TABLE 2—
Adjusted Odds Ratios for Factors Predicting Uninsurance During the Previous 12 Months Among US Adults Aged 19–64 Years, 2008–2010, 2015–2017, and Change Between Those Periods
| Pre-ACA, AOR (95% CI) | Change Between Pre- and Post-ACA, AOR (95% CI) | Post-ACA, AOR (95% CI) | |
| Age group, y | |||
| 19–25 | 2.33 (2.09, 2.60) | 0.57 (0.49, 0.66) | 1.32 (1.18, 1.48) |
| 26–34 | 1.96 (1.79, 2.14) | 1.02 (0.90, 1.16) | 2.01 (1.83, 2.19) |
| 35–44 | 1.48 (1.35, 1.62) | 1.10 (0.96, 1.25) | 1.62 (1.47, 1.78) |
| 45–54 | 1.31 (1.20, 1.42) | 1.03 (0.90, 1.17) | 1.34 (1.22, 1.48) |
| 55–64 (Ref) | 1 | 1 | 1 |
| Gender | |||
| Male | 1.40 (1.32, 1.48) | 0.95 (0.88, 1.02) | 1.33 (1.25, 1.40) |
| Female (Ref) | 1 | 1 | 1 |
| Race/ethnicity | |||
| Non-Hispanic White/other (Ref) | 1 | 1 | 1 |
| Non-Hispanic African American | 1.16 (1.08, 1.25) | 0.99 (0.88, 1.12) | 1.15 (1.05, 1.26) |
| Non-Hispanic AIAN | 2.03 (1.48, 2.80) | 1.07 (0.71, 1.60) | 2.17 (1.63, 2.89) |
| Non-Hispanic Asian | 0.79 (0.70, 0.90) | 0.91 (0.76, 1.11) | 0.73 (0.63, 0.84) |
| Latino/Hispanic | 2.07 (1.92, 2.24) | 0.93 (0.83, 1.05) | 1.94 (1.77, 2.12) |
| Family incomea | |||
| < FPL | 8.09 (7.25, 9.04) | 0.81 (0.70, 0.95) | 6.59 (5.92, 7.33) |
| 1–1.99 × FPL | 7.92 (7.28, 8.62) | 0.77 (0.67, 0.87) | 6.06 (5.52, 6.66) |
| 2–3.99 × FPL | 3.27 (3.04, 3.51) | 0.96 (0.85, 1.08) | 3.13 (2.86, 3.42) |
| ≥ 4 × FPL (Ref) | 1 | 1 | 1 |
| Disability status | |||
| Needs ADL help | 0.30 (0.22, 0.41) | 1.11 (0.73, 1.69) | 0.34 (0.26, 0.44) |
| Disability prevents work | 0.46 (0.41, 0.52) | 1.06 (0.89, 1.28) | 0.49 (0.43, 0.56) |
| Other mental health disability | 1.40 (1.21, 1.62) | 0.91 (0.73, 1.13) | 1.27 (1.08, 1.50) |
| Other physical or cognitive disability | 1.04 (0.91, 1.19) | 0.78 (0.64, 0.95) | 0.81 (0.70, 0.94) |
| No disability (Ref) | 1 | 1 | 1 |
| Time period | |||
| Pre-ACA (Ref) | 1 | ||
| Post-ACA (2015–2017) | 0.75 (0.65, 0.86) |
Note. ACA = Affordable Care Act; ADL = activities of daily living; AIAN = American Indian/Alaska Native; AOR = adjusted odds ratio; CI = confidence interval; FPL = federal poverty level.
FPL defined annually by US Department of Health and Human Services.