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] |