South Central Oklahoma Counties--Ardmore, Duncan, Sulphur & Madill Cities PUMA, OK

Public Use Microdata Area (PUMA)

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2022 Population

120,757

43.2% 1-year decline

US Senator

James Lankford

Republican Party

US Senator

Markwayne Mullin

Republican Party

2022 Median Age

39.7

49.7% 1-year decrease

2022 Poverty Rate

16.1%

0.258% 1-year increase

2022 Median Household Income

$56,741

46.4% 1-year decline

2022 Median Property Value

$133,400

42.2% 1-year decline

About

In 2022, South Central Oklahoma Counties--Ardmore, Duncan, Sulphur & Madill Cities PUMA, OK had a population of 121k people with a median age of 39.7 and a median household income of $56,741. Between 2021 and 2022 the population of South Central Oklahoma Counties--Ardmore, Duncan, Sulphur & Madill Cities PUMA, OK declined from 212,576 to 120,757, a −43.2% decrease and its median household income declined from $105,930 to $56,741, a −46.4% decrease.

The 5 largest ethnic groups in South Central Oklahoma Counties--Ardmore, Duncan, Sulphur & Madill Cities PUMA, OK are White (Non-Hispanic) (72.2%), Two+ (Non-Hispanic) (8.43%), American Indian & Alaska Native (Non-Hispanic) (5.86%), Black or African American (Non-Hispanic) (3.36%), and Two+ (Hispanic) (3.16%).

6.97% of the households in South Central Oklahoma Counties--Ardmore, Duncan, Sulphur & Madill Cities PUMA, OK 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.

98.2% of the residents in South Central Oklahoma Counties--Ardmore, Duncan, Sulphur & Madill Cities PUMA, OK are U.S. citizens.

The largest universities in South Central Oklahoma Counties--Ardmore, Duncan, Sulphur & Madill Cities PUMA, OK are Southern Oklahoma Technology Center (418 degrees awarded in 2022) and Red River Technology Center (253 degrees).

In 2022, the median property value in South Central Oklahoma Counties--Ardmore, Duncan, Sulphur & Madill Cities PUMA, OK was $133,400, and the homeownership rate was 71.2%.

Most people in South Central Oklahoma Counties--Ardmore, Duncan, Sulphur & Madill Cities PUMA, OK drove alone to work, and the average commute time was 21.9 minutes. The average car ownership in South Central Oklahoma Counties--Ardmore, Duncan, Sulphur & Madill Cities PUMA, OK was 2 cars per household.

South Central Oklahoma Counties--Ardmore, Duncan, Sulphur & Madill Cities PUMA, OK borders Southwest Oklahoma Counties--Lawton, Elgin, Cache & Walters Cities PUMA, OK, South Central Oklahoma Counties--Chickasha, Newcastle, Blanchard & Purcell Cities PUMA, OK, Southeast Oklahoma Counties--Durant, Ada, Atoka & Tishomingo Cities PUMA, OK, North Texas Regional Planning Commission--Outside Wichita County & Wise County PUMA, TX, and Texoma COG--Grayson, Cooke & Fannin Counties PUMA, TX.

United States Oklahoma Texas

Population & Diversity

South Central Oklahoma Counties--Ardmore, Duncan, Sulphur & Madill Cities PUMA, OK is home to a population of 121k people, from which 98.2% are citizens. As of 2022, 3.05% of South Central Oklahoma Counties--Ardmore, Duncan, Sulphur & Madill Cities PUMA, OK residents were born outside of the country (3.68k people).

In 2022, there were 8.56 times more White (Non-Hispanic) residents (87.2k people) in South Central Oklahoma Counties--Ardmore, Duncan, Sulphur & Madill Cities PUMA, OK than any other race or ethnicity. There were 10.2k Two+ (Non-Hispanic) and 7.08k American Indian & Alaska Native (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 South Central Oklahoma Counties--Ardmore, Duncan, Sulphur & Madill Cities PUMA, OK are Spanish (5,796 households), Other Native Languages of North America (309 households), and German (264 households).

Citizenship

98.2%

2022 Citizenship

97.8%

2021 Citizenship

As of 2022, 98.2% of South Central Oklahoma Counties--Ardmore, Duncan, Sulphur & Madill Cities PUMA, OK residents were US citizens, which is higher than the national average of 93.5%. In 2021, the percentage of US citizens in South Central Oklahoma Counties--Ardmore, Duncan, Sulphur & Madill Cities PUMA, OK was 97.8%, meaning that the rate of citizenship has been increasing.

The following chart shows US citizenship percentages in South Central Oklahoma Counties--Ardmore, Duncan, Sulphur & Madill Cities PUMA, OK compared to that of it's neighboring and parent geographies.

Diversity

Race and Ethnicity

The 3 largest ethnic groups in South Central Oklahoma Counties--Ardmore, Duncan, Sulphur & Madill Cities PUMA, OK

White (Non-Hispanic)
87.2k ± 228
Two+ (Non-Hispanic)
10.2k ± 607
American Indian & Alaska Native (Non-Hispanic)
7.08k ± 478

9.2%

Hispanic Population

11.1k people

9.2% of the people in South Central Oklahoma Counties--Ardmore, Duncan, Sulphur & Madill Cities PUMA, OK are hispanic (11.1k people).

The following chart shows the 7 races represented in South Central Oklahoma Counties--Ardmore, Duncan, Sulphur & Madill Cities PUMA, OK as a share of the total population.

Foreign-Born Population

3.05%

2022 Foreign-Born Population

3.68k people

3.55%

2021 Foreign-Born Population

7.54k people

As of 2022, 3.05% of South Central Oklahoma Counties--Ardmore, Duncan, Sulphur & Madill Cities PUMA, OK residents (3.68k 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 South Central Oklahoma Counties--Ardmore, Duncan, Sulphur & Madill Cities PUMA, OK was 3.55%, meaning that the rate has been decreasing.

The following chart shows the percentage of foreign-born residents in South Central Oklahoma Counties--Ardmore, Duncan, Sulphur & Madill Cities PUMA, OK compared to that of it's neighboring and parent geographies.

Non-English Households

Most Common Non-English Languages

Spanish
5,796 households (5.11%)
Other Native Languages of North America
309 households (0.273%)
German
264 households (0.233%)

6.97% of the households in South Central Oklahoma Counties--Ardmore, Duncan, Sulphur & Madill Cities PUMA, OK 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 South Central Oklahoma Counties--Ardmore, Duncan, Sulphur & Madill Cities PUMA, OK was Spanish. 5.11% of the households in South Central Oklahoma Counties--Ardmore, Duncan, Sulphur & Madill Cities PUMA, OK reported speaking Spanish at home as the primary shared language between all members living in the household.

Military

Veterans

Most Common Service Period

Vietnam
2,981 ± 267
Gulf War (2001-)
1,931 ± 254
Gulf War (1990s)
1,046 ± 157

South Central Oklahoma Counties--Ardmore, Duncan, Sulphur & Madill Cities PUMA, OK has a large population of military personnel who served in Vietnam, 1.54 times greater than any other conflict.

Economy

The economy of South Central Oklahoma Counties--Ardmore, Duncan, Sulphur & Madill Cities PUMA, OK employs 48.9k people. The largest industries in South Central Oklahoma Counties--Ardmore, Duncan, Sulphur & Madill Cities PUMA, OK are Elementary & secondary schools (3,772 people), Construction (3,088 people), and Support activities for mining (2,497 people), and the highest paying industries are Petroleum refining ($111,030), Natural gas distribution ($106,342), and National security & international affairs ($96,802).

Employment

Workforce Diversity

Measure

RACE/ETHNICITY

38,024

Women

45.9%

44,731

Men

54.1%

The workforce of South Central Oklahoma Counties--Ardmore, Duncan, Sulphur & Madill Cities PUMA, OK in 2020 was 82,755 people, with 45.9% woman, and 54.1% men.

The visualization shows the distribution of the workforce by gender and age in South Central Oklahoma Counties--Ardmore, Duncan, Sulphur & Madill Cities PUMA, OK.

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

Occupations

48.9k

2022 Value

−39.8%

1 Year decline

± −39.8%

From 2021 to 2022, employment in South Central Oklahoma Counties--Ardmore, Duncan, Sulphur & Madill Cities PUMA, OK declined at a rate of −39.8%, from 81.3k employees to 48.9k employees.

The most common job groups, by number of people living in South Central Oklahoma Counties--Ardmore, Duncan, Sulphur & Madill Cities PUMA, OK, are Driver/sales workers & truck drivers (1,489 people), Elementary & middle school teachers (1,202 people), and Other managers (1,195 people). This chart illustrates the share breakdown of the primary jobs held by residents of South Central Oklahoma Counties--Ardmore, Duncan, Sulphur & Madill Cities PUMA, OK.

Unemployment Insurance Claims

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

This chart shows weekly unemployment insurance claims in Oklahoma (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

48.9k

2022 Value

−39.8%

1 Year decline

± −39.8%

From 2021 to 2022, employment in South Central Oklahoma Counties--Ardmore, Duncan, Sulphur & Madill Cities PUMA, OK declined at a rate of −39.8%, from 81.3k employees to 48.9k employees.

The most common employment sectors for those who live in South Central Oklahoma Counties--Ardmore, Duncan, Sulphur & Madill Cities PUMA, OK, are Elementary & secondary schools (3,772 people), Construction (3,088 people), and Support activities for mining (2,497 people). This chart shows the share breakdown of the primary industries for residents of South Central Oklahoma Counties--Ardmore, Duncan, Sulphur & Madill Cities PUMA, OK, though some of these residents may live in South Central Oklahoma Counties--Ardmore, Duncan, Sulphur & Madill Cities PUMA, OK and work somewhere else. Census data is tagged to a residential address, not a work address.

Median Earnings by Industry

$47,447

Median earning men ± $1,686

$30,835

Median earning women ± $1,154

The industries with the best median earnings for men in 2022 are Finance & Insurance, & Real Estate & Rental & Leasing ($63,750), Transportation & Warehousing, & Utilities ($61,981), and Agriculture, Forestry, Fishing & Hunting, & Mining ($61,752).

The industries with the best median earnings for women in 2022 are Public Administration ($43,475), Wholesale Trade ($42,198), and Manufacturing ($38,295).

Employment by Industry Sector

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

Y-Axis

2.57%

Year-over-year growth

Employment change between February 2022 and February 2023

As of February 2023, there are 1.72M people employed in Oklahoma. This represents a 2.57% 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 10%.

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

Civics

In the 2020 presidential election, the popular vote in Oklahoma went to Donald J. Trump with 65.4% of the vote. The runner-up was Joseph R Biden Jr. (32.3%), followed by Jo Jorgensen (1.58%).

James Lankford and Markwayne Mullin are the senators currently representing the state of Oklahoma. In the United States, senators are elected to 6-year terms with the terms for individual senators staggered.

Oklahoma is currently represented by 5 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 South Central Oklahoma Counties--Ardmore, Duncan, Sulphur & Madill Cities PUMA, OK. Showing the available data for Oklahoma.

2020 Election Results

Donald J. Trump (65.4%)
Republican Party
Joseph R Biden Jr. (32.3%)
Democratic Party
Jo Jorgensen (1.58%)
Libertarian Party

In the 2020 presidential election, the popular vote in Oklahoma went to Donald J. Trump with 65.4% of the vote. The runner-up was Joseph R Biden Jr. (32.3%), followed by Jo Jorgensen (1.58%).

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

Senator Elections

US Senators from Oklahoma

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

James Lankford

Senator from Oklahoma

Assumed office on January 3, 2015
Took office following the resignation of Tom Coburn.

Markwayne Mullin

Senator from Oklahoma

Assumed office on January 3, 2023
Took office following the resignation of Jim Inhofe.

James Lankford and Markwayne Mullin are the senators currently representing Oklahoma.

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

US Representative Elections

US Representatives from Oklahoma

Oklahoma is currently represented by 5 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 Oklahoma have changed over time starting in 2008.

Education

In 2022, universities in South Central Oklahoma Counties--Ardmore, Duncan, Sulphur & Madill Cities PUMA, OK awarded 671 degrees. The student population of South Central Oklahoma Counties--Ardmore, Duncan, Sulphur & Madill Cities PUMA, OK in 2022 is skewed towards men, with 588 male students and 524 female students.

Most students graduating from Universities in South Central Oklahoma Counties--Ardmore, Duncan, Sulphur & Madill Cities PUMA, OK are White (416 and 62%), followed by Two or More Races (79 and 11.8%), Hispanic or Latino (74 and 11%), and American Indian or Alaska Native (66 and 9.84%).

The largest universities in South Central Oklahoma Counties--Ardmore, Duncan, Sulphur & Madill Cities PUMA, OK by number of degrees awarded are Southern Oklahoma Technology Center (418 and 62.3%) and Red River Technology Center (253 and 37.7%).

The most popular majors in South Central Oklahoma Counties--Ardmore, Duncan, Sulphur & Madill Cities PUMA, OK are Nursing Assistant & Patient Care Assistant (96 and 14.3%), Licensed Practical & Vocational Nurse Training (54 and 8.05%), and Medical Assistant (48 and 7.15%).

Completions

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.

Working Population

Educational Pyramid

Measure

In 2022, 0.72% of men over 25 years of age had not completed any academic degree (no schooling), while 0.658% 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 South Central Oklahoma Counties--Ardmore, Duncan, Sulphur & Madill Cities PUMA, OK in 2022 were High School or Equivalent (37.5k), Some college (22.3k), and Secondary Education (16.1k).

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 South Central Oklahoma Counties--Ardmore, Duncan, Sulphur & Madill Cities PUMA, OK was $133,400 in 2022, which is 0.473 times smaller than the national average of $281,900. Between 2021 and 2022 the median property value increased from $230,600 to $133,400, a 42.2% decrease. The homeownership rate in South Central Oklahoma Counties--Ardmore, Duncan, Sulphur & Madill Cities PUMA, OK is 71.2%, which is approximately the same as the national average of 64.8%.

People in South Central Oklahoma Counties--Ardmore, Duncan, Sulphur & Madill Cities PUMA, OK have an average commute time of 21.9 minutes, and they drove alone to work. Car ownership in South Central Oklahoma Counties--Ardmore, Duncan, Sulphur & Madill Cities PUMA, OK is approximately the same as the national average, with an average of 2 cars per household.

Median household income in South Central Oklahoma Counties--Ardmore, Duncan, Sulphur & Madill Cities PUMA, OK is $56,741. In 2022, the PUMA with the highest Median Household Income in South Central Oklahoma Counties--Ardmore, Duncan, Sulphur & Madill Cities PUMA, OK was Oklahoma County (Northeast)--Edmond & North Oklahoma City PUMA, OK with a value of $88,704, followed by Canadian County--Yukon, Mustang, El Reno, West Oklahoma City & Piedmont Cities PUMA, OK and Tulsa County (Southeast)--SE Tulsa, Broken Arrow & Bixby Cities PUMA, OK, with respective values of $82,364 and $79,975.

Property

$133,400

Median Property Value 2022

±$4,387

$33,190

Median Property Taxes

±$987

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 South Central Oklahoma Counties--Ardmore, Duncan, Sulphur & Madill Cities PUMA, OK the largest share of households pay taxes in the < $800 range.

The chart underneath the paragraph shows the property taxes in South Central Oklahoma Counties--Ardmore, Duncan, Sulphur & Madill Cities PUMA, OK compared to it's parent and neighbor geographies.

Rent vs Own

71.2%

Homeownership

2022

66.9%

Homeowners with Mortgage

2022

In 2022, 71.2% of the housing units in South Central Oklahoma Counties--Ardmore, Duncan, Sulphur & Madill Cities PUMA, OK were occupied by their owner. This percentage declined from the previous year's rate of 72.5%.

This chart shows the percentage of owner in South Central Oklahoma Counties--Ardmore, Duncan, Sulphur & Madill Cities PUMA, OK 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 South Central Oklahoma Counties--Ardmore, Duncan, Sulphur & Madill Cities PUMA, OK was Oklahoma County (Northeast)--Edmond & North Oklahoma City PUMA, OK with a value of $88,704, followed by Canadian County--Yukon, Mustang, El Reno, West Oklahoma City & Piedmont Cities PUMA, OK and Tulsa County (Southeast)--SE Tulsa, Broken Arrow & Bixby Cities PUMA, OK, with respective values of $82,364 and $79,975.

The following map shows all of the PUMAs in South Central Oklahoma Counties--Ardmore, Duncan, Sulphur & Madill Cities PUMA, OK 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.

$56,741

Median Household Income

± $1,347

46.6k

Number of Households

± 1,190

In 2022, the median household income of the 46.6k households in South Central Oklahoma Counties--Ardmore, Duncan, Sulphur & Madill Cities PUMA, OK declined from $56,741 from the previous year's value of $105,930.

The following chart displays the households in South Central Oklahoma Counties--Ardmore, Duncan, Sulphur & Madill Cities PUMA, OK 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

0.412

2022 Wage GINI in South Central Oklahoma Counties--Ardmore, Duncan, Sulphur & Madill Cities PUMA, OK

0.4

2021 Wage GINI in South Central Oklahoma Counties--Ardmore, Duncan, Sulphur & Madill Cities PUMA, OK

In 2022, the income inequality in South Central Oklahoma Counties--Ardmore, Duncan, Sulphur & Madill Cities PUMA, OK was 0.412 according to the GINI calculation of the wage distribution. Income inequality had a 3.08% growth from 2021 to 2022, which means that wage distribution grew somewhat less even. The GINI for South Central Oklahoma Counties--Ardmore, Duncan, Sulphur & Madill Cities PUMA, OK was lower than than the national average of 0.478. In other words, wages are distributed more evenly in South Central Oklahoma Counties--Ardmore, Duncan, Sulphur & Madill Cities PUMA, OK in comparison to the national average.

This chart shows the number of workers in South Central Oklahoma Counties--Ardmore, Duncan, Sulphur & Madill Cities PUMA, OK across various wage buckets compared to the national average.

Transportation

Commuter Transportation

Most Common Commute in 2022

Drove Alone (81.9%)
Carpooled (11.4%)
Worked At Home (3.52%)

In 2022, 81.9% of workers in South Central Oklahoma Counties--Ardmore, Duncan, Sulphur & Madill Cities PUMA, OK drove alone to work, followed by those who carpooled to work (11.4%) and those who worked at home (3.52%).

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

21.9 minutes

Average Travel Time

Using averages, employees in South Central Oklahoma Counties--Ardmore, Duncan, Sulphur & Madill Cities PUMA, OK have a shorter commute time (21.9 minutes) than the normal US worker (26.7 minutes). Additionally, 3.07% of the workforce in South Central Oklahoma Counties--Ardmore, Duncan, Sulphur & Madill Cities PUMA, OK have "super commutes" in excess of 90 minutes.

The chart below shows how the median household income in South Central Oklahoma Counties--Ardmore, Duncan, Sulphur & Madill Cities PUMA, OK compares to that of it's neighboring and parent geographies.

Car Ownership

2 cars

Average Number

The following chart displays the households in South Central Oklahoma Counties--Ardmore, Duncan, Sulphur & Madill Cities PUMA, OK distributed between a series of car ownership buckets compared to the national averages for each bucket. The largest share of households in South Central Oklahoma Counties--Ardmore, Duncan, Sulphur & Madill Cities PUMA, OK have 2 cars.

Poverty

Poverty & Diversity

16.1% of the population for whom poverty status is determined in South Central Oklahoma Counties--Ardmore, Duncan, Sulphur & Madill Cities PUMA, OK (19k out of 118k 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 Females 25 - 34, followed by Females 55 - 64 and then Females 35 - 44.

The most common racial or ethnic group living below the poverty line in South Central Oklahoma Counties--Ardmore, Duncan, Sulphur & Madill Cities PUMA, OK is White, followed by Two Or More and Hispanic.

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

85.3% of the population of South Central Oklahoma Counties--Ardmore, Duncan, Sulphur & Madill Cities PUMA, OK has health coverage, with 37.7% on employee plans, 18.1% on Medicaid, 14.8% on Medicare, 12.3% on non-group plans, and 2.35% on military or VA plans.

Primary care physicians in Oklahoma see 1653 patients per year on average, which represents a 1.6% increase from the previous year (1627 patients). Compare this to dentists who see 1572 patients per year, and mental health providers who see 238 patients per year.

Coverage

Patient to Clinician Ratios

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

1,653 to 1

Patient to Primary Care Physician Ratio in Oklahoma

Primary care physicians in Oklahoma see an average of 1,653 patients per year. This represents a 1.6% increase from the previous year (1,627 patients).

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

Health Care Diversity

In 2022, insured persons according to age ranges were distributed in 25.7% under 18 years, 18.8% between 18 and 34 years, 37.4% between 35 and 64 years, and 18.2% over 64 years.

By gender, of the total number of insured persons, 48.3% were men and 51.7% were women.

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

Uninsured People

14.7%

Uninsured

37.7%

Employer Coverage

18.1%

Medicaid

14.8%

Medicare

12.3%

Non-Group

2.35%

Military or VA

Between 2021 and 2022, the percent of uninsured citizens in South Central Oklahoma Counties--Ardmore, Duncan, Sulphur & Madill Cities PUMA, OK declined by 3.57% from 15.3% to 14.7%.

The following chart shows how the percent of uninsured individuals in South Central Oklahoma Counties--Ardmore, Duncan, Sulphur & Madill Cities PUMA, OK changed over time compared with the percent of individuals enrolled in various types of health insurance.