全球智库信息集成服务系统

2018 National Survey of Health Attitudes

• 37 percent of U.S. adults recognized a strong or very strong influence of social and physical factors on health.
• 28 percent did not consider investment in community health a top priority.
• 64 percent felt it was harder for low-income Americans to get health care, 58 percent felt it was harder for those living in rural communities; 35 percent felt it was harder for African Americans, and 37 percent felt it was harder for Latinos.
• 11 percent reported a strong sense of membership in their community.
• 19 percent reported a strong emotional connection to their community.
• 38 percent reported their community could mostly or completely work together to improve its health.
• 21 percent reported advocating for a health-related issue in their community.

Since 2013, the Robert Wood Johnson Foundation (RWJF) has led a pioneering effort to advance a Culture of Health that "enables all in our diverse society to lead healthier lives, now and for generations to come." As part of the work to track progress toward this goal, RAND researchers worked with RWJF to design and field the National Survey of Health Attitudes to provide insight and perspective on how people in the United States think about, value, and prioritize health and consider issues of health equity. The survey was first fielded in 2015, and an updated version was fielded in 2018. This report describes the survey development and provides the text of the 2018 survey and summary statistics of the data.

The foundation undertook this survey to measure key constructs that could not be measured in other data sources, primarily addressing the action area making health a shared value. The questions in this survey sought to measure various constructs, including those that are linked to the building of shared health values including whether respondents (1) recognized the influence of social and physical factors on health, (2) valued investment in community health, and (3) had a sense of community or community connection. Results from the survey indicate that 37 percent of U.S. adults recognized a strong or very strong influence of social and physical factors on health, 28 percent did not consider investment in community health a top priority, 11 percent reported a strong sense of membership in their community, and 19 percent reported a strong emotional connection to their community.

• Chapter One

  Introduction to Culture of Health

• Chapter Two

  Survey Overview

• Chapter Three

  Top-Line Summary Data