2023 State of Children's Health in PA

Children More Likely to Be Uninsured by Race/Ethnicity

Percent of PA Children by Race and Ethnicity Without Health Insurance (Chart A)

11.9 %

10 12 10 12

American Indian and Alaska Native Asian Black or African American Native Hawaiian and Other Pacific Islander

White Some Other Race Two or More Races Hispanic or Latino

0 2 4 6 8 0 2 4 6 8

6.2 %

6.1 %

5.8 %

5.6 %

5.1 %

5.0 %

4.9 %

4.7 %

4.7 %

4.7 %

4.8 %

4.4 %

4.3 %

4.2 %

4.1 %

3.8 %

3.8 %

3.2 %

2.7 %

1.8 %

0.0 %

0.0 %

0.0 %

2019 (pre-pandemic) 2019 (pre-pandemic)

2021 2021

2022 2022

Source: U.S. Census, 2019, 2021 and 2022 American Community Survey (1-year estimates) *2020 ACS 1-year was not released due to the impact of the COVID-19 pandemic on data reporting. Race categories are reported on the ACS and can be any ethnicity. Hispanic or Latino can be of any race.

Pennsylvania children do not experience equal access to health care insurance. It’s important to look at the uninsured rates by children’s race and ethnicity to determine where structural barriers and inequities play a part in preventing access and to use that information to improve outreach within certain populations. This section reflects an analysis of data on uninsured children by race and ethnicity compared to current population numbers to determine where imbalances may be (Chart B), as well as, comparing the percentages of children by race and ethnicity with no health insurance to that

group’s prior uninsured rates (Chart A) to determine whether any progress has been made or lost. The good news, at least at the statewide level, is that limited disproportionality is present in the latest Census data, as reflected in Chart B. To determine whether disproportionality exists, we compared the proportion of uninsured children by race and ethnicity to their rates in the general population. Disproportionality occurs when the uninsured rates for a group are higher than expected—meaning higher than the group’s population size—and with a proportion scoring at least 1.1 or greater on the racial disproportionality index.

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Health Insurance Trends During the Final Year of the COVID-19 Public Health Emergency

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