National Community Health Survey by Penn Schoen Berland concludes that family & health are top priorities of Americans. Americans do not think their communities provide sufficient access to key resources for good health & they rate themselves and their communities as healthy, despite research showing the opposite. They view health care providers as particularly important to community health & online resources as important health care tools.

1. NEW YORK • WASHINGTON • DENVER • SEATTLE • LOS ANGELES • SAN FRANCISCO • LONDON • HONG KONG • BEIJING
/
NATIONAL
COMMUNITY
HEALTH
SURVEY
MARCH 2013
©PENN, SCHOEN & BERLAND ASSOCIATES, LLC.

2. 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%
©PENN, SCHOEN & BERLAND ASSOCIATES, LLC.

3. 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

4. NEW YORK • WASHINGTON • DENVER • SEATTLE • LOS ANGELES • SAN FRANCISCO • LONDON • HONG KONG • BEIJING
AMERICANS
ARE
HEALTH-­‐CONSCIOUS
AND
OVERWHELMINGLY
CONSIDER
THEMSELVES
HEALTHY

5. FAMILY
AND
HEALTH
ARE
TOP
PRIORITIES
OF
AMERICANS
©PENN, SCHOEN & BERLAND ASSOCIATES, LLC.
5
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

6. 57%
OF
AMERICANS
THINK
ABOUT
THEIR
HEALTH
AT
LEAST
ONCE
PER
DAY
©PENN, SCHOEN & BERLAND ASSOCIATES, LLC.
6
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

7. AMERICANS
OVERWHELMINGLY
FEEL
GOOD
ABOUT
THEIR
HEALTH
©PENN, SCHOEN & BERLAND ASSOCIATES, LLC.
7
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%

8. A
MAJORITY
OF
AMERICANS
THINK
THAT
THEIR
HEALTH
HAS
NOT
CHANGED
RECENTLY
©PENN, SCHOEN & BERLAND ASSOCIATES, LLC.
8
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

9. 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
©PENN, SCHOEN & BERLAND ASSOCIATES, LLC.
9

10. 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
©PENN, SCHOEN & BERLAND ASSOCIATES, LLC.
10
v 40%
of
Low-­‐income
Americans
with
declining
health
cite
a
worsening
economic
situaFon

11. NEW YORK • WASHINGTON • DENVER • SEATTLE • LOS ANGELES • SAN FRANCISCO • LONDON • HONG KONG • BEIJING
WHILE
AMERICANS
FEEL
CLOSELY
CONNECTED
TO
THEIR
NEIGHBORS,
THEY
DO
NOT
BELIEVE
THAT
THEIR
HEALTH
IS
AFFECTED
BY
THEIR
NEIGHBORS

12. AMERICANS
FEEL
MOST
CLOSELY
CONNECTED
TO
THEIR
NEIGHBORS
AND
PEOPLE
AT
THEIR
PLACES
OF
WORSHIP
©PENN, SCHOEN & BERLAND ASSOCIATES, LLC. 12
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

13. AMERICANS
CARE
ABOUT
THE
HEALTH
OF
THEIR
NEIGHBORS
©PENN, SCHOEN & BERLAND ASSOCIATES, LLC.
13
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%

14. BUT
THEY
DO
NOT
THINK
THE
HEALTH
OF
THEIR
NEIGHBORS
AFFECTS
THEM
©PENN, SCHOEN & BERLAND ASSOCIATES, LLC. 14
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

15. NEW YORK • WASHINGTON • DENVER • SEATTLE • LOS ANGELES • SAN FRANCISCO • LONDON • HONG KONG • BEIJING
AMERICANS
BELIEVE
A
VARIETY
OF
OTHER
COMMUNITY
FACTORS
ARE
IMPORTANT
TO
THEIR
HEALTH

16. AMERICANS
BELIEVE
THAT
THEIR
COMMUNITIES
ARE
HEALTHY
PLACES
TO
LIVE
©PENN, SCHOEN & BERLAND ASSOCIATES, LLC.
16
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

17. THEY
BELIEVE
A
VARIETY
OF
COMMUNITY
RESOURCES
ARE
IMPORTANT
TO
THEIR
HEALTH
©PENN, SCHOEN & BERLAND ASSOCIATES, LLC.
17
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

18. AMERICANS
BELIEVE
THAT
THEIR
COMMUNITIES
PROVIDE
AT
LEAST
SOME
ACCESS
TO
HEALTH
RESOURCES
©PENN, SCHOEN & BERLAND ASSOCIATES, LLC.
18
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
Whom
I
Can
See
Regularly
Healthy
Food
Choices
Nearby
Hospitals
and
Urgent
Care
Facili/es
Good
Air
and
Water
Quality
Open
Parks
and
Green
Spaces
Informa/on
or
Educa/on
on
Preven/on,
Health
and
Wellness
Nearby
Gyms
or
Recrea/on
Facili/es
Safe,
Affordable
Housing
Kind,
Suppor/ve
Neighbors
Ajer-­‐School
Programs
or
Ac/vi/es
Outside
School
Hours
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

19. BUT
COMMUNITIES
ARE
NOT
MEETING
DEMAND
ON
ENVIRONMENT,
HOUSING
AND
HEALTHY
FOOD
IN
PARTICULAR
©PENN, SCHOEN & BERLAND ASSOCIATES, LLC.
19
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
Whom
I
Can
See
Regularly
Healthy
Food
Choices
Nearby
Hospitals
and
Urgent
Care
Facili/es
Good
Air
and
Water
Quality
Open
Parks
and
Green
Spaces
Informa/on
or
Educa/on
on
Preven/on,
Health
and
Wellness
Nearby
Gyms
or
Recrea/on
Facili/es
Safe,
Affordable
Housing
Kind,
Suppor/ve
Neighbors
Ajer-­‐School
Programs
or
Ac/vi/es
Outside
School
Hours
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?

20. DEMAND
ESPECIALLY
NOT
BEING
MET
FOR
LOW-­‐INCOME
AMERICANS
©PENN, SCHOEN & BERLAND ASSOCIATES, LLC.
20
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
Whom
I
Can
See
Regularly
Healthy
Food
Choices
Nearby
Hospitals
and
Urgent
Care
Facili/es
Good
Air
and
Water
Quality
Open
Parks
and
Green
Spaces
Informa/on
or
Educa/on
on
Preven/on,
Health
and
Wellness
Nearby
Gyms
or
Recrea/on
Facili/es
Safe,
Affordable
Housing
Kind,
Suppor/ve
Neighbors
Ajer-­‐School
Programs
or
Ac/vi/es
Outside
School
Hours
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

21. AMERICANS
BELIEVE
A
VARIETY
OF
COMMUNITY
HEALTH
PROGRAMS
ARE
EFFECTIVE
©PENN, SCHOEN & BERLAND ASSOCIATES, LLC.
21
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

22. NEW YORK • WASHINGTON • DENVER • SEATTLE • LOS ANGELES • SAN FRANCISCO • LONDON • HONG KONG • BEIJING
AMERICANS
VIEW
HEALTHCARE
PROVIDERS
AS
PARTICULARLY
IMPORTANT
TO
COMMUNITY
HEALTH

23. DOCTORS
AND
HOSPITALS,
ALONG
WITH
RESIDENTS,
ARE
SEEN
AS
MOST
RESPONSIBLE
FOR
COMMUNITY
HEALTH
©PENN, SCHOEN & BERLAND ASSOCIATES, LLC. 23
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?

24. LOW-­‐INCOME
AMERICANS
MOST
LIKELY
TO
SAY
DOCTORS
AND
HOSPITALS
ARE
RESPONSIBLE
FOR
COMMUNITY
HEALTH
©PENN, SCHOEN & BERLAND ASSOCIATES, LLC.
24
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

25. 49%
OF
AMERICANS
VISIT
THE
DOCTOR
FOR
CHECK-­‐UPS,
EVEN
WHEN
WELL
©PENN, SCHOEN & BERLAND ASSOCIATES, LLC.
25
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

26. AMERICANS
WITH
PRIMARY
DOCTORS
SAY
DEVELOPING
A
RELATIONSHIP
WITH
THEIR
DOCTOR
IS
EASY
©PENN, SCHOEN & BERLAND ASSOCIATES, LLC.
26
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

27. AND
THAT
THEIR
DOCTORS
ARE
GOOD
AT
COORDINATING
THEIR
CARE
©PENN, SCHOEN & BERLAND ASSOCIATES, LLC.
27
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%
Middle-­‐income
62%
Upper
-­‐income
54%

28. THEY
THINK
THE
HEALTHCARE
SYSTEM
IS
EASY
TO
NAVIGATE
©PENN, SCHOEN & BERLAND ASSOCIATES, LLC.
28
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%

29. AND
IF
THEIR
DOCTORS
ARE
HELPFUL
IN
NAVIGATING
THE
HEALTH
CARE
SYSTEM
©PENN, SCHOEN & BERLAND ASSOCIATES, LLC.
29
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%

30. MAJORITY
SAY
INSURANCE
AND
PHARMACEUTICAL
COMPANIES
CARE
ABOUT,
UNDERSTAND
THEIR
COMMUNITY
©PENN, SCHOEN & BERLAND ASSOCIATES, LLC.
30
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%

31. NEW YORK • WASHINGTON • DENVER • SEATTLE • LOS ANGELES • SAN FRANCISCO • LONDON • HONG KONG • BEIJING
AMERICANS
VALUE
ONLINE
RESOURCES
AS
IMPORTANT
HEALTH
CARE
TOOLS

32. 64%
OF
AMERICANS
HAVE
USED
ONLINE
HEALTH
RESOURCES
©PENN, SCHOEN & BERLAND ASSOCIATES, LLC.
32
Online
Health
Resource
Use
Have
you
ever
visited
a
health
or
medical
website
to
research
health
issues?
64
36
Yes
No

33. ONLINE
RESOURCES
MOSTLY
USED
BY
UPPER-­‐
AND
MIDDLE-­‐
CLASS,
SUBURBAN,
MIDDLE-­‐AGED
AND
WHITE
AMERICANS
©PENN, SCHOEN & BERLAND ASSOCIATES, LLC.
33
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

34. 94%
OF
THOSE
WHO
USE
ONLINE
HEALTH
INFORMATION
SEE
IT
AS
IMPORTANT
TO
THEIR
HEALTH
©PENN, SCHOEN & BERLAND ASSOCIATES, LLC.
34
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%
Middle-­‐income
39%
Upper
-­‐income
33%

35. ONLINE
RESOURCES
PRIMARILY
USED
FOR
INFORMATION,
BUT
MANY
USE
THEM
FOR
HEALTHCARE
DECISIONS
©PENN, SCHOEN & BERLAND ASSOCIATES, LLC.
35
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

36. YOUNG
AMERICANS
MOST
LIKELY
TO
USE
ONLINE
RESOURCES
IN
PLACE
OF
TRADITIONAL
CARE
©PENN, SCHOEN & BERLAND ASSOCIATES, LLC.
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

37. HISPANIC
AND
YOUNG
AMERICANS
SHOW
MOST
INTEREST
IN
HEALTH
WEBSITES
AND
APPS
©PENN, SCHOEN & BERLAND ASSOCIATES, LLC.
37
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

38. YOUNG
AMERICANS
ARE
MOST
WILLING
TO
HAVE
PRIMARILY
ONLINE
INTERACTION
WITH
DOCTORS
©PENN, SCHOEN & BERLAND ASSOCIATES, LLC.
38
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

39. RURAL
AND
UPPER-­‐INCOME
AMERICANS
ARE
MOST
WILLING
TO
PAY
FOR
ONLINE
CONSULTATION
©PENN, SCHOEN & BERLAND ASSOCIATES, LLC.
39
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

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

41. 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
©PENN, SCHOEN & BERLAND ASSOCIATES, LLC.
41

42. 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
©PENN, SCHOEN & BERLAND ASSOCIATES, LLC.
42

43. 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
©PENN, SCHOEN & BERLAND ASSOCIATES, LLC.
43

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

45. NEW YORK • WASHINGTON • DENVER • SEATTLE • LOS ANGELES • SAN FRANCISCO • LONDON • HONG KONG • BEIJING
THE
COMMUNITY

46. 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

47. 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

48. 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

49. 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

50. 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

51. CONNECTION
WITH
NEIGHBORS
How
closely
connected
do
you
feel
to
your
neighbors?
All
City
Suburb
Rural
Male
Female
Under
30
30-­‐60
Over
60
<$50K
>$125K
White
Black
Hispanic
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

52. NEW YORK • WASHINGTON • DENVER • SEATTLE • LOS ANGELES • SAN FRANCISCO • LONDON • HONG KONG • BEIJING
PERSONAL
HEALTH

53. PRIORITIES
Which
of
the
following
do
you
consider
to
be
your
1
or
2
biggest
prioriQes?
All
City
Suburb
Rural
Male
Female
Under
30
30-­‐60
Over
60
<$50K
>$125K
White
Black
Hispanic
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

54. OPINION
OF
PERSONAL
HEALTH
Generally
speaking,
how
would
you
rate
your
own
personal
health?
All
City
Suburb
Rural
Male
Female
Under
30
30-­‐60
Over
60
<$50K
>$125K
White
Black
Hispanic
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

55. FREQUENCY
OF
THOUGHTS
ABOUT
HEALTH
Generally
speaking,
how
oven
do
you
think
about
your
own
health?
All
City
Suburb
Rural
Male
Female
Under
30
30-­‐60
Over
60
<$50K
>$125K
White
Black
Hispanic
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

56. 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

57. 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
*Findings
are
direc/onal

58. 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
*Findings
are
direc/onal

59. 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
*Findings
are
direc/onal

60. NEW YORK • WASHINGTON • DENVER • SEATTLE • LOS ANGELES • SAN FRANCISCO • LONDON • HONG KONG • BEIJING
HEALTH
IN
THE
COMMUNITY

61. DIFFICULTY
OF
HEALTHY
LIFESTYLE
How
easy
or
difficult
do
you
think
it
is
to
live
a
healthy
lifestyle
specifically
in
your
community?
All
City
Suburb
Rural
Male
Female
Under
30
30-­‐60
Over
60
<$50K
>$125K
White
Black
Hispanic
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

62. 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?
All
City
Suburb
Rural
Male
Female
Under
30
30-­‐60
Over
60
<$50K
>$125K
White
Black
Hispanic
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

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

64. 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.
All
City
Suburb
Rural
Male
Female
Under
30
30-­‐60
Over
60
<$50K
>$125K
White
Black
Hispanic
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

65. 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

66. NEW YORK • WASHINGTON • DENVER • SEATTLE • LOS ANGELES • SAN FRANCISCO • LONDON • HONG KONG • BEIJING
COMMUNITY
HEALTH
RESOURCES
AND
PROGRAMS:
IMPORTANCE,
ACCESS,
AND
EFFICACY

67. IMPORTANCE
OF
COMMUNITY
HEALTH
RESOURCES
How
important
is
the
following
to
your
health?
Showing
“Very
important”
+
“Important”/“Not
very
important”
+
“Not
at
all
important”
All
City
Suburb
Rural
Male
Female
Under
30
30-­‐60
Over
60
<$50K
>$125K
White
Black
Hispanic
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

68. 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”
All
City
Suburb
Rural
Male
Female
Under
30
30-­‐60
Over
60
<$50K
>$125K
White
Black
Hispanic
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

69. 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
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

70. NEW YORK • WASHINGTON • DENVER • SEATTLE • LOS ANGELES • SAN FRANCISCO • LONDON • HONG KONG • BEIJING
TECHNOLOGY
AND
HEALTH

71. VISITS
TO
ONLINE
HEALTH
AND
MEDICAL
WEBSITES
Have
you
ever
visited
a
health
or
medical
website
to
research
health
issues?
All
City
Suburb
Rural
Male
Female
Under
30
30-­‐60
Over
60
<$50K
>$125K
White
Black
Hispanic
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

72. 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
*Findings
are
direc/onal

73. 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
*Findings
are
direc/onal

74. 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
*Findings
are
direc/onal

75. 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
*Findings
are
direc/onal

76. ELECTRONIC
COMMUNICATION
WITH
DOCTORS
Have
you
ever
emailed
or
sent
text
messages
to
your
doctor
with
health
quesQons?
All
City
Suburb
Rural
Male
Female
Under
30
30-­‐60
Over
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

77. 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
*Findings
are
direc/onal

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

79. 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
*Findings
are
direc/onal

80. 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?
All
City
Suburb
Rural
Male
Female
Under
30
30-­‐60
Over
60
<$50K
>$125K
White
Black
Hispanic
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

81. 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
Under
30
30-­‐60
Over
60
<$50K
>$125K
White
Black
Hispanic
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

82. 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?
All
City
Suburb
Rural
Male
Female
Under
30
30-­‐60
Over
60
<$50K
>$125K
White
Black
Hispanic
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

83. NEW YORK • WASHINGTON • DENVER • SEATTLE • LOS ANGELES • SAN FRANCISCO • LONDON • HONG KONG • BEIJING
THE
HEALTHCARE
SYSTEM

84. 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?
All
City
Suburb
Rural
Male
Female
Under
30
30-­‐60
Over
60
<$50K
>$125K
White
Black
Hispanic
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

85. 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?
All
City
Suburb
Rural
Male
Female
Under
30
30-­‐60
Over
60
<$50K
>$125K
White
Black
Hispanic
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

86. HEALTH
INSURANCE
Do
you
have
health
insurance?
All
City
Suburb
Rural
Male
Female
Under
30
30-­‐60
Over
60
<$50K
>$125K
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

87. 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
*Findings
are
direc/onal

88. DOCTOR
VISITS
PER
YEAR
On
average,
how
many
Qmes
per
year
do
you
visit
a
doctor?
All
City
Suburb
Rural
Male
Female
Under
30
30-­‐60
Over
60
<$50K
>$125K
White
Black
Hispanic
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

89. 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