Independence, Cleburne & Van Buren Counties PUMA, AR

Public Use Microdata Area (PUMA)

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2022 Population

117,082

12.5% 1-year decline

US Senator

John Boozman

Republican Party

US Senator

Tom Cotton

Republican Party

2022 Median Age

45.5

0.219% 1-year decrease

2022 Poverty Rate

18%

3.54% 1-year increase

2022 Median Household Income

$47,507

9.2% 1-year growth

2022 Median Property Value

$122,600

18.6% 1-year growth

2022 Employed Population

39,623

14% 1-year decline

About

In 2022, Independence, Cleburne & Van Buren Counties PUMA, AR had a population of 117k people with a median age of 45.5 and a median household income of $47,507. Between 2021 and 2022 the population of Independence, Cleburne & Van Buren Counties PUMA, AR declined from 133,827 to 117,082, a −12.5% decrease and its median household income grew from $43,506 to $47,507, a 9.2% increase.

The 5 largest ethnic groups in Independence, Cleburne & Van Buren Counties PUMA, AR are White (Non-Hispanic) (89.2%), Two+ (Non-Hispanic) (4.6%), Other (Hispanic) (1.59%), White (Hispanic) (1.35%), and Black or African American (Non-Hispanic) (1.04%).

3.01% of the households in Independence, Cleburne & Van Buren Counties PUMA, AR reported speaking a non-English language at home as their primary shared language. This does not consider the potential multi-lingual nature of households, but only the primary self-reported language spoken by all members of the household.

99% of the residents in Independence, Cleburne & Van Buren Counties PUMA, AR are U.S. citizens.

The largest universities in Independence, Cleburne & Van Buren Counties PUMA, AR are University of Arkansas Community College-Batesville (770 degrees awarded in 2022), Ozarka College (652 degrees), and Lyon College (181 degrees).

In 2022, the median property value in Independence, Cleburne & Van Buren Counties PUMA, AR was $122,600, and the homeownership rate was 75.7%.

Most people in Independence, Cleburne & Van Buren Counties PUMA, AR drove alone to work, and the average commute time was 24.4 minutes. The average car ownership in Independence, Cleburne & Van Buren Counties PUMA, AR was 2 cars per household.

Independence, Cleburne & Van Buren Counties PUMA, AR borders Baxter, Boone & Carroll Counties PUMA, AR, Northeast Arkansas PUMA, AR, White, Lonoke & Woodruff Counties PUMA, AR, Faulkner & Lonoke Counties PUMA, AR, Pope, Johnson & Conway Counties PUMA, AR, and Howell, Texas, Wright, Douglas, Oregon & Ozark Counties PUMA, MO.

United States Arkansas Missouri

Population & Diversity

Independence, Cleburne & Van Buren Counties PUMA, AR is home to a population of 117k people, from which 99% are citizens. As of 2022, 1.67% of Independence, Cleburne & Van Buren Counties PUMA, AR residents were born outside of the country (1.95k people).

In 2022, there were 19.4 times more White (Non-Hispanic) residents (104k people) in Independence, Cleburne & Van Buren Counties PUMA, AR than any other race or ethnicity. There were 5.38k Two+ (Non-Hispanic) and 1.87k Other (Hispanic) residents, the second and third most common ethnic groups.

The most common non-English languages spoken as the primary langauge in households in Independence, Cleburne & Van Buren Counties PUMA, AR are Spanish (2,525 households), German (180 households), and Japanese (109 households).

Population & Diversity

Residents by Gender and Age

RACE/ETHNICITY

58,758

Women

50.2%

58,355

Men

49.8%

The resident population of United States in 2022 was 117,113 inhabitants, with 49.8% men, and 50.2% women.

The visualization shows the distribution of the residents by gender and age in the United States.

With the upper buttons you can add a filter by race.

Citizenship

99%

2022 Citizenship

99.1%

2021 Citizenship

As of 2022, 99% of Independence, Cleburne & Van Buren Counties PUMA, AR residents were US citizens, which is higher than the national average of 93.5%. In 2021, the percentage of US citizens in Independence, Cleburne & Van Buren Counties PUMA, AR was 99.1%, meaning that the rate of citizenship has been decreasing.

The following chart shows US citizenship percentages in Independence, Cleburne & Van Buren Counties PUMA, AR compared to that of it's neighboring and parent geographies.

Diversity

Race and Ethnicity

The 3 largest ethnic groups in Independence, Cleburne & Van Buren Counties PUMA, AR

White (Non-Hispanic)
104k ± 668
Two+ (Non-Hispanic)
5.38k ± 693
Other (Hispanic)
1.87k ± 306

3.94%

Hispanic Population

4.62k people

3.94% of the people in Independence, Cleburne & Van Buren Counties PUMA, AR are hispanic (4.62k people).

The following chart shows the 7 races represented in Independence, Cleburne & Van Buren Counties PUMA, AR as a share of the total population.

Global Diversity

Most Common Origin

Mexico
439 ± 513 people
Guatemala
327 ± 443 people
Philippines
166 ± 316 people

In 2022, the most common birthplace for the foreign-born residents of Independence, Cleburne & Van Buren Counties PUMA, AR was Mexico, the natal country of 439 Independence, Cleburne & Van Buren Counties PUMA, AR residents, followed by Guatemala with 327 and Philippines with 166.

Foreign-Born Population

1.67%

2022 Foreign-Born Population

1.95k people

1.66%

2021 Foreign-Born Population

2.22k people

As of 2022, 1.67% of Independence, Cleburne & Van Buren Counties PUMA, AR residents (1.95k people) were born outside of the United States, which is lower than the national average of 13.6%. In 2021, the percentage of foreign-born citizens in Independence, Cleburne & Van Buren Counties PUMA, AR was 1.66%, meaning that the rate has been increasing.

The following chart shows the percentage of foreign-born residents in Independence, Cleburne & Van Buren Counties PUMA, AR compared to that of it's neighboring and parent geographies.

Non-English Households

Most Common Non-English Languages

Spanish
2,525 households (2.27%)
German
180 households (0.162%)
Japanese
109 households (0.0981%)

3.01% of the households in Independence, Cleburne & Van Buren Counties PUMA, AR reported speaking a non-English language at home as their primary shared language, which is lower than the national average of 21.7%. This does not consider the potential multi-lingual nature of households, but only the primary self-reported language spoken by all members of the household.

In 2022, the most common non-English language spoken in households in Independence, Cleburne & Van Buren Counties PUMA, AR was Spanish. 2.27% of the households in Independence, Cleburne & Van Buren Counties PUMA, AR reported speaking Spanish at home as the primary shared language between all members living in the household.

Military

Veterans

Most Common Service Period

Vietnam
3,663 ± 412
Gulf War (2001-)
1,305 ± 241
Gulf War (1990s)
1,302 ± 268

Independence, Cleburne & Van Buren Counties PUMA, AR has a large population of military personnel who served in Vietnam, 2.81 times greater than any other conflict.

Economy

The economy of Independence, Cleburne & Van Buren Counties PUMA, AR employs 39.6k people. The largest industries in Independence, Cleburne & Van Buren Counties PUMA, AR are Elementary & secondary schools (3,273 people), Restaurants & Food Services (2,791 people), and Construction (2,708 people), and the highest paying industries are Rail transportation ($124,207), Machinery, equipment, & supplies merchant wholesalers ($109,977), and Offices of physicians ($99,745).

Males in Independence, Cleburne & Van Buren Counties PUMA, AR have an average income that is 1.32 times higher than the average income of females, which is $40,146. The income inequality in Independence, Cleburne & Van Buren Counties PUMA, AR (measured using the Gini index) is 0.414, which is lower than than the national average.

Employment

Workforce Diversity

Measure

RACE/ETHNICITY

22,770

Women

48.4%

24,259

Men

51.6%

The workforce of Independence, Cleburne & Van Buren Counties PUMA, AR in 2020 was 47,029 people, with 48.4% woman, and 51.6% men.

The visualization shows the distribution of the workforce by gender and age in Independence, Cleburne & Van Buren Counties PUMA, AR.

With the upper buttons you can see the distribution of the average salary and add a filter by race.

Occupations

39.6k

2022 Value

−14%

1 Year decline

± −14%

From 2021 to 2022, employment in Independence, Cleburne & Van Buren Counties PUMA, AR declined at a rate of −14%, from 46.1k employees to 39.6k employees.

The most common job groups, by number of people living in Independence, Cleburne & Van Buren Counties PUMA, AR, are Driver/sales workers & truck drivers (1,768 people), Registered nurses (997 people), and Cashiers (991 people). This chart illustrates the share breakdown of the primary jobs held by residents of Independence, Cleburne & Van Buren Counties PUMA, AR.

Unemployment Insurance Claims

Data is only available at the state level. Showing data for false.

This chart shows weekly unemployment insurance claims in Arkansas (not-seasonally adjusted) compared with the four states with the most similar impact.

The most recent data point uses Advance State Claims data, which can be revised in subsequent weeks.

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Industries

Employment by Industries

39.6k

2022 Value

−14%

1 Year decline

± −14%

From 2021 to 2022, employment in Independence, Cleburne & Van Buren Counties PUMA, AR declined at a rate of −14%, from 46.1k employees to 39.6k employees.

The most common employment sectors for those who live in Independence, Cleburne & Van Buren Counties PUMA, AR, are Elementary & secondary schools (3,273 people), Restaurants & Food Services (2,791 people), and Construction (2,708 people). This chart shows the share breakdown of the primary industries for residents of Independence, Cleburne & Van Buren Counties PUMA, AR, though some of these residents may live in Independence, Cleburne & Van Buren Counties PUMA, AR and work somewhere else. Census data is tagged to a residential address, not a work address.

Median Earnings by Industry

$37,813

Median earning men ± $2,247

$28,605

Median earning women ± $1,107

The industries with the best median earnings for men in 2022 are Information ($59,215), Transportation & Warehousing, & Utilities ($55,428), and Finance & Insurance, & Real Estate & Rental & Leasing ($53,553).

The industries with the best median earnings for women in 2022 are Agriculture, Forestry, Fishing & Hunting, & Mining ($70,302), Transportation & Warehousing, & Utilities ($46,910), and Wholesale Trade ($37,762).

Employment by Industry Sector

Data is only available at the state level. Showing data for Arkansas.

Y-Axis

2.24%

Year-over-year growth

Employment change between February 2022 and February 2023

As of February 2023, there are 1.35M people employed in Arkansas. This represents a 2.24% increase in employment when compared to February 2022.

Right after the beginning of the COVID-19 pandemic, during April 2020, a general dip can be seen across industry sectors, resulting in an overall decline in employment by 8.69%.

The following chart shows monthly employment numbers for each industry sector in Arkansas.

Civics

In the 2020 presidential election, the popular vote in Arkansas went to Donald J. Trump with 62.4% of the vote. The runner-up was Joseph R Biden Jr. (34.8%), followed by Jo Jorgensen (1.08%).

John Boozman and Tom Cotton are the senators currently representing the state of Arkansas. In the United States, senators are elected to 6-year terms with the terms for individual senators staggered.

Arkansas is currently represented by 4 members in the U.S. house, and members of the House of Representives are elected to 2-year terms.

Presidential Elections

Presidential Popular Vote Over Time

Voting results are not available for Independence, Cleburne & Van Buren Counties PUMA, AR. Showing the available data for Arkansas.

2020 Election Results

Donald J. Trump (62.4%)
Republican Party
Joseph R Biden Jr. (34.8%)
Democratic Party
Jo Jorgensen (1.08%)
Libertarian Party

In the 2020 presidential election, the popular vote in Arkansas went to Donald J. Trump with 62.4% of the vote. The runner-up was Joseph R Biden Jr. (34.8%), followed by Jo Jorgensen (1.08%).

The following chart shows the popular vote results in Arkansas for each registered party from 1976 to 2020.

Senator Elections

US Senators from Arkansas

Senatorial voting results are only available at the state level. Showing data for Arkansas.

John Boozman

Senator from Arkansas

Assumed office on January 3, 2011

Tom Cotton

Senator from Arkansas

Assumed office on January 3, 2015

John Boozman and Tom Cotton are the senators currently representing Arkansas.

In the United States, senators are elected to 6-year terms with the terms for individual senators staggered.

The following chart shows elected senators in Arkansas over time, excluding special elections, colored by their political party.

US Representative Elections

US Representatives from Arkansas

Arkansas is currently represented by 4 members in the U.S. house.

Members of the House of Representives are elected to 2-year terms, and the following chart shows the how the members for Arkansas have changed over time starting in 2008.

Education

In 2022, universities in Independence, Cleburne & Van Buren Counties PUMA, AR awarded 1,603 degrees. The student population of Independence, Cleburne & Van Buren Counties PUMA, AR in 2022 is skewed towards women, with 960 male students and 1,527 female students.

Most students graduating from Universities in Independence, Cleburne & Van Buren Counties PUMA, AR are White (1,357 and 86.3%), followed by Hispanic or Latino (88 and 5.59%), Two or More Races (45 and 2.86%), and Unknown (45 and 2.86%).

The largest universities in Independence, Cleburne & Van Buren Counties PUMA, AR by number of degrees awarded are University of Arkansas Community College-Batesville (770 and 48%), Ozarka College (652 and 40.7%), and Lyon College (181 and 11.3%).

The most popular majors in Independence, Cleburne & Van Buren Counties PUMA, AR are General Health Services (335 and 20.9%), Liberal Arts & Sciences (214 and 13.3%), and Nursing Assistant & Patient Care Assistant (166 and 10.4%).

The median tuition cost in Independence, Cleburne & Van Buren Counties PUMA, AR for private four year colleges is $29,900.

Admissions & Enrollments

Applicants, Admissions & Enrolled

University

Measure

In 2022 in Independence, Cleburne & Van Buren Counties PUMA, AR, the percentage of applicants admitted was 59.8%, while the percentage of admitted who enrolled was 17.7%. The number of students enrolled in 2022 was 2,487 (38.6% men and 61.4% women).

The line chart shows the evolution of the percentage of applicants admitted, admitted who enrolled or the number of students enrolled according to the option selected in the upper button.

Enrollments by Gender and Races

Universities

In 2022 there were 2,487 students enrolled in Independence, Cleburne & Van Buren Counties PUMA, AR, 38.6% men and 61.4% women.

By race, the largest number of students enrolled was concentrated in White with 2,009 records, of which 64% were women and 36% men.

Completions

Concentrations

Most Common

Liberal Arts & Sciences
124 degrees awarded
General Health Services
119 degrees awarded
Licensed Practical & Vocational Nurse Training
73 degrees awarded

In 2022, the most common concentation for 1 to 2 Year Postsecondary Certificate recipients in Independence, Cleburne & Van Buren Counties PUMA, AR was Liberal Arts & Sciences with 124 degrees awarded.

This visualization illustrates the percentage of students graduating with a 1 to 2 Year Postsecondary Certificate from schools in Independence, Cleburne & Van Buren Counties PUMA, AR according to their major.

Universities

Gender

Race

Largest Universities by degrees awarded

University of Arkansas Community College-Batesville
770 degrees awarded
Ozarka College
652 degrees awarded
Lyon College
181 degrees awarded

In 2022, the institution with the largest number of graduating students was University of Arkansas Community College-Batesville with 770 degrees awarded.

Student Diversity

University

In 2022, 587 men were awarded degrees from institutions in Independence, Cleburne & Van Buren Counties PUMA, AR, which is 0.578 times less than the 1,016 female students who received degrees in the same year.

In 2022 the most common race/ethnicity group awarded degrees at institutions was White students. These 1,357 degrees mean that there were 15.4 times more degrees awarded to White students then the next closest race/ethnicity group, Hispanic or Latino, with 88 degrees awarded.

Awarded Degrees over Time

The graph shows the evolution of awarded degrees by degrees. Under the paragraphs, the average number of awarded degrees by university in each degree is shown.

Tuition

Average Net Price by Sector

Universities

Private not-for-profit, 4-year or above ($29,900) is the sector with the highest median state tuition in 2022.

Private not-for-profit, 4-year or above ($1,100) is the sector with the highest median state fee in 2022.

Private not-for-profit, 4-year or above ($1,500) is the sector with the highest average net price of books and supplies.

The graph shows the average net price by sector and year.

Working Population

Educational Pyramid

Measure

In 2022, 1.23% of men over 25 years of age had not completed any academic degree (no schooling), while 0.659% of women were in the same situation.

This visualization shows the gender distribution of the population according to the academic level reached.

Educational Attainment

Race

The most common educational levels obtained by the working population of Independence, Cleburne & Van Buren Counties PUMA, AR in 2022 were High School or Equivalent (36.4k), Some college (22.2k), and Secondary Education (17.3k).

This visualization illustrates the percentage distribution of the population according to the highest educational level reached. You can filter the data by race by using the selector above.

Housing & Living

The median property value in Independence, Cleburne & Van Buren Counties PUMA, AR was $122,600 in 2022, which is 0.435 times smaller than the national average of $281,900. Between 2021 and 2022 the median property value increased from $103,400 to $122,600, a 18.6% increase. The homeownership rate in Independence, Cleburne & Van Buren Counties PUMA, AR is 75.7%, which is approximately the same as the national average of 64.8%.

People in Independence, Cleburne & Van Buren Counties PUMA, AR have an average commute time of 24.4 minutes, and they drove alone to work. Car ownership in Independence, Cleburne & Van Buren Counties PUMA, AR is approximately the same as the national average, with an average of 2 cars per household.

Median household income in Independence, Cleburne & Van Buren Counties PUMA, AR is $47,507. In 2022, the PUMA with the highest Median Household Income in Independence, Cleburne & Van Buren Counties PUMA, AR was Benton County (Outer) PUMA, AR with a value of $87,382, followed by Benton County (Central)--Bentonville & Rogers Cities PUMA, AR and Saline, Grant & Perry Counties PUMA, AR, with respective values of $82,230 and $71,738.

Housing

Property

$122,600

Median Property Value 2022

±$4,790

$34,979

Median Property Taxes

±$1,354

The following chart display owner-occupied housing units distributed between a series of property tax buckets compared to the national averages for each bucket. In Independence, Cleburne & Van Buren Counties PUMA, AR the largest share of households pay taxes in the < $800 range.

The chart underneath the paragraph shows the property taxes in Independence, Cleburne & Van Buren Counties PUMA, AR compared to it's parent and neighbor geographies.

Rent vs Own

75.7%

Homeownership

2022

64.4%

Homeowners with Mortgage

2022

In 2022, 75.7% of the housing units in Independence, Cleburne & Van Buren Counties PUMA, AR were occupied by their owner. This percentage declined from the previous year's rate of 75.9%.

This chart shows the percentage of owner in Independence, Cleburne & Van Buren Counties PUMA, AR compared it's parent and neighboring geographies.

Equity

Income by Location

Use the dropdown to filter by race/ethnicity.

Race/Ethnicity

Highest Median Household Income (Total)

In 2022, the PUMA with the highest Median Household Income (Total) in Independence, Cleburne & Van Buren Counties PUMA, AR was Benton County (Outer) PUMA, AR with a value of $87,382, followed by Benton County (Central)--Bentonville & Rogers Cities PUMA, AR and Saline, Grant & Perry Counties PUMA, AR, with respective values of $82,230 and $71,738.

The following map shows all of the PUMAs in Independence, Cleburne & Van Buren Counties PUMA, AR colored by their Median Household Income (Total).

Household Income

Please note that the buckets used in this visualization were not evenly distributed by ACS when publishing the data.

$47,507

Median Household Income

± $2,057

46.2k

Number of Households

± 1,594

In 2022, the median household income of the 46.2k households in Independence, Cleburne & Van Buren Counties PUMA, AR grew to $47,507 from the previous year's value of $43,506.

The following chart displays the households in Independence, Cleburne & Van Buren Counties PUMA, AR distributed between a series of income buckets compared to the national averages for each bucket. The largest share of households have an income in the $75k - $100k range.

Wage Distribution

0.414

2022 Wage GINI in Independence, Cleburne & Van Buren Counties PUMA, AR

0.425

2021 Wage GINI in Independence, Cleburne & Van Buren Counties PUMA, AR

In 2022, the income inequality in Independence, Cleburne & Van Buren Counties PUMA, AR was 0.414 according to the GINI calculation of the wage distribution. Income inequality had a 2.52% decline from 2021 to 2022, which means that wage distribution grew somewhat more even. The GINI for Independence, Cleburne & Van Buren Counties PUMA, AR was lower than than the national average of 0.478. In other words, wages are distributed more evenly in Independence, Cleburne & Van Buren Counties PUMA, AR in comparison to the national average.

This chart shows the number of workers in Independence, Cleburne & Van Buren Counties PUMA, AR across various wage buckets compared to the national average.

Transportation

Commuter Transportation

Most Common Commute in 2022

Drove Alone (80.2%)
Carpooled (10.4%)
Worked At Home (5.4%)

In 2022, 80.2% of workers in Independence, Cleburne & Van Buren Counties PUMA, AR drove alone to work, followed by those who carpooled to work (10.4%) and those who worked at home (5.4%).

The following chart shows the number of households using each mode of transportation over time, using a logarithmic scale on the y-axis to help better show variations in the smaller means of commuting.

Commute Time

24.4 minutes

Average Travel Time

Using averages, employees in Independence, Cleburne & Van Buren Counties PUMA, AR have a shorter commute time (24.4 minutes) than the normal US worker (26.7 minutes). Additionally, 4.31% of the workforce in Independence, Cleburne & Van Buren Counties PUMA, AR have "super commutes" in excess of 90 minutes.

The chart below shows how the median household income in Independence, Cleburne & Van Buren Counties PUMA, AR compares to that of it's neighboring and parent geographies.

Car Ownership

2 cars

Average Number

The following chart displays the households in Independence, Cleburne & Van Buren Counties PUMA, AR distributed between a series of car ownership buckets compared to the national averages for each bucket. The largest share of households in Independence, Cleburne & Van Buren Counties PUMA, AR have 2 cars.

Poverty

Poverty & Diversity

18% of the population for whom poverty status is determined in Independence, Cleburne & Van Buren Counties PUMA, AR (20.5k out of 114k people) live below the poverty line, a number that is higher than the national average of 12.5%. The largest demographic living in poverty are Males 55 - 64, followed by Females 55 - 64 and then Females 25 - 34.

The most common racial or ethnic group living below the poverty line in Independence, Cleburne & Van Buren Counties PUMA, AR is White, followed by Hispanic and Other.

The Census Bureau uses a set of money income thresholds that vary by family size and composition to determine who classifies as impoverished. If a family's total income is less than the family's threshold than that family and every individual in it is considered to be living in poverty.

Social Needs

Data only available at the state level.

Most prevalent states

California
35,798 individuals
New York
5,087 individuals
Florida
4,915 individuals

In 2017, California had the highest estimated number of chronically homeless individuals in the nation, at 35,798. New York has the second highest (5,087), followed by Florida (4,915).

The following map shows the estimated number of chronically homeless individuals by state over multiple years.

Health

91.1% of the population of Independence, Cleburne & Van Buren Counties PUMA, AR has health coverage, with 29.4% on employee plans, 28.1% on Medicaid, 18.3% on Medicare, 12.4% on non-group plans, and 2.9% on military or VA plans.

Primary care physicians in Arkansas see 1471 patients per year on average, which represents a 0% change from the previous year (1471 patients). Compare this to dentists who see 2056 patients per year, and mental health providers who see 393 patients per year.

Similarly, primary care physicians in Missouri see 1409 patients per year on average, which represents a 0.285% increase from the previous year (1405 patients). Compare this to dentists who see 1617 patients per year, and mental health providers who see 433 patients per year.

Coverage

Patient to Clinician Ratios

Data is only available at the state level. Showing data for Arkansas and Missouri.

1,471 to 1

Patient to Primary Care Physician Ratio in Arkansas

1,409 to 1

Patient to Primary Care Physician Ratio in Missouri

Primary care physicians in Arkansas see an average of 1,471 patients per year. This represents a 0% change from the previous year (1,471 patients).

Primary care physicians in Missouri see an average of 1,409 patients per year. This represents a 0.285% increase from the previous year (1,405 patients).

The following chart shows how the number of patients seen by primary care physicians has been changing over time in Arkansas and Missouri in comparison to its neighboring geographies.

Health Care Diversity

In 2022, insured persons according to age ranges were distributed in 22.5% under 18 years, 16.3% between 18 and 34 years, 38.1% between 35 and 64 years, and 23.2% over 64 years.

By gender, of the total number of insured persons, 49% were men and 51% were women.

The following chart shows the number of people with health coverage by gender.

Uninsured People

8.9%

Uninsured

29.4%

Employer Coverage

28.1%

Medicaid

18.3%

Medicare

12.4%

Non-Group

2.9%

Military or VA

Between 2021 and 2022, the percent of uninsured citizens in Independence, Cleburne & Van Buren Counties PUMA, AR grew by 9% from 8.16% to 8.9%.

The following chart shows how the percent of uninsured individuals in Independence, Cleburne & Van Buren Counties PUMA, AR changed over time compared with the percent of individuals enrolled in various types of health insurance.