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State of Alaska

Complete Health Indicator Report of Health Care - Cost as a Barrier (HA2020 Leading Health Indicator: 23)

Definition

Percentage of adults 18 years and older who responded "Yes" on the [http://dhss.alaska.gov/dph/Chronic/Pages/brfss/default.aspx Behavioral Risk Factor Surveillance System (BRFSS)] to the question: "Was there a time in the past 12 months when you needed to see a doctor but could not because of cost?"

Numerator

Weighted number of adults (18+) who responded "Yes" on the BRFSS to the question: "Was there a time in the past 12 months when you needed to see a doctor but could not because of cost?"

Denominator

Weighted number of adults (18+) with valid responses to the question: "Was there a time in the past 12 months when you needed to see a doctor but could not because of cost?", excluding those with missing, "Don't know/Not sure" or "Refused" responses.

Data Interpretation Issues

Alaska Native people in analyses of the BRFSS refers to any mention of American Indian or Alaska Native heritage when enumerating racial and ethnic background. Individuals who indicate multiple races including American Indian/Alaska Native are considered Alaska Native in the data. When race and ethnicity are consider concurrently, Hispanic individuals with American Indian/Alaska Native heritage are combined into the Alaska Native (any mention) group and removed from the Hispanic class. This definition of the Alaska Native group is intended to conform to the eligibility requirements for access to Alaska Native Tribal Health Consortium health care services.

Why Is This Important?

Access to quality healthcare is influenced by a number of factors, including: having health insurance, having access to care, and being able to afford care.^1^ Inadequate prenatal care--including late initiation of care, infrequent prenatal visits, or no care at all--is associated with poor infant and maternal outcomes, including low birth weight or preterm infants and for the mothers an increased risk for pregnancy-related mortality and complications of childbirth.^2^ Preventable hospitalizations are a set of conditions for which hospitalization could be avoided if patients had early access to good quality outpatient healthcare; this metric can be used to assess the effectiveness and accessibility of primary healthcare. A study using the National Hospital Discharge Survey found that 12% of all hospitalizations in 1990 (3.1 million) were for potentially preventable conditions.^3^[[br]] [[br]] ---- {{class .SmallerFont 1. DeVoe, Baez A, Angier H, Krois L, et al. Insurance plus access does not equal health care: typology of barriers to health care access for low-income families. Ann Fam Med 2007;5(6):511-518. 2. Young MB, Perham-Hester KA, Kemberling MM. Alaska maternal and child health data book 2011: Alaska Native edition. Anchorage, AK: A collaboration of the Alaska Department of Health and Social Services, Division of Public Health, and the Alaska Native Tribal Health Consortium, Alaska Native Epidemiology Center. October 2011. [http://anthctoday.org/epicenter/publications/prams/pramsFullVersion.pdf]. Accessed October 19, 2016. 3. Pappas G, Hadden WC, Kozak LJ, Fisher GF. Potentially avoidable hospitalizations: inequalities in rates between US socioeconomic groups. Am J Public Health 1997;87(5):811-16. }}

Healthy People Objective: Reduce the proportion of individuals who are unable to obtain or delay in obtaining necessary medical care, dental care, or prescription medicines: Individuals--medical care

U.S. Target: 4.2%

Other Objectives

Healthy Alaskans 2020 Target: 14.0% of adult (18+) who reported they were unable to receive needed health care in the past 12 months but could not because of cost.

How Are We Doing?

The crude percentage of Alaska adults (18+) who reported being unable to see a doctor in the past 12 months due to cost was 14.1% in 2015, which is close to meeting the Healthy Alaskans 2020 (HA2020) goal of 14.0%. However, the ability to afford health care is not evenly distributed throughout the population. Alaska adults with low incomes or less than a high school education were much more likely to report cost as a barrier to health care than those with higher incomes or educational attainment. A gender gap seen earlier in the decade has diminished, such that women are currently not more likely than men to see cost as a barrier. Individuals between the ages of 25 and 44 were at increased risk of not being able to afford health care. Only Alaska Native people (13.7%) and non-Hispanic white individuals (12.6%) met the HA2020 goal of 14.0% for the 3-year period of 2013-2015. Those adults who were unemployed or unable to work reported significantly higher rates of cost as a barrier than those who were employed. Prevalence rates for cost as a barrier to accessing health care from the BRFSS are initially presented for all Alaskans, Alaska Native people, and the median from states, District of Columbia, and territories for all available years. Subsequent analyses by demographic subpopulations (i.e., sex, age, race/ethnicity, ethnicity, marital status, education, employment status, income, and poverty status) are limited to 2010 and later to allow for ease of assessing recent trends. Crosstabulations were also conducted for three-year averages by body mass index, current smoking, sexual orientation, disability, and Adverse Childhood Experiences (ACEs). Significant differences were evident in each contrast except for body mass index and are included. Results for comparisons with body mass index are available upon request. Prevalence of cost as a burden by regions of Alaska are presented for the most recent time period allowing reporting for all Alaskans and Alaska Native people: 1) single-year for the 6 Alaska Public Health Regions, 2) three-year averages by the 7 Metropolitan and Micropolitan Statistics Areas and rural remainder, 3) single-year for the 10 behavioral health assessment regions based upon aggregations of 20,000 population, 4) three-year averages for 29 boroughs and census areas, and 5) five-year averages for the 12 tribal health organization regions. These time intervals match those for the InstantAtlas health profiles for each of the geographic regionalizes of Alaska for those desiring longer time series.

How Do We Compare With the U.S.?

Since 2011, there has been a reduction in the prevalence of cost being a barrier to health care in both the United States and Alaska. In 2014 (the most recent year for which national data are available), the median prevalence for the United States was 13.1% compared to 13.6% for all Alaskans and 11.8% for Alaska Native people.

What Is Being Done?

The Alaska Department of Health and Social Services administers programs to improve access to care, such as Medicaid, the Children's Health Insurance Program (CHIP), and primary care grants, and clinics for children with disabilities. Federally Qualified Health Centers provide preventive services such as immunizations and screenings at low or no cost to eligible persons who cannot afford them. Federally Qualified Health Centers and other providers strive to meet the needs of the medically underserved in Alaska.

Evidence-based Practices

As part of the Healthy Alaskans 2020 health improvement process, groups of Alaska subject matter experts met over a period of months in a rigorous review process to identify and prioritize strategies to address the 25 health priorities. Public health partners around the state are aligning work around these approaches adapted to Alaska's unique needs.* '''Strategy 1:''' [[br]]Improve insurance coverage for Alaskans who have financial barriers to care. '''Evidence Base:''' [[br]]Inability to access health care can result in unmet health needs and delays in receiving appropriate care, financial hardship, and hospitalizations that could have been prevented. High health care costs present a significant barrier to care, and one approach to making health care more affordable from the patient's perspective is health insurance coverage. Insurance coverage helps people obtain preventive and screening services, prescription drug benefits, mental health and other services, and improves continuity of care. Numerous studies by leading health research organizations, such as the Institute of Medicine and the Agency for Healthcare Research and Quality, note the significance of health insurance coverage for overcoming financial barriers to health care access. '''Strategy 2:''' [[br]]Address underlying health care costs that drive higher insurance premiums in Alaska. '''Evidence Base:''' [[br]]The largest cost component of health insurance premiums is payment for covered health care services. The remaining cost components, administrative costs and profits, are limited under the Affordable Care Act. Studies by economists and health care actuaries have identified high prices for health care services relative to cost of living as the primary driver of health insurance premium price differences between Alaska and comparison states. Many factors contribute to reimbursement rates for physicians and hospitals, such as higher real costs experienced by providers in Alaska, accommodation for small markets, and compensation for providers. Higher health insurance premiums negatively affect affordability of insurance for individuals. Studies by economists and health care actuaries have documented the drivers of health care costs nationally and in Alaska. Numerous studies by leading health research organizations, such as the Institute of Medicine and the Agency for Healthcare Research and Quality, document opportunities for reducing health care costs through quality improvement and consumer engagement. '''Strategy 3:''' [[br]]Improve access to health care safety net services. '''Evidence Base:''' [[br]]The health care safety net consists of providers delivering care to low-income and other vulnerable populations. Safety net providers typically have either a legal mandate or an explicit policy to provide services regardless of a patient's ability to pay. Safety net providers are generally the only source of health care for uninsured, low-income individuals. Safety net providers, such as community health centers and community hospitals play an important role nationally and in Alaska by providing affordable health services for the uninsured and working poor individuals. * Sources for all strategies can be found at: [http://hss.state.ak.us/ha2020/assets/EBS/HA2020_EBS23_CostBarriersToHealthcare.pdf] A listing of strategies, actions, and key partners on this measure can be found at: [http://hss.state.ak.us/ha2020/assets/Actions-Partners_23_CostasBarrier.pdf].

Available Services

Alaska Medicaid Program: visit [http://dhss.alaska.gov/dpa/Pages/medicaid/default.aspx] or one of the regional centers: ANCHORAGE DISTRICT OFFICE 400 Gambell Street Anchorage, AK 99501 (907) 269-6599 - Phone (907) 269-6450 - Fax BETHEL DISTRICT OFFICE P.O. Box 365 Bethel, AK 99559 (907) 543-2686 - Phone (1-800-478-2686) (907) 543-5912 - Fax COASTAL FIELD OFFICE 3601 C Street, Suite 410 P.O. Box 240249 Anchorage, AK 99524 (907) 269-8950 - Phone 1-800-478-4372 (907) 562-1619 - Fax EAGLE RIVER JOB CENTER 11723 Old Glenn Highway, Sp. B-4 Eagle River, AK 99577-7595 (907) 694-7008 (907) 694-1490 - Fax FAIRBANKS DISTRICT OFFICE 675 7th Avenue, Station D Fairbanks, AK 99701 (907) 451-2850 - Phone (1-800-478-2850) (907) 451-2923 - Fax 1-877-451-2923 toll free fax HOMER DISTRICT OFFICE New address! Homer District Office 3670 Lake Street, # 200 Homer, AK 99603 (907) 226-3040 - Phone (907) 235-6176 - Fax JUNEAU FIELD OFFICE 10002 Glacier Hwy, Suite 200 Juneau, AK 99801 (907) 465-3537 - Phone (1-800-478-3537) (907) 465-4657 - Fax KENAI PENINSULA JOB CTR 11312 Kenai Spur Hwy, Suite #2 Kenai, AK 99611 (907) 283-2900 - Phone (1-800-478-9032) (907) 283-6619 - Fax KETCHIKAN DISTRICT OFFICE 2030 Sea Level Dr., Suite 301 Ketchikan, AK 99901 (907) 225-2135 - Phone (1-800-478-2135) (907) 247-2135 - Fax KODIAK DISTRICT OFFICE 211 Mission Road, Suite 101 Kodiak, AK 99615 (907) 486-3783 - Phone (1-888-480-3783) (907) 486-3116 - Fax KOTZEBUE DISTRICT OFFICE P.O. Box 1210 Kotzebue, AK 99752 (907) 442-3451 - Phone (907) 442-2151 - Fax MAT-SU DISTRICT OFFICE 855 W. Commercial Drive Wasilla, AK 99654 (907) 376-3903 - Phone (1-800-478-7778) (907) 373-1136 - Fax MULDOON DISTRICT OFFICE 1251 Muldoon Rd, Suite 111B Anchorage, AK 99504 (907) 269-0001 - Phone (907) 269-0070 - Fax NOME DISTRICT OFFICE P.O. Box 2110 Nome, AK 99762 (907) 443-2237 - Phone (1-800-478-2236) (907) 443-2307 - Fax SOUTHEAST ADULT PUBLIC ASSISTANCE & SPECIALIZED MED 10002 Glacier Hwy, Suite 200 Juneau, AK 99801 (907) 465-3537 - Phone (1-800-478-3537) (907) 465-4657 - Fax SITKA DISTRICT OFFICE 201 Katlian Street, Suite 107 Sitka, AK 99835 (907) 747-8234 - Phone (1-800-478-8234) (907) 747-8224 - Fax [http://dhss.alaska.gov/dhcs/Pages/denalikidcare/default.aspx Denali KidCare] is Alaska's Children's Health Insurance Program (CHIP): If you have questions or need further information, please visit their website at [http://dhss.alaska.gov/dhcs/Pages/denalikidcare/default.aspx] or call them at: Within the Anchorage area, phone 269-6529. From other areas of the state, you may phone toll free 1-888-318-8890. If you prefer, you may fax your application to 1-855-769-0986. In Anchorage, our office is located at 3601 C Street, 1st floor of the Frontier Building. Outside of Anchorage, please view Public Assistance office locations. If you have questions about Denali KidCare or would like an application or renewal mailed to you, please email denali.kid.care@alaska.gov The [http://www.alaskapca.org/ Alaska Primary Care Association (APCA)] is the primary care association for the state of Alaska. APCA members include Federally Qualified Health Centers (FQHC) and other providers who strive to meet the needs of the medically underserved. APCA and its member organizations are part of a statewide and national movement to reduce barriers to health care by enhancing primary care service delivery through prevention, health promotion, and community participation. Alaska Primary Care Association [http://www.alaskapca.org/] 903 W Northern Lights Blvd. Suite 200 Anchorage, AK 99503 Tel: 907.929.2722 Fax: 907.929.2734 Email: info@alaskapca.org


Related Indicators

Relevant Population Characteristics

Persons with low incomes are much more likely to report problems with access to care than persons with higher incomes. Young adults were more likely to report cost as a barrier to care than older adults.

Related Relevant Population Characteristics Indicators:


Health Care System Factors

Persons without health insurance are more likely to report cost as a barrier to care than those with health insurance coverage.

Health Status Outcomes

Persons without access to health care tend to delay getting care until a problem becomes too painful or dangerous to avoid dealing with it. At this point, health problems are often expensive to treat and sometimes have serious long term implications for the individual's health. The health status of these persons may suffer due to lack of appropriate care.

Related Health Status Outcomes Indicators:




Graphical Data Views

Percentage of adults (18+) reporting cost as a barrier to care in past year, all Alaskans, Alaska Natives, and U.S., 2000-2020

::chart - missing::
confidence limits

Alaska ComparisonsYearPecentage of adultsLower LimitUpper LimitNumer- atorDenom- inator
Record Count: 56
All Alaskans200012.3%10.2%14.9%
All Alaskans2001**
All Alaskans2002**
All Alaskans200312.3%10.8%14.0%
All Alaskans200413.5%11.8%15.4%
All Alaskans200514.8%12.9%16.8%
All Alaskans200614.7%12.8%16.9%
All Alaskans200715.7%13.5%18.2%
All Alaskans200816.4%14.8%18.2%
All Alaskans200915.9%14.2%17.8%
All Alaskans201014.7%12.8%17.0%4473,211
All Alaskans201117.6%16.0%19.2%9056,080
All Alaskans201214.7%13.4%16.1%1,1918,306
All Alaskans201314.1%12.9%15.4%1,1769,145
All Alaskans201413.6%12.4%14.9%9648,979
All Alaskans201514.1%12.7%15.6%9578,216
Alaska Native people200012.6%9.2%17.0%
Alaska Native people2001**
Alaska Native people2002**
Alaska Native people200314.6%11.2%18.8%
Alaska Native people200414.9%11.3%19.3%
Alaska Native people200513.1%10.3%16.5%
Alaska Native people200617.7%14.0%22.1%
Alaska Native people200717.3%12.3%23.7%
Alaska Native people200817.1%14.2%20.4%
Alaska Native people200916.4%13.3%20.1%
Alaska Native people201013.2%10.1%17.1%103604
Alaska Native people201117.4%14.2%21.0%2221,175
Alaska Native people201215.3%12.7%18.3%3131,787
Alaska Native people201313.9%11.5%16.7%2501,567
Alaska Native people201411.8%9.5%14.6%1721,433
Alaska Native people201515.4%13.0%18.2%2551,535
U.S.20009.9%
U.S.20018.3%
U.S.2002**
U.S.200312.0%
U.S.200412.8%
U.S.200513.3%
U.S.200612.4%
U.S.200712.5%
U.S.200813.5%
U.S.200913.7%
U.S.201013.4%
U.S.201116.1%
U.S.201215.2%
U.S.201315.3%
U.S.201413.1%
U.S.2015**
Healthy Alaskans Goal201314.0%
Healthy Alaskans Goal201414.0%
Healthy Alaskans Goal201514.0%
Healthy Alaskans Goal201614.0%
Healthy Alaskans Goal201714.0%
Healthy Alaskans Goal201814.0%
Healthy Alaskans Goal201914.0%
Healthy Alaskans Goal202014.0%

Data Notes

** Data Not Available U.S. values are based upon the median value of the states, District of Columbia, and territories.

Data Sources

  • Alaska Data: [http://dhss.alaska.gov/dph/Chronic/Pages/brfss/default.aspx Behavioral Risk Factor Surveillance System], Alaska Department of Health and Social Services, DPH, Section of Chronic Disease Prevention and Health Promotion
  • U.S. Data: National Center for Chronic Disease Prevention and Health Promotion, Behavioral Risk Factor Surveillance System (BRFSS)


Percentage of adults (18+) reporting cost as a barrier to care in past year, by sex, all Alaskans, 2010-2020

::chart - missing::
confidence limits

HA: Males vs. FemalesYearPercentage of adultsLower LimitUpper LimitNumer- atorDenom- inator
Record Count: 20
Males201011.4%9.0%14.3%1531,448
Males201114.6%12.5%17.0%3392,781
Males201212.3%10.6%14.3%4643,854
Males201311.5%9.9%13.2%4664,199
Males201411.5%9.9%13.2%3764,096
Males201513.1%11.3%15.1%4153,797
Females201018.4%15.4%21.9%2941,763
Females201120.7%18.4%23.2%5663,299
Females201217.3%15.3%19.4%7274,452
Females201316.9%15.0%18.9%7104,946
Females201415.9%14.0%18.0%5884,883
Females201515.2%13.2%17.4%5424,419
Healthy Alaskans Goal201314.0%
Healthy Alaskans Goal201414.0%
Healthy Alaskans Goal201514.0%
Healthy Alaskans Goal201614.0%
Healthy Alaskans Goal201714.0%
Healthy Alaskans Goal201814.0%
Healthy Alaskans Goal201914.0%
Healthy Alaskans Goal202014.0%

Data Notes

The sex of the respondent is only asked if necessary.

Data Source

Alaska Data: [http://dhss.alaska.gov/dph/Chronic/Pages/brfss/default.aspx Behavioral Risk Factor Surveillance System], Alaska Department of Health and Social Services, DPH, Section of Chronic Disease Prevention and Health Promotion


Percentage of adults (18+) reporting cost as a barrier to care in past year, by age, all Alaskans, 2010-2020

::chart - missing::
confidence limits

HA: Age Group: 18-24,25-34,35-44,45-64,65+YearPercentage of adultsLower LimitUpper LimitNumer- atorDenom- inator
Record Count: 38
18-2420109.0%4.6%16.8%17140
18-24201116.0%11.5%21.7%54355
18-24201210.1%7.2%14.0%65577
18-24201312.6%9.2%17.0%81646
18-24201413.0%9.7%17.3%65492
18-24201514.5%10.5%19.7%63455
25-34201017.4%12.5%23.6%74418
25-34201119.9%15.8%24.9%126797
25-34201217.1%14.0%20.8%1931,302
25-34201315.6%12.7%18.9%1931,259
25-34201419.1%15.6%23.3%1431,050
25-34201518.4%14.7%22.9%144934
35-44201015.3%11.1%20.7%80549
35-44201123.0%19.2%27.3%1891,049
35-44201214.0%11.2%17.5%1931,308
35-44201315.8%12.7%19.6%2031,403
35-44201416.0%13.0%19.5%1771,323
35-44201514.8%11.6%18.6%1431,079
45-64201017.4%14.3%21.0%2371,503
45-64201117.7%15.5%20.1%4462,693
45-64201218.7%16.3%21.3%6083,499
45-64201315.6%13.8%17.7%5943,948
45-64201413.3%11.7%15.1%4803,915
45-64201514.8%12.7%17.0%4643,546
65+20104.8%3.0%7.7%30555
65+20116.6%4.9%8.9%741,105
65+20124.7%3.5%6.3%1161,518
65+20136.5%4.4%9.6%941,795
65+20143.2%2.3%4.4%862,054
65+20155.9%4.5%7.9%1272,067
Healthy Alaskans Goal201314.0%
Healthy Alaskans Goal201414.0%
Healthy Alaskans Goal201514.0%
Healthy Alaskans Goal201614.0%
Healthy Alaskans Goal201714.0%
Healthy Alaskans Goal201814.0%
Healthy Alaskans Goal201914.0%
Healthy Alaskans Goal202014.0%

Data Notes

Respondents are asked, "What is your age?, which is coded in years. Responses of Refused are excluded.

Data Source

Alaska Data: [http://dhss.alaska.gov/dph/Chronic/Pages/brfss/default.aspx Behavioral Risk Factor Surveillance System], Alaska Department of Health and Social Services, DPH, Section of Chronic Disease Prevention and Health Promotion


Percentage of adults (18+) reporting cost as a barrier to care in past year, by race/ethnicity, all Alaskans, 2013-2015 (3-year average)

::chart - missing::
confidence limits

Percentage of adultsLower LimitUpper LimitNumer- atorDenom- inator
Record Count: 8
Alaska Native (any mention)13.7%12.3%15.3%6774,535
Asian (non-Hispanic)21.0%15.9%27.3%83474
Black (non-Hispanic)19.8%14.4%26.5%59350
Native Hawaiian/Other Pacific Islander (non-Hispanic)26.1%16.6%38.7%24126
White (non-Hispanic)12.6%11.8%13.5%2,05819,517
Multiracial/Other (non-Hispanic)16.5%9.8%26.4%23150
Hispanic (alone or multi)16.9%13.1%21.5%105631
Healthy Alaskans Goal14.0%

Data Notes

Race/ethnicity is determined by responses to three questions: [[br]] 1) "Are you Hispanic, Latino/a, or Spanish origin?" "If yes, are you...?" One or more categories may be selected from categories of (1) "Mexican, Mexican American, Chicano/a"; (2) "Puerto Rican"; (3) "Cuban"; (4) "Another Hispanic, Latino/a, or Spanish origin".[[br]] 2) "Which one or more of the following would you say is your race?" Response categories consist of "White", "Black or African American", "American Indian or Alaska Native", "Asian" (with subcategories of Asian Indian, Chinese, Filipino, Japanese, Korean, Vietnamese, or Other Asian), "Pacific Islander" (with subcategories of Native Hawaiian, Guamanian or Chamorro, Samoan, or Other Pacific Islander), Other, or No additional choices. [[br]] 3) If more than one response to race, then "Which one of these groups would you say best represents your race?" with choices from the list enumerated above. Responses of Don't Know/Not Sure or Refused are excluded.

Data Source

Alaska Data: [http://dhss.alaska.gov/dph/Chronic/Pages/brfss/default.aspx Behavioral Risk Factor Surveillance System], Alaska Department of Health and Social Services, DPH, Section of Chronic Disease Prevention and Health Promotion


Percentage of adults (18+) reporting cost as a barrier to care in past year, by ethnicity, all Alaskans, 2010-2020

::chart - missing::
confidence limits

HA: Ethnicity - Hispanic/LatinoYearPercentage of adultsLower LimitUpper LimitNumer- atorDenom- inator
Record Count: 20
Hispanic/Latino201021.8%10.6%39.4%1274
Hispanic/Latino201137.7%26.9%49.9%41172
Hispanic/Latino201223.9%16.5%33.3%58247
Hispanic/Latino201323.2%16.4%31.6%47263
Hispanic/Latino201414.7%9.4%22.3%40249
Hispanic/Latino201514.6%9.3%22.0%40226
Not Hispanic/Latino201014.2%12.3%16.5%4283,096
Not Hispanic/Latino201116.5%14.9%18.1%8505,855
Not Hispanic/Latino201214.2%12.9%15.6%1,1248,004
Not Hispanic/Latino201313.5%12.3%14.8%1,1168,766
Not Hispanic/Latino201413.4%12.1%14.7%9008,588
Not Hispanic/Latino201514.0%12.6%15.6%9087,864
Healthy Alaskans Goal201314.0%
Healthy Alaskans Goal201414.0%
Healthy Alaskans Goal201514.0%
Healthy Alaskans Goal201614.0%
Healthy Alaskans Goal201714.0%
Healthy Alaskans Goal201814.0%
Healthy Alaskans Goal201914.0%
Healthy Alaskans Goal202014.0%

Data Notes

Ethnicity is defined independent of race. It is based upon responses to the question, "Are you Hispanic, Latino/a, or Spanish origin?" Responses of "Don't Know/Not Sure" or "Refused" are excluded.

Data Source

Alaska Data: [http://dhss.alaska.gov/dph/Chronic/Pages/brfss/default.aspx Behavioral Risk Factor Surveillance System], Alaska Department of Health and Social Services, DPH, Section of Chronic Disease Prevention and Health Promotion


Percentage of adults (18+) reporting cost as a barrier to care in past year, by marital status, all Alaskans, 2010-2020

::chart - missing::
confidence limits

HA: Marital StatusYearPercentage of adultsLower LimitUpper LimitNumer- atorDenom- inator
Record Count: 38
Married201012.1%9.9%14.7%1961,837
Married201113.3%11.5%15.2%3933,360
Married201211.7%10.0%13.6%5214,474
Married201310.9%9.6%12.4%5114,948
Married20149.8%8.5%11.3%4185,007
Married201510.2%8.8%11.9%4174,514
Widowed201013.6%8.4%21.2%34243
Widowed201116.5%11.1%23.8%57430
Widowed201215.6%11.2%21.3%88623
Widowed201312.6%7.6%20.1%66677
Widowed20148.5%6.1%11.9%57699
Widowed201512.9%8.3%19.5%64696
Divorced/Separated201022.5%16.8%29.4%107510
Divorced/Separated201126.2%21.8%31.2%2141,066
Divorced/Separated201225.0%21.1%29.4%2801,370
Divorced/Separated201318.3%14.8%22.3%2621,531
Divorced/Separated201418.6%15.4%22.3%2201,482
Divorced/Separated201519.2%15.4%23.6%2001,268
Never Married201015.9%11.1%22.2%84475
Never Married201120.6%16.6%25.2%171917
Never Married201215.5%12.7%18.8%2281,430
Never Married201315.6%12.7%18.9%2361,517
Never Married201417.9%14.8%21.5%1921,350
Never Married201517.4%14.0%21.3%1851,293
Living with a Partner201024.6%14.6%38.3%25116
Living with a Partner201127.3%19.5%36.9%60253
Living with a Partner201217.5%12.6%23.8%71347
Living with a Partner201328.0%21.4%35.8%93405
Living with a Partner201423.3%16.5%31.7%69348
Living with a Partner201522.3%16.2%30.0%72338
Healthy Alaskans Goal201314.0%
Healthy Alaskans Goal201414.0%
Healthy Alaskans Goal201514.0%
Healthy Alaskans Goal201614.0%
Healthy Alaskans Goal201714.0%
Healthy Alaskans Goal201814.0%
Healthy Alaskans Goal201914.0%
Healthy Alaskans Goal202014.0%

Data Notes

Marital status is determined by the question, "Are you ...?" with responses of "Married", 'Divorced", "Widowed", "Separated", "Never married," or "A member of an unmarried couple". Responses of "Refused" are excluded.

Data Source

Alaska Data: [http://dhss.alaska.gov/dph/Chronic/Pages/brfss/default.aspx Behavioral Risk Factor Surveillance System], Alaska Department of Health and Social Services, DPH, Section of Chronic Disease Prevention and Health Promotion


Percentage of adults (25+) reporting cost as a barrier to care in past year, by education, all Alaskans, 2010-2020

::chart - missing::
confidence limits

HA: Edu Level: < HS, HS, Some Coll, Coll GradYearPercentage of adultsLower LimitUpper LimitNumer- atorDenom- inator
Record Count: 32
< HS201026.3%18.3%36.1%52203
< HS201131.2%24.0%39.4%104386
< HS201226.7%20.3%34.2%134522
< HS201326.3%19.8%34.0%94455
< HS201423.2%17.9%29.6%102461
< HS201523.6%17.3%31.5%80391
HS201015.3%11.6%19.8%123834
HS201118.9%16.0%22.3%2581,577
HS201218.8%15.8%22.3%3382,031
HS201315.3%12.9%18.0%3392,164
HS201413.5%11.3%16.1%2582,037
HS201517.8%14.7%21.3%2861,932
Some Coll201015.4%12.0%19.6%131903
Some Coll201116.9%14.2%20.0%2521,604
Some Coll201214.4%12.1%17.0%3392,277
Some Coll201314.4%12.3%16.8%3502,532
Some Coll201414.9%12.4%17.7%2702,436
Some Coll201513.5%11.4%16.0%2722,320
Coll Grad201010.6%8.0%13.9%1141,080
Coll Grad201113.2%10.8%16.0%2182,062
Coll Grad20129.9%8.2%12.1%2982,780
Coll Grad20139.2%7.8%10.9%2993,227
Coll Grad20149.1%7.6%10.8%2653,486
Coll Grad20158.2%6.6%10.3%2413,017
Healthy Alaskans Goal201314.0%
Healthy Alaskans Goal201414.0%
Healthy Alaskans Goal201514.0%
Healthy Alaskans Goal201614.0%
Healthy Alaskans Goal201714.0%
Healthy Alaskans Goal201814.0%
Healthy Alaskans Goal201914.0%
Healthy Alaskans Goal202014.0%

Data Notes

Education is based upon education completed by or after 25 years of age. Individuals less than 25 years of age are excluded. Education is assessed by responses to the question: "What is the highest grade or year of school you completed?" Responses are "Never attended school or only attended kindergarten", "Grades 1 through 8 (Elementary)", "Grades 9 through 11 (Some high school)", "Grade 12 (High School Graduate)", "College 1 year to 3 years (Some college or technical school)", "College 4 years or more (College graduate)", or "Refused". Refusals are excluded.

Data Source

Alaska Data: [http://dhss.alaska.gov/dph/Chronic/Pages/brfss/default.aspx Behavioral Risk Factor Surveillance System], Alaska Department of Health and Social Services, DPH, Section of Chronic Disease Prevention and Health Promotion


Percentage of adults (18+) reporting cost as a barrier to care in past year, by employment status, all Alaskans, 2010-2020

::chart - missing::
confidence limits

HA: EmploymentYearPercentage of adultsLower LimitUpper LimitNumer- atorDenom- inator
Record Count: 32
Employed201013.0%10.6%15.8%2522,039
Employed201116.5%14.5%18.7%5023,708
Employed201214.8%13.1%16.7%6955,065
Employed201313.2%11.7%14.9%6715,472
Employed201413.1%11.6%14.8%5505,299
Employed201513.4%11.7%15.3%5304,736
Unemployed201031.7%23.1%41.7%71219
Unemployed201132.3%25.9%39.3%149459
Unemployed201226.2%20.6%32.8%155602
Unemployed201327.4%21.6%34.1%167625
Unemployed201427.2%21.3%34.0%122479
Unemployed201525.8%19.8%32.9%120491
Not In Work Force201011.8%8.5%16.1%79778
Not In Work Force201111.1%8.9%13.8%1651,577
Not In Work Force20129.2%7.4%11.3%2302,183
Not In Work Force20139.8%7.9%12.1%2132,524
Not In Work Force20149.0%7.0%11.5%1792,660
Not In Work Force201510.7%8.4%13.5%1982,427
Unable to Work201028.3%18.1%41.3%41155
Unable to Work201131.5%23.4%40.8%86308
Unable to Work201222.9%17.4%29.6%109419
Unable to Work201324.6%18.2%32.3%107442
Unable to Work201421.7%16.4%28.1%101440
Unable to Work201524.0%17.7%31.5%89401
Healthy Alaskans Goal201314.0%
Healthy Alaskans Goal201414.0%
Healthy Alaskans Goal201514.0%
Healthy Alaskans Goal201614.0%
Healthy Alaskans Goal201714.0%
Healthy Alaskans Goal201814.0%
Healthy Alaskans Goal201914.0%
Healthy Alaskans Goal202014.0%

Data Notes

Employment status is assessed by the question: "Are you currently ...?" with responses of "Employed for wages", "Self-employed", "Out of work for 1 year or more", "Out of work for less than 1 year", "A Homemaker", "A Student", "Retired", "Unable to work" or "Refused". Refusals are excluded.

Data Source

Alaska Data: [http://dhss.alaska.gov/dph/Chronic/Pages/brfss/default.aspx Behavioral Risk Factor Surveillance System], Alaska Department of Health and Social Services, DPH, Section of Chronic Disease Prevention and Health Promotion


Percentage of adults (18+) reporting cost as a barrier to care in past year, by income, all Alaskans, 2010-2020

::chart - missing::
confidence limits

HA: Income: <$15k, $15k-$25k, $25k-$50k, $50-$75k, $75k+YearPercentage of adultsLower LimitUpper LimitNumer- atorDenom- inator
Record Count: 38
<$15,000201028.1%19.1%39.3%62218
<$15,000201132.9%26.0%40.6%147447
<$15,000201227.0%21.6%33.1%183657
<$15,000201326.2%20.5%33.0%179712
<$15,000201425.5%20.4%31.3%151631
<$15,000201528.5%22.6%35.3%152571
$15,000 - $24,999201022.6%16.6%30.0%78300
$15,000 - $24,999201134.4%28.1%41.2%176656
$15,000 - $24,999201227.5%22.6%33.0%253973
$15,000 - $24,999201324.4%20.1%29.2%2301,021
$15,000 - $24,999201430.2%25.1%25.9%186944
$15,000 - $24,999201526.5%21.6%32.0%202891
$25,000 - $49,999201021.0%16.2%26.8%116614
$25,000 - $49,999201119.9%16.4%23.9%2121,157
$25,000 - $49,999201218.2%15.1%21.8%2731,619
$25,000 - $49,999201318.7%15.8%22.1%3051,744
$25,000 - $49,999201417.6%14.7%20.9%2501,655
$25,000 - $49,999201519.9%16.1%24.5%2051,449
$50,000 - $74,999201011.6%7.3%17.9%52541
$50,000 - $74,999201115.7%12.3%19.8%131980
$50,000 - $74,999201215.3%11.8%19.6%1751,309
$50,000 - $74,999201314.0%11.2%17.4%1781,523
$50,000 - $74,99920148.5%6.4%11.3%1141,386
$50,000 - $74,999201512.6%9.6%16.4%1231,243
$75,000+20106.8%4.8%9.5%701,089
$75,000+20118.2%6.3%10.6%1152,019
$75,000+20124.2%3.2%5.5%1532,636
$75,000+20136.6%5.3%8.2%1913,280
$75,000+20146.2%5.0%7.8%1683,407
$75,000+20156.0%4.8%7.6%1803,095
Healthy Alaskans Goal201314.0%
Healthy Alaskans Goal201414.0%
Healthy Alaskans Goal201514.0%
Healthy Alaskans Goal201614.0%
Healthy Alaskans Goal201714.0%
Healthy Alaskans Goal201814.0%
Healthy Alaskans Goal201914.0%
Healthy Alaskans Goal202014.0%

Data Notes

Income is measure by the question: "Is your annual household income from all sources ---" with categories of "Less than $10,000", "Less than $15,000", "less than $20,000", "less than $25,000", "less than $35,000", "less than $50,000", "less than $75,000", "$75,000 or more", and "Don't know / Not sure" or "Refused". Responses of "Don't know / Not sure" or "Refused" are excluded.

Data Source

Alaska Data: [http://dhss.alaska.gov/dph/Chronic/Pages/brfss/default.aspx Behavioral Risk Factor Surveillance System], Alaska Department of Health and Social Services, DPH, Section of Chronic Disease Prevention and Health Promotion


Percentage of adults (18+) reporting cost as a barrier to care in past year, by poverty threshold, all Alaskans, 2010-2020

::chart - missing::
confidence limits

Poverty thresholds are intended for use as a statistical yardstick, not as a complete description of what people and families need to live. Poverty thresholds are the dollar amounts assigned by the U.S. Census Bureau to determine poverty status. Poverty thresholds are assigned based upon the size of the family and the ages of the members (i.e., adults versus children). The same thresholds are used throughout the United States. Poverty thresholds were originally derived in the 1963-1964 using U.S. Department of Agriculture food budgets designed for families under economic stress and data about what proportion of their income families spent on food. The thresholds are updated annually for inflation using the Consumer Price Index for All Urban Consumers (CPI-U). How the Census Bureau Measures Poverty - U.S. Census Bureau [https://www.census.gov/hhes/www/poverty/about/overview/measure.html]
HA: Poverty ThresholdYearPercentage of adultsLower LimitUpper LimitNumer- atorDenom- inator
Record Count: 26
Poor201025.6%17.5%35.7%62184
Poor201133.8%26.0%42.5%132405
Poor201227.6%22.3%33.6%199666
Poor201325.3%19.9%31.6%171647
Poor201425.8%20.7%31.8%151577
Poor201533.1%25.5%41.5%127453
Near Poor201027.7%21.5%34.8%108424
Near Poor201123.6%19.3%28.5%182735
Near Poor201227.7%23.0%32.9%2901,175
Near Poor201323.8%20.1%28.0%2951,288
Near Poor201426.4%21.9%31.4%2091,094
Near Poor201525.0%20.3%30.3%190855
Middle/High201010.3%8.3%12.7%2082,154
Middle/High201111.3%9.8%13.0%3943,839
Middle/High20129.8%8.5%11.3%5485,352
Middle/High201310.8%9.5%12.2%6176,345
Middle/High201410.0%8.8%11.4%5096,351
Middle/High201510.1%8.6%11.8%4074,927
Healthy Alaskans Goal201314.0%
Healthy Alaskans Goal201414.0%
Healthy Alaskans Goal201514.0%
Healthy Alaskans Goal201614.0%
Healthy Alaskans Goal201714.0%
Healthy Alaskans Goal201814.0%
Healthy Alaskans Goal201914.0%
Healthy Alaskans Goal202014.0%

Data Notes

Poverty thresholds computed using the BRFSS assume that householders are less than 65 years of age as the ages of the household heads are not recorded. The maximum of the income range provided for the household is used to evaluate the proportion of the poverty threshold. This is a conservative approach as there are no errors of misclassification into the lowest poverty group. The category of Poor represents less than 100% of the poverty threshold. Near Poor is 100% through 199% of the poverty threshold. Middle/High income families are 200% or higher of the poverty threshold. How the Census Bureau Measures Poverty - U.S. Census Bureau [https://www.census.gov/hhes/www/poverty/about/overview/measure.html]

Data Source

Alaska Data: [http://dhss.alaska.gov/dph/Chronic/Pages/brfss/default.aspx Behavioral Risk Factor Surveillance System], Alaska Department of Health and Social Services, DPH, Section of Chronic Disease Prevention and Health Promotion


Percentage of adults (18+) reporting cost as a barrier to care in past year, by body mass index, all Alaskans, 2013-2015 (3-year average)

::chart - missing::
confidence limits

Weight CategoryPercentage of adultsLower LimitUpper LimitNumer- atorDenom- inator
Record Count: 4
Neither Overweight nor Obese13.9%12.6%15.3%9468,142
Overweight12.2%11.1%13.5%9699,238
Obese16.5%15.0%18.1%9907,461
Healthy Alaskans Goal14.0%

Data Notes

Body Mass Index (BMI) is computed based upon responses to the questions, "About how much do you weight without shoes?" and "About how tall are you without shoes?" Responses of "Don't know / Not sure" or "Refused" to either questions are excluded.

Data Source

Alaska Data: [http://dhss.alaska.gov/dph/Chronic/Pages/brfss/default.aspx Behavioral Risk Factor Surveillance System], Alaska Department of Health and Social Services, DPH, Section of Chronic Disease Prevention and Health Promotion


Percentage of adults (18+) reporting cost as a barrier to care in past year, by current smoking, all Alaskans, 2013-2015 (3-year average)

::chart - missing::
confidence limits

Percentage of adultsLower LimitUpper LimitNumer- atorDenom- inator
Record Count: 3
Not current smoker11.5%10.7%12.3%2,11121,323
Current smoker23.3%21.2%25.5%9224,563
Healthy Alaskans Goal14.0%

Data Notes

Current smoking is assessed using two questions: "Have you smoked at least 100 cigarettes in your entire life?" and, if "Yes", "Do you now smoke cigarettes every day, some days, or not at all?" Current smokers are defined as those who have smoked at least 100 cigarettes and who now smoke every day or some days. Non-current smokers are those who have either never smoke 100 cigarettes or whom now smoke cigarettes not at all. Responses of "Don't know / Not sure" or "Refused" to either question are excluded.

Data Source

Alaska Data: [http://dhss.alaska.gov/dph/Chronic/Pages/brfss/default.aspx Behavioral Risk Factor Surveillance System], Alaska Department of Health and Social Services, DPH, Section of Chronic Disease Prevention and Health Promotion


Percentage of adults (18+) reporting cost as a barrier to care in past year, by sexual orientation, all Alaskans, 2013-2015 (3-year average)

::chart - missing::
confidence limits

Percentage of adultsLower LimitUpper LimitNumer- atorDenom- inator
Record Count: 3
Heterosexual13.4%12.6%14.2%2,64023,417
Gay, Lesbian, or Bisexual23.7%18.9%29.3%136686
Healthy Alaskans Goal14.0%

Data Notes

Sexual orientation is assess by the question: "Now I'm going to ask you a question about sexual orientation. Do you think of yourself as A. Gay or lesbian, B. Straight, that is, not lesbian or gay, C. Bisexual, or D. something else?" Responses of "Straight, that is not lesbian or gay" are contrasted with the combined responses to"Gay or lesbian" and "Bisexual". Responses of "Something else", "Don't Know / Not sure", or "Refused" are excluded.

Data Source

Alaska Data: [http://dhss.alaska.gov/dph/Chronic/Pages/brfss/default.aspx Behavioral Risk Factor Surveillance System], Alaska Department of Health and Social Services, DPH, Section of Chronic Disease Prevention and Health Promotion


Percentage of adults (18+) reporting cost as a barrier to care in past year, by disability, all Alaskans, 2013-2015 (3-year average)

::chart - missing::
confidence limits

Percentage of adultsLower LimitUpper LimitNumer- atorDenom- inator
Record Count: 3
Disability Present26.3%23.2%29.6%5052,186
Disability Absent10.7%9.7%11.8%9339,962
Healthy Alaskans Goal14.0%

Data Notes

Disability is assessed using responses from 5 questions: 1) "Are you blind or do you have serious difficulty seeing, even when wearing glasses?"; 2) Because of physical, mental, or emotional condition, do you have serious difficulty concentrating, remembering, or making decisions?"; 3) "Do you have a serious difficulty walking or climbing stairs?"; 4) "Do you have difficulty dressing or bathing?"; and 5) "Because of a physical, mental, or emotional condition, do you have difficulty doing errands alone such as visiting a doctor's office or shopping?" A "Yes" response to one or more of the questions when all questions have valid answers is used to classify the respondent as having a disability. Responses of "No" to all 5 questions denotes the absence of a disability. Responses of "Don't know / Not sure" or "Refused" to one or more questions result in the survey being excluded from analysis on disability status.

Data Source

Alaska Data: [http://dhss.alaska.gov/dph/Chronic/Pages/brfss/default.aspx Behavioral Risk Factor Surveillance System], Alaska Department of Health and Social Services, DPH, Section of Chronic Disease Prevention and Health Promotion


Percentage of adults (18+) reporting cost as a barrier to care in past year, by ACEs score, all Alaskans, 2013-2015 (3-year average)

::chart - missing::
confidence limits

Percentage of adultsLower LimitUpper LimitNumer- atorDenom- inator
Record Count: 5
07.5%6.2%8.9%2753,966
19.6%7.9%11.6%2202,361
2-313.7%11.5%16.2%3182,595
4+25.1%22.1%28.4%4141,890
Healthy Alaskans Goal14.0%

Data Notes

The presence of one or more Adverse Childhood Experiences (ACEs) is assessed using either the 10 domains that are grouped into: [[br]] '''Abuse:'''[[br]] 1) Verbal Abuse[[br]] 2) Physical Abuse[[br]] 3) Sexual Abuse][[br]] '''Dysfunctional Households:'''[[br]] 4) Substance Abuse[[br]] 5) Mental Illness[[br]] 6) Domestic Violence[[br]] 7) Separation/Divorce[[br]] 8) Incarceration among household members[[br]] '''Neglect:'''[[br]] 9) Emotional Neglect[[br]] 10) Physical Neglect[[br]] The presence of an Adverse Childhood Experience have grouped into scores of 0 (no exposure), 1 (single exposure to an ACE), 2-3 (exposure to 2 or 3 ACEs), and 4+ (exposure to 4 or more different ACEs) The questions associated with each type of ACEs is described in the [http://ibis.dhss.alaska.gov/indicator/index/Alphabetical.html respective reports]. A summary ACEs score is computed for those with valid responses to all domains. Respondents with refusals to one or more of the ACEs questions are excluded.

Data Source

Alaska Data: [http://dhss.alaska.gov/dph/Chronic/Pages/brfss/default.aspx Behavioral Risk Factor Surveillance System], Alaska Department of Health and Social Services, DPH, Section of Chronic Disease Prevention and Health Promotion


Percentage of adults (18+) reporting cost as a barrier to care in past year, by Alaska Public Health Regions, all Alaskans and Alaska Natives, 2015

::chart - missing::
confidence limits

Alaska ComparisonsPercentage of adultsLower LimitUpper LimitNumer- atorDenom- inator
Record Count: 15
All AlaskansAnchorage14.1%11.3%17.4%1231,323
All AlaskansGulf Coast13.8%11.4%16.8%1401,263
All AlaskansInterior12.0%10.0%14.5%1911,793
All AlaskansMat-Su15.3%12.7%18.3%1561,253
All AlaskansNorthern15.2%10.9%20.9%53382
All AlaskansSoutheast12.9%10.5%15.8%1311,295
All AlaskansSouthwest21.1%17.0%25.8%163907
Alaska Native peopleAnchorage11.4%6.1%20.4%15128
Alaska Native peopleGulf Coast12.5%6.6%22.4%13118
Alaska Native peopleInterior13.2%9.3%18.5%45277
Alaska Native peopleMat-Su9.7%4.6%19.1%988
Alaska Native peopleNorthern16.9%12.0%23.4%39213
Alaska Native peopleSoutheast16.1%10.4%23.9%26198
Alaska Native peopleSouthwest22.8%17.5%29.1%108513
Healthy Alaskans GoalHealthy Alaskans Goal14.0%

Data Notes

Geographic descriptions of the public health regions can be found at: [http://dhss.alaska.gov/dph/InfoCenter/Pages/ia/brfss/geo_phr.aspx].

Data Source

Alaska Data: [http://dhss.alaska.gov/dph/Chronic/Pages/brfss/default.aspx Behavioral Risk Factor Surveillance System], Alaska Department of Health and Social Services, DPH, Section of Chronic Disease Prevention and Health Promotion


Percentage of adults (18+) reporting cost as a barrier to care in past year, by metropolitan/micropolitan statistical areas, all Alaskans and Alaska Natives, 2013-2015 (3-year average)

::chart - missing::
confidence limits

Alaska ComparisonsPercentage of AdultsLower LimitUpper LimitNumer- atorDenom- inator
Record Count: 11
All AlaskansAnchorage MSA14.1%12.9%15.3%1,0259,113
All AlaskansFairbanks North Star MSA13.6%11.9%15.4%4554,231
All AlaskansJuneau MicroSA12.1%9.7%15.0%1431,737
All AlaskansKetchikan Gateway MicroSA13.2%10.3%16.8%98859
All AlaskansRural (non-Metro/MicroSA)14.2%13.2%15.3%1,37610,400
Alaska Native peopleAnchorage MSA10.1%7.6%13.4%84849
Alaska Native peopleFairbanks North Star MSA14.2%9.3%21.2%41359
Alaska Native peopleJuneau MicroSA8.1%4.1%15.3%14184
Alaska Native peopleKetchikan Gateway MicroSA21.2%13.1%32.3%21140
Alaska Native peopleRural (non-Metro/MicroSA)15.9%14.1%17.9%5173,003
Healthy Alaskans GoalHealthy Alaskans Goal14.0%

Data Notes

Geographic descriptions of the metropolitan and micropolitan statistical areas can be found at: [http://dhss.alaska.gov/dph/InfoCenter/Pages/ia/brfss/geo_mmsa.aspx].

Data Source

Alaska Data: [http://dhss.alaska.gov/dph/Chronic/Pages/brfss/default.aspx Behavioral Risk Factor Surveillance System], Alaska Department of Health and Social Services, DPH, Section of Chronic Disease Prevention and Health Promotion


Percentage of adults (18+) reporting cost as a barrier to care in past year, by behavioral health system assessment areas, all Alaskans and Alaska Natives, 2015

::chart - missing::
confidence limits

Alaska ComparisonsPercentage of adultsLower LimitUpper LimitNumer- atorDenom- inator
Record Count: 21
All AlaskansAnchorage Muncipality14.1%11.3%17.4%1231,323
All AlaskansFairbanks North Star Borough11.9%9.5%14.8%1171,245
All AlaskansCity and Borough of Juneau12.9%9.1%18.0%42554
All AlaskansKenai Peninsula Borough14.4%11.5%17.9%109915
All AlaskansMatanuska-Susitna Borough15.3%12.7%18.3%1561,253
All AlaskansNorthwest Region15.2%10.9%20.9%53382
All AlaskansOther Interior Region11.8%9.2%15.1%91712
All AlaskansOther Southeast Region12.9%10.0%16.5%89741
All AlaskansY-K Delta Region25.3%18.9%33.0%81398
All AlaskansSouthwest Region15.7%11.8%20.5%96693
Alaska Native peopleAnchorage Muncipality11.4%6.1%20.4%15128
Alaska Native peopleFairbanks North Star Borough10.5%5.6%18.9%14114
Alaska Native peopleCity and Borough of Juneau11.4%4.4%26.5%563
Alaska Native peopleKenai Peninsula Borough18.6%9.5%33.2%1170
Alaska Native peopleMatanuska-Susitna Borough9.7%4.6%19.1%988
Alaska Native peopleNorthwest Region16.9%12.0%23.4%39213
Alaska Native peopleOther Interior Region16.0%10.9%22.9%33179
Alaska Native peopleOther Southeast Region18.6%11.4%28.8%21135
Alaska Native peopleY-K Delta Region27.9%20.5%36.8%69269
Alaska Native peopleSouthwest Region11.7%7.5%17.8%39276
Healthy Alaskans GoalHealthy Alaskans Goal14.0%

Data Notes

Geographic descriptions of the behavioral health systems assessment reporting regions can be found at: [http://dhss.alaska.gov/dph/InfoCenter/Pages/ia/brfss/geo_bhs.aspx].

Data Source

Alaska Data: [http://dhss.alaska.gov/dph/Chronic/Pages/brfss/default.aspx Behavioral Risk Factor Surveillance System], Alaska Department of Health and Social Services, DPH, Section of Chronic Disease Prevention and Health Promotion


Percentage of adults (18+) reporting cost as a barrier to care in past year, by boroughs and census areas, all Alaskans and Alaska Natives, 2013-2015 (3-year average)

::chart - missing::
confidence limits

Alaska ComparisonsPercentage of adultsLower LimitUpper LimitNumer- atorDenom- inator
Record Count: 59
All AlaskansAleutians East Borough15.5%8.7%26.2%29189
All AlaskansAleutians West CA9.2%5.5%15.1%35304
All AlaskansAnchorage Municipality13.7%12.2%15.3%5235,204
All AlaskansBethel CA15.7%11.9%20.4%132774
All AlaskansBristol Bay Borough28.6%17.9%42.4%41194
All AlaskansDenali Borough9.9%5.6%16.9%18194
All AlaskansDillingham CA12.9%8.5%18.9%51402
All AlaskansFairbanks North Star Borough13.6%11.9%15.4%4584,262
All AlaskansHaines Borough12.3%6.8%21.2%27214
All AlaskansHoonah-Angoon CA7.3%3.3%15.4%8116
All AlaskansJuneau City and Borough12.1%9.7%15.0%1431,737
All AlaskansKenai Peninsula Borough13.8%12.1%15.8%3482,943
All AlaskansKetchikan Gateway Borough13.2%10.3%16.8%98859
All AlaskansKodiak Island Borough14.1%9.3%20.7%53574
All AlaskansKusilvak CA28.3%21.6%36.3%86299
All AlaskansLake and Peninsula Borough30.2%15.7%50.1%38187
All AlaskansMatanuska-Susitna Borough15.2%13.5%17.1%5023,909
All AlaskansNome CA13.5%9.8%18.3%69468
All AlaskansNorth Slope Borough11.0%6.6%17.7%29272
All AlaskansNorthwest Arctic Borough12.3%7.9%18.7%40287
All AlaskansPetersburg Borough14.1%6.4%28.4%15222
All AlaskansPrince of Wales-Hyder CA15.1%10.0%22.1%35290
All AlaskansSitka City and Borough9.8%6.0%15.7%32460
All AlaskansSkagway Municipality10.5%3.9%25.1%655
All AlaskansSoutheast Fairbanks CA11.2%8.4%14.6%84648
All AlaskansValdez-Cordova CA13.6%9.9%18.4%76573
All AlaskansWrangell City and Borough15.2%7.6%28.2%15144
All AlaskansYakutat City and Borough21.4%11.4%36.6%1450
All AlaskansYukon-Koyukuk CA17.5%13.1%23.1%92510
Alaska Native peopleAleutians East Borough10.0%5.4%17.8%14103
Alaska Native peopleAleutians West CA9.6%4.3%20.0%1285
Alaska Native peopleAnchorage Municipality10.2%7.2%14.2%50531
Alaska Native peopleBethel CA18.4%13.5%24.6%106464
Alaska Native peopleBristol Bay Borough20.9%9.2%40.8%1072
Alaska Native peopleDenali Borough**10
Alaska Native peopleDillingham CA9.9%5.6%16.9%25196
Alaska Native peopleFairbanks North Star Borough14.1%9.2%21.0%41362
Alaska Native peopleHaines Borough**31
Alaska Native peopleHoonah-Angoon CA**33
Alaska Native peopleJuneau City and Borough8.1%4.1%15.3%14184
Alaska Native peopleKenai Peninsula Borough16.3%11.0%23.4%36246
Alaska Native peopleKetchikan Gateway Borough21.2%13.1%32.3%21140
Alaska Native peopleKodiak Island Borough2.0%0.7%5.7%495
Alaska Native peopleKusilvak CA28.9%21.7%37.3%79264
Alaska Native peopleLake and Peninsula Borough21.5%12.2%35.0%21107
Alaska Native peopleMatanuska-Susitna Borough9.8%6.5%14.4%34318
Alaska Native peopleNome CA13.6%9.2%19.8%45278
Alaska Native peopleNorth Slope Borough11.0%6.2%19.0%19143
Alaska Native peopleNorthwest Arctic Borough14.7%9.2%22.8%33185
Alaska Native peoplePetersburg Borough**21
Alaska Native peoplePrince of Wales-Hyder CA10.9%4.5%24.0%7106
Alaska Native peopleSitka City and Borough14.5%4.3%39.1%472
Alaska Native peopleSkagway Municipality**3
Alaska Native peopleSoutheast Fairbanks CA15.6%8.1%27.9%1286
Alaska Native peopleValdez-Cordova CA7.6%3.0%17.7%968
Alaska Native peopleWrangell City and Borough**22
Alaska Native peopleYakutat City and Borough**23
Alaska Native peopleYukon-Koyukuk CA21.8%15.6%29.6%62287
Healthy Alaskans GoalHealthy Alaskans Goal14.0%

Data Notes

** = Data not available due to fewer than 50 respondents in the denominator. Geographic descriptions of boroughs and census areas can be found at: [http://dhss.alaska.gov/dph/InfoCenter/Pages/ia/brfss/geo_bca.aspx].

Data Source

Alaska Data: [http://dhss.alaska.gov/dph/Chronic/Pages/brfss/default.aspx Behavioral Risk Factor Surveillance System], Alaska Department of Health and Social Services, DPH, Section of Chronic Disease Prevention and Health Promotion


Percentage of adults (18+) reporting cost as a barrier to care in past year, by tribal health organization regons, all Alaskans and Alaska Natives, 2011-2015 (5-year average)

::chart - missing::
confidence limits

Alaska ComparisonsPercentage of adultsLower LimitUpper LimitNumer- atorDenom- inator
Record Count: 25
All AlaskansAleutians and Pribilofs11.5%8.4%15.6%98751
All AlaskansAnchorage/Mat-Su15.1%14.2%16.1%1,71213,638
All AlaskansArctic Slope9.9%6.5%14.7%51446
All AlaskansBristol Bay19.8%15.8%24.5%2191,245
All AlaskansCopper R/Prince William Snd.12.1%9.5%15.4%126947
All AlaskansInterior14.6%13.4%16.0%1,0778,561
All AlaskansKenai Peninsula14.4%12.8%16.0%5664,493
All AlaskansKodiak Area11.5%8.3%15.7%92909
All AlaskansNorthwest Arctic12.8%9.4%17.2%83563
All AlaskansNorton Sound13.4%10.3%17.2%115794
All AlaskansSoutheast13.8%12.4%15.4%6636,453
All AlaskansYukon-Kuskokwim19.4%16.8%22.4%3911,926
Alaska Native peopleAleutians and Pribilofs13.0%8.2%20.1%40287
Alaska Native peopleAnchorage/Mat-Su12.1%9.7%15.0%1441,264
Alaska Native peopleArctic Slope9.1%5.5%14.6%29240
Alaska Native peopleBristol Bay16.1%12.4%20.5%109630
Alaska Native peopleCopper R/Prince William Snd.15.3%8.3%26.6%20128
Alaska Native peopleInterior18.5%15.1%22.4%2031,172
Alaska Native peopleKenai Peninsula21.6%16.2%28.3%71389
Alaska Native peopleKodiak Area3.8%1.1%12.6%8162
Alaska Native peopleNorthwest Arctic15.2%10.9%20.8%70385
Alaska Native peopleNorton Sound13.6%10.0%18.4%78484
Alaska Native peopleSoutheast12.3%9.6%15.6%1061,008
Alaska Native peopleYukon-Kuskokwim21.4%18.4%24.8%3341,348
Healthy Alaskans GoalHealthy Alaskans Goal14.0%

Data Notes

Geographic descriptions of the tribal health organization regions can be found at: [http://dhss.alaska.gov/dph/InfoCenter/Pages/ia/brfss/geo_thr.aspx].

Data Source

Alaska Data: [http://dhss.alaska.gov/dph/Chronic/Pages/brfss/default.aspx Behavioral Risk Factor Surveillance System], Alaska Department of Health and Social Services, DPH, Section of Chronic Disease Prevention and Health Promotion

References and Community Resources

'''References:''' 1. DeVoe, Baez A, Angier H, Krois L, et al. Insurance plus access does not equal health care: typology of barriers to health care access for low-income families. Ann Fam Med 2007;5(6):511-518. 2. Young MB, Perham-Hester KA, Kemberling MM. Alaska maternal and child health data book 2011: Alaska Native edition. Anchorage, AK: A collaboration of the Alaska Department of Health and Social Services, Division of Public Health, and the Alaska Native Tribal Health Consortium, Alaska Native Epidemiology Center. October 2011. [http://anthctoday.org/epicenter/publications/prams/pramsFullVersion.pdf]. Accessed October 19, 2016. 3. Pappas G, Hadden WC, Kozak LJ, Fisher GF. Potentially avoidable hospitalizations: inequalities in rates between US socioeconomic groups. Am J Public Health 1997;87(5):811-16.

More Resources and Links

Alaska and national goals may be found at the following sites:

Alaska health promotion resources may be found at the following site:

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

Maps of health indicators for various subdivisions of Alaska may be found at the following site:

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

Medical literature can be queried at the PubMed website.

For an on-line medical dictionary, click on this Dictionary link.

AK-IBIS Web Citation

Use and reproduction of the information published on this website are encouraged and may be done without permission. The following citation should accompany information from this website whenever it is used, reproduced, or published:

AK-IBIS Indicator Citation:
"[Indicator name]. Retrieved on [insert date] from Alaska Department of Health and Social Services, Indicator-Based Information System for Public Health (AK-IBIS) website: http://ibis.dhss.alaska.gov/.

Example:
Diabetes Prevalence. Retrieved on March 25, 2016, from Alaska Department of Health and Social Services, Indicator-Based Information System for Public Health (AK-IBIS) website: http://ibis.dhss.alaska.gov/.

Page Content Updated On 11/16/2016, Published on 11/16/2016
The information provided above is from the Alaska Department of Health and Social Services' Center for Health Data and Statistics, Alaska Indicator-Based Information System for Public Health (Ak-IBIS) web site (http://ibis.dhss.alaska.gov). The information published on this website may be reproduced without permission. Please use the following citation: " Retrieved Fri, 02 December 2016 from Alaska Department of Health and Social Services, Center for Health Data and Statistics, Alaska Indicator-Based Information System for Public Health web site: http://ibis.dhss.alaska.gov ".

Content updated: Tue, 22 Nov 2016 14:33:19 AKST
The information provided above is from the Department of Health's Center for Health Data IBIS-PH web site (http://ibis.health.state.gov). The information published on this website may be reproduced without permission. Please use the following citation: " Retrieved Fri, 02 December 2016 19:37:45 from Department of Health, Center for Health Data, Indicator-Based Information System for Public Health Web site: http://ibis.health.state.gov ".

Content updated: Tue, 22 Nov 2016 14:33:19 AKST