UHC, NCOA & USA TODAY PRESENT: The United States of Aging Topline Results JUNE 8, 2012 NEW YORK • WASHINGTON • DENVER • SEATTLE • LOS ANGELES • SAN FRANCISCO • LONDON • HONG KONG • BEIJING • DUBAI • DELHI © 2012 PENN SCHOEN AND BERLAND ASSOCIATES LLC. SURVEY METHODOLOGY Between May 10, 2012, and June 6, 2012, Penn Schoen Berland conducted 2,250 phone interviews with a nationally representative sample of U.S. adults age 60 or older, including adults age 60 or older in five designated markets: Upstate New York Milwaukee, WI Miami, FL Dallas, TX Orange County, CA All data shown throughout this report reflects percentages, except where otherwise noted. Bolding indicates the top response(s) on each question. © 2011 PENN SCHOEN AND BERLAND ASSOCIATES LLC. 1 INITIAL FINDINGS AND HIGHLIGHTS Aging Americans are generally positive about their current quality of life and are optimistic about their future health and happiness. o 42% of respondents in the national sample say the past year of their lives has been “normal,” and 45% say the past year of their lives in regard to their health has been “normal” o 45% of respondents in the national sample expect their overall quality of life to “stay about the same” over the next 5 to 10 years, and 3 in 10 expect it to get much or somewhat better Seniors are leading lives of purpose and have a plan for the years ahead. o 57% strongly agree with the statement, “I have a strong sense of purpose and passion about my life and my future” o Nearly 7 in 10 respondents in the national sample are very or somewhat confident that their financial plan is sufficient to last for all of their retirement Respondents are confident in their ability to stay in their current homes, and some are making modifications to allow them to age in place. o At least 3 in 4 respondents in every market are very or somewhat confident in their ability to stay in their current home for the next 5 to 10 years without significant modifications o Not wanting to move out of a home they like and nearby friends and family are the top reasons seniors plan to stay in their home o 1 in 5 have already made modifications to help them age in place Staying physically fit through exercise and proactively managing their health is important to seniors. o Over 3 in 4 respondents engage in physical activity to help maintain their health at least once a week o 80% of respondents with a chronic condition in the national sample are very or somewhat confident in their ability to do the tasks and activities needed to manage their health conditions Respondents are largely satisfied with their communities, but there remains room for improvement. o Half of respondents in the national sample say their community helps them to lead a happy and healthy life, and 63% are very or somewhat confident that their community will have the resources and services to help them lead a healthy and independent lifestyle for the next 5 to 10 years o 34% of respondents in the national sample do not agree that there is a high quality public transportation service available in their community, and 57% never walk to places they go to regularly © 2011 PENN SCHOEN AND BERLAND ASSOCIATES LLC. 2 LANDSCAPE 3 in 10 respondents in the national sample expect their quality of life to be much or somewhat better over the next 5 to 10 years, and 45% expect it to stay about the same Over half of respondents in the national sample find it very easy to live independently and accomplish daily tasks without assistance from caregivers Nearly a quarter of respondents in the national sample still work either full or part-time, motivated both by the desire to stay active and productive and the need for additional income In general, would you say the past year of your life has been...? The best yet National Upstate NY Milwaukee Miami Dallas Orange County 5 5 6 3 8 4 A lot better than normal A little better than normal Normal 7 11 42 9 16 39 7 11 43 9 10 47 9 10 39 10 12 39 A little worse than normal A lot worse than normal The worst yet 20 8 6 20 6 5 18 7 7 11 11 9 19 9 6 22 8 6 Miami Dallas Orange County 15 14 13 When thinking about the next 5-10 years, do you expect your overall quality of life (including your financial well-being, mental and physical health, recreation and leisure time, National Upstate NY Milwaukee and family situation) to get much better, somewhat better, stay about the same, get somewhat worse, or get much worse? Much better 11 7 10 Somewhat better Stay about the same Somewhat worse 19 45 16 17 49 20 22 48 10 20 40 13 16 46 13 14 43 16 Much worse 6 4 6 6 7 7 © 2011 PENN SCHOEN AND BERLAND ASSOCIATES LLC. 3 With regard to your health, would you say the past year of your life has been...? National Upstate NY Milwaukee Miami Dallas Orange County The best yet A lot better than normal A little better than normal 3 6 12 4 9 14 4 10 16 4 4 9 6 8 14 3 9 10 Normal A little worse than normal A lot worse than normal 45 21 8 44 22 6 40 21 6 52 20 6 46 18 5 51 20 4 The worst yet 5 2 4 4 3 4 Miami Dallas Orange County 8 7 6 When thinking about the next 5-10 years, do you expect your health to get much better, National Upstate NY Milwaukee somewhat better, stay about the same, get somewhat worse, or get much worse? Much better 7 4 4 Somewhat better Stay about the same Somewhat worse 10 52 22 8 60 24 13 51 22 13 51 18 13 53 17 10 52 21 Much worse 6 3 7 5 5 5 Miami Dallas Orange County In general, is it easy or difficult for you to live independently and accomplish your daily tasks without assistance from caregivers (who help with buying groceries, cleaning, and National Upstate NY Milwaukee taking you to the doctor) or community resources, such as transportation, home health care, Meals on Wheels, and wellness programs? Is it... Very easy Somewhat easy Neither easy nor difficult 55 21 5 68 16 8 54 21 6 61 17 4 61 16 6 63 17 6 Somewhat difficult Very difficult Cannot accomplish daily tasks without a caregiver or 7 4 5 0 10 3 11 2 5 3 7 2 4 1 3 2 7 3 © 2011 PENN SCHOEN AND BERLAND ASSOCIATES LLC. 4 community resources How satisfied are you with your community’s resources and services, with regard to National Upstate NY Milwaukee helping you lead a healthy and independent lifestyle? Are you... Miami Dallas Orange County Very satisfied Somewhat satisfied 33 23 37 15 31 28 31 21 34 18 39 16 Neither satisfied nor dissatisfied 8 8 5 8 6 8 Somewhat dissatisfied Very dissatisfied 4 4 4 1 3 3 6 3 4 3 2 1 Haven’t used these services enough to have an opinion 25 34 29 28 33 33 Miami Dallas Orange County How confident are you that your community will have all of the resources and services you need to help you lead a healthy and independent lifestyle for the next 5-10 years? Are you...? National Upstate NY Milwaukee Very confident Somewhat confident Neither 25 38 8 29 40 10 24 37 9 23 30 8 32 32 9 30 29 8 Not very confident Not at all confident 15 8 14 4 11 11 16 13 9 10 13 11 Miami Dallas Orange County How strongly do you agree or disagree with the following statement: "I have a strong sense of purpose and passion about my life and my future"? Do you... Strongly agree National Upstate NY Milwaukee 57 58 48 60 54 50 Somewhat agree Neither agree nor disagree Somewhat disagree 27 7 6 28 10 2 34 9 3 22 7 6 28 13 2 31 14 4 Strongly disagree 1 0 4 2 2 0 © 2011 PENN SCHOEN AND BERLAND ASSOCIATES LLC. 5 Which of the following best describes your current employment status? Employed part-time National Upstate NY Milwaukee Miami Dallas Orange County 10 10 9 8 10 7 Employed full-time Homemaker 14 5 13 6 11 1 16 2 12 6 11 5 Retired Disabled Unemployed but looking for work 63 7 65 5 70 5 63 8 60 8 70 3 2 1 3 2 4 3 Miami (N= 65) Dallas (N= 66) Orange County (N= 54) IF WORKING: For which, if any, of the following reasons are National Upstate NY Milwaukee you still working? Please tell (N= 225) (N= 60) (N= 58) me all that apply. I want to stay active and productive I enjoy it I need the income 76 77 75 85 78 72 70 69 65 72 69 59 67 64 80 77 63 75 It gives me a sense of purpose I want to stay involved with other people I want to make a difference or help others in my community 67 71 64 67 75 59 60 68 66 64 81 59 53 62 51 55 61 46 I need the benefits 40 43 44 44 49 58 © 2011 PENN SCHOEN AND BERLAND ASSOCIATES LLC. 6 ECONOMIC SECURITY AND HOUSING Although it is very or somewhat easy for 64% of respondents in the national sample to pay their monthly living expenses, over 1 in 5 have difficulty meeting this obligation If an unexpected expense were to occur today, 71% of respondents in the national sample would be very or somewhat confident in their ability to pay 68% of respondents in the national sample consider the housing options available to them either very or somewhat affordable – respondents in Milwaukee and Dallas report the most affordable housing options 9 in 10 respondents in the national sample plan to continue living in their current home for the next 5-10 years with the top reasons being “I like my home and don’t want to move out,” and “I have family/ friends nearby” In general, based on your current income and savings, how easy or difficult is it for you to pay your monthly living expenses? Is it... National Upstate NY Milwaukee Miami Dallas Orange County Very easy Somewhat easy 32 32 32 33 32 35 39 22 39 27 34 27 Neither easy nor difficult Somewhat difficult Very difficult 13 16 6 14 17 3 8 15 10 12 15 12 15 13 7 13 18 7 Miami Dallas Orange County How confident are you that your income will be sufficient to meet your monthly expenses over the next 5-10 years? Are you... National Upstate NY Milwaukee Very confident Somewhat confident Neither 28 38 7 31 41 6 27 38 8 34 34 10 37 26 9 33 28 9 Not very confident Not at all confident 17 7 13 6 17 6 13 6 15 8 21 5 Miami Dallas Orange County How confident are you that your financial plan is sufficient to last for all of your retirement years? Are you... Very confident Somewhat confident Neither National Upstate NY Milwaukee 34 39 36 32 38 27 35 3 32 6 41 3 34 4 27 3 38 7 © 2011 PENN SCHOEN AND BERLAND ASSOCIATES LLC. 7 Not very confident 11 14 10 11 11 13 Not at all confident I don't have a financial plan 4 8 4 6 3 5 8 9 5 12 4 8 Miami Dallas Orange County 41 42 38 If a significant unexpected expense (such as an accident or medical need) were to occur in your life today, how National Upstate NY Milwaukee confident are you that you would have the ability to pay? Are you… Very confident 32 35 41 Somewhat confident Neither 39 5 42 3 42 3 25 5 35 7 31 9 Not very confident Not at all confident 11 8 9 9 10 3 17 10 7 9 10 12 Miami Dallas Orange County Through what organizations, if any, do you access medical insurance benefits? Please tell me all that apply. National Upstate NY Milwaukee Medicare Your current or former employer Private health insurance plan you purchased for your own individual coverage; not provided by the government or an employer Medicaid Veterans Administration or Tricare 66 67 75 70 70 70 37 48 36 27 34 28 35 27 37 27 32 37 13 12 13 14 12 10 13 8 7 6 11 8 Do not have health insurance 4 1 1 5 5 3 Miami Dallas Orange County How confident are you that you know all of the government benefits to which you are entitled? Are you... Very confident Somewhat confident Neither National Upstate NY Milwaukee 26 26 25 31 30 20 33 9 34 7 32 10 29 4 29 8 32 12 © 2011 PENN SCHOEN AND BERLAND ASSOCIATES LLC. 8 Not very confident 16 20 19 13 14 20 Not at all confident 13 9 10 14 19 11 Miami Dallas Orange County How confident are you that you will be able to afford your Medicare premiums, deductibles and co-payments in future years? Are you... Very confident National Upstate NY Milwaukee 27 31 35 35 36 30 Somewhat confident Neither Not very confident 34 7 18 44 6 10 34 12 8 28 6 10 27 5 21 35 5 17 Not at all confident 10 8 8 13 7 8 Miami Dallas Orange County How affordable are the housing options currently available to you? Are they... Very affordable National Upstate NY Milwaukee 37 36 40 36 43 35 Somewhat affordable Neither 31 9 36 8 34 6 29 8 32 8 29 12 Somewhat unaffordable Very unaffordable 8 6 6 4 7 5 7 9 2 6 9 6 Miami Dallas Orange County How confident are you that you can stay in your current home for the next 5-10 years without the need for significant home modifications? Are you... Very confident National Upstate NY Milwaukee 55 53 48 57 60 53 Somewhat confident Neither Not very confident 30 4 6 34 3 5 36 3 4 18 8 7 20 5 8 26 6 5 Not at all confident 3 4 6 7 3 6 Miami Dallas Orange County In the past 10 years, have you moved into a smaller home to make home maintenance easier? Yes No National Upstate NY Milwaukee 13 16 13 17 17 11 87 83 87 83 82 89 © 2011 PENN SCHOEN AND BERLAND ASSOCIATES LLC. 9 Have you made any significant modifications to your home to help you age in place? This could include adding handrails in a bathroom, moving your bedroom downstairs, etc. Yes No Do you intend to continue living in your current home for the next 5-10 years? Yes No Do you plan to make any modifications to your home to help you age in place? Yes No National Upstate NY Milwaukee 21 79 22 77 21 78 National Upstate NY Milwaukee Miami Dallas Orange County 18 82 23 77 20 79 Miami Dallas Orange County 90 86 83 83 86 89 7 11 12 13 10 8 Miami Dallas Orange County National Upstate NY Milwaukee 21 15 17 22 19 20 74 83 78 75 76 76 Dallas (N= 216) Orange County (N= 222) 87 89 64 69 IF STAYING IN HOME: For which of the following reasons National Upstate NY Milwaukee Miami do you plan to stay in your (N= 903) (N= 215) (N= 208) (N= 207) home? Please tell me all that apply. I like my home and don't want 85 87 88 91 to move out I have family / friends nearby 66 73 66 64 I don't want to deal with the hassle of moving I’m not sure where I would go I can’t afford the cost of moving all of my things I don't believe I can sell my home in the current market IF MOVING: Which of the following reasons best describes why you would 50 42 52 39 45 42 30 27 33 22 27 28 26 18 18 15 17 20 23 13 30 19 20 18 Miami (N= 43) Dallas (N= 34) Orange County (N= 29) National Upstate NY Milwaukee (N= 101) (N= 35) (N= 42) © 2011 PENN SCHOEN AND BERLAND ASSOCIATES LLC. 10 move? I could stay in my current home, but I want to relocate to a different community or region The style, layout, and size of my home is too difficult for someone of advanced age I want to move now while I’m still healthy enough to do so I cannot afford to continue living in my current home I won’t want to worry about home maintenance 18 20 44 33 23 22 14 13 6 11 9 14 14 11 6 5 7 10 13 18 6 18 13 17 10 14 12 11 18 11 Miami (N= 43) Dallas (N= 34) My current city or region 39 62 42 32 54 Orange County (N= 29) 39 Another city or region Don’t know 38 24 22 16 41 17 48 19 26 20 48 13 Miami (N= 21) Dallas (N= 9) Orange County (N= 14) IF MOVING: Where do you plan to live when you move? IF MOVING TO ANOTHER CITY OR REGION: For which of the following reasons would you move to another city? Please select all that apply. It’s warmer/has a better climate I have another relative (e.g. a sibling, cousin, etc.) who lives there It’s more affordable than my current city My child lives there I’ve heard it’s a good city to retire in In general, how favorable is your view of the senior-living National Upstate NY Milwaukee (N= 101) (N= 35) (N= 42) National Upstate NY Milwaukee (N= 38) (N= 8) (N= 17) 41 77 31 8 51 29 37 34 35 48 58 42 36 45 28 32 22 62 33 35 48 37 64 45 21 33 37 35 43 34 Miami Dallas Orange County National Upstate NY Milwaukee © 2011 PENN SCHOEN AND BERLAND ASSOCIATES LLC. 11 facilities in your community? This would include patio homes or apartment communities geared toward seniors, assisted-living facilities, and the like. Is your view... Very favorable 29 35 30 20 31 30 Somewhat favorable Neither favorable nor unfavorable Somewhat unfavorable 33 32 30 22 23 27 11 14 19 19 17 14 7 7 5 9 5 5 Very unfavorable 7 3 5 8 10 4 © 2011 PENN SCHOEN AND BERLAND ASSOCIATES LLC. 12 HEALTH AND WELLNESS High blood pressure, diabetes, and arthritis are the most common chronic conditions suffered by respondents Over one-third of respondents in the national sample engage in exercise or physical activity every day to maintain their health, and 45% would be very or somewhat likely to participate in an exercise, fitness or health promotion program in their community if it were offered 81% of respondents are very confident that they could see a primary-care physician in their community if they were in need of medical care, although only 42% of respondents are very confident that they could see a geriatric-care physician under the same circumstances What chronic conditions, if any, do you suffer from? National Upstate NY Milwaukee Miami Dallas Orange County High blood pressure Diabetes 19 16 19 11 23 16 15 15 22 14 16 14 Arthritis High cholesterol Asthma 15 7 5 14 7 3 14 7 6 15 3 2 14 6 2 11 8 2 Cancer Cardiac failure Chronic obstructive pulmonary disorder 3 3 4 3 5 5 2 4 3 5 3 2 3 3 3 2 2 2 Coronary artery disease Osteoarthritis Atrial fibrillation 3 2 1 1 2 2 3 4 2 3 2 1 3 2 2 4 2 0 Depression Emphysema 1 1 1 1 2 1 1 1 2 1 2 1 Glaucoma Hypothyroidism Multiple sclerosis 1 1 1 1 2 0 0 1 0 2 0 1 1 0 0 1 1 0 Rheumatoid arthritis Chronic renal disease Crohn's disease 1 0 0 3 0 0 2 0 0 2 0 0 2 1 0 2 0 0 Dysrhythmias Epilepsy Hemophilia 0 0 0 0 0 0 1 0 0 1 0 0 0 0 0 0 0 0 HIV/AIDS Lupus 0 0 0 0 0 0 0 0 0 0 0 0 Parkinson's disease Schizophrenia Ulcerative colitis 0 0 0 0 0 0 1 0 0 1 0 0 1 0 0 0 0 1 © 2011 PENN SCHOEN AND BERLAND ASSOCIATES LLC. 13 None of the above 36 37 29 36 IF HAS A CHRONIC CONDITION: How confident are you that you can do the tasks and National Upstate NY Milwaukee Miami activities needed to manage (N= 608) (N= 150) (N= 165) (N= 150) your health condition(s), so as to reduce your need to see a doctor? 38 42 Dallas (N= 150) Orange County (N= 140) Very confident Somewhat confident Neither 44 36 7 42 44 6 36 48 6 44 34 7 46 31 6 42 38 7 Not very confident Not at all confident 7 6 4 1 4 4 5 9 4 11 9 3 Dallas (N= 150) Orange County (N= 140) 51 51 IF HAS A CHRONIC CONDITION: How confident are you that you can do things other than National Upstate NY Milwaukee Miami just taking medications to (N= 608) (N= 150) (N= 165) (N= 150) reduce how much your illness affects your daily life? Are you... Very confident 51 46 44 53 Somewhat confident Neither 30 7 40 4 44 3 26 2 30 3 30 5 Not very confident Not at all confident 5 4 3 3 2 4 7 4 8 8 6 4 Miami Dallas Orange County How often do you exercise or engage in physical activity to National Upstate NY Milwaukee help you maintain your health? Every day Four to six days per week One to three days per week 36 16 25 47 17 22 31 17 30 33 20 24 36 18 27 41 22 25 Two to three days per month Once per month or less Never 7 4 11 2 3 8 7 3 11 5 6 11 8 3 7 4 2 6 © 2011 PENN SCHOEN AND BERLAND ASSOCIATES LLC. 14 How confident are you that you will be able to do the things needed to maintain your health over the next 5-10 years? Are you... Very confident National Upstate NY Milwaukee Miami Dallas Orange County 40 44 40 43 47 43 Somewhat confident Neither 44 4 43 4 47 4 38 3 33 3 36 4 Not very confident Not at all confident Don't know what to do to maintain my health 5 3 4 0 3 3 7 2 5 4 10 3 3 1 0 2 5 2 Miami Dallas Orange County How well would you say you manage your mental health and stress levels? National Upstate NY Milwaukee Very well Somewhat well 62 30 64 31 60 33 63 27 61 31 60 33 Neither Somewhat poorly Very poorly 3 3 1 2 3 0 1 3 1 5 4 1 4 3 2 4 3 0 Miami Dallas Orange County How likely are you to participate in an exercise, fitness or health promotion program in your community if it were offered? Is it... National Upstate NY Milwaukee Very likely Somewhat likely 20 25 16 27 16 31 28 21 23 24 17 26 Neither Somewhat unlikely Very unlikely 8 12 23 7 13 24 9 10 24 6 9 25 5 13 20 7 14 20 Already participate in this type of program 11 13 8 9 14 14 Miami Dallas Orange County 78 71 76 How well would you say you communicate with your doctors regarding your health questions and concerns, including your test results? Very well National Upstate NY Milwaukee 73 71 © 2011 PENN SCHOEN AND BERLAND ASSOCIATES LLC. 77 15 Somewhat well 19 19 18 13 21 17 Neither Somewhat poorly 3 2 4 3 3 1 4 2 5 1 2 1 Very poorly 2 1 0 2 1 2 Miami Dallas Orange County 74 10 73 16 65 19 How confident are you that you know what your medications do and know National Upstate NY Milwaukee what side effects to watch for? Are you... Very confident 69 74 68 Somewhat confident 17 11 22 Neither Not very confident 5 3 5 2 4 2 3 3 3 2 5 2 Not at all confident 1 1 1 4 3 2 Miami Dallas Orange County If you were in need of medical care, how confident are you that you could see each of the following in your community: A Primary-care physician Very confident Somewhat confident Not very confident Neither Not at all confident If you were in need of medical care, how confident are you that you could see each of the following in your community: A Geriatric-care physician Very confident Somewhat confident Neither Not very confident Not at all confident National Upstate NY Milwaukee 81 13 81 13 81 15 86 8 77 11 82 9 2 1 2 1 1 1 2 1 1 0 2 2 4 3 3 4 1 1 Miami Dallas Orange County National Upstate NY Milwaukee 42 18 33 16 37 22 39 12 43 11 45 12 9 4 7 11 6 9 11 3 5 9 3 6 9 6 10 6 8 3 © 2011 PENN SCHOEN AND BERLAND ASSOCIATES LLC. 16 Thinking about the physician(s) whom you see most frequently, how easy or National Upstate NY Milwaukee difficult is it for you to get to your physicians’ offices? Is it... Very easy 72 79 77 Miami Dallas Orange County 72 73 79 Somewhat easy Neither easy nor difficult 18 2 14 2 16 2 18 3 15 4 13 1 Somewhat difficult Very difficult 5 2 5 0 2 1 4 2 4 3 2 3 Miami Dallas Orange County 12 88 11 89 8 91 Miami (N= 29) Dallas (N= 26) Orange County (N= 21) Do you currently need any long-term-care or support services? Yes No National Upstate NY Milwaukee 8 91 4 96 11 89 IF NEEDS LONG TERM CARE: How easy or difficult is it for National Upstate NY Milwaukee you to afford your long-term(N= 78) (N= 10) (N= 27) care or support services? Is it... Very easy Somewhat easy Neither easy nor difficult 33 23 2 18 36 0 9 17 11 15 17 8 11 15 0 13 32 13 Somewhat difficult Very difficult I receive these services for free 8 16 18 8 20 18 19 21 20 9 29 15 12 41 15 14 22 5 Dallas (N= 224) Orange County (N= 230) IF DOES NOT NEED LONG TERM CARE: How confident are you that you would be able to National Upstate NY Milwaukee Miami afford long-term-care or (N= 926) (N= 240) (N= 223) (N= 221) support services if you need them someday? Are you... Very confident Somewhat confident Neither 24 32 8 25 32 11 22 34 9 27 28 7 35 29 4 35 25 10 Not very confident Not at all confident 19 13 12 15 19 10 16 13 16 13 13 14 © 2011 PENN SCHOEN AND BERLAND ASSOCIATES LLC. 17 COMMUNITY ACCESSIBILITY Over 80% of respondents agree that they feel safe when they walk in their communities – residents of Upstate New York and Orange County are the most likely to strongly agree with this statement While over a third of respondents in the national sample report being very or somewhat satisfied with the quality of programming and events at senior centers in their community, 4 in 10 say they have not visited enough to have an opinion one way or the other Half of respondents in the national sample say the community they live in helps them to lead a happy and healthy life, and 81% are able to meet all of their daily needs without leaving their community Thinking about your community, please tell me how strongly you agree or disagree with the following statements. National Upstate NY Milwaukee Strongly Agree/Disa Strongly Agree/Disa Strongly Agree/Disa agree gree agree gree agree gree A high-quality public transportation service is available in my community I feel safe when I walk in my community 25 51/34 27 51/35 27 60/27 61 83/11 71 89/8 58 83/10 The local government in my community provides support services that can help older adults with their daily needs 25 61/16 30 59/19 31 67/13 There are non-profit organizations, churches, or other types of organizations in my community that provide support services to help older adults with their daily needs 38 69/9 44 72/12 37 62/17 My community offers job opportunities for people of my age 10 28/38 12 28/38 11 32/32 Thinking about your community, please tell me how strongly you agree or disagree with the following statements. Miami © 2011 PENN SCHOEN AND BERLAND ASSOCIATES LLC. Dallas Orange County 18 Strongly Agree/Disa Strongly Agree/Disa Strongly Agree/Disa agree gree agree gree agree gree A high-quality public transportation service is available in my community I feel safe when I walk in my community The local government in my community provides support services that can help older adults with their daily needs There are non-profit organizations, churches, or other types of organizations in my community that provide support services to help older adults with their daily needs My community offers job opportunities for people of my age 40 59/20 29 45/39 34 57/26 57 83/10 54 80/14 78 97/3 33 61/19 33 59/16 33 60/6 35 58/17 43 62/16 43 73/4 12 25/33 13 34/34 13 27/30 Miami Dallas Orange County 14 6 13 How often do you walk to places where you regularly need to go, such as church, the National Upstate NY Milwaukee grocery store, the drug store, etc.? Every day 10 12 12 Four to six days per week One to three days per week Two to three days per month 5 13 5 7 13 3 8 13 6 5 15 6 5 11 5 5 14 5 Once per month or less Never 9 57 5 59 8 51 8 51 6 67 11 51 Miami Dallas Orange County How satisfied are you with the quality of the programming and events at senior or community centers in your community? Are you... Very satisfied Somewhat satisfied Neither satisfied nor dissatisfied National Upstate NY Milwaukee 22 15 23 14 20 16 13 11 22 9 30 8 11 9 8 9 8 6 © 2011 PENN SCHOEN AND BERLAND ASSOCIATES LLC. 19 Somewhat dissatisfied 1 3 0 2 2 2 Very dissatisfied Don't visit enough to have an opinion There are no senior or community centers in my community 1 1 0 3 0 2 40 38 48 50 50 45 5 4 3 6 5 2 Miami Dallas Orange County Does the community in which you live help you or hinder you National Upstate NY Milwaukee in your ability to lead a happy and healthy life? Help Hinder 50 4 54 2 47 4 37 8 40 6 50 2 Neither – my community does not impact my happiness or health 42 41 41 49 49 42 Miami (N= 93) Dallas (N= 101) Orange County (N= 127) 92 1 90 1 90 5 Miami (N= 19) Dallas (N= 14) Orange County (N= 5) IF HELPS: Do you think your community will continue helping you be happy and healthy over the next 5-10 years? Yes No National Upstate NY Milwaukee (N= 500) (N= 134) (N= 117) 89 4 IF HINDERS: What sort of community would help you lead a happy and healthy life? Please tell me all that apply. 95 1 84 4 National Upstate NY Milwaukee (N= 39) (N= 6) (N= 11) A more affordable community A walkable community 42 40 32 18 48 46 41 48 61 37 79 79 Warmer weather A community with less hustle and bustle A community with more people my age Some other type of community 33 0 43 15 23 0 33 46 31 39 41 58 20 0 28 23 23 37 17 40 42 43 17 42 Miami Dallas Orange County Are you able to meet all of your everyday needs without National Upstate NY Milwaukee © 2011 PENN SCHOEN AND BERLAND ASSOCIATES LLC. 20 leaving your community? Yes No 81 18 83 17 © 2011 PENN SCHOEN AND BERLAND ASSOCIATES LLC. 83 15 80 17 81 19 87 12 21 FAMILY AND CAREGIVERS Half of respondents in the national sample have someone they consider a caregiver. Of those, 87% report their caregiver is a family member, and 52% say their caregiver lives with them in their home. Over half of respondents are aware of services in their community to assist them in attending to everyday needs, but fewer than 1 in 5 respondents has ever used such a service. Respondents overwhelmingly prefer to be called “senior citizens” or “seniors.” How close do your nearest relatives live, not including your spouse? With me in my home National Upstate NY Milwaukee Miami Dallas Orange County 13 9 11 10 12 14 Within walking distance A drive of less than 15 minutes A drive of 15 – 45 minutes 17 28 19 19 38 15 14 33 23 15 23 20 15 29 23 8 26 23 A drive of 45 minutes – 2 hours A drive of more than 2 hours 7 9 6 9 6 4 6 11 4 7 10 7 Would usually need to fly 7 2 5 13 6 11 Miami Dallas How often do you spend time visiting with your relatives? Every day 19 18 16 14 17 Orange County 15 Four to six days per week One to three days per week Two to three days per month 11 31 12 10 36 14 7 33 14 8 25 13 9 31 14 8 25 19 Once per month or less Rarely or never 14 13 12 8 17 11 16 21 11 15 16 15 Miami Dallas Orange County 47 51 50 48 39 61 Do you have someone you consider a caregiver in your life? Yes No IF HAS A CAREGIVER: Is your caregiver a member of your family? Yes No National Upstate NY Milwaukee National Upstate NY Milwaukee 50 49 47 52 43 56 National Upstate NY Milwaukee Miami (N= 500) (N= 117) (N= 107) (N= 117) 87 11 86 13 © 2011 PENN SCHOEN AND BERLAND ASSOCIATES LLC. 83 17 82 17 Dallas (N= 126) 87 12 Orange County (N= 98) 84 16 22 IF HAS A CAREGIVER: How far National Upstate NY Milwaukee Miami away does your caregiver live? (N= 500) (N= 117) (N= 107) (N= 117) Dallas (N= 126) Orange County (N= 98) With me in my home Within walking distance A drive of less than 15 minutes 52 12 18 49 15 27 48 14 18 53 14 14 56 10 13 62 10 8 A drive of 15 – 45 minutes A drive of 45 minutes – 2 hours A drive of more than 2 hours 8 3 5 5 3 1 15 2 2 10 4 0 13 2 2 13 7 0 Dallas (N= 140) Orange County (N= 169) IF DOES NOT HAVE A CAREGIVER: How likely is it that one of your children or grandchildren will need to serve as a caregiver for you at some point in the future? Is it... National Upstate NY Milwaukee Miami (N= 567) (N= 149) (N= 161) (N= 154) Very likely Somewhat likely Neither likely nor unlikely 18 21 8 11 21 14 15 21 9 20 17 6 22 23 9 14 18 7 Somewhat unlikely Very unlikely 15 20 12 17 14 17 10 27 12 21 15 30 Don't have any children or grandchildren 11 18 17 12 9 9 Miami Dallas Do you act as a caregiver for someone else? Yes No IF ACTS AS A CAREGIVER: Would you benefit from services designed to support caregivers, such as respite care? Yes No IF WOULD BENEFIT FROM THESE SERVICES: How easy or difficult would it be for you to 28 32 24 30 33 Orange County 23 72 66 75 69 67 75 Miami (N= 75) Dallas (N= 82) Orange County (N= 59) 37 50 37 43 23 51 Miami (N= 28) Dallas (N= 31) Orange County (N= 14) National Upstate NY Milwaukee National Upstate NY Milwaukee (N= 281) (N= 80) (N= 61) 45 43 36 52 43 38 National Upstate NY Milwaukee (N= 126) (N= 29) (N= 26) © 2011 PENN SCHOEN AND BERLAND ASSOCIATES LLC. 23 afford caregiver support services? Very easy Somewhat easy Neither easy nor difficult 17 25 12 6 24 6 17 33 20 19 13 10 26 19 11 7 38 7 Somewhat difficult Very difficult 13 24 37 18 9 14 22 33 27 14 14 34 Miami Dallas Orange County 51 19 29 53 16 31 61 9 30 If you needed help attending to your everyday needs, is there a service in your community you could call to request help? Yes No Don’t know IF THERE IS A SERVICE: Have you ever used this service? Yes No National Upstate NY Milwaukee 61 16 22 65 9 25 National Upstate NY Milwaukee Miami (N=616) (N= 117) (N= 163) (N= 129) 15 85 Today, we’ve talked a lot about people who are aging. Which of these do you think is the best term for people your age? Senior citizens Seniors 71 9 20 15 85 14 85 National Upstate NY Milwaukee Dallas (N= 133) Orange County (N= 153) 12 87 16 84 18 82 Miami Dallas Orange County 25 18 25 18 27 19 19 17 23 18 23 24 Retirees Older Americans Aging Americans 15 11 6 19 10 8 16 6 7 14 7 3 19 8 4 16 4 3 Golden-Agers The elderly 4 3 3 1 4 6 7 5 9 2 8 2 Sexagenarians Octogenarians Septuagenarians 1 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 None of these 7 5 5 12 5 8 © 2011 PENN SCHOEN AND BERLAND ASSOCIATES LLC. 24