Stark County (East) & Carroll County--Aliance City PUMA, OH

Public Use Microdata Area (PUMA)

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2022 Population

123,538

0.767% 1-year decline

US Senator

Sherrod Brown

Democratic Party

US Senator

J. D. Vance

Republican Party

2022 Median Age

42.6

1.16% 1-year decrease

2022 Poverty Rate

11.1%

7.61% 1-year decrease

2022 Median Household Income

$68,316

7.95% 1-year growth

2022 Median Property Value

$175,400

11.4% 1-year growth

2022 Employed Population

56,198

0.073% 1-year growth

About

In 2022, Stark County (East) & Carroll County--Aliance City PUMA, OH had a population of 124k people with a median age of 42.6 and a median household income of $68,316. Between 2021 and 2022 the population of Stark County (East) & Carroll County--Aliance City PUMA, OH declined from 124,493 to 123,538, a −0.767% decrease and its median household income grew from $63,282 to $68,316, a 7.95% increase.

The 5 largest ethnic groups in Stark County (East) & Carroll County--Aliance City PUMA, OH are White (Non-Hispanic) (93.1%), Black or African American (Non-Hispanic) (2.63%), Two+ (Non-Hispanic) (2.58%), Two+ (Hispanic) (0.504%), and White (Hispanic) (0.401%).

2.83% of the households in Stark County (East) & Carroll County--Aliance City PUMA, OH 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.

99.4% of the residents in Stark County (East) & Carroll County--Aliance City PUMA, OH are U.S. citizens.

The largest universities in Stark County (East) & Carroll County--Aliance City PUMA, OH are University of Mount Union (641 degrees awarded in 2022) and Raphael's School of Beauty Culture Inc-Alliance (277 degrees).

In 2022, the median property value in Stark County (East) & Carroll County--Aliance City PUMA, OH was $175,400, and the homeownership rate was 73.4%.

Most people in Stark County (East) & Carroll County--Aliance City PUMA, OH drove alone to work, and the average commute time was 24.6 minutes. The average car ownership in Stark County (East) & Carroll County--Aliance City PUMA, OH was 2 cars per household.

Stark County (East) & Carroll County--Aliance City PUMA, OH borders Trumbull (Outside Warren City) & Mahoning (Outside Youngstown City) Counties PUMA, OH, Portage County PUMA, OH, Summit County (South)--Green, Barberton & New Franklin Cities PUMA, OH, Stark County (West)--Massillon City PUMA, OH, Stark County (Central)--Canton & North Canton Cities PUMA, OH, Columbiana & Jefferson Counties PUMA, OH, and Tuscarawas & Harrison Counties PUMA, OH.

United States Ohio

Population & Diversity

Stark County (East) & Carroll County--Aliance City PUMA, OH is home to a population of 124k people, from which 99.4% are citizens. As of 2022, 1.17% of Stark County (East) & Carroll County--Aliance City PUMA, OH residents were born outside of the country (1.44k people).

In 2022, there were 35.4 times more White (Non-Hispanic) residents (115k people) in Stark County (East) & Carroll County--Aliance City PUMA, OH than any other race or ethnicity. There were 3.25k Black or African American (Non-Hispanic) and 3.19k Two+ (Non-Hispanic) residents, the second and third most common ethnic groups.

The most common non-English languages spoken as the primary langauge in households in Stark County (East) & Carroll County--Aliance City PUMA, OH are German (936 households), Yiddish, Pennsylvania Dutch or Other West Germanic Languages (807 households), and Spanish (631 households).

Population & Diversity

Residents by Gender and Age

RACE/ETHNICITY

61,947

Women

50%

61,828

Men

50%

The resident population of United States in 2022 was 123,775 inhabitants, with 50% men, and 50% 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

99.4%

2022 Citizenship

99.4%

2021 Citizenship

As of 2022, 99.4% of Stark County (East) & Carroll County--Aliance City PUMA, OH residents were US citizens, which is higher than the national average of 93.5%. In 2021, the percentage of US citizens in Stark County (East) & Carroll County--Aliance City PUMA, OH was 99.4%, meaning that the rate of citizenship has been decreasing.

The following chart shows US citizenship percentages in Stark County (East) & Carroll County--Aliance City PUMA, OH compared to that of it's neighboring and parent geographies.

Diversity

Race and Ethnicity

The 3 largest ethnic groups in Stark County (East) & Carroll County--Aliance City PUMA, OH

White (Non-Hispanic)
115k ± 897
Black or African American (Non-Hispanic)
3.25k ± 550
Two+ (Non-Hispanic)
3.19k ± 427

1.18%

Hispanic Population

1.45k people

1.18% of the people in Stark County (East) & Carroll County--Aliance City PUMA, OH are hispanic (1.45k people).

The following chart shows the 7 races represented in Stark County (East) & Carroll County--Aliance City PUMA, OH as a share of the total population.

Global Diversity

Most Common Origin

South Africa
239 ± 379 people
China
147 ± 297 people
Mexico
118 ± 267 people

In 2022, the most common birthplace for the foreign-born residents of Stark County (East) & Carroll County--Aliance City PUMA, OH was South Africa, the natal country of 239 Stark County (East) & Carroll County--Aliance City PUMA, OH residents, followed by China with 147 and Mexico with 118.

Foreign-Born Population

1.17%

2022 Foreign-Born Population

1.44k people

1.16%

2021 Foreign-Born Population

1.45k people

As of 2022, 1.17% of Stark County (East) & Carroll County--Aliance City PUMA, OH residents (1.44k 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 Stark County (East) & Carroll County--Aliance City PUMA, OH was 1.16%, meaning that the rate has been increasing.

The following chart shows the percentage of foreign-born residents in Stark County (East) & Carroll County--Aliance City PUMA, OH compared to that of it's neighboring and parent geographies.

Non-English Households

Most Common Non-English Languages

German
936 households (0.8%)
Yiddish, Pennsylvania Dutch or Other West Germanic Languages
807 households (0.69%)
Spanish
631 households (0.54%)

2.83% of the households in Stark County (East) & Carroll County--Aliance City PUMA, OH 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 Stark County (East) & Carroll County--Aliance City PUMA, OH was German. 0.8% of the households in Stark County (East) & Carroll County--Aliance City PUMA, OH reported speaking German at home as the primary shared language between all members living in the household.

Military

Veterans

Most Common Service Period

Vietnam
3,106 ± 409
Gulf War (1990s)
1,100 ± 212
Gulf War (2001-)
973 ± 202

Stark County (East) & Carroll County--Aliance City PUMA, OH has a large population of military personnel who served in Vietnam, 2.82 times greater than any other conflict.

Economy

The economy of Stark County (East) & Carroll County--Aliance City PUMA, OH employs 56.2k people. The largest industries in Stark County (East) & Carroll County--Aliance City PUMA, OH are Construction (3,783 people), Restaurants & Food Services (3,682 people), and General medical and surgical hospitals, and specialty (except psychiatric and substance abuse) hospitals (3,531 people), and the highest paying industries are Animal production & aquaculture ($133,407), Tire manufacturing ($123,707), and Petroleum refining ($118,858).

Males in Stark County (East) & Carroll County--Aliance City PUMA, OH have an average income that is 1.49 times higher than the average income of females, which is $48,316. The income inequality in Stark County (East) & Carroll County--Aliance City PUMA, OH (measured using the Gini index) is 0.434, which is lower than than the national average.

Employment

Workforce Diversity

Measure

RACE/ETHNICITY

26,072

Women

46.5%

29,965

Men

53.5%

The workforce of Stark County (East) & Carroll County--Aliance City PUMA, OH in 2020 was 56,037 people, with 46.5% woman, and 53.5% men.

The visualization shows the distribution of the workforce by gender and age in Stark County (East) & Carroll County--Aliance City PUMA, OH.

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

Occupations

56.2k

2022 Value

0.073%

1 Year growth

± 0.073%

From 2021 to 2022, employment in Stark County (East) & Carroll County--Aliance City PUMA, OH grew at a rate of 0.073%, from 56.2k employees to 56.2k employees.

The most common job groups, by number of people living in Stark County (East) & Carroll County--Aliance City PUMA, OH, are Driver/sales workers & truck drivers (1,786 people), Registered nurses (1,638 people), and Laborers & freight, stock, & material movers, hand (1,556 people). This chart illustrates the share breakdown of the primary jobs held by residents of Stark County (East) & Carroll County--Aliance City PUMA, OH.

Unemployment Insurance Claims

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

This chart shows weekly unemployment insurance claims in Ohio (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

56.2k

2022 Value

0.073%

1 Year growth

± 0.073%

From 2021 to 2022, employment in Stark County (East) & Carroll County--Aliance City PUMA, OH grew at a rate of 0.073%, from 56.2k employees to 56.2k employees.

The most common employment sectors for those who live in Stark County (East) & Carroll County--Aliance City PUMA, OH, are Construction (3,783 people), Restaurants & Food Services (3,682 people), and General medical and surgical hospitals, and specialty (except psychiatric and substance abuse) hospitals (3,531 people). This chart shows the share breakdown of the primary industries for residents of Stark County (East) & Carroll County--Aliance City PUMA, OH, though some of these residents may live in Stark County (East) & Carroll County--Aliance City PUMA, OH and work somewhere else. Census data is tagged to a residential address, not a work address.

Median Earnings by Industry

$50,389

Median earning men ± $1,582

$33,211

Median earning women ± $1,157

The industries with the best median earnings for men in 2022 are Public Administration ($74,302), Agriculture, Forestry, Fishing & Hunting, & Mining ($63,657), and Information ($58,188).

The industries with the best median earnings for women in 2022 are Public Administration ($46,806), Finance & Insurance, & Real Estate & Rental & Leasing ($41,486), and Information ($41,289).

Employment by Industry Sector

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

Y-Axis

1.48%

Year-over-year growth

Employment change between February 2022 and February 2023

As of February 2023, there are 5.51M people employed in Ohio. This represents a 1.48% 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 15.4%.

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

Civics

In the 2020 presidential election, the popular vote in Ohio went to Donald J. Trump with 53.3% of the vote. The runner-up was Joseph R Biden Jr. (45.2%), followed by Jo Jorgensen (1.14%).

Sherrod Brown and J. D. Vance are the senators currently representing the state of Ohio. In the United States, senators are elected to 6-year terms with the terms for individual senators staggered.

Ohio is currently represented by 15 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 Stark County (East) & Carroll County--Aliance City PUMA, OH. Showing the available data for Ohio.

2020 Election Results

Donald J. Trump (53.3%)
Republican Party
Joseph R Biden Jr. (45.2%)
Democratic Party
Jo Jorgensen (1.14%)
Libertarian Party

In the 2020 presidential election, the popular vote in Ohio went to Donald J. Trump with 53.3% of the vote. The runner-up was Joseph R Biden Jr. (45.2%), followed by Jo Jorgensen (1.14%).

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

Senator Elections

US Senators from Ohio

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

Sherrod Brown

Senator from Ohio

Assumed office on January 3, 2007

J. D. Vance

Senator from Ohio

Assumed office on January 3, 2023

Sherrod Brown and J. D. Vance are the senators currently representing Ohio.

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 Ohio over time, excluding special elections, colored by their political party.

US Representative Elections

US Representatives from Ohio

Ohio is currently represented by 15 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 Ohio have changed over time starting in 2008.

Education

In 2022, universities in Stark County (East) & Carroll County--Aliance City PUMA, OH awarded 918 degrees. The student population of Stark County (East) & Carroll County--Aliance City PUMA, OH in 2022 is skewed towards women, with 1,098 male students and 1,453 female students.

Most students graduating from Universities in Stark County (East) & Carroll County--Aliance City PUMA, OH are White (656 and 71.7%), followed by Black or African American (161 and 17.6%), Two or More Races (47 and 5.14%), and Hispanic or Latino (39 and 4.26%).

The largest universities in Stark County (East) & Carroll County--Aliance City PUMA, OH by number of degrees awarded are University of Mount Union (641 and 69.8%) and Raphael's School of Beauty Culture Inc-Alliance (277 and 30.2%).

The most popular majors in Stark County (East) & Carroll County--Aliance City PUMA, OH are Aesthetician & Skin Care Specialist (135 and 14.7%), Registered Nursing (58 and 6.32%), and General Cosmetology (53 and 5.77%).

The median tuition cost in Stark County (East) & Carroll County--Aliance City PUMA, OH for private four year colleges is $34,000.

Admissions & Enrollments

Applicants, Admissions & Enrolled

University

Measure

In 2022 in Stark County (East) & Carroll County--Aliance City PUMA, OH, the percentage of applicants admitted was 75.7%, while the percentage of admitted who enrolled was 20.7%. The number of students enrolled in 2022 was 2,551 (43% men and 57% 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 2,551 students enrolled in Stark County (East) & Carroll County--Aliance City PUMA, OH, 43% men and 57% women.

By race, the largest number of students enrolled was concentrated in White with 1,792 records, of which 56% were women and 44% men.

Completions

Concentrations

Most Common

Registered Nursing
58 degrees awarded
Elementary Education & Teaching
41 degrees awarded
Sport & Fitness Management
35 degrees awarded

In 2022, the most common concentation for Bachelors Degree recipients in Stark County (East) & Carroll County--Aliance City PUMA, OH was Registered Nursing with 58 degrees awarded.

This visualization illustrates the percentage of students graduating with a Bachelors Degree from schools in Stark County (East) & Carroll County--Aliance City PUMA, OH according to their major.

Universities

Gender

Race

Largest Universities by degrees awarded

University of Mount Union
641 degrees awarded
Raphael's School of Beauty Culture Inc-Alliance
277 degrees awarded

In 2022, the institution with the largest number of graduating students was University of Mount Union with 641 degrees awarded.

Student Diversity

University

In 2022, 282 men were awarded degrees from institutions in Stark County (East) & Carroll County--Aliance City PUMA, OH, which is 0.443 times less than the 636 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 656 degrees mean that there were 4.07 times more degrees awarded to White students then the next closest race/ethnicity group, Black or African American, with 161 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 ($34,000) is the sector with the highest median state tuition in 2022.

Private not-for-profit, 4-year or above ($400) is the sector with the highest median state fee in 2022.

Private not-for-profit, 4-year or above ($1,100) 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, 0.623% of men over 25 years of age had not completed any academic degree (no schooling), while 0.923% 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 Stark County (East) & Carroll County--Aliance City PUMA, OH in 2022 were High School or Equivalent (40.2k), Some college (20.2k), and Bachelors Degree (13.5k).

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 Stark County (East) & Carroll County--Aliance City PUMA, OH was $175,400 in 2022, which is 0.622 times smaller than the national average of $281,900. Between 2021 and 2022 the median property value increased from $157,500 to $175,400, a 11.4% increase. The homeownership rate in Stark County (East) & Carroll County--Aliance City PUMA, OH is 73.4%, which is approximately the same as the national average of 64.8%.

People in Stark County (East) & Carroll County--Aliance City PUMA, OH have an average commute time of 24.6 minutes, and they drove alone to work. Car ownership in Stark County (East) & Carroll County--Aliance City PUMA, OH is approximately the same as the national average, with an average of 2 cars per household.

Median household income in Stark County (East) & Carroll County--Aliance City PUMA, OH is $68,316. In 2022, the PUMA with the highest Median Household Income in Stark County (East) & Carroll County--Aliance City PUMA, OH was Delaware County (South) PUMA, OH with a value of $146,754, followed by Hamilton County (East)--Loveland, Montgomery Cities & Forestville PUMA, OH and Butler County (Southeast)--Monroe City & Beckett Ridge PUMA, OH, with respective values of $122,007 and $114,556.

Housing

Property

$175,400

Median Property Value 2022

±$3,975

$36,045

Median Property Taxes

±$1,246

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 Stark County (East) & Carroll County--Aliance City PUMA, OH the largest share of households pay taxes in the $800 - $1,499 range.

The chart underneath the paragraph shows the property taxes in Stark County (East) & Carroll County--Aliance City PUMA, OH compared to it's parent and neighbor geographies.

Rent vs Own

73.4%

Homeownership

2022

63.9%

Homeowners with Mortgage

2022

In 2022, 73.4% of the housing units in Stark County (East) & Carroll County--Aliance City PUMA, OH were occupied by their owner. This percentage grew from the previous year's rate of 73.1%.

This chart shows the percentage of owner in Stark County (East) & Carroll County--Aliance City PUMA, OH 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 Stark County (East) & Carroll County--Aliance City PUMA, OH was Delaware County (South) PUMA, OH with a value of $146,754, followed by Hamilton County (East)--Loveland, Montgomery Cities & Forestville PUMA, OH and Butler County (Southeast)--Monroe City & Beckett Ridge PUMA, OH, with respective values of $122,007 and $114,556.

The following map shows all of the PUMAs in Stark County (East) & Carroll County--Aliance City PUMA, OH 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.

$68,316

Median Household Income

± $1,437

49.1k

Number of Households

± 1,522

In 2022, the median household income of the 49.1k households in Stark County (East) & Carroll County--Aliance City PUMA, OH grew to $68,316 from the previous year's value of $63,282.

The following chart displays the households in Stark County (East) & Carroll County--Aliance City PUMA, OH 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

0.434

2022 Wage GINI in Stark County (East) & Carroll County--Aliance City PUMA, OH

0.437

2021 Wage GINI in Stark County (East) & Carroll County--Aliance City PUMA, OH

In 2022, the income inequality in Stark County (East) & Carroll County--Aliance City PUMA, OH was 0.434 according to the GINI calculation of the wage distribution. Income inequality had a 0.76% decline from 2021 to 2022, which means that wage distribution grew somewhat more even. The GINI for Stark County (East) & Carroll County--Aliance City PUMA, OH was lower than than the national average of 0.478. In other words, wages are distributed more evenly in Stark County (East) & Carroll County--Aliance City PUMA, OH in comparison to the national average.

This chart shows the number of workers in Stark County (East) & Carroll County--Aliance City PUMA, OH across various wage buckets compared to the national average.

Transportation

Commuter Transportation

Most Common Commute in 2022

Drove Alone (80.7%)
Worked At Home (7.87%)
Carpooled (7.29%)

In 2022, 80.7% of workers in Stark County (East) & Carroll County--Aliance City PUMA, OH drove alone to work, followed by those who worked at home (7.87%) and those who carpooled to work (7.29%).

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

24.6 minutes

Average Travel Time

Using averages, employees in Stark County (East) & Carroll County--Aliance City PUMA, OH have a shorter commute time (24.6 minutes) than the normal US worker (26.7 minutes). Additionally, 2.29% of the workforce in Stark County (East) & Carroll County--Aliance City PUMA, OH have "super commutes" in excess of 90 minutes.

The chart below shows how the median household income in Stark County (East) & Carroll County--Aliance City PUMA, OH compares to that of it's neighboring and parent geographies.

Car Ownership

2 cars

Average Number

The following chart displays the households in Stark County (East) & Carroll County--Aliance City PUMA, OH distributed between a series of car ownership buckets compared to the national averages for each bucket. The largest share of households in Stark County (East) & Carroll County--Aliance City PUMA, OH have 2 cars.

Poverty

Poverty & Diversity

11.1% of the population for whom poverty status is determined in Stark County (East) & Carroll County--Aliance City PUMA, OH (13.4k out of 121k people) live below the poverty line, a number that is lower than the national average of 12.5%. The largest demographic living in poverty are Females 25 - 34, followed by Females 55 - 64 and then Females 6 - 11.

The most common racial or ethnic group living below the poverty line in Stark County (East) & Carroll County--Aliance City PUMA, OH is White, followed by Black and Two Or More.

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

93.5% of the population of Stark County (East) & Carroll County--Aliance City PUMA, OH has health coverage, with 50.1% on employee plans, 14.4% on Medicaid, 16.1% on Medicare, 11.6% on non-group plans, and 1.27% on military or VA plans.

Primary care physicians in Ohio see 1292 patients per year on average, which represents a 0.0775% increase from the previous year (1291 patients). Compare this to dentists who see 1554 patients per year, and mental health providers who see 329 patients per year.

Coverage

Patient to Clinician Ratios

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

1,292 to 1

Patient to Primary Care Physician Ratio in Ohio

Primary care physicians in Ohio see an average of 1,292 patients per year. This represents a 0.0775% increase from the previous year (1,291 patients).

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

Health Care Diversity

In 2022, insured persons according to age ranges were distributed in 23.1% under 18 years, 18.8% between 18 and 34 years, 38.7% between 35 and 64 years, and 19.5% over 64 years.

By gender, of the total number of insured persons, 49.5% were men and 50.5% were women.

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

Uninsured People

6.55%

Uninsured

50.1%

Employer Coverage

14.4%

Medicaid

16.1%

Medicare

11.6%

Non-Group

1.27%

Military or VA

Between 2021 and 2022, the percent of uninsured citizens in Stark County (East) & Carroll County--Aliance City PUMA, OH grew by 4.26% from 6.28% to 6.55%.

The following chart shows how the percent of uninsured individuals in Stark County (East) & Carroll County--Aliance City PUMA, OH changed over time compared with the percent of individuals enrolled in various types of health insurance.