8
3.31
92.2
3.31
83.7
4.26
8.5
2.88
P o ve r t y L e ve l
0-99% FPL
400%+ FPL
Total
Se x
Work Status
Full-time*
Total
4
--
--
--
--
--
--
--
--
25
8.5
1.97
91.5
1.97
72.7
3.72
21.7
3.52
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.
July 21, 2010
www.shadac.org
9
West Virginia SHAP Grantee Chartbook
Exhibit 3.3: Sub-State Uninsurance Estimates, Age 0-18, <200% FPL, ACS 2008
Source: U.S. Census Bureau, 2008 American Community Survey.
* Statistically different from the state uninsurance estimate for people age 0-18 under 200% FPL (10.0%).
Note: Sub-state estimates are typically collections of counties and reflect the lowest level of geography available for a single
year of ACS data.
July 21, 2010
www.shadac.org
10
West Virginia SHAP Grantee Chartbook
Exhibit 3.4: Demographic Profile by Source of Health Insurance Coverage,
Age 0-18, <200% FPL, ACS 2008
Population
(000)
Uninsured
%
Private
Coverage
%
SE
Insured
SE
%
SE
Government
Coverage
%
SE
Race and Ethnicity
Hispanic*
4
--
--
--
--
--
--
--
--
163
9.7
1.21
90.3
1.21
32.2
2.05
63.3
2.08
Black Alone
8
3.1
2.26
96.9
2.26
23.5
6.37
79.1
6.60
Asian Alone *
0
--
--
--
--
--
--
--
--
7
2.4
1.79
97.6
1.79
16.6
7.29
81.0
7.45
182
10.0
1.24
90.0
1.24
30.9
1.91
64.2
1.98
182
10.0
1.24
90.0
1.24
30.9
1.91
64.2
1.98
19-24
--
--
--
--
--
--
--
--
--
25-44
--
--
--
--
--
--
--
--
--
45-64
--
--
--
--
--
--
--
--
--
Total
182
10.0
1.24
90.0
1.24
30.9
1.91
64.2
1.98
0-99% FPL
86
10.7
2.10
89.3
2.10
16.6
2.07
78.2
2.49
100-199% FPL
96
9.4
1.40
90.6
1.40
43.6
2.88
51.5
2.88
200-399% FPL
--
--
--
--
--
--
--
--
--
White Alone
Multiple/other
non-Hispanic
Total
Age
0-18
P o ve r t y L e ve l
400%+ FPL
Total
--
--
--
--
--
--
--
--
--
182
10.0
1.24
90.0
1.24
30.9
1.91
64.2
1.98
Se x
Male
95
8.4
1.54
91.6
1.54
31.1
2.40
65.5
2.54
Female
87
11.8
1.61
88.2
1.61
30.6
2.32
62.7
2.42
182
10.0
1.24
90.0
1.24
30.9
1.91
64.2
1.98
Not working
6
14.1
5.27
85.9
5.27
31.0
7.70
60.6
8.31
Part-time*
2
--
--
--
--
--
--
--
--
Full-time*
1
--
--
--
--
--
--
--
--
Total
9
17.1
4.65
82.9
4.65
38.3
6.96
48.1
7.10
Total
Work Status
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.
July 21, 2010
www.shadac.org
11
West 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
<200% FPL
%
SE
County
Brooke, Hancock, Marshall, Ohio, Wetzel
Doddridge, Harrison, Marion, Taylor
Monongalia, Preston
Berkeley, Grant, Hampshire, Hardy, Jefferson, Mineral, Morgan,
Pendleton
5.1
1.8
6.8
3.6
12.6
3.2
15.4
5.0
4.9
1.7
8.4
4.1
6.7
1.8
12.3
4.0
13.3
4.8
18.4
7.8
C a l h o u n , J a c k s o n , P l e a s a n t s , R i t c h i e , R o a n e , T y le r , W ir t , W o o d
6.9
2.2
8.3
3.5
Cabell, Mason
2.8 *
1.2
4.6 *
2.2
Boone, Clay, Kanawha, Putnam
4.2 *
1.1
5.9
1.9
Fayette, Greenbrier, Nicholas, Pocahontas, Webster
8.1
2.5
13.4
4.5
M o n r o e , R a l e i g h , Su m m e r s
6.7
3.0
11.1
3.4
14.7
5.6
8.1
2.9
6.7
2.5
Barbour, Braxton, Gilmer, Lewis, Randolph, Tucker, Upshur
McDowell, Mercer, Wyoming
Lincoln, Logan, Mingo, Wayne
4.0 *
2.2
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.
* Statistically different from the state uninsurance estimate for population group (Age 0-18, 7.2%; Age 0-18 <200% FPL, 10.0%).
Source: U.S. Census Bureau, 2008 American Community Survey.
July 21, 2010
www.shadac.org
12
West Virginia SHAP Grantee Chartbook
Exhibit 4.1: Sub-State Uninsurance Estimates, Age 19-64, ACS 2008
Source: U.S. Census Bureau, 2008 American Community Survey.
* Statistically different from the state uninsurance estimate for people age 19-64 (22.1%).
Note: Sub-state estimates are typically collections of counties and reflect the lowest level of geography available for a single
year of ACS data.
July 21, 2010
www.shadac.org
13
West Virginia SHAP Grantee Chartbook
Exhibit 4.2: Demographic Profile by Source of Health Insurance Coverage, Age 19-64, ACS 2008
Population
(000)
%
SE
Private
Coverage
%
SE
Uninsured
%
Insured
SE
Government
Coverage
%
SE
Race and Ethnicity
Hispanic
10
39.8
9.00
60.2
9.00
52.8
8.39
13.9
4.53
1,046
21.6
0.62
78.4
0.62
67.4
0.73
15.9
0.47
Black Alone
38
27.6
3.79
72.4
3.79
54.9
4.26
22.8
3.30
Asian Alone
7
22.3
6.47
77.7
6.47
75.0
6.80
2.7
1.81
14
27.8
4.80
72.2
4.80
56.5
5.54
22.7
4.40
1,115
22.1
0.61
77.9
0.61
66.7
0.71
16.1
0.46
--
--
--
--
--
--
--
--
--
19-24
138
34.1
1.91
65.9
1.91
56.3
2.06
11.1
1.18
25-44
456
27.7
1.05
72.3
1.05
62.9
1.12
11.6
0.68
45-64
520
13.9
0.65
86.1
0.65
72.8
0.84
21.4
0.70
Total
1,115
22.1
0.61
77.9
0.61
66.7
0.71
16.1
0.46
0-99% FPL
180
45.4
1.68
54.6
1.68
20.7
1.39
37.2
1.55
100-199% FPL
209
37.0
1.54
63.0
1.54
44.6
1.68
23.5
1.21
200-399% FPL
362
16.1
0.91
83.9
0.91
78.7
1.03
11.2
0.68
White Alone
Multiple/other
non-Hispanic
Total
Age
0-18
P o ve r t y L e ve l
400%+ FPL
353
7.7
0.68
92.3
0.68
90.5
0.80
6.5
0.51
1,103
22.1
0.61
77.9
0.61
66.6
0.72
16.3
0.47
Male
548
22.4
0.74
77.6
0.74
66.4
0.85
17.9
0.65
Female
566
21.7
0.73
78.3
0.73
67.0
0.84
14.4
0.57
1,115
22.1
0.61
77.9
0.61
66.7
0.71
16.1
0.46
Not working
292
21.7
0.99
78.3
0.99
45.7
1.24
43.7
1.16
Part-time
154
34.7
1.65
65.3
1.65
56.6
1.71
11.7
1.08
Full-time
669
19.3
0.71
80.7
0.71
78.2
0.75
5.2
0.34
1,115
22.1
0.61
77.9
0.61
66.7
0.71
16.1
0.46
Total
Se x
Total
Work Status
Total
Definitions: % = Percent; SE = Standard Error
Note: Counts are presented in thousands.
Source: U.S. Census Bureau, 2008 American Community Survey.
July 21, 2010
www.shadac.org
14
West Virginia SHAP Grantee Chartbook
Exhibit 4.3: Sub-State Uninsurance Estimates, Age 19-64, <200% FPL, ACS 2008
Source: U.S. Census Bureau, 2008 American Community Survey.
* Statistically different from the state uninsurance estimate for people age 19-64 under 200% FPL (40.9%).
Note: Sub-state estimates are typically collections of counties and reflect the lowest level of geography available for a single
year of ACS data.
July 21, 2010
www.shadac.org
15
West Virginia SHAP Grantee Chartbook
Exhibit 4.4: Demographic Profile by Source of Health Insurance Coverage,
Age 19-64, <200% FPL, ACS 2008
Population
(000)
Uninsured
%
Private
Coverage
%
SE
Insured
SE
%
SE
Government
Coverage
%
SE
Race and Ethnicity
Hispanic*
5
--
--
--
--
--
--
--
--
White Alone
357
40.7
1.19
59.3
1.19
33.7
1.20
29.8
1.02
Black Alone
18
39.0
5.63
61.0
5.63
31.6
5.07
33.3
5.15
Asian Alone
2
0.0
0.00
0.0
0.00
0.0
0.00
0.0
0.00
7
42.4
7.58
57.6
7.58
29.1
7.68
37.8
7.21
389
40.9
1.15
59.1
1.15
33.5
1.15
29.9
0.98
--
--
--
--
--
--
--
--
--
19-24
66
47.5
2.95
52.5
2.95
37.3
2.93
16.6
2.06
25-44
170
47.1
1.82
52.9
1.82
31.0
1.68
23.8
1.47
45-64
152
31.0
1.55
69.0
1.55
34.7
1.63
42.4
1.60
Total
389
40.9
1.15
59.1
1.15
33.5
1.15
29.9
0.98
0-99% FPL
180
45.4
1.68
54.6
1.68
20.7
1.39
37.2
1.55
100-199% FPL
209
37.0
1.54
63.0
1.54
44.6
1.68
23.5
1.21
200-399% FPL
--
--
--
--
--
--
--
--
--
Multiple/other
non-Hispanic
Total
Age
0-18
P o ve r t y L e ve l
400%+ FPL
--
--
--
--
--
--
--
--
--
389
40.9
1.15
59.1
1.15
33.5
1.15
29.9
0.98
Male
177
40.7
1.52
59.3
1.52
33.2
1.48
31.6
1.41
Female
212
41.1
1.42
58.9
1.42
33.8
1.35
28.4
1.23
Total
389
40.9
1.15
59.1
1.15
33.5
1.15
29.9
0.98
Total
Se x
Work Status
Not working
169
29.2
1.45
70.8
1.45
23.9
1.42
53.8
1.59
Part-time
70
56.6
2.53
43.4
2.53
29.1
2.25
16.8
1.89
Full-time
149
46.7
1.82
53.3
1.82
46.5
1.82
8.9
0.95
Total
389
40.9
1.15
59.1
1.15
33.5
1.15
29.9
0.98
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.
July 21, 2010
www.shadac.org
16
West 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
<200% FPL
%
SE
County
Brooke, Hancock, Marshall, Ohio, Wetzel
18.0 *
1.8
38.0
4.2
Doddridge, Harrison, Marion, Taylor
25.4
2.3
47.8
4.1
Monongalia, Preston
Berkeley, Grant, Hampshire, Hardy, Jefferson, Mineral, Morgan,
Pendleton
18.8
2.3
36.5
5.0
18.5 *
1.6
40.4
3.8
Barbour, Braxton, Gilmer, Lewis, Randolph, Tucker, Upshur
27.1
2.6
47.0
4.2
C a l h o u n , J a c k s o n , P l e a s a n t s , R i t c h i e , R o a n e , T y le r , W ir t , W o o d
22.9
2.0
41.6
3.5
Cabell, Mason
21.7
2.4
39.9
4.6
Boone, Clay, Kanawha, Putnam
20.3
1.4
40.9
3.0
Fayette, Greenbrier, Nicholas, Pocahontas, Webster
27.7 *
2.6
42.5
3.7
M o n r o e , R a l e i g h , Su m m e r s
21.1
2.5
30.9 *
4.1
McDowell, Mercer, Wyoming
24.6
2.4
42.1
3.8
Lincoln, Logan, Mingo, Wayne
24.4
2.6
40.3
4.3
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.
* Statistically different from the state uninsurance estimate for population group (Age 19-64, 22.1%; Age 19-64 <200% FPL, 40.9%).
Source: U.S. Census Bureau, 2008 American Community Survey.
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West Virginia SHAP Grantee Chartbook
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
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West Virginia SHAP Grantee Chartbook
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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West Virginia SHAP Grantee Chartbook
Appendix C. County Groupings in Sub-state Areas
Sub-State Area^
00100
00200
00300
00400
00500
00600
00700
00800
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Counties
Brooke
Hancock
Marshall
Ohio
Wetzel
Doddridge
Harrison
Marion
Taylor
Monongalia
Preston
Berkeley
Grant
Hampshire
Hardy
Jefferson
Mineral
Morgan
Pendleton
Barbour
Braxton
Gilmer
Lewis
Randolph
Tucker
Upshur
Calhoun
Jackson
Pleasants
Ritchie
Roane
Tyler
Wirt
Wood
Cabell
Mason
Boone
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West Virginia SHAP Grantee Chartbook
Sub-State Area^
00800 (cont.)
00900
01000
01100
01200
Counties
Clay
Kanawha
Putnam
Fayette
Greenbrier
Nicholas
Pocahontas
Webster
Monroe
Raleigh
Summers
McDowell
Mercer
Wyoming
Lincoln
Logan
Mingo
Wayne
^ 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.
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West Virginia SHAP Grantee Chartbook
Appendix D. West Virginia Map of Major Cities
Source: U.S. Census Bureau.
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West Virginia SHAP Grantee Chartbook
Appendix E. West Virginia Map of County Boundaries
Source: U.S. Census Bureau.
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