Health and health care disparities associated with race or Hispanic origin are complex and continue to challenge researchers and policy makers. With the intention of improving the measurement and monitoring of these disparities, provisions of the Patient Protection and Affordable Care Act (ACA) of 2010 require states to collect, report and analyze data on demographic characteristics of applicants and participants in Medicaid and other federally supported programs. By linking Medicaid records to 2010 Census, American Community Survey, and Census 2000, this new large-scale study examines and documents the extent to which pre-ACA Medicaid administrative records match self-reported race and Hispanic origin in Census data. Linked records allow comparisons between individuals with matching and non-matching race and Hispanic origin data across several demographic, socioeconomic and neighborhood characteristics, such as age, gender, language proficiency, education and Census tract variables. Identification of the groups most likely to have non-matching and missing race and Hispanic origin data in Medicaid relative to Census data can inform strategies to improve the quality of demographic data collected from Medicaid populations.
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When Race and Hispanic Origin Reporting are Discrepant Across Administrative Records and Third Party Sources: Exploring Methods to Assign Responses
December 2015
Working Paper Number:
carra-2015-08
The U.S. Census Bureau is researching uses of administrative records and third party data in survey and decennial census operations. One potential use of administrative records is to utilize these data when race and Hispanic origin responses are missing. When federal and third party administrative records are compiled, race and Hispanic origin responses are not always the same for an individual across sources. We explore different methods to assign one race and one Hispanic response when these responses are discrepant. We also describe the characteristics of individuals with matching, non-matching, and missing race and Hispanic origin data by demographic, household, and contextual variables. We find that minorities, especially Hispanics, are more likely to have non-matching Hispanic origin and race responses in administrative records and third party data compared to the 2010 Census. Minority groups and individuals ages 0-17 are more likely to have missing race or Hispanic origin data in administrative records and third party data. Larger households tend to have more missing race data in administrative records and third party data than smaller households.
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Factors that Influence Change in Hispanic Identification: Evidence from Linked Decennial Census and American Community Survey Data
October 2018
Working Paper Number:
CES-18-45
This study explores patterns of ethnic boundary crossing as evidenced by changes in Hispanic origin responses across decennial census and survey data. We identify socioeconomic, cultural, and demographic factors associated with Hispanic response change. In addition, we assess whether changes in the Hispanic origin question between the 2000 and 2010 censuses influenced changes in Hispanic reporting. We use a unique large dataset that links a person's unedited responses to the Hispanic origin question across Census 2000, the 2010 Census and the 2006-2010 American Community Survey five-year file. We find that most of the individuals in the sample identified consistently as Hispanic regardless of changes in the wording of the Hispanic origin question. Individuals who changed in or out of a Hispanic identification, as well as those who consistently identified as non-Hispanic (of Hispanic ancestry), differed in socioeconomic and cultural characteristics from individuals who consistently reported as Hispanic. The likelihood of changing their Hispanic origin response is higher among U.S.-born individuals, those reporting mixed Hispanic and non-Hispanic ancestries, those who speak only English at home, and those who live in tracts that are predominantly non-Hispanic. Racial identification and detailed Hispanic background also influence changes in Hispanic origin responses. Finally, changes in mode and relationship to the reference person in the household are associated with changes in Hispanic origin responses, suggesting that data collection elements also can influence Hispanic origin response change.
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Exploring Administrative Records Use for Race and Hispanic Origin Item Non-Response
December 2014
Working Paper Number:
carra-2014-16
Race and Hispanic origin data are required to produce official statistics in the United States. Data collected through the American Community Survey and decennial census address missing data through traditional imputation methods, often relying on information from neighbors. These methods work well if neighbors share similar characteristics, however, the shape and patterns of neighborhoods in the United States are changing. Administrative records may provide more accurate data compared to traditional imputation methods for missing race and Hispanic origin responses. This paper first describes the characteristics of persons with missing demographic data, then assesses the coverage of administrative records data for respondents who do not answer race and Hispanic origin questions in Census data. The paper also discusses the distributional impact of using administrative records race and Hispanic origin data to complete missing responses in a decennial census or survey context.
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Reporting of Indian Health Service Coverage in the American Community Survey
May 2018
Working Paper Number:
carra-2018-04
Response error in surveys affects the quality of data which are relied on for numerous research and policy purposes. We use linked survey and administrative records data to examine reporting of a particular item in the American Community Survey (ACS) - health coverage among American Indians and Alaska Natives (AIANs) through the Indian Health Service (IHS). We compare responses to the IHS portion of the 2014 ACS health insurance question to whether or not individuals are in the 2014 IHS Patient Registration data. We evaluate the extent to which individuals misreport their IHS coverage in the ACS as well as the characteristics associated with misreporting. We also assess whether the ACS estimates of AIANs with IHS coverage represent an undercount. Our results will be of interest to researchers who rely on survey responses in general and specifically the ACS health insurance question. Moreover, our analysis contributes to the literature on using administrative records to measure components of survey error.
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Coverage and Agreement of Administrative Records and 2010 American Community Survey Demographic Data
November 2014
Working Paper Number:
carra-2014-14
The U.S. Census Bureau is researching possible uses of administrative records in decennial census and survey operations. The 2010 Census Match Study and American Community Survey (ACS) Match Study represent recent efforts by the Census Bureau to evaluate the extent to which administrative records provide data on persons and addresses in the 2010 Census and 2010 ACS. The 2010 Census Match Study also examines demographic response data collected in administrative records. Building on this analysis, we match data from the 2010 ACS to federal administrative records and third party data as well as to previous census data and examine administrative records coverage and agreement of ACS age, sex, race, and Hispanic origin responses. We find high levels of coverage and agreement for sex and age responses and variable coverage and agreement across race and Hispanic origin groups. These results are similar to findings from the 2010 Census Match Study.
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The Use of Administrative Records and the American Community Survey to Study the Characteristics of Undercounted Young Children in the 2010 Census
May 2018
Working Paper Number:
carra-2018-05
Children under age five are historically one of the most difficult segments of the population to enumerate in the U.S. decennial census. The persistent undercount of young children is highest among Hispanics and racial minorities. In this study, we link 2010 Census data to administrative records from government and third party data sources, such as Medicaid enrollment data and tenant rental assistance program records from the Department of Housing and Urban Development, to identify differences between children reported and not reported in the 2010 Census. In addition, we link children in administrative records to the American Community Survey to identify various characteristics of households with children under age five who may have been missed in the last census. This research contributes to what is known about the demographic, socioeconomic, and household characteristics of young children undercounted by the census. Our research also informs the potential benefits of using administrative records and surveys to supplement the U.S. Census Bureau child population enumeration efforts in future decennial censuses.
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Mortality in a Multi-State Cohort of Former State Prisoners, 2010-2015
February 2022
Working Paper Number:
CES-22-06
Previous studies report that individuals who have been imprisoned have higher mortality rates than their demographic counterparts in the general population, particularly non-Hispanic white former prisoners. Most of these studies have been based on a single state's prison system, and the extent to which their findings can be generalized has not been established. In this study we explore the role that race/Hispanic origin, other demographic characteristics, and custodial/ criminal history factors have on post-release mortality, including on the timing of deaths. We also assess whether conditional release to community supervision or reimprisonment may explain the higher post-release mortality found among non-Hispanic whites. In the second part of the analysis, we estimate standardized mortality ratios (SMRs) by sex, age group, and race/Hispanic origin using as reference the U.S. general population. The data come from state prison releases from the Bureau of Justice Statistics' (BJS) National Corrections Reporting Program (NCRP). The NCRP records were linked to the Census Numident to identify deaths occurring within five years from prison release. We also linked NCRP records to previous decennial censuses and survey responses to obtain self-reported race and Hispanic origin if available. We found that non-Hispanic white former prisoners were more likely to die within five years after prison release and more likely to die in the initial weeks after release compared to racial minorities and Hispanics. Reimprisonment, age at release, and a history of multiple prison terms had a similar influence on the odds of dying across all race/Hispanic origin groups. Other factors, such as the type of release and the duration of the last term in prison, were associated with higher risks of mortality for some groups but not for others.
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Examining Racial Identity Responses Among People with Middle Eastern and North African Ancestry in the American Community Survey
March 2024
Working Paper Number:
CES-24-14
People with Middle Eastern and North African (MENA) backgrounds living in the United States are defined and classified as White by current Federal standards for race and ethnicity, yet many MENA people do not identify as White in surveys, such as those conducted by the U.S. Census Bureau. Instead, they often select 'Some Other Race', if it is provided, and write in MENA responses such as Arab, Iranian, or Middle Eastern. In processing survey data for public release, the Census Bureau classifies these responses as White in accordance with Federal guidance set by the U.S. Office of Management and Budget. Research that uses these edited public data relies on limited information on MENA people's racial identification. To address this limitation, we obtained unedited race responses in the nationally representative American Community Survey from 2005-2019 to better understand how people of MENA ancestry report their race. We also use these data to compare the demographic, cultural, socioeconomic, and contextual characteristics of MENA individuals who identify as White versus those who do not identify as White. We find that one in four MENA people do not select White alone as their racial identity, despite official guidance that defines 'White' as people having origins in any of the original peoples of Europe, the Middle East, or North Africa. A variety of individual and contextual factors are associated with this choice, and some of these factors operate differently for U.S.-born and foreign-born MENA people living in the United States.
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Individual Changes in Identification with Hispanic Ethnic Origins: Evidence from Linked 2000 and 2010 Census Data
August 2018
Working Paper Number:
carra-2018-08
Population estimates and demographic profiles are central to both academic and public debates about immigration, immigrant assimilation, and minority mobility. Analysts' conclusions are shaped by the choices that survey respondents make about how to identify themselves on surveys, but such choices change over time. Using linked responses to the 2000 and 2010 Censuses, our paper examines the extent to which individuals change between specific Hispanic categories such as Mexican origin. We first examine how changes in identification affect population change for national and regional origin groups. We then examine patterns of entry and exit to understand which groups more often switch between a non-Hispanic, another specific origin, or a general Hispanic identification. Finally, we profile who is most likely to change identification. Our findings affirm the fluidity of ethnic identification, especially between categories of Hispanic origin, which in turn carries important implications for population and compositional changes.
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Response Error & the Medicaid undercount in the CPS
December 2016
Working Paper Number:
carra-2016-11
The Current Population Survey Annual Social and Economic Supplement (CPS ASEC) is an important source for estimates of the uninsured population. Previous research has shown that survey estimates produce an undercount of beneficiaries compared to Medicaid enrollment records. We extend past work by examining the Medicaid undercount in the 2007-2011 CPS ASEC compared to enrollment data from the Medicaid Statistical Information System for calendar years 2006-2010. By linking individuals across datasets, we analyze two types of response error regarding Medicaid enrollment - false negative error and false positive error. We use regression analysis to identify factors associated with these two types of response error in the 2011 CPS ASEC. We find that the Medicaid undercount was between 22 and 31 percent from 2007 to 2011. In 2011, the false negative rate was 40 percent, and 27 percent of Medicaid reports in CPS ASEC were false positives. False negative error is associated with the duration of enrollment in Medicaid, enrollment in Medicare and private insurance, and Medicaid enrollment in the survey year. False positive error is associated with enrollment in Medicare and shared Medicaid coverage in the household. We discuss implications for survey reports of health insurance coverage and for estimating the uninsured population.
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