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Table 2 Characteristics of MUA/P ZIP Codes included and not included in FQHC service areas using UDS-based approach

From: Geographic access to federally qualified health centers before and after the affordable care act

Characteristics

ZIP Codes with FQHCs in 2010

Newly Included in Service Areas ZIP Codes 2011–2015

ZIP Codes without FQHCs 2010-

2015

aOR (Newly Included vs. Not Included in Service Areas)

Total ZIP codes

4,600

1,242

5,527

-

Mean ZIP population (SD)

20,577 (18,598)

14,820 (14,508)

6,471 (8,918)

-

Total population (2015, millions)

94.7

18.4

35.8

 

Population-Level Characteristics:

 Age: <  = 20 years old

26.8%

25.8%

25.2%

0.99 [0.98–1.00]

 20–64 years old

60.1%

59.6%

58.5%

-

 65 + years old

13.1%

14.6%

16.3%

0.98 [0.97–0.99]

 Race: White

63.5%

75.1%

81.5%

-

 Black

20.4%

13.6%

9.5%

1.09 [1.04–1.14]

 Asian

4.3%

3.7%

2.5%

0.87 [0.69–1.1]

 American Indian/ Alaska Native

0.9%

0.7%

1.3%

0.69 [0.58–0.81]

 Native Hawaiian/ Pacific Islander

0.2%

0.1%

0.1%

0.75 [0.21–2.7]

 Other

7.6%

4.0%

2.5%

1.00 [0.81–1.23]

 Two Plus

3.1%

2.7%

2.5%

1.47 [1.11–1.94]

 Ethnicity: Hispanic

25.7%

15.7%

10.9%

0.87 [0.80–0.95]

 Place of birth: Foreign born

16.3%

10.7%

7.3%

1.52 [1.28–1.81]

 HH income: < 200% FPL

44.5%

37.9%

33.3%

1.32 [1.10–1.57]

 Insurance type: Private

53.7%

61.6%

65.5%

-

 Public

37.6%

33.1%

32.6%

1.14 [1.04–1.26]

 Uninsured

16.6%

14.4%

12.5%

1.19 [1.05–1.34]

ZIP Code-Level Characteristics:

 Urbanicity: Urban

50.8%

33.2%

20.6%

-

 Large rural

23.2%

32.0%

36.4%

0.53 [0.44–0.64]

 Small rural

9.1%

13.1%

13.1%

0.56 [0.44–0.72]

 Isolated rural

16.9%

21.7%

29.8%

0.45 [0.36–0.56]

 Rural Health Clinic

42.7%

49.6%

58.2%

0.72 [0.62–0.83]

 HSPA: Primary Care

74.6%

69.3%

65.1%

1.08 [0.92–1.27]

 Mental Health

72.0%

72.1%

67.6%

1.38 [1.15–1.65]

 Dental Health

71.5%

66.3%

58.5%

1.37 [1.16–1.61]

Medicaid Expansion State

57.9%

51.0%

51.9%

1.06 [0.89–1.26]

 Northeast

14.8%

9.8%

11.2%

-

 South

46.1%

51.5%

45.9%

1.02 [0.78–1.34]

 Midwest

18.4%

22.6%

30.7%

1.12 [0.87–1.46]

 West

20.7%

16.0%

12.1%

1.57 [1.17–2.10]

  1. Analysis performed in STATA v.14.0. Adjusted odds ratios for continuous variables were calculated for a 10-percentage point difference. All characteristics are population-weighted means