| Data Dictionary: | ACS 2018 (1-Year Estimates) |
you are here:
choose a survey
survey
data set
table details
Survey: ACS 2018 (1-Year Estimates)
| Data Source: | U.S. Census Bureau |
Data set: American Community Survey 2018 (ACS18)
| Table: | B27016. Health Insurance Coverage Status and Type By Ratio of Income to Poverty Level in the Past 12 Months By Age [199] |
Universe: Universe: Civilian noninstitutionalized population for whom poverty status is determined
Table Details
| B27016. | Health Insurance Coverage Status and Type By Ratio of Income to Poverty Level in the Past 12 Months By Age | ||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
| Universe: Universe: Civilian noninstitutionalized population for whom poverty status is determined | |||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
|
Relevant Documentation:
| Excerpt from: | Social Explorer; U.S. Census Bureau; 2018 ACS 1-year and 2014-2018 ACS 5-year Data Releases : Technical Documentation. |
| 2018 ACS 1-year and 2014-2018 ACS 5-year Data Releases: Technical Documentation -> Subject Definitions -> Population Variables -> Health Insurance Coverage |
In 2017, data on health insurance coverage were derived from answers to Question 16 in the American Community Survey, which was asked of all respondents. Respondents were instructed to report their current coverage and to mark "yes" or "no" for each of the eight types listed (labeled as parts 16a to 16h).
Health insurance coverage in the ACS and other Census Bureau surveys define coverage to include plans and programs that provide comprehensive health coverage. Plans that provide insurance for specific conditions or situations such as cancer and long-term care policies are not considered coverage. Likewise, other types of insurance like dental, vision, life, and disability insurance are not considered health insurance coverage.
In defining types of coverage, write-in responses were reclassified into one of the first seven types of coverage or determined not to be a coverage type. Write-in responses that referenced the coverage of a family member were edited to assign coverage based on responses from other family members. As a result, only the first seven types of health coverage are included in the microdata file.
An eligibility edit was applied to give Medicaid, Medicare, and TRICARE coverage to individuals based on program eligibility rules. TRICARE or other military health care was given to active-duty military personnel and their spouses and children. Medicaid or other means-tested public coverage was given to foster children, certain individuals receiving Supplementary Security Income or Public Assistance, and the spouses and children of certain Medicaid beneficiaries. Medicare coverage was given to people 65 and older who received Social Security or Medicaid benefits.
People were considered insured if they reported at least one "yes" to Questions 16a to 16f. People who had no reported health coverage, or those whose only health coverage was Indian Health Service, were considered uninsured. For reporting purposes, the Census Bureau broadly classifies health insurance coverage as private health insurance or public coverage. Private health insurance is a plan provided through an employer or union, a plan purchased by an individual from a private company, or TRICARE or other military health care. Respondents reporting a "yes" to the types listed in parts a, b, or e were considered to have private health insurance. Public health coverage includes the federal programs Medicare, Medicaid, and VA Health Care (provided through the Department of Veterans Affairs); the Children's Health Insurance Program (CHIP); and individual state health plans. Respondents reporting a "yes" to the types listed in c, d, or f were considered to have public coverage. The types of health insurance are not mutually exclusive; people may be covered by more than one at the same time.
The U.S. Department of Health and Human Services, as well as other federal agencies, use data on health insurance coverage to more accurately distribute resources and better understand state and local health insurance needs.
Question/Concept History
The ACS began asking questions about health insurance coverage in 2008. Because 2008 was the first year of collection, the Census Bureau limited the number and type of data products to simple age breakdowns of overall, private, and public coverage status. The evaluation of the 2008 data suggested that the data were of good quality, so the Census Bureau expanded the data products to include estimates of the specific types of coverage along with estimates about social, economic, and demographic details for people with and without health insurance.
For the 2008 data released September 2009, there was no eligibility edit applied. The eligibility edit that was developed for the 2009 was applied to the 2008 data during spring 2010. New estimates of health insurance coverage with this data are available (http://www.census.gov/hhes/www/hlthins/hlthins.html).
Limitation of the Data
The universe for most health insurance coverage estimates is the civilian noninstitutionalized population, which excludes active-duty military personnel and the population living in correctional facilities and nursing homes. Some noninstitutionalized GQ populations have health insurance coverage distributions that are different from the household population (e.g., the prevalence of private health insurance among residents of college dormitories is higher than the household population). The proportion of the universe that is in the noninstitutionalized GQ populations could therefore have a noticeable impact on estimates of the health insurance coverage. Institutionalized GQ populations may also have health insurance coverage distributions that are different from the civilian noninstitutionalized population, the distributions in the published tables may differ slightly from how they would look if the total population were represented.
Comparability
Health insurance coverage was added to the 2008 ACS and so no equivalent measure is available from previous ACS surveys or Census 2000. Because of the addition of the eligibility edit to 2009 ACS health insurance, data users should be careful as to which 2008 ACS estimates they use to make comparisons. National, state, county and place-level 2008 1-year data incorporating the eligibility edit are available
(https://www.census.gov/topics/health/health-insurance/guidance/acs-2008-1-year-re-run.html); they are comparable to the 2009 estimates in American Fact Finder (factfinder.census.gov). Please see
"Applying and Evaluating Logical Coverage Edits to Health Insurance Coverage in the American Community Survey" for more information on the logical coverage (eligibility) edits.
Because coverage in the ACS references an individual's current status, caution should be taken when making comparisons to other surveys which may define coverage as "at any time in the last year" or "throughout the past year." A discussion of how the ACS health insurance estimates relate to other survey health insurance estimates can be found in A Preliminary Evaluation of Health Insurance Coverage in the 2008 American Community Survey (https://www.census.gov/library/working-papers/2009/acs/2009_Turner_01.html).
- Insurance through a current or former employer or union (of this person or another family member)
- Insurance purchased directly from an insurance company (by this person or another family member)
- Medicare, for people 65 and older, or people with certain disabilities
- Medicaid, Medical Assistance, or any kind of government-assistance plan for those with low incomes or a disability
- TRICARE or other military health care
- VA (including those who have ever used or enrolled for VA health care)
- Indian Health Service
- Any other type of health insurance or health coverage plan
Health insurance coverage in the ACS and other Census Bureau surveys define coverage to include plans and programs that provide comprehensive health coverage. Plans that provide insurance for specific conditions or situations such as cancer and long-term care policies are not considered coverage. Likewise, other types of insurance like dental, vision, life, and disability insurance are not considered health insurance coverage.
In defining types of coverage, write-in responses were reclassified into one of the first seven types of coverage or determined not to be a coverage type. Write-in responses that referenced the coverage of a family member were edited to assign coverage based on responses from other family members. As a result, only the first seven types of health coverage are included in the microdata file.
An eligibility edit was applied to give Medicaid, Medicare, and TRICARE coverage to individuals based on program eligibility rules. TRICARE or other military health care was given to active-duty military personnel and their spouses and children. Medicaid or other means-tested public coverage was given to foster children, certain individuals receiving Supplementary Security Income or Public Assistance, and the spouses and children of certain Medicaid beneficiaries. Medicare coverage was given to people 65 and older who received Social Security or Medicaid benefits.
People were considered insured if they reported at least one "yes" to Questions 16a to 16f. People who had no reported health coverage, or those whose only health coverage was Indian Health Service, were considered uninsured. For reporting purposes, the Census Bureau broadly classifies health insurance coverage as private health insurance or public coverage. Private health insurance is a plan provided through an employer or union, a plan purchased by an individual from a private company, or TRICARE or other military health care. Respondents reporting a "yes" to the types listed in parts a, b, or e were considered to have private health insurance. Public health coverage includes the federal programs Medicare, Medicaid, and VA Health Care (provided through the Department of Veterans Affairs); the Children's Health Insurance Program (CHIP); and individual state health plans. Respondents reporting a "yes" to the types listed in c, d, or f were considered to have public coverage. The types of health insurance are not mutually exclusive; people may be covered by more than one at the same time.
The U.S. Department of Health and Human Services, as well as other federal agencies, use data on health insurance coverage to more accurately distribute resources and better understand state and local health insurance needs.
Question/Concept History
The ACS began asking questions about health insurance coverage in 2008. Because 2008 was the first year of collection, the Census Bureau limited the number and type of data products to simple age breakdowns of overall, private, and public coverage status. The evaluation of the 2008 data suggested that the data were of good quality, so the Census Bureau expanded the data products to include estimates of the specific types of coverage along with estimates about social, economic, and demographic details for people with and without health insurance.
For the 2008 data released September 2009, there was no eligibility edit applied. The eligibility edit that was developed for the 2009 was applied to the 2008 data during spring 2010. New estimates of health insurance coverage with this data are available (http://www.census.gov/hhes/www/hlthins/hlthins.html).
Limitation of the Data
The universe for most health insurance coverage estimates is the civilian noninstitutionalized population, which excludes active-duty military personnel and the population living in correctional facilities and nursing homes. Some noninstitutionalized GQ populations have health insurance coverage distributions that are different from the household population (e.g., the prevalence of private health insurance among residents of college dormitories is higher than the household population). The proportion of the universe that is in the noninstitutionalized GQ populations could therefore have a noticeable impact on estimates of the health insurance coverage. Institutionalized GQ populations may also have health insurance coverage distributions that are different from the civilian noninstitutionalized population, the distributions in the published tables may differ slightly from how they would look if the total population were represented.
Comparability
Health insurance coverage was added to the 2008 ACS and so no equivalent measure is available from previous ACS surveys or Census 2000. Because of the addition of the eligibility edit to 2009 ACS health insurance, data users should be careful as to which 2008 ACS estimates they use to make comparisons. National, state, county and place-level 2008 1-year data incorporating the eligibility edit are available
(https://www.census.gov/topics/health/health-insurance/guidance/acs-2008-1-year-re-run.html); they are comparable to the 2009 estimates in American Fact Finder (factfinder.census.gov). Please see
"Applying and Evaluating Logical Coverage Edits to Health Insurance Coverage in the American Community Survey" for more information on the logical coverage (eligibility) edits.
Because coverage in the ACS references an individual's current status, caution should be taken when making comparisons to other surveys which may define coverage as "at any time in the last year" or "throughout the past year." A discussion of how the ACS health insurance estimates relate to other survey health insurance estimates can be found in A Preliminary Evaluation of Health Insurance Coverage in the 2008 American Community Survey (https://www.census.gov/library/working-papers/2009/acs/2009_Turner_01.html).
| Excerpt from: | Social Explorer; U.S. Census Bureau; 2018 ACS 1-year and 2014-2018 ACS 5-year Data Releases : Technical Documentation. |
| 2018 ACS 1-year and 2014-2018 ACS 5-year Data Releases: Technical Documentation -> Subject Definitions -> Population Variables -> Work Experience |
The data on work experience were derived from answers to Questions 38, 39, and 40 in the 2018 American Community Survey. This term relates to work status in the past 12 months, weeks worked in the past 12 months, and usual hours worked per week worked in the past 12 months.
To comply with provisions of the Civil Rights Act, the U.S. Department of Justice uses these data to determine the availability of individuals for work. Government agencies, in considering the programmatic and policy aspects of providing federal assistance to areas, have emphasized the requirements for reliable data to determine the employment resources available. Data about the number of weeks and hours worked last year are essential because these data allow the characterization of workers by full-time/part-time and full-year/part-year status. Data about working last year are also necessary for collecting accurate income data by defining the universe of persons who should have earnings as part of their total income.
To comply with provisions of the Civil Rights Act, the U.S. Department of Justice uses these data to determine the availability of individuals for work. Government agencies, in considering the programmatic and policy aspects of providing federal assistance to areas, have emphasized the requirements for reliable data to determine the employment resources available. Data about the number of weeks and hours worked last year are essential because these data allow the characterization of workers by full-time/part-time and full-year/part-year status. Data about working last year are also necessary for collecting accurate income data by defining the universe of persons who should have earnings as part of their total income.
The data on work status in the past 12 months were derived from answers to Question 38 in the 2018 American Community Survey. People 16 years old and over who worked 1 or more weeks according to the criteria described below are classified as "Worked in the past 12 months." All other people 16 years old and over are classified as "Did not work in the past 12 months."
The data on weeks worked in the past 12 months were derived from responses to Question 39 in the 2018 American Community Survey, which was asked of people 16 years old and over who indicated that they worked during the past 12 months.
The data pertain to the number of weeks during the past 12 months in which a person did any work for pay or profit (including paid vacation and paid sick leave) or worked without pay on a family farm or in a family business. Weeks of active service in the Armed Forces are also included.
The data pertain to the number of weeks during the past 12 months in which a person did any work for pay or profit (including paid vacation and paid sick leave) or worked without pay on a family farm or in a family business. Weeks of active service in the Armed Forces are also included.
The data on usual hours worked per week worked in the past 12 months were derived from answers to Question 40 in 2018 American Community Survey. This question was asked of people 16 years old and over who indicated that they worked during the past 12 months.
The data pertain to the number of hours a person usually worked during the weeks worked in the past 12 months. The respondent was to report the number of hours worked per week in the majority of the weeks he or she worked in the past 12 months. If the hours worked per week varied considerably during the past 12 months, the respondent was to report an approximate average of the hours worked per week.
People 16 years old and over who reported that they usually worked 35 or more hours each week during the weeks they worked are classified as "Usually worked full time;" people who reported that they usually worked 1 to 34 hours are classified as "Usually worked part time."
The data pertain to the number of hours a person usually worked during the weeks worked in the past 12 months. The respondent was to report the number of hours worked per week in the majority of the weeks he or she worked in the past 12 months. If the hours worked per week varied considerably during the past 12 months, the respondent was to report an approximate average of the hours worked per week.
People 16 years old and over who reported that they usually worked 35 or more hours each week during the weeks they worked are classified as "Usually worked full time;" people who reported that they usually worked 1 to 34 hours are classified as "Usually worked part time."
Aggregate usual hours worked is the sum of the values for usual hours worked each week of all the people in a particular universe. (For more information, see "Aggregate" under "Derived Measures.")
Mean usual hours worked is the number obtained by dividing the aggregate number of hours worked each week of a particular universe by the number of people in that universe. For example, mean usual hours worked for workers 16 to 64 years old is obtained by dividing the aggregate usual hours worked each week for workers 16 to 64 years old by the total number of workers 16 to 64 years old. Mean usual hours worked values are rounded to the nearest one-tenth of an hour. (For more information, see "Mean" under "Derived Measures.")
All people 16 years old and over who usually worked 35 hours or more per week for 50 to 52 weeks in the past 12 months.
The term "worker" as used for these data is defined based on the criteria for work status in the past 12 months.
Question/Concept History
Beginning in 2008, the weeks worked question was separated into 2 parts: part (a) asked whether the respondent worked 50 or more weeks in the past 12 months and part (b) asked respondents who answered 'no' to part (a) how many weeks they worked, even for a few hours.
Limitation of the Data
It is probable that the number of people who worked in the past 12 months and the number of weeks worked are understated since there is some tendency for respondents to forget intermittent or short periods of employment or to exclude weeks worked without pay. There may also be a tendency for people not to include weeks of paid vacation among their weeks worked; one result may be that the American Community Survey figures understate the number of people who worked "50 to 52 weeks."
The American Community Survey data refer to the 12 months preceding the date of interview. Since not all people in the American Community Survey were interviewed at the same time, the reference period for the American Community Survey data is neither fixed nor uniform.
Beginning in 2006, the population in group quarters (GQ) is included in the ACS. Some types of GQ populations may have work experience distributions that are different from the household population. The inclusion of the GQ population could therefore have a noticeable impact on the work experience distribution. This is particularly true for areas with a substantial GQ population.
The Census Bureau tested the changes introduced to the 2008 version of the weeks worked question in the 2006 ACS Content Test. The results of this testing show that the changes may introduce an inconsistency in the data produced for this question as observed from the years 2007 to 2008, see "2006 ACS Content Test Evaluation Report Covering Weeks Worked" on the ACS website (http://census.gov/acs).
Comparability
For information on Work Experience data comparability, please see the comparability section for Employment Status.
Question/Concept History
Beginning in 2008, the weeks worked question was separated into 2 parts: part (a) asked whether the respondent worked 50 or more weeks in the past 12 months and part (b) asked respondents who answered 'no' to part (a) how many weeks they worked, even for a few hours.
Limitation of the Data
It is probable that the number of people who worked in the past 12 months and the number of weeks worked are understated since there is some tendency for respondents to forget intermittent or short periods of employment or to exclude weeks worked without pay. There may also be a tendency for people not to include weeks of paid vacation among their weeks worked; one result may be that the American Community Survey figures understate the number of people who worked "50 to 52 weeks."
The American Community Survey data refer to the 12 months preceding the date of interview. Since not all people in the American Community Survey were interviewed at the same time, the reference period for the American Community Survey data is neither fixed nor uniform.
Beginning in 2006, the population in group quarters (GQ) is included in the ACS. Some types of GQ populations may have work experience distributions that are different from the household population. The inclusion of the GQ population could therefore have a noticeable impact on the work experience distribution. This is particularly true for areas with a substantial GQ population.
The Census Bureau tested the changes introduced to the 2008 version of the weeks worked question in the 2006 ACS Content Test. The results of this testing show that the changes may introduce an inconsistency in the data produced for this question as observed from the years 2007 to 2008, see "2006 ACS Content Test Evaluation Report Covering Weeks Worked" on the ACS website (http://census.gov/acs).
Comparability
For information on Work Experience data comparability, please see the comparability section for Employment Status.
