Orange County (Southwest)--San Clemente, Laguna Niguel & San Juan Capistrano Cities PUMA, CA

Public Use Microdata Area (PUMA)

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2023 Population

186,073

0.481% 1-year decline

US Senator

Alex Padilla

Democratic Party

US Senator

Adam Schiff

Democratic Party

2023 Median Age

46.9

1.08% 1-year increase

2023 Poverty Rate

6.46%

7.34% 1-year decrease

2023 Median Household Income

$133,758

3.45% 1-year growth

2023 Median Property Value

$1.14M

5.54% 1-year growth

2022 Employed Population

82,830

1.1% 1-year growth

About

In 2023, Orange County (Southwest)--San Clemente, Laguna Niguel & San Juan Capistrano Cities PUMA, CA had a population of 186k people with a median age of 46.9 and a median household income of $133,758. Between 2022 and 2023 the population of Orange County (Southwest)--San Clemente, Laguna Niguel & San Juan Capistrano Cities PUMA, CA declined from 186,972 to 186,073, a −0.481% decrease and its median household income grew from $129,301 to $133,758, a 3.45% increase.

The 5 largest ethnic groups in Orange County (Southwest)--San Clemente, Laguna Niguel & San Juan Capistrano Cities PUMA, CA are White (Non-Hispanic) (66.2%), Two+ (Hispanic) (8.3%), Asian (Non-Hispanic) (6.48%), Other (Hispanic) (6.14%), and Two+ (Non-Hispanic) (5.27%).

23.7% of the households in Orange County (Southwest)--San Clemente, Laguna Niguel & San Juan Capistrano Cities 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.

94.8% of the residents in Orange County (Southwest)--San Clemente, Laguna Niguel & San Juan Capistrano Cities PUMA, CA are U.S. citizens.

In 2023, the median property value in Orange County (Southwest)--San Clemente, Laguna Niguel & San Juan Capistrano Cities PUMA, CA was $1.14M, and the homeownership rate was 67%.

Most people in Orange County (Southwest)--San Clemente, Laguna Niguel & San Juan Capistrano Cities PUMA, CA drove alone to work, and the average commute time was 27.9 minutes. The average car ownership in Orange County (Southwest)--San Clemente, Laguna Niguel & San Juan Capistrano Cities PUMA, CA was 2 cars per household.

Orange County (Southwest)--San Clemente, Laguna Niguel & San Juan Capistrano Cities PUMA, CA borders Orange County (Northwest)--Huntington Beach City PUMA, CA, Orange County (West Central)--Newport Beach, Aliso Viejo & Laguna Woods Cities PUMA, CA, Orange County (South Central)--Mission Viejo and Laguna Hills Cities PUMA, CA, Orange County (Southeast)--Rancho Santa Margarita City & Ladera Ranch PUMA, CA, San Diego County (Northwest)--Oceanside City & Camp Pendleton PUMA, CA, and San Diego County (West)--San Diego City (Southwest/Central Coastal) PUMA, CA.

United States California

Population & Diversity

Orange County (Southwest)--San Clemente, Laguna Niguel & San Juan Capistrano Cities PUMA, CA is home to a population of 186k people, from which 94.8% are citizens. As of 2023, 17.3% of Orange County (Southwest)--San Clemente, Laguna Niguel & San Juan Capistrano Cities PUMA, CA residents were born outside of the country (32.3k people).

In 2023, there were 7.98 times more White (Non-Hispanic) residents (123k people) in Orange County (Southwest)--San Clemente, Laguna Niguel & San Juan Capistrano Cities PUMA, CA than any other race or ethnicity. There were 15.4k Two+ (Hispanic) and 12.1k 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 Orange County (Southwest)--San Clemente, Laguna Niguel & San Juan Capistrano Cities PUMA, CA are Spanish (23,667 households), Persian (Incl. Farsi, Dari) (4,504 households), and Chinese (Incl. Mandarin, Cantonese) (1,814 households).

Population & Diversity

Residents by Gender and Age

RACE/ETHNICITY

93,199

Women

50.9%

89,934

Men

49.1%

The resident population of United States in 2022 was 183,133 inhabitants, with 49.1% men, and 50.9% 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

94.8%

2023 Citizenship

94.2%

2022 Citizenship

As of 2023, 94.8% of Orange County (Southwest)--San Clemente, Laguna Niguel & San Juan Capistrano Cities PUMA, CA residents were US citizens, which is higher than the national average of 93.4%. In 2022, the percentage of US citizens in Orange County (Southwest)--San Clemente, Laguna Niguel & San Juan Capistrano Cities PUMA, CA was 94.2%, meaning that the rate of citizenship has been increasing.

The following chart shows US citizenship percentages in Orange County (Southwest)--San Clemente, Laguna Niguel & San Juan Capistrano Cities PUMA, CA compared to that of it's neighboring and parent geographies.

Diversity

Race and Ethnicity

The 3 largest ethnic groups in Orange County (Southwest)--San Clemente, Laguna Niguel & San Juan Capistrano Cities PUMA, CA

White (Non-Hispanic)
123k ± 2.86k
Two+ (Hispanic)
15.4k ± 1.8k
Asian (Non-Hispanic)
12.1k ± 1.53k

19.9%

Hispanic Population

37.1k people

19.9% of the people in Orange County (Southwest)--San Clemente, Laguna Niguel & San Juan Capistrano Cities PUMA, CA are hispanic (37.1k people).

The following chart shows the 7 races represented in Orange County (Southwest)--San Clemente, Laguna Niguel & San Juan Capistrano Cities PUMA, CA as a share of the total population.

Global Diversity

Most Common Origin

Mexico
9,609 ± 2,343 people
Iran
4,019 ± 1,539 people
Philippines
1,754 ± 1,023 people

In 2022, the most common birthplace for the foreign-born residents of Orange County (Southwest)--San Clemente, Laguna Niguel & San Juan Capistrano Cities PUMA, CA was Mexico, the natal country of 9,609 Orange County (Southwest)--San Clemente, Laguna Niguel & San Juan Capistrano Cities PUMA, CA residents, followed by Iran with 4,019 and Philippines with 1,754.

Foreign-Born Population

17.3%

2023 Foreign-Born Population

32.3k people

17.6%

2022 Foreign-Born Population

32.8k people

As of 2023, 17.3% of Orange County (Southwest)--San Clemente, Laguna Niguel & San Juan Capistrano Cities PUMA, CA residents (32.3k 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 Orange County (Southwest)--San Clemente, Laguna Niguel & San Juan Capistrano Cities PUMA, CA was 17.6%, meaning that the rate has been decreasing.

The following chart shows the percentage of foreign-born residents in Orange County (Southwest)--San Clemente, Laguna Niguel & San Juan Capistrano Cities PUMA, CA compared to that of it's neighboring and parent geographies.

Non-English Households

Most Common Non-English Languages

Spanish
23,667 households (13.3%)
Persian (Incl. Farsi, Dari)
4,504 households (2.53%)
Chinese (Incl. Mandarin, Cantonese)
1,814 households (1.02%)

23.7% of the households in Orange County (Southwest)--San Clemente, Laguna Niguel & San Juan Capistrano Cities 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 Orange County (Southwest)--San Clemente, Laguna Niguel & San Juan Capistrano Cities PUMA, CA was Spanish. 13.3% of the households in Orange County (Southwest)--San Clemente, Laguna Niguel & San Juan Capistrano Cities 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

Vietnam
2,726 ± 348
Gulf War (2001-)
1,186 ± 373
Gulf War (1990s)
991 ± 314

Orange County (Southwest)--San Clemente, Laguna Niguel & San Juan Capistrano Cities PUMA, CA has a large population of military personnel who served in Vietnam, 2.3 times greater than any other conflict.

Economy

The economy of Orange County (Southwest)--San Clemente, Laguna Niguel & San Juan Capistrano Cities PUMA, CA employs 82.8k people. The largest industries in Orange County (Southwest)--San Clemente, Laguna Niguel & San Juan Capistrano Cities PUMA, CA are Restaurants & Food Services (5,282 people), Elementary & secondary schools (5,106 people), and Construction (4,238 people), and the highest paying industries are Miscellaneous durable goods merchant wholesalers ($298,836), Miscellaneous manufacturing, n.e.c. ($276,480), and Offices of dentists ($257,596).

Males in Orange County (Southwest)--San Clemente, Laguna Niguel & San Juan Capistrano Cities PUMA, CA have an average income that is 1.5 times higher than the average income of females, which is $95,990. The income inequality in Orange County (Southwest)--San Clemente, Laguna Niguel & San Juan Capistrano Cities PUMA, CA (measured using the Gini index) is 0.518, which is higher than than the national average.

Employment

Workforce Diversity

Measure

RACE/ETHNICITY

37,272

Women

45.9%

43,881

Men

54.1%

The workforce of Orange County (Southwest)--San Clemente, Laguna Niguel & San Juan Capistrano Cities PUMA, CA in 2020 was 81,153 people, with 45.9% woman, and 54.1% men.

The visualization shows the distribution of the workforce by gender and age in Orange County (Southwest)--San Clemente, Laguna Niguel & San Juan Capistrano Cities PUMA, CA.

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

Occupations

82.8k

2022 Value

1.1%

1 Year growth

± 1.1%

From 2021 to 2022, employment in Orange County (Southwest)--San Clemente, Laguna Niguel & San Juan Capistrano Cities PUMA, CA grew at a rate of 1.1%, from 81.9k employees to 82.8k employees.

The most common job groups, by number of people living in Orange County (Southwest)--San Clemente, Laguna Niguel & San Juan Capistrano Cities PUMA, CA, are Other managers (2,805 people), Chief executives & legislators (2,576 people), and Retail salespersons (2,290 people). This chart illustrates the share breakdown of the primary jobs held by residents of Orange County (Southwest)--San Clemente, Laguna Niguel & San Juan Capistrano Cities 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

82.8k

2022 Value

1.1%

1 Year growth

± 1.1%

From 2021 to 2022, employment in Orange County (Southwest)--San Clemente, Laguna Niguel & San Juan Capistrano Cities PUMA, CA grew at a rate of 1.1%, from 81.9k employees to 82.8k employees.

The most common employment sectors for those who live in Orange County (Southwest)--San Clemente, Laguna Niguel & San Juan Capistrano Cities PUMA, CA, are Restaurants & Food Services (5,282 people), Elementary & secondary schools (5,106 people), and Construction (4,238 people). This chart shows the share breakdown of the primary industries for residents of Orange County (Southwest)--San Clemente, Laguna Niguel & San Juan Capistrano Cities PUMA, CA, though some of these residents may live in Orange County (Southwest)--San Clemente, Laguna Niguel & San Juan Capistrano Cities PUMA, CA and work somewhere else. Census data is tagged to a residential address, not a work address.

Median Earnings by Industry

$91,638

Median earning men ± $7,620

$55,386

Median earning women ± $3,547

The industries with the best median earnings for men in 2023 are Public Administration ($133,944), Manufacturing ($123,344), and Finance & Insurance, & Real Estate & Rental & Leasing ($117,926).

The industries with the best median earnings for women in 2023 are Wholesale Trade ($99,135), Manufacturing ($79,243), and Finance & Insurance, & Real Estate & Rental & Leasing ($76,419).

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 Orange County (Southwest)--San Clemente, Laguna Niguel & San Juan Capistrano Cities 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

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, 1.04% of men over 25 years of age had not completed any academic degree (no schooling), while 1.21% 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 Orange County (Southwest)--San Clemente, Laguna Niguel & San Juan Capistrano Cities PUMA, CA in 2022 were Bachelors Degree (43.3k), Some college (30.7k), and Graduate Degree (28.2k).

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 Orange County (Southwest)--San Clemente, Laguna Niguel & San Juan Capistrano Cities PUMA, CA was $1.14M in 2023, which is 3.75 times larger than the national average of $303,400. Between 2022 and 2023 the median property value increased from $1.08M to $1.14M, a 5.54% increase. The homeownership rate in Orange County (Southwest)--San Clemente, Laguna Niguel & San Juan Capistrano Cities PUMA, CA is 67%, which is approximately the same as the national average of 65%.

People in Orange County (Southwest)--San Clemente, Laguna Niguel & San Juan Capistrano Cities PUMA, CA have an average commute time of 27.9 minutes, and they drove alone to work. Car ownership in Orange County (Southwest)--San Clemente, Laguna Niguel & San Juan Capistrano Cities PUMA, CA is approximately the same as the national average, with an average of 2 cars per household.

Median household income in Orange County (Southwest)--San Clemente, Laguna Niguel & San Juan Capistrano Cities PUMA, CA is $133,758. In 2023, the PUMA with the highest Median Household Income in Orange County (Southwest)--San Clemente, Laguna Niguel & San Juan Capistrano Cities 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

$1.14M

Median Property Value 2023

±$17,226

$48,352

Median Property Taxes

±$1,588

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 Orange County (Southwest)--San Clemente, Laguna Niguel & San Juan Capistrano Cities PUMA, CA the largest share of households pay taxes in the $3k+ range.

The chart underneath the paragraph shows the property taxes in Orange County (Southwest)--San Clemente, Laguna Niguel & San Juan Capistrano Cities PUMA, CA compared to it's parent and neighbor geographies.

Rent vs Own

67%

Homeownership

2023

67.8%

Homeowners with Mortgage

2023

In 2023, 67% of the housing units in Orange County (Southwest)--San Clemente, Laguna Niguel & San Juan Capistrano Cities PUMA, CA were occupied by their owner. This percentage grew from the previous year's rate of 66.8%.

This chart shows the percentage of owner in Orange County (Southwest)--San Clemente, Laguna Niguel & San Juan Capistrano Cities 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 Orange County (Southwest)--San Clemente, Laguna Niguel & San Juan Capistrano Cities 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 Orange County (Southwest)--San Clemente, Laguna Niguel & San Juan Capistrano Cities 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.

$133,758

Median Household Income

± $4,767

72.2k

Number of Households

± 2,051

In 2023, the median household income of the 72.2k households in Orange County (Southwest)--San Clemente, Laguna Niguel & San Juan Capistrano Cities PUMA, CA grew to $133,758 from the previous year's value of $129,301.

The following chart displays the households in Orange County (Southwest)--San Clemente, Laguna Niguel & San Juan Capistrano Cities 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 $200k+ range.

Wage Distribution

0.518

2022 Wage GINI in Orange County (Southwest)--San Clemente, Laguna Niguel & San Juan Capistrano Cities PUMA, CA

0.516

2021 Wage GINI in Orange County (Southwest)--San Clemente, Laguna Niguel & San Juan Capistrano Cities PUMA, CA

In 2022, the income inequality in Orange County (Southwest)--San Clemente, Laguna Niguel & San Juan Capistrano Cities PUMA, CA was 0.518 according to the GINI calculation of the wage distribution. Income inequality had a 0.276% growth from 2021 to 2022, which means that wage distribution grew somewhat less even. The GINI for Orange County (Southwest)--San Clemente, Laguna Niguel & San Juan Capistrano Cities PUMA, CA was higher than than the national average of 0.478. In other words, wages are distributed less evenly in Orange County (Southwest)--San Clemente, Laguna Niguel & San Juan Capistrano Cities PUMA, CA in comparison to the national average.

This chart shows the number of workers in Orange County (Southwest)--San Clemente, Laguna Niguel & San Juan Capistrano Cities PUMA, CA across various wage buckets compared to the national average.

Transportation

Commuter Transportation

Most Common Commute in 2023

Drove Alone (66.7%)
Worked At Home (23%)
Carpooled (5.71%)

In 2023, 66.7% of workers in Orange County (Southwest)--San Clemente, Laguna Niguel & San Juan Capistrano Cities PUMA, CA drove alone to work, followed by those who worked at home (23%) and those who carpooled to work (5.71%).

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

27.9 minutes

Average Travel Time

Using averages, employees in Orange County (Southwest)--San Clemente, Laguna Niguel & San Juan Capistrano Cities PUMA, CA have a longer commute time (27.9 minutes) than the normal US worker (26.6 minutes). Additionally, 3.4% of the workforce in Orange County (Southwest)--San Clemente, Laguna Niguel & San Juan Capistrano Cities PUMA, CA have "super commutes" in excess of 90 minutes.

The chart below shows how the median household income in Orange County (Southwest)--San Clemente, Laguna Niguel & San Juan Capistrano Cities 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 Orange County (Southwest)--San Clemente, Laguna Niguel & San Juan Capistrano Cities PUMA, CA distributed between a series of car ownership buckets compared to the national averages for each bucket. The largest share of households in Orange County (Southwest)--San Clemente, Laguna Niguel & San Juan Capistrano Cities PUMA, CA have 2 cars.

Poverty

Poverty & Diversity

6.46% of the population for whom poverty status is determined in Orange County (Southwest)--San Clemente, Laguna Niguel & San Juan Capistrano Cities PUMA, CA (12k out of 185k people) live below the poverty line, a number that is lower than the national average of 12.4%. The largest demographic living in poverty are Females 55 - 64, followed by Males 55 - 64 and then Females 25 - 34.

The most common racial or ethnic group living below the poverty line in Orange County (Southwest)--San Clemente, Laguna Niguel & San Juan Capistrano Cities PUMA, CA is White, followed by Hispanic 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

95.4% of the population of Orange County (Southwest)--San Clemente, Laguna Niguel & San Juan Capistrano Cities PUMA, CA has health coverage, with 50.3% on employee plans, 9.34% on Medicaid, 16.7% on Medicare, 18.2% on non-group plans, and 0.87% 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 20.8% under 18 years, 16.2% between 18 and 34 years, 41.8% between 35 and 64 years, and 21.2% over 64 years.

By gender, of the total number of insured persons, 48.8% were men and 51.2% were women.

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

Uninsured People

4.56%

Uninsured

50.3%

Employer Coverage

9.34%

Medicaid

16.7%

Medicare

18.2%

Non-Group

0.87%

Military or VA

Between 2022 and 2023, the percent of uninsured citizens in Orange County (Southwest)--San Clemente, Laguna Niguel & San Juan Capistrano Cities PUMA, CA declined by 1.14% from 4.62% to 4.56%.

The following chart shows how the percent of uninsured individuals in Orange County (Southwest)--San Clemente, Laguna Niguel & San Juan Capistrano Cities PUMA, CA changed over time compared with the percent of individuals enrolled in various types of health insurance.