Table 4.
Characteristics of currently uninsured individuals expected to be income eligible for Medicaid and current Medicaid enrollees, both with household incomes less than 138% of the federal poverty level, by substance use disorder statusa
| Uninsured and future income eligible |
Currently enrolled in Medicaidb |
||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|
| Substance use disorderc |
No Substance use disorder |
Substance use disorderc |
No substance use disorder |
p for comparison of those with substance use disorders | |||||||
| Characteristic | N (N=837) | % | N (N=4,212) | % | p | N (N=496) | % | N (N=3,313) | % | p | |
| Age | <.01 | .17 | .12 | ||||||||
| 20–25 | 568 | 29.1 | 2,309 | 19.6 | 268 | 23.5 | 1,792 | 20.4 | |||
| 26–34 | 139 | 27.6 | 807 | 24.9 | 123 | 33.5 | 704 | 28.9 | |||
| 35–49 | 112 | 32.3 | 867 | 36.3 | 89 | 32.5 | 639 | 34.6 | |||
| 50–64 | 18 | 11.0 | 229 | 19.2 | 16 | 10.5 | 178 | 16.2 | |||
| Female | 299 | 28.2 | 2,415 | 56.3 | <.01 | 328 | 57.1 | 2,676 | 74.2 | <.01 | <.01 |
| Childless | 564 | 60.1 | 2,205 | 51.8 | .03 | 189 | 45.7 | 870 | 33.0 | <.01 | <.01 |
| Employed | 501 | 65.4 | 2,412 | 54.2 | <.01 | 188 | 35.7 | 1,382 | 37.9 | .49 | <.01 |
| Married | 145 | 29.9 | 1,350 | 41.9 | <.01 | 78 | 16.6 | 836 | 30.5 | 1.01 | .01 |
| Education | .15 | .97 | .32 | ||||||||
| Less than high school | 366 | 47.5 | 1,621 | 40.8 | 205 | 40.7 | 1,172 | 40.5 | |||
| High school | 251 | 29.4 | 1,476 | 34.9 | 175 | 36.1 | 1,405 | 36.8 | |||
| Some college | 220 | 23.1 | 1,115 | 24.3 | 116 | 23.2 | 736 | 22.6 | |||
| Fair or poor health status | 154 | 24.2 | 596 | 18.9 | .09 | 106 | 24.7 | 614 | 27.5 | .40 | .91 |
| Tobacco use in past month | 650 | 76.0 | 1,712 | 39.1 | <.01 | 378 | 72.1 | 1,451 | 42.1 | <.01 | .50 |
| Substance dependenced | 520 | 63.4 | 0 | — | 348 | 71.6 | 0 | — | .08 | ||
| Substance abuse | 317 | 36.6 | 0 | — | 148 | 28.4 | 0 | — | |||
| Serious psychological distress | 291 | 28.8 | 615 | 11.5 | <.01 | 217 | 41.1 | 675 | 21.9 | <.01 | <.01 |
| Any emergency room use in past year | 369 | 42.2 | 1,481 | 33.6 | <.01 | 279 | 56.3 | 1,679 | 50.8 | .18 | <.01 |
| Any inpatient use in past year | 96 | 10.8 | 408 | 9.4 | .44 | 105 | 20.8 | 703 | 19.6 | .76 | <.01 |
Source: National Survey on Drug Use and Health, 2008–2009. Ns are unweighted and percentages are weighted to make estimates representative of the noninstitutionalized population. The income eligibility threshold reflects 133% of the federal poverty level provided in the ACA plus a 5% income “disregard” allowed by the law.
Individuals reporting both Medicare and Medicaid coverage were not included as current Medicaid enrollees.
Includes both alcohol and illicit drug abuse or dependence
Individuals with symptoms of both dependence and abuse were coded as dependent.