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42 <br />ADULT HEALTH <br />► Indicator 17: Percent of Working -Age <br />Adults Uninsured <br />Uninsured adults ages 18 -64 are less likely <br />than those who are insured to receive inpatient <br />care and nonemergency ambulatory care. <br />Among those with chronic or serious medical <br />problems, the uninsured are more likely than <br />their insured counterparts to need — but not to <br />receive — ancillary services (such as physical <br />therapy, nursing care), medications, and equip - <br />ment.6 <br />In contrast to the situation for children <br />(Indicator 9), the percentage of working -age <br />adults who were uninsured rose between 1988- <br />90 and 1990 -92, by 13 percent in North <br />Carolina. These results may reflect increased <br />unemployment during 1991 and 199218 or other <br />factors related to a national decline in the per- <br />centage of working -age adults covered by em- <br />ployer- sponsored insurance? <br />Younger adults (ages 18 -34) are particularly <br />likely to have no health insurance. The state's <br />percentage (21.1) is below the nation's (22.6); <br />however, this may reflect that North Carolina <br />has an above - average concentration of manu- <br />facturing employers who are more likely to pro- <br />vide insurance. <br />For working -age adults, data from the 1995 <br />North Carolina Health Profile telephone survey <br />show that 17 percent of minorities compared to <br />11 percent of whites had no health insurance <br />during the past year. Since households without <br />telephones were not included in that survey, the <br />true percentages are probably higher. <br />As was noted earlier for children, under - <br />insurance may also result in limited access to <br />health care — because preventive or acute care <br />is not covered or it is covered only with signifi- <br />cant copayments 5 <br />Percent Difference In Health Insurance <br />Coverage of Adults Ages 18 -64 <br />North Carolina, 1990 -92 compared to 1988 -90 <br />50 <br />m <br />40- <br />30 _ 25 <br />5 20 <br />12.8 <br />10- <br />= .0.9 <br />0= <br />a -4.4 <br />-10 Employer' Medicaid Other Uninsured <br />Insurance <br />Insurer <br />Includes persorm covered an dependents on the employer group <br />Insurance of another family member. <br />Note; Data we tmm the U.S. cu"wo Populadm Survey, as compiled by The Urban ImtkIIIJ <br />See explwlicn d the eatlrtulea cn pope L <br />Access to Health Care in North Carolina <br />114 <br />lei <br />"I <br />0 <br />0 <br />IL <br />i <br />