national community health survey by penn schoen berland

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

/ NATIONAL COMMUNITY HEALTH SURVEY

MARCH 2013

©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

2

AUDIENCE SAMPLE SIZE

MARGIN OF ERROR

All U.S. General Popula/on 1004 +/-‐3.09%

SeTng Urban 443 +/-‐4.66%

Suburb 306 +/-‐5.60%

Rural 251 +/-‐6.19%

Age Under 30 100 +/-‐9.80%

30-‐60 595 +/-‐4.02%

Over 60 309 +/-‐5.58%

Annual Household Income

Less Than $50K 410 +/-‐4.84%

$50K-‐$125K 349 +/-‐5.25%

Over $125K 111 +/-‐9.30%

Ethnicity White 637 +/-‐3.88%

African American 123 +/-‐8.84%

Hispanic 120 +/-‐8.95%


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

WHAT WE LEARNED

©PENN, SCHOEN & BERLAND ASSOCIATES, LLC. 3


AMERICANS ARE HEALTH-‐CONSCIOUS AND OVERWHELMINGLY CONSIDER THEMSELVES HEALTHY

FAMILY AND HEALTH ARE TOP PRIORITIES OF AMERICANS


6

7

10

23

50

70

Your Social Life

Community Service

Your Hobbies And Leisure Time

Your Job

Your Health

Taking Care Of Your Family

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

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

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


N=

36

21

15

8

18

More Than Once Per Day Once Per Day A Few Times a Week Once Per Week Less Than Once Per Week

Thinking About Health How oFen do you think about your own health?

v African Americans think about their health the most frequently – 54% of them think about it more than once per day

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

90

9 1

Good

Bad

Don’t know

v Personal health rated as Very Good: Low-‐income 43%

Middle-‐income 47%

Upper-‐income 60%

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.

19

26 53

Improved

Goden Worse

Stayed The Same

N=

49 47 45

35 35 33 32 29 26 23 22 17

10

There are more

convenient areas to walk,

bike or exercise, such as parks and

gyms

People are more educated about their health

There are more healthy food op/ons conveniently available

My economic situa/on is be]er

Be]er access to health

informa/on and services

online

I feel safer I can access be]er

healthcare

I can access more

affordable healthcare

My neighbors are living

healthier lives

My neighbors are more

commi]ed to each other

My neighbors are happier

Government programs are

more accessible

Other

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

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


9

N=

28

20 15 15 15 15 14 14 14

11 6 6 6 5 4

My economic situa/on is worse

There are fewer healthy food op/ons conveniently available

I cannot access be]er healthcare

Government programs are

less accessible

People are less educated about their health

People are less

commi]ed to each other

I cannot access

affordable healthcare

I feel less safe There are fewer

convenient areas to walk,

bike, or exercise, such as parks and

gyms

I got older My neighbors are less happy

Developed health problem

Chose to live less healthy lifestyle

(Chose to eat worse,

exercise less, or take more job stress)

My neighbors are living less healthy lives

Worse access to health

informa/on and services

online

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

THOSE WHO THINK HEALTH HAS DECLINED ARE MOST LIKELY TO CITE WORSENING ECONOMIC CIRCUMSTANCES


10

v 40% of Low-‐income Americans with declining health cite a worsening economic situaFon


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

AMERICANS FEEL MOST CLOSELY CONNECTED TO THEIR NEIGHBORS AND PEOPLE AT THEIR PLACES OF WORSHIP


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 Organiza/ons

Parents and Faculty At Your Childrens' School

People At The Parks And Recrea/on

Facili/es You Go To

Members Of Your Online Groups

Closeness To Community Groups Which of the following groups of people do you feel closely connected to?

v 58% of Hispanics feel closely connected to neighbors v 54% of African Americans feel closely connected to members of place of

worship

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

82

16 2

Maders

Doesn’t Mader Don’t know

v Health of people in community maLers a great deal:

Urban 39%

Suburban 28%

Rural 36%

BUT THEY DO NOT THINK THE HEALTH OF THEIR NEIGHBORS AFFECTS THEM


8

45

20

25

Agree

Disagree

Strongly Agree

Somewhat Agree

Strongly Disagree

Somewhat Disagree

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”

70

28

v  Americans with Graduate degrees are most likely to believe their neighbors health affects them – 42% agree with this statement


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

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

81

19

Easy

Difficult

v This is consistent among urban, suburban, and rural Americans

THEY BELIEVE A VARIETY OF COMMUNITY RESOURCES ARE IMPORTANT TO THEIR HEALTH


N=

87 82 81 74 69 64 59 41 39 32

12 15 17 22

19 28 29

33 38

20

Good Air and Water Quality

Doctors and Den/sts

Whom I Can See Regularly

Healthy Food Choices

Nearby Hospitals and Urgent Care Facili/es

Safe, Affordable Housing

Informa/on or Educa/on on Preven/on, Health and Wellness

Open Parks and Green Spaces

Nearby Gyms or Recrea/on Facili/es

Kind, Suppor/ve Neighbors

Ajer-‐School Programs or Ac/vi/es

Outside School Hours

Somewhat Important Very Important

Importance of Community Resources How important is the following to your health?

99

88 92 88

74 77

52

97 96 98

v Environment, doctors, healthy food and hospitals almost universally seen as most important

AMERICANS BELIEVE THAT THEIR COMMUNITIES PROVIDE AT LEAST SOME ACCESS TO HEALTH RESOURCES


N=

73 68 72 62 64 57 53 47

37 32

20 24 19 28 26

30 27

31 41

25

Doctors and Den/sts












Some

A Great Deal

Access To Community Resources How much access do you have to this resource in your community today?

93 90 87 80 78 78

57

92 90 91

BUT COMMUNITIES ARE NOT MEETING DEMAND ON ENVIRONMENT, HOUSING AND HEALTHY FOOD IN

PARTICULAR


N=

82 81 74

87

59 64

41

69

39 32

73 68

72

62 64 57

53 47

37 32

Doctors and Den/sts












Very Important To My Health

A Great Deal of Access In My Community

Community resources: Very Important to Health vs. A Great Deal of Access

How much access do you have to this resource in your community today? How important is the following to your health?

DEMAND ESPECIALLY NOT BEING MET FOR LOW-‐INCOME AMERICANS


N=

84 82 78

89

62 68

41

75

44

31

66 62 63

58 57 50

40 37 35

27

Doctors and Den/sts












Very Important To My Health

A Great Deal Of Access

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

v Among low-‐income, urban non-‐white Americans: Safe, affordable housing 27% have A Great Deal of access

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

AMERICANS BELIEVE A VARIETY OF COMMUNITY HEALTH PROGRAMS ARE EFFECTIVE


N=

66 47

39 54

30 48

37 32 33 31 30 26 19 16 15

26

37 44

27

50 31

38 43 41 40 40 38

25 27 21

Free Health Screenings

and Vaccina/ons for Children and the Elderly

Encouraging More Farmers

Markets

More Parks Trails and Recrea/on Centers

Lowering the Price of Nutri/ous Foods

Nutri/on Awareness Campaigns

Healthier School Lunches

Programs to Help Quit Smoking

Awareness Campaigns for Low-‐Income

Health Insurance Programs

Clearly Displaying Nutri/onal Content of Food in

Restaurants

More Bike Paths and Dedicated

Bike Lanes on Roads

Building More Hospitals or Healthcare Centers

Opening More Medical Schools

Limi/ng The Size of Sodas

Sales Taxes on Unhealthy Food and Beverages

Discon/nuing the Sale of Extra-‐Large Candy Bars

Somewhat Effec/ve

Very Effec/ve 84

Perceived EffecQveness of Programs How effecBve do you think the following policies or programs are?

92 83 81 80 79

71 74 75 75 70

64

44 43 36


AMERICANS VIEW HEALTHCARE PROVIDERS AS PARTICULARLY IMPORTANT TO COMMUNITY HEALTH

DOCTORS AND HOSPITALS, ALONG WITH RESIDENTS, ARE SEEN AS MOST RESPONSIBLE FOR COMMUNITY HEALTH


N=

47 46 40

36 32 30

27 25 21

Doctors and Hospitals

The Communi/es Residents

Local Health Department and Local Government

Health Care Insurance Companies

Employers And Businesses

The Federal Government

Community Non-‐Profit

Organiza/ons

Pharmaceu/cal Companies

Religions Ins/tu/ons

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

LOW-‐INCOME AMERICANS MOST LIKELY TO SAY DOCTORS AND HOSPITALS ARE RESPONSIBLE FOR COMMUNITY

HEALTH


N=

42

50

36 32

27 32

24 21

14

55

47 46 43

39

32 33 31 27

48

36

51

37 43

35 30 28 28

48 50

36 35

25 31

25 24 20

46 44 49

43

35 30 31

25 22

Doctors and Hospitals

The Communi/es Residents

Local Health Department and Local Government

Healthcare Insurance Companies

The Federal Government

Employers And Businesses

Community Non-‐Profit

Organiza/ons

Pharmeceu/cal Companies

Religious Ins/tu/ons

High-‐Income

Low-‐income

African American

White

Hispanic

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

v African Americans and Hispanics are most likely to say the local government is responsible for community health

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


N=

49

26 20

3 2

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

Well

I Only Visit The Doctor When I Am Sick Or Injured

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 Never Visit The Doctor

Frequency Of Doctors Visits Which of the following best describes your approach to visiBng the doctor?

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

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

90

9 1

Easy

Hard Don’t Know

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

5

6

89

Don't Know

Bad

Good

v Doctor is Very Good at coordinaFng care: Low-‐income 71%


Upper -‐income 54%

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?

74

23 3

Easy to Navigate

Too Complex

Don’t Know

v Easy to navigate, by age: Under 30 68%

30-‐60 73%

Over 60 78%

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

86

9 5 Don’t Know

Good

Bad

v Doctor’s office is Very Good at helping to navigate, by age:

Under 30 41%

30-‐60 50%

Over 60 64%

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


Household Income N=

56 42

2

Care

Don't Care

Don't Know

Caring 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”

N= 57

40

3

Understand

Don't Understand

Don't Know

Understand

Don't Understand

Don't Know

Understanding 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?

v Believe that health care companies care, by age: Under 30

51% 30-‐60 52%

Over 60 64%


AMERICANS VALUE ONLINE RESOURCES AS IMPORTANT HEALTH CARE TOOLS

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?

64

36

Yes

No

ONLINE RESOURCES MOSTLY USED BY UPPER-‐ AND MIDDLE-‐CLASS, SUBURBAN, MIDDLE-‐AGED AND WHITE AMERICANS


N=

80 77

73 72 67

64 62 60 58 56 51 49 49

>$125K $50K-‐$125K Suburb 30-‐60 White All Rural Under 30 Urban African American

Hispanic <$50K Over 60

Web-‐Based Health Resource Use by Demographic Have you ever visited a health or medical website to research health issues? Showing All

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

94

5 1 Don’t know

Important

Not Important

v Online informaFon Very Important to health: Low-‐income 46%


Upper -‐income 33%

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


64

61

40

38

36

31

26

24

To Generally Educate Myself About Health Issues

To Learn About a Health Issue That Might be Affec/ng a Friend of Family Member

To Diagnose Myself

To Determine if I Need to See a Doctor

To Get Nutri/on Informa/on

To Get a Second Opinion

To Get Exercise Informa/on

To Find Reviews of Doctors

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

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


36

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

13

17

32

18

84

79

67

79

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

professional

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

find online

Under 30*

30-‐60

60+

All

* Finding is direc/onal, n-‐size=60

HISPANIC AND YOUNG AMERICANS SHOW MOST INTEREST IN HEALTH WEBSITES AND APPS


N=

36

28 34

67

45 47

58

44

56

80

68

55 51

40

48

79

50 56

Count my Calories Count the Number of Steps I take

Keep Track of the Medica/on I Take

Provide Healthy Food Recipes and Tips

Provide an Exercise Plan Manage a Chronic Condi/on or Disease

All

Hispanic

Under 30

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

YOUNG AMERICANS ARE MOST WILLING TO HAVE PRIMARILY ONLINE INTERACTION WITH DOCTORS


N=

34

27 26 23 22 21 20 20 19 18 18 17

12

Under 30 Hispanic >$125K 30-‐60 <$50K Urban All Suburb Rural $50K-‐$125K African American

White Over 60

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

RURAL AND UPPER-‐INCOME AMERICANS ARE MOST WILLING TO PAY FOR ONLINE CONSULTATION


N=

41

38 37 35

33 33 33 31

28 27 27 26

18

>$125K Rural $50K-‐$125K White Under 30 30-‐60 Suburb All Over 60 Hispanic Urban <$50K African American

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


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

RECAP


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

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

RECAP, CONTINUED



APPENDIX


THE COMMUNITY

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-‐60

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-‐60

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

current community?

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

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

Don't know VOL 0 0 0 0 0 0 0 0 1 0 0 0 0 0

REASONS FOR LIVING IN A COMMUNITY

Why do you choose to live

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

Have always lived here 13 13 14 21 10 17 17 7 12 20 15

Cost of living 5 5 5 5 5 5 6 1 4 7 5

Access to public

transporta/on 1 1 1 0 1 1 1 1 0 1 1

Close to family and friends 13 12 13 19 13 10 15 8 12 11 17

Close to work 9 10 7 5 10 7 5 10 10 5 7

School system 6 7 6 4 9 2 4 15 7 2 8

Parks and recrea/on system

1 1 1 0 1 1 1 3 1 1 0

Affordable housing 6 5 6 6 5 6 8 4 5 11 6

Good climate for business 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

CONNECTION WITH NEIGHBORS

How closely connected do you feel to your neighbors?


Very closely connected 27 25 21 37 26 28 21 24 33 30 18 26 26 27

Somewhat closely

connected 46 47 52 38 46 47 45 47 45 41 49 46 47 49

Not very connected 18 18 21 15 19 17 28 19 13 18 21 19 15 17

Not at all connected 9 10 7 9 9 9 5 10 8 10 12 9 11 7

Don't know 0 0 0 1 0 0 1 0 0 0 1 0 0 1


PERSONAL HEALTH

PRIORITIES

Which of the following do you

consider to be your 1 or 2 biggest prioriQes?


Your job 23 21 26 24 29 19 34 30 7 19 35 24 18 24

Taking care of your family 70 67 72 74 68 72 79 77 54 63 77 70 65 84

Your health 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

Your social life 6 7 6 4 6 6 14 3 8 9 5 6 3 8

Your hobbies and leisure /me 10 9 10 13 12 9 8 9 14 13 8 13 6 5

Don't know 0 0 0 1 1 0 1 0 1 0 0 0 1 0

OPINION OF PERSONAL HEALTH

Generally speaking, how would you

rate your own personal health?


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 about your own

health?


Constantly/Almost always 20 21 20 17 18 22 21 22 17 21 17 15 39 25

Mul/ple /mes per day 16 15 21 12 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 week 18 19 14 22 17 18 23 15 22 19 15 18 11 22

Don't know 2 1 3 3 1 3 0 2 4 3 1 2 2 2

CHANGES IN HEALTH SINCE CHANGING COMMUNITIES

Would you say that your health has generally improved, stayed the same, or goden worse since you have moved into your community?

All N=185

City N=86

Suburb N=62*

Rural N=37*

Male N=75

Female N=110

Under 30 N=31*

30-‐60 N=123

Over 60

N=31*

<$50K N=81*

>$125K N=27*

White N=109

Black N=27*

Hispanic N=25*

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, stayed the same, or goden worse over the past 5 to 10 years?

All N=817

City N=355

Suburb N=244

Rural N=214

Male N=381

Female N=436

Under 30

N=69*

30-‐60 N=472

Over 60

N=276

<$50K N=327

>$125K N=84

White N=526

Black N=96

Hispanic N=95

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


REASONS FOR HEALTH IMPROVEMENT

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.

All N=195

Male N=82

Female N=113

Under 30 N=32*

30-‐60 N=122

Over 60 N=41*

<$50K N=81

>$125K N=19*

White N=105

Black N=27*

Hispanic 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

My neighbors are more commi]ed to each other 23 25 19 20 21 29 30 0 18 30 32

There are more convenient areas to walk, bike or exercise, such as parks and

gyms 49 52 58 35 54 39 48 58 45 52 53

There are more healthy food op/ons conveniently available 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


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 geTng worse. Please tell me which ones, if

any, contributed significantly.

All N=265

Male N=115

Female N=150

Under 30

N=18*

30-‐60 N=137

Over 60 N=110

<$50K N=123

>$125K N=21*

White N=179

Black N=27*

Hispanic N=25*

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

There are fewer convenient areas to walk, bike or exercise, such as parks and gyms 14 10 17 22 12 15 12 10 12 15 12

There are fewer healthy food op/ons conveniently available 20 20 19 33 22 15 20 38 18 22 20

Worse access to health informa/on and services online 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



HEALTH IN THE COMMUNITY

DIFFICULTY OF HEALTHY LIFESTYLE

How easy or difficult do you think it is to live a

healthy lifestyle specifically in your

community?


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 rate the health of people in your community?


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 people in your 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: If my neighbors are less healthy, I am likely to be

less healthy.


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 for ensuring good

health in a community?

All City Suburb Rural Male Female Under 30 30-‐60 Over

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

Local or state government and health

department 40 44 40 32 35 44 41 41 38 44 40 38 48 44

The community’s residents 46 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

Healthcare insurance companies 36 42 35 27 30 41 38 35 38 43 32 35 37 43

Local health department and local

government 40 44 39 32 33 46 40 42 37 46 36 36 51 49

Pharmaceu/cal companies 25 28 22 20 20 28 27 23 28 31 21 24 28 25

Employers and businesses 32 35 33 25 26 37 31 34 28 32 32 31 35 30

Community non-‐profit organiza/ons 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


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

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

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

important”


Healthy Food Choices 98/2 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

Open Parks and Green Spaces 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

Nearby Gyms and Recrea/ons Facili/es

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

Nearby hospitals and urgent care

facili/es 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

Doctors and den/sts whom I can see regularly

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

Good air and water quality 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

Safe, affordable housing 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

Ajer-‐school programs or

ac/vi/es outside school hours

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

Kind, suppor/ve neighbors 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

Informa/on or educa/on on

preven/on, health and wellness

92/8 94/6 91/9 89/11 89/11 94/7 90/10 92/9 93/7 92/7 87/12 90/10 99/1 97/3

ACCESS TO COMMUNITY HEALTH RESOURCES How much access do you have to this resource in your community? Showing “A great deal”+ “Some”/ “Not very much”

+ “None”


Healthy Food Choices 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

Open Parks and Green Spaces 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

Nearby Gyms and Recrea/ons Facili/es

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

Nearby hospitals and urgent care

facili/es 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

Doctors and den/sts whom I can see regularly

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

Good air and water quality 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

Safe, affordable housing 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

Ajer-‐school programs or

ac/vi/es outside school hours

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

Kind, suppor/ve neighbors 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

Informa/on or educa/on on

preven/on, health and wellness

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

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”


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 Clearly displaying

nutri/onal content of food in restaurants

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

Nutri/on awareness campaigns 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

Encouraging more Farmers’ markets 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

Lowering the price of nutri/ous foods 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 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

Opening more medical schools 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

Free health screenings or vaccina/ons for children

and the elderly 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

More bike paths, and dedicated bike lanes on

roads 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

Awareness campaigns for low-‐income health insurance programs

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


TECHNOLOGY AND HEALTH

VISITS TO ONLINE HEALTH AND MEDICAL WEBSITES

Have you ever visited a health or medical website to research

health issues?


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

Which health or medical websites have

you visited?

All N=638

City N=258

Suburb N=222

Rural N=155

Male N=275

Female N=363

Under 30

N=60*

30-‐60 N=426

Over 60

N=152

<$50K N=200

>$125K N=89

White N=426

Black N=69*

Hispanic N=61*

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 What is most likely to make you consult these health or

medical websites?

All N=638

City N=258

Suburb N=222

Rural N=155

Male N=275

Female N=363

Under 30

N=60*

30-‐60 N=426

Over 60

N=152

<$50K N=200

>$125K N=89

White N=426

Black N=69*

Hispanic N=61*

To diagnose myself 40 44 36 38 42 38 43 43 30 38 45 42 33 36

To get a second opinion on a diagnosis

I received from a doctor

31 33 27 34 31 31 38 32 26 35 26 30 30 43

To determine if I need to see a doctor 38 36 41 37 35 40 52 40 28 37 40 39 32 44

To find reviews of doctors 24 23 27 23 21 27 28 25 21 25 28 23 17 36

To generally educate myself about health

issues 64 64 60 71 63 65 65 65 62 64 65 65 58 67

To learn about a health issue that

might be affec/ng a friend or family

member

61 60 62 63 56 65 55 63 61 59 64 64 55 46

To get nutri/on informa/on 36 34 37 38 32 40 38 37 34 36 34 36 39 34

To get exercise informa/on 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


IMPORTANCE OF ONLINE MEDICAL INFORMATION

How important to your health do you consider the health or medical informaQon you find

online?

All N=638

City N=258

Suburb N=222

Rural N=155

Male N=275

Female N=363

Under 30

N=60*

30-‐60 N=426

Over 60

N=152

<$50K N=200

>$125K N=89

White N=426

Black N=69*

Hispanic N=61*

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


ACTION BASED ON INFORMATION FROM MEDICAL WEBSITES

Which of the following is closer to your

view?

All N=638

City N=258

Suburb N=222

Rural N=155

Male N=275

Female N=363

Under 30

N=60*

30-‐60 N=426

Over 60

N=152

<$50K N=200

>$125K N=89

White N=426

Black N=69*

Hispanic N=61*

I generally act on the health and medical informa/on I find online without

consul/ng a medical

professional

18 18 18 16 19 17 32 17 13 19 17 15 20 18

I generally consult with a

medical professional

before ac/ng on the health and

medical informa/on I find online

79 79 78 82 78 80 67 79 84 79 80 81 75 77

Don't Know VOL 3 3 4 2 3 3 2 4 3 2 3 3 4 5


ELECTRONIC COMMUNICATION WITH DOCTORS

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


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 text your doctor?

All N=119

City N=53*

Suburb N=43*

Rural N=23*

Male N=53*

Female N=66*

Under 30 N=5*

30-‐60 N=93

Over 60 N=21*

<$50K N=29*

>$125K N=25*

White N=74*

Black N=11*

Hispanic N=12*

At least every week 3 0 7 0 0 5 20 2 0 0 0 4 0 0

A few /mes a month 5 4 2 13 8 3 0 5 5 7 8 3 9 0

Once a month 13 8 16 17 8 17 20 13 10 17 8 11 18 33

Once every few months 36 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


ELECTRONIC REMINDERS CONCERNING HEALTH

From which of the following would you want to receive 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

Your health insurance company 27 26 28 25 29 25 27 28 24 29 34 25 30 35

A pharmaceu/cal company 15 16 15 12 14 16 11 16 15 18 14 13 19 18

Your local government or public health department

20 23 22 13 21 20 22 21 18 25 16 16 33 32

A Non-‐profit organiza/on related to a condi/on or disease that is relevant to you

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

IMPORTANCE OF ELECTRONIC COMMUNICATION

In your opinion, does being able to email or text with your

doctor improve your health care a lot,

somewhat, not very much or not at all?

All N=119

City N=53*

Suburb N=43*

Rural N=23*

Male N=53*

Female N=66*

Under 30 N=5*

30-‐60 N=93

Over 60

N=21*

<$50K N=29*

>$125K N=25*

White N=74*

Black N=11*

Hispanic N=12*

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


CHARGING FOR ELECTRONIC CONSULTATIONS

Do you think your doctor would be right to charge you

for an email or text consultaQon as an alternaQve

to an office visit?


Yes – My doctor should be able to charge 30 25 33 34 32 28 25 29 32 23 35 36 11 18

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?


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

ELECTRONIC COMMUNICATION AS PRIMARY FORM OF COMMUNICATION

Would you be comfortable if email or

other electronic communicaQon was the primary way that you communicate with your

doctor?


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

HEALTH CARE COMPANIES ROLE IN IMPROVING COMMUNITY HEALTH

How much do you think health care companies

care about improving the health of people in your

community?


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 -‐-‐

understand what people in your

community need to improve their health?


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

insurance? All City Suburb Rural Male Female Under 30 30-‐60 Over


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...

All N=867

City N=382

Suburb N=274

Rural N=207

Male N=389

Female N=478

Under 30

N=71*

30-‐60 N=515

Over 60

N=281

<$50K N=329

>$125K N=106

White N=566

Black N=109

Hispanic N=95

Your employer 43 40 48 42 52 36 37 56 21 29 65 41 48 49

Your spouse’s employer

17 13 20 19 10 22 8 23 8 9 19 20 6 13

A private plan you

selected on your own

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

VA Insurance 2 2 1 3 4 1 3 2 3 2 2 2 0 2

Another program 5 6 4 2 5 4 13 3 5 8 2 4 4 7

Don't know 1 1 0 0 1 1 4 1 0 2 0 0 3 2


DOCTOR VISITS PER YEAR

On average, how many Qmes per year do you visit

a doctor?


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?

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

I visit the doctor for regular check-‐ups, even when I am well

49 51 48 45 50 48 41 45 57 43 57 58 48 41

I visit the doctor regularly to take care

of a chronic condi/on

20 20 18 22 15 24 7 19 24 23 10 23 20 16

I only visit the doctor when I am given a referral to see one

3 2 2 4 3 2 3 3 3 3 2 4 2 7

I only visit the doctor when I am sick or

injured 26 24 29 25 29 24 45 29 14 28 25 15 27 32

I never visit the doctor 2 2 2 3 3 2 4 3 1 3 5 0 3 4

Don't know 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?


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

SEEING THE SAME DOCTOR

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

Qme?


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

doctor so that your doctor knows your medical history well and you are comfortable talking to your

doctor?

All N=888

City N=384

Suburb N=274

Rural N=226

Male N=394

Female N=494

Under 30

N=70*

30-‐60 N=525

Over 60

N=293

<$50K N=351

>$125K N=102

White N=579

Black N=110

Hispanic N=90

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


COORDINATION BETWEEN DOCTORS

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?

All N=888

City N=384

Suburb N=274

Rural N=226

Male N=394

Female N=494

Under 30

N=70*

30-‐60 N=525

Over 60

N=293

<$50K N=351

>$125K N=102

White N=579

Black N=110

Hispanic N=90

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


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 74 75 72 74 72 75 68 73 78 71 78 74 72 77

Too complex 23 22 25 23 25 22 30 25 18 25 21 22 26 22

Don't know 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 rely on to help you handle the complex health care system?

All N=233

City N=99

Suburb N=76

Rural N=58*

Male N=113

Female N=120

Under 30

N=30*

30-‐60 N=146

Over 60

N=57*

<$50K N=101

>$125K N=23*

White N=141

Black N=32*

Hispanic N=27*

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

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


CARE COORDINATORS IN DOCTOR’S OFFICES

Does your doctor’s office have a care coordinator – someone

whose job is to help you navigate the health care

system?

All N=888

City N=384

Suburb N=274

Rural N=226

Male N=394

Female N=494

Under 30

N=70*

30-‐60 N=525

Over 60

N=293

<$50K N=351

>$125K N=102

White N=579

Black N=110

Hispanic N=90

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


DOCTORS’ HELPFULNESS

In your opinion, how good or bad is your doctor or doctor’s office staff at

helping you navigate the health care system?

All N=888

City N=384

Suburb N=274

Rural N=226

Male N=394

Female N=494

Under 30

N=70*

30-‐60 N=525

Over 60

N=293

<$50K N=351

>$125K N=102

White N=579

Black N=110

Hispanic N=90

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


DOCTOR RELATIONSHIPS PAST VS. PRESENT

Thinking about your parents’ generaQon, do you think they had more personal or less

personal relaQonships with their doctors than you do now?


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)?


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


DOCTORS’ APPEARANCE

IMPORTANCE OF DOCTOR’S CLOTHING

How important is the way your doctor dresses to you? All City Suburb Rural Male Female Under 30 30-‐60 Over 60 <$50K >$125K White Black Hispanic

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

DOCTOR’S CLOTHING AND PATIENT CONFIDENCE

How much does the way your doctor dresses

impact your confidence in his/her abiliQes?


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 Under 30 30-‐60 Over


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


HEALTHY LIVING FACTORS

EXERCISE

How many hours per week do you exercise? All City Suburb Rural Male Female Under 30 30-‐60 Over


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

regularly? All City Suburb Rural Male Female Under

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

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

organic or healthy food opQons?


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 hands per day?


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?


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

VISITING THE DENTIST

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

teeth cleaning)?


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

national community health survey by penn schoen berland

Documents

den sts choices hospitals

nearby gyms safe

open parks informa

regularly facili es health

great deal

ensuring good health

health care system

great deal