Fresno County (Central)--Fresno City (Southeast) PUMA, CA

Public Use Microdata Area (PUMA)

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2023 Population

116,611

0.432% 1-year decline

US Senator

Alex Padilla

Democratic Party

US Senator

Adam Schiff

Democratic Party

2023 Median Age

0.977% 1-year increase

2023 Poverty Rate

22.5%

9.12% 1-year decrease

2023 Median Household Income

$63,835

10.4% 1-year growth

2023 Median Property Value

$312,600

8.69% 1-year growth

2022 Employed Population

43,821

4.59% 1-year growth

About

In 2023, Fresno County (Central)--Fresno City (Southeast) PUMA, CA had a population of 117k people with a median age of 31 and a median household income of $63,835. Between 2022 and 2023 the population of Fresno County (Central)--Fresno City (Southeast) PUMA, CA declined from 117,117 to 116,611, a −0.432% decrease and its median household income grew from $57,834 to $63,835, a 10.4% increase.

The 5 largest ethnic groups in Fresno County (Central)--Fresno City (Southeast) PUMA, CA are Other (Hispanic) (22%), Two+ (Hispanic) (20.9%), Asian (Non-Hispanic) (18.9%), White (Hispanic) (16.3%), and White (Non-Hispanic) (11.8%).

56.5% of the households in Fresno County (Central)--Fresno City (Southeast) PUMA, CA 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.

88.6% of the residents in Fresno County (Central)--Fresno City (Southeast) PUMA, CA are U.S. citizens.

The largest universities in Fresno County (Central)--Fresno City (Southeast) PUMA, CA are Fresno Pacific University (990 degrees awarded in 2022) and California Christian College (2 degrees).

In 2023, the median property value in Fresno County (Central)--Fresno City (Southeast) PUMA, CA was $312,600, and the homeownership rate was 54.7%.

Most people in Fresno County (Central)--Fresno City (Southeast) PUMA, CA drove alone to work, and the average commute time was 21.5 minutes. The average car ownership in Fresno County (Central)--Fresno City (Southeast) PUMA, CA was 2 cars per household.

Fresno County (Central)--Fresno City (Southeast) PUMA, CA borders Fresno County (West)--Selma, Kerman & Coalinga Cities PUMA, CA, Fresno County (Central)--Fresno City (East Central) PUMA, CA, Fresno County (Central)--Fresno City (Southwest) PUMA, CA, and Fresno County (Central)--Clovis City PUMA, CA.

United States California

Population & Diversity

Fresno County (Central)--Fresno City (Southeast) PUMA, CA is home to a population of 117k people, from which 88.6% are citizens. As of 2023, 24.6% of Fresno County (Central)--Fresno City (Southeast) PUMA, CA residents were born outside of the country (28.7k people).

In 2023, there were 1.05 times more Other (Hispanic) residents (25.7k people) in Fresno County (Central)--Fresno City (Southeast) PUMA, CA than any other race or ethnicity. There were 24.4k Two+ (Hispanic) and 22.1k Asian (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 Fresno County (Central)--Fresno City (Southeast) PUMA, CA are Spanish (44,264 households), Hmong (7,865 households), and Punjabi (3,016 households).

Population & Diversity

Residents by Gender and Age

RACE/ETHNICITY

58,385

Women

49.7%

58,993

Men

50.3%

The resident population of United States in 2022 was 117,378 inhabitants, with 50.3% men, and 49.7% 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

88.6%

2023 Citizenship

88.4%

2022 Citizenship

As of 2023, 88.6% of Fresno County (Central)--Fresno City (Southeast) PUMA, CA residents were US citizens, which is lower than the national average of 93.4%. In 2022, the percentage of US citizens in Fresno County (Central)--Fresno City (Southeast) PUMA, CA was 88.4%, meaning that the rate of citizenship has been increasing.

The following chart shows US citizenship percentages in Fresno County (Central)--Fresno City (Southeast) PUMA, CA compared to that of it's neighboring and parent geographies.

Diversity

Race and Ethnicity

The 3 largest ethnic groups in Fresno County (Central)--Fresno City (Southeast) PUMA, CA

Other (Hispanic)
25.7k ± 2.33k
Two+ (Hispanic)
24.4k ± 2.61k
Asian (Non-Hispanic)
22.1k ± 1.9k

61.3%

Hispanic Population

71.5k people

61.3% of the people in Fresno County (Central)--Fresno City (Southeast) PUMA, CA are hispanic (71.5k people).

The following chart shows the 7 races represented in Fresno County (Central)--Fresno City (Southeast) PUMA, CA as a share of the total population.

Global Diversity

Most Common Origin

Mexico
18,585 ± 3,071 people
Laos
2,773 ± 1,277 people
India
2,518 ± 1,219 people

In 2022, the most common birthplace for the foreign-born residents of Fresno County (Central)--Fresno City (Southeast) PUMA, CA was Mexico, the natal country of 18,585 Fresno County (Central)--Fresno City (Southeast) PUMA, CA residents, followed by Laos with 2,773 and India with 2,518.

Foreign-Born Population

24.6%

2023 Foreign-Born Population

28.7k people

24.8%

2022 Foreign-Born Population

29.1k people

As of 2023, 24.6% of Fresno County (Central)--Fresno City (Southeast) PUMA, CA residents (28.7k people) were born outside of the United States, which is higher than the national average of 13.8%. In 2022, the percentage of foreign-born citizens in Fresno County (Central)--Fresno City (Southeast) PUMA, CA was 24.8%, meaning that the rate has been decreasing.

The following chart shows the percentage of foreign-born residents in Fresno County (Central)--Fresno City (Southeast) PUMA, CA compared to that of it's neighboring and parent geographies.

Non-English Households

Most Common Non-English Languages

Spanish
44,264 households (41%)
Hmong
7,865 households (7.29%)
Punjabi
3,016 households (2.79%)

56.5% of the households in Fresno County (Central)--Fresno City (Southeast) PUMA, CA reported speaking a non-English language at home as their primary shared language, which is higher than the national average of 22%. 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 2023, the most common non-English language spoken in households in Fresno County (Central)--Fresno City (Southeast) PUMA, CA was Spanish. 41% of the households in Fresno County (Central)--Fresno City (Southeast) PUMA, CA reported speaking Spanish at home as the primary shared language between all members living in the household.

Military

Veterans

Most Common Service Period

Gulf War (2001-)
1,113 ± 281
Vietnam
782 ± 162
Gulf War (1990s)
460 ± 195

Fresno County (Central)--Fresno City (Southeast) PUMA, CA has a large population of military personnel who served in Gulf War (2001-), 1.42 times greater than any other conflict.

Economy

The economy of Fresno County (Central)--Fresno City (Southeast) PUMA, CA employs 43.8k people. The largest industries in Fresno County (Central)--Fresno City (Southeast) PUMA, CA are Construction (3,136 people), Restaurants & Food Services (3,074 people), and Elementary & secondary schools (2,172 people), and the highest paying industries are Miscellaneous wood products ($104,481), Air transportation ($96,515), and Electronic component & product manufacturing, n.e.c. ($92,517).

Males in Fresno County (Central)--Fresno City (Southeast) PUMA, CA have an average income that is 1.19 times higher than the average income of females, which is $48,654. The income inequality in Fresno County (Central)--Fresno City (Southeast) PUMA, CA (measured using the Gini index) is 0.45, which is lower than than the national average.

Employment

Workforce Diversity

Measure

RACE/ETHNICITY

17,994

Women

44.6%

22,362

Men

55.4%

The workforce of Fresno County (Central)--Fresno City (Southeast) PUMA, CA in 2020 was 40,356 people, with 44.6% woman, and 55.4% men.

The visualization shows the distribution of the workforce by gender and age in Fresno County (Central)--Fresno City (Southeast) PUMA, CA.

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

Occupations

43.8k

2022 Value

4.59%

1 Year growth

± 4.59%

From 2021 to 2022, employment in Fresno County (Central)--Fresno City (Southeast) PUMA, CA grew at a rate of 4.59%, from 41.9k employees to 43.8k employees.

The most common job groups, by number of people living in Fresno County (Central)--Fresno City (Southeast) PUMA, CA, are Miscellaneous agricultural workers, including animal breeders (2,570 people), Personal care aides (1,855 people), and Driver/sales workers & truck drivers (1,249 people). This chart illustrates the share breakdown of the primary jobs held by residents of Fresno County (Central)--Fresno City (Southeast) PUMA, CA.

Unemployment Insurance Claims

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

This chart shows weekly unemployment insurance claims in California (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

43.8k

2022 Value

4.59%

1 Year growth

± 4.59%

From 2021 to 2022, employment in Fresno County (Central)--Fresno City (Southeast) PUMA, CA grew at a rate of 4.59%, from 41.9k employees to 43.8k employees.

The most common employment sectors for those who live in Fresno County (Central)--Fresno City (Southeast) PUMA, CA, are Construction (3,136 people), Restaurants & Food Services (3,074 people), and Elementary & secondary schools (2,172 people). This chart shows the share breakdown of the primary industries for residents of Fresno County (Central)--Fresno City (Southeast) PUMA, CA, though some of these residents may live in Fresno County (Central)--Fresno City (Southeast) PUMA, CA and work somewhere else. Census data is tagged to a residential address, not a work address.

Median Earnings by Industry

$41,117

Median earning men ± $1,409

$31,393

Median earning women ± $1,360

The industries with the best median earnings for men in 2023 are Information ($78,678), Public Administration ($61,673), and Wholesale Trade ($53,367).

The industries with the best median earnings for women in 2023 are Information ($90,375), Finance & Insurance, & Real Estate & Rental & Leasing ($48,443), and Construction ($45,833).

Employment by Industry Sector

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

Y-Axis

2.57%

Year-over-year growth

Employment change between February 2022 and February 2023

As of February 2023, there are 17.9M people employed in California. 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 14%.

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

Civics

In the 2024 presidential election, the popular vote in California went to Kamala Harris with 58.5% of the vote. The runner-up was Donald J. Trump (38.3%), followed by Robert Kennedy (1.25%).

Alex Padilla and Adam Schiff are the senators currently representing the state of California. In the United States, senators are elected to 6-year terms with the terms for individual senators staggered.

California is currently represented by 52 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 Fresno County (Central)--Fresno City (Southeast) PUMA, CA. Showing the available data for California.

2024 Election Results

Kamala Harris (58.5%)
Democratic Party
Donald J. Trump (38.3%)
Republican Party
Robert Kennedy (1.25%)
Independent Party

In the 2024 presidential election, the popular vote in California went to Kamala Harris with 58.5% of the vote. The runner-up was Donald J. Trump (38.3%), followed by Robert Kennedy (1.25%).

The following chart shows the popular vote results in California for each registered party from 1976 to 2024.

Senator Elections

US Senators from California

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

Alex Padilla

Senator from California

Assumed office on January 20, 2021
Appointed to the seat following the resignation of Kamala Harris, who had become Vice President of the United States.

Adam Schiff

Senator from California

Assumed office on December 8, 2024
Elected to the seat to succeed Laphonza Butler, who had been appointed to the seat following the death of Dianne Feinstein.

Alex Padilla and Adam Schiff are the senators currently representing California.

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

US Representative Elections

US Representatives from California

California is currently represented by 52 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 California have changed over time starting in 2008.

Education

In 2022, universities in Fresno County (Central)--Fresno City (Southeast) PUMA, CA awarded 992 degrees. The student population of Fresno County (Central)--Fresno City (Southeast) PUMA, CA in 2022 is skewed towards women, with 792 male students and 2,253 female students.

Most students graduating from Universities in Fresno County (Central)--Fresno City (Southeast) PUMA, CA are Hispanic or Latino (559 and 57.6%), followed by White (261 and 26.9%), Asian (53 and 5.46%), and Black or African American (45 and 4.63%).

The largest universities in Fresno County (Central)--Fresno City (Southeast) PUMA, CA by number of degrees awarded are Fresno Pacific University (990 and 99.8%) and California Christian College (2 and 0.202%).

The most popular majors in Fresno County (Central)--Fresno City (Southeast) PUMA, CA are General Science Teacher Education (98 and 9.88%), Child Development (98 and 9.88%), and Elementary Education & Teaching (96 and 9.68%).

The median tuition cost in Fresno County (Central)--Fresno City (Southeast) PUMA, CA for private four year colleges is $21,907.

Admissions & Enrollments

Applicants, Admissions & Enrolled

University

Measure

In 2022 in Fresno County (Central)--Fresno City (Southeast) PUMA, CA, the percentage of applicants admitted was 75%, while the percentage of admitted who enrolled was 25%. The number of students enrolled in 2022 was 3,045 (26% men and 74% 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 3,045 students enrolled in Fresno County (Central)--Fresno City (Southeast) PUMA, CA, 26% men and 74% women.

By race, the largest number of students enrolled was concentrated in Hispanic or Latino with 1,745 records, of which 77.9% were women and 22.1% men.

Completions

Concentrations

Most Common

General Science Teacher Education
98 degrees awarded
Child Development
98 degrees awarded
Elementary Education & Teaching
86 degrees awarded

In 2022, the most common concentation for Bachelors Degree recipients in Fresno County (Central)--Fresno City (Southeast) PUMA, CA was General Science Teacher Education with 98 degrees awarded.

This visualization illustrates the percentage of students graduating with a Bachelors Degree from schools in Fresno County (Central)--Fresno City (Southeast) PUMA, CA according to their major.

Universities

Gender

Race

Largest Universities by degrees awarded

Fresno Pacific University
990 degrees awarded
California Christian College
2 degrees awarded

In 2022, the institution with the largest number of graduating students was Fresno Pacific University with 990 degrees awarded.

Student Diversity

University

In 2022, 246 men were awarded degrees from institutions in Fresno County (Central)--Fresno City (Southeast) PUMA, CA, which is 0.33 times less than the 746 female students who received degrees in the same year.

In 2022 the most common race/ethnicity group awarded degrees at institutions was Hispanic or Latino students. These 559 degrees mean that there were 2.14 times more degrees awarded to Hispanic or Latino students then the next closest race/ethnicity group, White, with 261 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 ($21,907) is the sector with the highest median state tuition in 2022.

Private not-for-profit, 4-year or above ($632) is the sector with the highest median state fee in 2022.

Private not-for-profit, 4-year or above ($890) 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, 4.32% of men over 25 years of age had not completed any academic degree (no schooling), while 4.78% 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 Fresno County (Central)--Fresno City (Southeast) PUMA, CA in 2022 were High School or Equivalent (22.8k), Primary Education (20.5k), and Some college (19.5k).

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 Fresno County (Central)--Fresno City (Southeast) PUMA, CA was $312,600 in 2023, which is 1.03 times larger than the national average of $303,400. Between 2022 and 2023 the median property value increased from $287,600 to $312,600, a 8.69% increase. The homeownership rate in Fresno County (Central)--Fresno City (Southeast) PUMA, CA is 54.7%, which is approximately the same as the national average of 65%.

People in Fresno County (Central)--Fresno City (Southeast) PUMA, CA have an average commute time of 21.5 minutes, and they drove alone to work. Car ownership in Fresno County (Central)--Fresno City (Southeast) PUMA, CA is approximately the same as the national average, with an average of 2 cars per household.

Median household income in Fresno County (Central)--Fresno City (Southeast) PUMA, CA is $63,835. In 2023, the PUMA with the highest Median Household Income in Fresno County (Central)--Fresno City (Southeast) PUMA, CA was Santa Clara County (Southwest)--Cupertino, Saratoga Cities & Los Gatos Town PUMA, CA with a value of $229,111, followed by Santa Clara County (Northwest)--Palo Alto City & Los Altos Hills Town PUMA, CA and Contra Costa County (South)--San Ramon City & Danville Town PUMA, CA, with respective values of $210,275 and $208,750.

Housing

Property

$312,600

Median Property Value 2023

±$10,775

$17,789

Median Property Taxes

±$1,133

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 Fresno County (Central)--Fresno City (Southeast) PUMA, CA the largest share of households pay taxes in the $3k+ range.

The chart underneath the paragraph shows the property taxes in Fresno County (Central)--Fresno City (Southeast) PUMA, CA compared to it's parent and neighbor geographies.

Rent vs Own

54.7%

Homeownership

2023

71.3%

Homeowners with Mortgage

2023

In 2023, 54.7% of the housing units in Fresno County (Central)--Fresno City (Southeast) PUMA, CA were occupied by their owner. This percentage grew from the previous year's rate of 51.6%.

This chart shows the percentage of owner in Fresno County (Central)--Fresno City (Southeast) PUMA, CA 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 2023, the PUMA with the highest Median Household Income (Total) in Fresno County (Central)--Fresno City (Southeast) PUMA, CA was Santa Clara County (Southwest)--Cupertino, Saratoga Cities & Los Gatos Town PUMA, CA with a value of $229,111, followed by Santa Clara County (Northwest)--Palo Alto City & Los Altos Hills Town PUMA, CA and Contra Costa County (South)--San Ramon City & Danville Town PUMA, CA, with respective values of $210,275 and $208,750.

The following map shows all of the PUMAs in Fresno County (Central)--Fresno City (Southeast) PUMA, CA 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.

$63,835

Median Household Income

± $3,149

32.5k

Number of Households

± 1,439

In 2023, the median household income of the 32.5k households in Fresno County (Central)--Fresno City (Southeast) PUMA, CA grew to $63,835 from the previous year's value of $57,834.

The following chart displays the households in Fresno County (Central)--Fresno City (Southeast) PUMA, CA 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

0.45

2022 Wage GINI in Fresno County (Central)--Fresno City (Southeast) PUMA, CA

0.446

2021 Wage GINI in Fresno County (Central)--Fresno City (Southeast) PUMA, CA

In 2022, the income inequality in Fresno County (Central)--Fresno City (Southeast) PUMA, CA was 0.45 according to the GINI calculation of the wage distribution. Income inequality had a 0.865% growth from 2021 to 2022, which means that wage distribution grew somewhat less even. The GINI for Fresno County (Central)--Fresno City (Southeast) PUMA, CA was lower than than the national average of 0.478. In other words, wages are distributed more evenly in Fresno County (Central)--Fresno City (Southeast) PUMA, CA in comparison to the national average.

This chart shows the number of workers in Fresno County (Central)--Fresno City (Southeast) PUMA, CA across various wage buckets compared to the national average.

Transportation

Commuter Transportation

Most Common Commute in 2023

Drove Alone (70.9%)
Carpooled (14.7%)
Worked At Home (8.95%)

In 2023, 70.9% of workers in Fresno County (Central)--Fresno City (Southeast) PUMA, CA drove alone to work, followed by those who carpooled to work (14.7%) and those who worked at home (8.95%).

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

21.5 minutes

Average Travel Time

Using averages, employees in Fresno County (Central)--Fresno City (Southeast) PUMA, CA have a shorter commute time (21.5 minutes) than the normal US worker (26.6 minutes). Additionally, 1.12% of the workforce in Fresno County (Central)--Fresno City (Southeast) PUMA, CA have "super commutes" in excess of 90 minutes.

The chart below shows how the median household income in Fresno County (Central)--Fresno City (Southeast) PUMA, CA compares to that of it's neighboring and parent geographies.

Car Ownership

2 cars

Average Number

The following chart displays the households in Fresno County (Central)--Fresno City (Southeast) PUMA, CA distributed between a series of car ownership buckets compared to the national averages for each bucket. The largest share of households in Fresno County (Central)--Fresno City (Southeast) PUMA, CA have 2 cars.

Poverty

Poverty & Diversity

22.5% of the population for whom poverty status is determined in Fresno County (Central)--Fresno City (Southeast) PUMA, CA (25.9k out of 115k people) live below the poverty line, a number that is higher than the national average of 12.4%. The largest demographic living in poverty are Males 6 - 11, followed by Females 25 - 34 and then Females 6 - 11.

The most common racial or ethnic group living below the poverty line in Fresno County (Central)--Fresno City (Southeast) PUMA, CA is Hispanic, followed by Other and White.

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

91.4% of the population of Fresno County (Central)--Fresno City (Southeast) PUMA, CA has health coverage, with 31.1% on employee plans, 42.1% on Medicaid, 4.89% on Medicare, 12.3% on non-group plans, and 0.99% on military or VA plans.

Primary care physicians in California see 1234 patients per year on average, which represents a 0.484% decrease from the previous year (1240 patients). Compare this to dentists who see 1102 patients per year, and mental health providers who see 236 patients per year.

Coverage

Patient to Clinician Ratios

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

1,234 to 1

Patient to Primary Care Physician Ratio in California

Primary care physicians in California see an average of 1,234 patients per year. This represents a 0.484% decrease from the previous year (1,240 patients).

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

Health Care Diversity

In 2023, insured persons according to age ranges were distributed in 32.8% under 18 years, 23.9% between 18 and 34 years, 33.5% between 35 and 64 years, and 9.75% 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

8.6%

Uninsured

31.1%

Employer Coverage

42.1%

Medicaid

4.89%

Medicare

12.3%

Non-Group

0.99%

Military or VA

Between 2022 and 2023, the percent of uninsured citizens in Fresno County (Central)--Fresno City (Southeast) PUMA, CA grew by 2.36% from 8.4% to 8.6%.

The following chart shows how the percent of uninsured individuals in Fresno County (Central)--Fresno City (Southeast) PUMA, CA changed over time compared with the percent of individuals enrolled in various types of health insurance.