Download pdf - PowerPoint Presentation United States of Aging Survey, 2013, sample size: 4,000 . ... seniors say cell phones, 68 percent say computers, ... PowerPoint Presentation

July 2013

SURVEY OVERVIEW

Methodology

• Penn Schoen Berland completed 4,000 telephone interviews among the following groups between April 4, 2013 and May 3, 2013:

3

Audience

General Population Samples 2013

National seniors 60+

National adults 18-59

Oversampled Audiences 2013

Low-income seniors 60+

Older seniors 80+

Seniors 60+ with 3+ chronic health conditions

Seniors 60+ in Birmingham, Ala.

Seniors 60+ in Indianapolis

Seniors 60+ in Los Angeles

Seniors 60+ in Orlando, Fla.

Seniors 60+ in San Antonio

Methodology

• This report is inclusive of the following audiences:

Audience Definition Sample Size Margin of Error

General Population Samples

National 60+ 2013 U.S. adults ages 60 and older 1,007 +/- 3.1%

National 60+ 2012 U.S. adults ages 60 and older from 2012 study

1,000 +/- 3.1%

National 18-59 U.S. adults ages 18-59 1,000 +/- 3.1%

Oversampled Audiences

Low-income seniors U.S. adults ages 60 and older with household income of <$15,000

378 +/- 5.0%

Older seniors U.S. adults ages 80 and older 441 +/- 4.7%

Seniors 3+ chronic health conditions

U.S. adults ages 60 and older with 3 or more chronic health conditions

685 +/- 3.7%

4

Methodology

• Please note:

– Data from general population samples, the regional oversampled audiences and the oversampled audience of seniors ages 80 and older are weighted to U.S. Census Bureau data. The following demographics are weighted:

• Age

• Gender

• Income

• Marital status

• Race

– Sample sizes under n=75 are not shown, as these sample sizes are too small to be statistically reliable

– All numbers in this report are percentages unless otherwise noted

– N/A indicates that the answer choice was not asked in the 2012 national 60+ survey

5

KEY THEMES

Key Themes

7

Health Preparedness

Most seniors express little concern about the status of their health today. At the same time, many are not investing in activities that are important to help them manage their health for the long term • Sixty percent of seniors say their health has been normal in the past year • Eighty-four percent of seniors say they have at least one chronic health

condition and 44 percent have at least three chronic health conditions • A majority (84 percent) of seniors say it is not difficult to perform regular

activities independently • Most seniors (83 percent) with one or more chronic health conditions

are confident they can manage their health conditions so as to reduce their need to see a doctor

• More than half (51 percent) of all seniors have not set any specific goals to manage their health in the past 12 months

• Eighty-one percent of seniors did not receive any help to develop an action plan to manage their health in the past 12 months

The opportunities for health improvement are even greater among low-income seniors • Seventy-five percent of low-income seniors with one or more chronic

health conditions cite at least one barrier toward managing their health, such as lack of energy or money, compared with 53 percent of seniors nationally, and 65 percent have at least two chronic health conditions

The United States of Aging Survey, 2013, sample size: 4,000

Key Themes

8

Financial Security

Although most seniors are comfortable with their current financial situation, a majority of seniors express concern about their long-term financial security • A majority (66 percent) of seniors say it is very easy or somewhat easy

to pay monthly living expenses • Nearly 1 in 5 (19 percent) seniors have had to reduce regular spending

to pay a regular monthly bill • Almost one-third (31 percent) of seniors are concerned about being

able to stay in their current home for as long as they would like • More than half (53 percent) of seniors nationally are concerned about

whether their savings and income will be sufficient to last the rest of their life

Older seniors (those ages 80 and older) are less likely to report financial anxieties • Eighty-four percent of older seniors have not had to reduce regular

spending to pay a regular monthly bill • Sixty-nine percent of older seniors say it is easy to pay monthly living

expenses


Key Themes

9

Community Support

While the majority of seniors agree their community is responsive to seniors’ needs, many lack confidence that their community is prepared to the meet the future needs of the growing senior population • Seventy-one percent of seniors say their community is responsive to

their needs • One in 2 seniors believe their community is doing enough to prepare for

the future needs of the growing senior population • Many seniors rate job opportunities, public transportation and

affordable housing options as fair or poor in their community today Adults ages 18-59 are less likely to believe their community is prepared to support the growing aging population • Forty-five percent of adults ages 18-59 do not believe their community is

doing enough to prepare for the future needs of the growing senior population

• Twenty-nine percent of adults ages 18-59 do not think their community is responsive to the needs of seniors


Key Themes

10

Wired Seniors

Comfortable users of technology, a large majority of seniors understand the importance of technology in helping them stay connected to family, friends and the wider world • When asked which technologies they use frequently, 75 percent of

seniors say cell phones, 68 percent say computers, 65 percent say the Internet, and 62 percent say email

• A large majority (83 percent) of seniors say it is important for seniors to use technology

• Almost all seniors say that technology is important in helping them stay in touch with family and friends (87 percent), keep up with the world (84 percent), learn new things (80 percent) and stay mentally sharp (79 percent)

Lack of understanding is a major barrier to seniors using more technology. Cost can be a major barrier too for those with lower incomes • The top reason seniors cite as preventing them from using more

technology is “I don’t understand how to use it” (34 percent) • Among low-income seniors, cost is a major barrier – nearly 1 in 2 say

technology “costs too much”


GENERAL OUTLOOK

Compared with 2012, more seniors in 2013 say the past year of their life has been “normal”

12

57% 42% 52%

24% 34% 23%

19% 23% 26%

60+ 2013 60+ 2012 18-59

*Not showing “don’t know” Q4 (For 60+ 2013 and 18-59 2013). In general, would you say the past year of your life has been…? Among All. Q5 (For 60+ 2012). In general, would you say the past year of your life has been…? Among All.

In general, would you say the past year of your life has been…

The Best/ Better Than

Normal

The Worst/ Worse Than

Normal

Normal +12 points vs.

2012

• Adults ages 18-59 are more likely to say the past year has been “better than normal” or “the best yet,” compared with seniors in 2013

• Adults ages 18-59 express a greater deal of optimism about the next five to 10 years, compared with seniors nationally

Looking forward, seniors express cautious optimism about their lives over the next five to 10 years

13

51% 45% 25%

24% 22%

12%

21% 30% 62%

60+ 2013 60+ 2012 18-59

*Not showing “don’t know” Q5 (For 60+ 2013 and 18-59 2013). When thinking about the next 5-10 years, do you expect your overall quality of life to get much better, somewhat better, stay about the same, get somewhat worse, or get much worse? Among All. Q6 (For 60+ 2012). When thinking about the next 5-10 years, do you expect your overall quality of life (including your financial well-being, mental and physical health, recreation and leisure time, and family situation) to get much better, somewhat better, stay about the same, get somewhat worse, or get much worse? Among All.

When thinking about the next five to 10 years, do you expect your overall quality of life to get…

Much / Somewhat

Better

Much / Somewhat

Worse

Stay about the same

65% of older seniors 80+ say about the same or better vs. 72% of seniors 60+ 2013

• Seniors are more likely to say they are very confident, compared with 18-59 year-olds

How confident are you in your ability to maintain a high quality of life throughout your senior years?

Seniors are highly optimistic about their ability to maintain a high quality of life throughout their senior years

14 *Not showing “don’t know” Q9 (For 60+ 2013 and 18-59 2013). How confident are you in your ability to maintain a high quality of life throughout your senior years? Among All.

45%

51%

41%

32%

8%

10%

4%

4%

60+ 2013

18-59

Very Confident

Not Very Confident

Somewhat Confident

Not At All

86%

83%

A majority of seniors in 2013 say their health over the past year was normal, more so than in 2012

15

60% 45%

60%

22% 34%

18%

17% 21% 22%

60+ 2013 60+ 2012 18-59

*Not showing “don’t know” Q6 (For 60+ 2013 and 18-59 2013). With regard to your health, would you say the past year of your life has been…Among All. Q7 (For 60+ 2012). With regard to your health, would you say the past year of your life has been…Among All.

With regard to your health, would you say the past year of your life has been…

The Best/ Better Than

Normal

The Worst/ Worse Than

Normal

Normal +15 points vs.

2012

• Adults ages 18-59 express greater optimism about their health

Similar to their general outlook, seniors are cautiously optimistic about their health in the future

16

60% 52% 53%

23% 28%

12%

13% 17% 34%

60+ 2013 60+ 2012 18-59

*Not showing “don’t know” Q7 (For 60+ 2013 and 18-59 2013). When thinking about the next 5-10 years, do you expect your health to get much better, get somewhat better, stay about the same, get somewhat worse, or get much worse? Among All. Q8 (For 60+ 2013). When thinking about the next 5-10 years, do you expect your health to get much better, get somewhat better, stay about the same, get somewhat worse, or get much worse? Among All.

When thinking about the next five to 10 years, do you expect your health to get…

Much / Somewhat

Better

Much / Somewhat

Worse

Stay about the same

• One in 3 seniors have done a great deal of preparation

How much preparation have you done for your senior years?

Most seniors have done at least some preparation for their senior years

17 *Not showing “don’t know” Q8 (For 60+ 2013 and 18-59 2013). How much preparation have you done for your senior years? Among All.

43% 42%

33% 16%

12% 19% 10%

22%

60+ 2013 18-59

A great deal

Little

Some

None

28% of low-income seniors have done no preparation vs. 10% of seniors 60+ 2013

18

*Not showing “don’t know” Q10 ( For 60+ 2013 and 18-59 2013). Which of the following best describes your current employment status? Among All. Q13 (For 60+ 2012). Which of the following best describes your current employment status? Among All.

Most seniors are retired – but a one-fourth are still in the workforce

63%

16%

9%

5% 4% 1% 0%

2%

63%

14% 10%

7% 5% 2%

Retired Employedfull time

Employedpart time

Disabled Homemaker Unemployedbut looking

for work

Student Other

60+ 2013 60+ 2012

N/A N/A

Current Employment Status

19

*Not showing “don’t know” Q11 ( For 60+ 2013). For which, if any, of the following reasons are you still working? Among those employed full time, part time and those unemployed but looking for work. Q14 (For 60+ 2012). For which, if any, of the following reasons are you still working? Please tell me all that apply. Among those employed full time, part time and those unemployed but looking for work.

Reasons for employment (Among those 60+ still employed/looking for work) Ranked by 60+ 2013

60+ 2013 (n=259)

60+ 2012 (n=329)

I want to stay active and productive 69% 76%

I enjoy it 66 70

I need the income 62 69

It gives me a sense of purpose 59 67

I want to stay involved with other people 53 60

I want to make a difference or help others in my community 45 53

I need the benefits 38 40

Because I’m not eligible for Medicare yet 23 N/A

Other 6 4

Seniors still working do so for many reasons – productivity, enjoyment and financial reasons rise to the top

• Nearly one-fourth (23 percent) of seniors still working in 2013 do so because they’re not eligible for Medicare yet

• Adults ages 18-59 are also optimistic in this regard, but nearly 1 in 5 individuals ages 18-59 believe it will be worse

Seniors are confident their senior years will be better or equivalent to the next generation’s senior years

20

54%

52%

22%

22%

14%

19%

60+ 2013

18-59

*Not showing “don’t know” Q13 (For 60+ 2013 and 18-59 2013). Do you think your senior years will be better or worse than the younger generation’s senior years? Among All.

Do you think your senior years will be better or worse than the younger generation’s senior years?

Much / Somewhat

Better

Much / Somewhat

Worse

Stay about the same

ECONOMIC SECURITY

• Adults ages 18-59 are slightly less likely to consider it easy

Most seniors say it is easy to pay their monthly living expenses

22

14% 13% 21%

19% 22% 26%

66% 64% 52%

60+ 2013 60+ 2012 18-59

*Not showing “don’t know” Q14 (For 60+ 2013 and 18-59 2013). In general, based on your current income and savings, how easy or difficult is it for you to pay your monthly living expenses? Is it... Among All. Q15 (For 60+ 2012). In general, based on your current income and savings, how easy or difficult is it for you to pay your monthly living expenses? Is it... Among All.

In general, based on your current income and savings, how easy or difficult is it for you to pay your monthly living expenses?

Very / Somewhat

easy

Very / Somewhat

difficult

Neither easy nor difficult

69% of older seniors 80+ say it is easy to pay their monthly living expenses

Adults ages 18-24 are less likely to say it is easy (43%)

• One in 2 seniors are concerned about whether their savings and income will be sufficient to last their lifetime and 1 in 3 seniors are concerned about being able to stay in their current home

Despite expressing comfort with their financial situation today, seniors express concern about their long-term financial stability

23

31%

22%

12% 15%

18%

60+ 2013

*Not showing “don’t know” Q15mA (For 60+ 2013). How concerned are you that your savings and income will be sufficient to last for the rest of your life? Are you...? Among All. Q16mA (For 60+ 2013). How concerned are you about being able to stay in your current home for as long as you’d like? Are you...? Among All.

How concerned are you that your savings and income will be sufficient to last for the

rest of your life? Are you...?

Very concerned

Not at all concerned

Neutral

How concerned are you about being able to stay in your current home for as long as

you’d like? Are you...?

19% 12%

13% 18%

36%

60+ 2013

Somewhat concerned

Not very concerned

53% 31%

Older seniors 80+ are less likely to be concerned (44%)

Medicare is the most common source of medical insurance among seniors

24 Q18 (For 60+ 2013). Through what organizations, if any, do you access medical insurance benefits? Please tell me all that apply. Among All. Q19 (For 60+ 2012). Through what organizations, if any, do you access medical insurance benefits? Please tell me all that apply. Among All.

Through what organizations, if any, do you access medical insurance benefits?

2%

4%

13%

13%

35%

37%

66%

0%

3%

8%

12%

36%

38%

65%

Don't know

Do not have health insurance

Medicaid

Veterans Administration or Tricare

Private health insurance plan you purchased for your own individualcoverage; not provided by the government or an employer

Your current or former employer

Medicare

60+ 2013 60+ 2012Ranked by 60+ 2013

A majority of seniors have not had to reduce spending to pay regular monthly bills this year, and most have not incurred any large out-of-pocket expenses in the past 12 months

25

In the last 12 months did you have to reduce your regular spending on items such as food

or clothes to pay a regular monthly bill?

60+ 2013

Q19 (For 60+ 2013). Have you incurred any large out-of pocket medical expenses such as hospital bills in the last 12 months and if so, have they been completely paid for? Among All. Q20 (For 60+ 2013). In the last 12 months did you have to reduce your regular spending on items such as food or clothes in order to pay a regular monthly bill like electricity or auto insurance? Among All.

Have you incurred any large out-of-pocket expenses such as hospital bills in the last 12

months and if so, have they been completely paid for?

17%

6%

76%

1% Yes - it has beenpaid

Yes - it remainsunpaid

No

Don't know

18%

81%

1%

Yes

No

Don't know

More than half of seniors nationally would apply for government assistance if they were told they qualified

26 Q21 (For 60+ 2013). If you were told that you qualify for government assistance to help meet your needs, would you consider applying for it? Among All.

If you were told that you qualify for government assistance to help meet your needs, would you consider

applying for it?

55% 39%

6%

Yes No Don't know

60+ 2013

• Thirty-nine percent of seniors nationally say they wouldn't apply for government assistance if they were told they qualify

73% of low-income seniors say “yes” they

would consider applying

Seniors with 3+ chronic health conditions are

also more likely to consider applying (63%)

Older seniors 80+ are slightly less likely to consider applying (43% say no)

Seniors are split on whether they would consider using their home equity as a means to stay in their home

27

37% 16% 38% 9% 60+2013

Q22 (For 60+ 2013). For the following statement, please tell me how strongly you agree or disagree. I would consider using my home equity as a means to stay at home if necessary. Among All.

“I would consider using my home equity as a means to stay at home if necessary”

Strongly / Somewhat

agree

Strong / Somewhat

disagree

Neither agree nor disagree

Don’t know

• Adults ages 18-59 not yet retired, indicate that savings and investments will be the primary source of retirement income, as opposed to Social Security

Seniors not yet retired indicate that Social Security will be their primary source of retirement income, followed by savings and investments and pensions

28

Showing Top 4 Choices – not showing “Other government assistance”, “Other” and “Don’t know” Q23 (For 60+ 2013 and 18-59 2013). Which of the following sources of income will you have in your retirement years? Among those not retired (60+: n=375, 18-59: n=959). Q24 (For 60+ 2013 and 18-59 2013). And of those, which will be your primary source of retirement income? Among those not retired + selecting more than 1 choice in Q23 (60+: N=288, 18-59: N=626).

Which of the following sources of income will you have in your retirement years? Among those not retired

90% 64%

42% 13%

69% 68% 37%

16%

Social Security Savings and investments Company or government pensionincluding Veteran benefits

Support from friends or familymembers

60+ 2013 18-59Ranked by 60+ 2013

41% 30%

21%

1%

23%

48%

19% 2%



60+ 2013 18-59

And of those, which will be your primary source of retirement income? Among those not retired

Ranked by 60+ 2013

• Company or government pensions are the second most common source of primary income for retired seniors

Among retired seniors, Social Security is the most common and primary source of retirement income

29 Q25 (For 60+ 2013 and 18-59 2013). Which of the following sources of retirement income do you have? Among those retired (60+: n=632). Q26 (For 60+ 2013 and 18-59 2013). And of those, which is your primary source of retirement income? Among those retired + selecting more than 1 choice in Q25 (60+: n=476).

Which of the following sources of retirement income do you have? Among those retired

89% 59% 47%

6% 5% 7% 2%

Social Security Savings andinvestments

Company orgovernment

pension includingVeteran benefits

Support fromfriends or family

members

Other governmentassistance

Other Don't know

60+ 2013

43% 32%

13% 1% 1% 3% 7%

Social Security Company orgovernment


Savings andinvestments



members

Other Don't know

60+ 2013

And of those, which is your primary source of retirement income? Among those retired

• Respondents ages 18-59 say savings and investments will be the primary source of retirement income

Among both seniors that are retired and those that are not, Social Security is/will be the primary source of retirement income

30

Q24 (For 60+ 2013, 18-59 2013). And of those, which will be your primary source of retirement income? Among those not retired + selecting more than 1 choice in Q23 (60+: n=288, 18-59: n=626).

Q26 (For 60+ 2013, 18-59 2013). And of those, which is your primary source of retirement income? Among those retired + selecting more than 1 choice in Q25 (60+: n=476).

43% 32%

13% 1% 1% 3% 7%

Social Security Company orgovernment


Savings andinvestments



members

Other Don't know

60+ 2013

And of those, which is your primary source of retirement income? Among those retired

41% 30%

21%

1%

23%

48%

19% 2%



60+ 2013 18-59

And of those, which will be your primary source of retirement income? Among those not retired

Ranked by 60+ 2013

When it comes to housing needs, being able to live independently and close to friends and family are the most important to seniors

31 Q27 (For 60+ 2013). Thinking about your housing needs in your senior years, which of the following are most important? Please tell me your top 3 choices. Among All.

Thinking about your housing needs in your senior years, which of the following are the most important?

54%

53%

36%

29%

24%

18%

16%

13%

11%

4%

1%

1%

Being able to live independently

Being close to friends and family

Staying in your current neighborhood/town

Being close to health care services

Being close to grocery/pharmacy

Having affordable housing

Having access to transportation assistance / services

Having the opportunity for social interaction

Having access to amenities such as exercise/recreation facilities

Other

None of the above

Don’t know

Among 60+ 2013

HEALTH AND WELLNESS

Most seniors do not report feelings of depression or isolation

33

*Not showing “don’t know” Q28mA (For 60+ 2013). Over the past two weeks, how often have you been bothered by each of the following problems? Little interest or pleasure in doing things. Among All. Q29mA (For 60+ 2013). Over the past two weeks, how often have you been bothered by each of the following problems? Feeling down, depressed or hopeless. Among All. Q30 (For 60+ 2013). How often do you feel isolated from others? Among All.

Over the past two weeks, how often have you been bothered by each of the following problems?

%

80%

85%

8%

8%

4%

2%

7%

4%

Little interest or pleasure in doingthings

Feeling down, depressed or hopeless

Not at all Several days More than half the days Nearly every dayAmong 60+ 2013

67% 19% 9% 6% Isolated from others

Never Rarely Sometimes Often

Over the past two weeks, how often have you been bothered by each of the following problems?

Among 60+ 2013

A large majority of seniors say it is not difficult to perform regular independent living activities

34

4% 11% 8% 76% 60+ 2013

*Not showing “don’t know” Q31 (For 60+ 2013). How difficult is performing regular independent living activities such as leaving your home or moving around the house freely without the assistance of any device or person? Among All.

How difficult is performing regular independent living activities such as leaving your home / moving around the house freely without the

assistance of any device or person?

Very difficult

Not very difficult

Somewhat difficult

Not at all difficult

61% older seniors ages 80+ say performing independent living activities is not at all difficult

Many seniors (43 percent) have not taken any steps toward preventing falls

35 *Not showing “don’t know” Q32 (For 60+ 2013). In the past 12 months, which of the following have you done to reduce your chance of a fall? Among All.

In the past 12 months, which of the following have you done to reduce your chance of a fall?

37%

28%

22%

13% 12%

3% 5%

43%

Had my visionchecked

Had mymedications

reviewed by ahealth careprovider orpharmacist

Made changes inmy home to

reduce my risk offalling (for

example, securedrugs or improved

lighting)

Talked to a familymember or friendabout how I can

reduce my risk offalling

Talked to myhealth care

provider abouthow I can reducemy risk of falling

Participated in afall preventionprogram in my

community

Other None of the above

Showing 60+ 2013

Less than half of seniors (44 percent) exercise for 30 minutes or more, once / twice a week or less

36

18% 8% 18% 28% 26% 60+ 2013

*Not showing “don’t know” Q33 (For 60+ 2013). How often do you typically exercise for 30 minutes or more? Among All.

How often do you typically exercise for 30 minutes or more?

Never Once/twice a week

Less than once a week

More than twice a week

but not everyday

Everyday

Low-income seniors (27%) and seniors with 3+ chronic health conditions (26%) are more likely to say “never”

Despite expressing little concern about the status of their health today, 1 in 2 seniors have not set any specific goals to help manage their health

37 Q34 (For 60+ 2013). In the past 12 months, did you set one or more specific goals to manage your health? Among All.

47%

51%

1%

60+ 2013

Yes No Don’t Know

In the past 12 months, did you set one or more specific goals to manage your health?

Seniors with 3+ chronic health conditions are no more likely to have set specific goals (48% say yes)

• Among those that did receive help, many were not asked for their input

A large majority of seniors did not receive help to develop a health action plan

38

Q36 (For 60+ 2013). In the past 12 months, did you receive help to develop an action plan for how to manage problems with your health? Among All. Q38(For 60+ 2013). Over the past 6 months when you received care for your health condition, how often were you asked for your ideas when you made a treatment plan? Among those saying YES they received help to develop action plan (n=140).

In the past 12 months, did you receive help to develop an action plan for how to manage problems with your health?

19%

81%

60+ 2013

Yes No Don’t Know

23%

16%

21%

37%

3%

Always Most ofthe time

Sometimes Never Don'tknow

Over the past six months when you received care for your health condition, how often were you asked for your ideas

when you made a treatment plan?

If yes

About half of seniors nationally have created a will or designated power of attorney for care at end-of-life

39 Q39 (For 60+ 2013). Have you taken any of the following steps to plan for your care at the end-of-life? Among All.

Have you taken any of the following steps to plan for your care at the end-of-life?

62%

54% 49%

31%

8% 12%

1%

Spoken with lovedones concerning yourwishes for end of life

Created advancedirectives such as a

living will

Designated a powerof attorney or

surrogate for healthcare

Paid/planned forservices desired at

end-of-life

Don't want toplan/think about it

None of the above Don't know

Among 60+ 2013

• However, very few have seen geriatricians

A large majority of seniors have seen a primary care physician in the past year

40 Q41 (For 60+ 2013). Which of the following types of health care professionals have you seen in the past year? Please tell me all that apply. Among all.

Which of the following types of health care professionals have you seen in the past year?

88%

60%

60%

36%

4%

3%

0%

Primary care physician

Dentist

Ophthalmologist or other eye doctor

Specialist such as a cardiologist or endocrinologist

Geriatrician

None of the above

Don't know

Among 60+ 2013

31% of low-income seniors have seen dentists

49% of seniors with 3+ chronic health conditions have seen specialists

41

60+ 2013

Have you ever been told by a physician that you have any of the following health conditions?

High Blood Pressure 47%

Arthritis 35%

High Cholesterol 34%

Diabetes 21%

Vision Loss 20%

Hearing Loss 17%

Heart Disease such as Coronary Artery Disease, Atrial Fibrillation, Heart Failure, or Arrhythmia

16%

Cancer 14%

Chronic Lung Disease, such as Asthma, COPD, or Emphysema 11%

Depression, anxiety or other Mental Health Concerns 11%

Osteoporosis 11%

Urinary Incontinence 8%

Kidney Disease 4%

Stroke 4%

Alzheimer’s or Dementia 0%

Other 5%

None of the above 16%

*Not showing “don’t know” Q42 (For 60+ 2013). Have you ever been told by a physician that you have any of the following health conditions? Please tell me all that apply. Among All.

In 2013, most seniors have at least one chronic health condition; high blood pressure, arthritis and high cholesterol are among the most common

Low-income seniors are more likely to have been diagnosed with chronic health conditions: • 53% say they have arthritis • 53% say they have high blood

pressure • 38% say they have high

cholesterol

Among older seniors 80+: • 47% say they have arthritis • 45% say they have high blood

pressure Compared with seniors ages 60+, older seniors skew towards vision loss (28%), hearing loss (27%) and heart disease (24%)

84% of seniors ages 60+ report having at least one of these chronic health conditions 65% of seniors ages 60+ report having two or more chronic health conditions

CHRONIC HEALTH CONDITIONS

Most seniors express confidence in performing regular tasks without hindrance from a chronic health condition(s)

43

Q34 (For 60+ 2012). How confident are you that you can do the tasks and activities needed to manage your health condition(s), so as to reduce your need to see a doctor? Among those with 1+ conditions (n=572). Q35 (For 60+ 2012). How confident are you that you can do things other than just taking medications to reduce how much your illness affects your daily life? Are you… Among those with 1+ conditions (n=572).

Q43-48mA (For 60+ 2013). How confident are you that you…Showing “Very + Somewhat Confident”. Among those with 1+ conditions (n=842). Respondents asked 3 of 6.

How confident are you that you…

Among seniors with 1+ chronic health condition(s)

60+ 2013 (n=842)

60+ 2012 (n=572)

Showing Very + Somewhat Confident

Can do the different tasks and activities needed to manage your health condition so as to reduce your need to see a doctor

83% 80%

Can do things other than just taking medication to reduce how much your illness affects your everyday life 81% 81%

Can reduce the emotional distress caused by your health condition from interfering with the things you want to do 79% N/A

Can keep any other symptoms or health problems you have from interfering with the things you want to do 79% N/A

Can keep the physical discomfort or pain of your disease from interfering with the things you want to do 78% N/A

Can keep the fatigue caused by your disease from interfering with the things you want to do 72% N/A

• The biggest barriers are lack of energy and money

Among seniors with one or more chronic health conditions, almost 1 in 2 say they do not experience any barriers in managing their health condition(s)

44 Q49 (For 60+ 2013).Which, if any, of the following barriers do you experience in managing your health conditions? Please tell me all that would apply. Among those with 1+ conditions (n=842).

1% 2%

47%

5% 5% 6% 7% 8% 9% 9%

17% 21%

25%

Don't KnowOtherNone of theseNot enoughaccess to

health careproviders

Lack ofsupport from

friends orfamily

Not enoughaccess to

information

Lack oftransportation

Theinformation istoo technicalor difficult tounderstand

Lack ofinsurance

Lack of timeLack ofwillpower

Lack of moneyLack of energy

60+ seniors with 1+ chronic health condition(s) 2013

Which, if any, of the following barriers do you experience in managing your health conditions?

Among seniors with 1+ chronic condition(s)

Low-income seniors: 46% cite lack of money 38% cite lack of energy

Few seniors with chronic health condition(s) were encouraged to attend community programs to help with their health condition(s)

45 Q50 (For 60+ 2013). Over the past 6 months when you received care for your health condition, how often were you encouraged to attend programs in the community that could help you? Among those with 1+ conditions (n=842).

Over the past six months when you received care for your health condition, how often were you encouraged to attend programs in the

community that could help you?

Among seniors with 1+ chronic health condition(s)

Showing 60+ 2013

67%

8% 13%

4% 4% 4%

None ofthe time

Little ofthe time

Some ofthe time

Most ofthe time

Always Don'tknow

COMMUNITY PREPAREDNESS

• This is also true for adults ages 18-59

The strongest association of community for seniors is friends and family

47 Q51 (For 60+ 2013 and 18-59 2013). Which of the following best describes what "community" means to you? Among All.

49%

15% 12% 11% 5% 1%

6% 2%

42%

19% 23%

5% 3% 2% 4% 1%

My friends andfamily

My neighborhood The city or town Ilive in

A group that Ibelong to such as areligious group or

faith-basedorganization

I don't have asense of

community

My place of work Other Don't know

60+ 2013 18-59

Ranked by 60+ 2013

Which of the following best describes what "community" means to you?

Seniors rate health care and public safety in their community better than public transportation and job opportunities

48 Q52-57mA (For 60+ 2013). How would you rate the quality of [the following] services in your community? Among All.

Showing 60+ 2013 Ranked by “Excellent”

How would you rate the quality of the following services in your community?

4%

8%

9%

12%

21%

29%

6%

8%

18%

25%

28%

25%

14%

20%

22%

20%

32%

26%

20%

15%

15%

9%

13%

7%

27%

32%

11%

11%

4%

6%

30%

17%

25%

23%

3%

7%

Job opportunities for seniors

Public transportation

Affordable housing options for seniors

Community-based support services for seniors such asadult day care or transportation assistance programs

Public safety

Health care services

Excellent Very Good Good Fair Poor Don't know

41%

45%

2013 18-59

Yes No

• Adults ages 18-59 are less likely to agree their community is responsive to the needs of seniors

Most seniors feel their community is responsive to the needs of seniors

49 Q59 (For 60+ 2013 and 18-59 2013). Do you feel your community is responsive to the needs of seniors? Among All.

Do you feel your community is responsive to the needs of seniors?

71%

18%

11%

60+ 2013

Yes No Don't Know

61%

29%

10%

18-59

Yes No Don't Know

• Adults ages 18-59 are not confident their community is doing enough to prepare for the future needs of the growing senior population population

Only about 1 in 2 seniors say their community is doing enough to prepare for the future needs of the growing senior population

50 Q58 (For 60+ 2013 and 18-59 2013). Do you feel your community – meaning the city/town you live in – is doing enough to prepare for the needs of a growing senior population? Among All.

49%

33%

18%

60+ 2013

Yes No Don't Know

41%

45%

14%

18-59

Yes No Don't Know

Do you feel your community – meaning the city/town you live in – is doing enough to prepare for the needs of the growing senior

population?

Seniors highlight transportation, affordable housing and affordable health care as areas for investment

51 Showing Top 13 Choices – not showing “Other” and “Don’t know” Q60 (For 60+ 2013). Which of the following should your city/town invest more in to help seniors? Please tell me your top 3 choices. Among All.

Which of the following should your city/town invest more in to help seniors?

%

5%

8%

11%

12%

13%

13%

13%

13%

16%

16%

23%

23%

26%

26%

Internet access

Religious or faith-based events

Nothing

Walking/bike paths

A community center

Public safety

Activities like plays, concerts, or dances

Classes on nutrition, personal finances or technology use

Exercise programs

Better access to health care

Home delivered meals such as Meals-on-Wheels

Affordable health care services

Affordable housing

Better transportation options

Showing 60+ 2013

ROLE OF TECHNOLOGY

• While trailing adults ages 18-59 in overall usage, most seniors use cell phones, computers, Internet, email and printers

• Low-income seniors are much less likely to use technology, compared with seniors nationally

Today, most seniors use at least one form of technology frequently

53 Showing Top 14 Choices – not showing “Media players like an iPod or MP3 player”, “Videogames”, “Medical alert devices”, “Other” and “Don’t know” Q61 (For 60+ 2013 and 18-59 2013). Which of the following technology do you use frequently? Please tell me all that apply. Among All.

Which of the following technology do you use frequently?

% 75%

68% 65% 62% 58%

42% 39% 38% 34%

30% 23% 22% 20% 20%

84% 86% 87% 81%

75%

55% 58% 57%

76%

65% 65%

42%

32%

43%

Cell phones Computers The Internet Email Computerprinter

Televisionrecording such

as TiVo orother DVR

Onlineshopping

GPS devices Textmessaging

Socialnetworking

like Facebookor Twitter

Smartphones Videoconferencinglike Skype or

Facetime

E-readers likea Kindle or

Nook

Tablets like aniPad

60+ 2013 18-59Ranked by 60+ 2013

• Adults ages 18-59 agree it is important for seniors to use technology

A large majority of seniors believe it is important to use technology

54 *Not showing “don’t know” Q62 (For 60+ 2013 and 18-59 2013). How important is it that seniors use technology? Among All.

How important is it that seniors use technology?

45%

42%

38%

46%

7%

7%

7%

4%

60+ 2013

18-59

Not at all important

Somewhat important

Not very important

Very important

Technology is very important to seniors to stay connected with family, friends and the world

55 Q63-73mA (For 60+ 2013). How important is technology in your ability to… Among All.

21% 26% 33% 26% 36% 31% 38%

24% 34% 28% 24%

66% 58% 47% 53% 36% 40% 31%

37% 25%

23% 15%

87% 84% 80% 79%

72% 71% 69% 61% 59%

51%

39%

Stay in touchwith familyand friends

Keep upwith the

worldaround you

Learn newthings

Staymentally

sharp

Manage yourhealth andwellness

Help you toremain

independent

Enjoy leisureactivities

Manage yourfinances

Accesscommunityservices and

programs

Go shopping Build newrelationships

Somewhat Important Very Important

Showing 60+ 2013

How important is technology in your ability to…

• Cost is the biggest barrier to adults ages 18-59

Seniors are most likely to cite lack of necessity and understanding as barriers to using more technology

56 Q74 (For 60+ 2013). Which of the following, if any, prevents you from using more technology in your life? Please tell me all that apply. Among All.

Which of the following, if any, prevents you from using more technology in your life?

0%

27%

6%

6%

39%

27%

15%

29%

1%

22%

8%

11%

27%

28%

34%

34%

Don't know

None of the above

Other

It’s physically too hard for me to use

It costs too much

I don't trust it to be secure

I don't understand how to use it

I don't think I need it

60+ 2013

18-59

Ranked by 60+ 2013

DEFINING OLD AGE

• Adults ages 18-59 are more likely to think being old means becoming wiser

Both seniors and adults ages 18-59 think age is a state of mind versus physical declining of health

58 Q75 (For 60+ 2013 and 18-59 2013). Which of the following best describes your attitude about what it means to be old? Among All.

Ranked by 60+ 2013

Which of the following best describes your attitude about what it means to be old?

28%

12% 12% 11% 9% 9%

6% 6% 6%

27%

8% 8% 11%

14%

19%

4% 5% 5%

There's no suchthing as getting

old; age is astate of mind

It means doingwhat I want in

life

It means notworrying aboutthe little things

in life

It means I havemore years

behind me thanahead of me

It meansphysical or

mental decline

It meansbecoming wiser

It means losingyour

independence

It means losingthe ones you

love

Don't know

60+ 2013 18-59

Despite future economic and health care concerns, seniors say their attitude about getting older hasn’t changed

59 *Not showing “don’t know” Q76 (For 60+ 2013 and 18-59 2013). Over the past ten years, how has your attitude about getting older changed? Is it... Among All.

Over the past 10 years, how has your attitude about getting older changed? Is it...

18% 18%

54% 46%

25% 34%

60+ 2013 18-59

More optimistic now

About the same

More pessimistic now

• One in 3 adults ages 18-59 say their attitude about aging is more optimistic now compared with 1 in 4 seniors

• Adults ages 18-59 are more likely to plan on relying on themselves

Among both seniors and adults ages 18-59, family will be a key source of support in senior years

60 Q77 (For 60+ 2013 and 18-59 2013). Who [do/will] you rely on the most for support in your senior years? Among All.

Who [do/will] you rely on the most for support in your senior years?

69%

19%

5% 3% 1% 1% 2%

59%

31%

3% 3% 2% 1% 2%

My family I [don't/won’t] rely on anyone but myself

My friends The federalgovernment

My community My local government Don't know

60+ 2013 18-59Ranked by 60+ 2013

41%

45%

2013 18-59

Yes No

Seniors and adults ages 18-59 generally believe that men and women have about the same quality of life in their senior years

61 Q78 (For 60+ 2013 and 18-59 2013). In general, who do you think has a higher quality of life in their senior years, men or women, or is it about the same? Among All.

In general, who do you think has a higher quality of life in their senior years, men or women, or is it about the same?

7%

30%

57%

6%

60+ 2013

Men Women

About the same Don't know

9%

27%

61%

2%

18-59

Men Women

About the same Don't know

Seniors and adults ages 18-59 do not think geography impacts quality of life

62 Q79 (For 60+ 2013 and 18-59 2013). In general, who do you think has a higher quality of life in their senior years, seniors living in urban, rural or suburban areas, or is it about the same? Among All.

Ranked by 60+ 2013

In general, who do you think has a higher quality of life in their senior years, seniors living in urban, rural or suburban areas, or

is it about the same?

12% 14% 17%

49%

8% 12%

16%

25%

42%

5%

Urban Rural Suburban About the same Don't know

60+ 2013 18-59

Seniors indicate that a high quality of life in your senior years means staying connected, having financial means and staying mentally and physically active

63 Q80 (For 60+ 2013 and 18-59 2013). Of the following choices, which are most important to having a high quality of life in your senior years? Please tell me your top two choices. Among All.

Which are most important to having a high quality of life in your senior years?

40%

30%

26%

25%

25%

15%

15%

8%

2%

3%

32%

29%

23%

32%

21%

19%

23%

5%

4%

2%

Staying connected to friends and family

Having financial means

Staying mentally active

Staying physically active

Having a spiritual / religious connection

Having access to quality health care

Having quality health care coverage

Living in the right community

Having access to technology

Don't know

60+ 2013 18-59

Ranked by 60+ 2013

• Adults ages 18-59 are more likely than seniors to think staying physically active is important

Seniors think that access to technology and health care are better for their generation’s senior years than their parents’ generation

64 Q81 (For 60+ 2013). Which of the following aspects of your senior years are better for you than for your parents in their senior years? Among All.

Which of the following aspects of your senior years are better for you than for your parents in their senior years?

Ranked by 60+ 2013

48% 46% 44% 43% 43% 38% 37% 35% 32%

25%

6%

Access totechnology

Health care Physicalhealth

Health carecoverage

Financialpreparedness

Senior livingoptions

Longevity Mentalhealth

Connectionswith friendsand family

Spiritual /religious

connection

Don't know

60+ 2013

Most seniors have concerns about living a longer life; top concerns are being able to care for one’s self and becoming a burden on family and friends

65

1 http://www.cdc.gov/nchs/fastats/lifexpec.htm Q82 (For 60+ 2013 and 18-59 2013). The average life expectancy for people born in 1900 was 47 years of age. Today, Americans can expect to live, on average, until they’re 78. What worries you most about a longer life? Among All.

The average life expectancy for people born in 1900 was 47 years of age. Today, Americans can expect to live, on average, until they’re 781.

What worries you most about a longer life?

19%

15%

13%

11%

7%

7%

3%

3%

20%

2%

16%

13%

12%

14%

10%

11%

4%

2%

16%

2%

Not being able to take care of myself

Being a burden

Losing my memory

Not having enough money to meet my needs

Losing the people I care most about

Suffering with serious illness

Moving into assisted living or a retirement home

Other

Nothing or I don't worry

Don't know

60+ 2013

18-59

Ranked by 60+ 2013

http://www.cdc.gov/nchs/fastats/lifexpec.htm

In living a longer life, seniors and adults ages 18-59 are most excited about seeing children grow up and spending time with friends / family

66 Q83(For 60+ 2013 and 18-59 2013). And what excites you most about living to a longer life? Among All.

And what excites you most about living to a longer life?

Ranked by 60+ 2013

41%

20% 18%

8% 3%

7% 3%

42%

17% 16%

10% 6% 6%

3%

Seeing childrenand grandchildren

grow up

Spending timewith friends and

family

Having time to dothe things I enjoy

Having time totravel

Having time torelax

Other Don't know

60+ 2013 18-59

DEMOGRAPHICS

• xx

68

Demographics 60+ 2013 (n=1,007)

18-59 (n=1,000)

What is your marital status? Married 60% 50% Widowed 21% 1% Divorced 12% 10% Separated 1% 3% Never married 5% 33%

Who else lives in your home with you? Spouse or significant other 58% 52%

An older parent or in-law 1% 15%

A child 15% 46%

A grandchild 5% 2%

Other extended family 4% 12%

A live-in nurse or caregiver 0% 0%

Someone else not covered above 2% 6%

Nobody 28% 13%

Do you live in your own home or apartment, in a family member’s home, in a retirement community, in an assisted living facility or in a nursing home? My own home 87% N/A

A family member’s home 3% N/A

In a retirement community 3% N/A

Assisted living facility 1% N/A

Nursing home 0% N/A

Other 5% N/A

• xx

69


18-59 (n=1,000)

Which of the following best describes your 2012 household income before taxes? (Includes all income from Social Security, Pension, Annuities and other retirement savings, as well as any earned income from employment). Less than $5,000 4% 4%

$5,000 - $9,999 5% 4%

$10,000 - 14,999 6% 3%

$15,000 - $19,999 6% 3%

$20,000 - $29,999 11% 10%

$30,000 - $39,999 9% 8%

$40,000 - $49,999 10% 7%

$50,000 - $74,999 12% 17%

$75,000 - $99,999 8% 11%

$100,000 - $124,999 5% 8%

$125,000 - $149,999 2% 5%

$150,000 - $199,999 2% 3%

$200,000 or more 3% 6%

Prefer not to say 13% 7%

Which of the following best describes your race? White or Caucasian 79% 64%

Black or African-American 8% 11%

Asian 4% 4%

American-Indian or Alaska Native 1% 1%

Native Hawaiian or Other Pacific Islander 0% 1%

Other 6% 16%


• xx

70


18-59 (n=1,000)

What is the total amount of assets you have saved for retirement?

Less than $10,000 18% 31%

$10,000 - $24,999 5% 10%

$25,000 - $49,999 6% 9%

$50,000 - $99,999 10% 9%

$100,000 - $149,999 6% 5%

$150,000 - $199,999 3% 4%

$200,000 - $299,999 6% 5%

$300,000 - $499,999 5% 3%

$500,000 - $749,999 4% 2%

$750,000 - $999,000 2% 1%

$1 million - $1.9 million 2% 2%

$2 million or more 2% 1%


Are you of Hispanic or Latino origin? Yes 7% 16%

No 93% 84%

• xx

71

Demographics 60+ 2013 (n=50)

18-59 (n=186)

Please specify your country of origin (Among those of Hispanic/Latino origin).

Mexico 15% 27%

Puerto Rico 6% 3%

Cuba 1% 1%

El Salvador 0% 3%

Dominican Republic 2% 3%

Guatemala 0% 0%

Colombia 0% 0%

Honduras 2% 1%

Ecuador 4% 1%

Peru 2% 0%

Spain 2% 1%

Portugal 0% 0%

Other 55% 52%
