State trends in uninsurance among individuals aged 18 to 64 years: United States, 1992-2001.
OBJECTIVE
We analyzed state-specific uninsurance trends among US adults aged 18 to 64 years.


METHODS
We used logistic regression models to examine Behavioral Risk Factor Surveillance System data for uninsurance from 1992 to 2001 in 47 states.


RESULTS
Overall, uninsurance rates increased in 35 states and remained unchanged in 12 states. Increases were observed among people aged 30 to 49 years (in 34 states) and 50 to 64 years (in 24 states), and increases were also observed among individuals at middle and low income levels (in 39 states and 19 states, respectively), individuals employed for wages (in 33 states), and the self-employed (in 18 states).


CONCLUSIONS
Among adults aged 18-64, rates of uninsurance increased in most states from 1992 through 2001. Decreased availability of employer-sponsored health insurance, rising health care costs, and state fiscal crises are likely to worsen the growing uninsurance problem.
Nelson
David E
DE
Centers for Disease Control and Prevention, 4770 Buford Highway NE, Mail Stop K-50, Atlanta, GA 30341, USA. den2@cdc.gov
Bolen
Julie
J
Wells
Henry E
HE
Smith
Suzanne M
SM
Bland
Shayne
S
D000293:Adolescent; D000328:Adult; D005260:Female; D006801:Humans; D007348:Insurance, Health / Q000706:statistics & numerical data*; D016015:Logistic Models; D008297:Male; D017057:Medically Uninsured / Q000706:statistics & numerical data*; D008875:Middle Aged; D014481:United States