用于识别低收入、未参保人群的数据来源：在公共卫生领域的应用——国家乳腺癌和宫颈癌早期检测项目
Data sources for identifying low-income, uninsured populations: application to public health-National Breast and Cervical Cancer Early Detection Program.
作者信息
Dalzell Lucinda P, Tangka Florence K L, Powers David S, O'Hara Brett J, Holmes Walter, Joseph Kristy, Royalty Janet
机构信息
Social, Economic and Housing Statistics Division, 6H123, U.S. Census Bureau, 4600 Silver Hill Road, Washington, DC, 20233-8500, USA,
出版信息
Cancer Causes Control. 2015 May;26(5):699-709. doi: 10.1007/s10552-015-0571-y. Epub 2015 Apr 28.
OBJECTIVE
To provide information on the sources of data for estimating low-income, uninsured populations. To recommend uses of these data sources. To demonstrate the application of these data sources in the public health field, using the National Breast and Cervical Cancer Early Detection Program as an example.
METHODS
We describe U.S. Census Bureau data sources for identifying low-income, uninsured populations using two population surveys: the Annual Social and Economic Supplement to the Current Population Survey (CPS ASEC) and the American Community Survey (ACS), and using one model-based estimation program, the Small Area Health Insurance Estimates (SAHIE). We provide recommendations for use of these data sources, and we use CPS ASEC and SAHIE to estimate the percent of U.S. women eligible for the National Breast and Cervical Cancer Early Detection Program (NBCCEDP).
RESULTS
CPS ASEC, ACS, and SAHIE are produced by the U.S. Census Bureau, and they are reliable sources for estimates of the low-income, uninsured populations in the USA. Key characteristics of these three data sources were presented to highlight the strengths of each to meet the needs of various programs at national and local levels. Recommendations are made on the use of the data sources. Based on these three data sources, estimates of NBCCEDP eligibility showed substantial variation over time at the national and state levels, and across states and counties.
CONCLUSIONS
Publicly funded programs that are directed toward low-income, uninsured individuals require information on their eligible populations to make decisions about program policy and resource allocation, and to monitor and evaluate the effectiveness of the programs. The U.S. Census Bureau produces three data sources (CPS ASEC, ACS, and SAHIE) for these estimates. The percent of U.S. women eligible for NBCCEDP varies over time and across states and counties. The data sources for these estimates are changing in order to measure key dimensions of the Affordable Care Act (ACA) and can provide helpful information for assessing the legislation's impact.
目的
提供用于估计低收入、未参保人群的数据来源信息。推荐这些数据来源的用途。以国家乳腺癌和宫颈癌早期检测项目为例，展示这些数据来源在公共卫生领域的应用。
方法
我们描述了美国人口普查局用于识别低收入、未参保人群的数据来源，使用了两项人口调查：当前人口调查的年度社会经济补充调查（CPS ASEC）和美国社区调查（ACS），以及一个基于模型的估计项目，即小区域健康保险估计（SAHIE）。我们提供了使用这些数据来源的建议，并使用CPS ASEC和SAHIE来估计符合国家乳腺癌和宫颈癌早期检测项目（NBCCEDP）条件的美国女性比例。
结果
CPS ASEC、ACS和SAHIE由美国人口普查局编制，是估计美国低收入、未参保人群的可靠数据来源。介绍了这三个数据来源的关键特征，以突出各自满足国家和地方各级各种项目需求的优势。对数据来源的使用提出了建议。基于这三个数据来源，NBCCEDP资格估计在国家和州层面以及跨州和县层面随时间呈现出显著差异。
结论
针对低收入、未参保个体的公共资助项目需要有关其符合条件人群的信息，以便做出项目政策和资源分配决策，并监测和评估项目的有效性。美国人口普查局编制了三个数据来源（CPS ASEC、ACS和SAHIE）用于这些估计。符合NBCCEDP条件的美国女性比例随时间以及跨州和县而变化。这些估计的数据来源正在发生变化，以衡量《平价医疗法案》（ACA）的关键维度，并可为评估该立法的影响提供有用信息。
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