Women's Health USA 2003

Text: Maternal and Child Health Bureau

INTRODUCTION

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INTRODUCTION

Women comprise more than half of the U.S. population. In 2001, the U.S. population reached 277 million, with females representing 51 percent of the total population. The U.S. female population is increasingly racially and ethnically diverse and women continue to comprise a larger proportion of our nation's elderly population.

Over the past three decades, the number of college degrees awarded to women has increased from 518,000 in 1969-1970 to 1.3 million in 1999-2000. In 1999-2000 women were awarded a greater proportion of the associate, bachelor's and master's degrees than men. In addition, women make up an increasing percentage of enrollees in schools of medicine, dentistry, pharmacy, and public health.

The number of U.S. females 16 years and older in the labor force has grown to over 62 million. Women represent the majority of employees in the sales and office occupations (63.7 percent) and service sector (56.7 percent). However, disparities continue to exist in incomes between men and women, with women earning 76 cents for every dollar earned by men.

Poverty continues to disproportionately affect women in the U.S. In 2001, 12.8 million women and 8.4 million men aged 18 and older were living with incomes below the Federal poverty level. Among selected household types, female-headed households had the highest rates of poverty, followed by females living alone, 26.4 and 19.2 percent respectively. The Supplemental Food Program for Women, Infants, and Children (WIC), and the Federal Food Stamp programs are nutrition programs that assist needy families and individuals with purchasing nutritious foods. In 2001, 70.3 percent of all adult Food Stamp program participants were females while the number of adult women participating in WIC reached nearly 1.9 million in 2000.

The Federal- and State-funded Temporary Assistance to Needy Families (TANF) program provides cash assistance and work opportunities to needy families. In 2000, adult TANF recipients numbered 1.6 million, of whom 1.4 million were women (90 percent). Ninety-three percent of adult TANF recipients were heads of households and two-thirds were of a minority racial or ethnic group.

People with health insurance are more likely to have a regular source of medical care and to use preventive care, while people without health insurance are more likely to have unmet medical needs. In 2001, non-Hispanic White females were the most likely to be covered by private insurance (77.9 percent) as compared to other racial and ethnic groups and the least likely to be uninsured (9.3 percent). Hispanic women were most likely to have no usual source of care (20.8 percent).

Immigrants, especially non-citizens, face special challenges in accessing health care services, including language and cultural barriers. In 2001, women who were non-citizens were more likely than naturalized citizens and U.S.-born women to lack a usual source of health care (18.9 percent of non-citizens as compared to 11.2 and 9.4 percent of naturalized and U.S.-born citizens, respectively). Also, non-citizen women reported having gone longer than citizens without seeing a health care provider.

Although the rate of incarceration for women is much lower than it is for men, from 1990 to 2000, the total number of women in Federal and State prisons and local jails nearly doubled from 83,253 to 165,649. Approximately 58.8 percent of women in State and Federal custody have minor children.

The Health Resources and Services Administration (HRSA) serves all women, including uninsured and underserved women; rural, migrant, and immigrant women; homeless women; women living with HIV/AIDS; and pregnant women. In 2002, 59.3 percent of the clients served by HRSA-supported health centers were women. The majority (84.8 percent) of women 18 years and older served at these health centers were up-to-date for Pap smears, and those 50 and older had high rates for mammography and clinical breast exams. Rates for community health center clients were higher than national averages for both Pap smears and mammography.


  Logo: Maternal and Child Health Bureau, Health Resources and Services Administration, U.S. Department of Health and Human ServicesLogo: U.S. Department of Health and Human Services