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Complete Health Indicator Report of Health Care Access - Unable to Get Care Because of Cost

Definition

The percentage of New Mexicans who are unable to get needed care because of cost at the time of the survey.

Numerator

Number of persons in the survey sample who were in the given category (e.g., unable to get needed care because of cost or able to get care because of cost) at the time of the survey.

Denominator

Total number of persons in the survey sample who responded to the question.

Data Interpretation Issues

Data for this indicator report are from the Behavioral Risk Factor Surveillance System (BRFSS), an ongoing survey of adults regarding their health-related behaviors, health conditions, and preventive services. Data are collected in all 50 states, D.C., and U.S. territories. Responses have been weighted to reflect the New Mexico adult population by age, sex, ethnicity, geographic region, marital status, education level, home ownership and type of phone ownership. The survey is conducted using scientific telephone survey methods for landline and cellular phones (with cellular since 2011). The landline phone portion of the survey excludes adults living in group quarters such as college dormitories, nursing homes, military barracks, and prisons. The cellular phone portion of the survey includes adult students living in college dormitories but excludes other group quarters. Beginning with 2011, the BRFSS updated its surveillance methods by adding in calls to cell phones and changing its weighting methods. These changes improve BRFSS' ability to take into account the increasing proportion of U.S. adults using only cellular telephones as well as to adjust survey data to improve the representativeness of the estimates generated from the survey. Results have been adjusted for the probability of selection of the respondent, and have been weighted to the adult population by age, gender, phone type, detailed race/ethnicity, renter/owner, education, marital status, and geographic area. Lastly and importantly, these changes mean that the data from years prior to 2011 are not directly comparable to data from 2011 and beyond. Please see the [https://ibis.health.state.nm.us/view/docs/Query/BRFSS/BRFSS_fact_sheet_Aug2012.pdf BRFSS Method Change Factsheet]. The "missing" and "don't know" responses are removed before calculating a percentage.

Why Is This Important?

Lack of health insurance coverage has been associated with increased risk of chronic disease and mortality. People who forgo needed health care services may be more likely to succumb to preventable illnesses and to suffer complications from those illnesses, and possibly be more likely to die prematurely.

How Are We Doing?

The percentage of adults who could not get health care due to cost decreased from 19.2% in 2011 to 13.8% 2017.

How Do We Compare With the U.S.?

The percentage of adults who could not get health care due to cost was higher in New Mexico than in the U.S. New Mexico ranked 34th among all states (Iowa ranked #1 with only 7.9% unable to get needed care, and Texas ranked #50 with 19.6%).

What Is Being Done?

New Mexico has benefited from the Affordable Care Act and our state's use of federal Medicaid incentives to get more New Mexicans covered by health insurance.

Available Services

The New Mexico Health Insurance Exchange, BeWellNM, is the official New Mexico State marketplace for health insurance under Obamacare. You can use BeWellNM to apply for cost-assistance, compare prices of plans, change plans, and enroll in a plan that best suits you, your family, or your small business. Visit the [http://www.bewellnm.com/ BeWellNM] website for more information.


Graphical Data Views

Percentage of Adults Who Were Unable to Get Needed Medical Care Due to Cost by Year, New Mexico, 2005-2017

::chart - missing::
confidence limits

BRFSS by weighting method by NM vs. U.S.YearPercentage Unable to Get CareLower LimitUpper LimitNoteNumer- atorDenom- inator
Record Count: 27
New Mexico, Old Weighting Method200415.0%13.8%16.2%9256,388
New Mexico, Old Weighting Method200516.2%14.9%17.5%8765,582
New Mexico, Old Weighting Method200614.9%13.7%16.1%9926,562
New Mexico, Old Weighting Method200715.7%14.5%16.9%9986,596
New Mexico, Old Weighting Method200816.9%15.5%18.4%9406,216
New Mexico, Old Weighting Method200915.6%14.3%16.9%1,2238,815
New Mexico, Old Weighting Method201016.7%15.3%18.3%9776,990
New Mexico, New Weighting Method201119.2%18.0%20.3%1,4399,405
New Mexico, New Weighting Method201218.6%17.5%19.6%1,4198,766
New Mexico, New Weighting Method201318.1%17.0%19.2%1,4639,300
New Mexico, New Weighting Method201417.2%16.0%18.5%1,2338,923
New Mexico, New Weighting Method201513.6%12.3%15.0%7736,722
New Mexico, New Weighting Method201612.8%11.5%14.1%6806,014
New Mexico, New Weighting Method201713.8%12.6%15.1%7726,522
U.S., Old Weighting Method200516.3%U.S. Values are median value of 50 states and D.C.
U.S., Old Weighting Method200616.0%
U.S., Old Weighting Method200716.2%
U.S., Old Weighting Method200815.9%
U.S., Old Weighting Method200915.5%
U.S., Old Weighting Method201015.5%
U.S., New Weighting Method201116.9%
U.S., New Weighting Method201216.5%
U.S., New Weighting Method201315.3%
U.S., New Weighting Method201414.2%
U.S., New Weighting Method201513.2%
U.S., New Weighting Method201613.0%
U.S., New Weighting Method201712.6%

Data Notes

Question text: Was there a time in the past 12 months when you needed to see a doctor but could not because of cost?.   2005-2011 U.S. values are from the [http://nccd.cdc.gov/s_broker/WEATSQL.exe/weat/index.hsql WEAT] tool. 2012 U.S. value is from the national codebook and do not exclude don't know and refused responses from the denominator. The 2013 U.S. value is from the national CDC, BRFSS prevalence and trends calculator.

Data Sources

  • Behavioral Risk Factor Surveillance System Survey Data, U.S. Department of Health and Human Services, Centers for Disease Control and Prevention, together with New Mexico Department of Health, Injury and Behavioral Epidemiology Bureau.
  • U.S. Centers for Disease Control and Prevention (CDC), BRFSS Prevalence and Trends Data, [https://www.cdc.gov/brfss/brfssprevalence].


Percentage of Adults Who Were Unable to Get Needed Medical Care Due to Cost by County, New Mexico, 2013-2017

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confidence limits

CountyPercentage Unable to Get CareLower LimitUpper LimitNoteNumer- atorDenom- inator
Record Count: 35
Bernalillo14.6%13.4%15.8%6615,326
Catron10.6%5.6%19.1%Unstable15157
Chaves18.3%15.8%21.2%1961,304
Cibola16.5%12.6%21.4%1251,082
Colfax12.5%8.7%17.5%38319
Curry19.2%15.9%23.0%129896
De Baca14.4%7.4%26.1%Unstable1392
Dona Ana18.0%16.4%19.9%5203,509
Eddy15.7%13.1%18.7%1641,225
Grant13.9%10.5%18.2%79698
Guadalupe9.9%4.5%20.4%Unstable976
Harding**Data suppressed due to small sample size.
Hidalgo15.9%8.8%26.9%1393
Lea18.1%15.6%20.9%2021,267
Lincoln14.6%11.4%18.5%80696
Los Alamos6.7%4.1%10.7%25406
Luna19.3%15.1%24.3%79451
McKinley11.5%9.9%13.4%2602,165
Mora16.1%8.1%29.3%Unstable17129
Otero15.1%12.7%18.0%1701,270
Quay15.2%10.7%21.0%37264
Rio Arriba19.7%16.4%23.4%1741,143
Roosevelt12.6%8.8%17.6%43420
Sandoval15.3%12.6%18.6%1951,545
San Juan16.2%14.8%17.7%6345,163
San Miguel16.1%12.8%20.1%100633
Santa Fe15.8%14.2%17.6%4173,226
Sierra17.8%13.0%23.9%48337
Socorro16.6%11.4%23.4%41311
Taos19.0%15.3%23.4%127746
Torrance14.5%8.8%22.8%21170
Union8.4%4.2%16.1%Unstable10127
Valencia14.3%11.4%17.8%109908
New Mexico15.5%14.9%16.0%4,92136,185
U.S.12.6%U.S. value is for 2017.

Data Notes

Question text: Was there a time in the past 12 months when you needed to see a doctor but could not because of cost?.   The county-level BRFSS data used for this indicator report were weighted to be representative of the New Mexico Health Region populations. Had the data been weighted to be representative of each county population, the results would likely have been different.

Data Sources

  • Behavioral Risk Factor Surveillance System Survey Data, U.S. Department of Health and Human Services, Centers for Disease Control and Prevention, together with New Mexico Department of Health, Injury and Behavioral Epidemiology Bureau.
  • U.S. Centers for Disease Control and Prevention (CDC), BRFSS Prevalence and Trends Data, [https://www.cdc.gov/brfss/brfssprevalence].


Percentage of Adults Who Were Unable to Get Needed Medical Care Due to Cost by Age Group and Sex, New Mexico, 2017

::chart - missing::
confidence limits

Sex: Males vs. FemalesAge GroupPercentage Unable to Get CareLower LimitUpper LimitNumer- atorDenom- inator
Record Count: 8
Male18-3413.4%10.1%17.7%64494
Male35-4918.6%14.7%23.3%91521
Male50-6412.7%10.2%15.6%118829
Male65+5.5%3.9%7.7%541,006
Female18-3414.9%11.1%19.9%70495
Female35-4919.5%15.8%23.8%111624
Female50-6416.7%13.7%20.2%1641,092
Female65+7.3%5.4%9.8%871,394

Data Notes

Question text: Was there a time in the past 12 months when you needed to see a doctor but could not because of cost?

Data Source

Behavioral Risk Factor Surveillance System Survey Data, U.S. Department of Health and Human Services, Centers for Disease Control and Prevention, together with New Mexico Department of Health, Injury and Behavioral Epidemiology Bureau.


Percentage of Adults Who Were Unable to Get Needed Medical Care Due to Cost by Age Group and Health Insurance Coverage, New Mexico, 2017

::chart - missing::
confidence limits

Health Insurance Coverage, Yes/NoAge GroupPercentage Unable to Get CareLower LimitUpper LimitNumer- atorDenom- inator
Record Count: 8
Uninsured18-3431.2%23.0%40.8%49150
Uninsured35-4945.2%36.1%54.7%74169
Uninsured50-6431.2%22.6%41.3%52166
Uninsured65+15.7%7.7%29.4%1255
Has Coverage18-3410.7%8.1%13.9%84828
Has Coverage35-4913.7%11.2%16.7%129974
Has Coverage50-6412.9%11.0%15.2%2291,753
Has Coverage65+6.2%4.9%7.8%1282,340

Data Notes

Question text: Was there a time in the past 12 months when you needed to see a doctor but could not because of cost?

Data Source

Behavioral Risk Factor Surveillance System Survey Data, U.S. Department of Health and Human Services, Centers for Disease Control and Prevention, together with New Mexico Department of Health, Injury and Behavioral Epidemiology Bureau.


Percentage of Adults Who Were Unable to Get Needed Medical Care Due to Cost by Race/Ethnicity, New Mexico, 2013-2017

::chart - missing::
confidence limits

Race/EthnicityPercentage Unable to Get CareLower LimitUpper LimitNoteNumer- atorDenom- inator
Record Count: 7
American Indian/Alaska Native14.2%12.6%16.0%5413,497
Asian/Pacific Islander9.4%5.4%15.8%28313
Black/African American16.4%12.3%21.6%69448
Hispanic20.0%19.0%21.0%2,35012,336
White10.9%10.2%11.6%1,77619,896
New Mexico15.5%14.9%16.0%4,92136,490
United States12.6%U.S. value is for 2017.

Data Notes

Question text: Was there a time in the past 12 months when you needed to see a doctor but could not because of cost?

Data Source

Behavioral Risk Factor Surveillance System Survey Data, U.S. Department of Health and Human Services, Centers for Disease Control and Prevention, together with New Mexico Department of Health, Injury and Behavioral Epidemiology Bureau.


Percentage of Adults Who Were Unable to Get Needed Medical Care Due to Cost by Household Income, New Mexico, 2017

::chart - missing::
confidence limits

IncomePercentage Unable to Get CareLower LimitUpper LimitNumer- atorDenom- inator
Record Count: 5
Less Than $15,00020.3%16.6%24.5%158834
$15,000 to $24,99920.4%17.3%24.0%2221,198
$25,000 - $49,99914.4%11.8%17.5%1621,404
$50,000 - $74,99910.8%8.1%14.3%73796
$75,000 and Over5.9%4.2%8.2%641,337

Data Notes

Question text: Was there a time in the past 12 months when you needed to see a doctor but could not because of cost?

Data Source

Behavioral Risk Factor Surveillance System Survey Data, U.S. Department of Health and Human Services, Centers for Disease Control and Prevention, together with New Mexico Department of Health, Injury and Behavioral Epidemiology Bureau.


Percentage of Adults Who Were Unable to Get Needed Medical Care Due to Cost by Education Level, New Mexico, 2017

::chart - missing::
confidence limits

Education LevelPercentage Unable to Get CareLower LimitUpper LimitNumer- atorDenom- inator
Record Count: 4
Less Than High School19.6%16.1%23.7%146738
H.S. Grad or G.E.D.15.0%12.6%17.7%2431,844
Some Post High School13.8%11.7%16.4%2201,759
College Graduate8.1%6.7%9.8%1612,169

Data Notes

Question text: Was there a time in the past 12 months when you needed to see a doctor but could not because of cost?

Data Source

Behavioral Risk Factor Surveillance System Survey Data, U.S. Department of Health and Human Services, Centers for Disease Control and Prevention, together with New Mexico Department of Health, Injury and Behavioral Epidemiology Bureau.


Percentage of Adults Who Were Unable to Get Needed Medical Care Due to Cost by Sexual Orientation, New Mexico, 2017

::chart - missing::
confidence limits

Sexual OrientationPercentage Unable to Get CareLower LimitUpper LimitNumer- atorDenom- inator
Record Count: 3
Straight15.4%14.8%15.9%4,49934,489
Gay or Lesbian20.9%16.1%26.8%84579
Bisexual24.5%19.4%30.3%99411

Data Notes

Question text: Was there a time in the past 12 months when you needed to see a doctor but could not because of cost?

Data Source

Behavioral Risk Factor Surveillance System Survey Data, U.S. Department of Health and Human Services, Centers for Disease Control and Prevention, together with New Mexico Department of Health, Injury and Behavioral Epidemiology Bureau.


Percentage of Adults Who Were Unable to Get Needed Medical Care Due to Cost by U.S. States, New Mexico, 2017

::chart - missing::
confidence limits

New Mexico ranked 34th among all states (Iowa ranked #1 with only 7.9% unable to get needed care, and Texas ranked #50 with 19.6%).
StatePercentage Unable to Get CareLower LimitUpper LimitNote
Record Count: 52
Alabama16.5%15.2%17.8%
Alaska12.4%10.6%14.3%
Arizona14.1%13.3%14.9%
Arkansas16.4%14.4%18.5%
California11.8%10.9%12.7%
Colorado12.9%12.0%13.7%
Connecticut10.5%9.6%11.4%
Delaware12.9%11.4%14.4%
District of Columbia10.4%9.0%11.8%
Florida16.3%15.1%17.4%
Georgia17.0%15.8%18.3%
Hawaii8.0%7.1%8.9%
Idaho13.6%12.2%15.0%
Illinois12.0%10.8%13.1%
Indiana12.6%11.8%13.4%
Iowa7.9%7.2%8.7%
Kansas12.1%11.5%12.7%
Kentucky12.3%11.1%13.5%
Louisiana17.1%15.6%18.6%
Maine11.7%10.5%12.9%
Maryland10.5%9.5%11.4%
Massachucetts9.3%8.1%10.5%
Michigan11.4%10.6%12.2%
Minnesota9.8%9.2%10.4%
Mississippi18.2%16.6%19.9%
Missouri13.8%12.6%15.0%
Montana11.6%10.4%12.8%
Nebraska11.8%10.9%12.6%
Nevada16.8%14.9%18.7%
New Hampshire9.4%8.2%10.7%
New Jersey14.0%12.9%15.2%
New Mexico13.8%12.6%15.1%
New York11.6%10.7%12.4%
North Carolina16.1%14.7%17.5%
North Dakota8.0%7.0%9.0%
Ohio11.3%10.4%12.2%
Oklahoma16.6%15.3%17.9%
Oregon12.8%11.7%13.9%
Pennsylvania10.4%9.4%11.4%
Rhode Island12.0%10.6%13.3%
South Carolina15.2%14.2%16.2%
South Dakota9.9%8.4%11.4%
Tennessee15.0%13.6%16.4%
Texas19.6%18.1%21.1%
Utah13.5%12.6%14.4%
Vermont8.8%7.8%9.8%
Virginia13.5%12.5%14.6%
Washington11.2%10.5%12.0%
West Virginia14.8%13.6%16.0%
Wisconsin10.8%9.6%12.0%
Wyoming15.0%13.6%16.4%
United States12.4%U.S. value is median of all state values.

Data Notes

Question text: Was there a time in the past 12 months when you needed to see a doctor but could not because of cost?

More Resources and Links

Evidence-based community health improvement ideas and interventions may be found at the following sites:

Additional indicator data by state and county may be found on these Websites:

Medical literature can be queried at the PubMed website.

Page Content Updated On 03/22/2019, Published on 03/22/2019
The information provided above is from the New Mexico Department of Health's NM-IBIS web site (http://ibis.health.state.nm.us). The information published on this website may be reproduced without permission. Please use the following citation: "Retrieved Thu, 22 August 2019 from New Mexico Department of Health, Indicator-Based Information System for Public Health Web site: http://ibis.health.state.nm.us".

Content updated: Fri, 22 Mar 2019 17:39:42 MDT