Table 2. Marginal Estimates of the Adjusted Prevalence of Making No HSA Contributions in the Last Year Among US Adults in HDHPs Who Had an HSA.
Characteristic | Sample size | No. of respondents | Weighted % (95% CI)a | P valueb |
---|---|---|---|---|
Educational level | ||||
High school or less | 134 | 88 | 62.6 (52.4-72.8) | NAc |
Some college | 198 | 116 | 59.1 (51.3-66.9) | .59 |
Bachelor’s degree | 316 | 147 | 49.5 (43.2-55.7) | .04 |
Master’s degree or higher | 216 | 94 | 46.1 (38.3-53.9) | .02 |
Race/ethnicity | ||||
White | 716 | 360 | 52.3 (48.2-56.4) | NAc |
Black | 42 | 25 | 66.6 (51.2-81.9) | .10 |
Hispanic | 56 | 29 | 44.9 (30.7-59.0) | .33 |
Other | 50 | 31 | 66.7 (49.9-83.5) | .13 |
Source of health insurance | ||||
Employer without plan choice | 187 | 108 | 61.0 (53.2-68.7) | NAc |
Employer with choice of plans | 629 | 320 | 52.2 (47.8-56.6) | .06 |
Insurance exchanged | 21 | 6 | 30.9 (6.9-54.9) | .03 |
Other source | 27 | 11 | 52.6 (33.5-71.6) | .41 |
Health status | ||||
Excellent | 117 | 64 | 57.1 (46.7-67.5) | NAc |
Very good | 390 | 192 | 54.4 (48.6-64.0) | .65 |
Good | 286 | 147 | 50.7 (44.1-57.4) | .33 |
Fair | 59 | 31 | 51.6 (35.8-67.4) | .58 |
Poor | 12 | 11 | 75.1 (35.8-115.5) | .46 |
Chronic condition | ||||
Yes | 409 | 218 | 53.2 (46.8-59.5) | .81 |
No | 455 | 227 | 54.2 (49.2-59.3) | NAc |
Level of health insurance literacye | ||||
Lowest tertile | 266 | 155 | 58.6 (51.5-65.6) | NAc |
Middle tertile | 276 | 146 | 56.9 (50.5-63.3) | .73 |
Highest tertile | 322 | 144 | 47.3 (40.7-54.0) | .03 |
Level of financial literacyf | ||||
Lowest tertile | 140 | 89 | 58.1 (47.8-68.3) | NAc |
Middle tertile | 206 | 119 | 57.4 (49.6-65.3) | .92 |
Highest tertile | 518 | 237 | 51.1 (46.0-56.2) | .26 |
Abbreviations: HDHPs, high-deductible health plans; HSA, health savings account; NA, not applicable.
Based on marginal effects from a logistic regression model in which the dependent variable was $0 in savings in an HSA in the past 12 months, if a respondent reported having an HSA and responded to questions about savings. Savings level of $0 was defined as either reporting not saving any money in the last 12 months for health care or not saving any money for health care through their HSA. Sample was anyone who reported having an HSA and had nonmissing values for covariates in model (n = 864). Survey weights were based on the full sample of respondents with nonmissing covariates (n = 1564). Prevalences are adjusted for age, sex, income, region, and level of consumer engagement.18 Estimates of coefficients for each of the predictor variables in the model can be found in eTable 5 in the Supplement.
Calculated using logistic regression models.
Indicates reference category.
Respondents answered they had “health insurance that you bought through a state or federal individual marketplace/exchange.”
Indicates tertiles of participants’ scores for the Health Insurance Literacy Measure.20
Indicates tertiles of participants’ sum of scores for 3 measures of financial literacy developed by Lusardi and Mitchell.19