/ 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
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