Uninsured Rates, Behavior and Mental Health

Mental health is the leading cause of disability in the US and research has shown that individuals who have health insurance are more likely to use one or more types of mental health services (Miller et al., 2016). Research has also shown disparities in mental health service use and adequacy based on race, ethnicity and socioeconomic factors (Jimenez et al., 2013; Tsai et. al., 2014).

The purpose of this analysis is to compare the rates of poor mental health days by rates of health insurance coverage, average number of poor physical health days, employment status, income level, teen birth and excessive drinking at the county level.

This scenario includes benchmarks for each appropriate variable. State-level benchmarks are accessible by filtering by state. Scenarios with multiple outcome variables require filtering by the specific outcome to return the corresponding benchmarks.

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Tutorial: Using the Data

The purpose of this presentation is to demonstrate how to conduct an analysis to identify if there is an association in the rates of poor mental health days by rates of health insurance coverage, average number of poor physical health days, employment status, income level, teen birth or excessive drinking at the county level.

Data Sources

County Health Ranking (data released 2017)

Defining the Columns

A blank entry indicates unreported data. A value of zero is a defined value and does not represent unreported data.

State: The abbreviation of the state.

County: The name of the county. County names are listed as provided on the US Census Bureau's list of 2010 FIPS Codes for Counties and County Equivalent Entities.

Percent Uninsured: Percentage of people under age 65 without insurance. The reporting period for this measure is 2014 from the Small Area Health Insurance Estimates (SAHIE) program.

Median Household Income: Median annual household income. The reporting period for this measure is 2015 from the Small Area Income and Poverty Estimates (SAIPE).

Percent Unemployment: Percentage of population ages 16+ unemployed and looking for work. The reporting period for this measure is 2015 from the Bureau of Labor Statistics.

Percent Excessive Drinking: The percentage of adults that report either binge drinking, defined as consuming more than 4 (women) or 5 (men) alcoholic beverages on a single occasion in the past 30 days, or heavy drinking, defined as drinking more than one (women) or 2 (men) drinks per day on average. The reporting period for this measure is 2015. Data is from the Behavioral Risk Factor Surveillance System (BRFSS) survey.

Drug Overdose Deaths per 100,000: The number of deaths due to drug poisoning per 100,000 population. The reporting period for this measure is 2013 through 2015 from CDC WONDER mortality data.

Teen Births per 1,000: Number of births per 1,000 female population ages 15-19. The reporting period for this measure is 2008 through 2014 from the National Center for Health Statistics - Natality files.

Avg Poor Mental Health Days per Month: Average number of mentally unhealthy days reported in past 30 days (age-adjusted). The reporting period for this measure is 2015. Data is from the Behavioral Risk Factor Surveillance System (BRFSS) survey.

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Tutorial: Using Excel Output