Data Dictionary: ACS 2022 (1-Year Estimates)
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Data Source:U.S. Census Bureau
Table: B27017. Private Health Insurance By Ratio Of Income To Poverty Level In The Past 12 Months By Age [91]
Universe: Universe: Civilian noninstitutionalized population for whom poverty status is determined
Table Details
B27017. Private Health Insurance 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
VariableLabel
B27017001
B27017002
B27017003
B27017004
B27017005
B27017006
B27017007
B27017008
B27017009
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B27017011
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B27017016
B27017017
B27017018
B27017019
B27017020
B27017021
B27017022
B27017023
B27017024
B27017025
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B27017027
B27017028
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B27017051
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Relevant Documentation:
Excerpt from: Social Explorer; U.S. Census Bureau; 2022 ACS 1-year and 2018-2022 ACS 5-year Data Releases : Technical Documentation.
 
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).

  1. Insurance through a current or former employer or union (of this person or another family member)
  2. Insurance purchased directly from an insurance company (by this person or another family member)
  3. Medicare, for people 65 and older, or people with certain disabilities
  4. Medicaid, Medical Assistance, or any kind of government-assistance plan for those with low incomes or a disability
  5. TRICARE or other military health care
  6. VA (including those who have ever used or enrolled for VA health care)
  7. Indian Health Service
  8. Any other type of health insurance or health coverage plan
Respondents who answered "yes" to question 16h were asked to provide their other type of coverage type in a write-in field.

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; 2022 ACS 1-year and 2018-2022 ACS 5-year Data Releases : Technical Documentation.
 
Work Experience
The data on work experience were derived from answers to Questions 38, 39, and 40 in the 2022 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.

Work Status in the Past 12 Months
The data on work status in the past 12 months were derived from answers to Question 38 in the 2022 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."

Weeks Worked in the Past 12 Months
The data on weeks worked in the past 12 months were derived from responses to Question 39 in the 2022 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.

Usual Hours Worked Per Week Worked in the Past 12 Months
The data on usual hours worked per week worked in the past 12 months were derived from answers to Question 40 in 2022 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."

Aggregate Usual Hours Worked Per Week in the Past 12 Months
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 Per Week in the Past 12 Months
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.")

Full-Time, Year-Round Workers
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.

Number of Workers in Family 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.

Excerpt from: Social Explorer; U.S. Census Bureau; 2022 ACS 1-year and 2018-2022 ACS 5-year Data Releases : Technical Documentation.
 
Sex
The data on sex were derived from answers to Question 3 in the 2022 American Community Survey. Individuals were asked to mark either "male" or "female" to indicate their biological sex. For most cases in which sex was invalid, the appropriate entry was determined from other information provided for that person, such as the person's given (i.e., first) name and household relationship. Otherwise, sex was allocated from a hot deck.

Sex is asked for all persons in a household or group quarters. On the mailout/mailback paper questionnaire for households, sex is asked for all persons listed on the form. This form accommodates asking sex for up to 12 people listed as living or residing in the household for at least 2 months. If a respondent indicates that more people are listed as part of the total persons living in the household than the form can accommodate, or if any person included on the form is missing sex, then the household is eligible for Failed Edit Follow-up (FEFU). During FEFU operations, telephone center staffers call respondents to obtain missing data. This includes asking sex for any person in the household missing sex information. In Computer Assisted Telephone Interviews (CATI) and Computer Assisted Personal Interview (CAPI) instruments sex is asked for all persons. In 2006, the ACS began collecting data in group quarters (GQs). This included asking sex for persons living in a group quarters. For additional data collection methodology, please see https://www.census.gov/programs-surveys/acs/.

Data on sex are used to determine the applicability of other questions for a particular individual and to classify other characteristics in tabulations. The sex data collected on the forms are aggregated and provide the number of males and females in the population. These data are needed to interpret most social and economic characteristics used to plan and analyze programs and policies. Data about sex are critical because so many federal programs must differentiate between males and females. The U.S. Departments of Education and Health and Human Services are required by statute to use these data to fund, implement, and evaluate various social and welfare programs, such as the Special Supplemental Food Program for Women, Infants, and Children (WIC) or the Low-Income Home Energy Assistance Program (LIHEAP). Laws to promote equal employment opportunity for women also require census data on sex. The U.S. Department of Veterans Affairs must use census data to develop its state projections of veterans' facilities and benefits. For more information on the use of sex data in Federal programs, please see "ACS Handbook of Questions and Current Federal Uses."

Sex Ratio
The sex ratio represents the balance between the male and female populations. Ratios above 100 indicate a larger male population, and ratios below 100 indicate a larger female population. This measure is derived by dividing the total number of males by the total number of females and then multiplying by 100. It is rounded to the nearest tenth.

Question/Concept History

Sex has been asked of all persons living in a household since the 1996 ACS Test phase. When group quarters were included in the survey universe in 2006, sex was asked of all person in group quarters as well.

Beginning in 2008, the layout of the sex question response categories was changed to a horizontal side-by-side layout from a vertically stacked layout on the mail paper ACS questionnaire.

Limitation of the data

Beginning in 2006, the population in group quarters (GQ) was included in the ACS. Some types of GQ populations have sex distributions that are very different from the household population. The inclusion of the GQ population could therefore have a noticeable impact on the sex distribution. This is particularly true for a given geographic area. This is particularly true for areas with a substantial GQ population.

The Census Bureau tested the changes introduced to the 2008 version of the sex question in the 2007 ACS Grid-Sequential Test (http://www.census.gov/acs). 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.

Comparability

Sex is generally comparable across different data sources and data years. However, data users should still be aware of methodological differences that may exist between different data sources if they are comparing American Community Survey sex data to other data sources, such as Population Estimates or Decennial Census data. For example, the American Community Survey data are that of a respondent-based survey and subject to various quality measures, such as sampling and nonsampling error, response rates and item allocation. This differs in design and methodology from other data sources, such as Population Estimates, which is not a survey and involves computational methodology to derive intercensal estimates of the population. While ACS estimates are controlled to Population Estimates for sex at the nation, state and county levels of geography as part of the ACS weighting procedure, variation may exist in the sex structure of a population at lower levels of geography when comparing different time periods or comparing across time due to the absence of controls below the county geography level. For more information on American Community Survey data accuracy and weighting procedures, please see the ACS website (http://www.census.gov).

It should also be noted that although the American Community Survey (ACS) produces population, demographic and housing unit estimates, it is the Census Bureau's Population Estimates Program that produces and disseminates the official estimates of the population for the nation, states, counties, cities and towns and estimates of housing units for states and counties. See http://factfinder.census.gov for data.

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