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Percentage of Adults Who Are Not At All or a Little
Confident in Filling Out Medical Forms by Themselves

Subpopulation Unweighted Frequency Weighted Percentage Standard Error Lower 95% Confidence
Limit
Upper 95% Confidence
Limit
TOTAL 528 10.8 0.6 9.6 12.0
GENDER
Female 298 10.1 0.8 8.5 11.7
Male 230 11.5 0.9 9.6 13.3
AGE GROUP
18-24 years 40 17.4 2.8 11.9 22.9
25-34 years 35 7.6 1.4 5.0 10.3
35-44 years 39 7.7 1.5 4.8 10.7
45-54 years 72 9.1 1.3 6.6 11.6
55-64 years 100 9.9 1.2 7.6 12.2
65+ years 242 13.9 1.0 12.0 15.8
ETHNICITY
Non-Hispanic 498 10.2 0.6 9.0 11.4
Hispanic 29 16.7 3.5 9.9 23.6
RACE
White only 443 9.7 0.6 8.5 10.8
Black or African American only 45 20.9 4.3 12.5 29.2
Other race only 33 17.0 3.4 10.4 23.5
More than one race 7 5.0 2.1 1.0 9.1
EDUCATION
Less than high school 111 30.2 3.5 23.3 37.1
High school graduate or G.E.D 211 13.5 1.2 11.2 15.8
Some college 131 8.7 1.0 6.9 10.6
College graduate 75 3.0 0.4 2.2 3.9
ANNUAL HOUSEHOLD INCOME
Less than $15,000 101 23.8 3.0 17.8 29.7
$15,000 to $24,999 124 15.4 1.9 11.7 19.2
$25,000 to $34,999 68 10.3 1.5 7.4 13.2
$35,000 to $49,999 55 8.6 1.4 5.9 11.3
$50,000 or more 81 4.1 0.6 3.0 5.3
EMPLOYMENT STATUS
Employed for wages/Self-employed 160 7.4 0.7 6.0 8.9
Out of work 30 14.5 3.0 8.7 20.3
Homemaker/Student 47 13.5 2.6 8.4 18.6
Retired 203 13.2 1.0 11.2 15.2
Unable to work 85 26.3 3.3 19.7 32.8
AVERAGE HOURS WORKED
None 221 13.1 1.2 10.7 15.4
1 to less than 20 hours 31 16.5 4.0 8.7 24.3
20 hours to less than 40 hours 48 10.2 1.7 6.8 13.6
40 plus hours 102 5.9 0.7 4.4 7.4
MARITAL STATUS
Married/member of an unmarried couple 246 8.7 0.7 7.3 10.1
Divorced/Separated 84 12.2 1.7 8.8 15.6
Widowed 116 16.4 2.1 12.3 20.4
Never married 79 13.6 1.8 10.1 17.2
DISABILITY STATUS
Do not have a disability 285 8.9 0.7 7.5 10.3
Have a disability 241 17.4 1.4 14.7 20.1
POPULATION DENSITY
Frontier 39 11.9 2.3 7.5 16.3
Rural 53 9.5 1.6 6.3 12.7
Densely-settled rural 100 12.2 1.6 9.1 15.3
Semi-Urban 90 12.7 1.7 9.4 15.9
Urban 246 9.7 0.9 8.0 11.4
HEALTH INSURANCE STATUS
Uninsured 81 14.8 2.0 10.9 18.8
Insured 445 9.9 0.6 8.7 11.2
DIABETES STATUS
No diabetes 436 10.4 0.7 9.1 11.7
Have diabetes 91 14.7 1.8 11.2 18.3
CURRENT ASTHMA STATUS
No current asthma 456 10.1 0.6 8.9 11.4
Current asthma 68 17.1 2.4 12.3 21.9
ARTHRITIS STATUS
No arthritis 286 9.7 0.8 8.2 11.1
Have arthritis 238 14.0 1.1 11.9 16.1
MENTAL HEALTH INDICATOR
<14 days mental health NOT good 422 9.7 0.6 8.5 11.0
14+ days mental health NOT good 87 17.5 2.3 13.0 22.0
SMOKING STATUS
Non-smoker 415 10.4 0.7 9.0 11.8
Current smoker 109 12.1 1.4 9.4 14.8
WEIGHT CATEGORY
Normal or Underweight, BMI<25 161 10.3 1.1 8.1 12.6
Overweight, 25<= BMI<30 172 10.2 1.0 8.2 12.1
Obese, BMI>=30 166 11.5 1.2 9.2 13.9
LEISURE TIME PHYSICAL ACTIVITY
Does not participate in leisure time physical activity 199 16.9 1.6 13.7 20.1
Participates in leisure time physical activity 328 8.9 0.6 7.7 10.2
VETERAN STATUS
Did not serve on active duty 447 10.8 0.7 9.5 12.2
Served on active duty 81 10.3 1.3 7.7 12.9

Numerator: Respondents reporting that they are not at all or a little confident
in filling out medical forms by themselves.
 
Denominator: All respondents, excluding unknowns and refusals.
 
On Questionnaire Split A