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Report of Findings April 1, 2005 Project #DHR001

Georgia Department of Human Resources Assessment and Evaluation Study. Report of Findings April 1, 2005 Project #DHR001. Objectives. Assess and evaluate Georgians’ current knowledge, attitudes, opinions, and awareness of chronic disease and chronic disease prevention.

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Report of Findings April 1, 2005 Project #DHR001

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  1. Georgia Department of Human ResourcesAssessment and Evaluation Study Report of Findings April 1, 2005 Project #DHR001

  2. Objectives • Assess and evaluate Georgians’ current knowledge, attitudes, opinions, and awareness of chronic disease and chronic disease prevention. • Establish a baseline for evaluating the effectiveness of the Healthy Georgia campaign by measuring the change in overall knowledge, attitudes, opinions, and awareness levels. • Gather information that will influence the strategic direction for campaign messaging and execution moving forward.

  3. Methodology & Target Audience • 1,000 telephone interviews were conducted throughout the state of Georgia from February 15 to 28, 2005. • Participants included Georgia residents age 18 to 64. • A statewide random sample of Georgia residents was used to conduct the study. Participants were called Monday through Friday from 5PM to 9PM, Saturday from 12PM to 8PM, and on Sunday from 3PM to 8PM. Telephone numbers were called six times before retiring. Participants were screened and qualified based on having the most recent birthday in the household. • Participants were offered the opportunity to complete the survey using either an English or Spanish version of the questionnaire. • 50 pre-test interviews were conducted and included in the results of the study. • The final data was weighted by the following factors: • Number of telephone numbers per household. • Number of adults per household. • State population distribution according to age, race, and sex.

  4. Key Findings & Opportunities

  5. Key Findings Perceptions Regarding Health • 78% of Georgians surveyed described their health as “good” or “very good.” Chronic Disease Awareness and Prevention - Screening • Cancer, Diabetes, and Heart Disease top the list of the most important diseases to get screened or checked for, while the importance of being screened for Osteoporosis, Obesity, Asthma, and Arthritis lacks awareness. Chronic Disease Awareness and Prevention – Preventative Measures • Eating healthy, being physically active, and not using tobacco are recognized as important to keeping healthy; having a positive attitude and seeing a doctor for an annual check up are not yet considered core measures of prevention. • There is little awareness that the core components for a healthy lifestyle are meaningful in the prevention of chronic diseases other than Cancer, Heart Disease, and Diabetes.

  6. Key Findings Healthy Georgia Campaign Awareness • As expected at the benchmark stage, Georgians are not familiar with the campaign, nor have they reported hearing much about any of the potential slogans. • Many Georgians indicated they hear something “all the time” about eating healthy, being physically active, and not using tobacco; yet, by comparison, few say the same about the need to see a doctor for an annual check up or the need to be positive. • Television was the primary source of health information listed by Georgians, followed by doctors/healthcare providers, magazines, and the Internet.

  7. Key Findings Differences by Segment – Presence of Healthcare vs. Absence of Healthcare • Georgians without healthcare tend to have lower association between unhealthy diet or physical inactivity and chronic disease. Differences by Segment – Ethnicity • Caucasian Georgians tend to be the most aware of chronic disease and preventative measures, with African-Americans a close second. • Hispanics seem to be significantly less aware of the importance of screening for chronic disease or how the four key components of a healthy lifestyle are necessary to prevent chronic disease.

  8. Opportunities Chronic Disease Awareness and Prevention • Educate Georgians on the importance of a positive attitude and seeing a doctor for annual check ups as key factors in chronic disease prevention. • Work to realign Georgians’ perceptions about what it means to eat healthy and be physically active. • Provide guidelines and clear direction regarding what needs to be done by Georgians to accomplish the four preventative measures. • Raise awareness about the five preventative measures and how they can help prevent chronic disease. • Deepen Georgians’ awareness and understanding of chronic disease, including the lesser-known diseases such as obesity, asthma, arthritis, and osteoporosis.

  9. Perception of Current Health

  10. 78% How Would You Rate Your Current Health? Very good Good Fair Poor (n=1000) Q18. At this time, how would you rate your health?

  11. Contributing Factors To Current HealthVERBATIM EXAMPLES Very Good Fair • “Attitude, exercise, eating habits.” • “It's just a combo of eating well and living well.” • “Luck.” • “I live a good life. I don't drink and I am a family person.” • “Preventive medicine care.” • “Being obese and diabetic.” • “Genetics.” • “Work related stress, overwork.” • “A lot of wrong habits, I grew up eating the wrong things, and diseases work on you as you go.” • “I'm disabled and I can't move around very much.” Good Poor • “Trying to eat healthy and exercise and stay active not only physically but mentally.” • “Eat, take vitamins, exercise, and wash.” • “I live consciously and try to moderate stress. “ • “Work. Good hard work.” • “A lot of it is activity and attitude, not sitting around having pity parties.” • “All the illnesses I have; I have no immune system; I have several diseases.” • “Overweight, arthritis. Due to my poor health I don't get out and exercise, I should.” • “Not having insurance to go to doctors to get my medication.” • “Overweight, smoke and don't go to gym.” • “My genetics or my genes: my parents have many of the same problems as me.” Q19. What do you think contributes most to your (insert answer from Q18) health?

  12. Chronic Disease Awareness & Prevention

  13. For Which Diseases Is It Important To Be Screened Or Checked? Other=14% Multiple responses allowed DK/RF/NA=8% (n=1000) Q17. Please tell me which diseases you think are important to get screened or checked for:

  14. Things Georgians “Think” Can Keep Them Healthy And Decrease Chronic DiseaseUNAIDED RESPONSES Eating healthy Being physically active Don’t use tobacco Regular check ups Take vitamins Reduce alcohol consumption Reduce stress Positive attitude *Chart does not reflect other responses at less than 3% Q8. What can you do to keep yourself healthy and decrease your chance of getting a disease like cancer, heart disease, obesity (being very overweight), diabetes, asthma, arthritis and osteoporosis (weak bones)? (n=1000)

  15. Do To Keep Healthy (n=934) Other=8% DK/RF/NA=9% Things Georgians “Think” vs. “Do” To Keep Healthy And Decrease Chronic DiseaseUNAIDED RESPONSES Think Can Keep Healthy (n= 1000) Other=8% DK/RF/NA=5% Eating healthy Being physically active Don’t use tobacco Regular check ups Take vitamins Reduce alcohol consumption Reduce stress Positive attitude Q8. What can you do to keep yourself healthy and decrease your chance of getting a disease like cancer, heart disease, obesity (being very overweight), diabetes, asthma, arthritis and osteoporosis (weak bones)? And Q10. Which of these do you actually do? *Chart does not reflect other responses at less than 2%

  16. Does Tobacco Use Increase Risk Of Certain Diseases? 91%Cancer 28%Heart Disease 16% Emphysema Don’t know 5% 9%Asthma 6% Respiratory/Lung Disease No 6% 2%Diabetes Yes 1%Obesity 89% 1%Osteoporosis (n=891) (n=1000) Q11. Do you think using tobacco increases your chance of getting certain diseases? AND Q12. What diseases does it increase your chances of getting?

  17. Does Not Being Physically Active Increase Risk Of Certain Diseases? 56%Heart Disease Don’t know 29%Obesity 4% 20%Diabetes 9%Cancer No 16% 8%Osteoporosis 8% Arthritis Yes 5% High blood pressure/Hypertension 80% 3%Asthma 1%Cholesterol (n=799) (n=1000) Q15. Do you think not being physically active increases your chance of getting certain diseases? AND Q16. What diseases does it increase your chances of getting?

  18. Does An Unhealthy Diet Increase Risk Of Certain Diseases? 41%Heart Disease 34%Diabetes Don’t know 24%Obesity 4% 22%Cancer 7% High blood pressure/Hypertension No 12% 5%Osteoporosis Yes 4% Cholesterol 84% 2% Arthritis 2%Asthma (n=839) (n=1000) Q13. Do you think not eating healthy increases your chance of getting certain diseases? AND Q14. What diseases does it increase your chances of getting?

  19. 91% 56% 41% 34% 29% 28% 24% 22% 20% 9% 9% 8% 8% 5% 3% 2% 2% 1% 2% 0% 1% Cancer Heart Disease Diabetes Obesity Osteoporosis Arthritis Asthma Diseases Tobacco Use, Unhealthy Diet, And Not Being Physically Active Increase Chance Of Getting Tobacco use (n= 891) Unhealthy diet (n=839) Not being physically active (n=799) Multiple responses allowed Q12., Q14., AND Q16. What diseases does it increase your chances of getting?

  20. Live Healthy Georgia Campaign Awareness

  21. Familiarity With The Healthy Georgia Campaign Very familiar Somewhat familiar Not very familiar Not at all familiar (n=1000) Q24. How familiar are you with the Healthy Georgia campaign to make people aware of how to be healthier?

  22. Not very often All the time Sometimes Never Frequency Of Exposure To Healthy Georgia Themes Live Healthy Georgia Be Healthy Georgia Think Healthy Georgia Adds to + / - 100% due to rounding error (n=1000) Q25. How often do you read, see or hear anything about any of the following statements?

  23. All the time Not very often Sometimes Never Frequency Of Exposure To Healthy Georgia Messages Don’t use tobacco Be positive Eat healthy Be physically active Get a health check-up/ annual physical Adds to + / - 100% due to rounding error (n=1000) Q26. How often do you read, see or hear something about the need to:

  24. Source Of Health Information Note: Shading indicates significant difference. Other=8% DK/RF/NA=3% (n=1000) Multiple responses allowed Q27. Where do you get your health information?

  25. Significant Differences by Segment

  26. For Which Diseases Is It Important To Be Screened Or Checked? HEALTHCARE VS. NO HEALTHCARE Total random respondents (n= 1000) Respondents with healthcare coverage (n=767) Respondents without healthcare coverage (n=231) Diabetes Heart Disease AIDS/HIV I don’t know Multiple responses allowed Q17. Please tell me which diseases you think are important to get screened or checked for.

  27. Things Georgians Think Can Keep Them Healthy And Decrease Chronic Disease HEALTHCARE VS. NO HEALTHCARE Total random respondents (n= 1000) Respondents with healthcare coverage (n=767) Respondents without healthcare coverage (n=231) Eating healthy Being physically active Q8. What can you do to keep yourself healthy and decrease your chance of getting a disease like cancer, heart disease, obesity (being very overweight), diabetes, asthma, arthritis and osteoporosis (weak bones)?

  28. Diseases Not Being Physically Active Increases Chance Of Getting HEALTHCARE VS. NO HEALTHCARE Total random respondents (n= 1000) Respondents with healthcare coverage (n=767) Respondents without healthcare coverage (n=231) Heart Disease Diabetes High blood pressure I don’t know Multiple responses allowed Q16. What diseases does it increase your chance of getting?

  29. Diseases Not Eating Healthy Increases Chance Of Getting HEALTHCARE VS. NO HEALTHCARE Total random respondents (n= 1000) Respondents with healthcare coverage (n=767) Respondents without healthcare coverage (n=231) Heart Disease Diabetes Cancer I don’t know Multiple responses allowed Q14. What diseases does it increase your chance of getting?

  30. Perception of Current Health ETHNICITY Total random respondents (n= 1000) Caucasian (n=601) African American (n=276) Hispanic (n=80) Very Good Fair Q18. At this time, how would you rate your health:

  31. For Which Diseases Is It Important To Be Screened Or Checked? ETHNICITY Total random respondents (n= 1000) Caucasian (n=601) African American (n=276) Hispanic (n=80) Breast cancer Heart disease Colon cancer Cervical cancer Blood pressure AIDS/ HIV I don’t know Multiple responses allowed Q17. Please tell me which diseases you think are important to get screened or checked for.

  32. Things Georgians “Think” Can Keep Them Healthy and Decrease Chronic Disease ETHNICITY Total random respondents (n= 1000) Caucasian (n=601) African American (n=276) Hispanic (n=80) Being physically active Don’t use tobacco Taking vitamins Q8. What can you do to keep yourself healthy and decrease your chance of getting a disease like cancer, heart disease, obesity (being very overweight), diabetes, asthma, arthritis and osteoporosis (weak bones)?

  33. Does Tobacco Use Increase Risk Of Certain Diseases? ETHNICITY Total random respondents (n= 1000) Caucasian (n=601) African American (n=276) Hispanic (n=80) No Yes I don’t know Adds to + / - 100% due to rounding error Q11. Do you think using tobacco increases your chance of getting certain diseases?

  34. Diseases Tobacco Use Increases Risk Of Getting ETHNICITY Total random respondents (n= 1000) Caucasian (n=601) African American (n=276) Hispanic (n=80) Cancer Heart Disease Emphysema Respiratory Disease I don’t know Multiple responses allowed Q12. What diseases does it increase your chance of getting?

  35. Does Not Being Physically Active Increase Risk Of Certain Diseases? ETHNICITY Total random respondents (n= 1000) Caucasian (n=601) African American (n=276) Hispanic (n=80) Yes No Note: “I don’t know” responses not included on chart Q15. Do you think not being physically active increases your chance of getting certain diseases?

  36. Diseases Not Being Physically Active Increases Risk Of Getting ETHNICITY Total random respondents (n= 1000) Caucasian (n=601) African American (n=276) Hispanic (n=80) Heart Disease Diabetes Cancer High blood pressure I don’t know Multiple responses allowed Q16. What diseases does it increase your chance of getting?

  37. Does An Unhealthy Diet Increase Risk Of Certain Diseases? ETHNICITY Total random respondents (n= 1000) Caucasian (n=601) African American (n=276) Hispanic (n=80) Yes No Note: “I don’t know” responses not included on chart Q13. Do you think not eating healthy increases your chance of getting certain diseases?

  38. Diseases An Unhealthy Diet Increases Risk Of Getting ETHNICITY Total random respondents (n= 1000) Caucasian (n=601) African American (n=276) Hispanic (n=80) Heart Disease Diabetes Cancer High blood pressure Osteoporosis I don’t know Multiple responses allowed Q14. What diseases does it increase your chance of getting?

  39. Visited Doctor Or Health Clinic In Past Year ETHNICITY Total random respondents (n= 1000) Caucasian (n=601) African American (n=276) Hispanic (n=80) Yes Adds to + / - 100% due to rounding error No Q21. Have you visited a doctor or health clinic in the past year?

  40. Reason For Visit ETHNICITY Total random respondents (n= 1000) Caucasian (n=601) African American (n=276) Hispanic (n=80) Check up/Annual physical Illness/Specific problem Both Q22. Of the following three things, which best describes why you visited a doctor or health clinic?

  41. Total random respondents (n= 1000) 18-24 (n=203) 25-34 (n=251) 35-44 (n=230) 45-54 (n=203) 55-64 (n=113) For Which Diseases Is It Important To Be Screened Or Checked? AGE Colon cancer Breast cancer Heart disease Diabetes Multiple responses allowed Q17. Please tell me which diseases you think it’s important to get screened or checked for.

  42. Total random respondents (n= 1000) 18-24 (n=203) 25-34 (n=251) 35-44 (n=230) 45-54 (n=203) 55-64 (n=113) For Which Diseases Is It Important To Be Screened Or Checked? AGE (Continued) Blood pressure Other cancer AIDS/HIV Multiple responses allowed Q17. Please tell me which diseases you think it’s important to get screened or checked for.

  43. For Which Diseases Is It Important To Be Screened Or Checked? GENDER Total random respondents (n= 1000) Male respondents (n=500) Female respondents (n=500) I don’t know Prostate cancer Diabetes Cervical cancer Breast Cancer Multiple responses allowed Q17. Please tell me which diseases you think are important to get screened or checked for?

  44. Things Georgians “Think” Can Keep Them Healthy And Decrease Chronic Disease GENDER Total random respondents (n= 1000) Male respondents (n=500) Female respondents (n=500) Eating healthy Q8. What can you do to keep yourself healthy and decrease your chance of getting a disease like cancer, heart disease, obesity (being very overweight), diabetes, asthma, arthritis and osteoporosis (weak bones)?

  45. Visited Doctor Or Health Clinic In Past Year GENDER Total random respondents (n= 1000) Male respondents (n=500) Female respondents (n=500) Q21. Have you visited a doctor or health clinic in the past year?

  46. Reason For Visit GENDER Total random respondents (n= 1000) Male respondents (n=500) Female respondents (n=500) Check up/ Annual physical Illness/ Specific problem Q22. Of the following three things, which best describes why you visited a doctor or health clinic?

  47. Demographics

  48. Age 18-24 25-34 35-44 45-54 55-64 (n=1000) Q6. Which of the choices that I am about to read to you best describes your age?

  49. Gender Male Female (n=1000) Q7. What is your gender?

  50. Ethnicity Caucasian Black/ African-American Hispanic/ Latino Other Adds to + / - 100% due to rounding error DK/RF/NA=1% (n=1000) Q35. Which best describes your ethnic background?

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