KEY FINDINGS g Economically disadvantaged New Yorkers were more likely to delay or forgo physical health- care than more-advantaged New Yorkers, and this gap grew as the pandemic began to subside. In 2022, economically disadvantaged New Yorkers were 31 percentage points more likely to delay or forgo physical healthcare relative to more-advantaged New Yorkers, up from an eight-percentage-point gap in 2021. g Economically disadvantaged New Yorkers were also more likely than more advantaged New Yorkers to delay or forgo mental healthcare, and this gap persisted throughout the pandemic. In 2022, 53% of economically disadvantaged New Yorkers delayed or went without mental healthcare, compared to 41% of more-advantaged New Yorkers. g Forgoing mental healthcare was much more common than forgoing physical healthcare, regardless of economic disadvantage. In 2022, for example, roughly 42% of high-need, eco- nomically disadvantaged New Yorkers went without the mental healthcare they needed, while a smaller 17% forwent the physical healthcare they needed. g In 2021, the pandemic was a primary reason that high-need New Yorkers delayed or forwent healthcare, regardless of economic disadvantage. But as the pandemic began to recede in 2022, high-need New Yorkers—especially those facing economic disadvantage—increas- ingly cited the affordability and availability of healthcare as barriers to care. g Health insurance can make healthcare more accessible, but insurance coverage does not guarantee access. Economically disadvantaged, high-need New Yorkers saw a drop in health insurance coverage throughout the pandemic (88% had coverage in 2022, compared to 96% in 2021). Almost all more-advantaged high-need New Yorkers had health insurance cover- age throughout the pandemic (98% in 2021 and 99% in 2022). In our study period (2021 to 2022):
PATTERNS OF DELAYED HEALTHCARE AMONG NEW YORKERS WITH HIGH HEALTHCARE NEED 3
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