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. 2020 Jul 17;3(7):e2011014. doi: 10.1001/jamanetworkopen.2020.11014

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.

a

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.

b

Calculated using logistic regression models.

c

Indicates reference category.

d

Respondents answered they had “health insurance that you bought through a state or federal individual marketplace/exchange.”

e

Indicates tertiles of participants’ scores for the Health Insurance Literacy Measure.20

f

Indicates tertiles of participants’ sum of scores for 3 measures of financial literacy developed by Lusardi and Mitchell.19