Health-care costs are a serious problem, nine of 10 adults say

Nearly nine of 10 American adults say the cost of health care is a serious problem (chart) and about two-thirds of the general public believe that cost has gone up in the last five years.

These are the results of a poll released by the Robert Wood Johnson Foundation, the Harvard School of Public Health and National Public Radio.

The poll asked additional questions of Americans who said they have had a serious illness, medical condition, injury or disability in the past year. More than 40 percent said the cost of their medical care caused a "very serious" (20 percent) or "somewhat serious" (23 percent) problem for their or their family's finances.

"The rising cost of medical care affects everyone, but people who have been unwell know firsthand that an illness or injury can mean financial hardship or ruin," said Risa Lavizzo-Mourey, president and CEO of the RWJF. "These findings confirm how thinly individuals and families have been stretched. Having access to high-quality, affordable, comprehensive health coverage is crucial, but we know that even with insurance, rising health care costs leave many Americans with the burden of higher out-of-pocket spending." (Read more)

4 of 5 Kentuckians think child obesity is a problem, and more than half favor a statewide smoking ban, poll finds

More than four out of five Kentuckians think too many children are overweight, and more than half want a statewide smoking ban. These are two of key findings of the Kentucky Health Issues Poll, which also asked respondents about prescription drug abuse, depression and access to health care.

Poll findings are available by clicking here. Findings have been broken down by region: Western Kentucky, greater Louisville, greater Lexington area, Northern Kentucky and Eastern Kentucky.

Statewide, the poll found 54 percent of Kentuckians favor a statewide smoking ban, up from 53 percent the year before. In 2010, Kentuckians were split down the middle, 48 percent to 48 percent.

A whopping 84 percent of Kentuckians feel childhood obesity is a problem, which is timely since 33 percent of children, 60 percent of women and 80 percent of men in Kentucky are overweight or obese, "Shaping Kentucky's Future: A Community Guide to Reducing Obesity" reports.

The poll also found more than one in three Kentuckians know someone who has misused prescription drugs; 65 percent of adults dispose of their prescription drugs in an unsafe way; nearly half keep guns in their homes; and 1 in 2 Kentuckians have a family member or friend with a serious problem of depression. Nearly 90 percent of people asked favor providing access to affordable, quality health care for all Americans.

"The Kentucky Health Issues Poll provides an excellent snapshot of how various health related issues are viewed throughout the commonwealth," said Dr. Susan Zepeda, CEO of the Foundation for a Healthy Kentucky, which helped fund the poll. "The survey's methodology lets us compare responses and learn about regional differences in Kentucky views about health."

The poll was also funded by The Health Foundation of Greater Cincinnati. It was conducted Sept. 27 to Oct. 27 by the Institute for Policy Research at the University of Cincinnati. A random sample of adults across Kentucky were interviewed, including 1,313 landline interviews and 308 cell-phone interviews.

Nearly half of Kentuckians keep guns in their home, and 9 percent keep a gun loaded and unlocked

Forty-five percent of Kentucky adults keep a gun or other firearm in their home, and one-fifth of those (9 percent of the population) keep them loaded but unlocked, the 2011 Kentucky Health Issues Poll has found. Children are present in almost half of homes that have firearms.

"Whether or not you keep guns in your home, if you have children, this should be a reminder to talk to them about gun safety," said Susan Zepeda, CEO of the Foundation for a Healthy Kentucky, which released the poll results. In 2008, 576 Kentuckians died from injury by firearms, with the Centers for Disease Control and Prevention ranking the state 16th in firearm deaths that year.

The poll found that men, people with higher incomes and people who live in the Appalachian part of the state are more likely to keep firearms around the home. People who live in large urban areas had fewer of the weapons — 39 percent in the Lexington area, 37 percent in Northern Kentucky and 32 in the Louisville area, compared to 57 percent in Eastern Kentucky.

The poll was funded by The Health Foundation of Greater Cincinnati, as well as the Foundation for a Healthy Kentucky. A random sample of more than 1,600 Kentuckians responded to the survey, which was conducted Sept. 27 to Oct. 27, 2011 by the Institute for Policy Research at the University of Cincinnati. A random sample of adults across Kentucky were interviewed, including 1,313 landline interviews and 308 cell-phone interviews. (Read more)

Kentuckians binge drink more often than residents of any other state, national survey for federal health agency finds

By Tara Kaprowy
Kentucky Health News

Kentuckians binge drink an average of about six times per month, more often than people living in any other state, a report by the Centers for Disease Control and Prevention found.

Binge drinking is defined as consuming four or more drinks for women and five or more drinks for men on one occasion. Nationwide, 17 percent of adults binge drink, up from 15 percent in a 2009 survey. That's one in six people, averaging four binges a month and eight drinks per binge (CDC graphic).

Excessive and binge drinking "causes more than 80,000 deaths in the United States each year, making it the third leading preventable cause of death," reports MSNBC. Binge drinkers are at an increased risk for liver disease, heart disease, of being in a car accident and engaging in violent behavior.

The report analyzed data from a 2010 telephone survey of 458,000 adults who described their previous 30 days of drinking. "Although the percentage of people reporting binge drinking was highest among young people, it was binge drinkers ages 65 and older who over-consumed the most often: this group reported an average of five to six episodes a month," MSNBC reports.

Though Kentuckians binge drink most often, residents of Wisconsin drink the most alcohol — up to 9 drinks on one occasion — and had the highest percentage, 25.6, of people who said they binge drink. Utah and West Virginia has the lowest share of people who say they binge drink, 10.9 percent. New Jersey had the lowest frequency, 3.6 times per month. (Read more)

Meanwhile, a study found drinking alcohol leads to the release of endorphins in parts of the brain that are responsible for feelings of pleasure and reward, says research-reporting service Newswise. "This is something that we've speculated about for 30 years, based on animal studies, but haven't observed in humans until now," said lead author Jennifer Mitchell, clinical project director at the Gallo Center at the University of California-San Francisco. "It provides the first direct evidence of how alcohol makes people feel good."

Excessive alcohol consumption costs the country about $223.5 billion per year, "mostly due to lost workplace productivity and increased health care costs," reports Sarah Kiff for The Washington Post. (Photo by Uselei Marcelino, Reuters)

A study by Canadian researchers has found that setting a minimum alcohol price can drive down those costs — and is more accepted by the public than imposing taxes. The researchers found "for every 10 percent hike in minimum alcohol price, they found people drank 3.4 percent less alcohol," Kiff reports. "For certain drinks, the effect was even more pronounced: Increasing the minimum price of wine by 10 percent correlates with an 8.9 percent drop in consumption. Beer, however, appeared relatively resilient to price fluctuations, with a 10 percent bump lowering consumption a paltry 1.5 percent."

England and Wales have passed legislation that prohibits the sale of below-cost alcohol. Scotland is considering a similar move. (Read more)

Kentucky Health News is a service of the Institute for Rural Journalism and Community Issues, based in the School of Journalism and Telecommunications at the University of Kentucky, with support from the Foundation for a Healthy Kentucky.

Nearly 1 in 3 Kentuckians say they know a friend or relative who has struggled with prescription-pill abuse, poll finds

Almost one in three Kentuckians say they have a friend or relative that has had problems stemming from prescription drug abuse, the Kentucky Health Issues Poll has found.

In Eastern Kentucky, 43.2 percent of respondents said "yes" when asked if a family member or friend had had problems because they had abused pain pills. In the Lexington area, it was 39.4 percent. Western Kentucky had the lowest number at 19.7 percent. Statewide, it was 31.9 percent.

"Although other studies have shown that Kentucky has among the highest levels of prescription-drug abuse in the nation, the latest survey helps illustrate how pervasive the issue has become in the state," reports Bill Estep of the Lexington Herald-Leader.

The survey, which polled 1,614 people, found that people ages 18 to 29 were more likely to have a friend or relative who had had a problem with pill abuse — 43.8 percent compared to 29.7 percent of people ages 46 to 64.

"Other findings include that 54.5 percent of those polled in Kentucky said they'd been prescribed a pain reliever such as OxyContin, Vicodin or Percocet in the past five years," Estep reports. "The rate in Appalachia was the lowest in the state, at 46.4 percent. That might reflect that there are fewer medical providers in that part of the state, and that fewer people have insurance."

The survey also asked respondents if they had ever used a prescription drug that was not prescribed to them. In that case, just 5.5 percent said yes, but nearly twice as many 18-to-29-year-olds answered yes. "These findings underscore the impact misuse of prescription pain medications is having in Kentucky and the importance of work by prescribers and policymakers to assure that these drugs aren't used inappropriately," said Susan Zepeda, chief executive officer of the Foundation for a Healthy Kentucky, which helped fund the survey.

The poll was also funded by The Health Foundation of Greater Cincinnati. It was conducted Sept. 27 to Oct. 27 by the Institute for Policy Research at the University of Cincinnati. A random sample of adults across Kentucky were interviewed, including 1,313 landline interviews and 308 cell-phone interviews. For more from the Foundation for a Healthy Kentucky, click here. (Read more)

Jobs, economy top priorities for Kentuckians, poll finds; cost of health care, overall health also important

When asked what should be the state's priorities in the next year, more than nine in 10 Kentuckians responded that job creation should be at the top of the list. Heath concerns ranked slightly lower.

The 2011 Kentucky Health Issues Poll, which released the first of its series of findings Tuesday, asked more than 1,600 people, "How important is it to you that the governor and the Kentucky legislature work on each of the following issues in the next year?" Job creation ranked first, with 93 percent.

The vast majority of Kentuckians felt it was also important for policymakers to work on:

• improving Kentucky's economy (91 percent)

• improving K-12 public education (86 percent)

• reducing the cost of health care (85 percent)

• improving the health of Kentuckians (83 percent)

• reducing crime in Kentucky (83 percent)

Other priorities included making government more transparent (67 percent), improving roads and highways (66 percent) and reducing taxes (60 percent).

Regardless of political party, Kentuckians agreed on the relative importance of these policy priorities.

"We understand the challenges our elected officials face in working to meet Kentucky's needs in these difficult economic times," said Susan Zepeda, CEO of the Foundation for a Healthy Kentucky, which helped fund the poll. "We think the Kentucky Health Issues Poll provides valuable insight into the views of the public to help with the hard choices ahead."

In the coming months, the poll will reveal views on statewide smoke-free legislation, prescription-painkiller misuse and gun safety. The poll, which is also funded by The Health Foundation of Greater Cincinnati, was conducted Sept. 27 to Oct. 27 by the Institute for Policy Research at the University of Cincinnati. A random sample of 1,621 adults across Kentucky were interviewed, including 1,313 landline interviews and 308 cell phone interviews. In 95 of 100 cases, estimates will be accurate to plus or minus 2.5 percent.

Opinions on health and safety issues differ among regions in Ky.

New data show Kentuckians' views on several major health-related issues vary depending on where they live. Those in Eastern Kentucky, the area with the highest poverty rate, are more likely to worry about having the money to pay for nutritious meals. They also have less access to affordable fruit and vegetables, and have a harder time finding safe places to exercise.

The data were compiled through the Kentucky Health Issues Poll, which was conducted by the Institute for Policy Research at the University of Cincinnati. It surveyed more than 1,600 Kentuckians selected at random.

Views on smoking also differ by region. People in Northern Kentucky are less likely to support a statewide smoking ban, while people in the greater Louisville area tend to be more in favor of it. The views reflect local smoking bans that are already in effect; Louisville has banned smoking in public places since 2008, but the movement has stalled in Northern Kentucky.

Northern Kentuckians are also less likely to support legislation that would ban cell phone use while driving. People living in Kentucky's two largest urban centers, Louisville and Lexington, are more likely to use their cell phones while driving. People in Lexington said they're more like to talk, text or send emails on their phones when behind the wheel, while people in Louisville are only more likely to talk. People in Eastern Kentucky are the least likely group to talk or text on a cell phone when operating a vehicle.

Almost 3 in 4 respondents said they would support a complete ban on cell phone use while driving. Nearly as many said they need more information in order to understand the Patient Protection and Affordable Care Act, the federal health-reform law.

The poll is jointly funded by the Foundation for a Healthy Kentucky and The Health Foundation of Greater Cincinnati. (Read more)