National Community Health Survey by Penn Schoen Berland

/ NATIONAL COMMUNITY HEALTH SURVEY MARCH 2013

NEW YORK • WASHINGTON • DENVER • SEATTLE • LOS ANGELES • SAN FRANCISCO • LONDON • HONG KONG • BEIJING ©PENN, SCHOEN & BERLAND ASSOCIATES, LLC.

METHODOLOGY

Between January 12 – January 20, 2013, PSB conducted a total of 1,004 telephone interviews with the U.S. General PopulaQon SAMPLE MARGIN SIZE OF ERROR

AUDIENCE All SeTng Age Annual Household Income Ethnicity

©PENN, SCHOEN & BERLAND ASSOCIATES, LLC.

U.S. General Popula/on

1004

+/-­‐3.09%

Urban

443

+/-­‐4.66%

Suburb

306

+/-­‐5.60%

Rural

251

+/-­‐6.19%

Under 30

100

+/-­‐9.80%

30-­‐60

595

+/-­‐4.02%

Over 60

309

+/-­‐5.58%

Less Than $50K

410

+/-­‐4.84%

$50K-­‐$125K

349

+/-­‐5.25%

Over $125K

111

+/-­‐9.30%

White

637

+/-­‐3.88%

African American

123

+/-­‐8.84%

Hispanic

120

+/-­‐8.95% 2

WHAT WE LEARNED 1. Americans are health-­‐conscious and overwhelmingly consider themselves healthy

2. While Americans feel closely connected to their neighbors, they do not believe that their health is affected by their neighbors

3. Instead, Americans believe a variety of other community factors are important to their health

4. Americans view health care providers as parBcularly important to community health

5. Americans value online resources as important health care tools

©PENN, SCHOEN & BERLAND ASSOCIATES, LLC.

3

AMERICANS ARE HEALTH-­‐CONSCIOUS AND OVERWHELMINGLY CONSIDER THEMSELVES HEALTHY

NEW YORK • WASHINGTON • DENVER • SEATTLE • LOS ANGELES • SAN FRANCISCO • LONDON • HONG KONG • BEIJING

FAMILY AND HEALTH ARE TOP PRIORITIES OF AMERICANS PrioriQes

Which of the following do you consider to be your 1-­‐2 biggest prioriBes?

70

Taking Care Of Your Family

50

Your Health

23

Your Job

10

Your Hobbies And Leisure Time Community Service Your Social Life

7 6

v 64% of Americans over the age of 60 say health is a top priority

©PENN, SCHOEN & BERLAND ASSOCIATES, LLC.

5

57% OF AMERICANS THINK ABOUT THEIR HEALTH AT LEAST ONCE PER DAY Thinking About Health

How oFen do you think about your own health?

36

21 18 15 8

More Than Once Per Day

N= Once Per Day

A Few Times a Week

Once Per Week

Less Than Once Per Week

v African Americans think about their health the most frequently – 54% of them think about it more than once per day ©PENN, SCHOEN & BERLAND ASSOCIATES, LLC.

6

AMERICANS OVERWHELMINGLY FEEL GOOD ABOUT THEIR HEALTH Good Personal Health

Generally speaking, how would you rate your own personal health? Showing very + somewhat good and very + somewhat bad

Bad

9 1

90

Don’t know

Good

v Personal health rated as Very Good: Low-­‐income 43% ©PENN, SCHOEN & BERLAND ASSOCIATES, LLC.

Middle-­‐income 47%

Upper-­‐income 60% 7

A MAJORITY OF AMERICANS THINK THAT THEIR HEALTH HAS NOT CHANGED RECENTLY Change in Past 5-­‐10 years

Would you say that your health has generally improved, stayed the same or goden worse since you have moved into your community? Asked of those who have moved in past 5 years Would you say that your health has generally improved, stayed the same, or goden worse in the past 5-­‐10 years? Asked of those who have not moved in that Fmeframe.

Stayed The Same

Improved

19 53

26 Goden Worse

©PENN, SCHOEN & BERLAND ASSOCIATES, LLC.

8

THOSE WHO THINK HEALTH HAS IMPROVED CREDIT PARKS AND GYMS, EDUCATION AND HEALTHY FOOD OPTIONS

Factors That Have Improved Health

You said your health has improved. I am going to read you a list of external factors that might have contributed to your improved health. Please tell me which ones, if any, contributed significantly ? N=195

49

47

45 35

35

33

32

29

26

23

22

17 10

There are People are There are My economic Be]er access more more educated more healthy situa/on is to health convenient about their food op/ons be]er informa/on areas to walk, health conveniently and services bike or available online exercise, such as parks and gyms

I feel safer

I can access be]er healthcare

I can access My neighbors My neighbors My neighbors Government more are living are more are happier programs are affordable healthier lives commi]ed to more healthcare each other accessible

Other

N=

©PENN, SCHOEN & BERLAND ASSOCIATES, LLC.

9

THOSE WHO THINK HEALTH HAS DECLINED ARE MOST LIKELY TO CITE WORSENING ECONOMIC CIRCUMSTANCES Factors That Degrade Health

You said your health has goSen worse. I am going to read you a list of external factors that might have contributed to your health geTng worse. Please tell me which ones, if any, contributed significantly ? N=265

28 20 15

15

15

15

14

14

14

11 6

6

6

5

4

My economic There are I cannot Government People are People are I cannot I feel less safe There are I got older My neighbors Developed Chose to live My neighbors Worse access situa/on is fewer healthy access be]er programs are less educated fewer are less health less healthy are living less to health less access worse food op/ons healthcare convenient happy problem lifestyle healthy lives informa/on less about their commi]ed to affordable conveniently areas to walk, (Chose to eat and services accessible health each other healthcare available bike, or worse, online exercise, such exercise less, as parks and or take more gyms job stress) N=

v 40% of Low-­‐income Americans with declining health cite a worsening economic situaFon ©PENN, SCHOEN & BERLAND ASSOCIATES, LLC.

10

WHILE AMERICANS FEEL CLOSELY CONNECTED TO THEIR NEIGHBORS, THEY DO NOT BELIEVE THAT THEIR HEALTH IS AFFECTED BY THEIR NEIGHBORS

NEW YORK • WASHINGTON • DENVER • SEATTLE • LOS ANGELES • SAN FRANCISCO • LONDON • HONG KONG • BEIJING

AMERICANS FEEL MOST CLOSELY CONNECTED TO THEIR NEIGHBORS AND PEOPLE AT THEIR PLACES OF WORSHIP Closeness To Community Groups

Which of the following groups of people do you feel closely connected to?

49 43

33

32 29 25 22 14 11

Neighbors

Members Of Your Place Of Worship

Co-­‐workers

Your Part Of Town

Your Town/City Members Of Your Parents and People At The Members Of Your Organiza/ons Faculty At Your Parks And Online Groups Childrens' School Recrea/on Facili/es You Go To

v 58% of Hispanics feel closely connected to neighbors v 54% of African Americans feel closely connected to members of place of worship ©PENN, SCHOEN & BERLAND ASSOCIATES, LLC.

12

AMERICANS CARE ABOUT THE HEALTH OF THEIR NEIGHBORS Care About Health of Neighbors

How much does the health of the people in your community mader to you? Showing a great deal + somewhat and not very much + not at all

Doesn’t Mader

Don’t know

16 2 82 Maders

v Health of people in community maLers a great deal: Urban 39% ©PENN, SCHOEN & BERLAND ASSOCIATES, LLC.

Suburban 28%

Rural 36% 13

BUT THEY DO NOT THINK THE HEALTH OF THEIR NEIGHBORS AFFECTS THEM Personal Health Affected by Neighbors’ Health

How strongly do you agree or disagree with the following statement: If my neighbors are less healthy, I am likely to be less healthy. Showing “Somewhat” and “Strongly”

Disagree

45

25

70

Strongly Agree Somewhat Agree

Agree

Strongly Disagree

8

20

Somewhat Disagree

28 v Americans with Graduate degrees are most likely to believe their neighbors health affects them – 42% agree with this statement ©PENN, SCHOEN & BERLAND ASSOCIATES, LLC.

14

AMERICANS BELIEVE A VARIETY OF OTHER COMMUNITY FACTORS ARE IMPORTANT TO THEIR HEALTH

NEW YORK • WASHINGTON • DENVER • SEATTLE • LOS ANGELES • SAN FRANCISCO • LONDON • HONG KONG • BEIJING

AMERICANS BELIEVE THAT THEIR COMMUNITIES ARE HEALTHY PLACES TO LIVE Ability to Live Healthy in Your Community How easy or difficult do you think it is to live a healthy lifestyle specifically in your community? Showing very + somewhat easy and very + somewhat difficult

Difficult

19

81 Easy

v This is consistent among urban, suburban, and rural Americans ©PENN, SCHOEN & BERLAND ASSOCIATES, LLC.

16

THEY BELIEVE A VARIETY OF COMMUNITY RESOURCES ARE IMPORTANT TO THEIR HEALTH Importance of Community Resources How important is the following to your health?

99 12

87

97

98

15

17

82

81

96 22

74

88

92

19

28

69

Somewhat Important Very Important

88 74

77

33

38

29 52 20

64

59 41

39

32

Good Air and Doctors and Healthy Food Nearby Safe, Informa/on or Open Parks Nearby Gyms Kind, Ajer-­‐School Water Quality Den/sts Choices Hospitals and Affordable Educa/on on and Green or Recrea/on Suppor/ve Programs or Whom I Can Urgent Care Housing Preven/on, Spaces Facili/es Neighbors Ac/vi/es See Regularly Facili/es Health and Outside School N= Wellness Hours

v Environment, doctors, healthy food and hospitals almost universally seen as most important ©PENN, SCHOEN & BERLAND ASSOCIATES, LLC.

17

AMERICANS BELIEVE THAT THEIR COMMUNITIES PROVIDE AT LEAST SOME ACCESS TO HEALTH RESOURCES Access To Community Resources

How much access do you have to this resource in your community today?

93 20

92 24

91 19

90 28

90 26

Some

87 80 30

27

78 31

78

41

A Great Deal

57 25

73

68

72

62

64

57

53

47

Doctors and Healthy Food Nearby Good Air and Open Parks Informa/on or Nearby Gyms Safe, Den/sts Choices Hospitals and Water Quality and Green Educa/on on or Recrea/on Affordable Whom I Can Urgent Care Spaces Preven/on, Facili/es Housing See Regularly Facili/es Health and Wellness

37

32

Kind, Suppor/ve Neighbors

Ajer-­‐School Programs or Ac/vi/es Outside School Hours

N=

©PENN, SCHOEN & BERLAND ASSOCIATES, LLC.

18

BUT COMMUNITIES ARE NOT MEETING DEMAND ON ENVIRONMENT, HOUSING AND HEALTHY FOOD IN PARTICULAR Community resources: Very Important to Health vs. A Great Deal of Access

Very Important To My Health

How much access do you have to this resource in your community today?

How important is the following to your health?

82

81 73

A Great Deal of Access In My Community

87 68

74 72 62

59

64

64

69 57

53 41

47

Doctors and Healthy Food Nearby Good Air and Open Parks Informa/on or Nearby Gyms Safe, Den/sts Choices Hospitals and Water Quality and Green Educa/on on or Recrea/on Affordable Whom I Can Urgent Care Spaces Preven/on, Facili/es Housing See Regularly Facili/es Health and Wellness

39 37

Kind, Suppor/ve Neighbors

32 32

Ajer-­‐School Programs or Ac/vi/es Outside School Hours

N=

©PENN, SCHOEN & BERLAND ASSOCIATES, LLC.

19

DEMAND ESPECIALLY NOT BEING MET FOR LOW-­‐INCOME AMERICANS Community resources: Very Important to Health vs. A Great Deal of Access among Low-­‐Income Americans How important is this resource to your health?

How much access do you have to this resource in your community?

Showing those with an annual income under $50K 89

84

82 66

Very Important To My Health A Great Deal Of Access

78 62

75 63

68 58

62

57 50 41 40

44 37

Doctors and Healthy Food Nearby Good Air and Open Parks Informa/on or Nearby Gyms Safe, Den/sts Choices Hospitals and Water Quality and Green Educa/on on or Recrea/on Affordable Whom I Can Urgent Care Spaces Preven/on, Facili/es Housing See Regularly Facili/es Health and N= Wellness

35

Kind, Suppor/ve Neighbors

31

27

Ajer-­‐School Programs or Ac/vi/es Outside School Hours

v Among low-­‐income, urban non-­‐white Americans: Safe, affordable housing 27% have A Great Deal of access ©PENN, SCHOEN & BERLAND ASSOCIATES, LLC.

Good air and water quality 51% have A Great Deal of access 20

AMERICANS BELIEVE A VARIETY OF COMMUNITY HEALTH PROGRAMS ARE EFFECTIVE Perceived EffecQveness of Programs

Somewhat Effec/ve

How effecBve do you think the following policies or programs are?

92 84

83

26 37

44

66 47

39

Very Effec/ve

81

80

27

79 31

50

54

48 30

Free Health Encouraging More Parks Lowering the Nutri/on Screenings More Farmers Trails and Price of Awareness and Markets Recrea/on Nutri/ous Campaigns Vaccina/ons Centers Foods for Children N= and the Elderly

Healthier School Lunches

©PENN, SCHOEN & BERLAND ASSOCIATES, LLC.

75 38

37

75

43

32

74

41

33

71 40

31

70

40

30

64

38

26

44

43

25

27

19

16

36 21 15

Programs to Awareness Clearly More Bike Building More Opening More Limi/ng The Sales Taxes on Discon/nuing Help Quit Campaigns for Displaying Paths and Hospitals or Medical Size of Sodas Unhealthy the Sale of Smoking Low-­‐Income Nutri/onal Dedicated Healthcare Schools Food and Extra-­‐Large Health Content of Bike Lanes on Centers Beverages Candy Bars Insurance Food in Roads Programs Restaurants

21

AMERICANS VIEW HEALTHCARE PROVIDERS AS PARTICULARLY IMPORTANT TO COMMUNITY HEALTH

NEW YORK • WASHINGTON • DENVER • SEATTLE • LOS ANGELES • SAN FRANCISCO • LONDON • HONG KONG • BEIJING

DOCTORS AND HOSPITALS, ALONG WITH RESIDENTS, ARE SEEN AS MOST RESPONSIBLE FOR COMMUNITY HEALTH Responsibility For Community Health

In your opinion, which of the following should be most responsible for ensuring good health in a community?

47

46 40

Doctors and Hospitals

The Communi/es Local Health Residents Department and N= Local Government

36

Health Care Insurance Companies

©PENN, SCHOEN & BERLAND ASSOCIATES, LLC.

32

Employers And Businesses

30

The Federal Government

27

25

Community Non-­‐ Pharmaceu/cal Profit Companies Organiza/ons

21

Religions Ins/tu/ons

23

LOW-­‐INCOME AMERICANS MOST LIKELY TO SAY DOCTORS AND HOSPITALS ARE RESPONSIBLE FOR COMMUNITY HEALTH Responsibility for Community Health, By Subgroup

In your opinion, which of the following should be most responsible for ensuring good health in a community?

High-­‐Income

55 42

48 48 46

50 50 47 44 36

51 49 46 36

36

Low-­‐income African American

43 32

43

37 35

43 39 27

White

35

25

35 32 32 31 30

33 30 31 25 24

Hispanic

31 28 24 25 21

27 28 22 20 14

Doctors and Hospitals

The Communi/es Local Health Residents Department and N= Local Government

Healthcare Insurance Companies

The Federal Government

Employers And Community Non-­‐ Pharmeceu/cal Businesses Profit Companies Organiza/ons

Religious Ins/tu/ons

v African Americans and Hispanics are most likely to say the local government is responsible for community health ©PENN, SCHOEN & BERLAND ASSOCIATES, LLC.

24

49% OF AMERICANS VISIT THE DOCTOR FOR CHECK-­‐UPS, EVEN WHEN WELL Frequency Of Doctors Visits

Which of the following best describes your approach to visiBng the doctor?

49

26 20

3 I Visit The Doctor For Regular Check-­‐Ups, Even When I Am Well

I Only Visit The Doctor When I I Visit The Doctor Regularly To I Only Visit The Doctor When I Am Sick Or Injured Take Care Of A Chronic Am Given A Referral To See One N= Condi/on

2 I Never Visit The Doctor

v 45% of those under 30 only visit the doctor when sick or injured

©PENN, SCHOEN & BERLAND ASSOCIATES, LLC.

25

AMERICANS WITH PRIMARY DOCTORS SAY DEVELOPING A RELATIONSHIP WITH THEIR DOCTOR IS EASY

Developing RelaQonship With Primary Doctor

How easy or hard is it to develop a relaQonship with your primary doctor so that your doctor knows your medical history well and you are comfortable talking to your doctor? Showing Very Easy + Somewhat Easy and Very Hard + Somewhat Hard among those with primary doctors

Don’t Know Hard

9 1

90

©PENN, SCHOEN & BERLAND ASSOCIATES, LLC.

Easy

26

AND THAT THEIR DOCTORS ARE GOOD AT COORDINATING THEIR CARE CoordinaQng Care

In your opinion, how good or bad is your doctor at coordinaQng your health care with other doctors and hospitals, including specialists that you might have to see? Showing Very Good +Somewhat Good And Very Bad + Somewhat Bad among those with primary doctors

89

Good

Bad

6

Don't Know

5

v Doctor is Very Good at coordinaFng care: Low-­‐income 71% ©PENN, SCHOEN & BERLAND ASSOCIATES, LLC.

Middle-­‐income Upper -­‐income 54% 62% 27

THEY THINK THE HEALTHCARE SYSTEM IS EASY TO NAVIGATE Ease Of The System

In your opinion, is the health care system generally predy easy to handle by yourself, or its it too complex?

Too Complex

3

Don’t Know

23

74

Easy to Navigate

v Easy to navigate, by age: Under 30 68% ©PENN, SCHOEN & BERLAND ASSOCIATES, LLC.

30-­‐60 73%

Over 60 78% 28

AND IF THEIR DOCTORS ARE HELPFUL IN NAVIGATING THE HEALTH CARE SYSTEM Doctor Helpfulness

In your opinion, how good or bad is your doctor’s office at helping you navigate the health care system? Showing Very Good + Somewhat Good and Very Bad + Somewhat Bad among those with primary doctors

Bad

9 5

Don’t Know

86

Good

v Doctor’s office is Very Good at helping to navigate, by age: Under 30 41% ©PENN, SCHOEN & BERLAND ASSOCIATES, LLC.

30-­‐60 50%

Over 60 64% 29

MAJORITY SAY INSURANCE AND PHARMACEUTICAL COMPANIES CARE ABOUT, UNDERSTAND THEIR COMMUNITY Understanding

Caring

How well do you think health care companies-­‐like insurance companies and pharmaceuBcal companies-­‐understand what people in your community need to improve their health?

How much do you think health care companies care about improving the health of people in your community?

Showing “A great deal” + “Some” and “Not very much” + “Not at all”

Understand

Care

Don't Understand

Don't Care Don't Know

Don't Know

3

Don't Know

2

42

56

Don't Understand

Understand

40

57

N=

N=

Household Income

v Believe that health care companies care, by age: Over 60 Under 30 30-­‐60 51%

©PENN, SCHOEN & BERLAND ASSOCIATES, LLC.

52%

64%

30

AMERICANS VALUE ONLINE RESOURCES AS IMPORTANT HEALTH CARE TOOLS

NEW YORK • WASHINGTON • DENVER • SEATTLE • LOS ANGELES • SAN FRANCISCO • LONDON • HONG KONG • BEIJING

64% OF AMERICANS HAVE USED ONLINE HEALTH RESOURCES Online Health Resource Use

Have you ever visited a health or medical website to research health issues?

No

36 64 Yes

©PENN, SCHOEN & BERLAND ASSOCIATES, LLC.

32

ONLINE RESOURCES MOSTLY USED BY UPPER-­‐ AND MIDDLE-­‐ CLASS, SUBURBAN, MIDDLE-­‐AGED AND WHITE AMERICANS Web-­‐Based Health Resource Use by Demographic

Have you ever visited a health or medical website to research health issues? Showing All 80

77

73

72 67

64

62

60

58

56 51

49

49

<$50K

Over 60

N= >$125K $50K-­‐$125K Suburb

30-­‐60

White

©PENN, SCHOEN & BERLAND ASSOCIATES, LLC.

All

Rural

Under 30

Urban

African American

Hispanic

33

94% OF THOSE WHO USE ONLINE HEALTH INFORMATION SEE IT AS IMPORTANT TO THEIR HEALTH Importance of Online Health InformaQon

How important to your health do you consider the health or medical informaQon you find online? Showing Very + Somewhat Important and Not Very + Not at All Important among those who use medical websites

Not Important

5 1

Don’t know

94

Important

v Online informaFon Very Important to health: Low-­‐income 46% ©PENN, SCHOEN & BERLAND ASSOCIATES, LLC.

Middle-­‐income 39%

Upper -­‐income 33% 34

ONLINE RESOURCES PRIMARILY USED FOR INFORMATION, BUT MANY USE THEM FOR HEALTHCARE DECISIONS

Main Uses of Online Health Resource

What is most likely to make you consult these health or medical websites? Showing those who have visited a medical/health website To Find Reviews of Doctors To Get Exercise Informa/on To Get a Second Opinion To Get Nutri/on Informa/on To Determine if I Need to See a Doctor To Diagnose Myself To Learn About a Health Issue That Might be Affec/ng a Friend of Family Member To Generally Educate Myself About Health Issues

©PENN, SCHOEN & BERLAND ASSOCIATES, LLC.

24 26 31 36 38 40 61 64

35

YOUNG AMERICANS MOST LIKELY TO USE ONLINE RESOURCES IN PLACE OF TRADITIONAL CARE SupplemenQng TradiQonal Care

Which of the following is closer to your view? Showing those who have used health/medical websites

I generally act on the health and medical informaQon I find online without consulQng a medical professional All

18

60+

79 32

Under 30* 30-­‐60

I generally consult with a medical professional before acQng on the health and medical informaQon I find online

17 13

* Finding is direc/onal, n-­‐size=60 ©PENN, SCHOEN & BERLAND ASSOCIATES, LLC.

67 79 84

36

HISPANIC AND YOUNG AMERICANS SHOW MOST INTEREST IN HEALTH WEBSITES AND APPS Interest in Health Websites and Apps

How likely are you to use a website or app that can do the following? Showing Very Likely and Somewhat Likely All

80 79

Hispanic Under 30

68

67

58

56 51 44

36

55 56 50

48

45

47

40 34

28

Count my Calories

Count the Number of N=I take Steps

Keep Track of the Medica/on I Take

©PENN, SCHOEN & BERLAND ASSOCIATES, LLC.

Provide Healthy Food Recipes and Tips

Provide an Exercise Plan

Manage a Chronic Condi/on or Disease

37

YOUNG AMERICANS ARE MOST WILLING TO HAVE PRIMARILY ONLINE INTERACTION WITH DOCTORS Willingness to primarily communicate online with doctors

Would you be comfortable if email or other electronic communicaBon was the primary way that you communicate with your doctor? Showing Yes

34 27

26 23

22

21

20

20

19

18

18

17 12

N= Under 30

Hispanic

>$125K

30-­‐60

<$50K

©PENN, SCHOEN & BERLAND ASSOCIATES, LLC.

Urban

All

Suburb

Rural

$50K-­‐$125K African American

White

Over 60

38

RURAL AND UPPER-­‐INCOME AMERICANS ARE MOST WILLING TO PAY FOR ONLINE CONSULTATION Willingness to pay for online consultaQon with doctor Would you be willing to pay for an email or text consultaBon with your doctor as an alternaBve to an office visit? Showing Yes

41 38

37

35

33

33

33

31 28

27

27

26

18

>$125K

Rural

$50K-­‐$125K N=White

Under 30

©PENN, SCHOEN & BERLAND ASSOCIATES, LLC.

30-­‐60

Suburb

All

Over 60

Hispanic

Urban

<$50K

African American

39

RECAP

NEW YORK • WASHINGTON • DENVER • SEATTLE • LOS ANGELES • SAN FRANCISCO • LONDON • HONG KONG • BEIJING

RECAP 1. Americans are health-­‐conscious and overwhelmingly consider themselves healthy • 57% of Americans think about their health on a daily basis • 90% consider themselves to be in good health

2. While Americans feel closely connected to their neighbors, they do not believe that their health is affected by their neighbors • 82% care about the health of their neighbors • 70% disagree that if their neighbors health gets worse, their health will get worse

©PENN, SCHOEN & BERLAND ASSOCIATES, LLC.

41

RECAP, CONTINUED 3. Instead, Americans believe a variety of other community factors are important to their health • 81% of Americans believe it is easy to live healthy in their communiFes • Americans nearly universally think good air and water quality, doctors whom they can see regularly, healthy food choices and nearby hospitals are important to their health • CommuniFes are not meeFng demand on environmental, healthy food and housing factors in parFcular – especially for low-­‐income Americans

©PENN, SCHOEN & BERLAND ASSOCIATES, LLC.

42

RECAP, CONTINUED 4. Americans view healthcare providers as parBcularly important to community health • Doctors and hospitals viewed as most responsible for communiFes health, along with individuals • 90% of Americans with primary care doctors say developing a relaFonship with their doctor is easy

5. Americans value online resources as important healthcare tools • 64% of Americans have used online health resources • 94% of Americans who have used online resources say they are important to their health • Online resources mostly used for informaFon, though 40% use it to diagnose themselves

©PENN, SCHOEN & BERLAND ASSOCIATES, LLC.

43

APPENDIX

NEW YORK • WASHINGTON • DENVER • SEATTLE • LOS ANGELES • SAN FRANCISCO • LONDON • HONG KONG • BEIJING

THE COMMUNITY

NEW YORK • WASHINGTON • DENVER • SEATTLE • LOS ANGELES • SAN FRANCISCO • LONDON • HONG KONG • BEIJING

LIVING LOCATION

Do you live in a city, suburb just outside a city, or a less developed or rural area, not near a city?

All

Male

Female

Under 30

30-­‐60

Over 60

<$50k

>$125k

White

Black

Hispanic

City

44

42

46

44

43

47

51

32

38

62

61

Suburb

30

33

29

33

31

28

23

49

32

21

22

Rural

25

25

25

23

26

25

26

19

30

16

17

DEFINITION OF COMMUNITY Which of the following best defines community for you?

All

Male

Female

Under 30

30-­‐6 0

Over 60

<$50k

>$125k

White

Black

Hispanic

Your neighborhood

51

49

52

57

51

48

50

51

49

53

54

Your area of town

36

34

38

42

36

35

36

38

35

34

42

Your town or city

41

40

41

45

41

39

39

48

42

32

42

Your place of work

22

21

23

27

25

15

19

29

22

18

28

Your place of worship

39

34

43

36

39

41

40

31

39

42

40

Your online groups

11

10

12

12

11

10

11

14

11

10

12

Your organiza/ons

24

24

24

26

23

25

22

25

26

24

22

Your parks and recrea/on

25

23

27

34

24

24

28

26

25

21

29

Children’s school community

29

24

33

38

32

20

29

32

25

24

45

Other

5

5

6

4

4

7

6

4

5

7

2

Don’t know

2

3

2

3

2

4

4

0

2

4

3

CLOSENESS TO “COMMUNITY” GROUPS Which of the following groups of people do you feel closely connected to?

All

Male

Female

Under 30

30-­‐6 0

Over 60

<$50k

>$125k

White

Black

Hispanic

Neighbors

49

52

50

53

45

56

52

47

49

41

58

People who live in your sec/on of town

32

35

30

37

31

32

35

30

32

26

38

Residents of your town or city

29

31

28

36

29

27

31

30

29

27

37

Co-­‐workers

33

34

32

46

38

20

28

41

33

26

42

Members of your place of worship

43

43

40

42

41

46

47

35

43

54

38

Members of your online groups

11

12

12

20

11

7

11

10

10

7

16

Members of your Organiza/ons

25

28

25

28

25

26

24

24

24

33

25

People at the parks and recrea/on facili/es you go to

14

16

15

19

14

12

16

16

13

13

23

Parents and faculty at your children’s school

22

20

25

30

27

11

21

26

21

19

34

People at your work

28

30

29

39

32

18

24

37

29

20

38

Other

10

10

9

6

9

12

8

7

10

11

6

Don’t Know

1

1

2

0

2

1

1

0

1

2

1

TIME IN CURRENT COMMUNITY How long have you lived in your Under All City Suburb Rural Male Female 30-­‐60 Over 60 <$50K >$125K White Black Hispanic current 30 community?

Less than a year 4

4

4

3

2

5

7

4

2

4

4

3

3

3

1 to 2 years

3

4

3

2

2

3

8

3

1

4

2

2

4

7

2 to 3 years

4

4

5

2

4

4

6

4

3

4

7

4

5

4

3 to 5 years

8

7

8

8

8

8

10

9

4

8

12

8

10

7

5 to 10 years

16 15

19

13

14

17

12

20

9

14

20

14

17

20

10 to 15 years

13 10

12

18

14

12

14

14

9

10

17

14

9

12

15 to 20 years

12 13

14

9

13

11

16

14

8

11

14

12

10

16

More than 20 years

41 42

34

46

43

39

27

31

63

45

25

43

42

31

0

0

0

0

0

0

1

0

0

0

0

0

Don't know VOL 0

0

REASONS FOR LIVING IN A COMMUNITY Why do you choose to live All there?

Have always 13 lived here

Male

Female Under 30

30-­‐60

Over 60

<$50K

>$125K

White

Black

Hispanic

13

14

21

10

17

17

7

12

20

15

5

5

5

5

5

6

1

4

7

5

1

1

0

1

1

1

1

0

1

1

12

13

19

13

10

15

8

12

11

17

9

10

7

5

10

7

5

10

10

5

7

School system 6

7

6

4

9

2

4

15

7

2

8

1

1

1

0

1

1

1

3

1

1

0

6

5

6

6

5

6

8

4

5

11

6

1

0

1

1

1

1

1

1

1

1

0

Lower taxes

1

1

0

0

1

1

0

2

1

0

1

Clean

2

2

2

1

3

1

2

1

2

2

3

Healthy community

6

7

5

4

7

5

5

8

6

5

5

Other

36

34

38

32

33

43

34

40

38

33

32

Don't know

1

1

1

2

2

0

1

0

1

1

2

Cost of living

5

Access to public 1 transporta/on Close to family 13 and friends Close to work Parks and recrea/on system Affordable housing Good climate for business

CONNECTION WITH NEIGHBORS

How closely connected do you feel to your neighbors?

Very closely connected Somewhat closely connected Not very connected Not at all connected Don't know

All City Suburb Rural

Male Female

Under 30

30-­‐60 Over 60 <$50K >$125K White Black Hispanic

27

25

21

37

26

28

21

24

33

30

18

26

26

27

46

47

52

38

46

47

45

47

45

41

49

46

47

49

18

18

21

15

19

17

28

19

13

18

21

19

15

17

9

10

7

9

9

9

5

10

8

10

12

9

11

7

0

0

0

1

0

0

1

0

0

0

1

0

0

1

PERSONAL HEALTH

NEW YORK • WASHINGTON • DENVER • SEATTLE • LOS ANGELES • SAN FRANCISCO • LONDON • HONG KONG • BEIJING

PRIORITIES

Which of the following do you consider to be your All City 1 or 2 biggest prioriQes? Your job

Suburb Rural

Male Female

Under 30

30-­‐60 Over 60 <$50K >$125K White Black Hispanic

23

21

26

24

29

19

34

30

7

19

35

24

18

24

Taking care of your 70 family

67

72

74

68

72

79

77

54

63

77

70

65

84

50

54

48

46

46

54

37

45

64

53

43

49

57

48

Community service 7

9

5

7

6

8

5

6

11

9

5

8

7

3

6

7

6

4

6

6

14

3

8

9

5

6

3

8

Your hobbies and 10 leisure /me

9

10

13

12

9

8

9

14

13

8

13

6

5

0

0

1

1

0

1

0

1

0

0

0

1

0

Your health

Your social life

Don't know

0

OPINION OF PERSONAL HEALTH

Generally speaking, how would you All City Suburb Rural rate your own personal health?

Male Female

Under 30-­‐60 Over 60 <$50K >$125K White Black Hispanic 30

Very good

46

44

45

52

45

47

54

48

40

42

60

45

46

48

Somewhat good

44

46

48

37

47

42

43

42

50

44

38

44

43

48

Somewhat bad 7

7

6

10

6

8

3

8

8

10

2

9

7

4

Very bad

2

2

1

1

2

2

0

2

2

3

0

2

2

0

Don't know

0

0

0

0

0

1

0

0

0

0

0

0

2

0

FREQUENCY OF THOUGHTS ABOUT HEALTH

Generally speaking, how oven do you think All City Suburb Rural about your own health?

Constantly/Almost 20 21 20 17 always Mul/ple /mes per 16 15 21 12 day

Male Female

Under 30-­‐60 Over 60 <$50K >$125K White Black Hispanic 30

18

22

21

22

17

21

17

15

39

25

19

13

17

17

14

17

18

18

15

11

Once per day

21 21

18

25

20

22

14

21

25

17

23

25

15

12

A few /mes a week/every few days

15 15

17

12

17

13

16

15

13

15

17

14

11

20

Once per week

8

7

8

10

7

9

9

9

7

7

9

8

7

7

Less than once per 18 19 week

14

22

17

18

23

15

22

19

15

18

11

22

3

3

1

3

0

2

4

3

1

2

2

2

Don't know

2

1

CHANGES IN HEALTH SINCE CHANGING COMMUNITIES

Would you say that your health has generally improved, stayed the All City Suburb Rural same, or goden worse N=185 N=86 N=62* N=37* since you have moved into your community?

Over <$50K >$125K White Black Hispanic 60 N=81* N=27* N=109 N=27* N=25* N=31* N=123

Male Female Under 30 30-­‐60 N=75

N=110

N=31*

Has improved

29

22

29

43

27

30

45

28

13

35

11

24

26

48

Stayed the same

59

63

58

54

61

58

42

62

68

48

81

62

70

44

Go]en worse

11

13

13

3

12

10

13

10

13

17

4

13

4

4

Don't know VOL

1

2

0

0

0

2

0

0

6

0

4

1

0

4

*Findings are direc/onal

CHANGES IN HEALTH OVER LAST 5-­‐10 YEARS

Would you say that your health has generally improved, All City Suburb Rural Male Female Under 30-­‐60 Over <$50K >$125K White Black Hispanic 30 60 N=95 stayed the same, or N=817 N=355 N=244 N=214 N=381 N=436 N=69* N=472 N=276 N=327 N=84 N=526 N=96 goden worse over the past 5 to 10 years?

Has improved

17

19

16

15

16

18

26

18

13

16

19

15

21

27

Stayed the same

52

48

51

58

55

49

52

54

47

50

56

53

51

47

Go]en worse

30

32

32

26

28

32

20

26

38

33

24

31

27

25

Don't know

1

1

1

0

1

1

1

1

1

1

1

1

1

0

*Findings are direc/onal

REASONS FOR HEALTH IMPROVEMENT *Findings are direc/onal

You said your health has improved. I am going to read you a list of external factors that All Male might have contributed to your N=195 N=82 improved health. Please tell me which ones, if any, contributed significantly.

Female Under 30 30-­‐60 Over 60 <$50K >$125K N=113

N=32*

N=122

N=41*

N=81

N=19*

White

Black

Hispanic

N=105

N=27*

N=38*

My economic situa/on is be]er

35

39

30

33

37

20

32

26

30

30

47

I can access be]er healthcare

32

38

35

14

36

20

40

26

22

37

47

I can access more affordable healthcare

29

38

21

20

30

29

36

11

21

37

37

My neighbors are living healthier lives

26

25

25

29

25

29

30

16

19

30

37

Government programs are more accessible

17

24

9

14

17

17

27

0

8

33

29

People are more educated about their health

47

52

46

39

46

39

48

42

38

52

61

I feel safer

33

33

39

27

34

32

38

26

30

33

45

My neighbors are happier

22

22

26

16

22

27

23

5

13

26

37

23

25

19

20

21

29

30

0

18

30

32

49

52

58

35

54

39

48

58

45

52

53

45

46

46

43

45

37

41

42

41

52

50

Be]er access to health informa/on and services online

35

36

37

33

33

24

30

53

29

33

45

Other

10

6

11

16

7

17

9

21

13

7

8

Don't know

4

5

2

6

4

5

4

5

5

0

5

My neighbors are more commi]ed to each other There are more convenient areas to walk, bike or exercise, such as parks and gyms There are more healthy food op/ons conveniently available

REASONS FOR DEGRADING HEALTH You said your health has goden worse. I am going to read you a list of external factors that might have contributed to your health All geTng worse. Please tell me which ones, if N=265 any, contributed significantly.

Male

N=115

*Findings are direc/onal

Under 30-­‐60 Over 60 <$50K >$125K White Black Hispanic 30 N=150 N=137 N=110 N=123 N=21* N=179 N=27* N=25*

Female

N=18*

My economic situa/on is worse

27

25

29

28

31

23

40

19

26

26

44

I cannot access be]er healthcare

15

12

17

17

18

11

21

14

16

15

16

I cannot access affordable healthcare

14

14

15

0

22

7

24

5

14

7

28

My neighbors are living less healthy lives

5

2

7

6

4

5

7

0

3

11

0

Government programs are less accessible

15

10

18

6

17

14

19

5

13

15

20

People are less educated about their health

15

14

16

39

17

9

16

5

13

26

28

I feel less safe

14

10

16

6

13

15

18

10

13

19

12

My neighbors are less happy

6

4

7

6

7

5

6

0

4

4

8

People are less commi]ed to each other

15

16

15

11

16

15

16

10

16

15

16

14

10

17

22

12

15

12

10

12

15

12

20

20

19

33

22

15

20

38

18

22

20

4

5

3

6

3

5

4

5

3

11

0

Other

34

34

34

11

32

40

25

48

37

30

16

Don't know VOL

12

13

11

6

11

15

13

5

12

30

4

There are fewer convenient areas to walk, bike or exercise, such as parks and gyms There are fewer healthy food op/ons conveniently available Worse access to health informa/on and services online

HEALTH IN THE COMMUNITY

NEW YORK • WASHINGTON • DENVER • SEATTLE • LOS ANGELES • SAN FRANCISCO • LONDON • HONG KONG • BEIJING

DIFFICULTY OF HEALTHY LIFESTYLE

How easy or difficult do you think it is to live a healthy lifestyle All specifically in your community?

City

Suburb Rural

Male Female

Under Over 30-­‐60 <$50K >$125K White Black Hispanic 30 60

Very easy

41

40

43

40

38

44

30

39

48

38

47

43

33

38

Somewhat easy

40

40

40

41

43

38

47

39

39

42

41

40

44

41

Somewhat difficult

14

15

12

14

14

13

20

15

9

15

8

12

17

16

Very difficult

5

5

4

4

5

5

3

6

2

5

5

4

5

4

Don't know VOL

1

0

1

2

0

1

0

1

2

1

0

1

1

1

PERCEPTION OF COMMUNITY HEALTH

Based upon what you see, hear or read in your community, how would you generally All rate the health of people in your community?

City Suburb Rural Male Female

Under 30-­‐60 Over 60 <$50K >$125K White Black Hispanic 30

Very good

18

17

20

16

17

18

9

17

22

17

23

18

16

13

Somewhat good

63

64

65

60

67

60

66

64

61

61

65

63

67

66

Somewhat bad

12

11

9

17

11

13

21

13

7

13

8

12

9

13

Very bad

3

3

2

3

2

4

3

3

2

3

1

3

4

3

Don't know

5

5

4

4

4

5

1

4

7

4

3

4

4

4

IMPORTANCE OF COMMUNITY HEALTH

How much does the health of the Under Over people in your All City Suburb Rural Male Female 30-­‐60 <$50K >$125K White Black Hispanic 30 60 community mader to you?

A great deal

35

39

28

36

29

40

28

32

42

40

27

33

49

32

Somewhat

47

44

50

49

50

45

46

49

45

43

46

49

38

51

Not very much

10

9

13

9

13

8

20

11

6

10

17

11

9

7

Not at all

6

6

8

6

8

5

6

7

6

6

10

7

3

8

Don't know

1

1

1

0

1

1

0

1

2

1

0

0

1

2

CORRELATION BETWEEN PERSONAL HEALTH AND COMMUNITY HEALTH

How strongly do you agree or disagree with the following statement: All If my neighbors are less healthy, I am likely to be less healthy.

City

Suburb Rural Male Female

Under Over 30-­‐60 <$50K >$125K White Black Hispanic 30 60

Strongly agree

8

10

5

7

8

7

7

8

7

10

6

5

13

13

Somewhat agree

20

21

18

21

21

20

19

20

20

17

23

21

9

23

Somewhat disagree

25

24

27

25

27

23

29

22

29

26

25

28

24

16

Strongly disagree

45

42

47

46

42

47

44

48

39

46

44

44

51

47

Don't know VOL

2

2

3

1

1

3

1

2

4

2

2

3

2

1

RESPONSIBILITY FOR ENSURING GOOD COMMUNITY HEALTH In your opinion, which of the following should be most responsible All for ensuring good health in a community?

Local or state government and health 40 department The community’s 46 residents

City Suburb Rural Male Female

Under 30

30-­‐60

Over <$50K >$125K White Black Hispanic 60

44

40

32

35

44

41

41

38

44

40

38

48

44

45

46

46

46

46

49

50

37

47

50

50

36

44

Federal government

30

36

28

21

25

34

35

31

27

39

27

25

43

35

Doctors and hospitals

47

52

44

43

44

50

48

44

53

55

42

48

48

46

36

42

35

27

30

41

38

35

38

43

32

35

37

43

40

44

39

32

33

46

40

42

37

46

36

36

51

49

25

28

22

20

20

28

27

23

28

31

21

24

28

25

32

35

33

25

26

37

31

34

28

32

32

31

35

30

27

30

26

20

22

30

29

27

25

33

24

25

30

31

Religious ins/tu/ons

21

25

17

20

19

23

21

22

21

27

14

20

28

22

Don't know

4

4

5

5

5

4

3

4

6

3

5

4

6

6

Healthcare insurance companies Local health department and local government Pharmaceu/cal companies Employers and businesses Community non-­‐profit organiza/ons

COMMUNITY HEALTH RESOURCES AND PROGRAMS: IMPORTANCE, ACCESS, AND EFFICACY

NEW YORK • WASHINGTON • DENVER • SEATTLE • LOS ANGELES • SAN FRANCISCO • LONDON • HONG KONG • BEIJING

IMPORTANCE OF COMMUNITY HEALTH RESOURCES How important is the following to your health?

All Showing “Very important”

City Suburb Rural Male Female

Under 30

98/2

98/2

97/3

96/4

99/1

100/0

98/3

96/3

97/3

98/2

97/2

100/0

99/2

88/11 89/11

89/11

87/12

87/12

89/10

88/11

92/8

81/18

88/11

91/9

86/13

94/6

94/5

74/26 77/23

79/20

63/35

74/25

73/26

90/10

77/22

62/36

74/25

80/20

69/30

79/18

88/13

96/4

96/4

96/4

92/8

94/5

96/4

93/7

95/5

97/3

95/5

94/6

95/5

98/3

94/6

97/2

97/4

100/0

96/3

96/4

99/2

97/3

98/2

97/3

97/3

98/2

97/2

100/0

94/5

99/2

98/2

99/1

99/1

97/2

99/0

99/1

99/2

97/2

99/2

98/2

99/2

98/2

99/1

88/11

91/7

87/12

85/13

84/14

93/6

92/8

89/10

85/12

91/8

82/17

86/12

93/6

92/8

52/40 54/35

48/43

51/43

51/41

52/38

76/21

59/35

29/56

50/42

47/48

46/45

61/31

74/22

77/22 82/17

70/30

78/22

71/28

81/18

78/22

75/25

81/18

81/17

61/38

75/24

82/19

83/16

92/8

91/9

89/11

89/11

94/7

90/10

92/9

93/7

92/7

87/12

90/10

99/1

97/3

+ “Important”/“Not very important” + “Not at all important”

Healthy Food Choices Open Parks and Green Spaces Nearby Gyms and Recrea/ons Facili/es Nearby hospitals and urgent care facili/es Doctors and den/sts whom I can see regularly Good air and water quality Safe, affordable housing Ajer-­‐school programs or ac/vi/es outside school hours Kind, suppor/ve neighbors Informa/on or educa/on on preven/on, health and wellness

98/2

94/6

30-­‐60 Over 60 <$50K >$125K White

Black Hispanic

ACCESS TO COMMUNITY HEALTH RESOURCES How much access do you have to this resource in All your community?

City Suburb Rural Male Female

Under 30

30-­‐60 Over 60 <$50K >$125K White

92/8

91/8

94/7

90/10

91/9

92/8

90/10

91/10

92/6

89/11

93/7

92/8

91/8

93/6

90/10

90/9

92/7

86/15

91/8

88/11

84/15

91/9

89/10

86/14

94/5

91/8

83/17

87/11

80/20 83/16

89/11

62/37

81/18

78/21

78/22

81/18

75/23

70/28

93/7

81/18

73/25

79/21

91/8

90/9

97/2

85/16

92/9

91/8

91/8

92/8

90/10

87/12

96/5

93/8

85/14

90/10

93/6

92/8

96/3

91/9

92/7

93/7

86/12

93/7

94/5

89/11

99/1

93/7

93/6

90/10

90/9

88/11

91/6

90/9

91/7

89/9

92/8

89/9

91/9

86/12

93/6

90/9

88/11

90/8

78/18 77/20

81/15

75/19

79/16

75/20

75/21

77/19

78/17

72/24

77/19

80/15

75/24

75/24

57/28 58/27

61/25

52/36

61/28

54/29

69/23

61/27

45/32

53/33

69/22

54/30

62/26

71/22

78/21 78/21

79/20

79/20

78/21

79/21

72/27

79/20

79/21

76/24

77/21

79/20

76/23

82/18

87/12 87/11

87/11

82/15

86/12

86/13

75/24

87/12

88/10

83/16

88/10

87/11

86/12

84/14

Showing “A great deal”+ “Some”/ “Not very much” + “None”

Healthy Food Choices Open Parks and Green Spaces Nearby Gyms and Recrea/ons Facili/es Nearby hospitals and urgent care facili/es Doctors and den/sts whom I can see regularly Good air and water quality Safe, affordable housing Ajer-­‐school programs or ac/vi/es outside school hours Kind, suppor/ve neighbors Informa/on or educa/on on preven/on, health and wellness

Black Hispanic

PERCEIVED EFFECTIVENESS OF HEALTH PROGRAMS How effecQve do you think the following policy or program is at improving health?

Showing “Very effecFve” + “Somewhat effecFve”/ “Not very effecFve” + “Not at all effecFve”

All

City Suburb Rural Male Female

Under 30

30-­‐60 Over 60 <$50K >$125K White

Black Hispanic

Limi/ng the size of sodas

44/54 47/50

42/56

40/58

39/59

47/50

54/46

43/55

43/54

50/47

39/60

38/59

50/46

59/40

Discon/nuing the sake if extra-­‐large candy bars

36/60 38/58

36/61

35/62

34/65

38/56

40/58

36/61

35/58

41/54

33/67

31/65

44/47

45/51

Sales taxes on unhealthy food and beverages

43/53 46/52

46/51

38/59

42/56

46/52

56/42

43/55

42/53

47/50

42/56

40/58

48/51

62/34

74/25 82/17

75/23

57/41

71/28

76/22

75/25

74/24

72/25

73/24

72/26

72/26

76/22

78/20

80/18 84/15

80/19

70/26

77/22

81/16

79/19

80/19

78/19

80/18

79/21

78/20

87/12

86/12

84/15 84/15

85/13

83/16

80/19

87/11

86/13

85/14

81/16

84/14

81/18

84/13

81/18

86/13

81/16 85/14

83/16

77/21

79/19

84/13

85/15

83/15

78/19

83/16

82/13

82/16

82/17

80/19

Healthier school lunches

79/15 82/12

82/14

72/24

80/16

79/15

84/15

81/16

76/14

81/12

79/19

78/17

83/6

87/11

Programs to help quit smoking

75/20 79/17

76/18

68/28

74/23

77/18

78/21

76/20

74/21

74/21

77/18

75/20

73/22

78/19

Building more hospitals or healthcare centers Opening more medical schools Free health screenings or vaccina/ons for children and the elderly

70/28 74/23

68/29

65/33

71/28

69/27

76/23

69/28

70/27

73/26

66/30

65/32

79/22

85/12

64/29 70/24

62/32

59/36

67/30

63/29

73/26

62/32

67/26

71/23

62/32

60/33

73/22

83/16

92/6

92/6

91/7

90/9

91/7

92/6

91/9

92/7

92/6

92/6

95/5

92/6

91/6

93/6

More parks, trails and recrea/on centers

83/16 85/13

85/15

77/21

81/19

85/12

90/10

86/13

75/21

83/16

85/14

83/15

84/15

89/10

71/27 76/23

73/24

62/35

70/29

73/24

73/27

72/26

71/27

71/27

75/24

73/26

72/28

76/22

74/21 77/17

75/18

68/27

71/25

78/16

80/19

74/21

73/19

78/18

69/26

72/22

84/13

77/22

Clearly displaying nutri/onal content of food in restaurants Nutri/on awareness campaigns Encouraging more Farmers’ markets Lowering the price of nutri/ous foods

More bike paths, and dedicated bike lanes on roads Awareness campaigns for low-­‐income health insurance programs

TECHNOLOGY AND HEALTH

NEW YORK • WASHINGTON • DENVER • SEATTLE • LOS ANGELES • SAN FRANCISCO • LONDON • HONG KONG • BEIJING

VISITS TO ONLINE HEALTH AND MEDICAL WEBSITES

Have you ever visited a health or medical All website to research health issues?

City Suburb Rural Male Female

Under Over 30-­‐60 <$50K >$125K White Black Hispanic 30 60

Yes

64

58

73

62

60

66

60

72

49

49

80

67

56

51

No

36

42

27

38

39

34

40

28

51

51

20

33

44

49

Don't know

0

0

1

0

1

0

0

1

0

0

0

0

0

0

SPECIFIC HEALTH OR MEDICAL WEBSITES VISITED *Findings are direc/onal

Which health or Under Over medical websites have All City Suburb Rural Male Female 30 30-­‐60 60 <$50K >$125K White Black Hispanic N=638 N=258 N=222 N=155 N=275 N=363 N=426 N=200 N=89 N=426 N=69* N=61* N=60* N=152 you visited?

Yahoo! Health

8

7

7

8

6

9

5

8

7

10

8

7

13

8

NIH (Na/onal Ins/tutes of Health)

8

9

9

4

7

9

8

7

11

7

10

7

6

7

WebMD

59

59

61

55

58

59

50

63

51

53

76

64

51

33

PubMed

3

2

3

3

2

3

5

2

2

3

1

1

6

3

Medicine Net

4

5

3

2

3

4

3

4

2

5

3

3

6

0

MayoClinic

17

16

20

16

9

23

10

18

20

13

20

19

14

7

Men’sHealth

5

3

5

5

8

2

7

4

5

4

7

4

7

3

WeightWatchers

5

3

5

6

3

6

2

4

7

6

4

5

6

3

MedlinePlus

4

4

5

3

1

6

7

4

4

5

2

3

7

5

Drugs.com

5

5

6

5

4

6

8

4

7

5

4

6

3

0

Website of my health insurance provider

12

11

16

7

13

11

8

13

11

6

24

13

7

3

Google

22

21

25

19

21

23

27

22

20

24

27

22

28

11

Other

24

24

22

28

22

26

25

24

25

27

13

22

26

34

Don't know

10

9

9

10

12

8

12

8

14

10

7

10

10

13

REASONS FOR CONSULTING MEDICAL WEBSITES *Findings are direc/onal

What is most likely to Under Over make you consult All City Suburb Rural Male Female 30-­‐60 <$50K >$125K White Black Hispanic 30 N=426 60 N=200 N=89 N=426 N=69* N=61* N=638 N=258 N=222 N=155 N=275 N=363 these health or N=60* N=152 medical websites?

To diagnose myself

40

44

36

38

42

38

43

43

30

38

45

42

33

36

31

33

27

34

31

31

38

32

26

35

26

30

30

43

38

36

41

37

35

40

52

40

28

37

40

39

32

44

24

23

27

23

21

27

28

25

21

25

28

23

17

36

64

64

60

71

63

65

65

65

62

64

65

65

58

67

61

60

62

63

56

65

55

63

61

59

64

64

55

46

36

34

37

38

32

40

38

37

34

36

34

36

39

34

26

27

25

25

23

28

30

27

20

30

27

24

28

39

Other

7

7

7

6

6

8

7

6

9

8

6

6

7

11

Don't Know

0

1

0

1

1

0

0

0

1

0

0

1

0

0

To get a second opinion on a diagnosis I received from a doctor To determine if I need to see a doctor To find reviews of doctors To generally educate myself about health issues To learn about a health issue that might be affec/ng a friend or family member To get nutri/on informa/on To get exercise informa/on

IMPORTANCE OF ONLINE MEDICAL INFORMATION

How important to your health do you consider Under Over the health or medical All City Suburb Rural Male Female 30 30-­‐60 60 <$50K >$125K White Black Hispanic N=638 N=258 N=222 N=155 N=275 N=363 N=426 N=200 N=89 N=426 N=69* N=61* N=60* N=152 informaQon you find online?

Very important

39

38

40

40

39

39

52

40

33

46

33

33

46

57

Somewhat important

55

56

55

55

56

55

43

55

61

50

61

61

48

41

Not very important

4

6

3

4

4

5

5

4

5

2

3

5

4

2

Not at all important

1

0

2

1

2

1

0

1

1

2

3

2

1

0

Don't Know VOL

0

0

0

0

0

0

0

0

0

0

0

0

0

0

*Findings are direc/onal

ACTION BASED ON INFORMATION FROM MEDICAL WEBSITES Which of the following is All City Suburb Rural closer to your N=638 N=258 N=222 N=155 view?

I generally act on the health and medical informa/on I find online 18 18 18 16 without consul/ng a medical professional I generally consult with a medical professional before ac/ng on 79 79 78 82 the health and medical informa/on I find online Don't Know VOL

3

*Findings are direc/onal

3

4

2

Under Over 30-­‐60 <$50K >$125K White Black Hispanic 30 60 N=363 N=426 N=200 N=89 N=426 N=69* N=61*

Male Female

N=275

N=60*

N=152

19

17

32

17

13

19

17

15

20

18

78

80

67

79

84

79

80

81

75

77

3

3

2

4

3

2

3

3

4

5

ELECTRONIC COMMUNICATION WITH DOCTORS

Have you ever emailed or sent text messages to All your doctor with health quesQons?

City Suburb Rural

Male Female

Under Over 30-­‐60 30 60

<$50K >$125K White Black Hispanic

Yes

12

12

14

9

12

12

5

16

7

7

23

12

9

10

No

88

88

85

90

88

88

95

84

93

92

77

88

91

90

Don't know

0

0

1

0

0

0

0

0

1

0

1

1

0

0

FREQUENCY OF ELECTRONIC COMMUNICATION

How oven do you email or All City Suburb Rural text your N=119 N=53* N=43* N=23* doctor?

At least every 3 0 7 0 week A few /mes a 5 4 2 13 month Once a month

Male Female Under 30 30-­‐60 Over 60 <$50K >$125K White Black Hispanic

N=53*

N=66*

N=5*

N=93

N=21*

N=29*

N=25*

N=74* N=11*

N=12*

0

5

20

2

0

0

0

4

0

0

8

3

0

5

5

7

8

3

9

0

13

8

16

17

8

17

20

13

10

17

8

11

18

33

Once every few 36 months

36

37

35

36

36

40

34

43

34

36

43

27

25

Once a year

32

38

26

30

34

30

20

33

29

31

32

30

36

33

Never

9

9

12

4

13

6

0

10

10

10

12

8

0

8

Don't know

3

6

0

0

2

3

0

2

5

0

4

1

9

0

*Findings are direc/onal

ELECTRONIC REMINDERS CONCERNING HEALTH From which of the following would you want to receive All City Suburb Rural Male Female Under 30 30-­‐60 Over 60 <$50K >$125K White Black Hispanic emails or text messages with health reminders?

Your doctor’s office 64 63

70

59

66

62

67

69

53

58

75

61

71

70

27 26

28

25

29

25

27

28

24

29

34

25

30

35

15 16

15

12

14

16

11

16

15

18

14

13

19

18

20 23

22

13

21

20

22

21

18

25

16

16

33

32

25 28

26

18

26

25

28

27

21

24

30

24

28

24

Other

13 13

13

16

11

16

6

12

19

15

12

15

9

8

Don't know

12 14

10

12

12

12

13

10

17

13

7

13

11

8

Your health insurance company A pharmaceu/cal company Your local government or public health department A Non-­‐profit organiza/on related to a condi/on or disease that is relevant to you

IMPORTANCE OF ELECTRONIC COMMUNICATION

In your opinion, does being able to email or text with your Under Over All City Suburb Rural Male Female 30-­‐60 <$50K >$125K White Black Hispanic doctor improve your 30 60 N=119 N=53* N=43* N=23* N=53* N=66* N=93 N=29* N=25* N=74* N=11* N=12* N=5* N=21* health care a lot, somewhat, not very much or not at all?

A lot

31

25

37

35

28

33

40

31

29

31

28

32

9

42

Somewhat

48

55

42

43

45

50

60

49

38

45

56

43

64

50

Not very much

9

9

9

9

8

11

0

9

14

3

4

11

9

0

Not at all

12

11

12

13

19

6

0

11

19

21

12

14

18

8

Don't know

0

0

0

0

0

0

0

0

0

0

0

0

0

0

*Findings are direc/onal

CHARGING FOR ELECTRONIC CONSULTATIONS

Do you think your doctor would be right to charge you for an email or text All City Suburb Rural Male Female Under 30 30-­‐60 Over 60 <$50K >$125K White Black Hispanic consultaQon as an alternaQve to an office visit?

Yes – My doctor should be able 30 25 33 34 32 28 25 29 32 23 35 36 11 18 to charge No – My doctor should not charge

66

71

62

61

64

67

74

67

61

73

59

59

88

76

Don't know

5

4

6

5

5

5

1

4

6

4

5

5

2

6

WILLINGNESS TO PAY FOR ELECTRONIC CONSULTATION

Would you be willing to pay for an email or text consultaQon with your doctor as an alternaQve to an office visit?

All

City Suburb Rural Male Female

Yes

31

27

33

38

33

30

33

33

28

26

41

35

18

27

No

65

71

61

59

63

66

66

63

68

72

52

60

81

70

Don't know

4

2

6

3

3

4

1

4

5

2

6

5

1

3

Under Over 30-­‐60 <$50K >$125K White Black Hispanic 30 60

ELECTRONIC COMMUNICATION AS PRIMARY FORM OF COMMUNICATION

Would you be comfortable if email or other electronic communicaQon was the All primary way that you communicate with your doctor?

City

Suburb Rural Male Female

Under Over 30-­‐60 <$50K >$125K White Black Hispanic 30 60

Yes

20

21

20

19

22

19

34

23

12

22

26

17

23

29

No

78

77

77

80

77

79

66

76

85

77

72

81

77

68

Don't know VOL

2

2

2

1

1

2

0

2

3

2

2

2

0

2

THE HEALTHCARE SYSTEM

NEW YORK • WASHINGTON • DENVER • SEATTLE • LOS ANGELES • SAN FRANCISCO • LONDON • HONG KONG • BEIJING

HEALTH CARE COMPANIES ROLE IN IMPROVING COMMUNITY HEALTH

How much do you think health care companies care about improving the All health of people in your community?

City

Suburb Rural Male Female

Under Over 30-­‐60 <$50K >$125K White Black Hispanic 30 60

A great deal

15

13

18

14

18

12

9

15

16

14

16

16

13

12

Some

41

42

41

39

43

39

42

37

48

40

41

39

41

50

Not very much

22

25

21

20

20

25

26

24

17

22

24

22

20

20

None at all

20

19

20

23

18

21

23

22

15

21

17

20

24

18

Don't Know VOL

2

2

1

3

1

3

0

2

4

2

1

2

2

0

PERCEPTION OF HEALTH CARE COMPANY UNDERSTANDING OF COMMUNITY NEEDS

How well do you think health care companies -­‐-­‐ like insurance and pharmaceuQcal companies -­‐-­‐ All understand what people in your community need to improve their health?

City Suburb Rural Male Female

Under Over 30-­‐60 <$50K >$125K White Black Hispanic 30 60

Very well

16

17

16

13

18

14

10

15

18

16

17

16

17

120

Somewhat well

41

41

40

41

43

39

50

39

41

38

46

40

38

16

Not very well

20

21

19

21

20

21

16

22

18

22

18

22

17

44

Not well at all

20

18

21

23

16

23

22

21

17

22

15

19

27

20

Don't know

4

3

5

2

3

4

2

3

5

3

4

4

1

17

HEALTH INSURANCE

Do you have health All City Suburb Rural insurance?

Male Female

Under Over 30-­‐60 <$50K >$125K 30 60

White

Black Hispanic

Yes

86

86

90

82

85

87

71

87

91

80

95

89

89

79

No

11

12

8

14

12

11

28

11

6

19

2

9

11

20

Don't know

2

2

2

4

3

2

1

3

3

1

3

2

1

1

SOURCE OF HEALTH INSURANCE Is your health insurance through...

Your employer Your spouse’s employer A private plan you selected on your own

All

City Suburb Rural

N=867 N=382 N=274

Under Over 30-­‐60 30 60 N=478 N=515

Male Female

N=207

N=389

N=71*

N=281

<$50K >$125K White Black Hispanic N=329

N=106 N=566 N=109

N=95

43

40

48

42

52

36

37

56

21

29

65

41

48

49

17

13

20

19

10

22

8

23

8

9

19

20

6

13

9

8

10

11

9

9

13

7

14

12

7

10

8

8

Medicare

19

23

14

17

14

23

11

5

46

30

6

20

21

14

Medicaid

4

5

1

6

5

4

11

4

2

11

0

3

10

4

2

2

1

3

4

1

3

2

3

2

2

2

0

2

5

6

4

2

5

4

13

3

5

8

2

4

4

7

1

1

0

0

1

1

4

1

0

2

0

0

3

2

VA Insurance Another program Don't know

*Findings are direc/onal

DOCTOR VISITS PER YEAR

On average, how many Qmes per All City Suburb Rural year do you visit a doctor?

Male Female

Under 30-­‐60 Over 60 <$50K >$125K White Black Hispanic 30

0

5

5

5

8

7

4

4

7

3

6

7

6

2

6

1

20

19

22

20

21

19

19

24

13

16

31

22

12

18

2

23

24

24

19

23

22

33

23

18

20

23

20

25

28

3

15

15

14

14

13

16

15

13

17

16

16

14

14

16

4

15

16

11

17

14

15

9

13

20

16

11

14

19

12

5+

20

20

23

19

17

23

20

18

28

22

14

21

29

21

APPROACHES TO VISITING THE DOCTOR Which of the following best describes your approach to visiQng the doctor?

I visit the doctor for regular check-­‐ups, even when I am well I visit the doctor regularly to take care of a chronic condi/on I only visit the doctor when I am given a referral to see one I only visit the doctor when I am sick or injured I never visit the doctor Don't know

Rural Male Female

Under Over 30-­‐60 <$50K >$125K Black White Hispanic 30 60

All

City

Suburb

49

51

48

45

50

48

41

45

57

43

57

58

48

41

20

20

18

22

15

24

7

19

24

23

10

23

20

16

3

2

2

4

3

2

3

3

3

3

2

4

2

7

26

24

29

25

29

24

45

29

14

28

25

15

27

32

2

2

2

3

3

2

4

3

1

3

5

0

3

4

1

0

1

2

1

1

0

1

1

1

2

1

1

1

PRIMARY DOCTOR

Do you have a primary doctor – such as a general pracQce, family pracQce or internal medicine physician?

All

City Suburb Rural Male Female

Yes

88

87

90

90

86

90

70

88

95

86

92

91

89

75

No

11

13

10

10

13

9

29

11

5

14

7

9

11

24

Don't know

0

0

0

0

0

1

1

0

0

0

1

0

0

1

Under Over 30-­‐60 <$50K >$125K White Black Hispanic 30 60

SEEING THE SAME DOCTOR

Do you typically see the same doctor every Qme you go to the doctor, or do you typically All see a different doctor each Qme?

City Suburb Rural Male Female

Under Over 30-­‐60 <$50K >$125K White Black Hispanic 30 60

The same each /me

83

80

85

86

81

85

66

84

89

81

84

86

83

70

Different each /me

15

18

12

12

17

13

32

14

9

16

13

11

15

28

Don't know VOL

2

2

3

2

2

2

2

2

2

3

4

2

2

2

DEVELOPING RELATIONSHIPS WITH DOCTORS

How easy or hard is it to develop a relaQonship with your primary Under Over doctor so that your doctor knows All City Suburb Rural Male Female 30-­‐60 <$50K >$125K White Black Hispanic 30 60 your medical history well and you N=888 N=384 N=274 N=226 N=394 N=494 N=70* N=525 N=293 N=351 N=102 N=579 N=110 N=90 are comfortable talking to your doctor?

Very easy

70

70

68

73

72

69

59

67

78

72

73

68

78

73

Somewhat easy

20

20

20

20

20

20

27

21

17

19

19

21

14

21

Somewhat hard

6

6

8

5

6

7

9

7

4

5

6

7

5

4

Very hard

3

4

3

2

3

4

6

4

1

4

3

4

3

1

Don't know

0

0

0

0

0

0

0

0

0

0

0

0

0

0

*Findings are direc/onal

COORDINATION BETWEEN DOCTORS

In your opinion, how good or bad is your doctor at coordinaQng your Under Over City Suburb Rural Male Female 30-­‐60 <$50K >$125K White Black Hispanic health care with other doctors and All 30 N=525 60 N=351 N=102 N=579 N=110 N=90 N=888 N=384 N=274 N=226 N=394 N=494 N=70* N=293 hospitals, including specialists that you might have to see?

Very good

66

65

64

71

62

69

61

63

74

71

54

65

73

68

Somewhat good

23

24

24

19

27

19

26

25

19

20

30

23

19

26

Somewhat bad

5

6

4

4

5

4

7

5

4

3

6

5

4

3

Very bad

1

2

1

1

1

2

4

2

0

2

0

1

3

0

Don't know

5

3

6

5

5

4

1

6

3

3

10

6

2

3

*Findings are direc/onal

COMPLEXITY OF THE HEALTH CARE SYSTEM

In your opinion, is the health care system generally predy easy to handle by yourself, or is too complex to handle by yourself?

Easy to navigate Too complex Don't know

Under Over 30-­‐60 <$50K >$125K White Black Hispanic 30 60

All

City Suburb Rural Male Female

74

75

72

74

72

75

68

73

78

71

78

74

72

77

23

22

25

23

25

22

30

25

18

25

21

22

26

22

3

3

3

3

3

3

2

3

3

4

1

3

2

1

ASSISTANCE DEALING WITH THE HEALTH CARE SYSTEM Who do you typically Under Over rely on to help you All City Suburb Rural Male Female 30-­‐60 <$50K >$125K White Black Hispanic 30 60 N=146 N=101 N=23* N=141 N=32* N=27* handle the complex N=233 N=99 N=76 N=58* N=113 N=120 N=30* N=57* health care system?

My doctor or doctor’s 41 47 34 40 42 40 43 34 58 41 52 33 56 44 office staff Friends or family

33

25

42

34

35

31

37

35

26

34

35

39

25

26

Government services

3

3

3

2

4

1

7

3

0

6

0

2

0

11

My health insurance company

10

8

12

12

10

11

3

14

5

6

4

12

6

7

Local clinics or hospitals

1

2

0

2

2

1

7

1

0

1

0

0

0

4

Online informa/on

2

2

3

2

0

4

3

3

0

2

0

3

0

0

Community or non-­‐ profit organiza/ons

1

2

0

0

1

1

0

1

2

1

0

1

3

0

My pharmacist

2

4

0

2

2

2

0

1

5

2

0

2

0

4

Don't know VOL

6

6

7

7

4

9

0

9

4

8

9

8

9

4

*Findings are direc/onal

CARE COORDINATORS IN DOCTOR’S OFFICES

Does your doctor’s office have a care coordinator – someone Under Over All City Suburb Rural Male Female 30-­‐60 <$50K >$125K White Black Hispanic whose job is to help you 30 60 N=351 N=102 N=579 N=110 N=90 N=888 N=384 N=274 N=226 N=394 N=494 N=525 N=70* N=293 navigate the health care system?

Yes

35

39

31

33

36

34

47

34

33

40

28

28

51

53

No

42

41

41

45

44

39

34

41

44

41

42

43

35

27

Don't know

24

21

28

23

20

27

19

25

23

20

29

28

15

20

*Findings are direc/onal

DOCTORS’ HELPFULNESS

In your opinion, how good or bad is your doctor or Under Over All City Suburb Rural Male Female 30-­‐60 <$50K >$125K White Black Hispanic doctor’s office staff at 30 60 N=888 N=384 N=274 N=226 N=394 N=494 N=525 N=351 N=102 N=579 N=110 N=90 N=70* N=293 helping you navigate the health care system?

Very good

54

53

49

62

49

58

41

50

64

58

44

53

52

63

Somewhat good

32

32

35

26

36

28

46

34

25

30

34

32

35

26

Somewhat bad

6

7

7

2

4

7

7

6

4

5

9

6

5

6

Very bad

3

3

3

3

3

3

0

4

2

3

3

3

5

0

Don't know

6

4

6

7

7

4

6

6

5

3

10

7

3

6

*Findings are direc/onal

DOCTOR RELATIONSHIPS PAST VS. PRESENT

Thinking about your parents’ generaQon, do you think they had more personal or less All personal relaQonships with their doctors than you do now?

City

Suburb Rural Male Female

Under Over 30-­‐60 <$50K >$125K White Black Hispanic 30 60

Much more personal

40

38

44

38

41

38

29

45

32

33

47

42

37

34

Somewhat more personal

22

22

21

22

24

19

31

21

19

20

25

24

13

12

Somewhat less personal

17

18

16

18

16

19

19

16

19

20

13

14

26

27

Much less personal

14

15

12

15

13

15

16

11

19

18

6

12

17

21

Don't know

8

7

7

8

6

9

5

6

11

8

9

7

7

7

REGULAR CHECKUPS

Do you regularly go to see a doctor when you’re not sick (such as for an annual checkup)?

All

City

Yes

66

69

65

63

61

70

59

63

75

64

67

66

73

68

No

32

29

33

34

36

28

40

34

24

35

31

32

26

32

Don't know

2

2

1

3

3

2

1

3

1

1

3

2

1

0

Suburb Rural Male Female

Under Over 30-­‐60 <$50K >$125K White Black Hispanic 30 60

DOCTORS’ APPEARANCE

NEW YORK • WASHINGTON • DENVER • SEATTLE • LOS ANGELES • SAN FRANCISCO • LONDON • HONG KONG • BEIJING

IMPORTANCE OF DOCTOR’S CLOTHING

How important is the way your doctor dresses to you?

All

City

Very important

24

27

19

23

23

24

23

22

27

30

18

18

35

32

Somewhat important

27

25

29

27

26

27

31

27

25

25

32

28

23

23

Not very important

20

19

22

20

22

19

20

21

19

16

19

23

11

19

Not at all important

27

27

29

27

27

28

26

28

27

27

28

29

31

24

Don't know

2

2

1

2

2

2

0

2

2

2

3

2

1

1

Suburb Rural Male Female

Under Over 30-­‐60 <$50K >$125K White Black Hispanic 30 60

DOCTOR’S CLOTHING AND PATIENT CONFIDENCE

How much does the way your doctor dresses All impact your confidence in his/her abiliQes?

City Suburb Rural Male Female

Under Over 30-­‐60 <$50K >$125K White Black Hispanic 30 60

A lot

20

24

16

17

18

21

15

17

26

25

15

14

34

24

Somewhat

25

23

26

29

24

26

33

27

19

25

31

25

19

28

Not very much

21

18

24

22

23

19

25

20

20

18

21

24

16

16

Not at all

33

33

34

31

32

33

27

33

33

30

32

35

31

32

Don't know

1

2

1

2

2

1

0

2

1

1

2

2

0

0

DOCTOR’S CLOTHING

How do you prefer your doctor to dress?

All

City Suburb Rural Male Female

White coat

39

41

39

35

42

36

52

36

39

42

32

35

44

51

Scrubs

6

6

6

7

5

7

11

7

4

8

8

6

7

8

Business awre

16

15

16

18

17

15

12

19

12

13

23

16

13

15

Other

26

24

27

26

23

28

18

25

29

27

19

28

24

21

Don't know

13

14

12

14

13

14

7

13

16

9

18

13

11

6

Under Over 30-­‐60 <$50K >$125K White Black Hispanic 30 60

HEALTHY LIVING FACTORS

NEW YORK • WASHINGTON • DENVER • SEATTLE • LOS ANGELES • SAN FRANCISCO • LONDON • HONG KONG • BEIJING

EXERCISE

How many hours per week do you exercise?

All

City Suburb Rural Male Female

Under Over 30-­‐60 <$50K >$125K White Black Hispanic 30 60

0-­‐1 hours per week

25

28

22

24

23

27

17

24

29

29

22

25

38

18

2-­‐5 hours per week

37

38

36

38

34

40

37

38

35

33

41

37

35

42

5-­‐8 hours per week

17

17

19

14

20

14

18

16

18

16

22

18

11

17

8-­‐10 hours per week

8

7

10

7

9

8

14

8

7

10

5

8

8

12

More than 10 hours per week

9

8

10

12

12

7

13

10

7

10

8

9

5

10

Don't know

3

2

3

5

3

3

1

3

4

2

3

3

3

2

SMOKING

Do you smoke All regularly?

City Suburb Rural

Male Female

Under Over 30-­‐60 <$50K >$125K White Black Hispanic 30 60

Yes

14

16

11

15

16

12

18

16

8

18

8

14

15

16

No

84

82

87

82

81

86

81

81

90

81

89

84

85

84

Don't know

2

2

2

3

3

2

1

3

2

1

3

2

0

0

HEALTHY FOOD CHOICES

Do you generally choose All organic or healthy food opQons?

City Suburb Rural

Male

Female

Under 30

30-­‐60 Over 60 <$50K >$125K White Black Hispanic

Yes

62

63

61

62

55

68

65

63

59

63

64

63

65

58

No

34

34

35

33

40

29

34

33

37

35

32

34

33

40

Don't Know

4

3

4

4

4

3

1

4

4

2

4

3

2

2

HAND WASHING

How many Qmes do you wash your All hands per day?

City

Suburb Rural Male Female

Under Over 30-­‐60 <$50K >$125K White 30 60

Black Hispanic

0

0

0

0

0

0

0

0

0

0

0

1

0

0

0

1

1

1

1

1

1

1

0

1

1

1

2

1

0

1

2

3

3

2

3

4

2

3

2

3

2

3

3

1

2

3

4

4

5

4

7

2

4

5

4

5

8

4

8

2

More than 3 /mes per day

89

90

89

88

85

93

91

89

89

90

84

89

89

93

Don't know

3

3

3

4

3

3

2

3

4

1

3

2

2

2

WATER CONSUMPTION

How many glasses of water do you drink per day?

All

City Suburb Rural Male Female

0-­‐3

24

24

23

24

24

23

19

22

28

29

19

25

24

25

3-­‐6

37

37

38

35

36

37

36

36

38

37

38

37

44

32

6-­‐9

25

23

26

28

22

28

25

25

25

21

28

26

16

25

More than 9 glasses per day

12

13

10

11

15

9

18

13

7

11

13

10

15

17

Don't know

3

3

3

3

3

2

2

3

2

2

3

2

1

1

Under Over 30-­‐60 <$50K >$125K White Black Hispanic 30 60

VISITING THE DENTIST

Do you go to see a denQst when there isn’t something wrong (such as for an annual teeth cleaning)?

All

City Suburb Rural Male Female

Yes

68

62

80

66

66

70

63

71

64

53

82

72

59

58

No

29

36

18

31

31

28

36

26

33

46

15

26

41

40

Don't know

2

2

2

3

3

2

1

3

3

1

3

2

0

2

Under Over 30-­‐60 <$50K >$125K White Black Hispanic 30 60