North Carolina State Chartbook

North Carolina
SHAP Grantee Chartbook
Health Insurance Coverage Estimates

from the 2008 American Community Survey (ACS)
Prepared for:
State Health Access Program (SHAP)
Last Updated: July 21, 2010

North Carolina SHAP Grantee Chartbook
This chartbook was prepared for the U.S. Department of Health and Human Services
Health Resources and Services Administration’s State Health Access Program (SHAP) by the
State Health Access Data Assistance Center (SHADAC).
5600 Fishers Lane 2221 University Ave SE, Suite 345

Rockville, MD 20857 Minneapolis, MN 55414
HRSA Contact Person Ph. 612-624-4802
Michelle Herzog Fax. 612-624-1493
Ph. 301-443-0650 Email. shadac@umn.edu
Email. mherzog@hrsa.gov www.shadac.org/shap
North Carolina SHAP Grantee Organization:

North Carolina Department of Health and Human Services,
Office of Rural Health and Community Care
Project Director
Anne Braswell
Ph. 919-733-2040 x 239
Email. anne.braswell@dhhs.nc.gov
July 21, 2010 www.shadac.org i

Table of Contents Page

Introduction .................................................................................................................................................. 1
Summary Statistics ........................................................................................................................................ 1
Exhibit 1: Any Source of Health Insurance Coverage by Poverty Level, Age 0-64, ACS
2008 ......................................................................................................................................................... 1
Maps and Data Tables................................................................................................................................... 2
Exhibit 2.1: Sub-State Uninsurance Estimates, Age 0-64, ACS 2008 ....................................................... 3
Exhibit 2.2: Demographic Profile by Source of Health Insurance Coverage, Age 0-64,
ACS 2008 .................................................................................................................................................. 4
Exhibit 2.3: Sub-State Uninsurance Estimates, Age 0-64, <200% FPL, ACS 2008 .................................... 5
<200% FPL, ACS 2008 ............................................................................................................................... 6
Exhibit 2.5: Sub-State Uninsurance Estimates, Age 0-64 by Federal Poverty Level
(FPL), ACS 2008 ........................................................................................................................................ 7
Exhibit 3.1: Sub-State Uninsurance Estimates, Age 0-18, ACS 2008 ....................................................... 9
ACS 2008 ................................................................................................................................................ 10
Exhibit 3.3: Sub-State Uninsurance Estimates, Age 0-18, <200% FPL, ACS 2008 .................................. 11
<200% FPL, ACS ...................................................................................................................................... 12
(FPL), ACS 2008 ...................................................................................................................................... 13
Exhibit 4.1: Sub-State Uninsurance Estimates, Age 19-64, ACS 2008 ................................................... 15
ACS 2008 ................................................................................................................................................ 16
Exhibit 4.3: Sub-State Uninsurance Estimates, Age 19-64, <200% FPL, ACS 2008 ................................ 17
<200% FPL, ACS ...................................................................................................................................... 18
(FPL), ACS 2008 ...................................................................................................................................... 19
Appendix A. Technical Assistance Available from SHADAC ....................................................................... 21
Appendix B. Data Source............................................................................................................................ 22
Appendix C. County Groupings in Sub-state Areas .................................................................................... 23
Appendix D. North Carolina Map of Major Cities ...................................................................................... 26
Appendix E. North Carolina Map of County Boundaries............................................................................ 27
July 21, 2010 www.shadac.org ii

Introduction
This chartbook of health insurance coverage estimates is designed to be an easily accessed resource for
State Health Access Program (SHAP) grantees. Estimates for key population groups within your state
are provided in summary map format, with detailed tables for reference. Data provided in this
chartbook are from the 2008 American Community Survey (ACS).
Your chartbook includes the following information for your state:
 Maps of uninsurance estimates for children and adults, as well as children and adults under
200% FPL
 Tables of health insurance coverage estimates for the above mentioned population groups, with
variance information
 County-level estimates of uninsurance
 Demographic profiles of state populations
Summary Statistics
Any source of health insurance coverage for North Carolina is shown in Exhibit 1. In 2008, 81.9% of the
total population age 0-64 had health insurance coverage. Over two thirds (67.7%) had private coverage,
while 17.0% reported having government coverage. This is in contrast to individuals under 200% of the
Federal Poverty Level (FPL), of which only 67.7% had insurance, with 34.6% having private coverage, and
36.2% having government coverage.
Exhibit 1: Any Source of Health Insurance Coverage by Poverty Level, Age 0-64, ACS 2008
90% 81.9%
80%
67.7% 67.7%
70%
60%
50%
40% 34.6% 36.2%
32.3%
30%
18.1% 17.0%
20%
10%
0%
Uninsured Insured Private Coverage Government
Coverage
Total < 200% FPL
Source: U.S. Census Bureau, 2008 American Community Survey.

Note: Those who report multiple types of insurance coverage (i.e., private or public) are
included in each category; therefore, totals may add to more than 100 percent.
July 21, 2010 www.shadac.org 1

Maps and Data Tables

Detailed uninsurance estimates begin with Exhibit 2.1. Each subpopulation is shown as a map, followed
by a detailed table. The estimates in the tables provide percent and standard error (for calculation of
confidence intervals). Additional subgroup estimates are available upon request.

Exhibit 2.1: Sub-State Uninsurance Estimates, Age 0-64, ACS 2008
July 21, 2010

www.shadac.org
* Statistically different from the state uninsurance estimate for people age 0-64 (18.1%).
Note: Sub-state estimates are typically collections of counties and reflect the lowest level of geography available for a single year of ACS data. In most metro areas sub-
county estimates are available, but where possible the sub-county estimates are aggregated to the county. In some of these cases the aggregations do not exactly
match county boundaries; this typically occurs in metro areas and affects a very small geographic area.
3
Exhibit 2.2: Demographic Profile by Source of Health Insurance Coverage, Age 0-64, ACS 2008
Private Government
Population Uninsured Insured
Coverage Coverage
(000) % SE % SE % SE % SE
Race and Ethnicity
Hispanic 652 46.9 1.26 53.1 1.26 31.9 1.27 22.6 1.01
White Alone 5,166 14.1 0.27 85.9 0.27 76.4 0.36 12.1 0.24
Black Alone 1,709 19.2 0.53 80.8 0.53 56.3 0.76 28.8 0.68
Asian Alone 162 18.1 1.87 81.9 1.87 77.4 2.10 6.1 1.12
Multiple/other
223 21.0 1.45 79.0 1.45 52.6 2.12 29.9 1.71
non-Hispanic
Total 7,912 18.1 0.26 81.9 0.26 67.7 0.35 17.0 0.25
Age
0-18 2,377 10.6 0.37 89.4 0.37 60.6 0.60 31.0 0.57
19-24 697 32.7 0.88 67.3 0.88 58.6 0.92 10.0 0.51
25-44 2,491 25.1 0.46 74.9 0.46 68.7 0.48 8.0 0.24
45-64 2,346 14.1 0.32 85.9 0.32 76.8 0.37 14.4 0.27
Total 7,912 18.1 0.26 81.9 0.26 67.7 0.35 17.0 0.25
P o ve r t y L e ve l
0-99% FPL 1,173 33.5 0.77 66.5 0.77 22.8 0.76 46.8 0.86
100-199% FPL 1,472 31.3 0.74 68.7 0.74 43.9 0.82 27.9 0.66
200-399% FPL 2,525 16.8 0.43 83.2 0.43 76.1 0.52 10.1 0.30
4 0 0 % + FP L 2,624 5.7 0.24 94.3 0.24 92.8 0.27 4.1 0.15
Total 7,793 18.3 0.26 81.7 0.26 67.6 0.35 16.9 0.25
Se x
Male 3,887 19.8 0.33 80.2 0.33 66.9 0.40 16.6 0.29
Female 4,024 16.6 0.29 83.4 0.29 68.6 0.39 17.4 0.31
Total 7,912 18.1 0.26 81.9 0.26 67.7 0.35 17.0 0.25
Work Status
Not working 1,082 24.5 0.59 75.5 0.59 48.3 0.65 35.2 0.60
Part-time 934 29.3 0.67 70.7 0.67 61.9 0.70 10.8 0.42
Full-time 3,658 18.4 0.32 81.6 0.32 79.5 0.33 4.1 0.13
Total 5,673 21.3 0.29 78.7 0.29 70.7 0.32 11.1 0.18
Definitions: % = Percent; SE = Standard Error

Note: Counts are presented in thousands.

Exhibit 2.3: Sub-State Uninsurance Estimates, Age 0-64, <200% FPL, ACS 2008
July 21, 2010

www.shadac.org
* Statistically different from the state uninsurance estimate for people age 0-64 under 200% FPL (32.3%).
county estimates are available, but where possible the sub-county estimates are aggregated to the county. In some of these cases the aggregations do not exactly
5
Exhibit 2.4: Demographic Profile by Source of Health Insurance Coverage,

Age 0-64, <200% FPL, ACS 2008
Private Government
Coverage Coverage
(000) % SE % SE % SE % SE
Race and Ethnicity
Hispanic 424 52.7 1.57 47.3 1.57 18.9 1.41 29.6 1.36
White Alone 1,233 30.5 0.70 69.5 0.70 41.1 0.82 31.2 0.71
Black Alone 849 25.2 0.85 74.8 0.85 33.1 1.04 46.2 1.06
Asian Alone 43 36.3 4.90 63.7 4.90 51.8 5.11 12.9 3.44
Multiple/other
96 26.8 2.33 73.2 2.33 24.4 2.48 52.5 2.63
non-Hispanic
Total 2,644 32.3 0.54 67.7 0.54 34.6 0.60 36.2 0.55
Age
0-18 992 15.7 0.70 84.3 0.70 28.9 0.87 58.6 0.95
19-24 314 42.7 1.43 57.3 1.43 42.7 1.46 16.1 0.95
25-44 797 47.8 0.92 52.2 0.92 36.4 0.89 17.7 0.64
45-64 542 33.8 0.88 66.2 0.88 37.6 0.87 34.2 0.81
Total 2,644 32.3 0.54 67.7 0.54 34.6 0.60 36.2 0.55
0-99% FPL 1,173 33.5 0.77 66.5 0.77 22.8 0.76 46.8 0.86
100-199% FPL 1,472 31.3 0.74 68.7 0.74 43.9 0.82 27.9 0.66
200-399% FPL -- -- -- -- -- -- -- -- --
4 0 0 % + FP L -- -- -- -- -- -- -- -- --
Total 2,644 32.3 0.54 67.7 0.54 34.6 0.60 36.2 0.55
Se x
Male 1,231 34.7 0.70 65.3 0.70 33.4 0.72 34.9 0.68
Female 1,413 30.2 0.61 69.8 0.61 35.6 0.69 37.4 0.67
Total 2,644 32.3 0.54 67.7 0.54 34.6 0.60 36.2 0.55
Work Status
Not working 572 34.3 0.90 65.7 0.90 25.2 0.79 45.9 0.91
Part-time 385 45.8 1.16 54.2 1.16 37.9 1.15 18.4 0.86
Full-time 743 46.1 0.91 53.9 0.91 47.2 0.91 8.3 0.44
Total 1,701 42.0 0.62 58.0 0.62 37.7 0.61 23.2 0.48


Exhibit 2.5: Sub-State Uninsurance Estimates, Age 0-64 by Federal Poverty Level (FPL), ACS 2008
All Poverty
<200% FPL
Levels
% SE % SE
County
Alamance 19.6 2.0 36.1 3.9
Alexander, Burke, Caldwell 17.2 1.5 26.5 2.9
Alleghany, Surry, Wilkes 19.1 1.9 29.4 3.3
A n s o n , M o n t g o m e r y , St a n l y 19.8 2.3 31.1 5.1
A s h e , A ve r y , M i t c h e l l , W a t a u g a , Y a n c e y 23.6 * 2.7 36.3 4.9
Beaufort, Bertie, Martin, Pamlico 16.5 1.9 22.3 * 3.1
Bladen, Columbus, Pender 25.5 * 2.7 29.2 4.1
B r u n s w i c k , N e w H a n o ve r 22.6 * 1.9 39.9 3.9
Buncombe (part) 19.9 2.3 27.5 3.4
Buncombe (part), Madison 17.6 1.9 36.2 3.9
Cabarrus 17.2 1.9 39.6 5.5
Camden, Chowan, Currituck, Dare, Gates, Hyde, Pasquotank,
Perquimans, Tyrrell, Washington 17.8 2.1 31.1 4.5
Carteret, Craven, Jones 18.6 2.0 31.5 4.3
Caswell, Person, Rockingham 16.9 1.8 23.7 * 3.2
Catawba 17.7 2.0 36.8 5.0
Chatham, Orange 13.9 * 1.7 35.7 4.5
C h e r o k e e , C l a y , G r a h a m , H a y w o o d , J a c k s o n , M a c o n , Sw a i n 23.9 * 1.9 34.7 3.2
C l e ve l a n d , M c D o w e l l , P o l k , R u t h e r f o r d 17.6 1.7 25.3 * 2.7
Cumberland 13.6 * 1.2 23.3 * 2.4
Davidson 17.4 1.9 31.8 3.8
Davie, Stokes, Yadkin 15.3 1.9 29.7 4.7
D u p l i n , Sa m p s o n 30.3 * 2.8 41.1 * 4.4
Durham 16.3 1.4 32.3 3.2
Edgecombe, Nash 16.6 1.8 26.9 3.7
Forsyth 17.7 1.3 34.3 2.8
Franklin, Johnston 20.8 2.0 38.0 4.0
Gaston, Lincoln 18.8 1.5 36.5 3.2
Granville, Vance, Warren 18.7 2.1 33.1 4.2
Greene, Lenoir, Wilson 21.2 2.0 32.8 3.2
Guilford 17.1 1.1 32.8 2.7
Halifax, Hertford, Northampton 17.9 2.3 25.0 * 3.6
Harnett, Lee 23.0 * 2.1 33.5 3.5
H e n d e r s o n , T r a n s y l va n i a 21.1 2.3 36.6 4.5
Hoke, Moore, Richmond, Scotland 20.7 2.0 32.9 3.6

All Poverty
Continued: Sub-State Uninsurance Estimates, Levels
<200% FPL
Age 0-64 by Federal Poverty Level (FPL), ACS 2008 % SE % SE
County
Iredell 18.9 2.1 41.0 4.6
Mecklenburg 16.9 0.8 33.5 1.7
Onslow 13.4 * 1.6 15.6 * 2.4
Pitt 18.8 1.8 33.1 3.4
Randolph 21.9 2.1 35.4 4.0
Robeson 24.7 * 2.2 27.8 2.9
Rowan 19.4 2.1 35.8 3.8
Union 16.0 2.0 29.5 4.4
Wake 14.3 * 0.8 35.9 2.3
Wayne 17.2 2.0 24.4 * 3.3

Note: Sub-state estimates are typically collections of counties and reflect the lowest level of geography available for a
single year of ACS data. In most metro areas sub-county estimates are available, but where possible the sub-county
estimates are aggregated to the county. In some of these cases the aggregations do not exactly match county boundaries;
this typically occurs in metro areas and affects a very small geographic area.
* Statistically different from the state uninsurance estimate for population group (Age 0-64, 18.1%; Age 0-64 <200% FPL,
32.3%).

July 21, 2010

www.shadac.org
county estimates are available, but where possible the sub-county estimates are aggregated to the county. In some of these cases the aggregations do not exactly match
county boundaries; this typically occurs in metro areas and affects a very small geographic area.
9
Private Government
Coverage Coverage
(000) % SE % SE % SE % SE
Race and Ethnicity
Hispanic 273 26.8 1.71 73.2 1.71 26.5 1.59 48.1 1.89
White Alone 1,387 7.7 0.39 92.3 0.39 73.7 0.67 20.2 0.61
Black Alone 562 9.3 0.68 90.7 0.68 45.6 1.27 48.5 1.29
Asian Alone 46 14.3 2.95 85.7 2.95 75.8 3.92 10.9 3.18
Multiple/other
108 10.3 1.69 89.7 1.69 49.0 2.82 44.1 2.73
non-Hispanic
Total 2,377 10.6 0.37 89.4 0.37 60.6 0.60 31.0 0.57
Age
0-18 2,377 10.6 0.37 89.4 0.37 60.6 0.60 31.0 0.57
19-24 -- -- -- -- -- -- -- -- --
25-44 -- -- -- -- -- -- -- -- --
45-64 -- -- -- -- -- -- -- -- --
Total 2,377 10.6 0.37 89.4 0.37 60.6 0.60 31.0 0.57
0-99% FPL 464 16.1 1.06 83.9 1.06 15.8 0.99 71.4 1.30
100-199% FPL 528 15.4 0.93 84.6 0.93 40.3 1.28 47.4 1.29
200-399% FPL 741 9.3 0.60 90.7 0.60 76.9 0.88 15.3 0.74
4 0 0 % + FP L 586 3.5 0.40 96.5 0.40 93.6 0.52 4.0 0.39
Total 2,318 10.6 0.37 89.4 0.37 60.6 0.61 31.0 0.58
Se x
Male 1,223 10.5 0.46 89.5 0.46 60.9 0.71 30.6 0.68
Female 1,154 10.6 0.47 89.4 0.47 60.2 0.74 31.5 0.71
Total 2,377 10.6 0.37 89.4 0.37 60.6 0.60 31.0 0.57
Work Status
Not working 50 23.5 2.87 76.5 2.87 51.9 3.10 26.2 2.68
Part-time 67 12.7 1.72 87.3 1.72 75.1 2.16 13.3 1.69
Full-time 21 25.5 5.02 74.5 5.02 61.4 5.12 16.4 3.70
Total 139 18.6 1.58 81.4 1.58 64.6 1.79 18.4 1.42


July 21, 2010

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11

Age 0-18, <200% FPL, ACS 2008
Private Government
Coverage Coverage
(000) % SE % SE % SE % SE
Race and Ethnicity
Hispanic 197 28.7 2.08 71.3 2.08 14.2 1.53 58.4 2.23
White Alone 384 14.1 1.01 85.9 1.01 38.5 1.43 50.5 1.46
Black Alone 343 10.3 0.94 89.7 0.94 26.5 1.48 67.3 1.59
Asian Alone 14 26.0 7.42 74.0 7.42 48.3 9.55 26.3 8.96
Multiple/other
55 11.8 2.76 88.2 2.76 23.6 2.97 69.4 3.49
non-Hispanic
Total 992 15.7 0.70 84.3 0.70 28.9 0.87 58.6 0.95
Age
0-18 992 15.7 0.70 84.3 0.70 28.9 0.87 58.6 0.95
19-24 -- -- -- -- -- -- -- -- --
25-44 -- -- -- -- -- -- -- -- --
45-64 -- -- -- -- -- -- -- -- --
Total 992 15.7 0.70 84.3 0.70 28.9 0.87 58.6 0.95
0-99% FPL 464 16.1 1.06 83.9 1.06 15.8 0.99 71.4 1.30
100-199% FPL 528 15.4 0.93 84.6 0.93 40.3 1.28 47.4 1.29
200-399% FPL -- -- -- -- -- -- -- -- --
4 0 0 % + FP L -- -- -- -- -- -- -- -- --
Total 992 15.7 0.70 84.3 0.70 28.9 0.87 58.6 0.95
Se x
Male 500 15.8 0.85 84.2 0.85 29.3 1.04 58.0 1.14
Female 492 15.7 0.89 84.3 0.89 28.4 1.07 59.2 1.19
Total 992 15.7 0.70 84.3 0.70 28.9 0.87 58.6 0.95
Work Status
Not working 25 33.2 4.78 66.8 4.78 27.6 3.96 40.9 4.57
Part-time 15 28.1 4.89 71.9 4.89 29.4 4.85 42.4 5.40
Full-time 8 56.9 8.92 43.1 8.92 25.7 6.67 19.6 6.81
Total 48 35.5 3.46 64.5 3.46 27.9 2.79 37.8 3.26


All Poverty
<200% FPL
Levels
% SE % SE
County
Alamance 12.4 3.4 18.6 6.1
Alexander, Burke, Caldwell 5.8 * 1.4 4.5 * 1.7
A s h e , A ve r y , M i t c h e l l , W a t a u g a , Y a n c e y 13.2 4.2 17.6 7.4
Bladen, Columbus, Pender 16.9 4.0 14.4 5.4
B r u n s w i c k , N e w H a n o ve r 11.7 2.7 20.9 5.9
Buncombe (part) 10.4 4.7 8.1 * 3.5
Cabarrus 10.9 2.6 25.2 7.7
Catawba 11.7 2.9 20.8 6.5
Chatham, Orange 6.2 * 2.0 13.7 6.4
C h e r o k e e , C l a y , G r a h a m , H a y w o o d , J a c k s o n , M a c o n , Sw a i n 9.7 2.6 7.8 * 3.9
Cumberland 6.9 * 1.5 9.5 * 2.5
Davidson 6.7 2.4 9.0 4.6
Davie, Stokes, Yadkin 13.0 3.1 18.2 5.5
D u p l i n , Sa m p s o n 21.2 * 4.3 29.1 * 6.2
Durham 10.4 2.0 14.6 3.7
Edgecombe, Nash 13.0 3.1 17.2 5.4
Forsyth 9.2 1.8 17.0 3.8
Franklin, Johnston 12.4 2.3 15.2 3.9
Gaston, Lincoln 11.5 2.1 20.2 4.0
Guilford 11.4 1.8 19.7 3.8
Halifax, Hertford, Northampton 10.6 3.7 11.3 4.4
Harnett, Lee 13.0 2.9 19.9 4.5

All Poverty
<200% FPL
County
Iredell 8.5 2.6 15.4 6.3
Mecklenburg 11.2 1.2 14.8 2.2
Onslow 5.6 * 1.6 2.1 * 1.6
Pitt 14.0 3.1 24.5 5.4
Randolph 15.7 3.4 24.5 6.0
Robeson 9.9 2.5 9.1 * 3.0
Rowan 10.3 2.4 18.8 4.9
Union 9.0 2.7 15.2 4.8
Wake 8.2 * 1.1 18.2 3.1
Wayne 10.0 2.4 10.9 3.4

Note: Sub-state estimates are typically collections of counties and reflect the lowest level of geography available for a
single year of ACS data. In most metro areas sub-county estimates are available, but where possible the sub-county
estimates are aggregated to the county. In some of these cases the aggregations do not exactly match county
boundaries; this typically occurs in metro areas and affects a very small geographic area.
* Statistically different from the state uninsurance estimate for population group (Age 0-18, 10.6%; Age 0-18 <200% FPL,
15.7%).

July 21, 2010

www.shadac.org
15
Private Government
Coverage Coverage
(000) % SE % SE % SE % SE
Race and Ethnicity
Hispanic 379 61.4 1.43 38.6 1.43 35.9 1.41 4.2 0.44
White Alone 3,778 16.4 0.30 83.6 0.30 77.4 0.33 9.2 0.19
Black Alone 1,147 24.0 0.63 76.0 0.63 61.5 0.72 19.1 0.53
Asian Alone 116 19.6 1.91 80.4 1.91 78.0 2.00 4.2 0.78
Multiple/other
114 31.2 2.08 68.8 2.08 56.0 2.39 16.4 1.52
non-Hispanic
Total 5,534 21.4 0.29 78.6 0.29 70.8 0.32 10.9 0.18
Age
0-18 -- -- -- -- -- -- -- -- --
19-24 697 32.7 0.88 67.3 0.88 58.6 0.92 10.0 0.51
25-44 2,491 25.1 0.46 74.9 0.46 68.7 0.48 8.0 0.24
45-64 2,346 14.1 0.32 85.9 0.32 76.8 0.37 14.4 0.27
Total 5,534 21.4 0.29 78.6 0.29 70.8 0.32 10.9 0.18
0-99% FPL 709 44.9 0.91 55.1 0.91 27.4 0.86 30.7 0.81
100-199% FPL 944 40.2 0.84 59.8 0.84 46.0 0.83 16.9 0.54
200-399% FPL 1,784 19.9 0.49 80.1 0.49 75.8 0.52 7.9 0.26
4 0 0 % + FP L 2,038 6.3 0.26 93.7 0.26 92.5 0.27 4.2 0.16
Total 5,475 21.6 0.29 78.4 0.29 70.6 0.32 11.0 0.18
Se x
Male 2,665 24.0 0.40 76.0 0.40 69.6 0.41 10.1 0.23
Female 2,870 19.0 0.32 81.0 0.32 71.9 0.36 11.7 0.24
Total 5,534 21.4 0.29 78.6 0.29 70.8 0.32 10.9 0.18
Work Status
Not working 1,031 24.5 0.60 75.5 0.60 48.2 0.65 35.6 0.61
Part-time 867 30.6 0.70 69.4 0.70 60.9 0.72 10.6 0.43
Full-time 3,636 18.3 0.32 81.7 0.32 79.6 0.33 4.0 0.13
Total 5,534 21.4 0.29 78.6 0.29 70.8 0.32 10.9 0.18


July 21, 2010

www.shadac.org
17

Age 19-64, <200% FPL, ACS 2008
Private Government
Coverage Coverage
(000) % SE % SE % SE % SE
Race and Ethnicity
Hispanic 227 73.6 1.80 26.4 1.80 23.0 1.76 4.6 0.64
White Alone 849 37.8 0.78 62.2 0.78 42.4 0.80 22.5 0.63
Black Alone 507 35.2 1.07 64.8 1.07 37.5 1.08 31.9 0.97
Asian Alone 29 41.2 5.09 58.8 5.09 53.4 5.03 6.5 1.76
Multiple/other
41 46.9 3.65 53.1 3.65 25.6 3.18 29.7 3.27
non-Hispanic
Total 1,653 42.2 0.63 57.8 0.63 38.0 0.61 22.8 0.48
Age
0-18 -- -- -- -- -- -- -- -- --
19-24 314 42.7 1.43 57.3 1.43 42.7 1.46 16.1 0.95
25-44 797 47.8 0.92 52.2 0.92 36.4 0.89 17.7 0.64
45-64 542 33.8 0.88 66.2 0.88 37.6 0.87 34.2 0.81
Total 1,653 42.2 0.63 57.8 0.63 38.0 0.61 22.8 0.48
0-99% FPL 709 44.9 0.91 55.1 0.91 27.4 0.86 30.7 0.81
100-199% FPL 944 40.2 0.84 59.8 0.84 46.0 0.83 16.9 0.54
200-399% FPL -- -- -- -- -- -- -- -- --
4 0 0 % + FP L -- -- -- -- -- -- -- -- --
Total 1,653 42.2 0.63 57.8 0.63 38.0 0.61 22.8 0.48
Se x
Male 731 47.7 0.89 52.3 0.89 36.2 0.85 19.2 0.62
Female 921 37.9 0.70 62.1 0.70 39.4 0.71 25.7 0.62
Total 1,653 42.2 0.63 57.8 0.63 38.0 0.61 22.8 0.48
Work Status
Not working 548 34.3 0.91 65.7 0.91 25.1 0.80 46.1 0.92
Part-time 370 46.6 1.19 53.4 1.19 38.2 1.17 17.4 0.85
Full-time 735 46.0 0.91 54.0 0.91 47.5 0.91 8.2 0.43
Total 1,653 42.2 0.63 57.8 0.63 38.0 0.61 22.8 0.48


All Poverty
<200% FPL
Levels
% SE % SE
County
Alamance 22.6 2.3 46.5 4.4
Alexander, Burke, Caldwell 21.6 1.9 37.2 3.6
A s h e , A ve r y , M i t c h e l l , W a t a u g a , Y a n c e y 27.0 2.9 44.0 4.9
Bladen, Columbus, Pender 29.4 * 2.9 39.1 4.8
B r u n s w i c k , N e w H a n o ve r 26.6 * 2.0 49.3 4.1
Buncombe (part) 23.7 2.4 37.6 4.4
Cabarrus 20.0 2.1 47.0 5.8
Catawba 20.4 2.2 48.1 4.8
Chatham, Orange 16.6 * 2.1 43.7 5.2
C h e r o k e e , C l a y , G r a h a m , H a y w o o d , J a c k s o n , M a c o n , Sw a i n 28.7 * 2.2 46.8 4.1
Cumberland 17.3 * 1.4 34.5 * 2.9
Davidson 21.6 2.2 43.7 4.3
Davie, Stokes, Yadkin 16.3 * 2.0 37.9 5.0
D u p l i n , Sa m p s o n 34.4 * 3.2 48.1 5.7
Durham 18.8 1.6 42.6 4.2
Edgecombe, Nash 18.3 1.9 33.5 * 4.3
Forsyth 21.4 1.5 45.6 3.3
Franklin, Johnston 24.6 2.2 52.9 * 4.3
Gaston, Lincoln 22.0 1.6 47.3 3.7
Guilford 19.4 1.2 39.8 2.8
Halifax, Hertford, Northampton 20.9 2.3 33.2 * 4.0
Harnett, Lee 28.1 * 2.3 43.8 4.0

All Poverty
<200% FPL
County
Iredell 23.5 2.5 56.4 * 5.1
Mecklenburg 19.3 * 0.9 45.3 2.1
Onslow 18.4 2.0 27.1 * 3.8
Pitt 20.7 1.9 38.2 3.7
Randolph 24.5 2.2 42.4 4.0
Robeson 32.6 * 2.9 42.0 4.7
Rowan 23.3 2.5 46.0 4.9
Union 19.2 2.2 39.3 5.5
Wake 17.0 * 0.9 45.9 2.7
Wayne 21.0 2.3 35.0 4.3

Note: Sub-state estimates are typically collections of counties and reflect the lowest level of geography available
for a single year of ACS data. In most metro areas sub-county estimates are available, but where possible the
sub-county estimates are aggregated to the county. In some of these cases the aggregations do not exactly
* Statistically different from the state uninsurance estimate for population group (Age 19-64, 21.4%; Age 19-64
<200% FPL, 42.2%).

Appendix A. Technical Assistance Available from SHADAC

SHADAC has a contract with Health Resources and Services Administration (HRSA) at Health and Human
Services (HHS) to provide technical assistance to states that have received State Health Access Program
(SHAP) grants. This includes support for data collection, analysis and evaluation related to their SHAP
project work. A summary of assistance is provided below. Questions and requests can be directed to
Elizabeth Lukanen at 612-626-1537 or elukanen@umn.edu.
Data Assistance
Several SHADAC resources are available to help SHAP grantees access and utilize data relating to health
insurance coverage estimates, access to care, and understanding available data-specific technical
assistance resources. Resources include: SHADAC’s Data Center, an online table and chart generator;
issue briefs and technical briefs; and information on how to access microdata.
Web page: http://www.shadac.org/shap/technical-assistance/data
HRSA Benchmarks
SHADAC will also assist states in reporting HSRA benchmark data.
Web page: http://www.shadac.org/shap/technical-assistance/HRSA-Benchmarks
Evaluation
SHADAC staff are available to help SHAP grantees refine and implement evaluation plans, to ensure the
fidelity and success of SHAP-funded programs.
Web page: http://www.shadac.org/shap/technical-assistance/evaluations
Surveys
SHADAC has a variety of resources to help SHAP grantees conduct survey research and apply the results
to relevant audiences. SHADAC’s technical assistance can facilitate the sharing of information and
expertise among grantees, help policy makers understand the unique characteristics of state sub-
populations, and provide assistance in developing survey tools and methods.
Web page: http://www.shadac.org/shap/technical-assistance/surveys
State Reform Research and Strategies

SHADAC has provided evaluative information on health reform initiatives in states participating in the
State Health Access Reform Evaluation (SHARE) program. Many of these evaluations provide descriptive
information that may be useful for SHAP grantees.
Web page: http://www.shadac.org/shap/technical-assistance/ state-reform-research-and-strategies

Appendix B. Data Source

Source: U.S. Census Bureau, 2008 American Community Survey (ACS). Calculations by SHADAC.
Estimates for the ACS exclude military but include non-institutionalized group quarters such as
college/university housing, group homes intended for adults, residential treatment facilities for adults,
workers’ group living quarters and Job Corps centers, and religious group quarters.
Population counts are presented in thousands.
Definitions: '%' = Percent; 'SE' = Standard error as a percent. Confidence intervals can be calculated
from the standard errors; for example, the 95% confidence interval is ±(1.96 * SE).
Insurance coverage note: Listed Medicaid rates include SCHIP and state-specific public programs. Those
who report multiple types of insurance coverage (i.e., private or public) are included in each category;
therefore, row totals may add to more than 100 percent. Active duty military coverage (e.g., TRICARE) is
considered employer-sponsored insurance, while VA coverage is considered government coverage.
ACS methodology note: The ACS asks respondents about their health insurance coverage at the time of
the interview.
For technical documentation on the ACS please visit http://www.shadac.org/content/acs-info-and-
resources.

Appendix C. County Groupings in Sub-state Areas

Sub-State Area^ Counties
Cherokee
Clay
Graham
00100 Haywood
Jackson
Macon
Swain
Buncombe (part)
00201
Madison
00202 Buncombe (part)
Henderson
00300
Transylvania
Cleveland
McDowell
00400
Polk
Rutherford
Ashe
Avery
00500 Mitchell
Watauga
Yancey
Alleghany
00600 Surry
Wilkes
00700 Catawba
Alexander
00800 Burke
Caldwell
00901
00902
00903
Mecklenburg
00904
00905
01000
Gaston
01100
Lincoln
01200 Rowan
01300 Cabarrus


01400 Union
01500 Iredell
01601
01602 Guilford
01700
01800
Forsyth
01900
02000 Randolph
Davie
02100 Stokes
Yadkin
02200 Davidson
02300 Alamance
Caswell
02400 Person
Rockingham
Anson
02500 Montgomery
Stanly
02601
02602
02701 Wake
02702
02703
02801
Durham
02802
Chatham
02900
Orange
Franklin
03000
Johnston
Harnett
03100
Lee
Duplin
03200
Sampson
Granville
03300 Vance
Warren
Edgecombe
03400
Nash
03500 Halifax

Hertford
03500 (cont.)
Northampton
03600
Cumberland
03700
03800 Robeson
Hoke
Moore
03900
Richmond
Scotland
Brunswick
04000
New Hanover
Bladen
04100 Columbus
Pender
04200 Onslow
04300 Wayne
Greene
04400 Lenoir
Wilson
Carteret
04500 Craven
Jones
04600 Pitt
Beaufort
Bertie
04700
Martin
Pamlico
Camden
Chowan
Currituck
Dare
Gates
04800
Hyde
Pasquotank
Perquimans
Tyrrell
Washington
^ Sub-state areas are labeled according to Census Bureau-defined geographical areas known
at PUMAs (Public Use Microdata Areas). For more information on these areas, contact
SHADAC.

Appendix D. North Carolina Map of Major Cities
July 21, 2010

www.shadac.org
Source: U.S. Census Bureau.
26
Appendix E. North Carolina Map of County Boundaries
July 21, 2010

www.shadac.org
Source: U.S. Census Bureau.
27

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North Carolina

SHAP Grantee Chartbook

Health Insurance Coverage Estimates

State Health Access Program (SHAP)

Last Updated: July 21, 2010

5600 Fishers Lane 2221 University Ave SE, Suite 345

North Carolina SHAP Grantee Organization:

July 21, 2010 www.shadac.org i

Table of Contents Page

July 21, 2010 www.shadac.org ii

Your chartbook includes the following information for your state:

Source: U.S. Census Bureau, 2008 American Community Survey.

July 21, 2010 www.shadac.org 1

Maps and Data Tables

July 21, 2010 www.shadac.org 2

July 21, 2010

Definitions: % = Percent; SE = Standard Error

July 21, 2010 www.shadac.org 4

July 21, 2010

Exhibit 2.4: Demographic Profile by Source of Health Insurance Coverage,

Definitions: % = Percent; SE = Standard Error

July 21, 2010 www.shadac.org 6

July 21, 2010 www.shadac.org 7

Definitions: % = Percent; SE = Standard Error

July 21, 2010 www.shadac.org 8

July 21, 2010

Definitions: % = Percent; SE = Standard Error

July 21, 2010 www.shadac.org 10

July 21, 2010

Exhibit 3.4: Demographic Profile by Source of Health Insurance Coverage,

Definitions: % = Percent; SE = Standard Error

July 21, 2010 www.shadac.org 12

July 21, 2010 www.shadac.org 13

Definitions: % = Percent; SE = Standard Error

July 21, 2010 www.shadac.org 14

July 21, 2010

Definitions: % = Percent; SE = Standard Error

July 21, 2010 www.shadac.org 16

July 21, 2010

Exhibit 4.4: Demographic Profile by Source of Health Insurance Coverage,

Definitions: % = Percent; SE = Standard Error

July 21, 2010 www.shadac.org 18

July 21, 2010 www.shadac.org 19

Definitions: % = Percent; SE = Standard Error

July 21, 2010 www.shadac.org 20

Appendix A. Technical Assistance Available from SHADAC

Web page: http://www.shadac.org/shap/technical-assistance/surveys

State Reform Research and Strategies

Web page: http://www.shadac.org/shap/technical-assistance/ state-reform-research-and-strategies

July 21, 2010 www.shadac.org 21

Appendix B. Data Source

Population counts are presented in thousands.

July 21, 2010 www.shadac.org 22

Appendix C. County Groupings in Sub-state Areas

July 21, 2010 www.shadac.org 23

Sub-State Area^ Counties

Sub-State Area^ Counties

July 21, 2010 www.shadac.org 25

July 21, 2010

July 21, 2010

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