Insights from Monroe County Poll on Issues Impacting Residents Over 60
The Monroe County poll conducted in August 2019 aimed to gather attitudes and opinions on various issues affecting residents over 60. The study focused on areas like home conditions, transportation, health, addictions, social involvement, hardships, and financial information. The top concerns identified were the lack of handrails or grab bars and the need for minor home repairs. Age was a factor in the significance of these concerns, with notable differences between age groups. The study also highlighted gender and area distribution among respondents.
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AAA 1-B Monroe County Poll Conducted August 21-26, 2019 (N=292 60 + Residents) 1/3 Cell Phones/2/3 Landlines Margin of Error= +5.71% 1
Goals and Objectives of the Research The goals were to determine the following: Determine attitudes and opinions on a wide variety of issues impacting citizens over the age of 60 who live in Monroe County, Michigan. Those issues include: (1)Conditions in their homes (8) Serious Challenges (2) Transportation issues (9) Unmet Needs (3) Physical and mental health issues (10) Knowledge of benefits (4) Addictions (11) Healthcare resources (5) Social involvement (6) Treatment by others (7) Hardships (12) Income/Financial Info 2
Methodology Mitchell Research & Communications conducted a quantitative study (telephone survey) to determine attitudes and opinions on a wide variety of issues facing 60+ residents of Livingston County. The telephone survey of N=292 Monroe County residents over the age of 60 was conducted August 21-26, 2019 and has a MoE of + or 5.71% at the 95% level of confidence. A telephone list containing landline and cellphone numbers for all 60+ residents in Monroe County was used. Filter questions were asked so that only respondents who were 60+ and residents of Monroe County were surveyed. Any calls to non-residents or those younger than 60 were terminated. Sixty-seven percent of all calls were completed to landlines and 33% to cell phones. The gender split was 52% female, 48% male. 3
Gender 60% 50% 50% 50% 40% 30% 20% 10% 0% Male Female 4 4
Age 25% 23% 21% 21% 19% 20% 16% 15% 10% 5% 0% 60-64 65-69 70-74 75-79 80+ 5 5 5
Area 60% 51% 49% 50% 40% 30% 20% 10% 0% Rural Urban 6
Home Condition Concerns The top two concerns are not enough handrails or grab bars (13.4%) (5,586) and home in need of minor repairs (11.3%) (4,710) 4
Home Condition Concerns 35.0% 31.2% 30.0% 25.0% 20.0% 13.4% 11.3% 15.0% 7.2% 6.2% 10.0% 4.8% 3.4% 2.4% 5.0% 0.0% 8
Conclusions Home Condition Concerns The top two concerns are not enough handrails or grab bars (13.4%) (5,586) and home in need of minor repairs (11.3%) (4,710). In terms of not enough handrails or grab bars, there are major differences by age, with 16.6% (4,359) of those under 75 saying this is an issue compared to 8.5% (1,311) of those over 75.
Conclusions Home Condition Concerns The next grouping of issues would be poor water quality (7.2%) (3,001), and too cluttered (6.2%) (2,584). There are no differences between the specific groups (age, income, area) tested. The final three would be need smoke detector (4.8%) (2,001), need a ramp (3.4%) (1,417) and presence of mold (2.4%) (1,000). There are no differences between the specific groups (age, income, area) tested.
Transportation Issues Transportation to Doctors Appointment 84.2% 80.0% 90.0% 70.0% 60.0% 50.0% 40.0% 30.0% 20.0% 10.3% 10.0% 3.1% 1.7% 0.7% 0.0% Drive Ride From Spouse/Family Public Paying For Ride Is Too Expensive Other Themselves Transportation Doesn't Meet Needs 11
Transportation Issues Missed a Medical Appointment in Last 12 Months Due to Transportation 3% 1,250 seniors At least 4 missed appointments every business day 12
Conclusions Home Condition Concerns Only 5.5% (2,293) of respondents said they have trouble getting to the places they need to go. When respondents need to see a doctor, 84.2% (35,098) drive themselves. As one would expect, the percentage is lower among those making below $25,000 (68.8%) (9,464) and much higher among those making more than $25,000 (91.8%) (25,638). Another 10.3% (4,293) get a ride from their spouse or family. This number is higher among those making below $25,000 (19.8%) (2,724).
Health Concerns Almost one third (30.8%) (12,839) of all respondents do not have any health concerns 4
Health Concerns 35.0% 30.8% 30.0% 22.9% 22.9% 25.0% 20.0% 16.4% 16.1% 15.4% 14.7% 15.0% 10.0% 5.0% 0.0% 15
Conclusions Health Concerns Those making less than $25,000 per year had a higher percentage of respondents citing not being able to do the things I enjoy, coping with pain, fear of falling, and losing my independence Almost all of the respondents (97.6%) (40,684) have a regular primary care physician. That is true of 99.1% (15,284) of those 75+, but only 94.8% (13,041) of those making under $25,000 per year.
Missed Doctor and Dentist Appointments when they Thought They Should Go 18.0% 15.8% 16.0% 14.0% 12.0% 9.2% 10.0% Doctor Dentist 8.0% 6.0% 4.0% 2.0% 0.0% Yes 17
Conclusions Missed Appointments Nine and two tenths percent (9.2%) (3,835) of the respondents said that there have been times in the last twelve months where they thought they should see a doctor but did not. Again, the percentage of respondents who did not go to a dentist when they thought they should (15.8%) (6,586) is only slightly higher than the 9.0% (3,752) that did not see a doctor. The percentage is much higher among those making below $25,000 (26.0%) (3,577) and lower among those making more than $25,000 (10.7%) (2,988).
Conclusions Missed Appointments Reasons cited include (N=37): No way of getting there (33.3%) (1,759) Other (29.6%) (1,563) I could not afford it, not covered by insurance and too sick to go were all (22.2%) (1,172) I was too afraid and could not get in as patient were both (7.4%) (391)
Quality of Health Seven in ten (73.2%) (30,513) of respondents said in general their health is very good (31.8%) (13,256) or good (41.4%) (17,257). Another 23.6% (9,837) said it is fair while just 3.1% (1,292) said it was poor. 4
Quality of Health - General Health 45.0% 41.4% 40.6% 39.3% 40.0% 35.0% 31.8% 30.0% 23.6% 25.0% Total <25K >25K 20.0% 16.7% 15.3% 15.0% 10.0% 3.1% 5.0% 0.0% Very Good Good Fair Poor 21
Quality of Health - Causes of Painful Feelings 32.9% 30.0% 35.0% 26.7% 25.0% 20.0% 16.4%15.8%14.4%13.0%11.6% 15.0% 10.0% 6.5% 5.5% 4.8% 4.5% 2.7% 5.0% 0.0% 22
Quality of Life Almost four out of five respondents (79.1%) (32,972) say that during the past 30 days they have had no difficult or painful feelings such as stress, grief, worry, anger, or loneliness That percentage is lower among those making less than $25,000 (71.9%) (9,891) Almost one third (32.9%) (13,714) say that from a list of things that might cause them pain, the inability to do things I used to is mentioned most often. This rises to 46.9% (6,452) among those making under $25,000 per year This falls to 25.6% (3,948) among those 75+ and to 26.0% (7,261) among those making more than $25,000
Addictions 20.0% 18.2% 18.0% 16.0% 14.0% 11.0% 12.0% 10.0% 8.0% 6.2% 4.5% 6.0% 3.8% 4.0% 1.7% 0.7% 2.0% 0.3% 0.0% 0.0% 24
Addictions Working To Quit 80.0% 73.3% 70.0% 60.0% 50.0% 40.0% 26.7% 30.0% 20.0% 10.0% 0.0% Yes No 25
Addictions Why Not Working To Quit 90.00% 79.70% 80.00% 70.00% 60.00% 50.00% 40.00% 30.00% 20.00% 7.20% 10.00% 4.30% 4.30% 2.90% 1.40% 0.00% Not Ready Don't Know of Local Programs Can't Get to Programs Can't Afford It Programs Are For Young People Tried, Unsuccessful 26
Conclusions Addictions In looking at some of the more serious addictions, opioids/narcotic pain medication were cited by 1.7% (709), marijuana by 0.7% (292), alcohol by 0.3% (125), and illegal drugs by 0.0% (0) (N=67) Those with addictions were asked whether or not they are actively working to quit. About one in four (26.7%) (2,554) said that they are trying to quit. It is higher among those 75+ (33.3%) (1,178).
Social Involvement Friends, Neighbors, and Relatives 90.0% 78.4% 80.0% 72.6% 70.0% 60.0% 50.0% Total 75+ 40.0% 30.0% 20.5% 20.0% 14.4% 7.2% 10.0% 0.0% Not Enough About Enough Too Much 28
Social Involvement Social Activity 80.0% 75.0% 67.7% 70.0% 60.0% 50.0% Total <25K >25K 40.0% 29.2% 30.0% 18.8% 20.0% 13.8% 10.0% 6.2% 0.0% Not Enough About Enough Too Much 29
Social Involvement Someone To Count On for Understanding and Advice 94.0% 93.2% 93.0% 92.0% 91.0% 90.0% 89.0% 88.0% 87.5% 87.0% 86.0% 85.0% 84.0% Total <25K 30
Social Involvement Would Participate 63.60% 61.40% 50.00% 70.00% 60.00% 45.50% 50.00% 43.20% 40.00% 30.00% 20.50% 15.90% 20.00% 10.00% 0.00% 31
Social Involvement What Prevents You From Participating 16.0% 13.7% 14.0% 12.7% 11.6% 11.6% 12.0% 10.0% 7.9% 7.2% 8.0% 6.0% 4.0% 2.0% 0.0% Don't Know of Such Programs Too Cannot Afford It Prefer To Be With Younger People Don't Want To Be With People In The Programs Don't Have A Way To Get There Sick/Disabled to Participate 32
Elder Abuse When asked about whether or not they are being treated badly, at least 98% (40,850) say they are not. The questions asked regarding poor treatment were overall consistent across all demographics. Those that provide unpaid care to an adult relative or friend account for 25.3% (10,546) of respondents This is higher among those 75+ (30.8%) (4,750)
Greatest Hardship Faced by Others 30.0% 27.4% 25.6% 25.0% 20.0% 14.8% 15.0% 11.2% 10.8% 10.0% 3.6% 2.7% 2.7% 5.0% 1.3% 0.0% 34
Serious Challenges 35.0% 29.1% 30.0% 25.0% 18.2%17.1%15.4% 20.0% 15.0% 11.6%10.3%10.3%7.5%5.5% 5.1% 4.8% 4.1% 3.4% 10.0% 5.0% 0.0% 4
Conclusions Biggest Unmet Need Challenges The following is the list of the biggest unmet need faced by older adults cited by respondents: Don t know (25.0%) (10,421) A higher percentage of those 60-74, 34.3% (9,008) Of those 75+, 11.1% (1,712) cited this Home care assistance (18.5%) (7,712) 24.8% (3,825) of those 75+ cited this Affordable housing (12.0%) (5,002) Home maintenance assistance (11.3%) (4,710) Of those making less than $25,000, 6.3% (867) cited this Door-to-door transportation (9.9%) (4,127) Other (8.6%) (3,585) Information about senior services (8.2%) (3,418) Food or nutritious food options (6.5%) (2,709)
Receiving All Benefits Eligible For 90.0% 84.6% 80.0% 70.0% 60.0% 50.0% 40.0% 30.0% 20.0% 11.3% 10.0% 4.1% 0.0% Yes No Not Sure 4
Conclusions Need Assistance or Information Ranked in order from most to least mentioned, the following are the list of services (N=53): Property tax relief (31.1%) (2,353) Medication discounts (28.9%) (2,187) Home energy weatherization (20.0%) (1,513) Medical/health insurance counseling (13.3%) (1,006) Free cell phone (13.3%) (1,006) Veterans benefits (11.1%) (840) Tax prep/filing assistance (11.1%) (840) Medicare premium payment assistance (11.1%) (840) SNAP/food stamps/Bridge card (8.9%) (673) Reverse mortgage counseling (4.4%) (333) Food delivery (2.2%)(166) Job training or employment assistance (0.0%) (0) 4
Conclusions Information About Aging and Resources Ranked in order from most to least mentioned, the following are the list of services: Senior centers (33.6%) (15,006) Newspapers (32.2%) (13,422) Library (31.2%) (13,005) TV (27.1%) (11,296) Magazines (23.6%) (9,837) Flyers, posters, or billboards (21.9%) (9,129) Social media (Facebook, Twitter, Pinterest, etc.) 20.9% (8,712) Radio (16.8%) (7,003) Friends and family (71.9%) (29,971) Doctor or healthcare provider (62.7%) (26,136) Mail delivered to my home (45.5%) (18,966) Service agency such as Area Agency on Aging (38.4%) (16,007) Internet search (36.0%) (15,006) 4
Total Combined Income 80.0% 67.1% 70.0% 60.0% 50.0% 40.0% 32.9% 30.0% 20.0% 10.0% 0.0% At or Below $25,365 Above $25,365 4
Trouble Paying Bills 70.0% 57.9% 60.0% 50.0% 40.0% 36.0% 30.0% 20.0% 10.0% 6.2% 0.0% Comfortably Afford to Pay Bills Can Afford to Pay Bills if Careful Have Trouble Paying Bills No Matter What 4
Conclusions Trouble Paying Bills Almost two-thirds (57.9%) (24,135) can comfortably afford to pay [their] bills with money left over. It is lower among those making less than $25K It is higher, as you would expect, with those making $25K or more A third (36.0%) (15,006) can afford to pay [their] bills if [they] are careful about spending. This is lower with those making over $25K (29.6%) (8,267). It is also higher with those making under $25K (49.0%) (6,740). Six point two percent (6.2%) (2,584) have trouble paying bills not matter how careful. 4
Personal Debt 80.0% 75.0% 70.0% 60.0% 50.0% 40.0% 30.0% 20.0% 8.6% 6.2% 6.2% 10.0% 4.1% 0.0% No Debt Less than $1,000 Between $1,000-$5,000 Between $5,00- $10,000 More than $10,000 4
Conclusions Personal Debt Three-fourths of the respondents (75.0%) (3,126) have no debt. This is consistent across all demographics 4
Behind On Payment 12% 11% 9.6% 10% 8% 6.8% 6.8% 5.5% 6% 4% 1.4% 2% 0% Medical Bills Credit Cards Property Taxes Mortgages Utilities (water, gas, electric) Rent 4
Conclusions Behind On Payment (N=79) About one in ten respondents (9.6%) (1,083) are behind on credit card bills This is higher among those in rural areas (17.1%) (943) and lower among those in urban areas (0.0%) (0) About one in ten respondents (11.0%) (1,241) are behind on medical bills Six point eight percent (6.8%) (767) are behind on property taxes and behind on their mortgage This is at 0.0% (0) among those making over $25K Approximately one in twenty (5.5%) (620) are behind on utilities This percentage falls to 0.0% (0) among those in urban areas Only one point four percent (1.4%) (158) are behind on rent 4
Thank You Steve Mitchell Mitchell Research & Communications, Inc. 314 Evergreen Suite B, East Lansing, MI 48823 steve@mitchellresearch.net Office: 517-351-4111 Cell: 248-891-2414 6/10/2019 47
