Percent of Uninsured PA Children by Race and Ethnicity Compared to Population (Chart B)
Racial Disproportionality Index 1.12 *AIAN 0.74 Asian 0.82 Black 1.08 White 1.19 *Other 0.79 Two+ 0.94 Hispanic *1.1 or greater = overrepresentation or disproportionality
80.0%
Population under 19 Uninsured 2021 Uninsured 2022
70.0%
60.0%
50.0%
40.0%
30.0%
20.0%
10.0%
0.0%
AIAN
Asian
Black
NHOPI
White
Some Other Race
Two+ Races
Hispanic or Latino
Source: PPC analysis, U.S. Census Bureau, American Community Survey (1-year estimates), 2021 and 2022 Race categories are reported on the ACS and can be any ethnicity. Hispanic or Latino can be of any race. Population Under 19 Uninsured 2021 Uninsured 2022
Racial Disproportionality Index = calculate scores using the rate of the uninsured population by race/ethnicity divided by the rate of that group’s population under 19 years. Scores less than 1.0 are indicative of underrepresentation, scores of 1.0 indicate no disproportionality and scores of 1.1 and greater indicate overrepresentation.
last year’s rate of 2.7% but also is now larger than the 2019 pre-pandemic rate of 3.2% (Chart A). • Similarly, the uninsured rate for White children at 5.6% is also above both last year’s rate of 4.7% and the 2019 pre-pandemic rate of 5.0%, showing movement in the wrong direction (Chart A). Data for White children in Pennsylvania shows that no disproportionality exists at the statewide level because the uninsured rate is close enough to the population rate for this group staying just under the 1.1 racial disproportionality index score (Chart B). • Children who identify as Two or More Races are the only group to have continued seeing worse uninsured rates from 2019 pre-pandemic to present: 1.8% in 2019 up to 3.8% in 2021 and 4.1% in 2022 (Chart A). Despite the rising uninsured rates, no statewide disproportionality exists for this group since the uninsured rate remains lower than the population rate (Chart B).
Lost Ground • While American Indian and Alaska Native (AIAN) children in Pennsylvania had significant improvement in their uninsured rates between 2019 and 2021, dropping from 11.9% to 4.7%, the latest Census numbers show an uptick in their uninsured rate to 5.8% (Chart A). This movement in the wrong direction shows some disproportionality with a slight overrepresentation of uninsured AIAN children (.5%) compared to the AIAN child population (.4%) in Chart B. • Data for Black children in Pennsylvania continues to show that no disproportionality exists at the statewide level because there is a lower uninsured rate than population rate for this group (Chart B). However, there is cause for concern that the uninsured rate for Black children is moving in the wrong direction. The current uninsured rate of 4.3% for Black children increased not only from
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November 2023
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