Health Survey of Adults in Bermuda 2011 (111004)

Health Survey
of Adults
in Bermuda
2011
Health Survey of Adults

in Bermuda 2011
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Published by:
Bermuda Health Council and Ministry of Health (October 2011)
Copyright 2011 Bermuda Health Council
Reference as:
Mindmaps Ltd. (2011) Health Survey of Adults in Bermuda 2011. Bermuda
Health Council and Ministry of Health: Bermuda.
Author:
Mindmaps Ltd.
XL House, 1 Bermudiana Road, Hamilton HM08, Bermuda
Phone: (441) 333-3228 | Email: marketing@mindmaps.bm
Printed by:
Bermuda Health Council
HEALTHSURVEY
OF
ADULTSINBERMUDA
2011
Preparedfor:
BermudaHealthCouncil
and
DepartmentofHealth
HealthSurveyofAdultsinBermuda2011
Table of Contents
TABLEOFCONTENTS..........................................................................................................................................2
EXECUTIVESUMMARY.......................................................................................................................................4
RESEARCHHIGHLIGHTS..................................................................................................................................4
INTRODUCTION.................................................................................................................................................13
METHODOLOGY................................................................................................................................................14
SAMPLING..................................................................................................................................................14
DATACOLLECTIONANDPROCESSING..............................................................................................................14
QUESTIONNAIRES........................................................................................................................................14
ANALYSIS...................................................................................................................................................15
COMPARISONS............................................................................................................................................15
SAMPLERESPONSERATE..............................................................................................................................16
SAMPLECHARACTERISTICS............................................................................................................................16
RESULTS............................................................................................................................................................19
1.HEALTHSTATUS......................................................................................................................................19
2.DISABILITY..............................................................................................................................................27
3.QUALITYOFLIFE......................................................................................................................................29
4.EMOTIONALSUPPORT..............................................................................................................................31
5.DEPRESSIVEDISORDER.............................................................................................................................33
6.ASTHMA................................................................................................................................................34
7.DIABETES...............................................................................................................................................36
8.KIDNEYDISEASE......................................................................................................................................38
9.HYPERTENSION.......................................................................................................................................39
10.CHOLESTEROL.......................................................................................................................................42
11.CARDIOVASCULARDISEASE.....................................................................................................................44
12.OVERWEIGHTANDOBESITY.....................................................................................................................49
12.OVERWEIGHTANDOBESITY.....................................................................................................................49
13.NUTRITION...........................................................................................................................................53
14.EXERCISEANDPHYSICALACTIVITY............................................................................................................61
15.WOMENSHEALTH................................................................................................................................68
16.MENSHEALTH.....................................................................................................................................73
17.TOBACCOUSE.......................................................................................................................................77
18.ALCOHOLCONSUMPTION.......................................................................................................................84
2
19.INJURY.................................................................................................................................................87
20.VIOLENCE.............................................................................................................................................92
21.SEXUALBEHAVIOUR...............................................................................................................................97
22.HIV/AIDS.........................................................................................................................................103
23.HEALTHPROMOTION...........................................................................................................................107
24.IMMUNIZATION...................................................................................................................................126
25.HEALTHCAREACCESS...........................................................................................................................130
26.DENTALCARE.....................................................................................................................................137
27.HEALTHINSURANCE.............................................................................................................................142
28.HEALTHCARETREATMENT.....................................................................................................................145
29.HEALTHCAREFACILITIES........................................................................................................................153
30.OVERALLHEALTHCARESYSTEM..............................................................................................................165
DISCUSSION....................................................................................................................................................167
APPENDIX:ADULTQUESTIONNAIREFORHEALTHSURVEY2011.......................................................................171
NOTESANDREFERENCES.................................................................................................................................184
Executive Summary
The Department of Health and the Bermuda
HealthCouncilcommissionedahealthsurveyof
adults aged 18 and over in Bermuda in July
2011. A representative sample of 801 adults
was surveyed. This report presents the main
findingsofthestudy.
Overall, the 2011 findings reflected areas of

stability, areas of improvement and areas of
deteriorationcomparedtostudiesconductedin
2005, 2006, or 2007. In particular, chronic
diseasesappearedtoremainsteadyforthepast
five years, with little change in the prevalence
ofasthma,diabetes,highbloodcholesterol,and
coronary heart disease. Areas that showed
improvement were healthy eating habits (less
consumptionoffastfood,moreconsumptionof
breakfast), increased participation in moderate
physical activity, reduced exposure to second
hand smoke, increased hand washing, and
highercondomuse.Areastomonitorarehealth
checks and screening. The number of women
receiving mammograms and men receiving
prostatespecific antigen (PSA) tests and digital
rectalexams(DRE)declinedslightlyin2011.The
numberofpeoplehavinggeneralcheckupsand
HIV tests also declined. The decline in HIV
testing was concerning given that the number
of adults reporting more than one sexual
partnerinthepastyearrosesignificantly.Other
areasofconcernincludedincreasesintelevision
viewing, reports of physical abuse and the
prevalence of high blood pressure and obesity.
Overall, general satisfaction with life also
declined.
Satisfaction with health facilities such as King

Edward Memorial Hospital and MidAtlantic
Wellness Institute was unchanged while
satisfaction with Government clinics increased,
butresidentssatisfactionwiththestateofthe
healthcaresystemandGovernmentseffortsto
promote health and wellness in Bermuda
declined.
Research Highlights
85%ratedtheiroverallhealthasexcellent,
goodorverygoodslightdeclinefrom88%
in2006.
14% described themselves as having a

disabilitythatlimitedtheirdailyactivities
a slight increase from 11% in 2006. No
differencebygenderorrace,buttendedto
be:
- Aged65andover(29%)
- Inoneperson(20%)households
- With a secondary or lower education
(19%)
87% were very satisfied or satisfied with
theirlifeingeneraladeclinefrom96%in
2006. Those more likely to be satisfied
tendedtobe:
- Intwoparenthouseholds(92%)
- In households with income from
$60,000 to $107,999 (92%) and
$108,000andover(92%)
77% received the social and emotional
supporttheyneededa declinefrom 83%
in2006.Littledifferencebetweenmenand
women, but those who did receive the
emotional support they needed tended to
be:
- Whites(82%)
- Inanadult couple(83%) ortwoparent
household(86%)
- In households with income $108,000
andover(84%)
14% had a depressive disorder. Women
(15%) and those aged 35to 54 (18%) were
morelikelytohaveadepressivedisorder.
10% reported currently having asthma

consistent with 2006 (9%). Little difference
by most demographic groups but were
morelikelytobeAsianorotherraces(15%).
11% reported having diabetes consistent
with2006(13%).Littledifferencebyraceor
household composition but were more
likelytobe:
- Women(14%)
- Those with secondary or lower
education(18%)
Only 2% had kidney disease. With such a
small sample size of those with kidney
disease (N=14), there were very few
substantive differences across the
demographic groups. Prevalence of kidney
disease increased with age, with 5% of
adults aged 55 to 64 and 4% of adults 65
and over reporting that they had kidney
disease.
Almost threequarters (73%) of adults had
their blood pressure measured in the past
year;downfrom88.6%in2006.Thoseleast
likely to have had their blood pressure
measuredinthepreviousyearwere:
- Aged18to34(59%)
- In households with income less than
$60,000(65%)
36% had high blood pressure increase
from25%in2006.Littledifferencebetween
menandwomenbuttheyweremorelikely
tobe:
- Blacks(40%)
- Inadultcouplehouseholds(51%)
- With secondary or lower education
(43%)
$60,000(39%)
The number of those with high blood

pressureinthe18 to34 agegrouphas
almostdoubledfrom7%in2006to13%
in2011.
Threequarters(75%)ofadultshadeverhad
their blood cholesterol checked. Of those
checked 94% had their blood cholesterol
checkedinthepasttwoyears.
34% had high blood cholesterol
unchanged from 2006. Little difference
between men and women, but they were
morelikelytobe:
- Aged 55 to 64 (50%) and 65 and over
(50%)
- Asianandotherraces(43%)
(50%)
$60,000(47%)
In terms of cardiovascular disease, overall,
3% of respondents said theyd had a heart
attack, 2% a stroke and 5% coronary heart
disease at some time. The incidence of
coronaryheartdiseasewasconsistentwith
2006 (3%). Those more likely to have
coronaryheartdiseasewere:
- Adultsaged65andover(15%)
(10%)
The number of respondents who didnt
know or were unsure of the early warning
symptoms of a stroke (24%) remained
consistentwith2005(22%).
67% of adults were overweight or obese
(36% and 31%, respectively) slight
increasefrom2006(64%).Men(42%)were
more likely to be overweight than women
(31%) but there was no difference in the
incidence of obesity (31% men, 31%
women).Overweightandobesitywasmost
commonamong:
- Thoseaged55to64(79%)
education(72%)
5
43% of adults described themselves as

overweight relatively unchanged from
2006 (46%). Little difference by racial
groups, household types, education and
income level, but those more likely to
describethemselvesasoverweightwere:
- Women(51%)
- Aged55to64(56%)
73% consumed one or more servings of
fruitperdayaslightdeclinefrom76%in
2006. There was little difference by race in
fruit consumption, but fruit eaters tended
tobe:
- Women(76%)
(89%)
19% consumed at least 3 servings of
vegetables per day relatively unchanged
from17%in2006.Vegetableeaterstended
tobe:
- Women(20%)
66% consumed fast food one to two times
perweekormoreadecreasefrom71%in
2006. 20% said they never consumed fast
food. People who consumed fast food one
to two times per week or more tended to
be:
- Aged18to34(82%)
- Insingleparenthouseholds(80%)
- Those with a secondary or lower
education(77%)
$60,000(75%)
26% ate breakfast less than five times per
week relatively unchanged from 23% in
2006.74%atebreakfastfivetoseventimes
per week. Those who tended to have
breakfast five to seven times per week
were:
- Women(77%)
Blacks(77%)
18% were sedentary (did less than 10

minutes of moderate physical activity per
day) unchanged from 18% in 2006. Little
difference by gender or race, but they
tendedtobe:
- Inonepersonhouseholds(23%)
education(26%)
53% did moderate activity at least 3 times
perweek26%increasefrom27%in2006.
Littledifferencebetweenmenandwomen,
butthosewhoengagedinmoderateactivity
at least 3 times per week were more likely
to be in an adult couple (58%) or single
parent(57%)household:
21% did vigorous activity at least 3 times
per week relatively unchanged from 20%
in2006.Thoseengagedinvigorousactivity
atleast3timesperweektendedtobe:
- Aged18to34years(35%)
- In two parent (31%) or single parent
(26%)households
- With a technical or higher education
(25%)
- Inhouseholdswithincomeof$108,000
andover(26%)
83% watched two or more hours of
television per day increase from 72% in
2006.Thosemorelikelytowatchmorethan
fivehoursperdaywere:
- Women(14%)
- With a secondary or lower education
(21%)
$60,000(18%)
93% of women over 40 reported having a

mammogram at some time, and 86% said
they had one in the last two years a 9
point decline from 95% in 2006. 66% said
theydhadamammograminthepastyear.
The women least likely to have had a
mammograminthepastyearwere:
education(58%)
83% of women had a pap test in the past
twoyearsnosignificantchangefrom85%
in 2006. Those women least likely to have
hadapaptestinthepastyearwere:
86% of men over 40 reported having a

prostate specific antigen (PSA) test in the
past two years decline from 93% in 2006.
ThemenlesslikelytohavehadaPSAtestin
thepastyearwere:
88%ofmenover40reportedhavinghada
digital rectal exam (DRE) in the past two
years slight decline from 91% in 2006.
ThemenlesslikelytohavehadaDREinthe
pastyearwere:
$60,000(60%)
13% were current smokers unchanged
from13%in2006.Thoseaged65andover
were more likely to have quit smoking
(38%).Currentsmokerstendedtobe:
- Men(19%)
- Aged35to54(18%)
Of current smokers, 47% began smoking

dailybetweentheagesof18to24.49%had
attemptedtostopsmokingforatleastone
day in the past year reduction from 55%
in2006.
25% were exposed to second hand smoke
once a week or more significant decline
from 40% in 2007, possibly due to public
smoking ban legislation that came into
effect in April 2006 1. Those more likely to
beexposedtosecondhandsmokewere:
- Aged18to34(37%)
- Inasingleparenthousehold(33%)
$60,000(37%)
36% reported binge drinking (5 or more
drinksformen,4ormoreforwomen,ona
single occasion) increase from 24% in
2006. This could be due to the change in
criteria for women; in 2006 it was five
drinks. Reports of binge drinking doubled
for women, from 14% to 33%. Binge
drinkerstendedtobe:
- Men(38%)
- Aged18to34(56%)
83%alwaysusedaseatbeltwhiledrivingor
a passenger in the front seat of a motor
vehicle consistent with 85% in 2006.
Those aged 18 to 34 (71%) were the least
likelytoalwayswearaseatbelt.
8%wereinvolvedinaroadtrafficcrashasa
driver, passenger, pedestrian, motor cyclist
orcyclistinthepastyear.
- Men(5%)andthoseaged18to34(6%)
were more likely to be involved as a
motorcyclist
- Asian and other races (5%) and those
aged18to34(6%)weremorelikelyto
beinvolvedasdrivers
With regard to drinking and driving, 11%

had driven or ridden a motor vehicle after
consuming two or more alcoholic drinks.
Those more likely to drive after drinking
were aged 18 to 34 years (22%) and from
singleparenthouseholds(17%).
13% had been a passenger in a motor
vehicle where the driver had two or more
alcoholic drinks. 26% of 18 to 34 year olds
hadbeenapassenger.
11%hadbeenfrightenedfortheirpersonal
safety or the safety of another family
member due to threats from another
personinthelastyear.Thosemorelikelyto
befrightenedwere:
$60,000(14%)
4%wereinvolvedinaviolentincidentthat
resulted in injury requiring medical
attentioninthepastyear.Thosemorelikely
tohavebeeninjuredwereAsiansandother
races (7%) and those from single parent
households (9%). Injuries were most often
causedbyafriendoracquaintance(40%)or
stranger(35%).
13% had been physically abused (i.e. hit,
slapped, pushed, kicked or physically hurt)
byanintimatepartneratsometimeintheir
lifeincreasefrom8%in2006.They were
morelikelytobe:
- Women(18%)
- Secondary or lower education levels
(16%)
$60,000(24%)
23%reportedhavingmorethanonesexual
partner in the past year significant
increasefrom6%in2006.Thosemostlikely
tohavemorethanonepartnerwere:
- Men(36%)
- Aged18to34(43%)
- In one person (44%) and single parent
(50%)households
$60,000(33%)
31%usedacondomthelasttimetheyhad
sexual intercourse a significant increase
from 17% in 2006. Those more likely to
reportcondomusewere:
- Men(42%)
- Aged18to34(52%)
- In one person (47%) and single parent
(45%)households
$60,000(41%)
60% used condoms to prevent both
pregnancy and disease, 21% to prevent
pregnancyonlyand17%topreventdisease
only.
23% used an oral contraceptive to prevent
pregnancy.
3%ofwomenwerepregnantin2011.
26% were 15 years old or younger when
theyfirsthadsexualintercourse.
44% had been tested for HIV in their
lifetime a decline from 49% in 2006.
Thosewhohadbeentestedtendedtobe:
- Women(47%)
- Aged18to34(55%)and35to54(55%)
- Blacks(51%)
- In two parent (51%) and single parent
(67%)households
- In households with income of $60,000
to $107,999 (57%) or $108,000 and
over(57%)
6%engagedinhighriskbehavioursforHIV
transmissionincreasefrom3%in2006.
71%saidhandwashingwasamethodused
tostopthespreadofdiseasesanincrease
from57%in2007.
60% of households used tank water for
drinking decline from 69% in 2007. 50%
disinfectedtheirtankwaterbeforedrinking
adeclinefrom56%in2007.
33%ofhouseholdshadanemergencyplan
adeclinefrom40%in2007.
50% had functioning fire alarms in their

homenochangefrom50%in2007.
46%hadanadultcurrentlycertifiedinfirst
aidintheirhouseholdadeclinefrom67%
in2007.
41% used Bermudas public parks at least

once per month a decline from 60% in
2007.
21% travelled to work alone in their own
car relatively unchanged from 23% in
2006.
58% were completely or mostly satisfied
with Governments efforts to promote
healthylivingandwellnessinBermudaa
decline from 65% in 2005. Little difference
by gender, household type, education and
income level. Those aged 18 to 34 years
weretheleastsatisfied(47%).
31%hadafluvaccineshotinthepastyear,
and most had it in a doctors office (46%).
Littledifferencebygenderorincomelevel.
Those more likely to have had a flu shot
were:
- Adultsaged65andover(53%)
- Whites(35%)
- In households without children (one
person38%andadultcouple39%)
have received one. This is due to the fact

that the pneumococcal vaccine is
recommended for persons aged 65 years
and older and other aged individuals who
maybeimmunocompromised.
Only 4% said they did not have someone

they considered as personal doctor or
healthcare provider relatively unchanged
from2%in2006.
69%saidtheyhadageneralcheckupinthe
previousyearasignificantdeclineof12%
from 81% in 2006. Women (75%) were
more likely to have had a checkup than
men(62%).
53% reported being able to obtain a
doctors appointment on the same day or
nextdaydeclinefrom68%in2005.Those
mostlikelytoobtainanappointmentonthe
samedayornextdaywere:
- Women(63%)
26% felt the need to consult a general
practitioner three or more times in the
previousyear.Theseweremorelikelytobe:
- Adultsaged55to64(38%)and65years
andover(41%)
- Asiansandotherraces(35%)
31% had not visited a dentist in the

previousyear.
- Men (35%) were more likely than
women (27%) to have never seen a
dentist
- Those with a household income of
$108,000orhigherwerethemostlikely
toseeadentisttwiceayear(38%)
12% said they had received a pneumonia

vaccine shot in their lifetime, with adults
aged 65 and over (19%) the most likely to
9
10
25% had to wait longer than one week to

obtain a dentist appointment an
improvementfrom41%in2005.29%were
able to obtain a dentist appointment the
samedayornextday. Thosemostlikelyto
wait longer than one week to obtain an
appointment were from households with
incomeof$60,000to$107,999(34%).
Overall, only 7% felt they did not receive
thedentaltreatmenttheyrequired.Those
that were more likely to feel that they did
not receive the treatment they required
were:
- Adultsaged18to34(10%)
education(10%)
- Inhouseholdswithincomeoflessthan
$60,000(11%)
Themostcommonreasonfornotreceiving
the dental treatment required was they
couldnotaffordto(49%).
6% reported to no health insurance
coverage. Residents least likely to report
beingwithoutcoveragewereinhouseholds
with income of $108,000 or higher (1%),
and Seniors (2%). Those most likely to be
withouthealthinsurancewere:
- Men(8%)
$60,000(10%)
The major reasons given for not having
health insurance were being unemployed
(75%)andunabletoaffordit(8%).
29% had consulted a specialist in the past

year.
- Women were more likely to consult a
specialistthanmenacrossallvisits
- Adults aged 65 and over (14%) were
more likely than other age groups to
have visited a specialist three or more
times
10% had travelled overseas for medical

treatment.Theyweremorelikelytobe:
- Thoseaged55to64(15%)and65years
andover(15%)
- White(14%)
The major reasons given for travelling
overseas for medical treatment were that
the treatment or services were not
available in Bermuda (63%), and they did
not trust the treatment or services offered
inBermuda(21%).
Only 5% of respondents felt that they did
not receive the medical treatment they
required. The most likely to have gone
withoutthetreatmenttheyrequiredwere:
education(9%)
$60,000(8%)
Themostcommonreasonsfornotreceiving
the medical treatment required were, they
wantedtowaittoseeiftheproblemwould
getbetteronitsown(25%)andtheycould
notaffordtreatment(24%).
60% said they were confident that they
could receive the medical treatment they
required if they fell seriously ill. Single
parent households were less likely to be
confident(44%).Therewerenosubstantive
differences by race, education or income
level.
61% said they were confident they could
afford the medical treatment they
required if they fell seriously ill a decline
of 15% from 2005. Not surprisingly, those
with a household income of $108,000 and
higherwerethemostconfident(73%).
In terms of use of King Edward Memorial

Hospital(KEMH),almostonequarter(24%)
had visited the emergency room, 9% were
inpatients and 34% were outpatients.
Seniors were more likely to use KEMH
servicesacrosstheboard(emergencyroom
30%; inpatient 18%; outpatient 54%)
comparedtootheragegroups.
- Men (36%) were slightly more likely
than women (32%) to have been out
patients
- Blacks (28%) and those with a
secondary or lower education (29%)
were more likely to have visited the
emergencyroom
In terms of satisfaction with King Edward
Memorial Hospital (KEMH), 75% of
respondents were completely or mostly
satisfied with the services provided by
KEMH relatively unchanged from 2005
(77%). Those who tended to be more
satisfiedwere:
- Blacks(83%)
- Men(80%)
(80%)
education(84%)
15%weremostlyorcompletelydissatisfied
with KEMH. Those who were more
dissatisfiedwere:
- Those with a technical or higher
education(18%)
- Aged35to54(19%)
- Inhouseholdswithincomeof$108,000
andover(19%)
In terms of use of MidAtlantic Wellness
Institute (MWI), overall, just 3% had been
inpatientsand4%hadvisitedaclinic.Men
(3%) and single parent households (3%)
were more likely to have been inpatients.
Thosewithahouseholdincomeoflessthan
$60,000 were the most likely out of all the
demographicgroupstohavevisitedaclinic
(6%).
In terms of satisfaction with MidAtlantic

Wellness Institute (MWI), overall, 61%
were completely or mostly satisfied with
MWI unchanged from 2005 (63%). Those
whotendedtobemoresatisfiedwere:
- Blacks(68%)
- Women(70%)
Thosewhoweremoredissatisfiedwere:
$60,000(33%)
In terms of use of Government clinics,
almost onequarter (23%) had visited a
Governmentclinicanincreaseof8%from
2005. Little difference between, gender,
races, and education levels, but they were
morelikelytobe:
- Adultsaged18to34(28%)
In terms of satisfaction with Government
clinics, overall, 87% were completely or
mostly satisfied with Government clinics
anincreasefrom82%in2005.Resultswere
mostly consistent across all demographics.
Adults aged 65 and over (96%) and adult
couple households (92%) were more
satisfied.
In terms of home visits by a District or
Private nurse, 5% had a home visit from a
districtnurseand3%fromaprivatenurse.
- Those aged 65 and over were more
likelytohavehadhomevisitsfromboth
district(9%)andprivate(7%)nurses
- Blacks were more likely to receive a
home visit from a district nurse (6%)
ratherthanaprivatenurse(3%)
11
12
In terms of views on the overall health

system in Bermuda, 18% felt that the
healthcare system was working pretty well
with only minor changes needed an 8%
decline from 2005 (26%). 61% felt that
there were good things about the

healthcare system but fundamental
changes were needed to make it work
better, and 12% felt the whole system
neededanoverhaul.
Introduction
The Department of Health and the Bermuda Health Council commissioned Mindmaps to conduct a
healthsurveyofadultsaged18yearsandover.
Thepurpose ofthe2011studyistoreportonadulthealth behavioursandperceptionsofhealthcare.

Thisstudyupdatespreviousstudies;theMinistryofHealthandFamilyServices2005PublicPerception
Study 2,theHealthSurveyofAdultsandChildreninBermuda2006 3,andtheDepartmentofHealth2007
WellBermudaStudy 4.
Specifically,thestudyaddressesthefollowingareas:
GeneralattitudesandperceptionstowardshealthcareinBermuda;
Whereimprovementsinadulthealthstatushavebeenmadewhencomparedto2005,2006and
2007studies;and
Identifiesareasofdeteriorationthatneedtobeaddressed.
Thebroadergoalisthatthesurveyfindingswillhelptodrivepolicyandprogramdevelopmentforbetter
health.
A telephone survey was administered to a total of 801 Bermuda residents aged 18 years or older
between July 5th and July 25th, 2011. The margin of error was +/ 3.44% at the 95% confidence level.
Furtherdetailonthemethodologyandsampleareincludedinthereport.
Theresultsofthesurveyareoutlinedinthereportwithdetailedanalysisbykeydemographicvariables
including gender, age, race, household type, education, and income level. Comparisons to previous
studies are included where applicable. The executive summary and research highlights provide a high
level view of the study and key findings. A full copy of the questionnaire is appended to this report
(Appendix).
13
Methodology
Sampling
Asampleof800householdswasdetermined.Thesamplerepresentedapproximately3%ofthecurrent
householdpopulationofaround28,000unitsaccordingtothe2000Census 5.
A total of 10,205 calls were made using random digit dialling. All prefixes for landlines and cellular
phones were included and the remaining four digits randomly generated. The prefixes for landlines
coveredtheentireislandandallcellularproviderswereincluded,ensuringtherepresentativenatureof
thesample. Thismethod ensuredinclusionofcellularphonenumbersandlistedandunlistedlandline
numbers (approximately 42% of residential numbers are unlisted). Currently 20% of households are
withoutlandlinesanduseonlyanInternetphoneorcellularphoneastheirresidentialline.Thiscreated
a very small bias in the data collection regarding Internet phone use and is a factor to take into
consideration.Itshouldalsobetakenintoconsiderationthatothersmallgroups(e.g.thehomeless,the
institutionalized population, and students overseas) have also been excluded from the data collection
process.
Data Collection and Processing

The survey was conducted using Computer Assisted Telephone Interviewing (CATI). The interviewers
werelocalBermudians,trainedinprofessionalinterviewtechniques.Eachinterviewtookapproximately
45minutestocomplete.
ThedatawerecollectedbetweenJuly5thto25th,2011.Mostcallsweremadebetween6:00p.m.and
9:00p.m.onweekdays,10:00a.m.to9:00p.m.onSaturdays,and10:00a.m.to8:00p.m.onSundays.
Upto20%ofinterviewstookplaceduringthedaytimetoaccountforthoseengagedinshiftwork.
Questionnaires
Thesurveyquestionsweredrawnfromanumberofpreviousstudiesandusedquestionsderivedfrom
standardisedtoolsforpopulationbasedhealthsurveys.Thefollowingsourceswereused:
MinistryofHealth&FamilyServices2005PublicPerceptionStudy2
HealthSurveyofAdultsandChildreninBermuda20063
DepartmentofHealth2007WellBermudaStudy4
BehaviouralRiskFactorSurveillanceSystemQuestionnaire2011 6
WHOSTEPSInstrument(CoreandExpanded)v2.1 7
WHOSTEPwiseapproachtochronicdiseaseriskfactorsurveillanceViolenceandInjuryModule 8
IncomeRelatedInequalityintheUseofMedicalCarein11OECDCountries 9
2010CommonwealthFundInternationalHealthPolicySurvey 10
HouseholdandIndividualQuestionnairesGeneralLifestyleSurvey2009 11
WellBermuda:ANationalHealthPromotionStrategy2008 12
14
Thetopicscoveredinthe2011studywere:
Healthstatus
Hypertension
Healthrelatedqualityof
Cholesterol
life
Cardiovasculardisease
Healthcareaccess
Depressivedisorder
Healthinsurance
Overweightandobesity
Healthcaretreatment
Nutrition
Healthcarefacilities
Exerciseandphysical
activity
Immunization
Tobaccouse
Asthma
Alcoholconsumption
Diabetes
Sexualbehaviour
Kidneydisease
HIV/AIDS
Womenshealth
Menshealth
Violence
Injury
Healthpromotion
Emotionalsupport
Disability
Analysis
The data were weighted by gender to ensure that the sample was representative of Bermudas
population according to the Bermuda Government Department of Statistics population projections 13.
Cross tabulations were derived for all the specific variables by the main demographic characteristics:
gender, age, race, household type, education, and income level, and by selected variables of specific
relevanceinsomeinstances.
Comparisons
Theresultsfromthe2011surveywerecomparedtodatafromstudiesconductedinpreviousyearsfor
theDepartmentofHealth.Thefollowingstudieswerereferencedinthisreport:
All2005comparisonsMinistryofHealth&FamilyServices2005PublicPerceptionStudy2
All2006comparisonsDepartmentofHealthHealthSurveyofAdultsandChildreninBermuda20063
All2007comparisonsDepartmentofHealth2007WellBermudaStudy4
15
Sample Response Rate

TableA.1detailsthebreakdownofresponses.Atotalsampleof801adultswasachieved.Asanticipated,
alargeproportionofnumbersgeneratedbytherandomdigitdiallingprocesswereineligible.Outofthe
total10,205callsmade,90.7%ofnumberswereineligibleand0.5%wereofficenumbers.Thatleft897
(8.8%)eligiblecallsoutofthetotalcallsmade.Ofthese,96(10.7%)declinedtoparticipateinthesurvey
by either refusing or terminating the interview before its conclusion. A total of 801 households
completedthesurvey.
TableA.1Breakdownofresponses
Breakdownofresponses
Eligiblecalls
Numberofinterviews
Numberofdeclines
Totaleligible
801
96
897
89.3%
10.7%
100.0%
ReasonsForDeclining
Flatoutrefusal
Toolong(termination)
Totaldeclines
65
31
96
67.7%
32.3%
100.0%
897
56
9,252
10,205
8.8%
0.5%
90.7%
100.0%
TotalCallsMade
Residentialcallsanswered
Officenumbers
Ineligiblenumbers
Totalcalls
Sample Characteristics
TableB.1detailsthedistributionofrespondentsamplebythedemographicvariablescollected.Thedata
in the tables was weighted to be representative of Bermudas population. The sample of 801 adults
included376menand425women.Almosttwothirds(64.4%)ofrespondentswerebetweentheagesof
18and54.Intermsofrace,50.2%describedthemselvesasBlack,36.2%asWhite,and12.0%asAsianor
otherraces.Onequarter(25.2%)ofhouseholdsconsistedofasinglepersonorunrelatedpersons,but
most households were comprised of a familial arrangement, with 10.1% being led by single parents.
69.8% of respondents had a technical or higher level of education. A minority of households had an
income of $108,000 and over (13.7%). A very high proportion of households did not disclose their
household income (46%). These were more likely to be respondents aged over 65 years, Whites, and
thoseinadultcouplehouseholds.
16
TableB.1Demographic
Demographic
Gender
Male
N
Gender
Age
Race
Household
Education
Income
Men
Women
1834
3554
5564
65+
NotStated
Black
White
Asian&Other
NotStated
Oneperson
AdultCouple
Twoparents
Singleparent
NotStated
Secondary&Lower
Technical&Higher
NotStated
$59,999orless
$60,000to$107,999
$108,000&over
NotStated
376
0
114
116
48
83
16
191
139
40
6
79
129
90
17
62
112
262
3
61
95
47
174
Female
%
47.0%
0.0%
47.7%
45.3%
44.0%
50.6%
48.5%
47.5%
47.9%
41.7%
46.2%
47.6%
55.4%
45.9%
25.4%
44.3%
48.5%
46.9%
25.0%
45.2%
50.8%
42.7%
47.2%
N
0
425
125
140
61
81
17
211
151
56
7
87
104
106
50
78
119
297
9
74
92
63
195
1834
%
0.0%
53.0%
52.3%
54.7%
56.0%
49.4%
51.5%
52.5%
52.1%
58.3%
53.8%
52.4%
44.6%
54.1%
74.6%
55.7%
51.5%
53.1%
75.0%
54.8%
49.2%
57.3%
52.8%
N
114
125
239
0
0
0
0
123
77
37
1
37
39
67
33
64
70
167
1
68
54
29
88
3454
%
30.2%
29.5%
29.8%
0.0%
0.0%
0.0%
0.0%
30.7%
26.5%
38.5%
7.7%
22.2%
16.8%
34.4%
50.0%
45.7%
30.4%
29.9%
9.1%
50.0%
28.9%
26.4%
23.8%
N
116
140
0
256
0
0
0
121
106
27
2
56
50
95
26
29
52
202
1
23
77
59
97
%
30.8%
33.0%
0.0%
32.0%
0.0%
0.0%
0.0%
30.2%
36.4%
28.1%
15.4%
33.5%
21.6%
48.7%
39.4%
20.7%
22.6%
36.2%
9.1%
16.9%
41.2%
53.6%
26.3%
Agegroup
5564
N
%
48
12.7%
61
14.4%
0
0.0%
0
0.0%
109
13.6%
0
0.0%
0
0.0%
57
14.2%
33
11.3%
19
19.8%
1
7.7%
21
12.6%
51
22.0%
19
9.7%
5
7.6%
13
9.3%
31
13.5%
75
13.4%
3
27.3%
16
11.8%
25
13.4%
16
14.5%
53
14.4%
65+
N
83
81
0
0
0
164
0
87
61
8
8
41
81
7
2
32
68
92
4
27
25
3
110
%
22.0%
19.1%
0.0%
0.0%
0.0%
20.5%
0.0%
21.7%
21.0%
8.3%
61.5%
24.6%
34.9%
3.6%
3.0%
22.9%
29.6%
16.5%
36.4%
19.9%
13.4%
2.7%
29.8%
NotStated
N
%
16
4.2%
17
4.0%
0
0.0%
0
0.0%
0
0.0%
0
0.0%
33
4.1%
13
3.2%
14
4.8%
5
5.2%
1
7.7%
12
7.2%
11
4.7%
7
3.6%
0
0.0%
2
1.4%
9
3.9%
22
3.9%
2
18.2%
2
1.5%
6
3.2%
3
2.7%
21
5.7%
TableB.1Demographiccontinued
Demographic
Race
Black
N
Gender
Age
Race
Household
Education
Income
Men
Women
1834
3554
5564
65+
NotStated
Black
White
Asian&Other
NotStated
Oneperson
AdultCouple
Twoparents
Singleparent
NotStated
Secondary&Lower
Technical&Higher
NotStated
$59,999orless
$60,000to$107,999
$108,000&over
NotStated
191
211
123
121
57
87
13
402
0
0
0
88
94
91
43
86
127
268
7
79
93
59
172
White
%
50.8%
49.6%
51.7%
47.3%
51.8%
53.0%
39.4%
50.2%
0.0%
0.0%
0.0%
52.7%
40.5%
46.7%
64.2%
61.0%
55.0%
48.0%
53.8%
58.1%
49.7%
53.6%
46.6%
N
139
151
77
106
33
61
14
0
290
0
0
61
105
75
14
36
68
219
3
39
65
39
147
%
37.0%
35.5%
32.4%
41.4%
30.0%
37.2%
42.4%
0.0%
36.2%
0.0%
0.0%
36.5%
45.3%
38.5%
20.9%
25.5%
29.4%
39.2%
23.1%
28.7%
34.8%
35.5%
39.8%
AsianandOthers
N
%
40
10.6%
56
13.2%
37
15.5%
27
10.5%
19
17.3%
8
4.9%
5
15.2%
0
0.0%
0
0.0%
96
12.0%
0
0.0%
16
9.6%
28
12.1%
26
13.3%
9
13.4%
17
12.1%
32
13.9%
63
11.3%
1
7.7%
17
12.5%
26
13.9%
11
10.0%
42
11.4%
NotStated
N
%
6
1.6%
7
1.6%
1
0.4%
2
0.8%
1
0.9%
8
4.9%
1
3.0%
0
0.0%
0
0.0%
0
0.0%
13
1.6%
2
1.2%
5
2.2%
3
1.5%
1
1.5%
2
1.4%
4
1.7%
8
1.4%
2
15.4%
1
0.7%
3
1.6%
1
0.9%
8
2.2%
17
Demographic
Gender
Age
Race
Household
Education
Income
Men
Women
1834
3554
5564
65+
NotStated
Black
White
Asian&Other
NotStated
Oneperson
AdultCouple
Twoparents
Singleparent
NotStated
Secondary&Lower
Technical&Higher
NotStated
$59,999orless
$60,000to$107,999
$108,000&over
NotStated
Oneperson
N
%
79
21.0%
87
20.5%
37
15.4%
56
21.9%
21
19.3%
41
25.2%
12
37.5%
88
21.9%
61
21.0%
16
16.7%
2
15.4%
166
20.8%
0
0.0%
0
0.0%
0
0.0%
0
0.0%
58
25.2%
106
19.0%
2
16.7%
45
32.8%
45
24.1%
6
5.4%
71
19.2%
Adultcouple
N
%
129
34.2%
104
24.5%
39
16.3%
50
19.5%
51
46.8%
81
49.7%
11
34.4%
94
23.4%
105
36.1%
28
29.2%
5
38.5%
0
0.0%
232
29.0%
0
0.0%
0
0.0%
0
0.0%
53
23.0%
177
31.7%
2
16.7%
26
19.0%
59
31.6%
25
22.5%
123
33.3%
HouseholdType
Twoparents
N
%
90
23.9%
106
24.9%
67
27.9%
95
37.1%
19
17.4%
7
4.3%
7
21.9%
91
22.6%
75
25.8%
26
27.1%
3
23.1%
0
0.0%
0
0.0%
195
24.4%
0
0.0%
0
0.0%
52
22.6%
140
25.0%
3
25.0%
19
13.9%
36
19.3%
59
53.2%
81
22.0%
Singleparent
N
%
17
4.5%
50
11.8%
33
13.8%
26
10.2%
5
4.6%
2
1.2%
0
0.0%
43
10.7%
14
4.8%
9
9.4%
1
7.7%
0
0.0%
0
0.0%
0
0.0%
67
8.3%
0
0.0%
16
7.0%
51
9.1%
0
0.0%
18
13.1%
21
11.2%
8
7.2%
21
5.7%
NotStated
N
%
62
16.4%
78
18.4%
64
26.7%
29
11.3%
13
11.9%
32
19.6%
2
6.3%
86
21.4%
36
12.4%
17
17.7%
2
15.4%
0
0.0%
0
0.0%
0
0.0%
0
0.0%
140
17.5%
51
22.2%
85
15.2%
5
41.7%
29
21.2%
26
13.9%
13
11.7%
73
19.8%
Demographic
HighestEducation
Gender
Age
Race
Household
Education
Income
18
Men
Women
1834
3554
5564
65+
NotStated
Black
White
Asian&Other
NotStated
Oneperson
AdultCouple
Twoparents
Singleparent
NotStated
Secondary&Lower
Technical&Higher
NotStated
$59,999orless
$60,000to$107,999
$108,000&over
NotStated
Secondary&Lower Technical&Higher
N
%
N
%
112
29.7%
262
69.5%
119
28.0%
297
69.9%
70
29.4%
167
70.2%
52
20.4%
202
79.2%
31
28.4%
75
68.8%
68
41.5%
92
56.1%
9
27.3%
22
66.7%
127
31.6%
268
66.7%
68
23.4%
219
75.5%
32
33.3%
63
65.6%
4
28.6%
8
57.1%
58
34.9%
106
63.9%
53
22.8%
177
76.3%
52
26.7%
140
71.8%
16
23.9%
51
76.1%
51
36.2%
85
60.3%
230
28.8%
0
0.0%
0
0.0%
559
69.8%
0
0.0%
0
0.0%
69
51.1%
66
48.9%
40
21.4%
146
78.1%
17
15.5%
93
84.5%
105
28.5%
253
68.6%
HouseholdIncome
NotStated
N
%
3
0.8%
9
2.1%
1
0.4%
1
0.4%
3
2.8%
4
2.4%
2
6.1%
7
1.7%
3
1.0%
1
1.0%
2
14.3%
2
1.2%
2
0.9%
3
1.5%
0
0.0%
5
3.5%
0
0.0%
0
0.0%
12
1.5%
0
0.0%
1
0.5%
0
0.0%
11
3.0%
$59,999orless
N
%
61
16.2%
74
17.5%
68
28.5%
23
9.0%
16
14.5%
27
16.4%
2
6.3%
79
19.6%
39
13.4%
17
17.7%
1
7.7%
45
26.9%
26
11.2%
19
9.7%
18
26.5%
29
20.6%
69
29.9%
66
11.8%
0
0.0%
135
16.8%
0
0.0%
0
0.0%
0
0.0%
$60,000to
$107,999
N
%
95
25.2%
92
21.7%
54
22.6%
77
30.1%
25
22.7%
25
15.2%
6
18.8%
93
23.1%
65
22.4%
26
27.1%
3
23.1%
45
26.9%
59
25.3%
36
18.5%
21
30.9%
26
18.4%
40
17.3%
146
26.2%
1
8.3%
0
0.0%
187
23.3%
0
0.0%
0
0.0%
$108,000&over
N
%
47
12.5%
63
14.9%
29
12.1%
59
23.0%
16
14.5%
3
1.8%
3
9.4%
59
14.6%
39
13.4%
11
11.5%
1
7.7%
6
3.6%
25
10.7%
59
30.3%
8
11.8%
13
9.2%
17
7.4%
93
16.7%
0
0.0%
0
0.0%
0
0.0%
110
13.7%
0
0.0%
NotStated
N
%
174
46.2%
195
46.0%
88
36.8%
97
37.9%
53
48.2%
110
66.7%
21
65.6%
172
42.7%
147
50.7%
42
43.8%
8
61.5%
71
42.5%
123
52.8%
81
41.5%
21
30.9%
73
51.8%
105
45.5%
253
45.3%
11
91.7%
0
0.0%
0
0.0%
0
0.0%
369
46.1%
Results
1. Health Status
GeneralHealth
Respondents were asked to comment generally on their health (Table 1.1). Overall, 84.8% of
respondents reported to be in excellent, very good, or good health in 2011. Gender and race did not
have a significant impact on reported health status. Older respondents aged 55 to 64 (25.9%) and 65
yearsandolder(25.5%)weremorelikelytoreporthavingfairorpoorhealth.Thosewithsecondaryor
lowereducation(22.7%)andthosewhoearnedlessthan$60,000annually(18.7%)werealsomorelikely
toreportfairorpoorhealth.
Table1.1Stateofgeneralhealth
GeneralHealth
Total
Gender
Age
Race
Household
Education
Income
Men
Women
1834
3554
5564
65+
NotStated
Black
White
Asian&Other
NotStated
Oneperson
AdultCouple
Twoparents
Singleparent
NotStated
Secondary&Lower
Technical&Higher
NotStated
$59,999orless
$60,000to$107,999
$108,000&over
NotStated
Excellent,VeryGoodor
GoodHealth
N
%
677
84.8%
318
84.8%
359
84.9%
221
92.9%
229
90.2%
80
74.1%
123
74.5%
25
75.8%
344
86.0%
241
82.8%
81
85.3%
11
84.6%
137
82.5%
190
82.3%
173
88.7%
59
89.4%
117
84.2%
177
77.3%
489
87.6%
10
90.9%
109
81.3%
173
92.5%
98
89.1%
298
80.8%
FairorPoorHealth
N
%
121
15.2%
57
15.2%
64
15.1%
17
7.1%
25
9.8%
28
25.9%
42
25.5%
8
24.2%
56
14.0%
50
17.2%
14
14.7%
2
15.4%
29
17.5%
41
17.7%
22
11.3%
7
10.6%
22
15.8%
52
22.7%
69
12.4%
1
9.1%
25
18.7%
14
7.5%
12
10.9%
71
19.2%
Total
N
798
375
423
238
254
108
165
33
400
291
95
13
166
231
195
66
139
229
558
11
134
187
110
369
%
100.0%
100.0%
100.0%
100.0%
100.0%
100.0%
100.0%
100.0%
100.0%
100.0%
100.0%
100.0%
100.0%
100.0%
100.0%
100.0%
100.0%
100.0%
100.0%
100.0%
100.0%
100.0%
100.0%
100.0%
Q1.Ingeneral,howwouldyoudescribeyourownhealth?
QuestionSource:2010CommonwealthFundInternationalHealthPolicySurvey(CommonwealthIHP2010)
19
GeneralHealthComparison2006to2011
Comparedto2006,reportsofexcellent,verygood,orgoodhealthdeclinedslightlyforalldemographics
except Blacks which remained consistent with 2006 (Figure 1.1). Overall health declined 3%, mens
health declined by 4%, and Whites health declined by 8%. Respondents in all levels of education
reportedlowerlevelsofhealthcomparedto2006(secondaryorlower5%decline;technicalandhigher
4%decline).
2006(light bars)2011 (darkbars)
88%
85%
92%
91%
89%
85%
87%
85%
86% 86%
88%
83%
82%
77%
Men
Total
Women
Gender
Black
White
Secondary & Technical &

Lower
Higher
Race
Figure1.1ComparisonReportsofexcellent,verygood,orgoodhealth
20
Education
PhysicalHealth
Respondentswereaskedthenumberofdaystheirphysicalhealthwasnotgoodintheprevious30days.
Responseswerebrokenupintothree categories:0to1day;2to9days;and10ormoredays(Table
1.2).Overall,69.7%reportedonedayorlessofpoorphysicalhealth,19.8%reportedtwotoninedays,
and 10.5% reported 10 or more days. More men reported poor physical health for one day or less
(72.8%)comparedtowomen(67.1%).Morewomenreportedpoorphysicalhealthfortwotoninedays
(22.9%)comparedtomen(16.2%).Adultsaged18to34(76.9%)and35to54(73.3%)weremorelikely
toreportonedayorlessofpoorphysicalhealthcomparedtothoseaged55to64(62.0%)and65and
over(60.4%).Conversely,theolderagegroups,55to64(20.0%)and65and over(18.2%) weremore
likelytoreport10ormoredaysofpoorphysicalhealthcomparedtotheyoungeragegroups18to34
(5.0%) and 35 to 54 (6.3%). Single parent households (5.3%) and those earning $108,000 and over
(1.9%)werelesslikelytoreport10ormoredaysofpoorphysicalhealthcomparedtootherhousehold
types and income groups, respectively. Race and education level did not have an effect on physical
health.
Table1.2Numberofdayswithpoorphysicalhealth
Total
Gender
Age
Race
Household
Education
Income
Numberofdaysinpast30daysthatphysicalhealthwasnotgood
01Days
29Days
10ormoreDays
N
%
N
%
N
%
520
69.7%
148
19.8%
78
10.5%
Men
251
72.8%
56
16.2%
38
11.0%
Women
269
67.1%
92
22.9%
40
10.0%
1834
170
76.9%
40
18.1%
11
5.0%
3554
176
73.3%
49
20.4%
15
6.3%
5564
62
62.0%
18
18.0%
20
20.0%
65+
93
60.4%
33
21.4%
28
18.2%
NotStated
17
63.0%
7
25.9%
3
11.1%
Black
260
70.8%
72
19.6%
35
9.5%
White
192
68.6%
55
19.6%
33
11.8%
Asian&Other
56
65.9%
20
23.5%
9
10.6%
NotStated
11
84.6%
1
7.7%
1
7.7%
Oneperson
111
69.8%
27
17.0%
21
13.2%
AdultCouple
145
66.2%
46
21.0%
28
12.8%
Twoparents
134
74.0%
33
18.2%
14
7.7%
Singleparent
43
75.4%
11
19.3%
3
5.3%
NotStated
87
66.9%
31
23.8%
12
9.2%
Secondary&Lower
144
70.2%
38
18.5%
23
11.2%
Technical&Higher
368
69.3%
110
20.7%
53
10.0%
NotStated
8
88.9%
0
0.0%
1
11.1%
$59,999orless
95
75.4%
18
14.3%
13
10.3%
$60,000to$107,999
124
70.5%
41
23.3%
11
6.3%
$108,000&over
85
81.0%
18
17.1%
2
1.9%
NotStated
216
63.5%
72
21.2%
52
15.3%
Total
N
746
345
401
221
240
100
154
27
367
280
85
13
159
219
181
57
130
205
531
9
126
176
105
340
%
100.0%
100.0%
100.0%
100.0%
100.0%
100.0%
100.0%
100.0%
100.0%
100.0%
100.0%
100.0%
100.0%
100.0%
100.0%
100.0%
100.0%
100.0%
100.0%
100.0%
100.0%
100.0%
100.0%
100.0%
Q2.Nowthinkingaboutyourphysicalhealth,whichincludesphysicalillnessandinjury,forhowmanydaysduringthepast30
dayswasyourphysicalhealthnotgood?
QuestionSource:HealthSurveyofAdultsandChildreninBermuda2006
21
PhysicalHealthComparison2006to2011
There were no significant changes in reports of 10 or more days of poor physical health overall from
2006 to 2011 (Figure 1.2). Men, Whites, and those with technical or higher education all had a 3%
increase in the number who reported 10 or more days of poor physical health in 2011 compared to
2006.
2006 (light bars)
9% 10%
Total
2011 (dark bars)
8% 11%
10% 10%
10% 10%
9% 12%
12% 11%
7% 10%
Men
Women
Black
White
Secondary &
Lower
Technical &
Higher
Gender
Race
Figure1.2Comparison10ormoredaysofpoorphysicalhealth
22
Education
MentalHealth
Respondentswereaskedthenumberofdaystheirmentalhealthwasnotgoodintheprevious30days
(Table 1.3). Overall, 73.8% of respondents reported one day or less of poor mental health, 16.2%
reportedtwotoninedays,and10.0%reported10ormoredaysofpoormentalhealth.Womenwere
morelikelythanmentoreporttwotoninedaysofpoormentalhealth(19.4%forwomenversus12.4%
formen).Singleparenthouseholdsreportedthepoorestmentalhealthcomparedtootherhousehold
types,with21.3%reporting10ormoredaysofpoormentalhealth.Asianandotherracesweremore
likelytohavepoormentalhealthformoredayspermonth(twotoninedays22.1%;10ormoredays
15.1%)thanWhitesandBlacks,whoreportedsimilarresultstoeachother.Adultsaged18to34(17.0%)
and35to54(20.9%)weremorelikelytoreport2to9daysofpoormentalhealthcomparedtoolder
adultsaged55to64(12.2%)andover65(11.8%).However,adultsaged55to64weremostlikelyto
report 10 or more days of poor mental health (14.3%). Those with a household income less than
$60,000 were more likely to report 10 or more days of poor mental health (17.3%) compared to the
otherincomebrackets.
Table1.3Numberofdayswithpoormentalhealth
Total
Gender
Age
Race
Household
Education
Income
Numberofdaysinpast30daysthatmentalhealthwasnotgood
01Days
29Days
10ormoreDays
N
%
N
%
N
%
546
73.8%
120
16.2%
74
10.0%
Men
269
79.6%
42
12.4%
27
8.0%
Women
277
68.9%
78
19.4%
47
11.7%
1834
163
72.8%
38
17.0%
23
10.3%
3554
169
70.7%
50
20.9%
20
8.4%
5564
72
73.5%
12
12.2%
14
14.3%
65+
121
79.6%
18
11.8%
13
8.6%
NotStated
21
77.8%
1
3.7%
5
18.5%
Black
281
75.5%
55
14.8%
36
9.7%
White
202
75.4%
44
16.4%
22
8.2%
Asian&Other
54
62.8%
19
22.1%
13
15.1%
NotStated
9
64.3%
2
14.3%
3
21.4%
Oneperson
130
81.8%
18
11.3%
11
6.9%
AdultCouple
156
73.2%
29
13.6%
28
13.1%
Twoparents
127
69.8%
41
22.5%
14
7.7%
Singleparent
33
54.1%
15
24.6%
13
21.3%
NotStated
100
79.4%
17
13.5%
9
7.1%
Secondary&Lower
152
73.4%
36
17.4%
19
9.2%
Technical&Higher
388
74.0%
82
15.6%
54
10.3%
NotStated
6
66.7%
2
22.2%
1
11.1%
$59,999orless
85
66.9%
20
15.7%
22
17.3%
$60,000to$107,999
127
73.0%
35
20.1%
12
6.9%
$108,000&over
72
67.3%
25
23.4%
10
9.3%
NotStated
261
78.9%
40
12.1%
30
9.1%
Total
N
740
338
402
224
239
98
152
27
372
268
86
14
159
213
182
61
126
207
524
9
127
174
107
331
%
100.0%
100.0%
100.0%
100.0%
100.0%
100.0%
100.0%
100.0%
100.0%
100.0%
100.0%
100.0%
100.0%
100.0%
100.0%
100.0%
100.0%
100.0%
100.0%
100.0%
100.0%
100.0%
100.0%
100.0%
Q3.Nowthinkingaboutyourmentalhealth,whichincludesstress,depression,andproblemswithemotions,forhowmanydays
duringthepast30dayswasyourmentalhealthnotgood?
23
MentalHealthComparison2006to2011
Comparedto2006,therewasnosignificantchangeinreportsof10ormoredaysofpoormentalhealth
(8%in2006versus10%in2011)(Figure1.3).Thiswasconsistentacrossthedemographicgroups.
2006(lightbars)2011 (darkbars)
8% 10%
6%
8%
10% 12%
8% 10%
Women
Black
Men
Total
Gender
8%
White
Race
Figure1.3Comparison10ormoredaysofpoormentalhealth
24
8%
9%
9%
Secondary &
Lower
7% 10%
Technical &
Higher
Education
PhysicalandMentalHealth
Respondents were asked how many days poor physical or mental health kept them from doing their
usualactivitiesintheprevious30days(Table1.4).Overall,54.6%ofrespondentsreportedatleastone
day, 31.9% reported two to nine days, and 13.5% reported 10 or more days that they had been kept
fromtheirusualactivities.Women(58.7%)weremorelikelythanmen(49.0%)toreportoneorlessdays
thattheywereunabletodotheirusualactivities,butmoremen(36.3%)thanwomen(28.6%)reported
twotoninedays.Whites(47.7%)werelesslikelytoreportonedayorlesscomparedtoBlacks(56.1%)
or Asian and other races (62.3%). Older age was related to an increase in the number of days that
respondents were unable to do their usual activities. Those 55 to 64 years (34.0%) and 65 and over
(23.1%)weremorelikelytoreport10ormoredayscomparedtothoseaged18to34(5.7%),and35to
54(4.2%)years.Respondentsinadultcouplehouseholds(22.1%),thosewithahouseholdincomeless
than$60,000(24.6%),andthosewithasecondaryorlowereducation(21.0%)weremorelikelytoreport
beingunabletoconducttheirusualactivitiesfor10ormoredaysduetopoorphysicalormentalhealth.
Table1.4Numberofdaysthatpoorphysicalormentalhealthpreventedusualactivitiesinprevious30
days
Total
Gender
Age
Race
Household
Education
Income
Numberofdaysthatpoorhealthpreventedusualactivitiesinprevious30days
01Days
29Days
10ormoreDays
N
%
N
%
N
%
202
54.6%
118
31.9%
50
13.5%
Men
77
49.0%
57
36.3%
23
14.6%
Women
125
58.7%
61
28.6%
27
12.7%
1834
69
65.7%
30
28.6%
6
5.7%
3554
76
63.3%
39
32.5%
5
4.2%
5564
20
37.7%
15
28.3%
18
34.0%
65+
32
41.0%
28
35.9%
18
23.1%
NotStated
4
33.3%
6
50.0%
2
16.7%
Black
101
56.1%
60
33.3%
19
10.6%
White
63
47.7%
47
35.6%
22
16.7%
Asian&Other
33
62.3%
11
20.8%
9
17.0%
NotStated
4
80.0%
0
0.0%
1
20.0%
Oneperson
35
50.7%
23
33.3%
11
15.9%
AdultCouple
51
49.0%
30
28.8%
23
22.1%
Twoparents
66
68.0%
24
24.7%
7
7.2%
Singleparent
21
53.8%
13
33.3%
5
12.8%
NotStated
29
46.0%
29
46.0%
5
7.9%
Secondary&Lower
36
36.0%
43
43.0%
21
21.0%
Technical&Higher
161
60.5%
76
28.6%
29
10.9%
NotStated
4
80.0%
0
0.0%
1
20.0%
$59,999orless
27
41.5%
22
33.8%
16
24.6%
$60,000to$107,999
46
51.1%
40
44.4%
4
4.4%
$108,000&over
38
77.6%
9
18.4%
2
4.1%
NotStated
91
54.8%
47
28.3%
28
16.9%
Total
N
370
157
213
105
120
53
78
12
180
132
53
5
69
104
97
39
63
100
266
5
65
90
49
166
%
100.0%
100.0%
100.0%
100.0%
100.0%
100.0%
100.0%
100.0%
100.0%
100.0%
100.0%
100.0%
100.0%
100.0%
100.0%
100.0%
100.0%
100.0%
100.0%
100.0%
100.0%
100.0%
100.0%
100.0%
Q4. During the past 30 days, for about how many days did poor physical or mental health keep you from doing your usual
activities,suchasselfcare,work,orrecreation?
25
PhysicalandMentalHealthComparison2006to2011
Thedropintheproportionofrespondentswhoreported10ormoredayswhentheirpoorphysicalor
mentalhealthkeptthemfromconductingtheirusualactivitieswasapositivechange;from21%in2006,
downto14%in2011(Figure1.4).Inparticular,thereweresignificantdeclinesinthenumberofBlacks
(13%decline),andthosewithtechnicalorhighereducation(9%decline)thatreportedpoorphysicalor
mentalhealthimpedingtheiractivities.
22%
21%
14%
15%
Men
Total
13%
Women
Gender
25%
24%
21%
19% 17%
21%
20%
11%
Black
11%
White
Race

Lower
Higher
Education
Figure1.4Comparison10ormoredayswhenpoorphysicalormentalhealthimpededdailyactivities
26
2. Disability
Respondentswereaskediftheywerelimitedinanywayinanyactivitiesbecauseofphysical,mental,or
emotionalproblems(Table2.1).Overall,14.1%ofrespondentsreportedhavingalimitingconditionor
disability. There was little difference between gender and race. Disability increased with age; younger
adults18to34(5.0%)and35to54yearolds(10.2%)werelesslikelytoreportadisabilitythanolder
adults55to64(19.3%),and65andover(28.5%).Adultsinoneperson(19.9%)andadultcouple(15.9%)
households, and those with a secondary or lower education (18.6%) were more likely to report a
disability.Disabilityalsodecreasedwithincreasing householdincome;thosewithahouseholdincome
over$108,000(4.5%)wereleastlikelytoreportadisabilitythanotherincomegroups.
Table2.1Disabilityduetophysical,mentaloremotionalproblem
Total
Gender
Age
Race
Household
Education
Income
Disabilityduetophysical,mentaloremotionalproblem
Don`tKnow/Not Declinedto
Yes
No
sure
Answer
N
%
N
%
N
%
N
%
113 14.1%
684 85.4%
3
0.4%
1 0.1%
Men
57 15.2%
318 84.6%
1
0.3%
0 0.0%
Women
56 13.2%
366 86.1%
2
0.5%
1 0.2%
1834
12
5.0%
226 94.6%
1
0.4%
0 0.0%
3554
26 10.2%
229 89.5%
1
0.4%
0 0.0%
5564
21 19.3%
87 79.8%
1
0.9%
0 0.0%
65+
47 28.5%
118 71.5%
0
0.0%
0 0.0%
NotStated
6 18.2%
25 75.8%
1
3.0%
1 3.0%
Black
56 13.9%
342 84.9%
4
1.0%
1 0.2%
White
40 13.8%
250 86.2%
0
0.0%
0 0.0%
Asian&Other
15 15.6%
81 84.4%
0
0.0%
0 0.0%
NotStated
2 15.4%
11 84.6%
0
0.0%
0 0.0%
Oneperson
33 19.9%
133 80.1%
0
0.0%
0 0.0%
AdultCouple
37 15.9%
193 83.2%
2
0.9%
0 0.0%
Twoparents
15
7.7%
180 91.8%
1
0.5%
0 0.0%
Singleparent
9 13.4%
58 86.6%
0
0.0%
0 0.0%
NotStated
19 13.5%
120 85.1%
1
0.7%
1 0.7%
Secondary&Lower
43 18.6%
187 81.0%
1
0.4%
0 0.0%
Technical&Higher
69 12.3%
487 87.1%
3
0.5%
0 0.0%
NotStated
1
8.3%
10 83.3%
0
0.0%
1 8.3%
$59,999orless
22 16.3%
113 83.7%
0
0.0%
0 0.0%
$60,000to$107,999
18
9.7%
167 89.8%
1
0.5%
0 0.0%
$108,000&over
5
4.5%
104 94.5%
1
0.9%
0 0.0%
NotStated
68 18.4%
299 80.8%
2
0.5%
1 0.3%
Total
N
%
801 100.0%
376 100.0%
425 100.0%
239 100.0%
256 100.0%
109 100.0%
165 100.0%
33 100.0%
403 100.0%
290 100.0%
96 100.0%
13 100.0%
166 100.0%
232 100.0%
196 100.0%
67 100.0%
141 100.0%
231 100.0%
559 100.0%
12 100.0%
135 100.0%
186 100.0%
110 100.0%
370 100.0%
Q23.Areyoulimitedinanywayinanyactivitiesbecauseofphysical,mental,oremotionalproblems?
27
DisabilityComparison2006to2011
Theprevalenceofadultswithadisabilityorlimitingconditionincreasedslightlyfrom11%to14%(Figure
2.1).Theincreasewasgreaterformen(5%),Blacks(6%),andthosewithasecondaryorlowereducation
(7%).
11%
14%
15%
10%
19%
12% 13%
Men
Total
Women
Gender
10%
14%
12% 14%
Black
White
Race
12%
9%
Secondary &
Lower
12%
Technical &
Higher
Education
Figure2.1ComparisonPrevalenceofdisabilityduetoaphysical,mentaloremotionalproblem
28
3. Quality of Life
GeneralLifeSatisfaction
Respondents were asked how satisfied they were with their life in general. Overall, 88.6% of
respondentsreportedbeingeitherverysatisfied(26.8%)orsatisfied(59.8%)withlifeingeneral(Table
3.1). Elderly residents aged 65 years and over (93.9%), those in two parent households (91.8%), and
thosewithamoderatehouseholdincome(i.e.$60,000$107,999)(92.3%)orhighhouseholdincome
(i.e. $108,000 and over) (91.8%) were more likely to report being satisfied or very satisfied. Thirteen
percent of respondents reported being dissatisfied with their lives. Respondents from single parent
households (17.2%), with a secondary or lower education (18.1%), and with an annual household
incomeoflessthan$60,000(19.5%)weremorelikelytoreportbeingdissatisfiedwiththeirlives.
Table3.1Generalsatisfactionwithlife
Total
Gender
Age
Race
Household
Education
Income
Men
Women
1834
3554
5564
65+
NotStated
Black
White
Asian&Other
NotStated
Oneperson
AdultCouple
Twoparents
Singleparent
NotStated
Secondary&Lower
Technical&Higher
NotStated
$59,999orless
$60,000to$107,999
$108,000&over
NotStated
Levelofsatisfactionwithlife
Verysatisfied
N
%
212
26.8%
82
21.9%
130
31.1%
47
19.9%
67
26.5%
28
26.7%
62
37.8%
6
18.2%
101
25.4%
85
29.4%
19
20.7%
6
46.2%
40
24.2%
60
26.3%
77
39.7%
9
14.1%
26
18.4%
54
23.8%
151
27.3%
7
58.3%
26
19.5%
48
26.2%
50
45.5%
87
23.8%
Q68.Ingeneral,howsatisfiedareyouwithyourlife?
Satisfied
N
474
236
238
153
147
62
92
21
246
162
60
6
100
137
101
44
92
132
338
4
81
121
51
221
%
59.8%
63.1%
56.9%
64.8%
58.1%
59.0%
56.1%
63.6%
61.8%
56.1%
65.2%
46.2%
60.6%
60.1%
52.1%
68.8%
65.2%
58.1%
61.1%
33.3%
60.9%
66.1%
46.4%
60.4%
DissatisfiedorVery
N
%
106
13.4%
56
15.0%
50
12.0%
36
15.3%
39
15.4%
15
14.3%
10
6.1%
6
18.2%
51
12.8%
42
14.5%
13
14.1%
1
7.7%
25
15.2%
31
13.6%
16
8.2%
11
17.2%
23
16.3%
41
18.1%
64
11.6%
1
8.3%
26
19.5%
14
7.7%
9
8.2%
58
15.8%
29
QualityofLifeComparison2006to2011
Therewasadeclineinthepercentageofrespondentswhosaidthattheywereeithersatisfiedorvery
satisfiedwiththeirlivesfrom96%in2006to87%in2011(Figure3.1).Acrossallgroups,thisdeclinewas
fairly equivalent. The largest declines in satisfaction with life were for Whites (12%) and those with
secondaryeducationorless(13%).
96%
97%
95%
87%
85%
Men
Total
88%
87%
98%
95%
88%
86%
82%
Women
Gender
98%
95%
Black
White
Race
Secondary &
Lower
Technical &
Higher
Education
Figure3.1ComparisonPercentagesatisfied(satisfiedorverysatisfied)withtheirlives
30
4. Emotional Support
AdultSocial&EmotionalSupport
Respondentswereaskedhowoftentheyreceivedthesocialandemotionalsupporttheyneeded(Table
4.1). Overall, over threequarters (77.4%) said they always or usually received the emotional support
they needed. The groups more likely to receive the emotional support they needed included elderly
residents65andover(80.2%),Whites(81.8%),thoselivinginadultcouplehouseholds(82.6%),thosein
twoparenthouseholds(85.8%),andresidentswithanannualhouseholdincomeof$108,000andover
(84.3%).ThegroupslesslikelytoreceivetheemotionalsupporttheyneededincludedAsianandother
races (65.6%), those in one person (70.3%) and single parent households (58.2%), and those with an
annualhouseholdincomeunder$60,000(65.2%).
Table4.1Receivesocialandemotionalsupportneeded
Total
Gender
Age
Race
Household
Education
Income
Getsthesocialandemotionalsupportneeded
AlwaysorUsually
SometimesorRarely
N
%
N
%
614
77.4%
163
20.6%
Men
293
78.8%
69
18.5%
Women
321
76.2%
94
22.3%
1834
184
77.6%
49
20.7%
3554
198
78.3%
50
19.8%
5564
82
75.9%
23
21.3%
65+
130
80.2%
31
19.1%
NotStated
20
62.5%
9
28.1%
Black
308
76.8%
84
20.9%
White
233
81.8%
49
17.2%
Asian&Other
61
65.6%
28
30.1%
NotStated
11
84.6%
2
15.4%
Oneperson
116
70.3%
43
26.1%
AdultCouple
190
82.6%
38
16.5%
Twoparents
163
85.8%
24
12.6%
Singleparent
39
58.2%
23
34.3%
NotStated
106
75.7%
34
24.3%
Secondary&Lower
162
70.7%
64
27.9%
Technical&Higher
445
80.0%
98
17.6%
NotStated
7
87.5%
1
12.5%
$59,999orless
88
65.2%
42
31.1%
$60,000to$107,999
138
73.8%
43
23.0%
$108,000&over
91
84.3%
13
12.0%
NotStated
297
81.6%
65
17.9%
Q67.Howoftendoyougetthesocialandemotionalsupportyouneed?
Never
N
16
10
6
4
5
3
1
3
9
3
4
0
6
2
3
5
0
3
13
0
5
6
4
2
%
2.0%
2.7%
1.4%
1.7%
2.0%
2.8%
0.6%
9.4%
2.2%
1.1%
4.3%
0.0%
3.6%
0.9%
1.6%
7.5%
0.0%
1.3%
2.3%
0.0%
3.7%
3.2%
3.7%
0.5%
31
EmotionalSupportComparison2006to2011
Thenumberofrespondentsreceivingthesocialandemotionalsupporttheyneededdeclinedacrossall
demographicscomparedto2006(Figure4.1).Overall,therewasa6pointdecline(from83%in2006to
77%in2011).Somedemographicgroupsdeclinedmorethanothers.Thegroupsthatsawthegreatest
declines were women (9 point decline), Whites (7 point decline), those with a secondary or lower
education(8pointdecline),andthosewithatechnicalorhighereducation(6pointdecline).Menand
Blackshadsmallerdeclinesof2%,from81%to79%and79%to77%,respectively.
89%
85%
83%
81%
77%
79%
76%
79%
86%
82%
77%
80%
79%
71%
Men
Total
Women
Gender
Black
White
Race
Secondary &
Lower
Technical &
Higher
Education
Figure4.1ComparisonAlwaysorUsuallyreceivesocialandemotionalsupportneeded
32
5. Depressive Disorder
Respondents were asked whether they had ever been told by a health professional that they had a
depressivedisorder,includingdepression,majordepression,dysthymia,orminordepression(Table5.1).
Overall, 14.0% of respondents reported being told they had a depressive disorder; slightly higher in
women (15.3%) than men (12.5%). Adults aged 35 to 54 (18.0%) were more likely to have had a
depressive disorder. Seniors aged 65 and over (8.5%), Blacks (11.7%), and respondents in two parent
households (9.2%), or with a household income over $108,000 (5.5%) were less likely to have a
depressivedisorder.
Table5.1Prevalenceofdepressivedisorder
Total
Gender
Age
Race
Household
Education
Income
Men
Women
1834
3554
5564
65+
NotStated
Black
White
Asian&Other
NotStated
Oneperson
AdultCouple
Twoparents
Singleparent
NotStated
Secondary&Lower
Technical&Higher
NotStated
$59,999orless
$60,000to$107,999
$108,000&over
NotStated
Everhadadepressivedisorder
Yes
No
N
%
N
112
14.0%
690
47
12.5%
330
65
15.3%
360
26
10.9%
213
46
18.0%
210
14
12.8%
95
14
8.5%
150
11
33.3%
22
47
11.7%
355
47
16.2%
243
15
15.6%
81
2
15.4%
11
29
17.5%
137
39
16.8%
193
18
9.2%
177
9
13.6%
57
16
11.4%
124
37
16.0%
194
74
13.2%
485
1
8.3%
11
19
14.1%
116
28
15.0%
159
6
5.5%
104
58
15.7%
311
Total
%
86.0%
87.5%
84.7%
89.1%
82.0%
87.2%
91.5%
66.7%
88.3%
83.8%
84.4%
84.6%
82.5%
83.2%
90.8%
86.4%
88.6%
84.0%
86.8%
91.7%
85.9%
85.0%
94.5%
84.3%
N
802
377
425
239
256
109
164
33
402
290
96
13
166
232
195
66
140
231
559
12
135
187
110
369
%
100.0%
100.0%
100.0%
100.0%
100.0%
100.0%
100.0%
100.0%
100.0%
100.0%
100.0%
100.0%
100.0%
100.0%
100.0%
100.0%
100.0%
100.0%
100.0%
100.0%
100.0%
100.0%
100.0%
100.0%
Q18. Have you ever been told by a doctor, nurse, or other health professional that you have a depressive disorder (including
depression,majordepression,dysthymia,orminordepression)?
QuestionSource:BehaviouralRiskFactorSurveillanceSystemQuestionnaire2011
33
6. Asthma
Respondentswereaskediftheyhadeverhadasthma,andiftheycurrentlyhadit(Table6.1).Overall,
15.2% of respondents had asthma at some time and 9.8% said they currently had asthma. Women
(11.1%)wereslightlymorelikelytohaveasthmathanmen(8.2%).Asianandotherraces(14.6%),single
parenthouseholds(16.4%),andthosewithahouseholdincome lessthan$60,000(14.8%)weremore
likely to currently have asthma. Those aged 65 and over were slightly less likely to have asthma than
otheragegroups(8.5%).
Table6.1Prevalenceofasthma
Total
Gender
Age
Race
Household
Education
Income
Men
Women
1834
3554
5564
65+
NotStated
Black
White
Asian&Other
NotStated
Oneperson
AdultCouple
Twoparents
Singleparent
NotStated
Secondary&Lower
Technical&Higher
NotStated
$59,999orless
$60,000to$107,999
$108,000&over
NotStated
Prevalenceofasthma
Everhadasthma
N
%
122
15.2%
48
12.8%
74
17.4%
48
20.1%
32
12.5%
18
16.5%
19
11.5%
5
15.2%
64
15.9%
36
12.4%
19
19.8%
3
21.4%
22
13.2%
29
12.5%
31
15.9%
18
26.9%
22
15.6%
30
13.0%
91
16.3%
1
8.3%
32
23.7%
34
18.2%
22
20.0%
34
9.2%
Currentlyhaveasthma
N
%
78
9.8%
31
8.2%
47
11.1%
25
10.5%
24
9.4%
13
11.9%
14
8.5%
4
12.1%
39
9.7%
23
7.9%
14
14.6%
3
21.4%
16
9.6%
20
8.6%
17
8.7%
11
16.4%
15
10.7%
22
9.5%
57
10.2%
0
0.0%
20
14.8%
24
12.8%
13
11.8%
22
6.0%
Q16.Hasadoctor,nurse,orotherhealthprofessionalEVERtoldyouthatyouhadasthma?
Q17.Doyoustillhaveasthma?
34
AsthmaComparison2006to2011
Results for 2011 were consistent with results from 2006 regarding adults who currently have asthma
(Figure6.1).Overall,10%ofadultsreportedcurrentlyhavingasthmain2011comparedto9%in2006.
Resultswereconsistentacrossthedemographicgroups.
9% 10%
6%
8%
Men
Total
12% 11%
9% 10%
Women
Black
Gender
Figure6.1ComparisonPrevalenceofasthma
9%
8%
White
Race
9% 10%
9% 10%

Lower
Higher
Education
35
7. Diabetes
Respondents were asked if a doctor had ever told them that they had diabetes (Table 7.1). Excluding
prediabetesorborderlinediabetes,butincludinggestationaldiabetes,10.9%reportedhavingdiabetes.
Morewomen(13.5%)thanmen(8.0%)haddiabetes.Thoseaged18to34(5.5%)werelesslikelytohave
diabetes, while those aged 65 and over (19.0%) were more likely to have diabetes. Education was a
factor in the prevalence of diabetes. Those with a secondary or lower education (17.5%) were more
likely to have diabetes than those with technical or higher education (8.4%). Households with income
$108,000andover(7.3%)werelesslikelytohavediabetes.Raceandhouseholdcompositionwerenot
significantfactorsintheprevalenceofdiabetes.
Table7.1Prevalenceofdiabetes
Total
Gender
Age
Race
Household
Education
Income
Men
Women
1834
3554
5564
65+
NotStated
Black
White
Asian&Other
NotStated
Oneperson
AdultCouple
Twoparents
Singleparent
NotStated
Secondary&Lower
Technical&Higher
NotStated
$59,999orless
$60,000to$107,999
$108,000&over
NotStated
Prevalenceofdiabetes
Havediabetes
Donothavediabetes
N
%
N
%
87
10.9%
709
89.1%
30
8.0%
345
92.0%
57
13.5%
364
86.5%
13
5.5%
225
94.5%
25
9.8%
230
90.2%
14
13.1%
93
86.9%
31
19.0%
132
81.0%
3
9.4%
29
90.6%
43
10.8%
355
89.2%
30
10.3%
260
89.7%
12
12.6%
83
87.4%
2
15.4%
11
84.6%
16
9.6%
150
90.4%
25
10.8%
207
89.2%
16
8.2%
179
91.8%
7
10.4%
60
89.6%
24
17.5%
113
82.5%
40
17.5%
189
82.5%
47
8.4%
510
91.6%
0
0.0%
10
100.0%
17
12.6%
118
87.4%
17
9.2%
168
90.8%
8
7.3%
101
92.7%
45
12.3%
322
87.7%
Q20.Hasadoctor,nurse,orotherhealthprofessionalEVERtoldyouthatyouhavediabetes?
36
Total
N
796
375
421
238
255
107
163
32
398
290
95
13
166
232
195
67
137
229
557
10
135
185
109
367
%
100.0%
100.0%
100.0%
100.0%
100.0%
100.0%
100.0%
100.0%
100.0%
100.0%
100.0%
100.0%
100.0%
100.0%
100.0%
100.0%
100.0%
100.0%
100.0%
100.0%
100.0%
100.0%
100.0%
100.0%
DiabetesComparison2006to2011
Theprevalenceofdiabetesin2011(11%)wasconsistentwith2006(13%)(Figure7.1).Theprevalenceof
diabetesinmendroppedby4%,from12%in2006to8%in2011.Italsodroppedby5%inBlacks,from
16%in2006to11%in2011.Therewerenosubstantivechangesindiabetesprevalencebetween2011
and2006byeducationlevel.
2006(light bars) 2011 (dark bars)
13% 11%
Total
12% 8%
13% 14%
Men
Women
16%
17% 17%
11%
Black
Gender
Figure7.1ComparisonPrevalenceofdiabetes
8% 10%
White
Race
9%
Secondary &
Lower
8%
Technical &
Higher
Education
37
8. Kidney Disease
Respondents were asked if a doctor had ever told them they had kidney disease, excluding kidney
stones,bladderinfections,orincontinence(Table8.1).Only1.7%reportedhavingkidneydisease.With
such a small sample size of those with kidney disease (N=14), there were very few substantive
differences across the demographic groups. However, older adults were more likely to have been
diagnosedwithkidneydisease;4.6%ofadultsaged55to64and4.2%ofadults65andoverreported
thattheyhadkidneydiseasecomparedwith0.4%ofadultsaged18to34and0.8%ofadultsaged35to
54.Noonewithahouseholdincomeof$108,000andoverreportedhavingkidneydisease.
Table8.1Prevalenceofkidneydisease
Total
Gender
Age
Race
Household
Education
Income
Men
Women
1834
3554
5564
65+
NotStated
Black
White
Asian&Other
NotStated
Oneperson
AdultCouple
Twoparents
Singleparent
NotStated
Secondary&Lower
Technical&Higher
NotStated
$59,999orless
$60,000to$107,999
$108,000&over
NotStated
Everhadkidneydisease
Yes
N
%
14
1.7%
4
1.1%
10
2.4%
1
0.4%
2
0.8%
5
4.6%
7
4.2%
0
0.0%
8
2.0%
5
1.7%
1
1.0%
0
0.0%
3
1.8%
6
2.6%
2
1.0%
2
3.0%
1
0.7%
5
2.2%
8
1.4%
0
0.0%
3
2.2%
4
2.1%
0
0.0%
7
1.9%
No
N
788
373
415
238
254
104
158
33
394
285
95
13
163
226
193
65
139
225
550
12
132
183
110
362
Total
%
98.3%
98.9%
97.6%
99.6%
99.2%
95.4%
95.8%
100.0%
98.0%
98.3%
99.0%
100.0%
98.2%
97.4%
99.0%
97.0%
99.3%
97.8%
98.6%
100.0%
97.8%
97.9%
100.0%
98.1%
N
802
377
425
239
256
109
165
33
402
290
96
13
166
232
195
67
140
230
558
12
135
187
110
369
%
100.0%
100.0%
100.0%
100.0%
100.0%
100.0%
100.0%
100.0%
100.0%
100.0%
100.0%
100.0%
100.0%
100.0%
100.0%
100.0%
100.0%
100.0%
100.0%
100.0%
100.0%
100.0%
100.0%
100.0%
Q19. Has a doctor, nurse, or other health professional EVER told you that you have kidney disease? Do NOT include kidney
stones,bladderinfectionorincontinence.
38
9. Hypertension
Respondents were asked when they last had their blood pressure taken by a health professional,
whethertheyhadeverbeentoldtheyhadhighbloodpressure,andwhethertheywerecurrentlytaking
medicationfortheirhighbloodpressure(Table9.1).Almostthreequarters(73.4%)ofadultshadtheir
bloodpressuremeasuredinthepastyearwith35.5%ofthosebeingtoldtheyhadhighbloodpressure.
Threequarters(74.5%)ofthosewithhighbloodpressureweretakingmedicationtocontroltheirblood
pressure.
Women (79.6%) were more likely than men (66.4%) to have had their blood pressure measured but
gender did not make a difference in whether they were told they had high blood pressure; 36.5% of
womenand34.5%ofmenweretoldtheyhadhighbloodpressure.
Blacks(40.0%)weremorelikelytoreporthavinghighbloodpressurethanWhites(30.0%)orAsianand
otherraces(31.6%).Theprevalenceofhypertensionincreasedwithagefrom13.0%ofthoseaged18to
34 to 64.2% of those aged 65 and over reporting high blood pressure. Adults aged 65 and over were
morelikelytobetakingmedicationtocontroltheirbloodpressure.
Those in an adult couple household (51.3%) or earning less than $60,000 (38.5%) were more likely to
havehighbloodpressure.Educationlevelwasrelatedtohighbloodpressure.Thosewithasecondaryor
lower education (42.9%) were more likely to have high blood pressure than those with a technical or
highereducation(32.4%).Thosewithahouseholdincomeof$108,000andoverwerethemostlikelyto
have their blood pressure tested (81.3%) but the least likely to have been told they had high blood
pressure(20.0%).
39
Table9.1Bloodpressureoutcomes
Bloodpressureoutcomes
Total
Gender
Age
Race
Household
Education
Income
Men
Women
1834
3554
5564
65+
NotStated
Black
White
Asian&Other
NotStated
Oneperson
AdultCouple
Twoparents
Singleparent
NotStated
Secondary&Lower
Technical&Higher
NotStated
$59,999orless
$60,000to$107,999
$108,000&over
NotStated
Bloodpressure
measuredin
pastyear
N
%
569 73.4%
241 66.4%
328 79.6%
133 58.8%
172 69.4%
97 89.8%
148 90.2%
21 67.7%
295 76.0%
200 70.9%
63 67.7%
12 92.3%
115 71.0%
186 82.7%
137 72.5%
45 71.4%
86 63.7%
160 72.7%
402 73.6%
8 72.7%
84 65.1%
140 77.8%
87 81.3%
259 72.1%
Havebeentold
theyhavehigh
bloodpressure
N
%
285 35.5%
130 34.5%
155 36.5%
31 13.0%
71 27.7%
67 61.5%
106 64.2%
9 27.3%
161 40.0%
87 30.0%
30 31.6%
5 38.5%
61 36.7%
119 51.3%
38 19.5%
17 25.4%
48 34.3%
99 42.9%
181 32.4%
5 41.7%
52 38.5%
67 35.8%
22 20.0%
144 38.9%
Currentlytaking
medicationto
Havehighblood
controlblood
pressureandnot
pressure
takingmedication
N
%
N
%
181 74.5%
62 25.5%
87 77.7%
25 22.3%
94 71.8%
37 28.2%
6 27.3%
16 72.7%
34 63.0%
20 37.0%
48 77.4%
14 22.6%
88 92.6%
7
7.4%
5 55.6%
4 44.4%
109 77.3%
32 22.7%
51 76.1%
16 23.9%
17 60.7%
11 39.3%
4 66.7%
2 33.3%
45 80.4%
11 19.6%
80 78.4%
22 21.6%
16 53.3%
14 46.7%
6 46.2%
7 53.8%
35 83.3%
7 16.7%
69 76.7%
21 23.3%
111 75.0%
37 25.0%
1 20.0%
4 80.0%
34 75.6%
11 24.4%
32 60.4%
21 39.6%
7 46.7%
8 53.3%
108 83.1%
22 16.9%
Q8.Whenwasthelasttimeyourbloodpressurewasmeasured?
Q9.Haveyoueverbeentoldbyadoctor,nurse,orotherhealthprofessionalthatyouhavehighbloodpressure?
Q10.Areyoucurrentlytakingmedicineforyourhighbloodpressure?
40
HypertensionComparison2006to2011
Theprevalenceofhighbloodpressureincreasedfrom25%in2006to36%in2011(Figure9.1).Although
bothmenandwomensawanincreaseinhighbloodpressurein2011,theincreasewasslightlyhigher
for men with an 11% increase compared to 9% for women. Both Blacks and Whites showed a 10%
increase in the prevalence of hypertension from 2006 to 2011. Those with a secondary or lower
education had a 12% increase in the prevalence of high blood pressure and those with a technical or
highereducationhada11%increase.Thenumberofthoseinthe18to34agegroupwithhighblood
pressurehasalmostdoubledfrom7.4%in2006to13%in2011.
43%
40%
36%
25%
36%
34%
27%
23%
32%
31%
21%
20%
Men
Total
30%
30%
Women
Black
Gender
Figure9.1ComparisonHavehighbloodpressure
White
Race
Secondary &
Lower
Technical &
Higher
Education
41
10. Cholesterol
Respondentswereaskediftheyhadeverhadtheirbloodcholesterolchecked,ifsohowlongago,and
whethertheyhadeverbeentoldbyahealthprofessionalthattheyhadhigh bloodcholesterol(Table
10.1). Onequarter (25.1%) of respondents had never had their blood cholesterol checked. Women
(27.9%), those aged 18 to 34 years (56.7%), those in single parent households (39.3%), those with
secondary or lower education (30.2%), and those with household income less than $60,000 (36.4%)
were more likely to have never had their blood cholesterol checked. Of those that had their blood
cholesterol checked, 93.5% had it checked in the past two years, and 34.1% were told they had high
bloodcholesterol.Genderwasnotafactorinhavinghighbloodcholesterolbutthereweredifferences
by age. Those aged 55 to 64 (50.0%) and 65 and over (49.6%) were more likely to have high blood
cholesterol. Asian and other races (42.9%), those with a secondary or lower education (49.7%), and
thosewithanincomeoflessthan$60,000(47.2%)weremorelikelytohavehighbloodcholesterol.
Table10.1Bloodcholesteroloutcomes
Total
Gender
Age
Race
Household
Education
Income
Men
Women
1834
3554
5564
65+
NotStated
Black
White
Asian&Other
NotStated
Oneperson
AdultCouple
Twoparents
Singleparent
NotStated
Secondary&Lower
Technical&Higher
NotStated
$59,999orless
$60,000to$107,999
$108,000&over
NotStated
Bloodcholesteroloutcomes
Bloodcholesterol
Neverhadblood
checkedinprevious2
cholesterolchecked
years
N
%
N
%
187
25.1%
517
93.5%
75
21.7%
253
94.8%
112
27.9%
264
92.3%
118
56.7%
76
89.4%
45
18.6%
180
91.8%
5
4.7%
96
95.0%
17
10.6%
139
97.2%
2
6.9%
26
96.3%
106
27.9%
254
93.7%
54
20.4%
198
94.3%
26
29.2%
54
87.1%
2
15.4%
11 100.0%
29
18.6%
119
93.7%
27
12.6%
176
94.1%
55
30.2%
119
93.7%
24
39.3%
33
91.7%
52
39.4%
69
90.8%
65
30.2%
143
96.6%
121
23.2%
367
92.2%
2
20.0%
7 100.0%
43
36.4%
69
93.2%
37
20.8%
127
90.7%
19
18.8%
72
88.9%
88
25.2%
250
96.9%
Havehighcholesterol
N
%
188
34.1%
92
34.6%
96
33.6%
11
12.4%
50
25.5%
51
50.0%
69
49.6%
7
25.9%
93
34.7%
64
30.5%
27
42.9%
4
36.4%
44
35.5%
69
36.9%
41
32.3%
6
16.2%
27
35.1%
73
49.7%
114
28.6%
1
12.5%
34
47.2%
34
24.1%
23
28.0%
97
37.6%
Q11.Bloodcholesterolisafattysubstancefoundintheblood.Haveyoueverhadyourbloodcholesterolchecked?
Q12.Abouthowlonghasitbeensinceyoulasthadyourbloodcholesterolchecked?
Q13.Haveyoueverbeentoldbyadoctor,nurse,orotherhealthprofessionalthatyourbloodcholesterolishigh?
42
CholesterolComparison2006to2011
The prevalence of high blood cholesterol in 2011 remained unchanged from 2006 overall and across
genderandrace(Figure10.1).Therewasan8%increaseintheprevalenceofhighbloodcholesterolfor
thosewithasecondaryorlowereducation,from42%in2006to50%in2011.
50%
42%
34% 34%
33%
35%
34% 34%
Men
Total
Women
35% 35%
33%
Black
Gender
Figure10.1ComparisonHavehighbloodcholesterol
30%
White
Race
27%
Secondary &
Lower
29%
Technical &
Higher
Education
43
11. Cardiovascular Disease

Respondents were asked if they had ever been told by a health professional that theyd had a heart
attack, coronary heart disease or a stroke (Table 11.1). Overall, 2.9% of respondents reported that
theydhadaheartattack,4.7%reportedcoronaryheartdisease,and2.0%reportedthattheydhada
stroke. Men were slightly more likely to have cardiovascular disease than women. Cardiovascular
diseasewasmostprevalentinadults65andover.Inthisagebracket,7.9%reportedhavinghadaheart
attack,15.2%coronaryheartdisease,and6.1%astroke.Blacks(4.2%)weremorelikelytohavehada
heartattackcomparedtoWhites(1.4%)andAsianandotherraces(2.1%).Cardiovasculardiseasewas
also linked to socioeconomic status. Those with a secondary or lower education were more likely to
have had a heart attack (4.8%), coronary heart disease (9.5%), and a stroke (3.0%). Those with a
household income less than $60,000 were more likely to have had a heart attack (5.2%) than other
incomegroups.Adultcouplehouseholdsweremorelikelytohavecoronaryheartdisease(6.0%).
Table11.1Cardiovasculardiseaseprevalence
Cardiovasculardiseaseprevalence
Total
Gender
Age
Race
Household
Education
Income
Men
Women
1834
3554
5564
65+
NotStated
Black
White
Asian&Other
NotStated
Oneperson
AdultCouple
Twoparents
Singleparent
NotStated
Secondary&Lower
Technical&Higher
NotStated
$59,999orless
$60,000to$107,999
$108,000&over
NotStated
Everhadaheartattack
N
%
23
2.9%
13
3.5%
10
2.4%
1
0.4%
5
2.0%
4
3.7%
13
7.9%
0
0.0%
17
4.2%
4
1.4%
2
2.1%
0
0.0%
7
4.2%
8
3.4%
3
1.5%
2
3.0%
3
2.1%
11
4.8%
11
2.0%
0
0.0%
7
5.2%
3
1.6%
1
0.9%
12
3.3%
Everhadcoronary
heartdisease
N
%
38
4.7%
21
5.6%
17
4.0%
1
0.4%
5
2.0%
6
5.5%
25
15.2%
2
6.1%
20
5.0%
11
3.8%
5
5.2%
2
15.4%
8
4.8%
14
6.0%
5
2.6%
1
1.5%
11
7.9%
22
9.5%
16
2.9%
1
8.3%
5
3.7%
4
2.1%
1
0.9%
28
7.6%
Everhadastoke
N
%
16
2.0%
8
2.1%
8
1.9%
1
0.4%
1
0.4%
5
4.6%
10
6.1%
0
0.0%
8
2.0%
8
2.8%
1
1.0%
0
0.0%
2
1.2%
7
3.0%
2
1.0%
1
1.5%
4
2.9%
7
3.0%
9
1.6%
0
0.0%
2
1.5%
3
1.6%
1
0.9%
11
3.0%
14.Haveyoueverbeentoldbyadoctor,nurse,orotherhealthprofessionalthatyouhadaheartattackalsocalledmyocardial
infarction?
Q15.Evertoldyouhadanginaorcoronaryheartdisease?
Q21.Evertoldyouhadastroke?
44
CardiovascularDiseaseComparison2006to2011
Theprevalenceofcoronaryheartdiseaseremainedlowin2011(5%),consistentwith2006(3%)across
all demographics except those with a secondary or lower education who saw a slight increase in
coronaryheartdisease,from6%in2006to10%in2011(Figure11.1).
3%
5%
4%
6%
Men
Total
2%
4%
Women
Gender
3%
5%
3%
Black
4%
White
Race
Figure11.1ComparisonPrevalenceofcoronaryheartdisease
6% 10%
1%
3%

Lower
Higher
Education
45
EarlyWarningSymptomsofStroke
Respondentswereaskedabouttheirknowledgeoftheearlywarningsymptomsorsignsapersonhaving
a stroke would show (Table 11.2). The most common response was problems talking and
understandingwhatothersaresaying(42.9%)followedbyweaknessornumbnessdownonesideof
thebody(41.7%)andconfusion(28.5%).
Table11.2Knowledgeofearlywarningsymptomsofastrokeallreasons
Knowledgeofearlywarningsymptomsofastrokeallreasons
N
%
Problemstalkingandunderstandingwhatothersaresaying
344
42.9%
Weaknessornumbnessdownonesideofthebody
334
41.7%
Confusion
228
28.5%
Problemswithbalanceandcoordination
185
23.1%
Dizziness
150
18.7%
Lossofconsciousness
131
16.4%
Severeheadache
79
9.8%
Difficultyswallowing
60
7.4%
Other
37
4.7%
Dontknow/Notsure
194
24.3%
Q22.Tothebestofyourknowledge,whatearlywarningsymptomsaresignswouldapersonhavingastrokeshow?
QuestionSource:DepartmentofHealth2007WellBermudaStudy
46
EarlyWarningSymptomsofStrokeDon`tknow/Notsure
Almostonequarterofrespondentsdidnotknoworwerenotsureoftheearlywarningsymptomsofa
stroke(Table11.3).Therewasnodifferenceinknowledgebetweenmenandwomen.Thoseaged35to
54 (84.8%) and those with a household income of $108,000 and over (81.8%) were the most
knowledgeable about the early warning symptoms of a stroke. Those with a secondary or lower
educationweretheleastknowledgeable,with33.3%unawareofthewarningsymptoms.
Table11.3Knowledgeofearlywarningsymptomsofastroke
Total
Gender
Age
Race
Household
Education
Income
Knowledgeofearlywarningsymptomsofastroke
Knowatleastone
Don'tknow/Notsure
symptom
N
%
N
%
194
24.3%
606
75.8%
Men
92
24.5%
284
75.5%
Women
102
24.1%
322
75.9%
1834
71
29.7%
168
70.3%
3554
39
15.2%
217
84.8%
5564
28
25.9%
80
74.1%
65+
50
30.5%
114
69.5%
NotStated
6
18.2%
27
81.8%
Black
103
25.6%
299
74.4%
White
63
21.7%
227
78.3%
Asian&Other
26
27.1%
70
72.9%
NotStated
3
23.1%
10
76.9%
Oneperson
30
18.1%
136
81.9%
AdultCouple
44
19.0%
188
81.0%
Twoparents
51
26.2%
144
73.8%
Singleparent
19
28.4%
48
71.6%
NotStated
50
35.7%
90
64.3%
Secondary&Lower
77
33.3%
154
66.7%
Technical&Higher
113
20.2%
446
79.8%
NotStated
5
41.7%
7
58.3%
$59,999orless
42
31.1%
93
68.9%
$60,000to$107,999
46
24.6%
141
75.4%
$108,000&over
20
18.2%
90
81.8%
NotStated
86
23.3%
283
76.7%
Total
N
800
376
424
239
256
108
164
33
402
290
96
13
166
232
195
67
140
231
559
12
135
187
110
369
Q22.Tothebestofyourknowledge,whatearlywarningsymptomsaresignswouldapersonhavingastrokeshow?
%
100.0%
100.0%
100.0%
100.0%
100.0%
100.0%
100.0%
100.0%
100.0%
100.0%
100.0%
100.0%
100.0%
100.0%
100.0%
100.0%
100.0%
100.0%
100.0%
100.0%
100.0%
100.0%
100.0%
100.0%
47
WarningSignsofStrokeComparison2007to2011
The number of respondents who did not know or were not sure of the early warning symptoms of a
stroke remained relatively unchanged from 2007 (22%) to 2011 (24%) (Figure 11.3). The number of
womenandBlackswhowerenotawareofthesymptomsincreased5%and4%,respectivelyfrom2007
to2011.
22% 24%
26% 24%
24%
19%
Men
Total
Women
Gender
22%
26%
20% 22%
Black
White
Race
Figure11.3ComparisonDontknowornotsureofearlywarningsymptomsofastroke
48
12. Overweight and Obesity

Respondentswereaskedtheirbodyweightandheight.Theseselfreportsandtherespondentsgender
were used to calculate the Body Mass Index, a population measure which uses the ratio of weight to
height to indicate whether persons are underweight, of healthy body weight, overweight or obese
(Table 12.1). Twothirds (66.7%) of respondents were overweight or obese. Men (72.2%) were more
likely to be overweight or obese than women (61.6%). Those aged 55 to 64 (78.7%), Asian and other
races (73.7%), those in adult couple households (73.1%), those with a secondary or lower education
(72.1%),andthosewithamoderateannualincomebetween$60,000and$107,999(71.9%)werealso
more likely to be overweight or obese. Single parent households (46.7%) and those with a high
householdincomeof$108,000andover(39.6%)weremorelikelytohaveanormalbodyweight.
Table12.1BodyMassIndex(BMI)
Total
Gender
Age
Race
Household
Education
Income
Men
Women
1834
3554
5564
65+
NotStated
Black
White
Asian&Other
NotStated
Oneperson
AdultCouple
Twoparents
Singleparent
NotStated
Secondary&Lower
Technical&Higher
NotStated
$59,999orless
$60,000to$107,999
$108,000&over
NotStated
NormalWeight
N
%
218
33.3%
88
27.8%
130
38.5%
86
40.6%
62
29.7%
20
21.3%
45
34.6%
6
60.0%
102
30.9%
93
39.1%
20
26.3%
4
30.8%
40
30.3%
49
26.9%
61
34.9%
28
46.7%
41
38.7%
53
27.9%
164
35.7%
2
28.6%
35
30.2%
46
28.0%
40
39.6%
98
35.6%
BMICategory
Overweight
N
%
236
36.0%
132
41.6%
104
30.8%
70
33.0%
76
36.4%
36
38.3%
51
39.2%
3
30.0%
118
35.8%
87
36.6%
25
32.9%
6
46.2%
49
37.1%
84
46.2%
61
34.9%
15
25.0%
27
25.5%
66
34.7%
166
36.2%
4
57.1%
42
36.2%
65
39.6%
35
34.7%
94
34.2%
Q27.Abouthowmuchdoyouweighwithoutshoesinpounds?
Q29.Abouthowtallareyouwithoutshoesinfeetandinches?
Obese
N
201
97
104
56
71
38
34
1
110
58
31
3
43
49
53
17
38
71
129
1
39
53
26
83
Total
%
30.7%
30.6%
30.8%
26.4%
34.0%
40.4%
26.2%
10.0%
33.3%
24.4%
40.8%
23.1%
32.6%
26.9%
30.3%
28.3%
35.8%
37.4%
28.1%
14.3%
33.6%
32.3%
25.7%
30.2%
N
655
317
338
212
209
94
130
10
330
238
76
13
132
182
175
60
106
190
459
7
116
164
101
275
%
100.0%
100.0%
100.0%
100.0%
100.0%
100.0%
100.0%
100.0%
100.0%
100.0%
100.0%
100.0%
100.0%
100.0%
100.0%
100.0%
100.0%
100.0%
100.0%
100.0%
100.0%
100.0%
100.0%
100.0%
49
OverweightandObesityComparison2006to2011
The prevalence of overweight and obese adults rose slightly in 2011 (67%) compared to 2006 (64%)
(Figure12.1).Womensweightresultsremainedunchangedbutmensresultsincreased4%.Whiteshad
a7%increaseintheincidenceofoverweightandobeseadultsin2011,whereasBlackshadadeclineof
4%.
73%
72%
64%
67%
69%
69%
68%
61% 62%
72%
64%
61%
60%
54%
Men
Total
Women
Black
Gender
Figure12.1ComparisonOverweightandobeseadults
50
White
Race
Secondary &
Lower
Technical &
Higher
Education
SelfassessmentofWeight
Respondents were asked to describe their weight; whether they considered themselves underweight,
normal weight or overweight (Table 12.2). In total, 54.7% described themselves as normal weight;
however the BMI findings (Table 12.1) showed only 33.3% had normal weight. More women (51.0%)
consideredthemselvesoverweightthanmen(34.5%).Adultsaged55to64(55.6%)weremostlikelyto
consider themselves overweight. There was little difference among racial groups, household types,
education, and income level in describing themselves as overweight. However in contrast to the BMI
findings, 53.8% of Asian and other races were more likely to describe themselves as having a normal
body weight when only 26.3% actually were normal weight. Likewise, 43.5% of those aged 55 to 64
describedthemselvesasnormalweightbutonly21.3%actuallywere.
Table12.2Selfassessmentofweight
Selfassessmentofweight
Total
Gender
Age
Race
Household
Education
Income
Men
Women
1834
3554
5564
65+
NotStated
Black
White
Asian&Other
NotStated
Oneperson
AdultCouple
Twoparents
Singleparent
NotStated
Secondary&Lower
Technical&Higher
NotStated
$59,999orless
$60,000to$107,999
$108,000&over
NotStated
Underweight
N
%
17
2.2%
10
2.7%
7
1.7%
5
2.1%
5
2.0%
1
0.9%
7
4.4%
0
0.0%
6
1.5%
11
3.8%
0
0.0%
1
7.7%
1
0.6%
6
2.6%
4
2.1%
1
1.5%
6
4.5%
8
3.5%
10
1.8%
0
0.0%
4
3.0%
7
3.8%
0
0.0%
7
2.0%
NormalWeight
N
%
429
54.7%
235
62.8%
194
47.3%
140
59.1%
127
50.8%
47
43.5%
95
59.7%
20
64.5%
211
53.8%
161
56.3%
50
53.8%
7
53.8%
95
57.9%
122
53.3%
103
53.6%
36
53.7%
73
54.5%
112
49.6%
309
56.3%
8
80.0%
69
51.9%
85
45.7%
62
56.9%
213
59.7%
Q28.Howwouldyoudescribeyourweight?
Overweight
N
%
338
43.1%
129
34.5%
209
51.0%
92
38.8%
118
47.2%
60
55.6%
57
35.8%
11
35.5%
175
44.6%
114
39.9%
43
46.2%
5
38.5%
68
41.5%
101
44.1%
85
44.3%
30
44.8%
55
41.0%
106
46.9%
230
41.9%
2
20.0%
60
45.1%
94
50.5%
47
43.1%
137
38.4%
Total
N
784
374
410
237
250
108
159
31
392
286
93
13
164
229
192
67
134
226
549
10
133
186
109
357
%
100.0%
100.0%
100.0%
100.0%
100.0%
100.0%
100.0%
100.0%
100.0%
100.0%
100.0%
100.0%
100.0%
100.0%
100.0%
100.0%
100.0%
100.0%
100.0%
100.0%
100.0%
100.0%
100.0%
100.0%
51
BodyWeightComparison2006to2011
The number of adults who described themselves as overweight declined slightly from 46% in 2006 to
43% in 2011 (Figure 12.2). Blacks declined by 4% and those with a technical and higher education
declined by 5%. Those with a secondary and lower education increased by 3%. Overall perceptions of
overweightandobesitydeclined,butwerenotinlinewithactualprevalenceofoverweightandobesity,
whichincreasedsince2006.Whiteshada7%increaseinoverweightandobesity,buttheyreporteda
3%declineindescribingthemselvesasoverweight.
53% 51%
46%
43%
37%
45%
43%
Women
Gender
Black
White
Race
Figure12.2Comparisonselfassessmentofoverweightadults
52
40%
44%
47%
47%
42%
34%
Men
Total
49%

Lower
Higher
Education
13. Nutrition
FruitConsumption
Respondentswereaskedhowmanyservingsoffruittheyusuallyeat(Table13.1).Almostthreequarters
(73.3%)reportedhavingatleastoneservingoffruitper day.Womenwere morelikely toeatatleast
one serving of fruit per day (75.9%) compared to men (70.3%). Fruit consumption increased with age
withyoungadultsaged18to34yearsmostlikelytoeatlessthanoneservingoffruitperday(42.2%)
and seniors most likely to eat more than one serving of fruit per day (89.3%). Those in adult couple
(81.5%) and two parent (77.4%) households, those with a technical or higher education (74.6%), and
those with a household income of $108,000 and over (75.5%) were more likely to eat at least one
servingoffruitperday.Thosewhoseincomewaslessthan$60,000atetheleastamountoffruit,with
38.3% reporting that they ate less than one serving per day. Race was not a significant factor in fruit
consumption.
Table13.1Numberoffruitservingsconsumed
Numberoffruitservingsconsumed
Total
Gender
Age
Race
Household
Education
Income
Men
Women
1834
3554
5564
65+
NotStated
Black
White
Asian&Other
NotStated
Oneperson
AdultCouple
Twoparents
Singleparent
NotStated
Secondary&Lower
Technical&Higher
NotStated
$59,999orless
$60,000to$107,999
$108,000&over
NotStated
Lessthanoneserving Onetotwoservings
perday
perday
N
%
N
%
203
26.6%
404
53.0%
104
29.6%
196
55.8%
99
24.1%
208
50.6%
95
42.2%
102
45.3%
60
24.9%
123
51.0%
18
17.1%
62
59.0%
17
10.8%
102
64.6%
12
40.0%
14
46.7%
103
27.1%
205
53.9%
73
26.4%
145
52.3%
23
25.3%
47
51.6%
3
25.0%
7
58.3%
56
34.8%
73
45.3%
41
18.5%
137
61.7%
42
22.6%
99
53.2%
21
33.9%
34
54.8%
42
33.1%
60
47.2%
66
30.6%
116
53.7%
136
25.4%
281
52.5%
1
11.1%
6
66.7%
49
38.3%
59
46.1%
55
31.1%
88
49.7%
26
24.5%
53
50.0%
72
20.7%
203
58.3%
Threeormore
servingsperday
N
%
155
20.3%
51
14.5%
104
25.3%
28
12.4%
58
24.1%
25
23.8%
39
24.7%
4
13.3%
72
18.9%
59
21.3%
21
23.1%
2
16.7%
32
19.9%
44
19.8%
45
24.2%
7
11.3%
25
19.7%
34
15.7%
118
22.1%
2
22.2%
20
15.6%
34
19.2%
27
25.5%
73
21.0%
Total
N
762
351
411
225
241
105
158
30
380
277
91
12
161
222
186
62
127
216
535
9
128
177
106
348
%
100.0%
100.0%
100.0%
100.0%
100.0%
100.0%
100.0%
100.0%
100.0%
100.0%
100.0%
100.0%
100.0%
100.0%
100.0%
100.0%
100.0%
100.0%
100.0%
100.0%
100.0%
100.0%
100.0%
100.0%
Q42.Howmanyservingsoffruitdoyouusuallyeat(donotcountfruitjuice)?(Forexample,aportionoffruitatbreakfastwould
beoneserving.)
53
FruitConsumptionComparison2006to2011
Fruit consumption of one or more servings per day declined slightly from 2006 (76%) to 2011 (73%)
(Figure13.1).ConsumptionwasunchangedforBlacksandmen,butWhiteshadthegreatestdeclineof
6%, followed by women with a 5% decline. Fruit consumption declined by 4% for both levels of
education.
81%
76%
73%
71% 70%
Men
Total
80%
76%
74%
75%
73%
69%
Women
Gender
73% 73%
79%
Black
White
Secondary &
Lower
Race
Technical &
Higher
Education
Figure13.1ComparisonOneormoreservingsoffruitconsumedperday
54
VegetableConsumption
Respondentswereaskedhowmanyservingsofvegetablestheyusuallyeat(Table13.2).Mostreported
they had one or two servings per day (72.5%) with 18.7% having three or more servings per day and
8.9%havinglessthanoneservingperday.Menweremorelikelytoeatonetotwoservings(75.0%)but
womenweremorelikelytoeatthreeormoreservings(20.2%).Adultsaged18to34weremorelikelyto
havelessthanoneservingperday(15.9%)whileadultsaged65andoverweremorelikelytohavethree
ormoreservingsperday(22.3%).Whites(27.1%)andthosewithatechnicalorhighereducation(21.4%)
werealsomorelikelytohavethreeservingsofvegetablesperday.Singleparenthouseholdsconsumed
theleastamountofvegetables,with19.4%havinglessthanoneservingperdayandonly11.3%having
threeormoreservingsperday.Lowvegetableconsumptionwasnotinfluencedbyincome,buteating
threeormoreservingsperdayincreasedwithhigherincome,with20.6%ofthoseearning$108,000and
overconsumingthreeormoreservingsperdaycomparedto11.7%ofthoseearninglessthan$60,000
peryear.
Table13.2Numberofvegetableservingsconsumed
Total
Gender
Age
Race
Household
Education
Income
Men
Women
1834
3554
5564
65+
NotStated
Black
White
Asian&Other
NotStated
Oneperson
AdultCouple
Twoparents
Singleparent
NotStated
Secondary&Lower
Technical&Higher
NotStated
$59,999orless
$60,000to$107,999
$108,000&over
NotStated
Numberofvegetableservingsconsumed
Lessthanone
Onetotwoservings
Threeormore
servingperday
perday
servingsperday
N
%
N
%
N
%
68
8.9%
555
72.5%
143
18.7%
29
8.1%
267
75.0%
60
16.9%
39
9.5%
288
70.2%
83
20.2%
36
15.9%
154
67.8%
37
16.3%
20
8.2%
180
73.5%
45
18.4%
5
4.7%
82
76.6%
20
18.7%
6
3.8%
116
73.9%
35
22.3%
0
0.0%
25
80.6%
6
19.4%
47
12.3%
283
74.1%
52
13.6%
12
4.3%
192
68.6%
76
27.1%
8
8.7%
69
75.0%
15
16.3%
0
0.0%
12
100.0%
0
0.0%
15
9.1%
117
71.3%
32
19.5%
10
4.5%
166
74.4%
47
21.1%
24
12.6%
128
67.4%
38
20.0%
12
19.4%
43
69.4%
7
11.3%
7
5.5%
101
79.5%
19
15.0%
27
12.6%
163
76.2%
24
11.2%
41
7.6%
386
71.1%
116
21.4%
0
0.0%
7
77.8%
2
22.2%
14
10.9%
99
77.3%
15
11.7%
18
10.1%
127
71.3%
33
18.5%
12
11.2%
73
68.2%
22
20.6%
23
6.5%
257
73.0%
72
20.5%
Total
N
766
356
410
227
245
107
157
31
382
280
92
12
164
223
190
62
127
214
543
9
128
178
107
352
%
100.0%
100.0%
100.0%
100.0%
100.0%
100.0%
100.0%
100.0%
100.0%
100.0%
100.0%
100.0%
100.0%
100.0%
100.0%
100.0%
100.0%
100.0%
100.0%
100.0%
100.0%
100.0%
100.0%
100.0%
Q43.Howmanyservingsofvegetablesdoyouusuallyeat?(Forexample,aservingofvegetablesatbothlunchanddinnerwould
betwoservings.)
55
VegetableConsumptionComparison2006to2011
Consumptionofthreeormoreservingsofvegetablesremainedconsistentfrom17%in2006to19%in
2011(Figure13.2).Whiteshadanincreaseof8percentagepoints,from19%in2006to27%in2011.
Menhadafivepointincrease,from13%to17%in2011.
27%
17% 19%
13%
17%
21% 20%
Men
Total
15% 14%
Women
Gender
20% 21%
19%
Black
13% 11%
White
Race
Secondary &
Lower
Education
Figure13.2ComparisonThreeormoreservingsofvegetablesconsumedperday
56
Technical &
Higher
FastFoodConsumption
Respondents were asked how frequently they consumed fast food such as hamburgers, fried chicken,
hotdogsandfrenchfries.Responsesweregroupedintofourcategories:threetimesperweekormore,
one to two times per week, fortnightly or less, or never (Table 13.3). The majority of respondents
consumedfastfoodonetotwotimesperweek(47.0%),with19.2%consumingfastfoodthreetimesper
weekormore,13.5%fortnightlyorlessand20.4%neverconsumingfastfood.Resultswererelatively
even between men and women. Adults aged 18 to 34 consumed the most fast food, with 33.8%
respondingthreetimesperweekormorewhileadults65andoverconsumedtheleastamountoffast
food, with 39.5% responding never. Of those in the Asian and other racial groups, 29.2% reported
consuming fast food three times per week or more, higher than Blacks (19.3%) and Whites (15.4%).
Singleparenthouseholds(29.7%),thosewithasecondaryorlowereducation(28.1%),andthoseearning
lessthan$60,000(35.4%)weremorelikelytoconsumefastfoodthreetimesperweekormore.
Table13.3Frequencyoffastfoodconsumption
Total
Gender
Frequencyoffastfoodconsumption
3xp/weekormore
12xp/week
Fortnightlyorless
N
%
N
%
N
%
145 19.2%
355 47.0%
102 13.5%
71 20.4%
161 46.3%
39 11.2%
74 18.1%
194 47.5%
63 15.4%
88 38.8%
98 43.2%
22
9.7%
33 13.6%
128 52.7%
41 16.9%
9
8.9%
47 46.5%
22 21.8%
8
5.1%
74 47.1%
13
8.3%
7 24.1%
9 31.0%
4 13.8%
74 19.3%
179 46.7%
53 13.8%
42 15.4%
134 49.3%
41 15.1%
26 29.2%
39 43.8%
8
9.0%
3 23.1%
4 30.8%
0
0.0%
30 18.8%
73 45.6%
17 10.6%
28 13.0%
97 45.1%
31 14.4%
37 19.7%
92 48.9%
29 15.4%
19 29.7%
32 50.0%
7 10.9%
31 24.2%
62 48.4%
17 13.3%
62 28.1%
107 48.4%
16
7.2%
83 15.7%
244 46.3%
84 15.9%
0
0.0%
5 55.6%
2 22.2%
46 35.4%
52 40.0%
11
8.5%
28 15.7%
99 55.6%
29 16.3%
21 20.0%
44 41.9%
23 21.9%
51 14.9%
160 46.8%
38 11.1%
Never
N
154
77
77
19
41
23
62
9
77
55
16
6
40
59
30
6
18
36
116
2
21
22
17
93
Men
Women
Age
1834
3554
5564
65+
NotStated
Race
Black
White
Asian&Other
NotStated
Household Oneperson
AdultCouple
Twoparent
Singleparent
NotStated
Education Secondary&Lower
Technical&Higher
NotStated
Income
$59,999orless
$60,000to$107,999
$108,000&over
NotStated
Q44.Howoftendoyoueatfastfoodmealssuchashamburgers,friedchicken,hotdogs,Frenchfries,milkshakes,soda?
%
20.4%
22.1%
18.9%
8.4%
16.9%
22.8%
39.5%
31.0%
20.1%
20.2%
18.0%
46.2%
25.0%
27.4%
16.0%
9.4%
14.1%
16.3%
22.0%
22.2%
16.2%
12.4%
16.2%
27.2%
57
FastFoodConsumptionComparison2006to2011
Consumption of fast food dropped 5% from 2006 to 2011 (Figure 13.3). Overall, 71% of respondents
reportedconsumingfastfoodonetotwotimesperweekormorein2006comparedto66%in2011.
Consumptiondroppedformen(5%decline),women(4%decline),Blacks(8%decline),andthosewitha
technical or higher education (10% decline), but Whites remained relatively equal. Consumption
increasedby7%forthosewithasecondaryorlowereducation(77%in2011versus70%in2006).
66%
67%
70%
Men
Total
77%
74%
72%
71%
66%
Women
Gender
66%
67%
Black
65%
White
Race
72%
70%
62%
Secondary &
Lower
Technical &
Higher
Education
Figure13.3ComparisonConsumptionoffastfoodonetotwotimesperweekormore
58
BreakfastConsumption
Respondents were asked how often they ate breakfast (Table 13.4). Almost threequarters (74.2%) of
respondentsatebreakfastfivetoseventimesperweek.Womenweremorelikelytoeatbreakfastmore
frequently,with10.2%havingbreakfastthreetofourtimesperweekand77.4%havingbreakfastfiveto
seven times per week compared to men (6.7% and 70.6%, respectively). Adults aged 65 and over
(91.4%),Blacks(77.3%),andthosewithahouseholdincomeof$108,000andover(76.6%)weremore
likelytohavebreakfastfivetoseventimesperweek.Levelofeducationandhouseholdtypewerenot
factorsinbreakfastconsumption.Men(12.6%),youngeradultsaged18to34(15.5%),householdswith
income less than $60,000 (11.3%), and two parent households (10.3%) were more likely to have
breakfastlessthanonceperweek.
Table13.4Frequencyofbreakfastconsumption
Total
Gender
Age
Race
Household
Education
Income
Men
Women
1834
3554
5564
65+
NotStated
Black
White
Asian&Other
NotStated
Oneperson
AdultCouple
Twoparents
Singleparent
NotStated
Secondary&Lower
Technical&Higher
NotStated
$59,999orless
$60,000to$107,999
$108,000&over
NotStated
Frequencyofbreakfastconsumption
Lessthanonce Onceortwiceper
Threetofour
perweek
week
timesperweek
N
%
N
%
N
%
72
9.1%
65
8.2%
68
8.6%
47 12.6%
38 10.2%
25
6.7%
25
5.9%
27
6.4%
43 10.2%
37 15.5%
22
9.2%
24 10.1%
21
8.3%
27 10.7%
22
8.7%
8
7.5%
9
8.4%
11 10.3%
2
1.2%
4
2.5%
8
4.9%
4 12.9%
2
6.5%
2
6.5%
28
7.1%
27
6.8%
35
8.8%
33 11.4%
22
7.6%
25
8.6%
10 10.6%
15 16.0%
7
7.4%
1
7.7%
0
0.0%
1
7.7%
14
8.4%
18 10.8%
14
8.4%
14
6.1%
20
8.7%
19
8.3%
20 10.3%
9
4.6%
16
8.2%
5
7.7%
7 10.8%
6
9.2%
19 13.7%
12
8.6%
14 10.1%
24 10.5%
24 10.5%
17
7.4%
46
8.3%
40
7.2%
51
9.2%
1 10.0%
1 10.0%
0
0.0%
15 11.3%
18 13.5%
10
7.5%
13
7.1%
20 10.9%
21 11.4%
9
8.1%
6
5.4%
11
9.9%
35
9.6%
20
5.5%
26
7.1%
Q45.Howoftendoyoueatbreakfast?
Fivetoseven
timesperweek
N
%
590 74.2%
264 70.6%
326 77.4%
155 65.1%
183 72.3%
79 73.8%
149 91.4%
23 74.2%
306 77.3%
210 72.4%
62 66.0%
11 84.6%
121 72.5%
177 77.0%
150 76.9%
47 72.3%
94 67.6%
164 71.6%
418 75.3%
8 80.0%
90 67.7%
130 70.7%
85 76.6%
284 77.8%
Total
N
795
374
421
238
253
107
163
31
396
290
94
13
167
230
195
65
139
229
555
10
133
184
111
365
%
100.0%
100.0%
100.0%
100.0%
100.0%
100.0%
100.0%
100.0%
100.0%
100.0%
100.0%
100.0%
100.0%
100.0%
100.0%
100.0%
100.0%
100.0%
100.0%
100.0%
100.0%
100.0%
100.0%
100.0%
59
BreakfastConsumptionComparison2006to2011
Breakfast consumption in 2011 was on par with 2006 with approximately onequarter of respondents
havingbreakfastlessthanfivetimesperweek(23%in2006and26%in2011)(Figure13.4).Whitesand
thosewithasecondaryorlowereducationhadthelargestincreases(7%and5%,respectively).
23%
26%
27%
30%
28%
23%
24% 23%
19%
Men
Total
Women
Gender
21%
Black
White
28%
23%
Secondary &
Lower
Race
Figure13.4ComparisonBreakfastconsumptionlessthanfivetimesperweek
60
23% 25%
Technical &
Higher
Education
14. Exercise and Physical Activity

Respondents were asked about the amount and frequency of moderate and vigorous activity they
engaged in on a weekly basis (Tables 14.1 and 14.2). Moderate activities were described as causing
smallincreasesinbreathingorheartrate,suchasbriskwalking,bicycling,vacuumingorgardeningand
vigorous activities described as those causing large increases in breathing or heart rate, such as
running,aerobicsorheavyyardwork.
SedentaryBehaviour
Overall, 17.9% of adults engaged in moderate physical activity less than once per week and could be
considered sedentary. Those aged 55 to 64 (20.2%) and 65 and over (22.4%) tended to be more
sedentary than the younger age groups. One person households (22.8%) were more likely to be
sedentary,aswellasthosewithasecondaryorlowereducation(26.1%).Householdswithanincomeof
$108,000andover(11.8%)werelesslikelytobesedentarythanotherincomegroups.Genderandrace
werenotcontributingfactorsinsedentarybehaviour.
Figure14.1Engagementinmoderatephysicalactivityforatleast10minutesatatime
Total
Gender
Age
Race
Household
Education
Income
Engagementinmoderatephysicalactivityforatleast10minutesatatime
Lessthanonceper
week(sedentary)
Atleastonceperweek
N
%
N
%
142
17.9%
653 82.1%
Men
71
19.0%
302 81.0%
Women
71
16.8%
351 83.2%
1834
37
15.7%
199 84.3%
3554
38
14.9%
217 85.1%
5564
22
20.2%
87 79.8%
65+
37
22.4%
128 77.6%
NotStated
9
28.1%
23 71.9%
Black
71
17.7%
330 82.3%
White
54
18.7%
235 81.3%
Asian&Other
16
17.0%
78 83.0%
NotStated
1
7.7%
12 92.3%
Oneperson
38
22.8%
129 77.2%
AdultCouple
43
18.9%
184 81.1%
Twoparents
22
11.3%
173 88.7%
Singleparent
9
13.4%
58 86.6%
NotStated
31
22.0%
110 78.0%
Secondary&Lower
60
26.1%
170 73.9%
Technical&Higher
81
14.6%
473 85.4%
NotStated
1
8.3%
11 91.7%
$59,999orless
25
18.5%
110 81.5%
$60,000to$107,999
33
17.9%
151 82.1%
$108,000&over
13
11.8%
97 88.2%
NotStated
72
19.6%
295 80.4%
Q46.Howmanydaysperweekdoyoudomoderateactivitiesforatleast10minutesatatime?
Total
N
795
373
422
236
255
109
165
32
401
289
94
13
167
227
195
67
141
230
554
12
135
184
110
367
%
100.0%
100.0%
100.0%
100.0%
100.0%
100.0%
100.0%
100.0%
100.0%
100.0%
100.0%
100.0%
100.0%
100.0%
100.0%
100.0%
100.0%
100.0%
100.0%
100.0%
100.0%
100.0%
100.0%
100.0%
61
SedentaryBehaviourComparison2006to2011
Overall,thepercentageofsedentaryindividualshadnotchangedfrom2006to2011(18%)(Figure14.1).
This was consistent across demographic groups, except race. There was an 8% increase in sedentary
behaviouramongWhites,from11%in2006to19%in2011;whilesedentarybehaviouramongBlacks
decreasedfrom22%to18%.
18% 18%
20% 19%
22%
16% 17%
24% 26%
19%
18%
13% 15%
11%
Men
Total
Women
Gender
Black
White
Race
Secondary &
Lower
Education
Figure14.1ComparisonAdultactivitylevellessthanonceperweek(sedentary)
62
Technical &
Higher
ModerateandVigorousActivity
In terms of moderate physical activity, 52.6% of respondents did at least 30 minutes three times per
weekand32.0%did30minutesfivetimesperweek.Forvigorousactivity,21.0%did30minutesatleast
three times per week but only 3.5% did so five times per week. Gender was not a significant factor
exceptslightlymoremen(23.0%)thanwomen(19.2%)engagedinvigorousphysicalactivitythreetimes
perweek.Thoseaged35to54(49.6%),Asianandotherraces(50.0%),onepersonhouseholds(47.6%)
andthosewithasecondaryeducationorlower(46.5%)werelesslikelytodomoderateactivitiesthree
timesperweek.Thoseaged65andoverwerelesslikelytoparticipateinvigorousactivitythree(7.9%)
orfivetimes(0.6%)perweek.Thoseaged18to34weremorelikelytoparticipateinvigorousactivity
three times (35.0%) and five times (8.1%) per week than other age groups. Households with children
were more likely to participate in vigorous activity three times per week (two parent, 31.3%; single
parent25.8%)andfivetimesperweek(twoparent,7.7%;singleparent6.0%)thanchildlesshouseholds.
Thosewithatechnicalorhighereducationwerealmosttwiceaslikelytoparticipateinvigorousactivity
three times per week than those with a secondary or lower education (24.5% versus 12.6%,
respectively).Higherincomehouseholds($108,000andover)weremorelikelytoparticipateinvigorous
activitythreetimesperweek(25.5%).
Table14.2Frequencyanddurationofmoderateandvigorousphysicalactivity
Frequencyanddurationofmoderateandvigorousphysicalactivity
Moderatephysicalactivityfor30minutes
Vigorousphysicalactivityfor30minutes
Atleast3timesper
Atleast3timesper
week
5timesperweek
week
5timesperweek
N
%
N
%
N
%
N
%
Total
420
52.6%
256 32.0%
167
21.0%
28 3.5%
Gender
Men
197
52.5%
123 32.8%
86
23.0%
13 3.5%
Women
223
52.6%
133 31.3%
81
19.2%
15 3.6%
Age
1834
129
54.2%
74 31.0%
83
35.0%
19 8.1%
3554
127
49.6%
76 29.7%
51
20.1%
6 2.4%
5564
60
55.0%
40 37.0%
16
14.7%
1 0.9%
65+
90
54.9%
60 36.6%
13
7.9%
1 0.6%
NotStated
14
43.8%
6 18.8%
4
12.9%
0 0.0%
Race
Black
211
52.6%
121 30.2%
83
20.8%
16 4.0%
White
157
54.1%
104 35.7%
63
21.8%
10 3.5%
Asian&Other
48
50.0%
31 32.3%
18
19.4%
2 2.2%
NotStated
6
42.9%
1
7.7%
3
21.4%
0 0.0%
Household Oneperson
79
47.6%
44 26.5%
24
14.5%
2 1.2%
AdultCouple
136
58.9%
91 39.4%
41
18.1%
3 1.3%
Twoparents
106
54.4%
69 35.4%
61
31.3%
15 7.7%
Singleparent
38
56.7%
21 31.3%
17
25.8%
4 6.0%
NotStated
61
43.6%
32 22.7%
23
16.4%
4 2.8%
Education
Secondary&Lower
107
46.5%
62 27.0%
29
12.6%
5 2.2%
Technical&Higher
306
54.8%
188 33.7%
136
24.5%
22 4.0%
NotStated
8
66.7%
6 50.0%
2
16.7%
1 9.1%
Income
$59,999orless
72
53.3%
40 29.6%
27
20.0%
5 3.7%
$60,000to$107,999
90
48.4%
56 30.1%
38
20.7%
5 2.7%
$108,000&over
60
54.5%
38 34.5%
28
25.5%
5 4.6%
NotStated
199
53.9%
122 33.1%
73
19.9%
13 3.5%
Q47.Onthedayswhenyoudomoderateactivities,howmuchtotaltimeperdaydoyouspenddoingtheseactivities?
Q49.Ondayswhenyoudovigorousactivitiesforatleast10minutesatatimehowmuchtotaltimeperdaydoyouspenddoing
theseactivities?
63
ModeratePhysicalActivityComparison2006to2011
Participation in moderate physical activity for 30 minutes at least three times per week improved
significantlyfrom27%in2006to53%in2011(Figure14.2a).Thischangewasconsistentacrossgender,
race,andeducationlevelwithimprovementsbetween23and28points.
53%
53%
53%
55%
54%
53%
47%
27%
26%
Men
Total
28%
Women
Gender
28%
27%
Black
White
Race
29%
24%
Secondary &
Lower
Technical &
Higher
Education
Figure14.2aComparisonModeratephysicalactivityfor30minutes,atleastthreetimesperweek
64
VigorousPhysicalActivityComparison2006to2011
While participation in moderate physical activity at least three times per week increased since 2006,
participation in vigorous physical activity remained relatively unchanged, from 20% in 2006 to 21% in
2011 (Figure 14.2b). Vigorous physical activity increased slightly for men (3%) and Whites (3%) but
remained the same for women, Blacks, and those with a secondary or lower or technical or higher
education.
20% 21%
20%
23%
19% 19%
20% 21%
19%
24% 25%
22%
13% 13%
Men
Total
Women
Gender
Black
White
Race

Lower
Higher
Education
Figure14.2bComparisonVigorousphysicalactivityfor30minutes,atleastthreetimesperweek
65
TelevisionViewing
Respondentswereaskedhowmanyhoursoftelevisiontheywatchedonadailybasis(Table14.3).The
majorityofrespondents(83.0%)watchedtwoormorehoursoftelevisionperday,withlittledifference
among gender, age or household composition. Blacks (87.5%), those with a secondary or lower
education(88.5%),andthosewithahouseholdincomelessthan$60,000(88.0%)were morelikelyto
watch at least two hours of television per day. More women (14.3%) than men (9.5%) watched more
thanfivehoursoftelevisionaday.Thoseaged55to64(15.8%)weremorelikelytowatchmorethan
five hours per day than other age groups. Whites were less likely to watch television with 21.6%
watchinglessthantwohoursadaywhileAsianandotherracesweremorelikelytowatchmorethan
five hours per day (16.4%). Those with a household income of $108,000 and over were less likely to
watchtelevision,with24.5%reportinglessthantwohoursaday.
Table14.3Hoursoftelevisionwatcheddaily
Total
Gender
Age
Race
Household
Education
Income
Men
Women
1834
3554
5564
65+
NotStated
Black
White
Asian&Other
NotStated
Oneperson
AdultCouple
Twoparent
Singleparent
NotStated
Secondary&Lower
Technical&Higher
NotStated
$59,999orless
$60,000to$107,999
$108,000&over
NotStated
Hoursoftelevisionwatcheddaily
Lessthan2hours
25hours
N
%
N
108
16.9%
452
45
16.4%
204
63
17.4%
248
34
18.4%
131
32
16.5%
143
15
15.8%
65
24
16.3%
104
3
18.8%
9
41
12.5%
248
49
21.6%
152
13
17.8%
48
6
54.5%
4
18
15.1%
86
31
17.0%
128
30
17.6%
127
10
16.9%
39
19
17.4%
73
20
11.5%
117
85
18.7%
329
3
37.5%
5
13
12.0%
76
26
16.6%
114
25
24.5%
70
44
16.3%
191
%
70.8%
74.2%
68.3%
70.8%
73.7%
68.4%
70.7%
56.3%
75.6%
67.0%
65.8%
36.4%
72.3%
70.3%
74.7%
66.1%
67.0%
67.2%
72.5%
62.5%
70.4%
72.6%
68.6%
70.7%
Q50.Howmanyhoursoftelevisiondoyouwatchonanaverageday(includeweekends)?
66
Morethan5hours
N
%
78 12.2%
26
9.5%
52 14.3%
20 10.8%
19
9.8%
15 15.8%
19 12.9%
4 25.0%
39 11.9%
26 11.5%
12 16.4%
1
9.1%
15 12.6%
23 12.6%
13
7.6%
10 16.9%
17 15.6%
37 21.3%
40
8.8%
0
0.0%
19 17.6%
17 10.8%
7
6.9%
35 13.0%
TelevisionViewingComparison2006to2011
Television viewing increased significantly across all demographics (Figure 14.3). Overall, it increased
11%,from72%in2006to83%in2011.Blacksandthosewithasecondaryorlowereducationhadthe
highestincreasesof12%each.Menwentfrom75%to84%(9%increase)andwomenwentfrom70%to
83%(13%increase).Whitesincreased9%andthosewithatechnicalorhighereducationincreased11%.
89%
88%
84%
83%
72%
70%
Women
Gender
81%
79%
76%
75%
Men
Total
83%
77%
70%
Black
White
70%
Secondary &
Lower
Race
Figure14.3ComparisonTwoormorehoursoftelevisionwatcheddaily
Technical &
Higher
Education
67
15. Womens Health

Mammogram
Womenaged40yearsandoverwereaskediftheyhadeverhadamammogram,anxrayofeachbreast
tocheckforbreastcancer(Table15.1).Overall,92.8%ofwomenaged40andoverhadamammogram
at some point in their lives. Women in adult couple households (98.6%) and of Asian or other races
(100.0%) were the most likely to have ever had a mammogram. Of the women who had had a
mammogram, 65.9% said they had done so within the past year, a further 19.8% had a mammogram
one to two years ago, and 12.9% said that they had their mammogram more than two years prior.
Womenaged65yearsandolder(54.5%),thoseofAsianandotherraces(53.8%),thoseinadultcouple
households(56.9%),andthosewithasecondaryeducationandlower(57.8%)werelesslikelytohave
hadamammograminthelastyear.
Table15.1Mammogramtakeupbywomen
Total
Age
Race
Household
Education
Income
4054
5564
65+
NotStated
Black
White
Asian&Other
NotStated
Oneperson
AdultCouple
Twoparents
Singleparent
NotStated
Secondary&Lower
Technical&Higher
NotStated
$59,999orless
$60,000to$107,999
$108,000&over
NotStated
Mammogramtakeupbywomenaged40andover
Morethan1year
agobutlessthan2
Inpast12months
years
Ever
N
%
N
%
N
%
218 92.8%
143 65.9%
43 19.8%
82 88.2%
61 74.4%
17 20.7%
59 96.7%
41 69.5%
11 18.6%
76 93.8%
42 54.5%
15 19.5%
0
0.0%
0
0.0%
0
0.0%
111 91.7%
79 70.5%
17 15.2%
76 92.7%
46 60.5%
18 23.7%
27 100.0%
14 53.8%
8 30.8%
4 66.7%
4 100.0%
0
0.0%
51 89.5%
38 76.0%
8 16.0%
71 98.6%
41 56.9%
17 23.6%
41 95.3%
30 73.2%
9 22.0%
18 90.0%
14 77.8%
2 11.1%
37 84.1%
20 52.6%
7 18.4%
64 91.4%
37 57.8%
15 23.4%
146 93.0%
100 68.5%
27 18.5%
7 100.0%
6 75.0%
1 12.5%
31 88.6%
27 87.1%
2
6.5%
42 91.3%
33 80.5%
6 14.6%
38 95.0%
27 71.1%
9 23.7%
107 93.9%
56 52.3%
26 24.3%
Q69.Haveyoueverhadamammogram?
Q70.Howlonghasitbeensinceyouhadyourlastmammogram?
68
Morethan2
yearsago
N
%
28 12.9%
4
4.9%
7 11.9%
17 22.1%
0
0.0%
14 12.5%
10 13.2%
4 15.4%
0
0.0%
3
6.0%
12 16.7%
2
4.9%
2 11.1%
10 26.3%
10 15.6%
17 11.6%
1 12.5%
2
6.5%
2
4.9%
2
5.3%
22 20.6%
Don'tknow/
Notsure
N
%
3 1.4%
0 0.0%
0 0.0%
3 3.9%
0 0.0%
2 1.8%
2 2.6%
0 0.0%
0 0.0%
1 2.0%
2 2.8%
0 0.0%
0 0.0%
1 2.6%
2 3.1%
2 1.4%
0 0.0%
0 0.0%
0 0.0%
0 0.0%
3 2.8%
MammogramComparison2006to2011
Comparedto2006,therewasa9pointdeclineinthepercentageofrespondentswhosaidthattheyhad
a mammogram in the last 2 years (from 95% in 2006 to 87% in 2011) (Figure 15.1). Those with a
secondaryandlowereducationhada12pointdeclineandWhiteshadan11pointdecline.Blacksand
thosewithatechnicalandhighereducationbothhad10pointdeclines.
96%
95%
86%
86%
93%
84%
Black
Total
97%
95%
White
Race
87%
81%
Secondary & Lower Technical & Higher

Education
Figure15.1ComparisonMammogramtakeupbywomeninpast2years
69
PapTest
All women were asked if they had ever had a Pap test to check for cancer of the cervix (Table 15.2).
Overall,91.8%ofwomensaidtheydhadapaptestatsometime.Ofthosewhohavehadapaptest,
82.7%hadonewithinthepasttwoyears.Themostimportantfactorwasage.Residentsaged65years
and older (50.7%) were less likely to have had a pap test in the last two years. Those aged 18 to 34
(93.1%) and 35 to 54 years (91.3%), those in two parent households (92.5%), and those with a
householdincomeoflessthan$60,000(88.4%)weremorelikelytohavehadapaptestinthepasttwo
years.
Table15.2Paptesttakeupbywomen
Paptesttakeupbywomen
Ever
Total
Age
N
383
101
138
57
71
17
192
136
50
5
79
99
92
47
66
101
275
7
69
89
56
169
%
90.1%
80.8%
98.6%
95.0%
86.6%
94.4%
91.0%
90.1%
89.3%
71.4%
90.8%
95.2%
87.6%
94.0%
84.6%
84.9%
92.6%
77.8%
93.2%
96.7%
88.9%
86.2%
Morethan1year
Inpast12
agobutlessthan
months
2years
N
%
N
%
235 61.5%
81 21.2%
75 74.3%
19 18.8%
96 69.6%
30 21.7%
37 64.9%
11 19.3%
19 26.8%
17 23.9%
8 47.1%
5 29.4%
125 64.8%
34 17.6%
80 58.8%
32 23.5%
29 59.2%
13 26.5%
2 33.3%
2 33.3%
45 57.0%
17 21.5%
58 58.6%
21 21.2%
66 71.0%
20 21.5%
32 68.1%
10 21.3%
35 53.0%
13 19.7%
62 62.0%
19 19.0%
170 62.0%
61 22.3%
2 28.6%
1 14.3%
46 66.7%
15 21.7%
55 61.8%
20 22.5%
38 66.7%
12 21.1%
96 57.1%
35 20.8%
1834
3554
5564
65+
NotStated
Race
Black
White
Asian&Other
NotStated
Household Oneperson
AdultCouple
Twoparents
Singleparent
NotStated
Technical&Higher
NotStated
Income
$59,999orless
$60,000to$107,999
$108,000&over
NotStated
Q71.HaveyoueverhadaPaptest?
Q72.HowlonghasitbeensinceyouhadyourlastPaptest?
70
Morethan2 Don'tknow/Not
yearsago
sure
N
%
N
%
56 14.7%
10
2.6%
6
5.9%
1
1.0%
12
8.7%
0
0.0%
7 12.3%
2
3.5%
30 42.3%
5
7.0%
2 11.8%
2 11.8%
27 14.0%
7
3.6%
22 16.2%
2
1.5%
7 14.3%
0
0.0%
0
0.0%
2 33.3%
16 20.3%
1
1.3%
15 15.2%
5
5.1%
7
7.5%
0
0.0%
5 10.6%
0
0.0%
14 21.2%
4
6.1%
17 17.0%
2
2.0%
39 14.2%
4
1.5%
1 14.3%
3 42.9%
8 11.6%
0
0.0%
12 13.5%
2
2.2%
7 12.3%
0
0.0%
29 17.3%
8
4.8%
PapTestComparison2006to2011
Comparedto2006,therewasaslight2pointdeclineinthenumberofwomenwhosaidthattheyhada
paptestinthelast2years(Figure15.2).Whilethosewithasecondaryeducationandlowerweremore
likely to have had a pap test in the last 2 years in 2011 (81% in 2011 vs. 76% in 2006), those with a
technicallevelofeducationandhigherwerelesslikelytohavehadapaptestin2011(84%in2011vs.
92%in2006).Therewasa3pointdeclineforbothWhitesandBlacks,from85%in2006to82%in2011.
92%
85%
83%
85%
85%
82%
84%
82%
81%
76%
Black
Total
White
Race
Figure15.2ComparisonPaptesttakeupbywomeninpast2years
Education
71
Pregnancy
Allwomenwereaskedtoreporttothebestoftheirknowledgeiftheywerecurrentlypregnant(Table
15.3).Overall,threepercent(2.9%)ofwomenwerepregnant.Youngerresidentsaged18to34years
(7.5%)andthosewithalowannualhouseholdincome(lessthan$60,000)(6.9%)weremorelikelytobe
pregnant.
Table15.3Prevalenceofpregnancy
Total
Age
Race
Household
Education
Income
1834
3554
5564
65+
NotStated
Black
White
Asian&Other
NotStated
Oneperson
AdultCouple
Twoparents
Singleparent
NotStated
Secondary&Lower
Technical&Higher
NotStated
$59,999orless
$60,000to$107,999
$108,000&over
NotStated
Prevalenceofpregnancy
Pregnant
Notpregnant
N
%
N
%
12
2.9%
407 97.1%
9
7.5%
111 92.5%
2
1.4%
138 98.6%
0
0.0%
61 100.0%
0
0.0%
81 100.0%
1
5.6%
17 94.4%
8
3.8%
201 96.2%
3
2.0%
145 98.0%
1
1.8%
54 98.2%
0
0.0%
7 100.0%
0
0.0%
86 100.0%
4
3.9%
98 96.1%
2
1.9%
102 98.1%
2
4.1%
47 95.9%
4
5.2%
73 94.8%
4
3.4%
113 96.6%
8
2.7%
285 97.3%
0
0.0%
9 100.0%
5
6.9%
67 93.1%
2
2.2%
90 97.8%
1
1.6%
61 98.4%
4
2.1%
189 97.9%
Q26.Toyourknowledge,areyounowpregnant?
QuestionSource:N/A
72
Total
N
419
120
140
61
81
18
209
148
55
7
86
102
104
49
77
117
293
9
72
92
62
193
%
100.0%
100.0%
100.0%
100.0%
100.0%
100.0%
100.0%
100.0%
100.0%
100.0%
100.0%
100.0%
100.0%
100.0%
100.0%
100.0%
100.0%
100.0%
100.0%
100.0%
100.0%
100.0%
16. Mens Health

ProstateSpecificAntigenTest
Allmenaged40yearsandolderwereaskedwhethertheyhadeverbeenscreenedforprostatecancer
withaprostatespecificantigen(PSA)test(Table16.1).Overall,76.6%reportedtheydhadaPSAtest.
PSA test takeup was more common among men aged 55 to 64 years (87.2%), 65 years and older
(82.6%),Whites(82.4%),thoseinsingleparenthouseholds(80.0%),andmenwithanannualhousehold
income of $108,000 and over (85.2%). PSA test takeup was less common among men aged 40 to 54
years(65.4%),Asianandotherraces(66.7%),menfromonepersonhouseholds(68.4%),andmenwitha
householdincomebetween$60,000and$107,999peryear(62.5%).OverhalfofmenwhodhadaPSA
testhadoneinthepast12months(54.4%),withjustunderathirdlasthavinghadaPSAbetweenoneto
twoyearsago(32.0%),and10.9%morethan2yearsago.Oldermen(65yearsandover)(58.6%),black
men (59.5%), men from single parent homes (75.0%), and men with a high annual household income
(i.e.108,000ormore)(73.9%)weremorelikelytohavehadaPSAtestinthepastyear.Youngermen(40
to54years)(50.0%),thoseofAsianandotherraces(45.5%),andmenlivingintwoparenthouseholds
(47.5%)werelesslikelytohavehadaPSAtestinthelastyear.
Table16.1Prostatespecificantigen(PSA)testtakeupbymenaged40yearsover
Prostatespecificantigen(PSA)testtakeupbymenaged40yearsandover
Morethan1year
Inpast12
agobutlessthan Morethan2
Ever
months
2years
yearsago
N
%
N
%
N
%
N
%
Total
147 64.8%
80 54.4%
47 32.0%
16 10.9%
Age
4054
51 56.7%
25 50.0%
19 38.0%
6 12.0%
5564
34 70.8%
19 57.6%
9 27.3%
5 15.2%
65+
57 68.7%
34 58.6%
16 27.6%
4
6.9%
NotStated
5 100.0%
3 50.0%
3 50.0%
0
0.0%
Race
Black
74 63.8%
44 59.5%
21 28.4%
6
8.1%
White
56 67.5%
29 52.7%
19 34.5%
6 10.9%
Asian&Other
12 50.0%
5 45.5%
5 45.5%
1
9.1%
NotStated
5 100.0%
3 60.0%
1 20.0%
1 20.0%
Household Oneperson
26 55.3%
14 53.8%
12 46.2%
0
0.0%
AdultCouple
65 67.7%
36 55.4%
16 24.6%
10 15.4%
Twoparents
40 70.2%
19 47.5%
16 40.0%
5 12.5%
Singleparent
4 80.0%
3 75.0%
1 25.0%
0
0.0%
NotStated
12 54.5%
8 66.7%
3 25.0%
0
0.0%
44 65.7%
26 60.5%
10 23.3%
6 14.0%
Technical&Higher
103 64.8%
55 53.4%
36 35.0%
9
8.7%
NotStated
0
0.0%
0
0.0%
0
0.0%
0
0.0%
Income
$59,999orless
14 73.7%
9 60.0%
3 20.0%
3 20.0%
$60,000to$107,999
30 50.8%
17 58.6%
6 20.7%
6 20.7%
$108,000&over
23 82.1%
17 73.9%
5 21.7%
1
4.3%
NotStated
79 65.3%
38 48.1%
32 40.5%
5
6.3%
Q73.HaveyoueverhadaPSAtest?
Q74.HowlonghasitbeensinceyouhadyourlastPSAtest?
Don'tknow/
Notsure
N
%
4 2.7%
0 0.0%
0 0.0%
4 6.9%
0 0.0%
3 4.1%
1 1.8%
0 0.0%
0 0.0%
0 0.0%
3 4.6%
0 0.0%
0 0.0%
1 8.3%
1 2.3%
3 2.9%
0 0.0%
0 0.0%
0 0.0%
0 0.0%
4 5.1%
73
PSATestComparison2006to2011
Comparedto2006,therewasa7pointdeclineinthepercentageofmenaged40yearsandoverwho
hadreceivedaPSAtestinthepast2years,from93%to86%(Figure16.1).PSAtesttakeupdeclinedfor
the majority of groups (i.e. for Whites by 9 points, from 96% to 87%, for those with a secondary
educationandlowerby7points,from91%to84%,forthosewithatechnicaleducationandhigherby7
points,from95%to88%.)PSAtesttakeupforBlacksinthepast2yearsdeclined3points(from91%to
88%).
96%
93%
95%
91%
86%
91%
88%
84%
Black
Total
88%
87%
White
Race
Figure16.1ComparisonPSAtesttakeupbymeninpast2years
74
Education
DigitalRectalExam
A digital rectal exam (DRE) is an exam in which a doctor, nurse, or other health professional places a
glovedfingerintotherectumtofeelthesize,shape,andhardnessoftheprostategland.Men40years
andoverwereaskedwhethertheyhadeverhadaDREandhowlongago(Table16.2).Overall,79.2%of
respondentsreportedthattheydhadaDRE.DREtesttakeupwasmorecommonamongmenaged55
to 64 years (83.3%), Whites (89.2%), those in adult couple households (86.3%), and those with a
technical education and higher (86.1%). It was less common among Blacks (71.9%), those with a
secondary education or lower (65.2%), and those with a low household income (less than $60,000)
(55.6%).AlmosttwothirdsofthosewhoeverhadaDREhadoneinthepast12months(65.9%);22.3%
hadaDREonetotwoyearsago,and9.5%hadonemorethantwoyearsago.Adultsaged65yearsand
over (75.4%), men in adult couple households (73.2%), and respondents with a household income
between$60,000and$107,999perannum(73.2%)weremorelikelytohavehadaDREinthepast12
months. Respondentsaged40to54 years(50.7%),thoseofAsianandotherraces(44.4%),and those
withalowannualhouseholdincome(lessthan$60,000)(60.0%)werelesslikelytohavehadaDREin
thepastyear.
Table16.2DigitalRectalExamtesttakeupbymenaged40yearsover
Total
Age
Race
Household
Education
Income
4054
5564
65+
NotStated
Black
White
Asian&Other
NotStated
Oneperson
AdultCouple
Twoparents
Singleparent
NotStated
Secondary&Lower
Technical&Higher
NotStated
$59,999orless
$60,000to$107,999
$108,000&over
NotStated
Digitalrectalexamtakeupbymenaged40yearsandover
Morethan1year
agobutlessthan2
Ever
Inpast12months
years
N
%
N
%
N
%
179
78.9%
118
65.9%
40 22.3%
66
74.2%
34
50.7%
25 37.3%
40
83.3%
30
73.2%
8 19.5%
66
79.5%
49
75.4%
6
9.2%
5 100.0%
5 100.0%
0
0.0%
82
70.7%
57
69.5%
16 19.5%
74
89.2%
51
68.9%
16 21.6%
18
78.3%
8
44.4%
9 50.0%
5 100.0%
3
60.0%
0
0.0%
39
83.0%
25
64.1%
13 33.3%
82
85.4%
60
73.2%
10 12.2%
42
72.4%
22
53.7%
13 31.7%
1
20.0%
0
0.0%
1 100.0%
16
72.7%
12
75.0%
3 18.8%
43
63.2%
30
69.8%
5 11.6%
136
86.1%
88
64.7%
35 25.7%
0
0.0%
0
0.0%
0
0.0%
10
52.6%
6
60.0%
1 10.0%
42
71.2%
30
73.2%
6 14.6%
23
82.1%
16
66.7%
4 16.7%
104
86.0%
66
63.5%
29 27.9%
Q75.Haveyoueverhadadigitalrectalexam?
Q76.Howlonghasitbeensinceyouhadyourlastdigitalrectalexam?
Morethan2 Don'tknow/Not
yearsago
sure
N
%
N
%
17
9.5%
4
2.2%
8 11.9%
0
0.0%
3
7.3%
0
0.0%
6
9.2%
4
6.2%
0
0.0%
0
0.0%
8
9.8%
1
1.2%
6
8.1%
1
1.4%
1
5.6%
0
0.0%
1 20.0%
1 20.0%
1
2.6%
0
0.0%
9 11.0%
3
3.7%
6 14.6%
0
0.0%
0
0.0%
0
0.0%
0
0.0%
1
6.3%
8 18.6%
0
0.0%
9
6.6%
4
2.9%
0
0.0%
0
0.0%
3 30.0%
0
0.0%
5 12.2%
0
0.0%
4 16.7%
0
0.0%
5
4.8%
4
3.8%
75
DREComparison2006to2011
Compared to 2006, the percentage of men aged 40 years and over who received a DRE in the past 2
yearsdeclinedby3%(from91%in2006to88%in2011)(Figure16.2).ThedeclineinDREtakeupwas
consistent for all groups with 2 to 3% declines, with the exception of men with a secondary or lower
levelofeducation.Forthisgroupitdeclinedby9points(i.e.from90%in2006to81%in2011).
91%
88%
91%
93%
89%
91%
93%
90%
90%
81%
Black
Total
White
Race
Figure16.2ComparisonDREtakeupbymeninpast2years
76
Education
17. Tobacco Use

Respondentswereaskedaboutcigarettesmokinghistoryandhabits(Table17.1).Smokingwasdefined
assmokingatleast100cigarettesinalifetimeandcurrentsmokingwasdefinedassmokingsomedays
or everyday during the past 30 days. Overall, 13.3% of respondents were current smokers, 71.4% of
respondentshadneversmoked,and15.4%wereformersmokers.Ofthosethatwerecurrentsmokers,
8.9%smokeddailyand4.4%smokedsomedays.Women(78.5%)weremorelikelythanmen(63.4%)to
haveneversmoked.Menweremorelikelytobecurrentdaily(11.7%)oroccasional(6.9%)smokersthan
women(6.4%and2.1%,respectively).Thoseaged35to54weremorelikelytobedailysmokers(15.6%)
thanotheragegroups.Asianandotherraceswerethemostlikelytobedailysmokers(20.8%).Those
aged65andoverweremorelikelytohavequitsmoking,with38.4%sayingtheywereaformersmoker.
Thosewithasecondaryorlowereducationweremorelikelytosmokesomedays(7.3%)comparedto
those with a technical or higher education (3.2%). Households with an income of $108,000 and over
werelesslikelytosmokedaily(2.7%)thanotherincomegroups.
Table17.1Cigarettesmoking
Total
Gender
Cigarettesmoking
Currentsmoker Currentsmoker
(daily)
(somedays)
N
%
N
%
71
8.9%
35
4.4%
44 11.7%
26
6.9%
27
6.4%
9
2.1%
21
8.8%
17
7.1%
40 15.6%
7
2.7%
5
4.6%
6
5.5%
1
0.6%
3
1.8%
5 15.2%
2
6.1%
27
6.7%
14
3.5%
24
8.3%
14
4.8%
20 20.8%
7
7.3%
1
7.1%
0
0.0%
20 12.1%
8
4.8%
17
7.3%
9
3.9%
14
7.2%
5
2.6%
7 10.6%
3
4.5%
13
9.2%
10
7.1%
20
8.6%
17
7.3%
51
9.1%
18
3.2%
1
8.3%
0
0.0%
20 14.7%
5
3.7%
27 14.5%
7
3.8%
3
2.7%
4
3.6%
22
5.9%
19
5.1%
Men
Women
Age
1834
3554
5564
65+
NotStated
Race
Black
White
Asian&Other
NotStated
Household Oneperson
AdultCouple
Twoparents
Singleparent
NotStated
Technical&Higher
NotStated
Income
$59,999orless
$60,000to$107,999
$108,000&over
NotStated
Q30.Haveyousmokedatleast100cigarettesinyourlife?
Q31.Doyounowsmokecigaretteseveryday,somedays,ornotatall?
Formersmoker
N
%
123 15.4%
68 18.0%
55 13.0%
11
4.6%
25
9.8%
19 17.4%
63 38.4%
4 12.1%
52 12.9%
56 19.4%
9
9.4%
6 42.9%
25 15.2%
53 22.8%
21 10.8%
4
6.1%
19 13.5%
35 15.1%
84 15.0%
4 33.3%
14 10.3%
20 10.8%
19 17.3%
70 18.9%
Neversmoked
N
%
572 71.4%
239 63.4%
333 78.5%
191 79.6%
184 71.9%
79 72.5%
97 59.1%
22 66.7%
310 76.9%
195 67.5%
60 62.5%
7 50.0%
112 67.9%
153 65.9%
155 79.5%
52 78.8%
99 70.2%
160 69.0%
406 72.6%
7 58.3%
97 71.3%
132 71.0%
84 76.4%
259 70.0%
77
CigaretteSmokingComparison2006to2011
Theprevalenceofsmokinghadnotchangedfrom2006to2011,with13%stillreportingbeingasmoker
in2011(Figure17.1).Therewerenochangesacrossgenderoreducationbutintermsofrace,Whites
hadreducedsmokingby5%,from17%in2006to13%in2011.
13% 13%
17% 19%
17%
10%
Men
Total
9%
Women
Gender
11% 10%
Black
White
Race
Figure17.1ComparisonCurrentsmokers(dailyorsomedays)
78
13%
16% 16%
Secondary &
Lower
12% 12%
Technical &
Higher
Education
AgeWhenDailySmokingStarted
Respondents were asked at what age they first started smoking daily (Table 17.2). Most respondents
were between the ages of 18 and 24 (47.1%) when they began smoking daily, 17.6% were under 14,
29.4%were15to17and5.9%wereover25.Blackswerelesslikelytostartsmokingbeforetheageof14
(6.7%)comparedtoWhites(23.5%)andAsianandotherraces(28.6%).Respondentsfromoneperson
householdswerelesslikelytostartsmokingbeforetheageof14(5.3%)butmorelikelytostartbetween
14and17years(42.1%)thanotherhouseholdtypes.Respondentswithahouseholdincomeof$108,000
andoverweremorelikelytostartsmokingbeforetheageof14(42.9%).
Table17.2Agewhendailysmokingstarted
014
N
Total
Gender
Men
Women
Age
1834
3554
5564
65+
NotStated
Race
Black
White
Asian&Other
NotStated
Household Oneperson
AdultCouple
Twoparents
Singleparent
NotStated
Technical&Higher
NotStated
Income
$59,999orless
$60,000to$107,999
$108,000&over
NotStated
15
10
5
5
9
1
0
0
2
8
6
0
1
6
5
2
2
5
9
1
3
5
3
5
%
17.6%
16.9%
19.2%
15.2%
22.5%
14.3%
0.0%
0.0%
6.7%
23.5%
28.6%
0.0%
5.3%
25.0%
31.3%
28.6%
9.5%
17.9%
16.1%
100.0%
13.6%
20.0%
42.9%
15.2%
Agewhendailysmokingstarted
1517
1824
N
%
N
%
25 29.4%
40 47.1%
18 30.5%
27 45.8%
7 26.9%
13 50.0%
9 27.3%
19 57.6%
12 30.0%
17 42.5%
3 42.9%
3 42.9%
0
0.0%
0
0.0%
2 50.0%
2 50.0%
10 33.3%
15 50.0%
10 29.4%
16 47.1%
6 28.6%
8 38.1%
0
0.0%
1 100.0%
8 42.1%
10 52.6%
6 25.0%
9 37.5%
5 31.3%
5 31.3%
1 14.3%
3 42.9%
6 28.6%
13 61.9%
9 32.1%
13 46.4%
17 30.4%
27 48.2%
0
0.0%
0
0.0%
8 36.4%
11 50.0%
6 24.0%
12 48.0%
1 14.3%
3 42.9%
11 33.3%
14 42.4%
Q32.Howoldwereyouwhenyoufirststartedsmokingdaily?
QuestionSource:WHOSTEPSInstrument(CoreandExpanded)v2.1
25+
N
5
4
1
0
2
0
3
0
3
0
1
0
0
3
1
1
0
1
3
0
0
2
0
3
Total
%
5.9%
6.8%
3.8%
0.0%
5.0%
0.0%
100.0%
0.0%
10.0%
0.0%
4.8%
0.0%
0.0%
12.5%
6.3%
14.3%
0.0%
3.6%
5.4%
0.0%
0.0%
8.0%
0.0%
9.1%
N
85
59
26
33
40
7
3
4
30
34
21
1
19
24
16
7
21
28
56
1
22
25
7
33
%
100.0%
100.0%
100.0%
100.0%
100.0%
100.0%
100.0%
100.0%
100.0%
100.0%
100.0%
100.0%
100.0%
100.0%
100.0%
100.0%
100.0%
100.0%
100.0%
100.0%
100.0%
100.0%
100.0%
100.0%
79
AttemptstoQuitSmoking
Respondentswereaskediftheyhadstoppedsmokingforonedayorlongerinthepastyearinaneffort
toquitsmoking(Table17.3).Almosthalf(49.1%)hadstoppedforatleastoneday.Thoseaged55to64
weremorelikelytohavestoppedsmokingforatleastoneday(70.0%)comparedtootheragegroups.
Respondents from one person households were less likely to have tried to quit smoking, with 35.7%
saying they had stopped smoking for at least one day, compared to 77.8% of respondents from two
parent households. Respondents with a household income of $108,000 and over were most likely to
havestoppedsmokingforatleastoneday(85.7%).
Table17.3Stoppedsmokingforatleastoneday
Total
Gender
Age
Race
Household
Education
Income
Stoppedsmokingforonedayorlongerinthepast12months
Yes
No
N
%
N
%
52
49.1%
54
50.9%
Men
35
50.0%
35
50.0%
Women
17
47.2%
19
52.8%
1834
19
50.0%
19
50.0%
3554
23
48.9%
24
51.1%
5564
7
70.0%
3
30.0%
65+
2
40.0%
3
60.0%
NotStated
2
28.6%
5
71.4%
Black
17
42.5%
23
57.5%
White
18
47.4%
20
52.6%
Asian&Other
17
63.0%
10
37.0%
NotStated
0
0.0%
1 100.0%
Oneperson
10
35.7%
18
64.3%
AdultCouple
11
42.3%
15
57.7%
Twoparents
14
77.8%
4
22.2%
Singleparent
7
70.0%
3
30.0%
NotStated
9
39.1%
14
60.9%
Secondary&Lower
21
58.3%
15
41.7%
TechnicalandHigher
32
46.4%
37
53.6%
NotStated
0
0.0%
1 100.0%
$59,999orless
9
36.0%
16
64.0%
$60,000to$107,999
17
50.0%
17
50.0%
$108,000&over
6
85.7%
1
14.3%
NotStated
21
51.2%
20
48.8%
Total
N
106
70
36
38
47
10
5
7
40
38
27
1
28
26
18
10
23
36
69
1
25
34
7
41
%
100.0%
100.0%
100.0%
100.0%
100.0%
100.0%
100.0%
100.0%
100.0%
100.0%
100.0%
100.0%
100.0%
100.0%
100.0%
100.0%
100.0%
100.0%
100.0%
100.0%
100.0%
100.0%
100.0%
100.0%
Q33.Duringthepast12months,haveyoustoppedsmokingforonedayorlongerbecauseyouweretryingtoquitsmoking?
80
AttemptstoQuitSmokingComparison2006to2011
Overall,therewasa6%reductionfrom2006to2011inthenumberofrespondentswhohadstopped
smokingforonedayorlongerinthepastyear,inanefforttoquitsmoking.Whilemenweremorelikely
to have attempted to quit smoking in the past year (48% in 2006 to 50% in 2011), women were less
likely to have attempted to quit smoking (from 65% to 47%). Blacks were also less likely to have
attemptedtoquitsmoking(largedeclineof16%,from59%to43%)aswereWhites(5%decline),those
withasecondaryandlowereducation(3%decline),andthosewithatechnicalandhighereducation(3%
decline).
65%
61%
59%
55%
49%
Men
Total
52%
48% 50%
47%
Women
Gender
43%
Black
47%
White
Race
Figure17.3ComparisonAttemptstoquitsmokinginthepastyear
58%
49%
46%

Lower
Higher
Education
81
ExposuretoSecondHandSmoke
Respondents were asked how often they were exposed to second hand smoke (Table 17.4). Overall,
25.0%ofrespondentswereexposedtosecondhandsmokeonceaweekormore,withwomen(27.1%)
exposedslightlymorethanmen(22.6%).Agewasafactorinexposuretosecondhandsmoke.Younger
adultsaged18to34weremorelikelytobeexposed(37.0%)thanseniorsaged65andover(17.1%).In
terms of race, Asians and other races were more likely to be exposed to second hand smoke (30.4%)
thanotherracialgroups.Singleparenthouseholds(32.8%)andthosewithahouseholdincomeofless
than$60,000(36.8%)weremorelikelytobeexposedtosecondhandsmoke.Educationlevelwasnot
relatedtoexposuretosecondhandsmoke.
Table17.4Exposuretosecondhandsmoke
Total
Gender
Age
Race
Household
Education
Income
Men
Women
1834
3554
5564
65+
NotStated
Black
White
Asian&Other
NotStated
Oneperson
AdultCouple
Twoparents
Singleparent
NotStated
Secondary&Lower
Technical&Higher
NotStated
$59,999orless
$60,000to$107,999
$108,000&over
NotStated
Exposuretosecondhandsmoke
Onceaweekormore Lessthanonceperweek
N
%
N
%
196
25.0%
588
75.0%
84
22.6%
287
77.4%
112
27.1%
301
72.9%
87
37.0%
148
63.0%
52
20.6%
201
79.4%
24
22.9%
81
77.1%
27
17.1%
131
82.9%
5
15.6%
27
84.4%
103
26.0%
293
74.0%
60
21.2%
223
78.8%
28
30.4%
64
69.6%
5
38.5%
8
61.5%
37
22.4%
128
77.6%
56
24.7%
171
75.3%
41
21.6%
149
78.4%
21
32.8%
43
67.2%
41
29.9%
96
70.1%
61
27.0%
165
73.0%
133
24.3%
414
75.7%
2
20.0%
8
80.0%
49
36.8%
84
63.2%
39
21.2%
145
78.8%
27
25.0%
81
75.0%
81
22.6%
277
77.4%
Total
N
784
371
413
235
253
105
158
32
396
283
92
13
165
227
190
64
137
226
547
10
133
184
108
358
%
100.0%
100.0%
100.0%
100.0%
100.0%
100.0%
100.0%
100.0%
100.0%
100.0%
100.0%
100.0%
100.0%
100.0%
100.0%
100.0%
100.0%
100.0%
100.0%
100.0%
100.0%
100.0%
100.0%
100.0%
Q34. How often would you say you are exposed to second hand smoke? Would you say everyday, 25 times a week, once a
week,23timesamonth,seldom,ornever?
82
ExposuretoSecondHandSmokeComparison2007to2011
Overall exposure to second hand smoke in 2011 dropped significantly since 2007, from 40% to 25%
(Figure17.4).Theresultsweremoredramaticformen(43%in2007to23%in2011)andBlacks(45%in
2007 to 26% in 2011). The decrease in exposure to second hand smoke could be due to the Tobacco
Products (Public Health) Amendment Act 20051 which came into effect on 1st April 2006. The new
legislation banned smoking in public places and workplaces including bars, restaurants, private clubs,
hotels,andbusinessvehicles.
45%
43%
40%
38%
33%
25%
23%
Men
Total
27%
21%
Women
Gender
26%
Black
White
Race
Figure17.4ComparisonExposuretosecondhandsmokeonceaweekormore
83
18. Alcohol Consumption

Respondentswereaskedaboutwhethertheydrankalcoholicbeveragesand,ifso,howmanyandhow
oftenintheprevious30days.Theywerealsoaskedhowmanytimestheymayhaveconsumedfiveor
more(men)orfourormore(women)alcoholicdrinksatasingleoccasion(Table18.1).Onedrinkwas
defined as being equivalent to a 12ounce beer, a 5ounce glass of wine, or a drink with one shot of
liquor.
Overall,half(50.4%)oftherespondentsdidnotdrinkanyalcoholicbeveragesintheprevious30days.
Ofthosethatdiddrinkalcohol,26.6%hadonetotwodrinksperoccasionand23.1%hadthreeormore
peroccasion.Therewerenosignificantdifferencesbetweenmenandwomenintermsofthosewhodid
notconsumeanyalcohol,butwomenweremorelikelytohaveonetotwodrinks(31.3%)andmenwere
morelikelytohavethreeormoredrinks(31.0%).
Olderadultsaged55to64(62.6%)andover65(66.7%)weremorelikelytohavehadnodrinksinthe
previous30days,while18to34yearoldsweremorelikelytohaveconsumedthreeormoredrinksper
occasion (35.8%). Blacks (57.6%) and those with a secondary or lower education (61.6%) were more
likelytohavenotconsumedanyalcoholintheprevious30days.Singleparenthouseholdsweremore
likelytoconsumethreeormoredrinksperoccasion(36.8%)thanotherhouseholdtypes.Thosewitha
household income less than $60,000 were more likely to have had no drinks in the previous 30 days
(49.1%) but they were also the most likely to have had three or more drinks (29.5%). Those with a
household income of $108,000 and over were more likely to have consumed one to two drinks per
occasion(36.6%).
Drinkingfiveormoredrinksformenorfourormoredrinksforwomenatasingleoccasionwasdefined
asbingedrinking.Overall,35.5%ofadultsreportedbingedrinkingatleastonceduringtheprevious30
days. Slightly more men (38.2%) than women (33.3%) reported binge drinking. Adults aged 18 to 34
(55.8%) were much more likely than to report binge drinking than any other demographic group. In
termsofrace,46.8%ofAsianandotherraceswerebingedrinkers,morethanBlacks(36.1%)orWhites
(30.7%).Householdswithchildren(twoparents,44.6%andsingleparent,47.5%)weremorelikelytobe
bingedrinkersthanthosewithoutchildren.Thosewithahouseholdincomeover$108,000(46.7%)were
alsomorelikelytoreportbingedrinking.
84
Table18.1Alcoholconsumptioninprevious30days
Alcoholconsumptioninprevious30days
Total
Gender
Nodrinks
N
%
343 50.4%
143 48.6%
200 51.7%
73 37.8%
95 42.8%
57 62.6%
102 66.7%
16 72.7%
200 57.6%
103 42.6%
36 45.6%
5 35.7%
79 56.4%
99 50.5%
83 47.2%
19 33.3%
63 55.8%
117 61.6%
218 45.3%
8 72.7%
55 49.1%
70 45.5%
42 41.6%
176 56.1%
Onetotwodrinks Threeormoredrinks
peroccasion
peroccasion
N
%
N
%
181 26.6%
157 23.1%
60 20.4%
91 31.0%
121 31.3%
66 17.1%
51 26.4%
69 35.8%
68 30.6%
59 26.6%
22 24.2%
12 13.2%
36 23.5%
15
9.8%
4 18.2%
2
9.1%
74 21.3%
73 21.0%
82 33.9%
57 23.6%
19 24.1%
24 30.4%
6 42.9%
3 21.4%
31 22.1%
30 21.4%
55 28.1%
42 21.4%
49 27.8%
44 25.0%
17 29.8%
21 36.8%
29 25.7%
21 18.6%
39 20.5%
34 17.9%
141 29.3%
122 25.4%
2 18.2%
1
9.1%
24 21.4%
33 29.5%
40 26.0%
44 28.6%
37 36.6%
22 21.8%
80 25.5%
58 18.5%
Fiveormoredrinks
(males)orfourormore
(females)onatleastone
occasion
N
%
140
35.5%
68
38.2%
72
33.3%
67
55.8%
52
36.9%
9
19.6%
10
12.8%
2
25.0%
66
36.1%
47
30.7%
22
46.8%
4
44.4%
22
33.3%
34
27.2%
45
44.6%
19
47.5%
20
32.3%
36
37.9%
102
34.7%
2
50.0%
24
38.7%
26
26.5%
28
46.7%
62
35.6%
Men
Women
Age
1834
3554
5564
65+
NotStated
Race
Black
White
Asian&Other
NotStated
Household Oneperson
AdultCouple
Twoparents
Singleparent
NotStated
Technical&Higher
NotStated
Income
$59,999orless
$60,000to$107,999
$108,000&over
NotStated
Q35.Duringthepast30days,didyouhaveatleastonedrinkofanyalcoholicbeverage?
Q36.Onedrinkisequivalenttoa12ouncebeer,a5ounceglassofwine,oradrinkwithoneshotofliquor.Duringthepast30
days,onthedayswhenyoudrank,abouthowmanydrinksdidyoudrinkontheaverage?
Q37.Consideringalltypesofalcoholicbeverages,howmanytimesduringthepast30daysdidyouhaveX[X=5formen,X=4
forwomen]ormoredrinksonanoccasion?
85
AlcoholConsumptionComparison2006to2011
Overall, binge drinking had increased by 12% in 2011 compared to 2006 (Figure 18.1). However, this
couldbepartiallyattributedtothechangeincriteriaforwomen:in2006thecriteriawasfivedrinksper
occasion and in 2011 it was four drinks per occasion. The results showed that binge drinking for men
hadincreasedby5%in2011,butforwomenitincreasedby19%,morethandoublethe2006rate.The
resultsalsoshowedincreasesacrossraceandeducationlevel.Blackswentfrom23%in2006to36%in
2011andthosewithasecondaryorlowereducationwentfrom21%to38%.
36%
38%
32%
24%
38%
36%
33%
35%
31%
23%
24%
21%
25%
14%
Men
Total
Women
Gender
Black
White

Lower
Higher
Race
Education
Figure18.1ComparisonAlcoholconsumptionfiveormoredrinksperoccasion*
*Note:2006studyasked5drinksforbothmalesandfemales.2011studyasked5drinksformales,4drinksforfemales.
86
19. Injury
Seatbelts
Respondentswereaskedhowoftentheyusedaseatbeltwhendrivingorasapassengerinthefrontseat
of a motorised vehicle (Table 19.1). Overall, most adults were vigilant about complying with the law,
with 82.7% stating that they always used a seatbelt. Less than 2% seldom or never wore a seatbelt.
Womenweremorelikelytoalwayswearaseatbelt(86.5%)comparedtomen(78.3%).Thoseaged18to
34 had the lowest level of compliance of all the demographic groups, with 70.9% saying they always
woreaseatbelt.Whites(86.6%)andtwoparenthouseholds(89.2%)wereslightlymorelikelytoalways
wearaseatbelt.Therewerenosignificantdifferencesincompliancebyincomelevel.However,those
withsecondaryorlowereducation(77.9%)werelesslikelytowearaseatbeltthanthosewithtechnical
orhighereducation(84.1%).
Table19.1Useofseatbeltswhiledrivingorapassenger
Useofseatbeltswhiledrivingorapassengerinthefrontseatofamotorvehicle
Total
Gender
Men
Women
Age
1834
3554
5564
65+
NotStated
Race
Black
White
Asian&Other
NotStated
Household Oneperson
AdultCouple
Twoparents
Singleparent
NotStated
Technical&Higher
NotStated
Income
$59,999orless
$60,000to$107,999
$108,000&over
NotStated
Always
N
%
659 82.7%
293 78.3%
366 86.5%
168 70.9%
220 86.3%
99 91.7%
146 89.6%
25 78.1%
323 80.5%
251 86.6%
74 77.9%
11 84.6%
134 80.7%
199 85.8%
173 89.2%
52 78.8%
100 71.9%
180 77.9%
469 84.1%
10 83.3%
107 79.3%
150 80.2%
94 85.5%
307 83.7%
Almostalways
N
%
87 10.9%
49 13.1%
38
9.0%
48 20.3%
24
9.4%
3
2.8%
5
3.1%
6 18.8%
45 11.2%
29 10.0%
11 11.6%
2 15.4%
20 12.0%
18
7.8%
17
8.8%
6
9.1%
26 18.7%
27 11.7%
61 10.9%
0
0.0%
16 11.9%
20 10.7%
10
9.1%
42 11.4%
Sometimes
N
%
21
2.6%
14
3.7%
7
1.7%
11
4.6%
5
2.0%
1
0.9%
3
1.8%
1
3.1%
12
3.0%
4
1.4%
5
5.3%
0
0.0%
3
1.8%
6
2.6%
1
0.5%
3
4.5%
8
5.8%
9
3.9%
12
2.2%
0
0.0%
4
3.0%
10
5.3%
2
1.8%
5
1.4%
Seldom
N
%
8
1.0%
6
1.6%
2
0.5%
3
1.3%
1
0.4%
1
0.9%
3
1.8%
0
0.0%
9
2.2%
0
0.0%
0
0.0%
0
0.0%
3
1.8%
3
1.3%
2
1.0%
1
1.5%
0
0.0%
3
1.3%
6
1.1%
1
8.3%
1
0.7%
3
1.6%
3
2.7%
2
0.5%
Never
N
6
3
3
3
2
1
0
0
4
1
1
0
0
2
0
3
1
1
4
1
2
2
1
1
Q38.Howoftendoyouuseaseatbeltwhendrivingorasapassengerinthefrontseatofamotorvehicle?
%
0.8%
0.8%
0.7%
1.3%
0.8%
0.9%
0.0%
0.0%
1.0%
0.3%
1.1%
0.0%
0.0%
0.9%
0.0%
4.5%
0.7%
0.4%
0.7%
8.3%
1.5%
1.1%
0.9%
0.3%
Nevertravelin
motorvehicle
N
%
16
2.0%
9
2.4%
7
1.7%
4
1.7%
3
1.2%
3
2.8%
6
3.7%
0
0.0%
8
2.0%
5
1.7%
4
4.2%
0
0.0%
6
3.6%
4
1.7%
1
0.5%
1
1.5%
4
2.9%
11
4.8%
6
1.1%
0
0.0%
5
3.7%
2
1.1%
0
0.0%
10
2.7%
87
SeatbeltUseComparison2006to2011
Compliancewithseatbeltlawsin2011remainedsimilarto2006,with83%ofadultsalwayswearinga
seatbeltcomparedto85%in2006(Figure19.1).Men(4%decline)andthosewithasecondaryorlower
education(5%decline)hadlowercompliancein2011comparedto2006.
85%
87% 87%
83%
82%
78%
Men
Total
87% 87%
83%
Women
Gender
Black
Figure19.1ComparisonAdultswhoalwayswearaseatbelt
88
84%
78%
White
Race
86%
83%
81%

Lower
Higher
Education
RoadTrafficCrash
Respondents were asked if they had been involved in a road traffic crash as a driver, passenger,
pedestrian,motorcyclist,orcyclistinthepastyear(Table19.2).Overall,only7.6%ofrespondentswere
involvedinaroadtrafficcrashinsomeform,mostcommonlyasadriver(3.1%).Men(4.6%)weremore
likely to be injured as a motor cyclist than women (0.7%). Younger adults aged 18 to 34 (5.9%) and
seniors65andover(3.0%)weremorelikelytobeinvolvedinroadtrafficcrashesasdrivers.Adultsaged
18to34werealsomorelikelytobeinvolvedasamotorcyclist(5.5%)comparedtootheragegroups.
Asianandotherraceswereslightlymorelikelytobeinvolvedinaroadtrafficcrashasadriver(5.4%)
thanotherraces.Involvementinroadtrafficcrasheswasnotaffectedbyhouseholdtype,educationor
incomelevel.
Table19.2Involvementinaroadtrafficcrash
Total
Gender
Age
Race
Household
Education
Income
Involvementinaroadtrafficcrashasadriver,passenger,motorcyclistorcyclistinthepast12months
Yes,asamotor
Yes,asadriver Yes,asapassenger
cyclist
Yes,asacyclist
N
%
N
%
N
%
N
%
N
25
3.1%
12
1.5%
20
2.5%
3
0.4%
Men
13
3.5%
6
1.6%
17
4.6%
3
0.8%
Women
12
2.9%
6
1.4%
3
0.7%
0
0.0%
1834
14
5.9%
3
1.3%
13
5.5%
1
0.4%
3554
5
2.0%
2
0.8%
5
2.0%
1
0.4%
5564
1
0.9%
2
1.8%
1
0.9%
0
0.0%
65+
5
3.0%
3
1.8%
1
0.6%
0
0.0%
NotStated
1
3.1%
2
6.3%
1
3.1%
0
0.0%
Black
12
3.0%
5
1.2%
12
3.0%
1
0.2%
White
8
2.8%
6
2.1%
5
1.8%
1
0.4%
Asian&Other
5
5.4%
1
1.1%
3
3.2%
0
0.0%
NotStated
0
0.0%
0
0.0%
0
0.0%
0
0.0%
Oneperson
2
1.2%
1
0.6%
3
1.8%
0
0.0%
AdultCouple
8
3.5%
6
2.6%
3
1.3%
0
0.0%
Twoparents
5
2.6%
1
0.5%
5
2.6%
0
0.0%
Singleparent
1
1.5%
0
0.0%
2
3.0%
1
1.5%
NotStated
10
7.2%
5
3.6%
6
4.3%
1
0.7%
Secondary&Lower
9
3.9%
3
1.3%
7
3.1%
1
0.4%
Technical&Higher
16
2.9%
9
1.6%
12
2.2%
1
0.2%
NotStated
0
0.0%
0
0.0%
1
9.1%
0
0.0%
$59,999orless
3
2.2%
2
1.5%
3
2.2%
0
0.0%
$60,000to$107,999
8
4.3%
3
1.6%
4
2.2%
1
0.5%
$108,000&over
4
3.7%
0
0.0%
2
1.8%
0
0.0%
NotStated
10
2.8%
7
1.9%
12
3.3%
1
0.3%
No
%
734 92.4%
334 89.5%
400 95.0%
205 86.9%
240 94.9%
105 96.3%
155 94.5%
28 87.5%
371 92.5%
265 93.0%
84 90.3%
13 100.0%
161 96.4%
214 92.6%
181 94.3%
62 93.9%
116 84.1%
208 91.2%
515 93.1%
10 90.9%
127 94.1%
170 91.4%
103 94.5%
333 91.7%
Q39.Inthepast12months,haveyoubeeninvolvedinaroadtrafficcrashasadriver,passenger,pedestrian,motorcyclistor
cyclist?
QuestionSource:WHOSTEPwiseapproachtochronicdiseaseriskfactorsurveillanceViolenceandInjuryModule
Note:QuestionmodifiedforBermuda
89
DrivingandAlcoholUseDriver
Respondentswereaskedhowmanytimesinthepast30daystheyhaddrivenorriddenamotorvehicle
afterconsumingtwoormorealcoholicdrinks(Table19.3).Themajorityofrespondents(88.6%)hadnot
consumedmorethantwoalcoholicdrinksbeforedriving,8.0%saidonetothreetimes,and3.4%said
fourormoretimes.Agewasafactorindrinkinganddriving;12.9%ofthoseaged18to34saidtheyhad
drivenafterconsumingtwoormorealcoholicdrinksonetothreetimesandafurther8.8%saidtheyhad
done so four or more times in the past 30 days. Asian and other races were more likely to drink and
drive one to three times (10.5%) and four or more times (7.9%) than other races. Respondents from
single parent households were more likely to drink and drive one to three times (10.2%) and four or
moretimes(6.8%),comparedtootherhouseholdtypes.
Table19.3Incidenceinthepast30daysofdrivingorridingamotorvehicleaftertwoormorealcoholic
drinks
Inthepast30days,incidenceofdrivingorridingamotorvehicleaftertwoormorealcoholicdrinks
None
Onetothreetimes
Fourormoretimes
N
%
N
%
N
%
Total
623
88.6%
56
8.0%
24
3.4%
Gender
Men
260
85.8%
29
9.6%
14
4.6%
Women
363
90.8%
27
6.8%
10
2.5%
Age
1834
152
78.4%
25
12.9%
17
8.8%
3554
198
86.8%
23
10.1%
7
3.1%
5564
96
99.0%
1
1.0%
0
0.0%
65+
154
96.3%
6
3.8%
0
0.0%
NotStated
23
92.0%
2
8.0%
0
0.0%
Race
Black
321
87.7%
31
8.5%
14
3.8%
White
230
92.7%
14
5.6%
4
1.6%
Asian&Other
62
81.6%
8
10.5%
6
7.9%
NotStated
9
69.2%
3
23.1%
1
7.7%
Household
Oneperson
130
87.8%
9
6.1%
9
6.1%
AdultCouple
191
91.4%
13
6.2%
5
2.4%
Twoparents
159
88.3%
15
8.3%
6
3.3%
Singleparent
49
83.1%
6
10.2%
4
6.8%
NotStated
93
86.9%
13
12.1%
1
0.9%
Education
Secondary&Lower
183
92.0%
8
4.0%
8
4.0%
Technical&Higher
431
87.1%
48
9.7%
16
3.2%
NotStated
10
100.0%
0
0.0%
0
0.0%
Income
$59,999orless
95
81.9%
9
7.8%
12
10.3%
$60,000to$107,999
138
84.7%
19
11.7%
6
3.7%
$108,000&over
84
83.2%
13
12.9%
4
4.0%
NotStated
306
94.4%
16
4.9%
2
0.6%
Q40.Inthepast30days,howmanytimeshaveyoudrivenorriddenamotorizedvehiclewhenyouhavehad2ormorealcoholic
drinks?
90
DrivingandAlcoholUsePassenger
Respondents were asked how many times in the past 30 days they had been a passenger in a motor
vehicle where the driver had two or more alcoholic drinks (Table 19.4). The majority of respondents
(87.2%)hadnotbeenapassengerwithadriverwhohadtwoormoredrinks,10.8%saidonetothree
times and 2.0% said four or more times. In terms of age, younger adults were more likely to be a
passengerwithadriverwhohadbeendrinking;20.2%of18to34yearoldssaidtheyhaddonesooneto
three times, much more than other age groups. Asian and other races (18.7%), respondents in single
parent households (17.5%), those with a technical education or higher (12.6%), and those with a
householdincomeunder$60,000(14.4%)weremorelikelytobeapassengeronetothreetimeswitha
driverwhohadbeendrinking.
Table19.4Incidenceinthepast30daysofbeingapassengerinamotorvehiclewherethedriverhas
hadtwoormorealcoholicdrinks
Inthepast30days,incidenceofbeingapassengerinamotorvehiclewherethedriverhashadtwoormorealcoholicdrinks
None
Onetothreetimes
Fourormoretimes
N
%
N
%
N
%
Total
599
87.2%
74
10.8%
14
2.0%
Gender
Men
270
90.0%
26
8.7%
4
1.3%
Women
329
85.0%
48
12.4%
10
2.6%
Age
1834
140
74.5%
38
20.2%
10
5.3%
3554
200
88.5%
23
10.2%
3
1.3%
5564
89
97.8%
2
2.2%
0
0.0%
65+
148
93.7%
9
5.7%
1
0.6%
NotStated
22
91.7%
2
8.3%
0
0.0%
Race
Black
320
89.9%
30
8.4%
6
1.7%
White
211
87.2%
28
11.6%
3
1.2%
Asian&Other
57
76.0%
14
18.7%
4
5.3%
NotStated
11
84.6%
2
15.4%
0
0.0%
Household
Oneperson
133
91.7%
11
7.6%
1
0.7%
AdultCouple
182
87.5%
23
11.1%
3
1.4%
Twoparents
153
86.9%
18
10.2%
5
2.8%
Singleparent
43
75.4%
10
17.5%
4
7.0%
NotStated
88
86.3%
13
12.7%
1
1.0%
Education
Secondary&Lower
175
91.1%
13
6.8%
4
2.1%
Technical&Higher
415
85.4%
61
12.6%
10
2.1%
NotStated
10 100.0%
0
0.0%
0
0.0%
Income
$59,999orless
89
80.2%
16
14.4%
6
5.4%
$60,000to$107,999
135
85.4%
20
12.7%
3
1.9%
$108,000&over
82
84.5%
13
13.4%
2
2.1%
NotStated
293
91.6%
24
7.5%
3
0.9%
Q41.Inthepast30days,howmanytimeshaveyoubeenapassengerwherethedriverofamotorizedvehiclehashad2ormore
alcoholicdrinks?
91
20. Violence
FrightenedForPersonalorFamilialSafety
Respondents were asked whether they had been frightened for their personal safety or the safety of
anotherfamilymember dueto threatsfromanotherpersonin thelastyear (Table20.1). Overall,just
over one in 10 (11.0%) reported that they had been frightened for their own or their families safety,
withyoungeradultsaged18to34years(18.1%),andAsianandotherraces(15.8%)morelikelytoreport
this. Additionally, residents in single parent households (25.8%) and from households with an annual
incomebelow$60,000(14.1%)weremorelikelytohavebeenfrightenedforthesafetyofthemselvesor
theirfamilies.
Table20.1Beenfrightenedforsafetyofselforfamilybecauseofanger/threatsfromanotherpersonin
thelastyear
Everfrightenedforthesafetyofselforfamilybecauseofangerorthreatsfromanotherperson(s)inthepastyear
Yes
No
Total
N
%
N
%
N
%
Total
798
100.0%
88 11.0%
710
89.0%
Gender
Men
376
100.0%
32
8.5%
344
91.5%
Women
422
100.0%
56 13.3%
366
86.7%
Age
1834
238
100.0%
43 18.1%
195
81.9%
3554
255
100.0%
23
9.0%
232
91.0%
5564
109
100.0%
7
6.4%
102
93.6%
65+
164
100.0%
12
7.3%
152
92.7%
NotStated
32
100.0%
3
9.4%
29
90.6%
Race
Black
401
100.0%
38
9.5%
363
90.5%
White
290
100.0%
32 11.0%
258
89.0%
Asian&Other
95
100.0%
15 15.8%
80
84.2%
NotStated
12
100.0%
3 25.0%
9
75.0%
Household
Oneperson
166
100.0%
18 10.8%
148
89.2%
AdultCouple
232
100.0%
11
4.7%
221
95.3%
Twoparents
195
100.0%
18
9.2%
177
90.8%
Singleparent
66
100.0%
17 25.8%
49
74.2%
NotStated
138
100.0%
23 16.7%
115
83.3%
Education
Secondary&Lower
230
100.0%
23 10.0%
207
90.0%
Technical&Higher
558
100.0%
64 11.5%
494
88.5%
NotStated
11
100.0%
1
9.1%
10
90.9%
Income
$59,999orless
135
100.0%
19 14.1%
116
85.9%
186
100.0%
$60,000to$107,999
19 10.2%
167
89.8%
$108,000&over
109
100.0%
11 10.1%
98
89.9%
NotStated
367
100.0%
38 10.4%
329
89.6%
Q62.Inthepast12monthshaveyoubeenfrightenedforthesafetyofyourselforyourfamilybecauseofangerorthreatsfrom
anotherperson(s)?
QuestionSource:WHOSTEPwiseapproachtochronicdiseaseriskfactorsurveillanceViolence&InjuryModule
92
ViolentIncidentResultinginInjury
Respondentswereaskedtorecallthenumberoftimesthattheywereinvolvedinaviolentincidentthat
resultedininjuryrequiringmedicalattentioninthepastyear(Table20.2).Overall,4.0%ofrespondents
had been involved in such an incident, with 3.0% reporting that it occurred only one to two times.
RespondentsofAsianandotherraces(7.4%)andthosefromsingleparenthouseholds(9.1%)weremore
likelytohavebeeninvolvedinaviolentincidentresultingininjuriesthatrequiredmedicalattention.
Table 20.2 Number of times involved in a violent incident that resulted in injury requiring medical
attentioninthepastyear
Numberoftimesinvolvedinaviolentincidentthatresultedininjuryrequiringmedicalattentioninthepastyear
Sometimes(35
Never
Rarely(12times)
times)
Total
N
%
N
%
N
%
N
%
Total
798 100.0%
766 96.0%
24
3.0%
8
1.0%
Gender
Men
375 100.0%
353 94.1%
14
3.7%
8
2.1%
Women
423 100.0%
413 97.6%
10
2.4%
0
0.0%
Age
1834
238 100.0%
221 92.9%
13
5.5%
4
1.7%
3554
255 100.0%
245 96.1%
7
2.7%
3
1.2%
5564
108 100.0%
107 99.1%
0
0.0%
1
0.9%
65+
164 100.0%
162 98.8%
2
1.2%
0
0.0%
NotStated
33 100.0%
31 93.9%
2
6.1%
0
0.0%
Race
Black
401 100.0%
383 95.5%
12
3.0%
6
1.5%
White
289 100.0%
284 98.3%
5
1.7%
0
0.0%
Asian&Other
95 100.0%
88 92.6%
6
6.3%
1
1.1%
NotStated
13 100.0%
11 84.6%
2 15.4%
0
0.0%
Household Oneperson
166 100.0%
163 98.2%
2
1.2%
1
0.6%
AdultCouple
231 100.0%
227 98.3%
3
1.3%
1
0.4%
Twoparents
194 100.0%
188 96.9%
6
3.1%
0
0.0%
Singleparent
66 100.0%
60 90.9%
5
7.6%
1
1.5%
NotStated
139 100.0%
128 92.1%
7
5.0%
4
2.9%
231 100.0%
217 93.9%
10
4.3%
4
1.7%
Technical&Higher
558 100.0%
540 96.8%
14
2.5%
4
0.7%
NotStated
10 100.0%
10 100.0%
0
0.0%
0
0.0%
135 100.0%
Income
$59,999orless
124 91.9%
6
4.4%
5
3.7%
186 100.0%
$60,000to$107,999
182 97.8%
3
1.6%
1
0.5%
$108,000&over
110 100.0%
104 94.5%
6
5.5%
0
0.0%
NotStated
367 100.0%
356 97.0%
10
2.7%
1
0.3%
Q63. In the past 12 months, how many times were you in a violent incident in which you were injured and required medical
attention?
93
Those who had been involved in a violent incident were asked to indicate the relationship between
themselves and the person who caused their injury (Table 20.3). Friends and acquaintances (40.4%),
strangers(35.0%),andintimatepartners(13.5%)weremostfrequentlycitedasindividualsresponsible
forinjuriesthatrequiredmedicalattention.
Table20.3Relationshipbetweenselfandperson(s)whocausedtheinjury
Relationshipbetweenselfandperson(s)whocausedtheinjury
N
%
Total
31
100.0%
Friendoracquaintance
12
40.4%
Stranger
11
35.0%
Intimatepartner
4
13.5%
Unrelatedcaregiver
1
4.2%
Officialorlegalauthorities
1
4.2%
Child,siblingorotherrelative
1
2.7%
Q64.Pleaseindicatetherelationshipbetweenyourselfandthepersonwhocausedtheinjury.
94
AbusedbyIntimatePartner
Respondentswereaskedifanintimatepartnerhadeverhit,slapped,pushed,kicked,orphysicallyhurt
theminanywayandwhenwasthelasttimeithadoccurred(Table20.4).Overall,13.2%saidthatthey
hadbeenabusedbyanintimatepartneratsometimeintheirlives.Theseincidentsofphysicalabuse
weremorelikelytohaveoccurredmorethanoneyearago(70.0%)orwithinthepastoneto12months
(25.0%). Five percent had been physically abused within the past month. Women were more likely to
havebeenabusedintheirlifetime(18.0%),butmenweremorelikelytohavebeenabusedinthepast
year(39.3%).Thegroupswhoweremorelikelytohavebeenabusedbyanintimatepartnerinthepast
yearincludedthoseaged18to34years(41.1%),Asiansandotherraces(40.9%),thoseinsingleparent
(40.0%) or two parent (40.0%) homes, those with a secondary or lower education (43.8%), and those
withanannualhouseholdincomelessthan$60,000(46.9%).
Table20.4Everphysicallyabusedbyanintimatepartner
Total
Gender
Age
Race
Household
Education
Income
Selfreportsonbeingphysicallyabusedbyanintimatepartner
Phyisicallyabusedin Physicallyabused
Physicallyabusedat Physicallyabusedin
thepast1to12
morethanoneyear
sometime
thepastmonth
months
ago
N
%
N
%
N
%
N
%
105
13.2%
5
5.0%
25
25.0%
70
70.0%
Men
29
7.7%
3
10.7%
8
28.6%
17
60.7%
Women
76
18.0%
2
2.8%
17
23.6%
53
73.6%
1834
52
21.9%
4
7.8%
17
33.3%
30
58.8%
3554
37
14.5%
1
2.9%
5
14.7%
28
82.4%
5564
11
10.2%
0
0.0%
2
18.2%
9
81.8%
65+
4
2.4%
0
0.0%
1
25.0%
3
75.0%
NotStated
1
3.1%
0
0.0%
1
100.0%
0
0.0%
Black
58
14.5%
3
5.5%
10
18.2%
42
76.4%
White
23
7.9%
0
0.0%
8
34.8%
15
65.2%
Asian&Other
23
24.7%
2
9.1%
7
31.8%
13
59.1%
NotStated
1
7.7%
0
0.0%
1
100.0%
0
0.0%
Oneperson
20
12.0%
1
5.0%
4
20.0%
15
75.0%
AdultCouple
23
10.0%
0
0.0%
6
26.1%
17
73.9%
Twoparents
18
9.3%
3
20.0%
3
20.0%
9
60.0%
Singleparent
20
29.9%
1
5.0%
7
35.0%
12
60.0%
NotStated
22
15.9%
0
0.0%
4
19.0%
17
81.0%
Secondary&Lower
36
15.7%
4
12.5%
10
31.3%
18
56.3%
Technical&Higher
67
12.0%
1
1.5%
15
22.4%
51
76.1%
NotStated
1
10.0%
0
0.0%
0
0.0%
1
100.0%
$59,999orless
32
23.7%
4
12.5%
11
34.4%
17
53.1%
$60,000to$107,999
27
14.5%
0
0.0%
5
20.8%
19
79.2%
$108,000&over
13
11.9%
0
0.0%
3
23.1%
10
76.9%
NotStated
31
8.5%
1
3.2%
7
22.6%
23
74.2%
Q65.HasanintimatepartnerEVERhit,slapped,pushed,kicked,orphysicallyhurtyouinanyway?
Q66.Whenwasthelasttimeanintimatepartnerhurtyouinthisway?
95
PhysicalAbuseComparison2006to2011
Comparedto2006,therewasa7pointincreaseinthepercentageofrespondentswhosaidthatthey
were physically abused by an intimate partner in the past year, from 23% to 30% (Figure 20.4). The
groups with the highest increase in reported abuse included those with a secondary education and
lower(26pointincrease,from18%to44%)andWhites(15pointincrease,from20%to35%).Therewas
nochangeinthepercentageofBlackswhowerephysicallyabusedinthelastyearcomparedtoin2006.
Menandwomenbothreportedhigherincidencesofabuse(9%increaseand7%increase,respectively)
butthosewithatechnicalorhighereducationhada4%decreaseinphysicalabuse.
44%
39%
30%
35%
30%
26%
23%
23% 24%
19%
Men
Total
Women
Gender
28%
20%
Black
White
Race
24%
18%
Secondary &
Lower
Technical &
Higher
Education
Figure20.4ComparisonPercentagephysicallyabusedbyanintimatepartnerinpastyear
96
21. Sexual Behaviour

SexualPartners
Respondentswereaskedtorecallthenumberofpeoplethattheyhadsexualintercoursewithinthelast
12months(Table21.1).Overall,21.9%saidthattheyhadnothadsexualintercoursewithanyoneinthe
pastyear,55.1%reportedthattheyhadonlyonesexualpartner,and23.0%saidthattheyhadsexual
intercoursewithmorethanonepersoninthepastyear.Havingmorethanonesexualpartnerwasmore
commonamongmen(35.9%)thoseaged18to34years(42.8%),onepersonhouseholds(43.5%),and
singleparenthouseholds(50.0%).Itwasalsocommonamongthosewithanannualhouseholdincome
of less than $60,000 (33.0%). Having more than one sexual partner was less common among women
(12.8%),thoseaged55to64years(9.1%),65yearsandolder(4.3%),adultcouples(8.7%),thoselivingin
twoparenthouseholds(8.9%),andthosewithahighhouseholdincome(i.e.$108,000andover,9.4%).
Table21.1Numberofsexualpartnersinthepastyear
Total
Gender
Age
Race
Household
Education
Income
Men
Women
1834
3554
5564
65+
NotStated
Black
White
Asian&Other
NotStated
Oneperson
AdultCouple
Twoparents
Singleparent
NotStated
Secondary&Lower
Technical&Higher
NotStated
$59,999orless
$60,000to$107,999
$108,000&over
NotStated
Numberofsexualpartnersinthepastyear
None
One
Morethanone
N
%
N
%
N
%
122 21.9%
307 55.1%
128 23.0%
32 13.1%
125 51.0%
88 35.9%
90 28.8%
182 58.3%
40 12.8%
19 11.0%
80 46.2%
74 42.8%
15
7.5%
146 73.0%
39 19.5%
27 35.1%
43 55.8%
7
9.1%
58 63.0%
30 32.6%
4
4.3%
2 18.2%
6 54.5%
3 27.3%
72 25.6%
142 50.5%
67 23.8%
35 17.9%
118 60.5%
42 21.5%
10 14.3%
42 60.0%
18 25.7%
5 50.0%
4 40.0%
1 10.0%
38 35.2%
23 21.3%
47 43.5%
31 22.5%
95 68.8%
12
8.7%
18 10.7%
136 80.5%
15
8.9%
8 15.4%
18 34.6%
26 50.0%
27 30.7%
34 38.6%
27 30.7%
48 30.0%
73 45.6%
39 24.4%
69 17.8%
230 59.3%
89 22.9%
5 62.5%
3 37.5%
0
0.0%
32 31.1%
37 35.9%
34 33.0%
23 15.3%
87 58.0%
40 26.7%
16 16.7%
71 74.0%
9
9.4%
51 24.6%
111 53.6%
45 21.7%
Q54.Duringthepast12months,withhowmanypeoplehaveyouhadsexualintercourse?
Total
N
557
245
312
173
200
77
92
11
281
195
70
10
108
138
169
52
88
160
388
8
103
150
96
207
%
100.0%
100.0%
100.0%
100.0%
100.0%
100.0%
100.0%
100.0%
100.0%
100.0%
100.0%
100.0%
100.0%
100.0%
100.0%
100.0%
100.0%
100.0%
100.0%
100.0%
100.0%
100.0%
100.0%
100.0%
97
NumberofSexualPartnersComparison2006to2011
Compared to 2006, there was a significant 17 point increase in the percentage of residents who
reportedhavingmorethanonesexualpartnerinthelastyear(from6%to23%)(Figure21.1).Reportsof
havingmorethanonesexualpartnerincreasedconsiderablyacrossalldemographics.Thegroupsthat
experienced the greatest increase were men (28 point increase, from 8% to 36%) and those with
secondary education or lower (20 point increase, from 4% to 24%). Women experienced the smallest
increase(10pointincrease,from3%to13%).Therewasalsoasignificantincreaseinreportsofhaving
morethanonesexualpartneramongallothergroups(i.e.,blacksby18points,from6%to24%,whites
by17points,from5%to22%,andthosewithatechnicaleducationandhigherby16points,from7%to
23%).
36%
24%
23%
6%
8%
Men
Total
3%
13%
Women
Gender
6%
24%
22%
5%
Black
White
Race
4%
23%
7%

Lower
Higher
Education
Figure21.1ComparisonReportofmorethanonesexualpartnerinlast12months
98
CondomUse
Respondentswhoreportedhavinghadatleastonesexualpartnerintheprevious12monthswereasked
whetheracondomhadbeenusedthelasttimetheyhadsexand,ifso,whetheritwasusedtoprevent
pregnancy, disease, both or for another reason (Table 21.2). Of all sexually active respondents, 31.3%
reportedthattheyhadusedacondomintheirlastsexualintercourse.Men(42.0%),residentsaged18
to34years(51.5%),adultsinonepersonhouseholds(47.2%),andinsingleparenthouseholds(44.6%)
were more likely to report condom use. The most commonly cited reason for using a condom was to
preventbothpregnancyanddisease(60.3%),followedbypregnancyprevention(21.2%).Thoseaged18
to 34 years (65.1%), in single parent households (79.2%), those with a technical or higher education
(63.9%),andthoseearning$60,000to$107,999annually(63.8%)weremorelikelytouseacondomto
prevent both pregnancy and disease. Condom use to prevent pregnancy was more common among
residentsaged35to54years(26.5%),Whites(33.9%),adultslivinginonepersonhouseholds(27.8%),
adultcouples(45.8%),andthosewithanannualhouseholdincomeoflessthan$60,000(29.5%).Fewer
than seventeen percent (16.8%) reported using condoms to prevent diseases only. Condom usage to
preventdiseasewasmorecommonamongwomen(21.0%),residentsaged55to64years(33.3%)and
65 years and older (42.9%), adult couples (29.2%), and those with a secondary education or lower
(25.5%).
Table21.2Useofcondoms
Useofcondoms
Total
Gender
Men
Women
Age
1834
3554
5564
65+
NotStated
Race
Black
White
Asian&Other
NotStated
Household Oneperson
AdultCouple
Twoparents
Singleparent
NotStated
Technical&Higher
NotStated
Income
$59,999orless
$60,000to$107,999
$108,000&over
NotStated
Usedacondomlast
timehadsexual
intercourse
N
%
172 31.3%
113 42.0%
59 21.1%
103 51.5%
46 21.8%
11 17.5%
6 10.3%
6 35.3%
86 31.5%
55 28.8%
29 38.2%
2 22.2%
51 47.2%
23 16.8%
33 20.4%
25 44.6%
40 46.0%
45 30.6%
127 32.1%
0
0.0%
44 40.7%
44 28.8%
17 19.1%
67 33.7%
Toprevent
pregnancy
N
%
38 21.2%
30 25.6%
8 12.9%
22 20.8%
13 26.5%
1
8.3%
1 14.3%
1 20.0%
15 16.1%
19 33.9%
5 16.7%
0
0.0%
15 27.8%
11 45.8%
4 12.1%
3 12.5%
5 11.6%
11 23.4%
27 20.3%
0
0.0%
13 29.5%
9 19.1%
3 16.7%
13 18.3%
Q55.Wasacondomusedthelasttimeyouhadsexualintercourse?
Q56.Thelasttimeyouhadsexualintercourse,wasthecondomused?
Toprevent
Forbothofthese Forsomeother
diseases
reasons
reason
N
%
N
%
N
%
30 16.8%
108 60.3%
3
1.7%
17 14.5%
69 59.0%
1
0.9%
13 21.0%
39 62.9%
2
3.2%
14 13.2%
69 65.1%
1
0.9%
7 14.3%
28 57.1%
1
2.0%
4 33.3%
6 50.0%
1
8.3%
3 42.9%
2 28.6%
1 14.3%
1 20.0%
3 60.0%
0
0.0%
15 16.1%
62 66.7%
1
1.1%
9 16.1%
25 44.6%
3
5.4%
6 20.0%
19 63.3%
0
0.0%
0
0.0%
2 100.0%
0
0.0%
9 16.7%
28 51.9%
2
3.7%
7 29.2%
6 25.0%
0
0.0%
5 15.2%
23 69.7%
1
3.0%
2
8.3%
19 79.2%
0
0.0%
6 14.0%
31 72.1%
1
2.3%
12 25.5%
23 48.9%
1
2.1%
18 13.5%
85 63.9%
3
2.3%
0
0.0%
0
0.0%
0
0.0%
6 13.6%
25 56.8%
0
0.0%
8 17.0%
30 63.8%
0
0.0%
2 11.1%
11 61.1%
2 11.1%
14 19.7%
42 59.2%
2
2.8%
99
CondomUseComparison2006to2011
Compared to 2006, there was a significant 14 point increase (from 17% to 31%) in the percentage of
residentswhoreportedthattheyusedacondomthelasttimetheyhadsexualintercourse(Figure21.2).
Thegroupsthatexperiencedthegreatestincreaseweremen(by23points,from19%to42%)andthose
with a secondary education or lower (17 points, from 14% to 31%). Women experienced the smallest
increase(by6points,from15%to21%).Condomuseduringthelastsexualencounteralsosignificantly
increasedforallothergroups(i.e.,forBlacksby15points,from17%to32%,forWhitesby14points,
from15%to29%,andforthosewithtechnicalandhighereducationlevelsby14points,from18%to
32%).
42%
32%
31%
17%
21%
19%
15%
Men
Total
Women
Gender
17%
15%
Black
White
Race
18%
14%
Secondary &
Lower
Technical &
Higher
Education
Figure21.2ComparisonReportofcondomuseduringlastsexualintercourse
100
32%
31%
29%
MethodsforPreventingPregnancy
Respondentswereaskedaboutuseofvariousmethodsforpreventingpregnancythelasttimetheyhad
sexualintercourse(e.g.oralcontraceptives,interuterinedeviceoradiaphragm)(Table21.3).Closeto
halfofrespondents(45.6%)saidthattheywerenottryingtopreventpregnancy.Residentsaged55to
64 years (80.0%), 65 years and older (80.0%) and adult couples (66.7%) were less likely to be taking
measures to prevent pregnancy. The most commonly used contraceptive method was an oral
contraceptive(22.5%).Oralcontraceptiveusewashigheramongresidentsaged18to34years(33.7%)
and those living in two parent households (32.7%). Additionally, 6.6% reported using an interuterine
devicetopreventpregnancy.Useofaninteruterinedevicewasmorecommonamongthoseaged35to
54years(10.4%),Whites(9.2%)andthoselivinginatwoparenthousehold(10.3%).Personsanswered
inrespectoftheirsexualpartnerforgenderspecificcontraceptionmethod.
Table21.3ComparisonMethodusedtopreventpregnancylasttimeduringsexualintercourse
Methodsusedtopreventpregnancy
Total
Gender
Men
Women
Age
1834
3554
5564
65+
NotStated
Race
Black
White
Asian&Other
NotStated
Household Oneperson
AdultCouple
Twoparents
Singleparent
NotStated
Technical&Higher
NotStated
Income
$59,999orless
$60,000to$107,999
$108,000&over
NotStated
Oral
Interuterine
contraceptive Injection(suchas device(suchas
(thepill)
DepoProvera)
anIUD)
N
%
N
%
N
%
71 22.5%
15
4.7%
21
6.6%
36 26.5%
3
2.2%
6
4.4%
35 19.4%
12
6.7%
15
8.3%
31 33.7%
10 10.9%
6
6.5%
36 25.0%
4
2.8%
15 10.4%
0
0.0%
0
0.0%
0
0.0%
1
2.5%
0
0.0%
0
0.0%
3 37.5%
0
0.0%
1 12.5%
32 20.3%
8
5.1%
10
6.3%
26 21.7%
3
2.5%
11
9.2%
13 36.1%
2
5.6%
1
2.8%
0
0.0%
0
0.0%
0
0.0%
11 22.4%
1
2.0%
2
4.1%
13 14.0%
3
3.2%
3
3.2%
35 32.7%
2
1.9%
11 10.3%
4 15.4%
4 15.4%
2
7.7%
8 20.5%
4 10.3%
3
7.7%
14 17.1%
6
7.3%
2
2.4%
58 25.3%
8
3.5%
19
8.3%
0
0.0%
0
0.0%
0
0.0%
5 11.1%
6 13.3%
3
6.7%
23 27.1%
4
4.7%
2
2.4%
14 25.0%
2
3.6%
2
3.6%
28 21.7%
2
1.6%
14 10.9%
Condom
N
%
11
3.5%
8
5.9%
3
1.7%
6
6.5%
2
1.4%
0
0.0%
0
0.0%
2 25.0%
6
3.8%
5
4.2%
0
0.0%
0
0.0%
4
8.2%
1
1.1%
3
2.8%
1
3.8%
1
2.6%
5
6.1%
6
2.6%
0
0.0%
3
6.7%
3
3.5%
2
3.6%
3
2.3%
Diaphragm
N
%
2
0.6%
0
0.0%
2
1.1%
1
1.1%
0
0.0%
0
0.0%
0
0.0%
1 12.5%
1
0.6%
1
0.8%
0
0.0%
0
0.0%
2
4.1%
0
0.0%
0
0.0%
0
0.0%
0
0.0%
1
1.2%
1
0.4%
0
0.0%
1
2.2%
0
0.0%
0
0.0%
1
0.8%
Q57.Thelastyouhadsexualintercourse,didyouuseanymethodstopreventpregnancysuchas?
Other
N
52
21
31
11
27
6
7
0
25
20
7
0
8
11
20
8
5
13
37
1
4
13
10
25
%
16.5%
15.4%
17.2%
12.0%
18.8%
20.0%
17.5%
0.0%
15.8%
16.7%
19.4%
0.0%
16.3%
11.8%
18.7%
30.8%
12.8%
15.9%
16.2%
20.0%
8.9%
15.3%
17.9%
19.4%
Iamnottrying
toprevent
pregnancy
N
%
144 45.6%
62 45.6%
82 45.6%
27 29.3%
60 41.7%
24 80.0%
32 80.0%
1 12.5%
76 48.1%
54 45.0%
13 36.1%
2 100.0%
21 42.9%
62 66.7%
36 33.6%
7 26.9%
18 46.2%
41 50.0%
100 43.7%
4 80.0%
23 51.1%
40 47.1%
26 46.4%
56 43.4%
101
FirstSexualIntercourse
Respondents were asked to recall the age that they first had sexual intercourse (Table 21.4). The
majorityofrespondentsfirsthadsexualintercoursebetweentheagesof18to20years(31.0%)or16to
17 years (30.3%). Just over two in 10 respondents (21.8%) reported first having sexual intercourse
betweentheagesof13to15years,12.2%reportedfirsthavingsexualintercoursewhentheywere21
yearsandolder,and4.6%reportedfirsthavingsexualintercoursewhentheywere12yearsofageor
younger. Males (37.3%), those aged 18 to 34 years (39.6%), Blacks (32.0%), those from single parent
households(34.0%),thosewithasecondaryandlowereducation(36.8%),andthosefromhouseholds
withanannualincomelessthan$60,000(33.4%)weremorelikelytohavefirsthadsexualintercourseat
15yearsofageoryounger.
Table21.4ComparisonAgeoffirstsexualintercourse
Total
Gender
Age
Race
Household
Education
Income
Men
Women
1834
3554
5564
65+
NotStated
Black
White
Asian&Other
NotStated
Oneperson
AdultCouple
Twoparents
Singleparent
NotStated
Secondary&Lower
Technical&Higher
NotStated
$59,999orless
$60,000to$107,999
$108,000&over
NotStated
Ageoffirstsexualintercourse
12yearsor
younger
1315years
1617years
N
%
N
%
N
%
20
4.6%
95 21.8%
132 30.3%
14
6.4%
68 30.9%
56 25.5%
6
2.8%
27 12.6%
76 35.3%
10
6.3%
53 33.3%
56 35.2%
6
3.8%
26 16.4%
46 28.9%
1
1.8%
11 19.6%
17 30.4%
3
5.2%
4
6.9%
11 19.0%
0
0.0%
2 50.0%
2 50.0%
13
6.0%
56 26.0%
57 26.5%
3
1.9%
29 18.2%
53 33.3%
4
7.5%
9 17.0%
21 39.6%
0
0.0%
1 14.3%
1 14.3%
4
4.9%
17 21.0%
18 22.2%
5
4.6%
23 21.1%
22 20.2%
3
2.5%
16 13.6%
49 41.5%
3
6.0%
14 28.0%
21 42.0%
5
6.6%
24 31.6%
22 28.9%
12
9.6%
34 27.2%
32 25.6%
8
2.6%
59 19.4%
98 32.2%
0
0.0%
1 20.0%
2 40.0%
11 11.5%
21 21.9%
24 25.0%
5
3.9%
24 18.8%
45 35.2%
1
1.3%
20 25.6%
20 25.6%
3
2.2%
30 22.4%
43 32.1%
Q58.Atwhatagedidyoufirsthavesexualintercourse?
102
1820years
21yearsandover
N
%
N
%
135 31.0%
53 12.2%
56 25.5%
26 11.8%
79 36.7%
27 12.6%
38 23.9%
2
1.3%
55 34.6%
26 16.4%
18 32.1%
9 16.1%
24 41.4%
16 27.6%
0
0.0%
0
0.0%
64 29.8%
25 11.6%
57 35.8%
17 10.7%
11 20.8%
8 15.1%
2 28.6%
3 42.9%
28 34.6%
14 17.3%
40 36.7%
19 17.4%
37 31.4%
13 11.0%
10 20.0%
2
4.0%
20 26.3%
5
6.6%
42 33.6%
5
4.0%
93 30.6%
46 15.1%
0
0.0%
2 40.0%
33 34.4%
7
7.3%
31 24.2%
23 18.0%
27 34.6%
10 12.8%
44 32.8%
14 10.4%
22. HIV/AIDS
TestedforHIV
RespondentswereaskediftheyhadeverbeentestedforHIV(Table22.1).Overall44.4%saidthatthey
hadbeentestedatsometime.Women(47.2%),youngerresidentsaged18to34years(55.2%),and35
to54years(55.1%)weremorelikelytohavebeentestedforHIV.Blacks(51.4%),thosefromtwoparent
households (50.8%), and single parent households(67.2%) were also more likely to havebeen tested.
Additionally residents from households with income between $60,000 and 107,999 (57.0%), or over
$108,000 (56.8%) were also more likely to have been tested for HIV. Whites (54.1%), one person
households (48.8%), adult couple households (46.6%), and those with a household income less than
$60,000(47.4%)weremorelikelytoreportthattheyhadnotbeentestedforHIV.Bothmenandwomen
were equally likely to be unsure if they had been tested or refused to answer the question. Blacks
(15.2%), those in adult couple households (16.4%), and those with a secondary or lower education
(16.0%)weremorelikelytobeunsureiftheyhadbeentestedorrefusedtoanswerthequestion.One
third(33.9%)ofseniorswereunsureiftheyhadbeentestedorrefusedtoanswerthequestion.
Table22.1TestedforHIV
TestedforHIV
Total
Gender
Men
Women
Age
1834
3554
5564
65+
NotStated
Race
Black
White
Asian&Other
NotStated
Household Oneperson
AdultCouple
Twoparents
Singleparent
NotStated
Technical&Higher
NotStated
Income
$59,999orless
$60,000to$107,999
$108,000&over
NotStated
Yes
N
%
356 44.4%
156 41.4%
200 47.2%
132 55.2%
141 55.1%
39 36.1%
34 20.6%
11 32.4%
206 51.4%
105 36.2%
41 42.7%
4 30.8%
68 41.0%
86 37.1%
99 50.8%
45 67.2%
58 41.4%
102 44.2%
250 44.7%
5 41.7%
64 47.4%
106 57.0%
63 56.8%
123 33.3%
No
N
342
170
172
96
100
53
75
18
134
157
42
8
81
108
76
19
58
92
245
5
64
63
36
179
Q59.HaveyoueverbeentestedforHIV?
%
42.7%
45.1%
40.6%
40.2%
39.1%
49.1%
45.5%
52.9%
33.4%
54.1%
43.8%
61.5%
48.8%
46.6%
39.0%
28.4%
41.4%
39.8%
43.8%
41.7%
47.4%
33.9%
32.4%
48.5%
UnsureorRefused
N
%
103 12.9%
51 13.5%
52 12.3%
11
4.6%
15
5.9%
16 14.8%
56 33.9%
5 14.7%
61 15.2%
28
9.7%
13 13.5%
1
7.7%
17 10.2%
38 16.4%
20 10.3%
3
4.5%
24 17.1%
37 16.0%
64 11.4%
2 16.7%
7
5.2%
17
9.1%
12 10.8%
67 18.2%
Total
N
801
377
424
239
256
108
165
34
401
290
96
13
166
232
195
67
140
231
559
12
135
186
111
369
%
100.0%
100.0%
100.0%
100.0%
100.0%
100.0%
100.0%
100.0%
100.0%
100.0%
100.0%
100.0%
100.0%
100.0%
100.0%
100.0%
100.0%
100.0%
100.0%
100.0%
100.0%
100.0%
100.0%
100.0%
103
TestedforHIVComparison2006to2011
Comparedto2006,therewasaslightdeclineof5%inthenumberofrespondentswhoreportedthat
theyhadbeentestedforHIV,from49%to44%(Figure22.1).Whiteshadthegreatestdeclineof11%,
from47%to36%.Thosewithatechnicaleducationorhigherhada9%decline,from54%to45%and
men declined 8%, from 49% to 41%. Those with a secondary and lower education had a small 3%
increaseinthenumberofrespondentstested,from41%to44%.Thedeclineinthenumberofpeople
beingtestedforHIVisaconcerngiventhatreportsofhavingmorethanonesexualpartnerincreased
dramaticallyfrom6%in2006to23%in2011(Figure21.1).
49%
49%
44%
49%
47%
50% 51%
54%
47%
41%
41%
45%
44%
36%
Men
Total
Women
Gender
Figure22.1ComparisonEvertestedforHIV
104
Black
White
Race
Secondary &
Lower
Technical &
Higher
Education
HighriskbehavioursforHIVtransmission
To explore the extent to which adults engaged in behaviours that can put them at increased risk for
contractingHIV,respondentswereaskedtoindicatewhetheranumberofstatementsappliedtothem.
Thestatementswere:youhaveusedintravenousdrugsinthepastyear;youhavebeentreatedfora
sexuallytransmitteddiseaseorvenerealdiseaseinthepastyear;youhavegivenorreceivedmoneyor
drugsinexchangeforsexinthepastyear;youhavehadanalsexwithoutacondominthepastyear.
Toencouragegreaterdisclosure,respondentswerenotaskedtostatewhichoftheseactivitiestheyhad
engagedin,buttosimplystatewhetheranyappliedtothem(Table22.2).Overallsixpercent(6.4%)had
engaged in any of the listed HIV highrisk behaviours. Younger residents aged 18 to 34 years (13.4%),
Blacks(7.0%),andthoseofAsianandotherraces(12.5%)weremorelikelytohaveengagedinHIVhigh
risk behaviours. Those from single parent households (13.6%), with a secondary education or lower
(10.0%),andwithalowannualhouseholdincome(lessthan$60,000)(14.8%)werealsomorelikelyto
haveengagedinhighriskbehavioursforHIVtransmission.
Table22.2EngaginginhighriskbehavioursforHIVtransmission
EngaginginhighriskbehavioursforHIVtransmission
Yes
No
UnsureorRefused
N
%
N
%
N
%
Total
51
6.4%
657 81.9%
94 11.7%
Gender Men
31
8.2%
299 79.3%
47 12.5%
Women
20
4.7%
358 84.2%
47 11.1%
Age
1834
32 13.4%
199 83.3%
8
3.3%
3554
13
5.1%
224 87.5%
19
7.4%
5564
3
2.8%
95 87.2%
11 10.1%
65+
0
0.0%
113 68.5%
52 31.5%
NotStated
3
9.1%
26 78.8%
4 12.1%
Race
Black
28
7.0%
318 79.1%
56 13.9%
White
12
4.1%
251 86.6%
27
9.3%
Asian&Other
12 12.5%
75 78.1%
9
9.4%
NotStated
0
0.0%
12 92.3%
1
7.7%
Household Oneperson
7
4.2%
141 84.4%
19 11.4%
AdultCouple
12
5.2%
183 78.9%
37 15.9%
Twoparents
9
4.6%
175 89.7%
11
5.6%
Singleparent
9 13.6%
51 77.3%
6
9.1%
NotStated
14 10.0%
106 75.7%
20 14.3%
23 10.0%
174 75.3%
34 14.7%
Technical&Higher
29
5.2%
472 84.4%
58 10.4%
NotStated
0
0.0%
11 91.7%
1
8.3%
Income $59,999orless
20 14.8%
108 80.0%
7
5.2%
$60,000to$107,999
15
8.0%
154 82.4%
18
9.6%
$108,000&over
3
2.7%
96 87.3%
11 10.0%
NotStated
14
3.8%
298 80.8%
57 15.4%
Q61.HaveengagedinanyoffourhighriskbehavioursforHIVtransmission?
Total
N
802
377
425
239
256
109
165
33
402
290
96
13
167
232
195
66
140
231
559
12
135
187
110
369
%
100.0%
100.0%
100.0%
100.0%
100.0%
100.0%
100.0%
100.0%
100.0%
100.0%
100.0%
100.0%
100.0%
100.0%
100.0%
100.0%
100.0%
100.0%
100.0%
100.0%
100.0%
100.0%
100.0%
100.0%
105
HighRiskBehavioursforHIVtransmissionComparison2006to2011
Comparedto2006,therewasa3pointincreaseinthepercentageofrespondentswhosaidthatthey
engaged in highrisk behaviours for HIV transmission, from 3% to 6% (Figure 22.2). The groups that
showedlargerincreasesinhighriskbehavioursforHIVtransmissionweremen(5pointincrease,from
3%to8%),andthosewithasecondaryeducationorless(6pointincrease,from4%to10%).
3% 6%
Total
3% 8%
3% 5%
4% 7%
3% 4%
Men
Women
Black
White
Gender
Race
4% 10%
5%

Lower
Higher
Education
Figure22.2ComparisonEngaginginhighriskbehavioursforHIVtransmission
106
3%
23. Health Promotion

SpreadofDiseasePrevention
Respondentswereaskedtomentionrecommendedmethodsthatcouldbeusedtopreventthespread
of diseases (Table 23.1). Overwhelmingly, hand washing was the most mentioned method (71.0%),
followed by covering ones mouth when coughing or sneezing (52.8%), and then safer sex practices
(31.3%).
Table23.1Recommendedmethodstopreventthespreadofdiseases
Allrecommendedmethodstopreventthespreadofdiseases
N
Handwashing(e.g.usinghandsterilizer,keepinghandsclean)
Coveringmouthwhencoughingorsneezing(e.g.,usingatissue)
Safersexpractices(e.g.condoms,abstinence)
Properstorageandpreparationoffood
Rodentandmosquitocontrol(e.g.,properdisposaloftrash,nothavingstandingwater)
Other
Dontknow/Notsure
568
423
251
129
120
89
59
Q104.Tothebestofyourknowledge,whataretherecommendedmethodstopreventthespreadofdiseases?
%
71.0%
52.8%
31.3%
16.1%
15.0%
11.1%
7.4%
107
RecommendedMethodofDiseasePrevention(HandWashing)Comparison2007to2011
Compared to 2007, there was a 14 point increase in the percentage of respondents who mentioned
handwashingasarecommendedmethodtopreventthespreadofdiseases,from57%in2007to71%in
2011(Figure23.1).Thegroupsmorelikelytomentionhandwashingasarecommendedmethodin2011
comparedto2007weremen(17pointincrease,from44%to61%)andBlacks(16pointincreasefrom
54%to70%).WomenandWhiteswerealsomorelikelytorecallhandwashingasadiseaseprevention
methodin2011.
2007 (light bars)
2011 (dark bars)
79%
71%
70%
66%
73%
67%
61%
57%
54%
44%
Men
Total
Women
Gender
Black
White
Race
Figure 23.1 Comparison Percentage who mentioned hand washing as recommended method of
diseaseprevention
108
TankWater
Respondentswereaskedwhethertheirhouseholdscurrentlyusedtankwaterfordrinking(Table23.2).
Morethanhalfofhouseholds(60.1%)usedtankwaterfordrinking.Women(63.1%)andolderresidents
aged 65 years and over (69.5%) were more likely to do so. Younger residents aged 18 to 34 years
(52.1%)andadultcouplehouseholds(56.5%)werelesslikelytousetankwaterfordrinking.Therewere
nosubstantivedifferencesamongrace,educationorincomelevel.
Table23.2Whetherhouseholdcurrentlyusestankwaterfordrinking
Total
Gender
Age
Race
Household
Education
Income
Men
Women
1834
3554
5564
65+
NotStated
Black
White
Asian&Other
NotStated
Oneperson
AdultCouple
Twoparents
Singleparent
NotStated
Secondary&Lower
Technical&Higher
NotStated
$59,999orless
$60,000to$107,999
$108,000&over
NotStated
Currentlyusetankwaterfordrinking
Yes
No
N
%
N
%
482 60.1%
298 37.2%
214 56.8%
151 40.1%
268 63.1%
147 34.6%
124 52.1%
103 43.3%
158 61.7%
95 37.1%
66 60.6%
43 39.4%
114 69.5%
43 26.2%
20 58.8%
14 41.2%
244 60.7%
152 37.8%
172 59.1%
108 37.1%
57 60.0%
36 37.9%
9 69.2%
2 15.4%
107 64.1%
56 33.5%
131 56.5%
95 40.9%
121 62.1%
68 34.9%
44 66.7%
21 31.8%
78 55.7%
57 40.7%
142 61.5%
81 35.1%
332 59.4%
214 38.3%
8 72.7%
2 18.2%
84 62.2%
49 36.3%
123 65.4%
63 33.5%
67 60.9%
39 35.5%
208 56.4%
147 39.8%
Q105.Doesyourhouseholdcurrentlyusetankwaterfordrinking?
Don'tknow
N
%
22 2.7%
12 3.2%
10 2.4%
11 4.6%
3 1.2%
0 0.0%
7 4.3%
0 0.0%
6 1.5%
11 3.8%
2 2.1%
2 15.4%
4 2.4%
6 2.6%
6 3.1%
1 1.5%
5 3.6%
8 3.5%
13 2.3%
1 9.1%
2 1.5%
2 1.1%
4 3.6%
14 3.8%
Total
N
802
377
425
238
256
109
164
34
402
291
95
13
167
232
195
66
140
231
559
11
135
188
110
369
%
100.0%
100.0%
100.0%
100.0%
100.0%
100.0%
100.0%
100.0%
100.0%
100.0%
100.0%
100.0%
100.0%
100.0%
100.0%
100.0%
100.0%
100.0%
100.0%
100.0%
100.0%
100.0%
100.0%
100.0%
109
TankWaterConsumptionComparison2007to2011
Comparedto2007,therewasa9pointdeclineinthepercentageofhouseholdsthatusedtankwaterfor
drinking,from69%in2007to60%in2011(Figure23.2).MenandWhiteswereparticularlylesslikelyto
usetankwaterfordrinkingin2011(i.e.,14pointdeclines,from71%to57%formenand73%to59%for
Whites).Thereweresmallerdeclinesforwomen(4%decline,from67%to63%)andBlacks(6%decline,
from67%to61%).
73%
71%
69%
60%
67%
57%
Men
Total
63%
Women
Gender
67%
61%
59%
Black
White
Race
Figure23.2ComparisonHouseholdswhocurrentlyusetankwaterfordrinking
110
TankWaterDisinfection
Respondentswhousedtheirtankwaterfordrinkingwereaskedwhethertheydisinfectedthewaterthat
was used for drinking (Table 23.3). Of those who drank their tank water, half (50.1%) disinfected it.
Whileelderlyrespondentsaged65yearsandolder(60.9%)weremorelikelytodisinfecttheirtankwater
for drinking, younger respondents aged 18 to 34 years were less likely to disinfect their tank water
(41.9%).Twoparenthouseholds(54.2%)andthosewithahighhouseholdincome(i.e.$108,000orover)
(53.7%) were more likely to disinfect their tank water. There were no significant differences among
gender,raceoreducationlevel.
Table23.3Whetherhouseholddisinfectstankwaterusedfordrinking
Total
Gender
Men
Women
Age
1834
3554
5564
65+
NotStated
Race
Black
White
Asian&Other
NotStated
Household Oneperson
AdultCouple
Twoparents
Singleparent
NotStated
Technical&Higher
NotStated
Income
$59,999orless
$60,000to$107,999
$108,000&over
NotStated
Disinfecttankwaterfordrinking
Yes
No
N
%
N
%
241 50.1%
198 41.2%
109 50.9%
92 43.0%
132 49.4%
106 39.7%
52 41.9%
58 46.8%
78 49.4%
66 41.8%
33 50.0%
26 39.4%
70 60.9%
40 34.8%
9 45.0%
9 45.0%
122 50.2%
101 41.6%
84 48.8%
72 41.9%
30 52.6%
22 38.6%
5 55.6%
3 33.3%
45 42.1%
51 47.7%
67 51.1%
56 42.7%
65 54.2%
43 35.8%
20 44.4%
25 55.6%
44 55.7%
24 30.4%
67 47.5%
62 44.0%
170 51.4%
134 40.5%
4 44.4%
2 22.2%
41 48.8%
36 42.9%
55 44.7%
60 48.8%
36 53.7%
25 37.3%
110 52.9%
77 37.0%
Q106.Doesyourhouseholddisinfectyourtakingwaterfordrinking?
Don'tknow
N
%
42
8.7%
13
6.1%
29 10.9%
14 11.3%
14
8.9%
7 10.6%
5
4.3%
2 10.0%
20
8.2%
16
9.3%
5
8.8%
1 11.1%
11 10.3%
8
6.1%
12 10.0%
0
0.0%
11 13.9%
12
8.5%
27
8.2%
3 33.3%
7
8.3%
8
6.5%
6
9.0%
21 10.1%
Total
N
481
214
267
124
158
66
115
20
243
172
57
9
107
131
120
45
79
141
331
9
84
123
67
208
%
100.0%
100.0%
100.0%
100.0%
100.0%
100.0%
100.0%
100.0%
100.0%
100.0%
100.0%
100.0%
100.0%
100.0%
100.0%
100.0%
100.0%
100.0%
100.0%
100.0%
100.0%
100.0%
100.0%
100.0%
111
TankWaterDisinfectionComparison2007to2011
Comparedto2007,therewasa6%pointdeclineinthepercentageofhouseholdsthatdisinfectedtheir
tankwaterusedfordrinking,from56%in2007to50%in2011(Figure23.3).Thisdeclinewaslargerfor
black respondents (11 point decline, from 61% to 50%) and for women (9 point decline, from 58% to
49%).
61%
58%
56%
50%
53%
51%
Men
Total
49%
Women
Gender
50%
48%
Black
49%
White
Race
Figure23.3ComparisonHouseholdswhodisinfecttankwaterthatisusedfordrinking
112
EmergencyPlan
Respondentswereaskedwhethertheirhouseholdshadanemergencyplaninplacewhichoutlinedwhat
members of their household should do in the event of an emergency (Table 23.4). Overall, onethird
(33.1%) of households had an emergency plan. Women (37.0%) and higher income households
($108,000 and over) (41.4%) were more likely to have an emergency plan in place. Households with
children;i.e.twoparenthouseholds(41.2%)andsingleparenthouseholds(39.4%)weremorelikelyto
haveanemergencyplaninplacecomparedtothoselivinginonepersonhouseholds(28.1%)andadult
couplehouseholds(30.5%).Residentswithatechnicaleducationorhigherweremorelikelytohavean
emergency plancomparedtothosewithasecondaryeducation andlower(35.1%vs.27.4%).Whites
werelesslikelytohaveanemergencyplaninplace(29.7%)thanotherraces.
Table23.4Whetherhouseholdhasanemergencyplan
Yes
Total
Gender
Men
Women
Age
1834
3554
5564
65+
NotStated
Race
Black
White
Asian&Other
NotStated
Household Oneperson
AdultCouple
Twoparents
Singleparent
NotStated
Technical&Higher
NotStated
Income
$59,999orless
$60,000to$107,999
$108,000&over
NotStated
N
265
108
157
58
99
41
60
8
141
86
35
2
47
71
80
26
40
63
196
5
47
59
46
113
Haveanemergencyplan
No
%
N
%
33.1%
503 62.9%
28.7%
254 67.6%
37.0%
249 58.7%
24.2%
171 71.3%
38.7%
152 59.4%
37.6%
58 53.2%
36.4%
99 60.0%
24.2%
24 72.7%
35.1%
248 61.7%
29.7%
190 65.5%
36.5%
58 60.4%
15.4%
8 61.5%
28.1%
117 70.1%
30.5%
152 65.2%
41.2%
104 53.6%
39.4%
40 60.6%
28.6%
90 64.3%
27.4%
162 70.4%
35.1%
339 60.6%
45.5%
3 27.3%
34.6%
87 64.0%
31.6%
125 66.8%
41.4%
62 55.9%
30.6%
231 62.6%
Q107.Doesyourhouseholdhaveanemergencyplan?
Don'tknow
N
%
32
4.0%
14
3.7%
18
4.2%
11
4.6%
5
2.0%
10
9.2%
6
3.6%
1
3.0%
13
3.2%
14
4.8%
3
3.1%
3 23.1%
3
1.8%
10
4.3%
10
5.2%
0
0.0%
10
7.1%
5
2.2%
24
4.3%
3 27.3%
2
1.5%
3
1.6%
3
2.7%
25
6.8%
Total
N
800
376
424
240
256
109
165
33
402
290
96
13
167
233
194
66
140
230
559
11
136
187
111
369
%
100.0%
100.0%
100.0%
100.0%
100.0%
100.0%
100.0%
100.0%
100.0%
100.0%
100.0%
100.0%
100.0%
100.0%
100.0%
100.0%
100.0%
100.0%
100.0%
100.0%
100.0%
100.0%
100.0%
100.0%
113
HouseholdswithEmergencyPlansComparison2007to2011
Comparedto2007,therewasa7pointdeclineinthepercentageofhouseholdsthatreportedhavingan
emergency plan outlining what different members of their household should do in the event of an
emergency,from40%in2007to33%in2011(Figure23.4).Thegreatestdeclinewasseenamongmen
(15points,from44%to29%)andBlackrespondents(9pointsfrom44%to35%).Therewasnochange
forwomenorWhites.
44%
40%
33%
44%
37%
35%
Women
Black
Gender
Figure23.4ComparisonHouseholdsthathaveanemergencyplan
114
31%
29%
Men
Total
37%
30%
White
Race
FireAlarms
Respondents were asked whether their households had functioning fire alarms (Table 23.5). Overall,
49.9% of households reported having functioning fire alarms. Women were more likely to report this
thanmen(55.0%vs.44.1%)aswereresidentsaged65andover(53.9%)comparedtoyoungerresidents
aged18to34years(44.1%).Twoparenthouseholdswerealsomorelikelythanonepersonhouseholds
toreporthavingfunctioningfirealarms(60.0%vs.39.8%).Additionally,thosewithatechnicaleducation
andhigher(51.9%)andahighannualhouseholdincome($108,000andover)(70.0%)weremorelikely
toreporthavingfunctionalfirealarmsintheirhouseholdscomparedtothosewithasecondaryorlower
education(45.7%)oralowannualhouseholdincome(lessthan$60,000)(38.2%).
Table23.5Whetherhouseholdhasfunctioningfirealarms
Total
Gender
Age
Race
Household
Education
Income
Men
Women
1834
3554
5564
65+
NotStated
Black
White
Asian&Other
NotStated
Oneperson
AdultCouple
Twoparents
Singleparent
NotStated
Secondary&Lower
Technical&Higher
NotStated
$59,999orless
$60,000to$107,999
$108,000&over
NotStated
Functioningfirealarmsinhousehold
Yes
No
N
%
N
%
399 49.9%
363 45.4%
166 44.1%
197 52.4%
233 55.0%
166 39.2%
105 44.1%
115 48.3%
136 53.1%
115 44.9%
54 50.0%
49 45.4%
89 53.9%
66 40.0%
15 45.5%
18 54.5%
206 51.2%
180 44.8%
147 50.7%
130 44.8%
43 44.8%
46 47.9%
4 30.8%
7 53.8%
66 39.8%
94 56.6%
120 51.7%
104 44.8%
117 60.0%
66 33.8%
36 53.7%
26 38.8%
61 43.3%
73 51.8%
105 45.7%
111 48.3%
290 51.9%
249 44.5%
5 41.7%
3 25.0%
52 38.2%
77 56.6%
93 49.7%
91 48.7%
77 70.0%
29 26.4%
178 48.2%
167 45.3%
Q108.Doyouhavefunctioningfirealarmsinyourhousehold?
Don'tknow
N
%
38
4.8%
13
3.5%
25
5.9%
18
7.6%
5
2.0%
5
4.6%
10
6.1%
0
0.0%
16
4.0%
13
4.5%
7
7.3%
2 15.4%
6
3.6%
8
3.4%
12
6.2%
5
7.5%
7
5.0%
14
6.1%
20
3.6%
4 33.3%
7
5.1%
3
1.6%
4
3.6%
24
6.5%
Total
N
800
376
424
238
256
108
165
33
402
290
96
13
166
232
195
67
141
230
559
12
136
187
110
369
%
100.0%
100.0%
100.0%
100.0%
100.0%
100.0%
100.0%
100.0%
100.0%
100.0%
100.0%
100.0%
100.0%
100.0%
100.0%
100.0%
100.0%
100.0%
100.0%
100.0%
100.0%
100.0%
100.0%
100.0%
115
FunctioningFireAlarmsComparison2007to2011
Comparedto2007,therewasnochangeinthenumberofhouseholdsthatreportedhavingfunctioning
firealarmsintheirhouseholds(50%in2007and2011)(Figure23.5).MenandWhiteshaddeclines(6%
decline for men, 9% decline for Whites) but women and Blacks saw increases (6% for women, 8% for
Blacks).
60%
55%
50%
50%
50%
44%
Men
Total
51%
49%
43%
Women
Black
Gender
Figure23.5ComparisonHouseholdsthathavefunctioningfirealarms
116
51%
White
Race
FirstAid
Respondentswereaskedwhetheranadultintheirhouseholdwascurrentlycertifiedinfirstaid(Table
23.6). Overall, 46.2% of households had an adult who was currently certified in first aid. Those more
likely to live in households with a first aid certified adult included women (49.3%), Blacks (49.4%),
households with children (single parent 56.1%, and two parent 58.2%), residents with a technical and
highereducation(49.4%),andwithahighannualhouseholdincome($108,000andover)(62.2%).Men
(42.7%),thoseaged65andover(42.7%),onepersonhouseholds(35.3%),andthosewithahousehold
incomelessthan$60,000(41.5%)werelesslikelytohaveafirstaidcertifiedadultinthehousehold.
Table23.6Whetheranadultinthehouseholdiscurrentlycertifiedinfirstaid
Total
Gender
Age
Race
Household
Education
Income
Adultinhouseholdcurrentlycertifiedinfirstaid
Yes
No
Don'tknow
N
%
N
%
N
%
370 46.2%
415 51.8%
16
2.0%
Men
161 42.7%
212 56.2%
4
1.1%
Women
209 49.3%
203 47.9%
12
2.8%
1834
108 45.2%
122 51.0%
9
3.8%
3554
122 47.7%
133 52.0%
1
0.4%
5564
54 49.5%
53 48.6%
2
1.8%
65+
70 42.7%
90 54.9%
4
2.4%
NotStated
17 50.0%
16 47.1%
1
2.9%
Black
199 49.4%
195 48.4%
9
2.2%
White
124 42.8%
163 56.2%
3
1.0%
Asian&Other
42 43.8%
52 54.2%
2
2.1%
NotStated
6 46.2%
5 38.5%
2 15.4%
Oneperson
59 35.3%
106 63.5%
2
1.2%
AdultCouple
100 42.9%
128 54.9%
5
2.1%
Twoparents
114 58.2%
77 39.3%
5
2.6%
Singleparent
37 56.1%
28 42.4%
1
1.5%
NotStated
60 42.9%
76 54.3%
4
2.9%
Secondary&Lower
92 39.8%
135 58.4%
4
1.7%
Technical&Higher
276 49.4%
273 48.8%
10
1.8%
NotStated
2 18.2%
7 63.6%
2 18.2%
$59,999orless
56 41.5%
73 54.1%
6
4.4%
$60,000to$107,999
89 47.3%
98 52.1%
1
0.5%
$108,000&over
69 62.2%
41 36.9%
1
0.9%
NotStated
158 42.8%
203 55.0%
8
2.2%
Q109.Isanadultinyourhouseholdcurrentlycertifiedinfirstaid?
Note:Changein2011questionwordingtocurrentlycertified
Total
N
801
377
424
239
256
109
164
34
403
290
96
13
167
233
196
66
140
231
559
11
135
188
111
369
%
100.0%
100.0%
100.0%
100.0%
100.0%
100.0%
100.0%
100.0%
100.0%
100.0%
100.0%
100.0%
100.0%
100.0%
100.0%
100.0%
100.0%
100.0%
100.0%
100.0%
100.0%
100.0%
100.0%
100.0%
117
FirstAidCertificationComparison2007to2011
Comparedto2007,therewasa21pointdeclineinthepercentageofhouseholdsthatreportedhaving
anadultcurrentlycertifiedinfirstaid(Figure23.6).Thedeclinecouldbeattributedtothechangeinthe
wordingofthequestiontospecifywhetheranadultinthehouseholdwascurrentlycertifiedinfirstaid,
ratherthanjustwhetheranadultwastrainedinfirstaid.Thegreatestdeclinewasseenamongmen(23
points,from66%to43%)andWhiterespondents(25pointsfrom68%to43%).Therewasalsoadecline
in the percentage of women (18 point decline, from 67% to 49%) and Black respondents (16 point
decline,from65%to49%)thatreportedhavingafirstaidcertifiedadultin2011.
67%
67%
66%
46%
49%
49%
43%
Men
Total
68%
65%
43%
Women
Gender
Black
White
Race
Figure23.6ComparisonHouseholdwithanadultcertifiedinfirstaid
118
UseofPublicParks
RespondentswereaskedhowoftentheyusedBermudaspublicparks,includingbeaches,playgrounds,
and railway trials in the past year (Table 23.7). Overall, the majority of respondents used Bermudas
public parks a few times per year (42.3%). Onequarter of residents (24.9%) used Bermudas parks at
leastonceperweek,16.4%usedthematleastoncepermonth,6.5%usedthemonceperyearand9.6%
saidtheyneverusedBermudaspublicparks.FrequentusersofBermudaspublicparks(i.e.thosewho
usedthematleastonceperweek)weremorelikelytobewomen(28.1%),youngerresidentsaged18to
34years(28.5%),thosefromtwoparenthouseholds(39.5%),andresidentswithanannualhousehold
incomeover$108,000(34.2%).Conversely,men(21.3%),olderresidentsaged55to64(21.1%)and65
yearsandolder(21.8%),thosefromonepersonhouseholds(17.4%),adultcoupledhouseholds(18.8%),
andthosewithanannualhouseholdincomeunder$60,000(19.9%)werelesslikelytouseBermudas
publicparksatleastonceperweek.
Table23.7FrequencyofusingBermudaspublicparksincludingbeaches,parksandrailwaytrails
Total
Gender
Age
Race
Household
Education
Income
Men
Women
1834
3554
5564
65+
NotStated
Black
White
Asian&Other
NotStated
Oneperson
AdultCouple
Twoparents
Singleparent
NotStated
Secondary&Lower
Technical&Higher
NotStated
$59,999orless
$60,000to$107,999
$108,000&over
NotStated
FrequencyofusingBermuda`spublicparksincludingbeaches,parksandrailwaytrails
Atleastonceper Atleastonceper
week
month
Afewtimes
Once
Never
N
%
N
%
N
%
N
%
N
%
199 24.9%
131 16.4%
338 42.3%
52 6.5%
77
9.6%
80 21.3%
62 16.5%
169 44.9%
27 7.2%
38 10.1%
119 28.1%
69 16.3%
169 39.9%
25 5.9%
39
9.2%
68 28.5%
47 19.7%
103 43.1%
11 4.6%
8
3.3%
63 24.6%
40 15.6%
116 45.3%
22 8.6%
15
5.9%
23 21.1%
13 11.9%
46 42.2%
9 8.3%
18 16.5%
36 21.8%
28 17.0%
59 35.8%
8 4.8%
33 20.0%
10 30.3%
4 12.1%
14 42.4%
2 6.1%
3
9.1%
104 25.9%
64 16.0%
172 42.9%
25 6.2%
35
8.7%
70 24.1%
45 15.5%
122 41.9%
18 6.2%
34 11.7%
23 24.2%
19 20.0%
40 42.1%
8 8.4%
5
5.3%
3 23.1%
3 23.1%
4 30.8%
0 0.0%
2 15.4%
29 17.4%
23 13.8%
78 46.7%
16 9.6%
21 12.6%
44 18.8%
38 16.2%
103 44.0%
20 8.5%
29 12.4%
77 39.5%
34 17.4%
68 34.9%
8 4.1%
6
3.1%
16 23.9%
13 19.4%
32 47.8%
3 4.5%
3
4.5%
33 23.6%
24 17.1%
58 41.4%
5 3.6%
18 12.9%
44 19.1%
41 17.8%
100 43.5%
20 8.7%
24 10.4%
150 26.9%
89 15.9%
234 41.9%
31 5.6%
52
9.3%
5 41.7%
1
8.3%
5 41.7%
1 8.3%
0
0.0%
27 19.9%
23 16.9%
61 44.9%
11 8.1%
13
9.6%
46 24.6%
31 16.6%
90 48.1%
8 4.3%
12
6.4%
38 34.2%
25 22.5%
39 35.1%
4 3.6%
5
4.5%
89 24.1%
53 14.3%
149 40.3%
29 7.8%
48 13.0%
Don'tknow/
Can'trecall
N
%
3 0.4%
0 0.0%
3 0.7%
2 0.8%
0 0.0%
0 0.0%
1 0.6%
0 0.0%
1 0.2%
2 0.7%
0 0.0%
1 7.7%
0 0.0%
0 0.0%
2 1.0%
0 0.0%
2 1.4%
1 0.4%
2 0.4%
0 0.0%
1 0.7%
0 0.0%
0 0.0%
2 0.5%
Total
N
%
800 100.0%
376 100.0%
424 100.0%
239 100.0%
256 100.0%
109 100.0%
165 100.0%
33 100.0%
401 100.0%
291 100.0%
95 100.0%
13 100.0%
167 100.0%
234 100.0%
195 100.0%
67 100.0%
140 100.0%
230 100.0%
558 100.0%
12 100.0%
136 100.0%
187 100.0%
111 100.0%
370 100.0%
Q110.Inthepastyear,howoftenwouldyousayyouusedBermudaspublicparks,includingbeaches,playgroundsandrailway
trails?
119
UseofPublicParksComparison2007to2011
Comparedto2007,therewasasignificant19pointdeclineinthepercentageofrespondentswhouse
Bermudasparksatleastoncepermonth,from60%in2006to41%in2011(Figure23.7).Whiteshad
thegreatestdeclineof34points,from74%to40%,followedbymen(21%decline,from59%to38%)
andwomen(17%decline,from61%to44%).
74%
60%
61%
59%
48%
41%
44%
Men
Total
42%
40%
38%
Women
Gender
Black
White
Race
Figure23.7ComparisonUseofBermudasparksatleastoncepermonth
120
ModesofTransport
Respondentswereaskedtodescribehowtheytravelledtoworkinthepastmonthandmostofthetime
(Table 23.8). The majority (87.5%) used some form of motorised transport: 31.9% used a scooter or
motorcycle, 21.4% travelled alone in their own car, 20.4% travelled in a private car with at least one
otherperson,13.0%usedpublictransportsuchasabusorferry,andlessthan1%usedataxi.Lessthan
2%usedabicycleorwalkedtowork.Womenweremorelikelytotravelbycar,eitheralone(27.6%)or
withothers(26.7%),orusepublictransportation(15.3%).Men(50.3%)andadultsaged18to34(50.4%)
weremorelikelytouseascooterormotorcycle.Adultsaged55to64weremorelikelytotraveltowork
alone in their own car (33.3%). As might be expected, one person households were the least likely to
carpool to work, with only 5.4% responding that they travelled with at least one other person in a
privatecar.Theyweremorelikelytotravelaloneintheirowncar(30.1%)comparedtootherhousehold
types.Raceandeducationleveldidnothaveaninfluenceonmodesoftransportationtowork.
Table23.8Modesoftransportationtoworkinthepastmonthandmostofthetime
Total
Gender
Age
Race
Household
Education
Income
Modesoftransportationtoworkinthepastmonthandmostofthetime
Travelinaprivate
Usepublic
Travelalonein carwithatleast
Useascooteror
transport,suchas
yourowncar
oneotherperson
motorcycle
thebusorferry
N
%
N
%
N
%
N
%
172 21.4%
164 20.4%
256 31.9%
104 13.0%
Men
55 14.6%
51 13.5%
190 50.3%
39 10.3%
Women
117 27.6%
113 26.7%
66 15.6%
65 15.3%
1834
34 14.2%
44 18.3%
121 50.4%
32 13.3%
3554
62 24.3%
56 22.0%
90 35.3%
32 12.5%
5564
36 33.3%
23 21.3%
22 20.4%
15 13.9%
65+
33 20.1%
36 22.0%
11
6.7%
17 10.4%
NotStated
7 21.2%
5 15.2%
11 33.3%
8 24.2%
Black
95 23.6%
92 22.9%
111 27.6%
49 12.2%
White
56 19.4%
54 18.7%
104 36.0%
37 12.8%
Asian&Other
20 20.8%
16 16.7%
34 35.4%
18 18.8%
NotStated
1 7.7%
1 7.7%
5 38.5%
0 0.0%
Oneperson
50 30.1%
9 5.4%
51 30.7%
28 16.9%
AdultCouple
54 23.2%
47 20.2%
63 27.0%
31 13.3%
Twoparents
27 13.8%
56 28.7%
75 38.5%
21 10.8%
Singleparent
16 24.2%
21 31.8%
20 30.3%
5 7.6%
NotStated
25 17.9%
31 22.1%
46 32.9%
19 13.6%
Secondary&Lower
41 17.9%
47 20.5%
59 25.8%
37 16.2%
Technical&Higher
128 22.9%
116 20.8%
193 34.5%
66 11.8%
NotStated
2 16.7%
1 8.3%
3 25.0%
1 8.3%
$59,999orless
21 15.4%
22 16.2%
48 35.3%
18 13.2%
$60,000to$107,999
51 27.3%
41 21.9%
63 33.7%
15 8.0%
$108,000&over
19 17.4%
35 32.1%
43 39.4%
7 6.4%
NotStated
80 21.6%
66 17.8%
101 27.3%
65 17.6%
Useataxi
N
6
3
3
0
2
2
2
0
4
1
0
1
2
1
2
0
0
2
3
0
3
1
1
0
%
0.7%
0.8%
0.7%
0.0%
0.8%
1.9%
1.2%
0.0%
1.0%
0.3%
0.0%
7.7%
1.2%
0.4%
1.0%
0.0%
0.0%
0.9%
0.5%
0.0%
2.2%
0.5%
0.9%
0.0%
121
Table23.8continued
Total
Gender
Age
Race
Household
Education
Income
Modesoftransportationtoworkinthepastmonthandmostofthetime
Don'tknow/Not
Useabicycle
Walk
Other
sure
N
%
N
%
N
%
N
%
6 0.7%
15 1.9%
74
9.2%
5 0.6%
Men
5 1.3%
5 1.3%
27
7.1%
3 0.8%
Women
1 0.2%
10 2.4%
47 11.1%
2 0.5%
1834
6 2.5%
1 0.4%
2
0.8%
0 0.0%
3554
0 0.0%
3 1.2%
9
3.5%
1 0.4%
5564
0 0.0%
5 4.6%
5
4.6%
0 0.0%
65+
0 0.0%
4 2.4%
57 34.8%
4 2.4%
NotStated
0 0.0%
1 3.0%
1
3.0%
0 0.0%
Black
4 1.0%
5 1.2%
37
9.2%
5 1.2%
White
2 0.7%
6 2.1%
29 10.0%
0 0.0%
Asian&Other
0 0.0%
4 4.2%
4
4.2%
0 0.0%
NotStated
0 0.0%
0 0.0%
5 38.5%
0 0.0%
Oneperson
1 0.6%
4 2.4%
21 12.7%
0 0.0%
AdultCouple
3 1.3%
5 2.1%
28 12.0%
1 0.4%
Twoparents
1 0.5%
3 1.5%
9
4.6%
1 0.5%
Singleparent
0 0.0%
1 1.5%
2
3.0%
1 1.5%
NotStated
1 0.7%
2 1.4%
14 10.0%
2 1.4%
Secondary&Lower
3 1.3%
4 1.7%
35 15.3%
1 0.4%
Technical&Higher
3 0.5%
11 2.0%
35
6.3%
4 0.7%
NotStated
0 0.0%
1 8.3%
4 33.3%
0 0.0%
$59,999orless
3 2.2%
7 5.1%
14 10.3%
0 0.0%
$60,000to$107,999
1 0.5%
3 1.6%
11
5.9%
1 0.5%
$108,000&over
0 0.0%
1 0.9%
2
1.8%
1 0.9%
NotStated
3 0.8%
4 1.1%
48 13.0%
3 0.8%
Q111.Whichofthefollowingbestdescribeshowyoutravelledtoworkinthepastmonthmostofthetime?
Total
N
802
378
424
240
255
108
164
33
402
289
96
13
166
233
195
66
140
229
559
12
136
187
109
370
%
100.0%
100.0%
100.0%
100.0%
100.0%
100.0%
100.0%
100.0%
100.0%
100.0%
100.0%
100.0%
100.0%
100.0%
100.0%
100.0%
100.0%
100.0%
100.0%
100.0%
100.0%
100.0%
100.0%
100.0%
OtherModesofTransport
Respondentswhodescribedtheirmodeoftransportationtoworkasotherwereaskedtospecifywhat
theirmodeoftransportationwas(Table23.9).Almosthalf(47.4%)didnotworkbychoiceorbecause
theywereunemployed.Afurther42.3%wereretired,6.4%usedacompanyvehicletogettoworkand
2.6%workedfromhome.
Table23.9Othermodesoftransportationtoworkinthepastmonthandmostofthetime
Othermodesoftransportationtoworkinthepastmonthand
mostofthetime
N
%
Total
78
100.0%
Doesnotwork/Unemployed
37
47.4%
Retired
33
42.3%
Usescompanyvehicle
5
6.4%
Worksfromhome
2
2.6%
Declinedtoanswer
1
1.3%
Q111.Other:Pleasespecify.
122
TransportationtoWorkComparison2007to2011
Thenumberofpeopletravellingtoworkaloneintheirowncarin2011hadnotchangedoverall,orby
genderorracecomparedto2005(Figure23.9).
29%
23%
28%
21%
13%
24%
19%
15%
Men
Total
25%
Women
Gender
Black
19%
White
Race
Figure23.9ComparisonTravelaloneinowncartoworkinthepastmonthandmostofthetime
123
OverallSatisfactionwithGovernmentsPromotionofHealthyLiving
RespondentswereaskedhowsatisfiedtheywerewithGovernmentseffortstopromotehealthyliving
and wellness in Bermuda. (Table 23.10) Overall, 57.9% were completely or mostly satisfied, 22.4%
completelyormostlydissatisfied,3.3%saiddepends,8.7%neithersatisfiednordissatisfied,and7.8%
were not sure. Younger adults (18 to 34 years) were less satisfied than other age groups, with 47.1%
completely or mostly satisfied, and they were also more likely to want to qualify their answer (6.7%
responded depends). Single parent households (52.2%) were less satisfied than other household
types. Asian and other races were less likely to have a definite opinion; 5.2% said depends, 14.6%
wereneithersatisfiednordissatisfied,and11.5%werenotsure.Gender,educationandincomeleveldid
notinfluencesatisfactionwithGovernmentseffortstopromotehealthyliving.
Table23.10SatisfactionwithGovernmentseffortstopromotehealthylivingandwellness
SatisfactionwithGovernment'seffortstopromotehealthylivingandwellnessinBermuda
Completelyor
Completelyor
Mostly
Neithersatisfied Don'tknow/Not
MostlySatisfied
sure
Dissatisfied
Depends
nordissatisfied
N
%
N
%
N
%
Total
460 57.9%
178 22.4%
26 3.3%
69 8.7%
62 7.8%
Gender
Men
215 57.3%
89 23.7%
10 2.7%
26 6.9%
35 9.3%
Women
245 58.3%
89 21.2%
16 3.8%
43 10.2%
27 6.4%
Age
1834
112 47.1%
60 25.2%
16 6.7%
30 12.6%
20 8.4%
3554
161 62.6%
61 23.7%
4 1.6%
11 4.3%
20 7.8%
5564
67 62.0%
21 19.4%
3 2.8%
9 8.3%
8 7.4%
65+
104 63.8%
29 17.8%
2 1.2%
19 11.7%
9 5.5%
NotStated
17 53.1%
8 25.0%
1 3.1%
1 3.1%
5 15.6%
Race
Black
251 62.8%
85 21.3%
14 3.5%
26 6.5%
24 6.0%
White
161 55.5%
70 24.1%
5 1.7%
28 9.7%
26 9.0%
Asian&Other
43 44.8%
23 24.0%
5 5.2%
14 14.6%
11 11.5%
NotStated
6 50.0%
1 8.3%
3 25.0%
1 8.3%
1 8.3%
Household Oneperson
98 59.4%
37 22.4%
6 3.6%
10 6.1%
14 8.5%
AdultCouple
142 61.2%
45 19.4%
4 1.7%
24 10.3%
17 7.3%
Twoparents
105 53.8%
49 25.1%
8 4.1%
16 8.2%
17 8.7%
Singleparent
35 52.2%
17 25.4%
5 7.5%
6 9.0%
4 6.0%
NotStated
81 58.7%
30 21.7%
3 2.2%
14 10.1%
10 7.2%
128 55.4%
40 17.3%
8 3.5%
24 10.4%
31 13.4%
Technical&Higher
329 59.0%
137 24.6%
18 3.2%
44 7.9%
30 5.4%
NotStated
4 44.4%
1 11.1%
0 0.0%
2 22.2%
2 22.2%
Income
$59,999orless
79 59.0%
18 13.4%
8 6.0%
17 12.7%
12 9.0%
119 64.0%
$60,000to$107,999
36 19.4%
9 4.8%
8 4.3%
14 7.5%
$108,000&over
64 58.2%
28 25.5%
4 3.6%
11 10.0%
3 2.7%
NotStated
197 54.0%
97 26.6%
5 1.4%
33 9.0%
33 9.0%
Q112.HowsatisfiedareyouwiththeGovernmentseffortstopromotehealthylivingandwellnessinBermuda?
QuestionSource:2005PublicPerceptionStudy
124
Total
N
795
375
420
238
257
108
163
32
400
290
96
12
165
232
195
67
138
231
558
9
134
186
110
365
%
100.0%
100.0%
100.0%
100.0%
100.0%
100.0%
100.0%
100.0%
100.0%
100.0%
100.0%
100.0%
100.0%
100.0%
100.0%
100.0%
100.0%
100.0%
100.0%
100.0%
100.0%
100.0%
100.0%
100.0%
Satisfaction with Governments Efforts to Promote Healthy Living Comparison 2005 to

2011
SatisfactionwithGovernmentseffortstopromotehealthylivingandwellnessinBermudahaddeclined
by7%,from65%in2005to58%in2011(Figure23.10).WomenandBlacksweremoredissatisfied,with
9%declinessince2005.
72%
67%
65%
58%
60%
63%
57%
Men
Total
58%
Women
Gender
56% 56%
Black
White
Race
Figure 23.10 Comparison Completely or Mostly Satisfied with Governments efforts to promote
healthylivingandwellnessinBermuda
125
24. Immunization
SeasonalFluVaccine
Respondentswereaskedwhethertheyhadaseasonalfluvaccineinthepastyear,andifso,whatkind
of place they had the vaccine (Table 24.1 and Table 24.2). Overall, 30.5% of respondents had a flu
vaccineinthepastyear,withnodifferencebetweenmenandwomen.Adultsaged65andover(52.8%)
weremorelikelythanthose18to34(13.9%)tohavehadaflushot.Whites(35.0%)weremorelikely
than Blacks (29.9%) or Asian and other races (19.1%) to have had a flu shot. Households without
children (one person, 38.0% and adult couple, 38.8%) were more likely to have had a flu shot than
households with children (two parents, 26.4% and single parent, 24.2%). There were no substantive
differenceswithrespecttoincomelevel.
For those that had a flu shot, the majority received it in a private doctors office (46.2%) or a clinic
(33.5%). Only 1.7% used the Flu Express service. There were no substantive differences between men
andwomenintermsofreceivingtheflushotinadoctorsoffice,butmen(39.8%)weremorelikelythan
women (27.6%) to have had the shot in a clinic. Those with an income of under $60,000 were more
likelytohavehadtheshotataclinic(41.4%)thanotherincomegroups.Theonlysubstantivedifference
byracewasthatBlacks(41.0%)werelesslikelytoreceivetheflushotatadoctorsofficecomparedto
WhitesorAsianandotherraces(both50.0%).
126
Table24.1Havehadaseasonalfluvaccineshotinthelast12months
Total
Gender
Age
Race
Household
Education
Income
Havehadaseasonalfluvaccineshotinthelast12months
Yes
No
N
%
N
%
240
30.5%
548
69.5%
Men
114
30.7%
257
69.3%
Women
126
30.2%
291
69.8%
1834
33
13.9%
204
86.1%
3554
78
30.6%
177
69.4%
5564
37
34.9%
69
65.1%
65+
84
52.8%
75
47.2%
NotStated
9
29.0%
22
71.0%
Black
118
29.9%
277
70.1%
White
100
35.0%
186
65.0%
Asian&Other
18
19.1%
76
80.9%
NotStated
4
30.8%
9
69.2%
Oneperson
63
38.0%
103
62.0%
AdultCouple
88
38.8%
139
61.2%
Twoparents
51
26.4%
142
73.6%
Singleparent
16
24.2%
50
75.8%
NotStated
21
15.7%
113
84.3%
Secondary&Lower
58
26.0%
165
74.0%
Technical&Higher
178
32.1%
376
67.9%
NotStated
5
45.5%
6
54.5%
$59,999orless
31
23.3%
102
76.7%
$60,000to$107,999
43
23.0%
144
77.0%
$108,000&over
29
26.9%
79
73.1%
NotStated
138
38.2%
223
61.8%
Q51.Duringthepast12months,haveyouhadaseasonalfluvaccineshot?
Total
N
788
371
417
237
255
106
159
31
395
286
94
13
166
227
193
66
134
223
554
11
133
187
108
361
%
100.0%
100.0%
100.0%
100.0%
100.0%
100.0%
100.0%
100.0%
100.0%
100.0%
100.0%
100.0%
100.0%
100.0%
100.0%
100.0%
100.0%
100.0%
100.0%
100.0%
100.0%
100.0%
100.0%
100.0%
127
Table24.2Locationoflastfluvaccineshot
Clinic
N
Total
Gender
Age
Race
Household
Education
Income
Men
Women
1834
3554
5564
65+
NotStated
Black
White
Asian&Other
NotStated
Oneperson
AdultCouple
Twoparents
Singleparent
NotStated
Secondary&Lower
Technical&Higher
NotStated
$59,999orless
$60,000to$107,999
$108,000&over
NotStated
79
45
34
14
22
14
28
2
41
32
6
1
23
33
11
4
9
20
59
1
12
15
7
45
%
33.5%
39.8%
27.6%
43.8%
28.6%
37.8%
34.1%
22.2%
35.0%
32.7%
33.3%
25.0%
35.9%
38.4%
21.6%
25.0%
40.9%
35.1%
33.9%
25.0%
41.4%
34.9%
23.3%
32.8%
Locationoflastfluvaccineshot
Hospital
Privatedoctor`s (examplein
FluExpress
office
patient)
N
%
N
%
N
%
4
1.7%
109 46.2%
8
3.4%
1
0.9%
51 45.1%
3
2.7%
3
2.4%
58 47.2%
5
4.1%
0
0.0%
9 28.1%
0
0.0%
0
0.0%
35 45.5%
2
2.6%
2
5.4%
17 45.9%
2
5.4%
2
2.4%
44 53.7%
2
2.4%
0
0.0%
4 44.4%
1 11.1%
3
2.6%
48 41.0%
8
6.8%
2
2.0%
49 50.0%
0
0.0%
0
0.0%
9 50.0%
0
0.0%
0
0.0%
3 75.0%
0
0.0%
1
1.6%
26 40.6%
5
7.8%
4
4.7%
40 46.5%
2
2.3%
0
0.0%
28 54.9%
0
0.0%
0
0.0%
9 56.3%
0
0.0%
0
0.0%
7 31.8%
1
4.5%
2
3.5%
23 40.4%
2
3.5%
2
1.1%
83 47.7%
5
2.9%
0
0.0%
2 50.0%
0
0.0%
2
6.9%
11 37.9%
4 13.8%
1
2.3%
14 32.6%
2
4.7%
0
0.0%
13 43.3%
1
3.3%
2
1.5%
71 51.8%
1
0.7%
Q52.Atwhatkindofplacedidyougetyourlastflushot/vaccine?
128
Workplace
N
%
25
10.6%
9
8.0%
16
13.0%
6
18.8%
15
17.8%
2
5.4%
0
0.0%
2
22.2%
12
10.3%
10
10.2%
2
11.1%
0
0.0%
5
7.8%
6
7.0%
10
19.6%
2
12.5%
2
9.1%
6
10.5%
18
10.3%
1
25.0%
0
0.0%
8
18.6%
8
26.7%
10
7.3%
Overseas
N
%
4
1.7%
1
0.9%
3
2.4%
2
6.3%
2
2.6%
0
0.0%
1
1.2%
0
0.0%
2
1.7%
2
2.0%
0
0.0%
0
0.0%
0
0.0%
1
1.2%
2
3.9%
0
0.0%
1
4.5%
2
3.5%
3
1.7%
0
0.0%
0
0.0%
0
0.0%
1
3.3%
4
2.9%
Other
N
7
3
4
1
1
0
5
0
3
3
1
0
4
0
0
1
2
2
4
0
0
3
0
4
%
3.0%
2.7%
3.3%
3.1%
1.3%
0.0%
6.1%
0.0%
2.6%
3.1%
5.6%
0.0%
6.3%
0.0%
0.0%
6.3%
9.1%
3.5%
2.3%
0.0%
0.0%
7.0%
0.0%
2.9%
PneumococcalVaccine(PneumoniaShot)
Respondentswereaskediftheyhadeverhadapneumoniashot(pneumococcalvaccine)(Table24.3).
The pneumococcal vaccine is recommended for persons aged 65 years and older and other
immunocompromisedpersonsofayoungerage.Themajorityofrespondents(88.1%)saidtheyhadnot
had a pneumonia shot. There was no difference between men and women. As the target age group,
olderadultsweremorelikelytoreportthattheydhadapneumoniashotthanyoungeradults(aged65
andover,18.7%;aged18to34,6.5%).Asianandotherraces(7.7%),singleparenthouseholds(6.7%),
those with secondary or lower education (8.1%), and those with a household income $60,000 to
$107,999(6.8%)werelesslikelytohavereporthavinghadapneumococcalvaccine.
Table24.3Haveeverhadapneumoniavaccineshot
Total
Gender
Age
Race
Household
Education
Income
Haveeverhadapneumoniavaccineshot
Yes
No
N
%
N
87
11.9%
645
Men
43
12.4%
304
Women
44
11.4%
341
1834
14
6.5%
200
3554
26
11.0%
211
5564
13
13.0%
87
65+
28
18.7%
122
NotStated
5
16.1%
26
Black
44
12.1%
319
White
35
13.2%
230
Asian&Other
7
7.7%
84
NotStated
1
7.7%
12
Oneperson
18
11.5%
139
AdultCouple
37
17.4%
176
Twoparents
22
12.6%
152
Singleparent
4
6.7%
56
NotStated
6
4.7%
123
Secondary&Lower
17
8.1%
193
Technical&Higher
70
13.6%
443
NotStated
0
0.0%
9
$59,999orless
10
8.1%
114
$60,000to$107,999
12
6.8%
165
$108,000&over
11
11.6%
84
NotStated
54
16.1%
282
Total
%
88.1%
87.6%
88.6%
93.5%
89.0%
87.0%
81.3%
83.9%
87.9%
86.8%
92.3%
92.3%
88.5%
82.6%
87.4%
93.3%
95.3%
91.9%
86.4%
100.0%
91.9%
93.2%
88.4%
83.9%
N
732
347
385
214
237
100
150
31
363
265
91
13
157
213
174
60
129
210
513
9
124
177
95
336
%
100.0%
100.0%
100.0%
100.0%
100.0%
100.0%
100.0%
100.0%
100.0%
100.0%
100.0%
100.0%
100.0%
100.0%
100.0%
100.0%
100.0%
100.0%
100.0%
100.0%
100.0%
100.0%
100.0%
100.0%
Q53.Apneumoniashotorpneumococcalvaccineisusuallygivenonlyonceortwiceinapersonslifetimeandisdifferentfrom
theflushot.Haveyoueverhadapneumoniashot?
129
25. Healthcare Access

PersonalHealthcareProvider
Respondentswereaskediftheyhadatleastonepersonwhotheythoughtofasapersonaldoctoror
healthcare provider (Table 25.1). The majority of respondents (83.5%) said they had one healthcare
providerand12.5%saidtheyhadmorethanone.Olderadultsaged55to64(19.3%)andthose65years
andover(15.8%)weremorelikelytohavemorethanonehealthcareprovidercomparedtotheyounger
agegroups.Onepersonandtwoparenthouseholdswerelesslikelytohavemorethanonehealthcare
provider (9.6% and 11.0%, respectively) compared to adult couples and single parents (17.7% and
15.2%, respectively). Men (5.2%) were more likely than women (2.8%) not to have a healthcare
provider.Singleparenthouseholds(9.1%),thoseaged18to34years(6.4%),andthosewithahousehold
incomelessthan$60,000(6.7%)werealsomorelikelynottohaveaprovideratall.
Table25.1Accesstoahealthcareprovider
Haveapersonaldoctororhealthcareprovider
Total
Gender
Age
Race
Household
Education
Income
Men
Women
1834
3554
5564
65+
NotStated
Black
White
Asian&Other
NotStated
Oneperson
AdultCouple
Twoparents
Singleparent
NotStated
Secondary&Lower
Technical&Higher
NotStated
$59,999orless
$60,000to$107,999
$108,000&over
NotStated
Yes,onlyone
Yes,morethanone
N
%
N
%
660
83.5%
99
12.5%
301
82.0%
47
12.8%
359
84.9%
52
12.3%
196
84.1%
22
9.4%
218
86.5%
23
9.1%
85
78.0%
21
19.3%
136
82.4%
26
15.8%
25
78.1%
7
21.9%
328
82.2%
53
13.3%
241
84.6%
35
12.3%
79
84.0%
12
12.8%
12
92.3%
0
0.0%
144
86.7%
16
9.6%
182
78.8%
41
17.7%
161
84.3%
21
11.0%
50
75.8%
10
15.2%
123
90.4%
11
8.1%
179
79.2%
36
15.9%
472
85.4%
62
11.2%
9
81.8%
1
9.1%
104
77.6%
21
15.7%
165
88.7%
18
9.7%
87
79.8%
16
14.7%
305
84.0%
45
12.4%
No
N
31
19
12
15
11
3
3
0
18
9
3
1
6
8
9
6
2
11
19
1
9
3
6
13
Q77.Doyouhaveatleastonepersonyouthinkofasyourpersonaldoctororhealthcareprovider?
130
Total
%
3.9%
5.2%
2.8%
6.4%
4.4%
2.8%
1.8%
0.0%
4.5%
3.2%
3.2%
7.7%
3.6%
3.5%
4.7%
9.1%
1.5%
4.9%
3.4%
9.1%
6.7%
1.6%
5.5%
3.6%
N
790
367
423
233
252
109
165
32
399
285
94
13
166
231
191
66
136
226
553
11
134
186
109
363
%
100.0%
100.0%
100.0%
100.0%
100.0%
100.0%
100.0%
100.0%
100.0%
100.0%
100.0%
100.0%
100.0%
100.0%
100.0%
100.0%
100.0%
100.0%
100.0%
100.0%
100.0%
100.0%
100.0%
100.0%
PersonalHealthcareProviderComparison2006to2011
Compared to 2006, there was relatively no change overall for those reporting to have at least one
persontheythoughtofasapersonaldoctororhealthcareprovider(98%in2006,96%in2011)(Figure
25.1).Blackshada3%decline,from99%to96%andthosewithasecondaryorlowereducationhada
4%decline,from99%to95%.
98% 96%
Total
97% 95%
99% 97%
Men
Women
Gender
99%
96%
98% 97%
Black
White
99%
95%
97% 97%

Lower
Higher
Race
Figure25.1ComparisonHaveapersonaldoctororhealthcareprovider
Education
131
GeneralPhysicalExam
Respondentswereaskedhowlongithadbeensincetheylastvisitedadoctorforaroutinecheckupor
physicalexam(Table25.2).Overall,68.5%reportedhavingacheckupinthepastyear,20.0%hadone
more than a year ago but within the past two years, and 7.1% had one more than two years ago.
Women were more likely to have had a checkup in the past year (74.8%) than men (61.5%). Older
adults were the most likely to have had a checkup in the past year (84.8%) compared to other age
groups, especially 18 to 34 year olds (55.2%). Blacks (71.6%) were more likely than Whites (66.2%) or
Asian and other races (63.5%) to have had a checkup in the past year. Those in single parent
households(70.1%)andwithamoderateincome(between$60,000and$107,999perannum)(70.6%)
weremorelikelytohavehadacheckupwithinthepastyear.Men(26.3%),thoseaged18to34years
(28.5%),Whites(23.1%),andthosewithahouseholdincomelessthan$60,000(23.0%)weremorelikely
to have had a check up more than a year ago but within the past two years. Those aged 35 to 54
(10.2%),inonepersonhouseholds(9.6%),andwithanincomeof$108,000andover(13.8%)weremore
likelytohavehadacheckupmorethantwoyearsago.
Table25.2Accesstoageneralphysicalexam
Lasttimedoctorwasvisitedforaroutinecheckup
Total
Gender
Age
Race
Household
Education
Income
Men
Women
1834
3554
5564
65+
NotStated
Black
White
Asian&Other
NotStated
Oneperson
AdultCouple
Twoparents
Singleparent
NotStated
Secondary&Lower
Technical&Higher
NotStated
$59,999orless
$60,000to$107,999
$108,000&over
NotStated
Withinthepastyear
N
%
549
68.5%
232
61.5%
317
74.8%
132
55.2%
169
66.3%
85
78.0%
140
84.8%
23
71.9%
287
71.6%
192
66.2%
61
63.5%
10
76.9%
114
68.3%
172
74.1%
132
67.3%
47
70.1%
85
61.2%
155
67.4%
387
69.2%
8
80.0%
88
65.2%
132
70.6%
72
66.1%
258
69.9%
Morethan1yearago
butwithinthepast2
years
Morethan2yearsago
N
%
N
%
160 20.0%
57
7.1%
99 26.3%
30
8.0%
61 14.4%
27
6.4%
68 28.5%
17
7.1%
51 20.0%
26
10.2%
17 15.6%
5
4.6%
17 10.3%
6
3.6%
6 18.8%
3
9.4%
76 19.0%
29
7.2%
67 23.1%
18
6.2%
16 16.7%
8
8.3%
1
7.7%
1
7.7%
35 21.0%
16
9.6%
39 16.8%
15
6.5%
38 19.4%
10
5.1%
12 17.9%
3
4.5%
35 25.2%
12
8.6%
45 19.6%
19
8.3%
113 20.2%
36
6.4%
1 10.0%
1
10.0%
31 23.0%
12
8.9%
41 21.9%
10
5.3%
17 15.6%
15
13.8%
70 19.0%
20
5.4%
Q78.Abouthowlonghasitbeensinceyoulastvisitedadoctorforaroutinecheckup?Aroutinecheckupisageneralphysical
exam,notanexamforaspecificinjury,illness,orcondition.
132
GeneralPhysicalExamFrequencyComparison2006to2011
Therewasadeclineinthenumberofpeoplewhodhadaroutinecheckupinthepreviousyear(69%)
comparedto2006(81%)(Figure25.2).Thedeclineswereconsistentacrossgender,raceandeducation
level, ranging from 9% to 16%. The most significant decline was in adults with an education level of
secondaryorlower(16%decline).
86%
81%
81%
75%
75%
69%
83%
81%
79%
72%
69%
67%
66%
62%
Men
Total
Women
Gender
Black
White
Secondary &
Lower
Race
Figure25.2ComparisonVisittodoctorforcheckupwithinthepastyear
Technical &
Higher
Education
133
DoctorsAppointmentWaitTimes
Respondentswereaskedhowquicklytheywereabletoobtainanappointmentwithadoctorornurse
the last time they were sick or needed medical attention (Table 25.3). More than half of respondents
(53.1%) were able to obtain an appointment on the same day or next day. Less than 1% had to wait
longerthanaweek,orwereunabletoobtainanappointmentatall.Womenweremorelikelytogetan
appointmentonthesamedayornextday(62.8%)thanmen(41.0%).Seniors(thoseaged65andover)
(69.7%) and single parent households (65.0%) were also more likely to obtain an appointment on the
same day or next day. Whites (45.7%) were less likely than Blacks (55.9%) or Asians and other races
(60.0%)toobtainanappointmentthesamedayornextday.Onepersonhouseholds(40.7%)wereless
likelytoobtainanappointmentonthesameornextdaycomparedtootherhouseholdtypes.
Table25.3Speedinobtainingadoctorsappointment
Howquicklyanappointmenttoseeadoctorornursecouldbeobtainedthelasttimemedicalattentionwasneeded
Total
Gender
Men
Women
Age
1834
3554
5564
65+
NotStated
Race
Black
White
Asian&Other
NotStated
Household Oneperson
AdultCouple
Twoparents
Singleparent
NotStated
Technical&Higher
NotStated
Income
$59,999orless
$60,000to$107,999
$108,000&over
NotStated
Onthesameor
Neverabletoget Nevervisiteda
thenextday
Within27days Morethan1week anappointment doctorornurse
N
%
N
%
N
%
N
%
N
%
367 53.1%
248 35.9%
5
0.7%
2
0.3%
69 10.0%
126 41.0%
130 42.3%
3
1.0%
0
0.0%
48 15.6%
241 62.8%
118 30.7%
2
0.5%
2
0.5%
21
5.5%
102 51.3%
64 32.2%
2
1.0%
1
0.5%
30 15.1%
105 46.5%
85 37.6%
2
0.9%
1
0.4%
33 14.6%
50 51.5%
45 46.4%
0
0.0%
0
0.0%
2
2.1%
101 69.7%
42 29.0%
1
0.7%
0
0.0%
1
0.7%
9 37.5%
13 54.2%
0
0.0%
0
0.0%
2
8.3%
195 55.9%
125 35.8%
2
0.6%
2
0.6%
25
7.2%
112 45.7%
96 39.2%
1
0.4%
0
0.0%
36 14.7%
51 60.0%
26 30.6%
1
1.2%
0
0.0%
7
8.2%
9 81.8%
1
9.1%
1
9.1%
0
0.0%
0
0.0%
57 40.7%
63 45.0%
1
0.7%
0
0.0%
19 13.6%
107 53.5%
74 37.0%
1
0.5%
0
0.0%
18
9.0%
102 57.0%
58 32.4%
2
1.1%
1
0.6%
16
8.9%
39 65.0%
19 31.7%
0
0.0%
0
0.0%
2
3.3%
61 55.5%
34 30.9%
1
0.9%
1
0.9%
13 11.8%
108 57.4%
67 35.6%
1
0.5%
0
0.0%
12
6.4%
251 50.8%
180 36.4%
4
0.8%
2
0.4%
57 11.5%
7 87.5%
1 12.5%
0
0.0%
0
0.0%
0
0.0%
60 52.2%
39 33.9%
1
0.9%
0
0.0%
15 13.0%
97 58.8%
54 32.7%
1
0.6%
0
0.0%
13
7.9%
57 55.9%
33 32.4%
2
2.0%
1
1.0%
9
8.8%
152 49.4%
122 39.6%
1
0.3%
1
0.3%
32 10.4%
Total
N
691
307
384
199
226
97
145
24
349
245
85
11
140
200
179
60
110
188
494
8
115
165
102
308
%
100.0%
100.0%
100.0%
100.0%
100.0%
100.0%
100.0%
100.0%
100.0%
100.0%
100.0%
100.0%
100.0%
100.0%
100.0%
100.0%
100.0%
100.0%
100.0%
100.0%
100.0%
100.0%
100.0%
100.0%
Q80.Lasttimeyouweresickorneededmedicalattention,howquicklycouldyougetanappointmenttoseeadoctororanurse?
Pleasedonotincludeavisittothehospital/emergencyroom.
QuestionSource:2010CommonwealthFundInternationalHealthPolicySurvey
134
DoctorsAppointmentWaitTimesComparison2005to2011
Theeaseatobtainingadoctorsappointmentonthesamedayornextdaydeclinedby15%,from68%in
2005 to 53% in 2011 (Figure 25.3). Whites (29% decline) and men (22% decline) had the greatest
declines.
75%
72%
68%
63%
63%
66%
56%
53%
46%
41%
Men
Total
Women
Gender
Black
White
Race
Figure25.3ComparisonRespondentswhoobtainedadoctorsappointmentonthesamedayornext
day
135
VisitstotheDoctor
Respondents were asked how many times in the past 12 months they had consulted a general
practitioner (Table 25.4). Results were split relatively evenly among the responses, with 29.5%
respondingnone,20.5%respondingonetime,23.6%respondingtwotimesand26.4%respondingthree
times or more. Men were more likely to have not visited a general practitioner at all in the past year
(39.3% for men versus 21.2% for women). Age was associated with the number of doctor visits, with
those aged 55 to 64 (37.6%) and 65 years and over (40.9%) much more likely to have seen a general
practitionerthreetimesormore.Asiansandotherracesweremorelikelytohaveseenadoctorthree
timesormore(34.7%)thanBlacks(27.2%)orWhites(22.8%).Whiteswerethemostlikelytohavenot
seenageneralpractitioneratallinthepastyear(34.2%).
Table25.4Visitstothedoctor
Numberoftimesageneralpractitionerwasconsultedinthepastyear
None
One
Two
Threeormore
N
%
N
%
N
%
N
%
Total
194 29.5%
135 20.5%
155 23.6%
174 26.4%
Gender
Men
118 39.3%
40 13.3%
74 24.7%
68 22.7%
Women
76 21.2%
95 26.5%
81 22.6%
106 29.6%
Age
1834
85 42.5%
36 18.0%
38 19.0%
41 20.5%
3554
75 33.8%
52 23.4%
50 22.5%
45 20.3%
5564
11 12.9%
22 25.9%
20 23.5%
32 37.6%
65+
12
9.1%
21 15.9%
45 34.1%
54 40.9%
NotStated
10 62.5%
4 25.0%
1
6.3%
1
6.3%
Race
Black
91 27.2%
73 21.8%
80 23.9%
91 27.2%
White
81 34.2%
44 18.6%
58 24.5%
54 22.8%
Asian&Other
20 26.7%
15 20.0%
14 18.7%
26 34.7%
NotStated
2 18.2%
3 27.3%
3 27.3%
3 27.3%
Household Oneperson
47 32.9%
23 16.1%
32 22.4%
41 28.7%
AdultCouple
43 23.9%
30 16.7%
52 28.9%
55 30.6%
Twoparents
52 31.1%
43 25.7%
34 20.4%
38 22.8%
Singleparent
16 28.6%
18 32.1%
10 17.9%
12 21.4%
NotStated
36 32.4%
21 18.9%
27 24.3%
27 24.3%
48 26.5%
35 19.3%
39 21.5%
59 32.6%
Technical&Higher
145 30.9%
98 20.9%
115 24.5%
112 23.8%
NotStated
1 16.7%
2 33.3%
1 16.7%
2 33.3%
Income
$59,999orless
40 34.5%
21 18.1%
21 18.1%
34 29.3%
$60,000to$107,999
46 28.2%
31 19.0%
45 27.6%
41 25.2%
$108,000&over
27 28.4%
26 27.4%
22 23.2%
20 21.1%
NotStated
81 28.7%
57 20.2%
66 23.4%
78 27.7%
Q79.Duringthepast12months,abouthowmanytimeshaveyouconsultedageneralpractitioner?
QuestionSource:IncomeRelatedInequalityintheUseofMedicalCarein21OECDCountries
136
Total
N
%
658 100.0%
300 100.0%
358 100.0%
200 100.0%
222 100.0%
85 100.0%
132 100.0%
16 100.0%
335 100.0%
237 100.0%
75 100.0%
11 100.0%
143 100.0%
180 100.0%
167 100.0%
56 100.0%
111 100.0%
181 100.0%
470 100.0%
6 100.0%
116 100.0%
163 100.0%
95 100.0%
282 100.0%
26. Dental Care

VisitstotheDentist
Respondents were asked how many times they had consulted a dentist in the past year (Table 26.1).
Overall,therewasahighrateofaccesstodentalcarewithalmost70%visitingadentistinthepastyear.
Almostonethird(30.7%)hadnotseenadentistatallinthepastyear,while28.2%hadseenadentist
once,28.6%twice,and12.5%threetimesormore.Men(35.4%)weremorelikelythanwomen(26.5%)
tohaveneverseenadentist.Thosewithahouseholdincomeof$108,000andoverwerethemostlikely
to see a dentist twice a year (38.2%) and three or more times (19.6%) compared to other income
groups.Singleparenthouseholdsweremorelikelytoseeadentistonlyonceperyear(37.7%)andleast
likely to see one twice per year (24.6%) compared to other household types. Two parent households
were the least likely to have never seen a dentist in the past year (17.0%). Those aged 65 and over
(21.9%)weretheleastlikelyagegrouptohaveonlyseenadentistonceinthepastyear.
Table26.1Visitstodentist
Total
Gender
Numberoftimesadentistwasconsultedinthepastyear
Never
One
Two
Threeormore
N
%
N
%
N
%
N
%
225 30.7%
207 28.2%
210 28.6%
92 12.5%
122 35.4%
77 22.3%
99 28.7%
47 13.6%
103 26.5%
130 33.4%
111 28.5%
45 11.6%
64 29.8%
73 34.0%
51 23.7%
27 12.6%
81 33.5%
62 25.6%
68 28.1%
31 12.8%
23 22.5%
35 34.3%
31 30.4%
13 12.7%
47 32.2%
32 21.9%
49 33.6%
18 12.3%
9 31.0%
6 20.7%
11 37.9%
3 10.3%
114 31.1%
111 30.2%
96 26.2%
46 12.5%
79 29.0%
72 26.5%
89 32.7%
32 11.8%
30 35.7%
23 27.4%
18 21.4%
13 15.5%
2 18.2%
2 18.2%
6 54.5%
1
9.1%
57 36.3%
32 20.4%
46 29.3%
22 14.0%
70 32.3%
59 27.2%
62 28.6%
26 12.0%
31 17.0%
59 32.4%
63 34.6%
29 15.9%
17 27.9%
23 37.7%
15 24.6%
6
9.8%
50 42.4%
34 28.8%
25 21.2%
9
7.6%
72 36.0%
58 29.0%
47 23.5%
23 11.5%
152 28.8%
145 27.5%
162 30.7%
68 12.9%
2 28.6%
4 57.1%
1 14.3%
0
0.0%
44 36.4%
34 28.1%
27 22.3%
16 13.2%
51 29.0%
51 29.0%
51 29.0%
23 13.1%
21 20.6%
22 21.6%
39 38.2%
20 19.6%
109 32.5%
100 29.9%
93 27.8%
33
9.9%
Men
Women
Age
1834
3554
5564
65+
NotStated
Race
Black
White
Asian&Other
NotStated
Household Oneperson
AdultCouple
Twoparents
Singleparent
NotStated
Technical&Higher
NotStated
Income
$59,999orless
$60,000to$107,999
$108,000&over
NotStated
Q86.Duringthepast12months,abouthowmanytimeshaveyouconsultedadentist?
Total
N
734
345
389
215
242
102
146
29
367
272
84
11
157
217
182
61
118
200
527
7
121
176
102
335
%
100.0%
100.0%
100.0%
100.0%
100.0%
100.0%
100.0%
100.0%
100.0%
100.0%
100.0%
100.0%
100.0%
100.0%
100.0%
100.0%
100.0%
100.0%
100.0%
100.0%
100.0%
100.0%
100.0%
100.0%
137
DentistAppointmentWaitTimes
Respondentswereaskedhowquicklytheywereabletoobtainanappointmentthelasttimetheyvisited
thedentist(Table26.2).Overall,29.1%wereabletoobtainanappointmentthesamedayornextday,
31.3%withintwotosevendays,24.9%tookmorethanoneweek,and1.5%wereneverabletogetan
appointment. Women reported getting an appointment the same day or next day (34.3%) more than
men (22.8%). Those aged 65 and over (39.3%) and those with a household income less than $60,000
(35.1%)werealsomorelikelytoobtainanappointmentonthesameornextday.Whites(21.0%)were
leastlikelytoobtainanappointmentonthesameornextdaycomparedtoBlacks(33.6%)andAsians
and other races (34.8%). Respondents with a moderate household income between $60,000 and
$107,999(34.1%)werethemostlikelytowaitmorethanaweekforanappointment.
Table26.2Speedinobtainingadentistappointment
Howquicklyanappointmenttoseeadentistcouldbeobtained
Total
Gender
Men
Women
Age
1834
3554
5564
65+
NotStated
Race
Black
White
Asian&Other
NotStated
Household Oneperson
AdultCouple
Twoparents
Singleparent
NotStated
Technical&Higher
NotStated
Income
$59,999orless
$60,000to$107,999
$108,000&over
NotStated
Onthesameor
Neverabletoget Nevervisiteda
thenextday
Within27days Morethan1week anappointment
dentist
N
%
N
%
N
%
N
%
N
%
159 29.1%
171 31.3%
136 24.9%
8
1.5%
72 13.2%
56 22.8%
73 29.7%
66 26.8%
3
1.2%
48 19.5%
103 34.3%
98 32.7%
70 23.3%
5
1.7%
24
8.0%
43 27.0%
48 30.2%
42 26.4%
2
1.3%
24 15.1%
53 27.6%
57 29.7%
51 26.6%
2
1.0%
29 15.1%
23 28.4%
34 42.0%
17 21.0%
0
0.0%
7
8.6%
35 39.3%
23 25.8%
19 21.3%
1
1.1%
11 12.4%
5 21.7%
8 34.8%
7 30.4%
1
4.3%
2
8.7%
89 33.6%
78 29.4%
69 26.0%
4
1.5%
25
9.4%
43 21.0%
66 32.2%
52 25.4%
1
0.5%
43 21.0%
23 34.8%
25 37.9%
13 19.7%
1
1.5%
4
6.1%
4 44.4%
2 22.2%
2 22.2%
1 11.1%
0
0.0%
25 22.7%
38 34.5%
27 24.5%
2
1.8%
18 16.4%
38 23.9%
50 31.4%
44 27.7%
2
1.3%
25 15.7%
59 39.6%
43 28.9%
36 24.2%
2
1.3%
9
6.0%
17 37.8%
14 31.1%
11 24.4%
1
2.2%
2
4.4%
20 24.7%
25 30.9%
18 22.2%
1
1.2%
17 21.0%
50 33.1%
43 28.5%
32 21.2%
1
0.7%
25 16.6%
107 27.6%
126 32.5%
102 26.3%
7
1.8%
46 11.9%
2 28.6%
2 28.6%
2 28.6%
0
0.0%
1 14.3%
33 35.1%
22 23.4%
20 21.3%
2
2.1%
17 18.1%
35 25.4%
43 31.2%
47 34.1%
2
1.4%
11
8.0%
26 29.5%
30 34.1%
23 26.1%
2
2.3%
7
8.0%
65 28.9%
76 33.8%
46 20.4%
1
0.4%
37 16.4%
Q89.Thelasttimeyouvisitedadentist,howquicklywereyouabletogetanappointment?
138
Total
N
546
246
300
159
192
81
89
23
265
205
66
9
110
159
149
45
81
151
388
7
94
138
88
225
%
100.0%
100.0%
100.0%
100.0%
100.0%
100.0%
100.0%
100.0%
100.0%
100.0%
100.0%
100.0%
100.0%
100.0%
100.0%
100.0%
100.0%
100.0%
100.0%
100.0%
100.0%
100.0%
100.0%
100.0%
DentistAppointmentWaitTimesComparison2005to2011
Significantimprovementshavebeenmadesince2005inthespeedofobtaininganappointmentwitha
dentist(Figure26.2).Overall,in2011,only25%ofrespondentswaitedmorethanaweekcomparedto
41% in 2005. The same positive change was reflected across gender and age categories, ranging from
13%to18%declines,withwomenhavingthelargestdeclineof18%.
41%
41%
40%
25%
27%
Men
Total
23%
Women
Gender
42%
40%
26%
25%
Black
White
Race
Figure26.2ComparisonMorethanoneweektoobtainadentistappointment
139
LackofDentalTreatment
Respondents were asked whether there was an occasion in the past year when they needed a dental
examinationortreatmentbutdidnotreceiveit(Table26.3).Overall,only6.5%felttheydidnotreceive
thedentaltreatmenttheyrequired.Age,educationandincomewereallfactorsinnotreceivingdental
treatment. Adults aged 18 to 34 (9.9%), those with secondary or lower education (10.4%), and those
with an income of less than $60,000 (11.1%) were more likely to report that they did not receive the
dentaltreatmenttheyrequired.Adultcouplehouseholds(3.6%)werethemostlikelytohavereceived
thetreatmenttheyrequiredcomparedtootherhouseholdtypes.
Table26.3Dentaltreatmentneededbutnotreceived
Anoccasioninthelastyearthatdentalexaminationortreatmentwasneededbutnotreceived
Yes,atleastone
No
Total
N
%
N
%
N
Total
752
49
6.5%
703 93.5%
Gender
Men
350
27
7.7%
323 92.3%
Women
402
22
5.5%
380 94.5%
Age
1834
223
22
9.9%
201 90.1%
3554
245
14
5.7%
231 94.3%
5564
97
5
5.2%
92 94.8%
65+
157
5
3.2%
152 96.8%
NotStated
31
3
9.7%
28 90.3%
Race
Black
378
29
7.7%
349 92.3%
White
275
14
5.1%
261 94.9%
Asian&Other
88
7
8.0%
81 92.0%
NotStated
12
0
0.0%
12 100.0%
Household
Oneperson
160
11
6.9%
149 93.1%
AdultCouple
220
8
3.6%
212 96.4%
Twoparents
182
17
9.3%
165 90.7%
Singleparent
63
6
9.5%
57 90.5%
NotStated
127
7
5.5%
120 94.5%
Education
Secondary&Lower
211
22 10.4%
189 89.6%
Technical&Higher
534
28
5.2%
506 94.8%
NotStated
8
0
0.0%
8 100.0%
Income
$59,999orless
126
14 11.1%
112 88.9%
182
$60,000to$107,999
11
6.0%
171 94.0%
$108,000&over
105
9
8.6%
96 91.4%
NotStated
341
16
4.7%
325 95.3%
%
100.0%
100.0%
100.0%
100.0%
100.0%
100.0%
100.0%
100.0%
100.0%
100.0%
100.0%
100.0%
100.0%
100.0%
100.0%
100.0%
100.0%
100.0%
100.0%
100.0%
100.0%
100.0%
100.0%
100.0%
Q87.Wasthereanytimeinthelast12monthswhen,inyouropinion,youpersonallyneededadentalexaminationortreatment
butyoudidnotreceiveit?
QuestionSource:HouseholdandIndividualQuestionnairesGeneralLifestyleSurvey2009
140
ReasonsforNotReceivingDentalTreatment
Respondents who said they had not received the dental examination or treatment they needed were
askedwhytheydidnot(Table26.4).Half(49.3%)saidtheycouldnotaffordtreatment,15.5%saidthere
wasawaitinglist,and6.9%saidtheycouldnottakethetimebecauseofwork,orbecausetheyhadto
careforchildrenorothers.
Table26.4Reasonsfornotreceivingmedicaltreatment
Reasonsfornotreceivingthedentalexaminationortreatmentneeded
N
%
Total
50
100.0%
Couldnotaffordto(tooexpensive,notcoveredbyhealthinsurance)
25
49.3%
Waitinglist
8
15.5%
Couldnottaketimebecauseofwork,careforchildrenorforothers
3
6.9%
Toofartotravel/nomeansoftransportation
4
7.8%
Fearofdentist/hospitals/examination/treatment
2
4.3%
2
5.0%
Wantedtowaitandseeifproblemgotbetteronitsown
Didn'tknowanygooddentists
2
4.3%
Otherreasons
3
6.9%
Q88.Whatwasthemainreasonfornotreceivingthedentalexaminationortreatment(themostrecenttime)?
141
27. Health Insurance

Respondentswereaskedwhethertheywerecoveredbyaprivateorgovernmenthealthinsuranceplan
(Table27.1).Overall,94.0%ofrespondentshadprivateorgovernmenthealthinsurance.Adultsaged65
andoverweremorelikelytohavehealthinsurance(98.2%)comparedtootheragegroups.Thosewitha
household income of less than $60,000 (90.4%) were less likely to have insurance. Whether or not
someonehadhealthinsurancewaslessaffectedbygender,race,householdtypeoreducationlevel.
Table27.1Adultswithhealthinsurance
Total
Gender
Age
Race
Household
Education
Income
Coveredbyprivateorgovernmenthealthinsuranceplan
Yes
No
N
%
N
%
753
94.0%
48
6.0%
Men
347
92.0%
30
8.0%
Women
406
95.8%
18
4.2%
1834
220
92.1%
19
7.9%
3554
237
92.6%
19
7.4%
5564
102
93.6%
7
6.4%
65+
162
98.2%
3
1.8%
NotStated
32
97.0%
1
3.0%
Black
375
93.5%
26
6.5%
White
275
94.8%
15
5.2%
Asian&Other
89
92.7%
7
7.3%
NotStated
13
100.0%
0
0.0%
Oneperson
152
91.0%
15
9.0%
AdultCouple
221
95.3%
11
4.7%
Twoparents
187
95.9%
8
4.1%
Singleparent
63
94.0%
4
6.0%
NotStated
130
92.2%
11
7.8%
Secondary&Lower
216
93.9%
14
6.1%
Technical&Higher
525
93.9%
34
6.1%
NotStated
12
100.0%
0
0.0%
$59,999orless
122
90.4%
13
9.6%
$60,000to$107,999
183
97.9%
4
2.1%
$108,000&over
109
99.1%
1
0.9%
NotStated
339
91.9%
30
8.1%
Total
N
801
377
424
239
256
109
165
33
401
290
96
13
167
232
195
67
141
230
559
12
135
187
110
369
%
100.0%
100.0%
100.0%
100.0%
100.0%
100.0%
100.0%
100.0%
100.0%
100.0%
100.0%
100.0%
100.0%
100.0%
100.0%
100.0%
100.0%
100.0%
100.0%
100.0%
100.0%
100.0%
100.0%
100.0%
Q5.Areyoucoveredbyaprivateorgovernmenthealthinsuranceplan?(IncludesHIP,FutureCareandschemes)
QuestionSource:N/A
142
HealthInsurer
Respondents were asked to name their health insurance provider (Table 27.2). BF&M (29.8%) was
reported by more respondents, followed by Argus (23.9%), and GEHI (Government Employees Health
Insurers) (16.6%). For other responses, the most frequent response was that the respondent was
coveredunderhis/herparentshealthplan.
Table27.2Healthinsuranceprovider
HealthInsuranceProvider
N
Total
%
100.0%
BF&M
753
224
Argus
180
23.9%
GEHI(GovernmentEmployeesHealthInsurers)
126
16.7%
Colonial
93
12.4%
FutureCare
34
4.5%
HIP(HealthInsurancePlan)
32
4.2%
FreisenbruchMeyer
21
2.8%
HSBC
16
2.1%
BNTB
.7%
Other
Don'tknow/Declinedtoanswer
1.0%
2.0%
Q6.Whoisyourhealthinsurer?
QuestionSource:N/A
15
29.7%
143
ReasonsforNotHavingHealthInsurance
Forthoserespondentswhosaidtheydidnotcurrentlyhavehealthinsurance,theywereaskedwhythey
didnothavehealthinsurance(Table27.3).75.0%statedunemploymentastheirreasonfornothaving
insuranceand8.3%saidtheycouldnotaffordinsurance.
Table27.3Reasonsfornothavinghealthinsurance
Reasonsfornothavinghealthinsurance
N
Total
Unemployed
Can'taffordit
Student
Notemployedfulltime
Overseashealthinsurance
Teacherdoesnothaveinsurancewhenschoolisnotinsession
Hasparttimeinsurance
Nevertookthetime
Notsureiftheyhaveinsurance
Q7.Whatisthemainreasonyoudonotcurrentlyhavehealthinsurance?
QuestionSource:N/A
144
48
36
4
2
1
1
1
1
1
1
%
100.0%
75.0%
8.3%
4.2%
2.1%
2.1%
2.1%
2.1%
2.1%
2.1%
28. Healthcare Treatment

Specialists
Respondentswereaskedhowmanytimestheyhadconsultedaspecialistinthepastyear(Table28.1).
Overall,7in10(70.7%)hadnotconsultedaspecialistatall,12.3%hadconsultedaspecialistonce,8.7%
two times and 8.3% three times or more. Women were more likely to consult a specialist than men
acrossallvisits.Adultsaged65andover(14.2%)weremorelikelythanotheragegroupstohavevisited
a specialist three or more times. One person households were the most likely to have not visited a
specialistatallinthepastyear(79.0%).Twoparent(18.6%)andsingleparent(20.0%)householdswere
morelikelytohaveseenaspecialistonceinthepastyear.Raceandeducationlevelwerenotfactorsin
consultingaspecialist.
Table28.1Specialistsconsultedinthepastyear
Numberoftimesamedicalspecialistwasconsultedinthepastyear
None
One
Two
Threeormore
N
%
N
%
N
%
N
%
Total
563 70.7%
98 12.3%
69
8.7%
66
8.3%
Gender
Men
288 76.4%
9.0%
6.9%
7.7%
34
26
29
Women
275 65.6%
8.8%
64 15.3%
43 10.3%
37
Age
1834
189 79.4%
7.6%
7.1%
5.9%
18
17
14
3554
183 72.0%
5.5%
5.5%
43 16.9%
14
14
5564
68 62.4%
14 12.8%
14 12.8%
13 11.9%
65+
95 58.6%
21 13.0%
23 14.2%
23 14.2%
NotStated
28 87.5%
3.1%
6.3%
3.1%
1
2
1
Race
Black
277 69.4%
8.5%
8.5%
54 13.5%
34
34
White
208 72.2%
9.4%
7.3%
32 11.1%
27
21
Asian&Other
68 71.6%
6.3%
11 11.6%
6
10 10.5%
NotStated
10 71.4%
7.1%
.0%
1
3 21.4%
0
Household Oneperson
132 79.0%
9.6%
6.0%
5.4%
16
10
9
AdultCouple
157 68.3%
24 10.4%
25 10.9%
24 10.4%
Twoparents
129 66.5%
8.2%
6.7%
36 18.6%
16
13
Singleparent
42 64.6%
6.2%
9.2%
13 20.0%
4
6
NotStated
103 74.6%
6.5%
9.4%
9.4%
9
13
13
168 73.7%
7.0%
8.3%
25 11.0%
16
19
Technical&Higher
386 69.3%
9.3%
8.3%
73 13.1%
52
46
NotStated
9 81.8%
.0%
9.1%
9.1%
0
1
1
Income
$59,999orless
92 68.7%
7.5%
8.2%
21 15.7%
10
11
$60,000to$107,999
128 68.4%
7.0%
25 13.4%
21 11.2%
13
$108,000&over
65 59.6%
9.2%
21 19.3%
13 11.9%
10
NotStated
277 76.1%
8.5%
6.9%
8.5%
31
25
31
Q81.Duringthepast12months,abouthowmanytimeshaveyouconsultedamedicalspecialist?
Total
N
796
377
419
238
254
109
162
32
399
288
95
14
167
230
194
65
138
228
557
11
134
187
109
364
%
100.0%
100.0%
100.0%
100.0%
100.0%
100.0%
100.0%
100.0%
100.0%
100.0%
100.0%
100.0%
100.0%
100.0%
100.0%
100.0%
100.0%
100.0%
100.0%
100.0%
100.0%
100.0%
100.0%
100.0%
145
OverseasMedicalTreatment
Respondentswereaskedwhethertheyhadtravelledoverseasformedicaltreatmentorservicesinthe
pastyear(Table28.2).Only9.9%ofrespondentshadtravelledoverseas.Thoseaged55to64(15.0%)
and65yearsandover(15.2%)were morelikelytohavetravelledoverseasfortreatment,inlinewith
higherreportsofpoorhealthforolderadults(Table1.1).Whites(14.1%)andadultcouples(13.4%)were
more likely to have travelled overseas for treatment, and they were also more likely to report poor
health. However, in terms of household income and education, poor physical health did not correlate
with travelling overseas for treatment; those with a household income less than $60,000 were more
likelytoreportpoorphysicalhealththanthosewithhigherincome($108,000andover).Educationwas
notafactorintravellingoverseasformedicaltreatmentbutthosewithasecondaryorlowereducation
weremuchmorelikelytoreportpoorhealth.
Table28.2Overseasmedicaltreatment
Total
Gender
Age
Race
Household
Education
Income
Travelledoverseasformedicaltreatmentorservicesinthepastyear
Yes
No
Total
N
%
N
%
N
800
79
9.9%
721 90.1%
Men
377
39 10.3%
338 89.7%
Women
423
40
9.5%
383 90.5%
1834
239
11
4.6%
228 95.4%
3554
256
25
9.8%
231 90.2%
5564
107
16 15.0%
91 85.0%
65+
164
25 15.2%
139 84.8%
NotStated
32
2
6.3%
30 93.8%
Black
400
34
8.5%
366 91.5%
White
290
41 14.1%
249 85.9%
Asian&Other
96
4
4.2%
92 95.8%
NotStated
13
0
0.0%
13 100.0%
Oneperson
167
15
9.0%
152 91.0%
AdultCouple
232
31 13.4%
201 86.6%
Twoparents
195
18
9.2%
177 90.8%
Singleparent
66
3
4.5%
63 95.5%
NotStated
139
11
7.9%
128 92.1%
Secondary&Lower
230
24 10.4%
206 89.6%
Technical&Higher
559
55
9.8%
504 90.2%
NotStated
10
0
0.0%
10 100.0%
$59,999orless
135
10
7.4%
125 92.6%
187
$60,000to$107,999
16
8.6%
171 91.4%
$108,000&over
110
12 10.9%
98 89.1%
NotStated
368
41 11.1%
327 88.9%
Q82.Haveyoutravelledoverseasinthepast12monthsformedicaltreatmentorservices?
SourceQuestion:N/A
146
%
100.0%
100.0%
100.0%
100.0%
100.0%
100.0%
100.0%
100.0%
100.0%
100.0%
100.0%
100.0%
100.0%
100.0%
100.0%
100.0%
100.0%
100.0%
100.0%
100.0%
100.0%
100.0%
100.0%
100.0%
ReasonsforTravellingOverseas
For those respondents who had travelled overseas for treatment, they were asked why they had
travelled overseas (Table 28.3). Overall, 62.6% travelled overseas because the treatment or services
werenotofferedinBermudaand21.3%didnottrustthetreatmentorservicesofferedinBermuda.
Table28.3Reasonsfortravellingoverseasfortreatmentorservices
Reasonsfortravellingoverseasfortreatmentorservices
N
Total
79
Treatment/serviceswerenotofferedinBermuda
49
Didnottrusttreatment/servicesofferedinBermuda
17
Treatment/servicesinBermudaweretooexpensive
2
Other(pleasespecify)
11
Q83.Whydidyoutraveloverseasfortreatmentorservices?
QuestionSource:N/A
%
100.0%
62.6%
21.3%
2.1%
14.0%
OtherReasonsforTravellingOverseas
Respondents who answered Other reasons for travelling overseas for treatment or services were
askedtospecifytheirreason(Table28.4).18.2%hadcompanyhealthplansthatprovidedfullmedical
examinationsoverseas,andafurther18.2%wentforongoingchecksbyanoncologist.
Table28.4Otherreasonsfortravellingoverseasfortreatmentorservices
Otherreasonsfortravellingoverseasfortreatmentorservices
N
%
Total
11
100.0%
Companyhealthplanprovidesfullmedicaloverseas
2
18.2%
2
Ongoingchecksbyoncologist
18.2%
Secondopinion
1
9.1%
Neededmorespecialisedservices
1
9.1%
Visitsspecialistbackhome
1
9.1%
Donatedakidney
1
9.1%
Wasalreadyoverseas
1
9.1%
Breastrelatedproblems
1
9.1%
(Noreasongiven)
1
9.1%
Q83.Other:Pleasespecify.
QuestionSource:N/A
147
LackofMedicalTreatment
Respondentswereaskedwhethertherewasanoccasioninthepastyearwhentheyneededamedical
examinationortreatmentbutdidnotreceiveit(Table28.5).Only5.1%ofrespondentsfeltthattheydid
notreceivethetreatmenttheyrequired.Adults65yearsandover(2.5%),Whites(3.2%),andthosewith
ahouseholdincomeof$108,000andover(2.8%)werelesslikelytoreportthattheydidnotreceivethe
treatmenttheyrequired.Adultswithasecondaryorlowerlevelofeducation(8.5%)weremorelikelyto
report that they did not receive the treatment they required than those with a technical or higher
education(3.8%).
Table28.5Medicaltreatmentneededbutnotreceived
Anoccasioninthelastyearthatmedicalexaminationortreatmentwasneededbutnotreceived
Yes,atleastone
No
Total
N
%
N
%
N
Total
784
40 5.1%
744 94.9%
Gender
Men
368
23 6.3%
345 93.8%
Women
416
17 4.1%
399 95.9%
Age
1834
234
14 6.0%
220 94.0%
3554
250
15 6.0%
235 94.0%
5564
106
6 5.7%
100 94.3%
65+
162
4 2.5%
158 97.5%
NotStated
32
1 3.1%
31 96.9%
Race
Black
395
25 6.3%
370 93.7%
White
284
9 3.2%
275 96.8%
Asian&Other
93
6 6.5%
87 93.5%
NotStated
12
0 0.0%
12 100.0%
Household
Oneperson
165
6 3.6%
159 96.4%
AdultCouple
228
10 4.4%
218 95.6%
Twoparents
190
14 7.4%
176 92.6%
Singleparent
65
3 4.6%
62 95.4%
NotStated
136
7 5.1%
129 94.9%
Education
Secondary&Lower
223
19 8.5%
204 91.5%
Technical&Higher
552
21 3.8%
531 96.2%
NotStated
9
0 0.0%
9 100.0%
Income
$59,999orless
133
11 8.3%
122 91.7%
184
$60,000to$107,999
11 6.0%
173 94.0%
$108,000&over
108
3 2.8%
105 97.2%
NotStated
359
16 4.5%
343 95.5%
%
100.0%
100.0%
100.0%
100.0%
100.0%
100.0%
100.0%
100.0%
100.0%
100.0%
100.0%
100.0%
100.0%
100.0%
100.0%
100.0%
100.0%
100.0%
100.0%
100.0%
100.0%
100.0%
100.0%
100.0%
Q84. Was there any time in the last 12 months when, in your opinion, you personally needed a medical examination or
treatmentbutyoudidnotreceiveit?
148
ReasonsforNotReceivingMedicalTreatment
Respondentswhosaidtheyhadnotreceivedthemedicalexaminationortreatmenttheyneededwere
askedwhythishappened(Table28.6).Onequarterofrespondents(24.8%)wantedtowaittoseeifthe
problemwouldgetbetteronitsown,23.4%couldnotaffordthetreatment,and16.0%felttherewasa
lackofaprofessional,specialistorserviceavailable.
Table28.6Reasonsfornotreceivingmedicaltreatment
Reasonsfornotreceivingthemedicalexaminationortreatmentneeded
N
Total
40
Wantedtowaitandseeifproblemgotbetteronitsown
10
Couldnotaffordto(tooexpensive,notcoveredbyhealthinsurance)
9
Lackofprofessional/specialistorservice
6
Couldnottaketimebecauseofwork,careforchildrenorforothers
4
Fearofdoctor/hospitals/examination/treatment
2
1
Waitinglist
1
Otherreasons
6
Q85.Whatwasthemainreasonfornotreceivingtheexaminationortreatmentor(themostrecenttime)?
%
100.0%
24.8%
23.4%
16.0%
9.5%
6.2%
3.2%
2.1%
14.8%
149
ConfidenceinReceivingTreatmentRequired
Respondents were asked how confident they were that they would receive the most effective
treatment,includingdrugsanddiagnostictestsiftheybecameseriouslyill(Table28.7).Overall,60.3%of
respondentsfeltconfidentintheirabilitytoreceivethetreatmenttheymightrequire.Thoseaged18to
34 (49.6%) felt less confident than other age groups, single parent households were less confident
(43.9%)thanotherhouseholdtypes,andAsiansandotherraces(52.1%)werelessconfidentthanother
races.Therewerenosubstantivedifferencesbygender,educationorincomelevel.
Table28.7Confidenceinreceivingthemosteffectivetreatment,includingdrugsanddiagnostictests
Confidenceinreceivingthemosteffectivetreatment,includingdrugsanddiagnostictestsifseriouslyill
VeryConfidentor Notveryconfidentor
Confident
Notatallconfident
Notsure
Total
N
%
N
%
N
%
N
%
Total
482 60.3%
275
34.4%
42 5.3%
799 100.0%
Gender
Men
225 60.0%
133
35.5%
17 4.5%
375 100.0%
Women
257 60.6%
142
33.5%
25 5.9%
424 100.0%
Age
1834
118 49.6%
103
43.3%
17 7.1%
238 100.0%
3554
169 66.0%
80
31.3%
7 2.7%
256 100.0%
5564
67 61.5%
38
34.9%
4 3.7%
109 100.0%
65+
107 65.2%
48
29.3%
9 5.5%
164 100.0%
NotStated
21 63.6%
7
21.2%
5 15.2%
33 100.0%
Race
Black
250 62.5%
135
33.8%
15 3.8%
400 100.0%
White
174 60.0%
97
33.4%
19 6.6%
290 100.0%
Asian&Other
50 52.1%
38
39.6%
8 8.3%
96 100.0%
NotStated
7 58.3%
5
41.7%
0 0.0%
12 100.0%
Household
Oneperson
115 68.9%
43
25.7%
9 5.4%
167 100.0%
AdultCouple
139 59.7%
87
37.3%
7 3.0%
233 100.0%
Twoparents
119 61.7%
64
33.2%
10 5.2%
193 100.0%
Singleparent
29 43.9%
32
48.5%
5 7.6%
66 100.0%
NotStated
80 57.1%
50
35.7%
10 7.1%
140 100.0%
Education
Secondary&Lower
142 61.5%
75
32.5%
14 6.1%
231 100.0%
Technical&Higher
334 59.9%
199
35.7%
25 4.5%
558 100.0%
NotStated
6 54.5%
2
18.2%
3 27.3%
11 100.0%
Income
$59,999orless
80 60.2%
46
34.6%
7 5.3%
133 100.0%
$60,000to$107,999
113 60.4%
65
34.8%
9 4.8%
187 100.0%
$108,000&over
65 59.1%
41
37.3%
4 3.6%
110 100.0%
NotStated
222 60.5%
367
100.0%
123
33.5%
22 6.0%
Q102.Howconfidentareyouthatifyoubecomeseriouslyill,youwillreceivethemosteffectivetreatment,includingdrugsand
diagnostictests?
Note:Changeinquestionwordingfrom2005PublicPerceptionstudy.
150
ConfidenceinAffordingTreatmentRequired
Respondents were asked how confident they were that they would be able to afford the treatment
required if they were to become seriously ill (Table 28.8). Overall, the results were similar to the
responses of how confident they were that they could receive the treatment required, with 61.4% of
respondents confident that they could afford the treatment required. Not surprisingly, those with a
household income of $108,000 and over (72.7%) were the most likely to respond that they were
confidenttheycouldaffordthetreatmentrequired.Singleparenthouseholds(41.2%)andthosewitha
householdincomeoflessthan$60,000(46.6%)weremorelikelytosaytheywerenotconfident.Those
aged18to34(39.1%)andAsiansandotherraces(39.2%)wereslightlymorelikelysaytheywerenot
confidentintheirabilitytopayfortreatmenttheymightrequireiftheyfellseriouslyill.
Table28.8Confidenceinabilitytoaffordthetreatmentrequiredifseriouslyill
Confidenceinabilitytoaffordthetreatmentrequiredifseriouslyill
Veryconfidentor
Confident
Total
Gender
Age
Race
Household
Education
Income
Men
Women
1834
3554
5564
65+
NotStated
Black
White
Asian&Other
NotStated
Oneperson
AdultCouple
Twoparents
Singleparent
NotStated
Secondary&Lower
Technical&Higher
NotStated
$59,999orless
$60,000to$107,999
$108,000&over
NotStated
489
239
250
132
168
70
101
17
253
177
54
6
110
146
129
36
69
129
357
4
63
124
80
221
61.4%
63.7%
59.4%
55.5%
65.6%
64.8%
62.0%
53.1%
63.4%
61.0%
55.7%
50.0%
65.9%
63.2%
66.5%
52.9%
50.0%
56.1%
64.1%
36.4%
47.4%
66.3%
72.7%
60.4%
Notveryconfidentor
Notatallconfident
271
122
149
93
82
32
55
10
130
98
38
5
50
80
54
28
59
85
181
5
62
57
28
125
34.0%
32.5%
35.4%
39.1%
32.0%
29.6%
33.7%
31.3%
32.6%
33.8%
39.2%
41.7%
29.9%
34.6%
27.8%
41.2%
42.8%
37.0%
32.5%
45.5%
46.6%
30.5%
25.5%
34.2%
Notsure
N
%
36 4.5%
14 3.7%
22 5.2%
13 5.5%
6 2.3%
6 5.6%
7 4.3%
5 15.6%
16 4.0%
15 5.2%
5 5.2%
1 8.3%
7 4.2%
5 2.2%
11 5.7%
4 5.9%
10 7.2%
16 7.0%
19 3.4%
2 18.2%
8 6.0%
6 3.2%
2 1.8%
20 5.5%
Q103.Howconfidentareyouthatifyoubecomeseriouslyill,youwillbeabletoaffordthecareyouneed?
Note:Changeinquestionwordingfrom2005PublicPerceptionstudy.
Total
N
796
375
421
238
256
108
163
32
399
290
97
12
167
231
194
68
138
230
557
11
133
187
110
366
%
100.0%
100.0%
100.0%
100.0%
100.0%
100.0%
100.0%
100.0%
100.0%
100.0%
100.0%
100.0%
100.0%
100.0%
100.0%
100.0%
100.0%
100.0%
100.0%
100.0%
100.0%
100.0%
100.0%
100.0%
151
AbilitytoAffordTreatmentComparison2005to2011
Confidenceintheabilitytoaffordthetreatmentneededifseriouslyilldeclined15%since2005(Figure
28.8).Similardeclineswereseeninmen(12%decline)andwomen(16%decline).Blacksdeclined10%
and Whites had the greatest decline of 19%. The change in the wording of the responses, from
somewhatconfidentin2005toconfidentin2011,didnothaveaneffectontheresults.Thechange
couldbeduetothedeclineineconomicconditionsinthelate2000s,withhigherunemploymentand
lowerGDP.
76%
80%
76%
61%
75%
73%
64%
59%
Men
Women
63%
Black
61%
White
Total
Gender
Race
Figure28.8VeryConfidentorConfident*inabilitytoaffordtreatmentneededifseriouslyill
*Responseofsomewhatconfident"in2005comparedto"confident"in2011.
152
29. Healthcare Facilities

KingEdwardMemorialHospital
Respondents were asked about their use of King Edward Memorial Hospital (KEMH) in the past year,
specificallywhethertheyhadvisitedtheemergencyroom,beenaninpatient(definedasspendingmore
than24hoursinabedataKEMHward),oranoutpatient(definedasreceivingoutpatientcarefrom
thefollowingdepartments:DiagnosticImaging,ChronicDiseaseEducationProgram,Lab(Bloodwork),
Oncology/Chemotherapy,AlliedHealthServices(PT/OT),Nursing)(Table29.1).
Almostonequarter(24.1%)ofrespondentshadvisitedtheemergencyroom,8.9%wereinpatientsand
33.8%wereoutpatients.Therewerenosubstantivedifferencesbetweenmenandwomenintermsof
theiruseofKEMH,exceptmen(36.0%)wereslightlymorelikelythanwomen(31.7%)tohavebeenout
patients.SeniorsweremorelikelytouseKEMHservicesacrosstheboard(emergencyroom30.1%;in
patient17.8%;outpatient54.3%)comparedtootheragegroups.
Blacks(28.1%)andthosewithasecondaryorlowereducation(29.1%)weremorelikelytohavevisited
theemergencyroom.Adultcouplehouseholdsweremorelikelytohavebeeninpatients(13.4%)and
outpatients(45.3%)thanotherhouseholdtypes.Thosewithahouseholdincomeof$108,000andover
utilised KEMH services (emergency room 19.1%; inpatient 4.5%; outpatient 24.5%) less than other
incomegroups.
153
Table29.1UseofKingEdwardMemorialHospitalinthepastyear
Total
Gender
Age
Race
Household
Education
Income
UseofKingEdwardMemorialHospitalinthepastyear
Emergencyroomvisit
Inpatient
N
%
N
%
192
24.1%
71
8.9%
Men
87
23.1%
31
8.3%
Women
105
24.9%
40
9.5%
1834
55
23.1%
12
5.1%
3554
54
21.1%
10
3.9%
5564
28
25.9%
17 15.7%
65+
49
30.1%
29 17.8%
NotStated
6
18.8%
2
6.3%
Black
112
28.1%
38
9.5%
White
58
20.0%
23
7.9%
Asian&Other
21
22.1%
10 10.4%
NotStated
1
8.3%
0
0.0%
Oneperson
36
21.6%
8
4.8%
AdultCouple
54
23.4%
31 13.4%
Twoparents
43
22.1%
15
7.7%
Singleparent
14
20.9%
5
7.5%
NotStated
45
32.6%
12
8.8%
Secondary&Lower
67
29.1%
24 10.4%
Technical&Higher
123
22.1%
46
8.3%
NotStated
2
20.0%
1 10.0%
$59,999orless
37
27.4%
11
8.1%
$60,000to$107,999
44
23.7%
15
8.0%
$108,000&over
21
19.1%
5
4.5%
NotStated
90
24.6%
41 11.2%
Outpatient
N
268
135
133
49
75
44
88
13
132
104
28
5
52
105
51
17
43
83
183
2
40
61
27
140
%
33.8%
36.0%
31.7%
20.6%
29.4%
40.7%
54.3%
40.6%
33.1%
36.0%
29.5%
38.5%
31.5%
45.3%
26.2%
25.4%
31.6%
36.4%
33.0%
20.0%
29.6%
33.0%
24.5%
38.5%
Q90.Withinthepast12monthshaveyouvisitedtheemergencyroomatKingEdwardMemorialHospital?
Q91.(Withinthepast12monthshaveyou)beenaninpatientatKingEdwardMemorialHospital?(ByinpatientImean
youspentmorethan24hoursinabedataKEMHward{e.g.Goslings,Maternity,Perry,Cooper,Gordon,Curtis,ICU}).
Q92.(Withinthepast12monthshaveyou)beenanoutpatientatKingEdwardMemorialHospital?(ByoutpatientImeanyou
receivedoutpatientcarefromoneofthefollowing:DiagnosticImaging,ChronicDiseaseEducationProgram,Lab(Bloodwork),
Oncology/Chemotherapy,AlliedHealthServices(PT/OT),Nursing)
Note:2011studydidnotincludeoramemberofyourimmediatehousehold
154
SatisfactionwithKingEdwardMemorialHospital
Respondents were asked about their overall level of satisfaction with the services provided by King
Edward Memorial Hospital (Table 29.2). Threequarters (75.4%) of respondents were completely or
mostlysatisfiedwiththeservicesprovidedbyKEMHand15.1%weremostlyorcompletelydissatisfied
withKEMH.Men(79.6%)reportedmoresatisfactionwithKEMHthanwomen(71.1%).Thoseaged18to
34utilisedKEMHsservicestheleastcomparedtootheragegroupsandweretheleastlikelyagegroup
to say they were satisfied with KEMH (66.7%). Older adults aged 55 to 64 (80.9%) and 65 and over
(79.8%)reportedhighersatisfactionwithKEMHandtheywerealsotheagegroupsthatutilisedKEMHs
facilitiesmorethanotheragegroups.Blacks(82.7%)weremoresatisfiedthanWhites(71.3%)andAsian
andotherraces(54.8%).TwoparenthouseholdsreportedthemostdissatisfactionwithKEMH(22.8%).
Single parent households were the most undecided, with 15.8% responding depends regarding
satisfaction with KEMH. Those with a technical or higher level of education (18.2%) were more
dissatisfied than those with secondary or lower education (7.1%). Respondents with incomes over
$108,000 were more dissatisfied (19.4%) than other income brackets; however, they reported
satisfactionratesequaltootherincomebrackets.
Table29.2OverallsatisfactionwithKingEdwardMemorialHospital
SatisfactionwithservicesprovidedbyKingEdwardMemorialHospital
Total
Gender
Men
Women
Age
1834
3554
5564
65+
NotStated
Race
Black
White
Asian&Other
NotStated
Household Oneperson
AdultCouple
Twoparents
Singleparent
NotStated
Technical&Higher
NotStated
Income
$59,999orless
$60,000to$107,999
$108,000&over
NotStated
Completelyand
MostlySatisfied
N
%
214 75.4%
113 79.6%
101 71.1%
36 66.7%
59 75.6%
38 80.9%
71 79.8%
9 69.2%
115 82.7%
77 71.3%
17 54.8%
3 75.0%
42 77.8%
84 78.5%
40 70.2%
12 63.2%
34 77.3%
71 83.5%
142 71.7%
2 66.7%
32 74.4%
49 75.4%
23 74.2%
111 76.6%
Completelyand
Mostly
Dissatisfied
N
%
43 15.1%
19 13.4%
24 16.9%
9 16.7%
15 19.2%
4
8.5%
11 12.4%
2 15.4%
14 10.1%
22 20.4%
7 22.6%
0
0.0%
7 13.0%
14 13.1%
13 22.8%
2 10.5%
6 13.6%
6
7.1%
36 18.2%
1 33.3%
5 11.6%
8 12.3%
6 19.4%
22 15.2%
sure
Depends
noredissatisfied
N
%
N
%
N
%
8 2.8%
11 3.9%
8 2.8%
3 2.1%
4 2.8%
3 2.1%
5 3.5%
7 4.9%
5 3.5%
3 5.6%
4 7.4%
2 3.7%
1 1.3%
2 2.6%
1 1.3%
2 4.3%
2 4.3%
1 2.1%
1 1.1%
3 3.4%
3 3.4%
0 0.0%
1 7.7%
1 7.7%
3 2.2%
5 3.6%
2 1.4%
1 0.9%
4 3.7%
4 3.7%
2 6.5%
3 9.7%
2 6.5%
1 25.0%
0 0.0%
0 0.0%
2 3.7%
2 3.7%
1 1.9%
2 1.9%
4 3.7%
3 2.8%
1 1.8%
2 3.5%
1 1.8%
3 15.8%
1 5.3%
1 5.3%
0 0.0%
2 4.5%
2 4.5%
1 1.2%
4 4.7%
3 3.5%
7 3.5%
8 4.0%
5 2.5%
0 0.0%
0 0.0%
0 0.0%
1 2.3%
1 2.3%
4 9.3%
5 7.7%
2 3.1%
1 1.5%
1 3.2%
1 3.2%
0 0.0%
1 0.7%
8 5.5%
3 2.1%
Total
N
284
142
142
54
78
47
89
13
139
108
31
4
54
107
57
19
44
85
198
3
43
65
31
145
%
100.0%
100.0%
100.0%
100.0%
100.0%
100.0%
100.0%
100.0%
100.0%
100.0%
100.0%
100.0%
100.0%
100.0%
100.0%
100.0%
100.0%
100.0%
100.0%
100.0%
100.0%
100.0%
100.0%
100.0%
Q98.ThinkingnowaboutyourlevelofsatisfactionwithvarioushealthservicesinBermuda,overall,howsatisfiedareyouwith
theservicesprovidedatKingEdwardVIIMemorialHospital?
155
SatisfactionwithKingEdwardMemorialHospitalComparison2005to2011
Overall satisfaction level with King Edward Memorial Hospital was relatively unchanged from 2005 to
2011(77%in2006versus75%in2011)(Figure29.2).Thereweredeclinesin satisfactionformen(6%
decline),women(3%decline)andWhites(10%decline),butsatisfactionincreasedby5%forBlacksin
2011.
86%
77%
83%
80%
75%
74%
Men
Total
81%
78%
71%
Women
Gender
71%
Black
White
Race
Figure29.2ComparisonCompletelyorMostlySatisfiedwithKingEdwardMemorialHospital
156
MidAtlanticWellnessInstitute
RespondentswereaskedabouttheiruseoftheMidAtlanticWellnessInstitute(MWI)inthepastyear,
eitherbythemselvesoranimmediatememberoftheirhousehold,specificallywhethertheyhadbeen
aninpatientorvisiteda clinicat MWI(Table29.3).Overall,just2.5%hadbeeninpatients,and4.1%
had visited a clinic. More men (3.2%) than women (1.9%) were inpatients. Respondents from single
parent households were more likely to have been inpatients (3.0%) but less likely to have visited a
clinic (1.5%) than other household types. Those with a household income less than $60,000 were the
mostlikelyoutofallthedemographicgroupstohavevisitedaclinic(6.0%).
Note:SmallsamplesizeN=41
Table29.3UseofMidAtlanticWellnessInstituteinthepastyear
Total
Gender
Age
Race
Household
Education
Income
UseofMidAtlanticWellnessInstituteinthepastyear
Inpatient
Clinicvisit
N
%
N
%
20 2.5%
33
4.1%
Men
12 3.2%
14
3.7%
Women
8 1.9%
19
4.5%
1834
7 2.9%
7
3.0%
3554
5 2.0%
8
3.1%
5564
3 2.8%
10
9.2%
65+
5 3.1%
7
4.3%
NotStated
0 0.0%
1
3.1%
Black
11 2.8%
15
3.8%
White
7 2.4%
11
3.8%
Asian&Other
1 1.0%
7
7.3%
NotStated
0 0.0%
0
0.0%
Oneperson
2 1.2%
5
3.0%
AdultCouple
4 1.7%
8
3.4%
Twoparents
1 0.5%
6
3.1%
Singleparent
2 3.0%
1
1.5%
NotStated
11 8.0%
14 10.2%
Secondary&Lower
8 3.5%
11
4.8%
Technical&Higher
12 2.1%
22
3.9%
NotStated
0 0.0%
0
0.0%
$59,999orless
5 3.7%
8
6.0%
$60,000to$107,999
2 1.1%
7
3.8%
$108,000&over
0 0.0%
3
2.8%
NotStated
13 3.6%
15
4.1%
Q93. Within the past 12 months have you or a member of your immediate household been an inpatient at MidAtlantic
WellnessInstitute?
Q94.Withinthepast12monthshaveyouoramemberofyourimmediatehouseholdvisitedaclinicatMidAtlanticWellness
Institute?
157
SatisfactionwithMidAtlanticWellnessInstitute
RespondentswereaskedabouttheiroveralllevelofsatisfactionwiththeservicesprovidedbytheMid
Atlantic Wellness Institute (Table 29.4). Overall, 61.0% were completely or mostly satisfied and 14.6%
were completely or mostly dissatisfied with MWI. Women (69.6%) were more satisfied than men
(50.0%).Morethanonequarterofmen(27.8%)wereunsureoftheiropinionofMWIsservices.Adults
aged35to54(81.8%)and65andover(85.7%)werethemostsatisfiedwhile40%ofthoseaged18to34
were unsure of their opinion. Blacks (68.2%) were more satisfied than Whites (54.5%) and Asian and
other races (42.9%). Those with a household income of less than $60,000 (33.3%) and one person
households(20.0%)weremorelikelytosaytheyweredissatisfied.
Note:SmallsamplesizeN=41.
Table29.4OverallsatisfactionwithMidAtlanticWellnessInstitute
Total
Gender
Men
Women
Age
1834
3554
5564
65+
NotStated
Race
Black
White
Asian&Other
NotStated
Household Oneperson
AdultCouple
Twoparents
Singleparent
NotStated
Technical&Higher
NotStated
Income
$59,999orless
$60,000to$107,999
$108,000&over
NotStated
SatisfactionwithservicesprovidedbyMidAtlanticWellnessInstitute
Completelyor
Completelyor
Mostly
MostlySatisfied
Dissatisfied
Depends
noredissatisfied
sure
N
%
N
%
N
%
N
%
N
%
25 61.0%
6 14.6%
1 2.4%
1 2.4%
7 17.1%
9 50.0%
4 22.2%
0 0.0%
0 0.0%
5 27.8%
16 69.6%
2 8.7%
1 4.3%
1 4.3%
2
8.7%
2 20.0%
2 20.0%
1 10.0%
1 10.0%
4 40.0%
9 81.8%
2 18.2%
0 0.0%
0 0.0%
0
0.0%
7 58.3%
1 8.3%
0 0.0%
0 0.0%
3 25.0%
6 85.7%
0 0.0%
0 0.0%
0 0.0%
1 14.3%
1 100.0%
0 0.0%
0 0.0%
0 0.0%
0
0.0%
15 68.2%
2 9.1%
0 0.0%
1 4.5%
3 13.6%
6 54.5%
2 18.2%
0 0.0%
0 0.0%
3 27.3%
3 42.9%
1 14.3%
1 14.3%
0 0.0%
2 28.6%
0
0.0%
0 0.0%
0 0.0%
0 0.0%
0
0.0%
3 60.0%
1 20.0%
0 0.0%
0 0.0%
0
0.0%
8 80.0%
0 0.0%
0 0.0%
0 0.0%
2 20.0%
5 71.4%
0 0.0%
0 0.0%
1 14.3%
1 14.3%
0
0.0%
0 0.0%
0 0.0%
0 0.0%
2 100.0%
9 52.9%
4 23.5%
1 5.9%
0 0.0%
3 17.6%
9 64.3%
1 7.1%
3 21.4%
1 7.1%
0 0.0%
16 61.5%
4 15.4%
4 15.4%
0 0.0%
1 3.8%
0
0.0%
0 0.0%
0
0.0%
0 0.0%
0 0.0%
4 44.4%
3 33.3%
1 11.1%
0 0.0%
1 11.1%
5 55.6%
0 0.0%
0 0.0%
0 0.0%
3 33.3%
2 66.7%
0 0.0%
0 0.0%
0 0.0%
1 33.3%
14 66.7%
3 14.3%
0 0.0%
1 4.8%
3 14.3%
Declinedto
answer
N
%
1 2.4%
0 0.0%
1 4.3%
0 0.0%
0 0.0%
1 8.3%
0 0.0%
0 0.0%
1 4.5%
0 0.0%
0 0.0%
0 0.0%
1 20.0%
0 0.0%
0 0.0%
0 0.0%
0 0.0%
0 0.0%
1 3.8%
0 0.0%
0 0.0%
1 11.1%
0 0.0%
0 0.0%
Total
N
41
18
23
10
11
12
7
1
22
11
7
0
5
10
7
2
17
14
26
0
9
9
3
21
%
100.0%
100.0%
100.0%
100.0%
100.0%
100.0%
100.0%
100.0%
100.0%
100.0%
100.0%
100.0%
100.0%
100.0%
100.0%
100.0%
100.0%
100.0%
100.0%
0.0%
100.0%
100.0%
100.0%
100.0%
theservicesprovidedatMidAtlanticWellnessInstitute?
158
SatisfactionwithMidAtlanticWellnessInstituteComparison2005to2011
OverallsatisfactionlevelwithMidAtlanticWellnessInstitutewasrelativelyunchangedfrom2005(63%)
to 2011 (61%) (Figure 29.4). Satisfaction declined for men by 16% but increased for women by 9% in
2011.Satisfactionincreasedby5%forBlacksbutdeclinedby45%forWhites.Note:Smallsamplesizes
forthisdemographic.Whites:2005N=2;2011N=11.

100%
63% 61%
70%
66%
61%
68%
63%
55%
50%
Men
Total
Women
Gender
Black
White
Race
Figure29.4ComparisonCompletelyorMostlySatisfiedwithMidAtlanticWellnessInstitute
159
GovernmentClinic
Respondents were asked whether they or a member of their immediate household had visited a
Governmentclinicinthepastyear(Table29.5).Almostonequarter(23.4%)hadvisitedaGovernment
clinic,withnodifferencebetweenmenandwomen.Youngeradultsaged18to34(27.5%)and35to54
(26.2%)weremorelikelytohavevisitedaGovernmentclinic thanolderagegroups.Asiansandother
raceswerelessliketodoso(17.9%)thanotherraces.Singleparenthouseholds(31.3%)werethemost
likelytouseGovernmentclinics,whilethosewithamoderatehouseholdincomebetween$60,000and
$107,999 (12.9%) were the less likely to use Government clinics than any other demographic group.
Therewerenosubstantivedifferencesbetweeneducationlevelsintermsofclinicuse.
Table29.5UseofGovernmentclinicinthepastyear
Total
Gender
Age
Race
Household
Education
Income
SelformemberofimmediatehouseholdvisitedaGovernmentclinicinthepastyear
Yes
No
Total
N
%
N
%
N
791
185 23.4%
606 76.6%
Men
373
84 22.5%
289 77.5%
Women
418
101 24.2%
317 75.8%
1834
236
65 27.5%
171 72.5%
3554
256
67 26.2%
189 73.8%
5564
108
17 15.7%
91 84.3%
65+
160
28 17.5%
132 82.5%
NotStated
32
9 28.1%
23 71.9%
Black
397
100 25.2%
297 74.8%
White
287
67 23.3%
220 76.7%
Asian&Other
95
17 17.9%
78 82.1%
NotStated
13
2 15.4%
11 84.6%
Oneperson
167
37 22.2%
130 77.8%
AdultCouple
231
47 20.3%
184 79.7%
Twoparents
192
45 23.4%
147 76.6%
Singleparent
67
21 31.3%
46 68.7%
NotStated
135
36 26.7%
99 73.3%
Secondary&Lower
228
59 25.9%
169 74.1%
Technical&Higher
554
124 22.4%
430 77.6%
NotStated
10
3 30.0%
7 70.0%
$59,999orless
133
38 28.6%
95 71.4%
$60,000to$107,999
186
24 12.9%
162 87.1%
$108,000&over
109
30 27.5%
79 72.5%
NotStated
363
94 25.9%
269 74.1%
%
100.0%
100.0%
100.0%
100.0%
100.0%
100.0%
100.0%
100.0%
100.0%
100.0%
100.0%
100.0%
100.0%
100.0%
100.0%
100.0%
100.0%
100.0%
100.0%
100.0%
100.0%
100.0%
100.0%
100.0%
Q97.Withinthepast12monthshaveyouoramemberofyourimmediatehouseholdvisitedaGovernmentClinic?
160
UseofGovernmentClinicsComparison2005to2011
UseofGovernmentclinicsincreased8%,from15%in2005to23%in2011(Figure29.5).Whites(12%)
andMen(11%)hadthegreatestincreaseinclinicuse.WomenandBlacksbothhada7%increaseinuse.
23%
15%
17%
23%
18%
12%
11%
Men
Total
25%
24%
23%
Women
Gender
Black
White
Race
Figure29.5ComparisonUseofGovernmentclinicsinthepastyear
161
SatisfactionwithGovernmentClinics
Respondents were asked about their overall level of satisfaction with the services provided by
Governmentclinics(Table29.6).Overall,86.6%ofrespondentsweresatisfiedwithGovernmentclinics.
Women(88.2%)wereslightlymoresatisfiedthanmen(84.5%).Olderadultsaged55to64(93.8%)and
65andover(96.3%)weremoresatisfiedthanotheryoungeragegroups.Asianandotherraces(94.1%),
adultcouplehouseholds(91.5%),thosewithatechnicalandhighereducation(88.7%),andthosewitha
high annual household income ($108,000 and over) (90.0%) were more likely to be satisfied with
Governmentclinics.
Table29.6OverallsatisfactionwithGovernmentclinics
Total
Gender
Men
Women
Age
1834
3554
5564
65+
NotStated
Race
Black
White
Asian&Other
NotStated
Household Oneperson
AdultCouple
Twoparents
Singleparent
NotStated
Technical&Higher
NotStated
Income
$59,999orless
$60,000to$107,999
$108,000&over
NotStated
SatisfactionwithservicesprovidedbytheGovernmentClinic
Completelyor
Completelyor
Mostly
Neithersatisfied Don'tknow/
MostlySatisfied
Dissatisfied
Depends
noredissatisfied
Notsure
N
%
N
%
N
%
N
%
N
%
161 86.6%
13 7.0%
1 0.5%
2 1.1%
9 4.8%
71 84.5%
8 9.5%
0 0.0%
0 0.0%
5 6.0%
90 88.2%
5 4.9%
1 1.0%
2 2.0%
4 3.9%
58 89.2%
4 6.2%
0 0.0%
0 0.0%
3 4.6%
54 80.6%
4 6.0%
1 1.5%
2 3.0%
6 9.0%
15 93.8%
1 6.3%
0 0.0%
0 0.0%
0 0.0%
26 96.3%
1 3.7%
0 0.0%
0 0.0%
0 0.0%
7 70.0%
2 20.0%
0 0.0%
0 0.0%
1 10.0%
87 86.1%
5 5.0%
1 1.0%
2 2.0%
6 5.9%
58 86.6%
6 9.0%
0 0.0%
0 0.0%
3 4.5%
16 94.1%
1 5.9%
0 0.0%
0 0.0%
0 0.0%
1 50.0%
1 50.0%
0 0.0%
0 0.0%
0 0.0%
31 86.1%
4 11.1%
0 0.0%
0 0.0%
1 2.8%
43 91.5%
3 6.4%
0 0.0%
0 0.0%
1 2.1%
38 82.6%
3 6.5%
0 0.0%
0 0.0%
5 10.9%
17 81.0%
1 4.8%
1 4.8%
2 9.5%
0 0.0%
31 88.6%
2 5.7%
0 0.0%
0 0.0%
2 5.7%
49 83.1%
4 6.8%
0 0.0%
2 3.4%
4 6.8%
110 88.7%
9 7.3%
1 0.8%
0 0.0%
4 3.2%
2 66.7%
0 0.0%
0 0.0%
0 0.0%
1 33.3%
33 86.8%
2 5.3%
1 2.6%
0 0.0%
2 5.3%
19 82.6%
1 4.3%
0 0.0%
2 8.7%
1 4.3%
27 90.0%
1 3.3%
0 0.0%
0 0.0%
2 6.7%
82 87.2%
9 9.6%
0 0.0%
0 0.0%
3 3.2%
Total
N
186
84
102
65
67
16
27
10
101
67
17
2
36
47
46
21
35
59
124
3
38
23
30
94
%
100.0%
100.0%
100.0%
100.0%
100.0%
100.0%
100.0%
100.0%
100.0%
100.0%
100.0%
100.0%
100.0%
100.0%
100.0%
100.0%
100.0%
100.0%
100.0%
100.0%
100.0%
100.0%
100.0%
100.0%
theservicesprovidedattheGovernmentclinic?
162
SatisfactionwithGovernmentClinicsComparison2005to2011
SatisfactionwithGovernmentclinicsincreasedby5%from2005(82%)to2011(87%)(Figure29.6).Men
werelesssatisfiedin2011,withadeclineof5%butwomenweremoresatisfied,withanincreaseof9%.
Blackshadasmallincreaseinsatisfaction(5%)andWhiteshadasmalldecrease(3%).
87%
82%
90%
79%
Men
Total
90%
88%
85%
Women
Gender
86%
87%
81%
Black
White
Race
Figure29.6ComparisonCompletelyorMostlySatisfiedwithGovernmentclinics
163
HomeCarebyNurses
RespondentswereaskedwhethertheydhadahomevisitfromaDistrictorPrivatenurseorresource
aideinthepastyear,eitherforthemselvesoranimmediatememberoftheirhousehold(Table29.7).
Overall,5.0%hadahomevisitfromadistrictnurseand3.4%fromaprivatenurse.Thoseaged65and
overweremorelikelytohavehadhomevisitsfrombothdistrict(8.6%)andprivate(6.8%)nurseswhile
thoseaged18to34werelesslikelytohavereceivedhomevisits(district,2.5%;private,1.3%).Whites
wereequallylikelytoreceiveahomevisitfromadistrictorprivatenurse(both4.5%)whileBlackswere
morelikelytoreceiveahomevisitfromadistrictnurse(6.0%)ratherthanaprivatenurse(3.3%).Adult
couplesweremorelikelytouseadistrictnurse(6.5%)comparedtootherhouseholdtypes.Therewere
nosubstantivedifferencesbyeducationorincomelevel.
Table29.7Nurseorresourceaidehomevisitinthepastyear
Total
Gender
Age
Race
Household
Education
Income
Nurseorresourceaidehomevisitinthepastyear
Districtnurseorresource Privatenurseorresource
aidevisit
aidevisit
N
%
N
%
40
5.0%
27
3.4%
Men
16
4.3%
14
3.7%
Women
24
5.7%
13
3.1%
1834
6
2.5%
3
1.3%
3554
12
4.7%
10
3.9%
5564
6
5.5%
3
2.8%
65+
14
8.6%
11
6.8%
NotStated
1
3.1%
0
0.0%
Black
24
6.0%
13
3.3%
White
13
4.5%
13
4.5%
Asian&Other
2
2.1%
2
2.1%
NotStated
0
0.0%
0
0.0%
Oneperson
5
3.0%
3
1.8%
AdultCouple
15
6.5%
8
3.4%
Twoparents
6
3.1%
8
4.1%
Singleparent
2
3.0%
0
0.0%
NotStated
11
8.0%
8
5.9%
Secondary&Lower
11
4.8%
9
3.9%
Technical&Higher
28
5.0%
18
3.2%
NotStated
0
0.0%
0
0.0%
$59,999orless
3
2.2%
4
3.0%
$60,000to$107,999
8
4.3%
5
2.7%
$108,000&over
4
3.6%
4
3.6%
NotStated
24
6.6%
15
4.1%
Q95. Within the past 12 months have you or a member of your immediate household received a home visit from a DISTRICT
nurseorresourceaide?
Q96. Within the past 12 months have you or a member of your immediate household received a home visit from a PRIVATE
nurseorresourceaide?
164
30. Overall Healthcare System

Respondentswereasked fortheiroverallviewofthehealthcaresystemin Bermuda (Table30.1).The
majority(60.6%)feltthatthereweregoodthingsaboutthehealthcaresystembutfundamentalchanges
wereneededtomakeitworkbetter.Only17.5%feltthatthehealthcaresystemwasworkingprettywell
withonlyminorchangesneeded,and12.0%feltthatthewholesystemneededanoverhaul.Bothmen
andwomenfeltthesamewayaboutthestateofthehealthcaresystem.Thoseaged65andoverhada
more positive view of the healthcare system than other age groups, with 22.6% stating only minor
changes were needed. Asian and other races (18.8%) and those with a moderate household income
between$60,000and$107,999(12.8%)weremorelikelytothinkthatthehealthcaresystemneededto
becompletelyrebuilt.
Table30.1OverallviewofthehealthcaresysteminBermuda
OverallviewofthehealthcaresysteminBermuda
Total
Gender
Age
Race
Household
Education
Income
Men
Women
1834
3554
5564
65+
NotStated
Black
White
Asian&Other
NotStated
Oneperson
AdultCouple
Twoparents
Singleparent
NotStated
Secondary&Lower
Technical&Higher
NotStated
$59,999orless
$60,000to$107,999
$108,000&over
NotStated
Onthewholethe
Therearesome
systemworks
prettywelland goodthingsinour
healthcaresystem, Ourhealthcare
onlyminor
butfundamental systemhassomuch
changesare
necessaryto changesareneeded wrongwithit,we
tomakeitwork needtocompletely
makeitwork
better
better
rebuildit
N
%
N
%
N
%
140 17.5%
486 60.6%
96 12.0%
64 17.0%
225 59.7%
43 11.4%
76 17.9%
261 61.4%
53 12.5%
34 14.2%
138 57.7%
30 12.6%
46 18.0%
159 62.1%
34 13.3%
19 17.6%
71 65.7%
11 10.2%
37 22.6%
99 60.4%
16 9.8%
3
9.1%
19 57.6%
4 12.1%
79 19.7%
252 62.8%
37 9.2%
44 15.2%
176 60.7%
39 13.4%
14 14.6%
49 51.0%
18 18.8%
2 15.4%
8 61.5%
2 15.4%
30 18.1%
92 55.4%
22 13.3%
38 16.4%
152 65.5%
27 11.6%
35 17.9%
122 62.6%
19 9.7%
11 16.4%
42 62.7%
8 11.9%
26 18.6%
77 55.0%
19 13.6%
45 19.6%
127 55.2%
27 11.7%
92 16.5%
354 63.4%
66 11.8%
2 18.2%
4 36.4%
2 18.2%
30 22.1%
73 53.7%
11 8.1%
38 20.3%
112 59.9%
24 12.8%
19 17.3%
77 70.0%
9 8.2%
53 14.4%
224 60.7%
52 14.1%
Notsure
N
%
80 10.0%
45 11.9%
35 8.2%
37 15.5%
17 6.6%
7 6.5%
12 7.3%
7 21.2%
33 8.2%
31 10.7%
15 15.6%
1 7.7%
22 13.3%
15 6.5%
19 9.7%
6 9.0%
18 12.9%
31 13.5%
46 8.2%
3 27.3%
22 16.2%
13 7.0%
5 4.5%
40 10.8%
Total
N
802
377
425
239
256
108
164
33
401
290
96
13
166
232
195
67
140
230
558
11
136
187
110
369
%
100.0%
100.0%
100.0%
100.0%
100.0%
100.0%
100.0%
100.0%
100.0%
100.0%
100.0%
100.0%
100.0%
100.0%
100.0%
100.0%
100.0%
100.0%
100.0%
100.0%
100.0%
100.0%
100.0%
100.0%
Q101.WhichofthefollowingstatementscomesclosesttoexpressingyouroverallviewofthehealthcaresysteminBermuda?
Onthewholethesystemworksprettywellandonlyminorchangesarenecessarytomakeitworkbetter;
Therearesomegoodthingsinourhealthcaresystem,butfundamentalchangesareneededtomakeitworkbetter;
Ourhealthcaresystemhassomuchwrongwithit,weneedtocompletelyrebuildit.
165
ViewofOverallHealthcareSystemComparison2005to2011
Since2005,respondentsviewoftheoverallhealthcaresysteminBermudahaddeteriorated,withonly
18%sayingthehealthcaresystemworkedwellcomparedto26%in2005(Figure30.1).Alldemographics
declined,withmen havingthelargest changeinopinionwitha declineof16%.Whitesalsoshoweda
largedeclineof11%in2011.
33%
26%
27%
23%
18%
17%
Men
Total
18%
Women
Gender
26%
20%
15%
Black
White
Race
Figure 30.1 Comparison The healthcare system in Bermuda works well with only minor changes
needed
166
Discussion
Overall,the2011findingsreflectedareasofstability,areasofimprovementandareasofdeterioration
compared to studies conducted in 2005, 2006, or 2007. In particular, chronic diseases appeared to
remain steady for the past five years, with little change in the prevalence of asthma, diabetes, high
bloodcholesterolandcoronaryheartdisease.Theprevalenceofhighbloodpressuredidseeanincrease
in2011.
In terms of health status and behaviours, results were mixed. The prevalence of smoking remained
unchanged overall, but Whites saw a decrease in the number of smokers. The number of people
exposed to second hand smoke declined significantly. The number of overweight or obese adults
increasedslightly.Nutritionandphysicalactivityshowedareasofimprovementanddeterioration.
Areas to monitor are health checkups and screening. The number of women receiving mammograms
and men receiving prostate screenings declined in 2011. The number of people having general check
upsandHIVtestsalsodeclined.
The decline in HIV testing was a concern given that reports of having more than one sexual partner
increased significantly, and reports of those engaging in highrisk HIV behaviours also increased.
However, condom use during sexual intercourse increased significantly, which was a very positive
change.
Satisfaction with health facilities such as King Edward Memorial Hospital and MidAtlantic Wellness
InstitutewasunchangedwhilesatisfactionwithGovernmentclinicsincreased,butresidentssatisfaction
with Governments efforts to promote health and wellness in Bermuda declined. Perceptions of the
stateofthehealthcaresystemdeteriorated.
Thereweresomeinequalitiesintermsofeducation,incomeandraceintheresultsofthehealthsurvey.
In general, those with lower education and income reported more health problems but higher
satisfaction with health services. Whites had better healthy living habits while Asian and other races
were less likely to engage in healthy behaviours. Blacks were more likely to undergo regular cancer
screeningsandweregenerallymoresatisfiedwiththehealthcaresystem.
ImprovementsinAdultHealth
Smoking declined 4% for Whites, from 17% in 2006 to 13% in 2011. Exposure to second hand smoke
dropped significantly from 40% in 2007 to 25% in 2011. This decrease could be attributed to the
TobaccoProducts(PublicHealth)AmendmentAct20051whichcameintoeffecton1stApril2006.The
new legislation banned smoking in public places and workplaces including bars, restaurants, private
clubs,hotels,andbusinessvehicles.
In terms of nutrition and physical activity, there were some positive changes in eating habits and
physicalactivitylevels.Therewasaslight3%increaseinthenumberofresidentswhoatebreakfastfive
toseventimesperweek,from23%in2006to26%in2011.Consumptionoffastfoodonetotwotimes
per week or more decreased from 71% in 2006 to 66% in 2011. There was a positive increase in
167
participationinphysicalactivity.Participationinmoderateactivityfor30minutes,atleastthreetimes
perweekincreasedby26%,from27%in2006to53%in2011.
Therewasasignificant14%increaseincondomuseduringsexualintercoursefrom2006,from17%to
31%. More than double the amount of men and those with a secondary and lower education used
condomscomparedto2006.However,thisfindingshouldbetreatedwithcautiongiventheincreasein
multiplesexualpartnersandHIVriskactivities.
Knowledgeofdiseasepreventionimproved.Overall,71%ofrespondentsmentionedhandwashingasa
method of disease prevention, up from 57% in 2007. Men showed the greatest improvement in
knowledge,from44%to61%,followedbyBlacks(54%to70%).
Quickeraccesstodentaltreatmentincreasedsignificantly.Therewasa16%decrease,from41%in2006
to25%in2011,inthenumberofrespondentswhohadtowaitlongerthanoneweektoobtainadentist
appointment.Inaddition,closeto70%consultedadentistinthepastyear.
DeteriorationinAdultHealth
Generalsatisfactionwithlifedeclined9%since2006,from96%to87%in2011.Thenumberofadults
whofelttheywerereceivingthesocialandemotionalsupporttheyneeded declined6%,from83%in
2006 to 77% in 2011. In addition, 14% reported having a physical, mental or emotional disability that
limitedtheirdailyactivities,upfrom11%in2006.Thosewithasecondaryandlowereducationhadthe
greatest decline in general satisfaction with life (13% decline) and higher levels of disability (7%
increase).
Thenumberofadultsreportingtohavehighbloodpressureincreased11%,from25%in2006to36%in
2011. There was no difference in race, with both Blacks and Whites reporting a 10% increase. Those
withasecondaryandlowereducationhadthehighestincreaseof12%.
Therewasaslight3%increaseoverallinthenumberofoverweightorobeseadultsin2011,from64%to
67%.Whiteshadthegreatestincreaseof7%,whileBlackshadadecreaseof4%.However,perceptions
ofoverweightandobesitywerenotinlinewiththeactualresults.Thenumberofadultswhodescribed
themselvesasoverweightdeclinedslightly,from46%in2006to43%in2011.Therewasa3%declinein
thenumberofWhiteresidentswhodescribedthemselvesasoverweight.
In terms of nutrition and physical activity, there was a slight 3% decrease in the number of residents
consumingoneormoreservingsoffruitperday,from76%in2006to73%in2011.Watchingtwoor
morehoursoftelevisionadayincreasedfrom72%in2006to83%in2011.Fewerresidentswereusing
Bermudaspublicparksatleastonceamonthin2011,from60%in2007to41%in2011.
Areastomonitorarehealthchecksandscreening.The2011resultsshoweddeclinesinthenumberof
peoplebeingtestedformensandwomenscancers,andHIV.Thenumberofpeoplereceivinggeneral
annualcheckupsalsodeclined12percentagepoints,from81%in2006to69%in2011.
Thenumberofwomenaged40andoverwhoreportedtheydhadamammograminthepasttwoyears
declined 9 points, from 95% in 2006 to 86% in 2011, with those with a lower education seeing the
greatest declineof12points.Therewasasignificantdeclineof7percentagepointsinthenumberof
menaged40andoverreportedtohavehadaprostatespecificantigen(PSA)testintheprevioustwo
168
years;from93%in2006to86%in2011.Therewasalsoaslight declineof3%inthe numberof men

havingadigitalrectalexam(DRE),from91%in2006to88%in2011.
ThenumberofpeoplewhohadbeentestedforHIVintheirlifetimedeclined5percentagepoints,from
49%in2006to44%in2011.Whiteshadthegreatestdeclineof11%andmenhadan8%decline.Thisis
aconcerngiventhatreportsofhavingmorethanonesexualpartnerincreasedsignificantlyfrom6%in
2006 to 23% in 2011. Participation in highrisk HIV behaviours also increased from 3% in 2006 to 6%,
with men (5% increase) and those with a secondary and lower education (6%) having the highest
increasesinhighriskbehaviour.
Measuresto protecthealthandsafety decreasedsince2007. Fewerhouseholdsdisinfectedtheirtank

waterfordrinking(56%in2007,downto50%in2011),hadanemergencyplan(40%downto33%),or
anadultcurrentlycertifiedinfirstaid(67%downto46%).Overall,satisfactionwiththeGovernments
effortstopromotewellnessinBermudadeclinedfrom65%in2005to58%in2011.WomenandBlacks
werethemostdissatisfied,witha9%declineeach.
Bingedrinking(5ormoredrinksformen,4ormoreforwomen,onasingleoccasion)increasedfrom
24%in2006to36%in2011.Reportsofbingedrinkingdoubledforwomen,from14%to33%.Thiscould
be due to the change in criteria for women (in 2006 it was five drinks). Fewer people tried to quit
smokingin2011,from55%in2006to49%in2011.
Reportsofphysicalabusebyanintimatepartneratsomepointintheirlifeincreasedfrom8%in2006to
13%in2011,upby5percentagepoints.Overallwomenweremorelikelytohavebeenabusedintheir
lifetime,with18%reportingabuseversus8%ofmen.However,ofthosewhohadbeenabused,39%of
mensaidithadhappenedinthepastyear,comparedto26%ofwomen.
Residentsoverallviewofthehealthcaresystemwaslesspositivein2011.Overall,60%saidtheywere
confidenttheycouldreceivethemedicaltreatmenttheymightrequire,buttherewasa15%declinein
thenumberofpeoplewhofelttheywouldbeabletoaffordthetreatmenttheymightrequire(from76%
to61%).Only17%ofrespondentsfeltthatBermudashealthcaresystemworkedprettywell(withonly
minorchangesneededforimprovement),comparedto26%in2005.Themajorityofrespondents(61%)
feltthatthereweregoodthingsaboutthehealthcaresystembutfundamentalchangeswereneededto
makeitworkbetter,and12%feltthattheentirehealthcaresystemneededtoberebuilt.
HealthInequalities
Inequalityordisparityinadulthealthwasevidencedacrossdifferenteducationandincomelevels(those
withasecondaryeducationandlowercomparedtothosewithatechnicaleducationandhigher).
Those with lower education or income reported more health problems than those with a higher
educationorincome.Theyweremorelikelytohavediabetes,hypertension,cardiovasculardisease,and
muchmorelikelytohavehighbloodcholesterol.Theywerealsomorelikelytobeoverweightorobese,
sedentary,andhaveunhealthyeatinghabits.Thosewithloweducationorincomewerealsomorelikely
tohavehadmultiplesexpartnersinthepastyearandtohaveengagedinhighriskHIVbehaviours.This
wasparticularlyworrisomeforthosewithlowerincomeastheywerealsolesslikelytohavebeentested
for HIV. Reports of physical abuse were also higher among those with low education or income. This
group was generally less satisfied with life and less likely to have received the social and emotional
supporttheyneeded.Thosewithlowereducationandincomewerelesslikelytohavevisitedadentist
169
and also less confident that they could afford medical treatment that they might need in the future.
However, there was little disparity by education when it came to differences in the prevalence of
smoking,HIVtestinganduseofcondomsduringsexualintercourse.
Conclusion
ThepurposeofthehealthsurveywastomonitorthehealthstatusofBermudaspopulation,andtheir
perceptions of the quality and accessibility of healthcare services. This information is vital to identify
strengthsandchallengesinthehealthsystemandtodevelopappropriatepoliciesandprogrammesto
improve health services and population health. The data provided and the benchmarks with previous
surveyshelpedtoidentifytargetgroupswhomaybeexperiencingthegreatestchallenges.Thefindings
ofthisreportshouldbeofinteresttohealthsystemstakeholders,includinghealthcareproviders,health
educators,insurers,andpolicymakers.
170
Appendix: Adult Questionnaire for Health Survey 2011
INTERVIEWERSSCRIPT
Read:Hello,mynameis____________________andIamcallingfromamarketresearchcompanylocatedontheislandcalled
Mindmaps.WeareconductingaconfidentialsurveyonbehalfoftheBermudaGovernmentDepartmentofHealth.Wewould
reallyappreciateyourparticipationasweareencouragingalllocalresidentstotakepartinthisinitiative.MayIpleaseaskyou
afewquestions?
HEALTHSTATUS
HEALTHCAREACCESSHealthInsurance
1.
Ingeneral,howwouldyoudescribeyourown
health?
5.
Areyoucoveredbyaprivateorgovernmenthealth
insuranceplan?
Read:
[NOTE:IncludesHIP,FutureCareandschemes]
Excellent
Yes
Verygood
No[GotoQ7]
Good
Dontknow/Notsure
Fair
Declinetoanswer
Poor
Donotread:
6.
Whoisyourhealthinsurer?
Dontknow/notsure
Argus(SomersIsle)
Declinetoanswer
BF&M
ColonialMedical
HEALTHYDAYSHealthrelatedQualityofLife
FreisenbruchMeyer
2.
Nowthinkingaboutyourphysicalhealth,which
GEHI(GovernmentEmployeesHealth
includesphysicalillnessandinjury,forhowmany
Insurance)
daysduringthepast30dayswasyourphysical
HIP(HealthInsurancePlan)
healthnotgood?
FutureCare
__Numberofdays
HSBC
Dontknow/Notsure
BankofButterfield
Declinetoanswer
Other(Specify:_______)
Dontknow/Notsure
Declinetoanswer[Gotonextsection]
3.
Nowthinkingaboutyourmentalhealth,which
includesstress,depression,andproblemswith
emotions,forhowmanydaysduringthepast30
7.
[IfresponseisNOtoQ5]
dayswasyourmentalhealthnotgood?
Whatisthemainreasonyoudonotcurrentlyhave
__Numberofdays
healthinsurance?
Dontknow/Notsure
Declinetoanswer
______________________[Openend]
[IfbothQ2andQ3=0days,gotonextsession]
4.
Duringthepast30days,forabouthowmanydays
HYPERTENSIONAWARENESS
didpoorphysicalormentalhealthkeepyoufrom
Read:NowIwouldliketoaskyousomequestionsabout
doingyourusualactivities,suchasselfcare,work,
generalhealthconditions.
orrecreation?
__Numberofdays
8.
Whenwasthelasttimeyourbloodpressurewas
Dontknow/Notsure
measured?
Declinetoanswer
Withinthepastyear
12yearsago
Morethan2yearsago
Never
Dontknow/Notsure
Declinetoanswer
171
9.
10.
Haveyoueverbeentoldbyadoctor,nurse,or
otherhealthprofessionalthatyouhavehighblood
pressure?
IfYesandrespondentisfemale,ask:Wasthis
onlywhenyouwerepregnant?
Yes,withinlast12months
Yes,overayearago
Yes,butfemaletoldonlyduringpregnancy
[Gotonextsection]
No[Gotonextsection]
Toldborderlinehighorprehypertensive[Go
tonextsection]
Dontknow/Notsure[Gotonextsection]
Areyoucurrentlytakingmedicineforyourhigh
bloodpressure?
Yes
No
Dontknow/Notsure
Declinetoanswer
CHOLESTEROLAWARENESS
11.
Bloodcholesterolisafattysubstancefoundinthe
blood.Haveyoueverhadyourbloodcholesterol
checked?
Yes
No[Gotonextsection]
12.
Abouthowlonghasitbeensinceyoulasthadyour
bloodcholesterolchecked?
Readonlyifnecessary:
Withinthepastyear(anytimelessthan12
monthsago)
Withinthepast2years(1yearbutlessthan2
yearsago)
Withinthepast5years(2yearsbutlessthan
5yearsago)
5ormoreyearsago
Donotread:
Dontknow/Notsure
Declinetoanswer
13.
172
Haveyoueverbeentoldbyadoctor,nurse,or
otherhealthprofessionalthatyourblood
cholesterolishigh?
Yes
No
Dontknow/Notsure
Declinetoanswer
CHRONICHEALTHCONDITIONS
Read:Hasadoctor,nurse,orotherhealthprofessional
EVERtoldyouthatyouhadanyofthefollowing?Foreach,
tellmeYes,No,orNotsure.
14.
(Evertold)youthatyouhadaheartattackalso
calledmyocardialinfarction?
Yes
No
Dontknow/Notsure
Declinetoanswer
15.
Evertoldyouhadanginaorcoronaryheartdisease?
Yes
No
Dontknow/Notsure
Declinetoanswer
16.
(Evertold)youhadasthma?
Yes
No[GotoQ18]
Dontknow/Notsure[GotoQ18]
Declinetoanswer[GotoQ18]
17.
Doyoustillhaveasthma?
Yes
No
Dontknow/Notsure
Declinetoanswer
(Evertold)youhaveadepressivedisorder
18.
(includingdepression,majordepression,dysthymia,
orminordepression)?
Yes
No
Dontknow/Notsure
Declinetoanswer
19.
(Evertold)youhavekidneydisease?DoNOT
includekidneystones,bladderinfectionor
incontinence.
[InterviewerNote:Incontinenceisnotbeingableto
controlurineflow.]
Yes
No
Dontknow/Notsure
Declinetoanswer
20.
(Evertold)youhavediabetes?
IfYesandrespondentisfemale,ask:Wasthis
onlywhenyouwerepregnant?Ifrespondentsays
prediabetesorborderlinediabetes,useresponse
codeforNo,prediabetesorborderlinediabetes.
Toyourknowledge,areyounowpregnant?
Yes
No
Dontknow/Notsure
Declinetoanswer
26.
21.
Yes,withinthepastyear
Yes,morethanayearago
Yes,butfemaletoldonlyduringpregnancy
No
No,prediabetesorborderlinediabetes
Dontknow/Notsure
Declinetoanswer
Evertoldyouhadastroke?
Yes
No
Dontknow/Notsure
Declinetoanswer
27.
Abouthowmuchdoyouweighwithoutshoesin
pounds?
Roundfractionsup.Ifheightisgiveninmeters,use
conversionscale.
____Weightinpounds
Dontknow/Notsure
Declinetoanswer
28.
Howwouldyoudescribeyourweight?
Underweight
Normalweight
Overweight
Dontknow/Notsure
Declinetoanswer
22.
Tothebestofyourknowledge,whatearlywarning
symptomsaresignswouldapersonhavingastroke
show?
[DONOTREADCODEALLTHATAPPLY]
Weaknessornumbnessdownonesideofthe
body
Dizziness
Problemstalkingandunderstandingwhat
othersaresaying
Problemswithbalanceandcoordination
Difficultyswallowing
Severeheadache
Lossofconsciousness
Confusion
Other(Specify:_______)
Dontknow/Notsure
DISABILITY
23.
Areyoulimitedinanywayinanyactivitiesbecause
ofphysical,mental,oremotionalproblems?
Yes
No
Dontknow/Notsure
Declinetoanswer
PERSONALDEMOGRAPHICS
24.
Whatisyourage?
__years
Dontknow/Notsure
Declinetoanswer
Indicatesexofrespondent.Askonlyifnecessary:
25.
Areyou?
Male[GotoQ27]
Female
29.
Abouthowtallareyouwithoutshoesinfeetand
inches?
Roundfractionsup.Ifheightisgiveninmeters,use
conversionscale.
__/__heightinfeet/inches
Dontknow/Notsure
Declinetoanswer
TOBACCOUSE
30.
Haveyousmokedatleast100cigarettesinyour
life?
NOTE:5packs=100cigarettes
Yes
No[GotoQ34]
31.
Doyounowsmokecigaretteseveryday,somedays,
ornotatall?
Everyday
Somedays
Notatall[GotoQ34]
Dontknow/Notsure
Declinetoanswer
32.
Howoldwereyouwhenyoufirststartedsmoking
daily?
Age(years)__
Dontknow/Notsure
173
33.
Duringthepast12months,haveyoustopped
smokingforonedayorlongerbecauseyouwere
tryingtoquitsmoking?
Yes
No
Dontknow/Notsure
Declinetoanswer
34.
[IfnotoQ30and31]
Howoftenwouldyousayyouareexposedto
secondhandsmoke?Wouldyousayeveryday,25
timesaweek,onceaweek,23timesamonth,
seldom,ornever?
ReadlistCODEONEONLY
Everyday
25timesaweek
Onceaweek
23timesamonth
Seldom,or
Never
Currentlyasmoker
Donotread
Dontknow/Notsure
Declinetoanswer
ALCOHOLCONSUMPTION
35.
Duringthepast30days,howmanydaysdidyou
haveatleastonedrinkofanyalcoholicbeverage?
NOTE:Ifrespondentreportsbyweek,multiply
amountby4.
__days
Nodrinksinpast30days[Gotonextsection]
Dontknow/Notsure
Declinetoanswer
36.
Onedrinkisequivalenttoa12ouncebeer,a5
ounceglassofwine,oradrinkwithoneshotof
liquor.Duringthepast30days,onthedayswhen
youdrank,abouthowmanydrinksdidyoudrinkon
theaverage?
__numberofdrinks
Dontknow/Notsure
Declinetoanswer
Consideringalltypesofalcoholicbeverages,how
37.
manytimesduringthepast30daysdidyouhaveX
[CATIX=5formen,X=4forwomen]ormore
drinksonanoccasion?
__Numberoftimes
None
Dontknow/Notsure
Declinetoanswer
174
INJURY
Read:Thenextquestionsaskaboutdifferentexperiences
andbehavioursthatarerelatedtoroadtrafficinjuries.
38.
Howoftendoyouuseaseatbeltwhendrivingoras
apassengerinthefrontseatofamotorvehicle?
Pleaseread:
Always
Almostalways
Sometimes
Seldom
Never
OR
Nevertravelinamotorvehicle
Donotread:
Dontknow/Notsure
Declinetoanswer
39.
40.
41.
Inthepast12months,haveyoubeeninvolvedina
roadtrafficcrashasadriver,passenger,pedestrian,
motorcyclistorcyclist?
Yes(asdriver)
Yes(aspassenger)
Yes(aspedestrian)
Yes(asamotorcyclist)
Yes(asacyclist)
No
Dontknow/Notsure
Declinetoanswer
Inthepast30days,howmanytimeshaveyou
drivenorriddenamotorizedvehiclewhenyouhave
had2ormorealcoholicdrinks?
Numberoftimes__
Dontknow/Notsure
Declinetoanswer
Inthepast30days,howmanytimeshaveyoubeen
apassengerwherethedriverofamotorizedvehicle
hashad2ormorealcoholicdrinks?
Numberoftimes__
Dontknow/Notsure
Declinetoanswer
NUTRITION
Read:Thesenextquestionsareaboutthefoodsyou
usuallyeat.Pleasetellmehowoftenyoueateachone,for
example,onceaday,twiceaweek,threetimesamonth,
andsoon.Remember,Iamonlyinterestedinthefoods
youeat.Includeallfoodsyoueat,bothathomeandaway
fromhome.
42.
43.
44.
45.
Howmanyservingsoffruitdoyouusuallyeat(do
notcountfruitjuice)?(Forexample,aportionof
fruitatbreakfastwouldbeoneserving.)
__perday
__perweek
__permonth
Never/Rarely
Dontknow/Notsure
Declinetoanswer
Howmanyservingsofvegetablesdoyouusually
eat?(Forexample,aservingofvegetablesatboth
lunchanddinnerwouldbetwoservings.)
__perday
__perweek
__permonth
Never
Dontknow/Notsure
Declinetoanswer
Howoftendoyoueatfastfoodmealssuchas
hamburgers,friedchicken,hotdogs,Frenchfries,
milkshakes,soda?
__perday
__perweek
__permonth
Never
Dontknow/Notsure
Declinetoanswer
Howoftendoyoueatbreakfast?
__perweek
__permonth
Never
Dontknow/Notsure
Declinetoanswer
PHYSICALACTIVITY
Read:Thenextquestionsareaboutphysicalactivity.We
areinterestedintwotypesofphysicalactivityvigorous
andmoderate.Moderateactivitiescausesmallincreases
inbreathingorheartrate,suchasbriskwalking,bicycling,
vacuuming,orgardening.Thinkingaboutthemoderate
activitiesyoudoinausualweek.
46.
Howmanydaysperweekdoyoudomoderate
activitiesforatleast10minutesatatime?
__Daysperweek
Donotdoanymoderatephysicalactivityfor
atleast10minuteatatime[GotoQ48]
47.
Onthedayswhenyoudomoderateactivities,how
muchtotaltimeperdaydoyouspenddoingthese
activities?
____:____Hoursandminutesperday
Dontknow/Notsure
Declinetoanswer
Read:Vigorousactivitiescauselargeincreasesinbreathing
orheartrate,suchasrunning,aerobicsorheavyyard
work.Now,thinkingaboutthevigorousactivitiesyoudoin
ausualweek.
48.
Howmanydaysperweekdoyoudovigorous
activitiesforatleast10minutesatatime?
__Daysperweek
Donotdoanyvigorousphysicalactivityforat
least10minutesatatime?[GotoQ50]
49.
Ondayswhenyoudovigorousactivitiesforatleast
10minutesatatimehowmuchtotaltimeperday
doyouspenddoingtheseactivities?
____:____Hoursandminutesperday
Dontknow/Notsure
Declinetoanswer
Howmanyhoursoftelevisiondoyouwatchonan
50.
averageday(includeweekends)?
_:__Hoursandminutesperday
Dontknow/Notsure
Donotwatchanytelevisionatall
Declinetoanswer
IMMUNIZATION
Read:NowIwillaskyouquestionsaboutseasonalflu
vaccine.
51.
Duringthepast12months,haveyouhadaseasonal
fluvaccineshot?
Yes
No[GotoQ53]
Refused[GotoQ53]
52.
Atwhatkindofplacedidyougetyourlastflu
shot/vaccine?
Aclinic
FluExpress
Privatedoctorsoffice
Ahospital(Example:inpatient)
Anemergencyroom
Workplace
Overseas
Other(Specify:_________)
175
53.
Dontknow/Notsure(Probe:Howwould
youdescribetheplacewhereyouwenttoget
yourmostrecentfluvaccine?)
Declinetoanswer
Apneumoniashotorpneumococcalvaccineis
usuallygivenonlyonceortwiceinapersons
lifetimeandisdifferentfromtheflushot.Haveyou
everhadapneumoniashot?
Yes
No
Dontknow/Notsure
Declinedtoanswer
SEXUALBEHAVIOUR
Read:Thesenextfewquestionsareaboutyourpersonal
behaviour,andIwanttoremindyouthatyouranswersare
confidential.
54.
Duringthepast12months,withhowmanypeople
haveyouhadsexualintercourse?
__number
None
Dontknow/Notsure
Declinetoanswer
55.
Wasacondomusedthelasttimeyouhadsexual
intercourse?
Yes
No[Goto57]
Dontknow/Notsure[Goto57]
Declinetoanswer[Goto57]
56.
Thelasttimeyouhadsexualintercourse,wasthe
condomused
Pleaseread:
Topreventpregnancy[Goto58]
Topreventdisease[Ifnecessary,read:like
syphilis,gonorrhea,andAIDS]
Forbothofthesereasons[Goto58]
Forsomeotherreason
Donotread:
Dontknow/Notsure
Declinetoanswer
57.
Thelasttimeyouhadsexualintercourse,didyou
useanymethodtopreventpregnancysuchas...
Oralcontraceptive(thepill)
Injection(suchasDepoProvera)
Interuterinedevice(suchasanIUD)
Condom
Diaphragm
Other
Iamnottryingtopreventpregnancy
Donotread:
Declinetoanswer
176
58.
Atwhatagedidyoufirsthavesexualintercourse?
__years
Dontknow/Notsure
Declinetoanswer
HIV/AIDS
Read:Thenextfewquestionsareaboutthenational
healthissueofHIV.ThevirusthatcausesAIDS.Please
rememberthatyouranswersarestrictlyconfidentialand
youdonthavetoanswereveryquestionifyoudonot
wantto.Althoughwewillaskyouabouttesting,wewill
notaskyouabouttheresultsofanytestyoumayhave
had.
59.
HaveyoueverbeentestedforHIV?Donotcount
testsyoumayhavehadaspartofablooddonation.
Includetestingfluidfromyourmouth.
Yes
No[GotoQ61]
60.
Notincludingblooddonations,inwhatmonthand
yearwasyourlastHIVtest?
IfresponseisbeforeJanuary1985,codeDontknow.
__/____Codemonthandyear
Dontknow/Notsure
Declinetoanswer
Imgoingtoreadyoualist.WhenImdone,please
61.
tellmeifanyofthesituationsapplytoyou.Youdo
notneedtotellmewhichone.
- Youhaveusedintravenousdrugsinthe
pastyear
- Youhavebeentreatedforasexually
transmittedorvenerealdiseaseinthepast
year.
- Youhavegivenorreceivedmoneyordrugs
inexchangeforsexinthepastyear.
- Youhadanalsexwithoutacondominthe
pastyear.
Doanyofthesesituationsapplytoyou?
Yes
No
Dontknow/Notsure
Declinetoanswer
VIOLENCE
Read:Thefollowingquestionsareaboutdifferent
experiencesrelatedtoviolence.
62.
Inthepast12months,haveyoubeenfrightened
forthesafetyofyourselforyourfamilybecauseof
theangerorthreatsfromanotherperson(s)?
Yes
No
Declinetoanswer
63.
64.
65.
66.
Inthepast12months,howmanytimeswereyouin
aviolentincidentinwhichyouwereinjuredand
requiredmedicalattention?
Never[gotoQ65]
Rarely(12times)
Sometimes(35times)
Often(6ormoretimes)
Dontknow[gotoQ65]
Declinetoanswer[gotoQ65]
Pleaseindicatetherelationshipbetweenyourself
andtheperson(s)whocausedyourinjury.
Intimatepartner[codeQ65asyesandskipto
Q66]
Parent
Child,sibling,orotherrelative
Friendoracquaintance
Unrelatedcaregiver
Stranger
Officialorlegalauthorities
Other(specify:_________)
Declinetoanswer
68.
WOMENSHEALTH
NOTE:Ifrespondentismale,gotonextsection.
Read:Thenextquestionsareabouthealthchecksfor
women.
69.
Amammogramisanxrayofeachbreasttolookfor
breastcancer.Haveyoueverhadamammogram?
Yes
No[GotoQ71]
Howlonghasitbeensinceyouhadyourlast
70.
mammogram?
HasanintimatepartnerEVERhit,slapped,pushed,
kicked,orphysicallyhurtyouinanyway?
Yes
No[Gotonextsection]
monthsago)
yearsago)
3yearsago)
5yearsago)
5ormoreyearsago
Donotread:
Whenwasthelasttimeanintimatepartnerhurt
youinthisway?
Duringthepastmonth
1to12monthsago
Morethanoneyearago
Dontknow/Notsure
Donotread:
Declinetoanswer
EMOTIONALSUPPORTANDLIFESATISFACTION
Read:Thenexttwoquestionsareaboutemotional
supportandyoursatisfactionwithlife.
67.
Howoftendoyougetthesocialandemotional
supportyouneed?
Always
Usually
Sometimes
Rarely
Never
Dontknow/Notsure
Declinetoanswer
Ingeneral,howsatisfiedareyouwithyourlife?
Verysatisfied
Satisfied
Dissatisfied
Verydissatisfied
Dontknow/Notsure
Declinetoanswer
Dontknow/Notsure
Declinetoanswer
71.
APaptestisatestforcancerofthecervix.Have
youeverhadaPaptest?
Yes
No[GotoQ77]
177
72.
HowlonghasitbeensinceyouhadyourlastPap
test?
76.
monthsago)
yearsago)
3yearsago)
5yearsago)
5ormoreyearsago
Donotread:
monthsago)
yearsago)
3yearsago)
5yearsago)
5ormoreyearsago
Donotread:
monthsago)
yearsago)
3yearsago)
5yearsago)
5ormoreyearsago
Donotread:
Yes,onlyone
Yes,morethanone
No
Donotread:
Dontknow/Notsure
Declinedtoanswer
78.
178
Abouthowlonghasitbeensinceyoulastvisiteda
doctorforaroutinecheckup?Aroutinecheckup
isageneralphysicalexam,notanexamfora
specificinjury,illness,orcondition.
Withinpastyear(anytimelessthan12
monthsago)
Withinpast2years(1yearbutlessthan2
yearsago)
Withinpast5years(2yearsbutlessthan5
yearsago)
5ormoreyearsago
Donotread:
Dontknow/Notsure
Declinetoanswer
Adigitalrectalexamisanexaminwhichadoctor,
nurse,orotherhealthprofessionalplacesagloved
fingerintotherectumtofeelthesize,shape,and
hardnessoftheprostategland.Haveyoueverhada
digitalrectalexam?
Yes
No[GotoQ77]
Dontknow/Notsure
Declinetoanswer
HEALTHCAREACCESSMEDICAL
Read:NowIwouldliketoaskaboutaccesstohealth
services
77.
Doyouhaveatleastonepersonyouthinkofas
yourpersonaldoctororhealthcareprovider?
Pleaseread:
75.
Howlonghasitbeensinceyourlastdigitalrectal
exam?
Dontknow/Notsure
Declinetoanswer
MENSHEALTH
NOTE:Ifrespondentisunder39yearsofage,orisfemale,
gotonextsection.
Read:Thenextquestionsareabouthealthchecksformen.
73.
AProstateSpecificAntigentest,alsocalledaPSA
test,isabloodtestusedtocheckmenforprostate
cancer.HaveyoueverhadaPSAtest?
Yes
No[GotoQ75]
Declinedtoanswer[GotoQ75]
74.
HowlonghasitbeensinceyouhadyourlastPSA
test?
Never
Dontknow/Notsure
Declinetoanswer
79.
80.
Duringthepast12months,abouthowmanytimes
haveyouconsultedageneralpractitioner?
__times
Dontknow/notsure
Declinetoanswer
Lasttimeyouweresickorneededmedical
attention,howquicklycouldyougetan
appointmenttoseeadoctororanurse?Pleasedo
notincludeavisittothehospital/emergencyroom.
Didyougetanappointment?
Read:
Onthesameday
Thenextday
In2to5days
In6to7days
In8to14days
Aftermorethantwoweeks
Neverabletogetanappointment
Donotread:
81.
82.
83.
84.
Nevervisitedadoctor/nurse
Notsure
Declinetoanswer
haveyouconsultedamedicalspecialist?
__times
Dontknow/notsure
Declinetoanswer
Haveyoutravelledoverseasinthepast12months
formedicaltreatmentorservices?
Yes
No[GotoQ84]
Whydidyoutraveloverseasfortreatmentor
services?
Treatment/serviceswasnotofferedin
Bermuda
Didnottrusttreatment/servicesofferedin
Bermuda
TreatmentservicesinBermudawastoo
expensive
Other(specify)_________________
Wasthereanytimeinthelast12monthswhen,in
youropinion,youpersonallyneededamedical
examinationortreatmentbutyoudidnotreceive
it?
Yes,therewasatleastoneoccasion
No,therewasnooccasion[Gotonext
section]
85.
Whatwasthemainreasonfornotreceivingthe
examinationortreatmentor(themostrecent
time)?
DonotPrompt
Ifrespondentsayscannotaffordprescriptionor
overseastravelcodewithCouldnotaffordto
Couldnotaffordto(tooexpensive,not
coveredbyhealthinsurance)
Waitinglist
Couldnottaketimebecauseofwork,carefor
childrenorforothers
Fearofdoctor/hospitals/examination/
treatment
Wantedtowaitandseeifproblemgotbetter
onitsown
Didntknowanygooddoctororspecialists
Lackofprofessional/specialistorservice
Otherreasons
HEALTHCAREACCESSDENTIST
86.
haveyouconsultedadentist?
__times
Dontknow/notsure
Declinetoanswer
Wasthereanytimeinthelast12monthswhen,in
87.
youropinion,youpersonallyneededadental
examinationortreatmentbutyoudidnotreceive
it?
Yes,therewasatleastoneoccasion
No,therewasnooccasion[GotoQ89]
88.
Whatwasthemainreasonfornotreceivingthe
dentalexaminationortreatment(themostrecent
time)?
Donotprompt
Couldnotaffordto(tooexpensive,not
coveredbyhealthinsurance)
Waitinglist
Couldnottaketimebecauseofwork,carefor
childrenorforothers
Fearofdentist/hospitals/examination/
treatment
Wantedtowaitandseeifproblemgotbetter
onitsown
Didntknowanygooddentist
Cantfinddentistwillingtotakemeonasa
patient
Otherreason
179
89.
Thelasttimeyouvisitedadentist,howquickly
wereyouabletogetanappointment?
DONOTREADCODEONEONLYIfwithina
week,probeforactualnumberofdays
Onthesameday
Thenextday
In2to5days
In6to7days
In8to14days
Aftermorethantwoweeks
Neverabletogetanappointment
Nevervisitedadentist
Dontknow/Notsure
Declinetoanswer
HEALTHCAREACCESSOTHER
Read:NowIwouldliketoaskyousomequestionsabout
youruseofotherhealthcareservicesinBermuda.Foreach
tellmeyesorno.
90.
Withinthepast12monthshaveyouvisitedthe
emergencyroomatKingEdwardMemorial
Hospital?
Yes
No
Dontknow/Notsure
Declinetoanswer
91.
(Withinthepast12monthshaveyou)beenanin
patientatKingEdwardMemorialHospital?(Byin
patientImeanyouspentmorethan24hoursina
bedataKEMHward{e.g.Goslings,Maternity,
Perry,Cooper,Gordon,Curtis,ICU}).
Yes
No
Dontknow/Notsure
Declinetoanswer
92.
(Withinthepast12monthshaveyou)beenanout
patientatKingEdwardMemorialHospital?(Byout
patientImeanyoureceivedoutpatientcarefrom
oneofthefollowing:DiagnosticImaging,Chronic
DiseaseEducationProgram,Lab(Bloodwork),
Oncology/Chemotherapy,AlliedHealthServices
(PT/OT),NursingInterventionorCardiac
Diagnostic).
Yes
No
Dontknow/Notsure
Declinetoanswer
180
93.
Withinthepast12monthshaveyouoramember
ofyourimmediatehouseholdbeenaninpatientat
MidAtlanticWellnessInstitute?
Yes
No
Dontknow/Notsure
Declinetoanswer
94.
ofyourimmediatehouseholdvisitedaclinicatMid
AtlanticWellnessInstitute?
Yes
No
Dontknow/Notsure
Declinetoanswer
95.
ofyourimmediatehouseholdreceivedahomevisit
fromaDISTRICTnurseorresourceaide?
Yes
No
Dontknow/Notsure
Declinetoanswer
96.
ofyourimmediatehouseholdreceivedahomevisit
fromaPRIVATEnurseorresourceaide?
Yes
No
Dontknow/Notsure
Declinetoanswer
97.
ofyourimmediatehouseholdvisitedaGovernment
Clinic?
Yes
No
Dontknow/Notsure
Declinetoanswer
Read:Thinkingnowaboutyourlevelofsatisfactionwith
varioushealthservicesinBermuda,overall,howsatisfied
areyouwiththeservicesprovidedat
98.
[IfresponseisYEStoQ90,91or92]
KingEdwardMemorialHospital
Ourhealthcaresystemhassomuchwrong
withit,weneedtocompletelyrebuildit.
Donotread:
Dontknow/Notsure
Declinetoanswer
102.
Pleaseread:
Completelysatisfied
Mostlysatisfied
Mostlydissatisfied
Completelydissatisfied
Donotread:
Depends
Neithersatisfiednordissatisfied
Dontknow/Notsure
Declinetoanswer
99.
[IfresponseisYEStoQ93or94]
MidAtlanticWellnessInstitute(MWI)
Pleaseread:
Completelysatisfied
Mostlysatisfied
Mostlydissatisfied
Donotread:
Depends
Dontknow/Notsure
Declinetoanswer
Veryconfident
Confident
Notveryconfident
Notatallconfident
Donotread:
Notsure
Declinetoanswer
103.
101.
Whichofthefollowingstatementscomesclosestto
expressingyouroverallviewofthehealthcare
systeminBermuda?
Pleaseread:
Completelysatisfied
Mostlysatisfied
Mostlydissatisfied
Donotread:
Depends
Dontknow/Notsure
Declinetoanswer
HEALTHPROMOTION
Read:NowIwouldliketoaskabouthealthpromotion
activities.
104. Tothebestofyourknowledge,whatarethe
recommendedmethodstopreventthespreadof
diseases?
[DONOTREADCODEALLTHATAPPLY]
Whichofthefollowingstatementscomesclosestto
expressingyouroverallviewofthehealthcare
systeminBermuda?
Pleaseread:
Onthewholethesystemworksprettywell
andonlyminorchangesarenecessaryto
makeitworkbetter;
Therearesomegoodthingsinourhealthcare
system,butfundamentalchangesareneeded
tomakeitworkbetter;
Howconfidentareyouthatifyoubecomeseriously
ill,youwillbeabletoaffordthecareyouneed?Are
you
Pleaseread:
Veryconfident
Confident
Notveryconfident
Notatallconfident
Donotread:
Notsure
Declinetoanswer
100.
Howconfidentareyouthatifyoubecomeseriously
ill,youwillreceivethemosteffectivetreatment,
includingdrugsanddiagnostictests?Areyou
Pleaseread:
Handwashing(e.g.usinghandsterilizer,
keepinghandsclean)
Coveringmouthwhencoughingorsneezing
(e.g.,usingatissue
Properstorageandpreparationoffood
Safersexpractices(e.g.condoms,abstinence)
Rodentandmosquitocontrol(e.g.,proper
disposaloftrash,nothavingstandingwater)
Other(Specify:______)
Dontknow/Notsure
181
105.
106.
107.
108.
109.
110.
111.
Doesyourhouseholdcurrentlyusetankwaterfor
drinking?
Yes
No[Goto107]
Dontknow/Notsure[Goto107]
Doesyourhouseholdhaveanemergencyplan?
Thatisaplanthatoutlineswhatmembersofyour
householdshoulddointheeventofanemergency.
Yes
No
Dontknow/Notsure
Doesyourhouseholdhaveanemergencyplan?
Thatisaplanthatoutlineswhatmembersofyour
householdshoulddointheeventofanemergency.
Yes
No
Dontknow/Notsure
Tothebestofyourknowledge,doyouhave
functioningfirealarmsinyourhousehold?
Yes
No
Dontknow/Notsure
Andisanadultinyourhouseholdcurrentlycertified
infirstaid?
Yes
No
Dontknow/Notsure
Inthepastyear,howoftenwouldyousayyouhave
usedBermudaspublicparks,includingbeaches,
playgrounds,andrailwaytrails?Wouldyousayat
leastonceperweek,atleastoncepermonth,afew
times,once,ornever?
Atleastonceperweek
Atleastoncepermonth
Afewtimes
Once
Never
Dontknow/Cantrecall
112.
Travelaloneinyourowncar
Travelinaprivatecarwithatleastoneother
person
Useascooterormotorcycle
Usepublictransport,suchasthebusorferry
Useataxi
Useabicycle,or
Walk
Other(Specify:______)
Dontknow/Notsure
HowsatisfiedareyouwiththeGovernments
effortstopromotehealthylivingandwellnessin
Bermuda?Areyou
Pleaseread:
Completelysatisfied
Mostlysatisfied
Mostlydissatisfied
Donotread:
Depends
Dontknow/Notsure
Declinetoanswer
SOCIALDEMOGRAPHICS
Read:Thenextandlastsetofquestionsisforstatistical
purposesonly.
113. Whatisyourmaritalstatus?
Married
Divorced
Widowed
Separated
Nevermarried
OR
Amemberofanunmarriedcouple
Donotread:
Dontknow/Notsure
Refused
114.
Whichofthefollowingbestdescribeshowyou
travelledtoworkinthepastmonthmostofthe
time?Didyoutravelaloneinyourcar,travelina
privatecarwithatleastoneotherperson,usea
scooterormotorcycle,usepublictransport,suchas
thebusorferry,useataxi,useabicycle,orwalk?
[READLISTCODEONLYONE]
182
Whichofthefollowingbestdescribesyour
household:
Pleaseread:
Oneperson
Adultcouple
Twoparentswithchildren
Singleparent
Extendedfamily
Unrelatedpersons
Donotread:
Dontknow/Notsure
Refused
115.
116.
Areyoucurrently?
Pleaseread:
Employedforwages
Selfemployed
Outofworkformorethan1year
Outofworkforlessthan1year
AHomemaker
AStudent
Retired
OR
Unabletowork
Donotread:
Declinedtoanswer
Whatisthehighestlevelofschoolingyouhave
receiveduptothepresenttime?
None
Primaryyears(years16)
Middleschool(years79)
Seniorschool(years1013)
Technical/VocationalCollege
College(2year)
University/College(4year)
Postgraduate
Other(specify)__________
Notstated
117.
118.
119.
Whatisyourcurrentstatus?Areyou
Bermudian
NonBermudianSpouseofBermudian
PermanentResidentCertificateHolder
OtherNonBermudian
Notstated
Towhichracialgroupdoyoubelong?
Black
White
Asian
BlackandWhite
Blackandother
Whiteandother
Otherraces
Notstated
Whatisyourtotalannualhouseholdincomefrom
allsources?
Under36,000
36,000to59,999
60,000to83,999
84,000to107,999
108,000to155,999
156,000to349,999
350,000to499,999
500,000andover
Dontknow/notsure
Declinetoanswer
183
Notes and References

1
TobaccoProducts(PublicHealth)AmendmentAct2005.GovernmentofBermuda.
DepartmentofHealth(2005)PublicPerceptionStudy.MinistryofHealth&FamilyServices:
GovernmentofBermuda.
3
DepartmentofHealth(2007)HealthSurveyofAdultsandChildreninBermuda2006.Governmentof
Bermuda.
4
DepartmentofHealth(2007)WellBermudaStudy2007.GovernmentofBermuda.
CensusOffice(2001).Reportonthe2000CensusonPopulationandHousing.GovernmentofBermuda.
6
CDC(2011)BehavioralRiskFactorSurveillanceSystemQuestionnaire2011.CentresforDiseaseControl
andPrevention:USDepartmentofHealthandHumanSciences.
7
WorldHealthOrganization,WHOSTEPwiseapproachtochronicdiseaseriskfactorsurveillance
Instrumentv2.1.WorldHealthOrganization,Geneva,Switzerland.
8
WorldHealthOrganization,WHOSTEPwiseapproachtochronicdiseaseriskfactorsurveillance
ViolenceandInjuryModule.WorldHealthOrganization,Geneva,Switzerland.
9
vanDoorslaer,E.&Masseria,C.andtheOECDHealthEquityResearchGroupMembers(2004)
IncomeRelatedInequalityintheUseofMedicalCarein21OECDCountries.OECD,Paris,France.
10
CommonwealthFundInternationalHealthPolicySurvey(2010).TheCommonwealthFund,NewYork,
NY,USA.
11
EUSILC(2009)GeneralLifestyleSurveyHouseholdandIndividualQuestionnaires.Eurostat:
EuropeanCommission.
12
AttrideStirling,J.(2008)WellBermuda:ANationalHealthPromotionStrategy(2ndEd.).Department
ofHealth:GovernmentofBermuda.
13
DepartmentofStatistics(2006)BermudaPopulationProjections20002030.Governmentof
Bermuda.
184

Health Survey of Adults in Bermuda 2011 (111004)

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Health Survey of Adults in Bermuda 2011 (111004)

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Health Survey

Health Survey of Adults

Overall, the 2011 findings reflected areas of

Satisfaction with health facilities such as King

14% described themselves as having a

10% reported currently having asthma

The number of those with high blood

43% of adults described themselves as

18% were sedentary (did less than 10

93% of women over 40 reported having a

86% of men over 40 reported having a

Of current smokers, 47% began smoking

With regard to drinking and driving, 11%

50% had functioning fire alarms in their

41% used Bermudas public parks at least

have received one. This is due to the fact

Only 4% said they did not have someone

31% had not visited a dentist in the

12% said they had received a pneumonia

25% had to wait longer than one week to

29% had consulted a specialist in the past

10% had travelled overseas for medical

In terms of use of King Edward Memorial

In terms of satisfaction with MidAtlantic

In terms of views on the overall health

there were good things about the

Thepurpose ofthe2011studyistoreportonadulthealth behavioursandperceptionsofhealthcare.

Data Collection and Processing

Sample Response Rate

2006(light bars)2011 (darkbars)

Secondary & Technical &

2006 (light bars)

2011 (dark bars)

Secondary & Technical &

Secondary & Technical &

11. Cardiovascular Disease

Secondary & Technical &

12. Overweight and Obesity

Secondary & Technical &

2006(light bars) 2011 (dark bars)

14. Exercise and Physical Activity

Secondary & Technical &

15. Womens Health

Secondary & Lower Technical & Higher

Secondary & Lower Technical & Higher

16. Mens Health

Secondary & Lower Technical & Higher

Secondary & Lower Technical & Higher

17. Tobacco Use

Secondary & Technical &

18. Alcohol Consumption

Secondary & Technical &

Secondary & Technical &

21. Sexual Behaviour

Secondary & Technical &

Secondary & Technical &

23. Health Promotion

2011 (dark bars)

Satisfaction with Governments Efforts to Promote Healthy Living Comparison 2005 to

25. Healthcare Access

Secondary & Technical &

26. Dental Care

27. Health Insurance

28. Healthcare Treatment