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Access to Health Care in Wyoming Information from BRFSS

Access to Health Care in Wyoming Information from BRFSS. Menlo Futa, WY Department of Health Mary Adams, On Target Health Data LLC Contact: Menlo Futa, BRFSS Coordinator, WY Dept. of Health, 6101 Yellowstone Road, Suite 510, Cheyenne, WY 82002, 307-777-6012, menlo.futa@health.wyo.gov.

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Access to Health Care in Wyoming Information from BRFSS

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  1. Access to Health Care in Wyoming Information from BRFSS Menlo Futa, WY Department of Health Mary Adams, On Target Health Data LLC Contact: Menlo Futa, BRFSS Coordinator, WY Dept. of Health, 6101 Yellowstone Road, Suite 510, Cheyenne, WY 82002, 307-777-6012, menlo.futa@health.wyo.gov

  2. What is BRFSS? • Behavioral Risk Factor Surveillance System • Random digit dial telephone survey of WY adults age 18 and older • Topics include health behaviors, health conditions, health care access, preventive health services • Examples: tobacco/alcohol use, physical activity, diabetes, obesity, lack of health insurance, mammograms/Pap smears

  3. What is BRFSS? (cont) • Primary purpose is to support WDH programs, especially in chronic disease and health promotion • Data is collected every month and analyzed on calendar year basis • All 50 states conduct BRFSS • Wyoming participation since 1994 • Annual sample size between 2,000 and 5,000

  4. Methods 4,993 BRFSS interviews in 2006 Main Access Measures: • Adults with no health care coverage • Adults without a regular doctor • Adults who needed to see an MD in the past year but could not due to cost (“cost issue”) • Underinsured: includes uninsured plus those with insurance who had a cost issue

  5. Other Access Measures • Children’s health care coverage • Recent checkup • Health care visit in past year • Dental visit in past year

  6. Results:Health Care Access 2006 WY BRFSS

  7. Access Measures by Age Group, 2006 WY BRFSS

  8. Number of WY Adults at Risk

  9. Health Care Access by Group 2006 WY BRFSS

  10. Who Are the “Working Poor”? • By definition: employed for wages and annual household income under $25,000 • About 34,000 in 2006 (20,000 women) • 8.6% of all WY adults, but: • 17% of adults age 18-24 • 21% of the minority population • 18% of those with less than high school education • 18% of the unmarried

  11. Make-up of Uninsured 2006 WY BRFSS

  12. Health Care Access by Group 2006 WY BRFSS

  13. Comparison of groups with poor and good access Poor access groups Good access groups

  14. Results by Race/EthnicityWY BRFSS 2001-2005No Health Care Coverage N=18,139 N=73 N=893 N=72 N=261 Source: WY BRFSS 2001-2005

  15. Cost Issue by Race/EthnicityWY BRFSS 2003-2005 Source: WY BRFSS 2001-2005

  16. No Personal Doctor by Race/EthnicityWY BRFSS 2001-2005 Source: WY BRFSS 2001-2005

  17. Uninsured by County 2001-2005 WY BRFSS • Range from 10.0-24.4% adults uninsured • Highest rates in: Park19.9%Carbon20.3% Weston20.5%Sheridan21.1% Big Horn21.9%Hot Springs24.4% • Highest numbers of uninsured in: Sheridan4,579Fremont5,265 Campbell 4,736Natrona9,554 Sweetwater4,839Laramie9,892

  18. Uninsured by County, Sorted by %, 2001-2005 WY BRFSS

  19. Health Care Access Comparison with US, 2006 BRFSS

  20. Uninsured by State, 2006 BRFSS

  21. Health Care Access and Preventive Health 2006 WY BRFSS

  22. Health Care Access and Preventive Health 2006 WY BRFSS (cont.)

  23. Health Care Access for People With Chronic Disease, 2006 WY BRFSS

  24. Health Care Access for People With Chronic Disease, 2005 WY BRFSS

  25. Number of WY Adults with Chronic Conditions Lacking Health Care Access

  26. Children’s health insurance • Method: for households with children, the selected adult respondent was asked questions about a randomly selected child within the household. • 2006 WY BRFSS included 1,512 household with children. • Uninsured rate for children = 6.4%. • About 7,800 uninsured children in 2006.

  27. Children’s Health Insurance, 2006 WY BRFSS

  28. Children’s Insurance Status, WY BRFSS 1998-2006

  29. Limitations • People without phones or only cell phones are not included • Data are self-reported • Response rates declining • People living in institutions not included

  30. Conclusions • Health care access appears to be an issue for a number of Wyoming adults, especially for those ages <65 yrs • WY rates for these measures tend to be worse than other states and are steady over time • Receipt of recommended preventive health services appears to be affected by the health access measures addressed here • A significant number of people with chronic conditions appear to have health care access problems

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