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Home My WebLink AboutStaff Report 2306-167610.Avenidas Community Assessment Survey for Older Adults City Council Staff Report From: City Manager Report Type: INFORMATION REPORTS Lead Department: City Manager Meeting Date: September 18, 2023 Report #:2306-1676 TITLE Avenidas Community Assessment Survey for Older Adults INFORMTIONAL REPORT In early 2023, Avenidas, a nonprofit organization serving seniors, released the results of the Community Assessment Survey of Older Adults (CASOA). Avenidas has conducted community wide research into the changing needs and interests of older adults every ten years since 1962. The report includes years of data collected from The Community Assessment of Older Adults (CASOA), a survey that measures what older people think about quality of life in their state, county, city, or town. The report is intended to enable local governments, community-based organizations, the private sector and other community members to understand more thoroughly and predict more accurately the services and resources required to serve an aging population. As with the Annual Community Survey, the City of Palo Alto values this information to evaluate its facilities and senior programming meets the needs of its residents. Conducted by Polco NRC, the survey was mailed to 12,000 households selected at random, with an adult member 60 years or older. A total of 669 responses were obtained, providing an overall response rate of 5.82%. Results were statistically weighted to reflect the proper demographic composition of older adults in the entire community. Aspects of livability are explored within six community dimensions: Community design, Employment and Finances, Equity and Inclusivity, Health and Wellness, Information and Assistance, and Productive Activities. Below are a few key findings of the report: OVERALL COMMUNITY QUALITY About 89% of older residents living in the region rated their overall quality of life as excellent or good. Most of the older respondents scored their communities positively as a place to live and would recommend their communities to others. About 85% residents planned to stay in their community throughout their retirement. COMMUNITY DESIGN About 63% of respondents rated the overall quality of the transportation system (auto, bicycle, foot, bus) in their community as excellent or good. In many communities, ease of travel by walking or bicycling is given lower ratings than travel by car. Here, ease of travel by car was considered excellent or good by 88% of respondents, while ease of travel by walking and bicycling was considered excellent or good by 80% and 79% of respondents, respectively. EMPLOYMENT AND FINANCES About 92% of older residents rated the overall economic health of their communities positively, although the cost of living was rated as excellent or good by only 13%. About 15% older adults reported financial challenges and 14% reported employment needs. EQUITY AND INCLUSION About 64% of older residents rated the sense of community in their towns as excellent or good, and neighborliness was rated positively by 59% of residents. About 64% of the respondents positively rated their community’s openness and acceptance toward older residents of diverse backgrounds, and 57% indicated that their community valued older residents. HEALTH AND WELLNESS About 83% older residents in the region rated their overall physical health as excellent or good and 89% rated their mental health as excellent or good. In most places, opportunities for health and wellness receive higher ratings from older adults than do health care ratings. Here, community opportunities for health and wellness were scored positively by 86% residents, while the percent giving ratings of excellent or good to the availability of physical health care was 56%, to mental health care 39%, and to long term care options 45%. The full report can be found online at https://www.avenidas.org/media/news/avenidas-casoa-final- report/, and linked as Attachment A in this report. ATTACHMENTS Attachment A: 2022 Avenidas Community Assessment Survey for Older Adults APPROVED BY: Ed Shikada, City Manager 8001 Terrace Ave Middleton, WI 53562 info.polco.us • 608-709-8683 Avenidas Community Assessment Survey for Older Adults September 2022 Table of Contents Section 1: Introduction 1 Section 2: Key Findings 6 Section 3: Understanding the Report 13 Section 4: Community Readiness 14 Section 5: Community Livability Topics 18 Section 6: Overall Community Quality Section 6A: Place to Live and Retire 21 Section 6B: Recommend and Remain in Community 23 Section 7: Community Design Section 7A: Housing 25 Section 7B: Land Use 28 Section 7C: Mobility 30 Section 8: Employment and Finances Section 8A: Employment 33 Section 8B: Finances 36 Section 9: Equity and Inclusivity Section 9A: Community Inclusivity 39 Section 9B: Equity 42 Section 10: Health and Wellness Section 10A: Health Care 44 Section 10B: Independent Living 47 Section 10C: Mental Health 50 Section 10D: Physical Health 53 Section 10E: Safety 57 Section 11: Information and Assistance Section 11A: Information on Available Older Adult Services 59 Section 11B: Quality of Older Adult Services 63 Section 12: Productive Activities Section 12A: Caregiving 65 Section 12B: Civic Engagement 68 Section 12C: Social Engagement 72 Section 13: Economic Contribution 76 Section 14: Community Needs 79 Section 15: Full Results (with No Opinion)84 Section 16: Full Results (excluding No Opinion)107 Section 17: National Benchmark Comparisons 130 Section 18: Methods 146 Section 1: Introduction About the Community Assessment Survey for Older Adults The Community Assessment Survey for Older Adults (CASOA) provides a statistically valid survey of the strengths and needs of older adults as reported by older adults themselves. This report is intended to enable local governments, community-based organizations, the private sector and other community members to understand more thoroughly and predict more accurately the services and resources required to serve an aging population. With this data, community stakeholders can shape public policy, educate the public and assist communities and organizations in their eﬀorts to sustain a high quality of life for older adults. ® ® Avenidas | Community Assessment Survey for Older Adults September 2022 1 The results of this exploration will provide useful information for planning and resource development as well as strengths advocacy eﬀorts and stakeholder engagement. The ultimate goal of the assessment is to create empowered communities that support vibrant older adult populations. This report summarizes how older residents view their community and its success in creating a thriving environment for older adults. Aspects of livability are explored within six community dimensions: Community Design, Employment and Finances, Equity and Inclusivity, Health and Wellness, Information and Assistance, and Productive Activities. Overall community quality also is assessed. Avenidas | Community Assessment Survey for Older Adults September 2022 2 Survey Methods The CASOA survey instrument and its administration are standardized to assure high-quality survey methods and comparable results across communities. Households with an adult member 60 years or older were selected at random. Multiple mailed contacts gave each household more than one prompt to participate. A total of 12,000 older adult households were randomly selected to receive the survey. These households ﬁrst received a half-page postcard inviting them to complete the survey online, followed by a mailed hard copy survey packet which included a cover letter, a copy of the questionnaire and a postage-paid return envelope. A total of 669 completed surveys was obtained, providing an overall response rate of 5.82% and a margin of error plus or minus 3.79% around any given percent and one point around any given average rating for the entire sample (e.g., average number of caregiving hours). Results were statistically weighted to reﬂect the proper demographic composition of older adults in the entire community. In addition to the random sample "probability" survey, an open participation survey was conducted, in which all older adults 60 years or older were invited to participate. The open participation survey instrument was identical to the probability sample survey. This survey was conducted entirely online. A total of 143 surveys were completed by open participation survey respondents. The open participation survey results were combined with responses from the probability sample survey, for a total of 812 completed surveys. With the inclusion of the open participation survey participants, it is likely that the precision of the responses would be even greater (and thus the margin of error smaller). Results were statistically weighted to reﬂect the proper demographic composition of older adults in the entire community. Because Avenidas doesn't have any prior measurements, trends aren't available. Trends will be available after this survey has been conducted a second time. Diﬀerences in responses between the survey administrations will be tested for statistical signiﬁcance, and Avenidas | Community Assessment Survey for Older Adults September 2022 3 statistically signiﬁcant diﬀerences are noted in the charts. Trend data represent important comparisons and should be examined for improvements or declines. For additional details on the survey methodology, see the Methods section. How the Results Are Reported Don't Know Responses and Rounding On many of the questions in the survey, respondents could provide an answer of don't know. The proportion of residents giving this reply can be seen in Responses. However, these responses have been removed from the analyses presented in the body of the report, unless otherwise indicated. In other words, the majority of the tables and graphs in the body of the report display the responses from respondents who had an opinion about a speciﬁc item. For some questions, respondents were permitted to select multiple responses. When the total exceeds 100% in a table for a multiple response question, it is because some respondents are counted in multiple categories. When a table for a question that only permitted a single response does not total to exactly 100%, it is due to the customary practice of rounding percentages to the nearest whole number. Benchmark Comparison Data National Research Center at Polco has developed a database that collates responses to CASOA and related surveys administered in other communities, which allows the results from Avenidas to be compared against a set of national benchmarks. This benchmarking database includes responses from more than 35,000 older adults (age 55 and over) in over 326 communities across the nation. Ratings are compared when similar questions are included in Polco's database and when there are at least ﬁve other communities in which the question was asked. Where comparisons for ratings are available, Avenidas's results are shown as more favorable than the benchmark, less favorable than the benchmark or similar to the benchmark. In Avenidas | Community Assessment Survey for Older Adults September 2022 4 instances where ratings are considerably more or less favorable than the benchmark, these ratings have been further demarcated by the attribute of "much" (for example, much more favorable or much less favorable). Avenidas | Community Assessment Survey for Older Adults September 2022 5 Section 2: Key Findings Background Most older adults desire to age in place. Communities that assist older adults in remaining or becoming active community participants must provide the requisite opportunities for recreation, transportation, culture, education, communication, social connection, spiritual enrichment and health care. To better understand the strengths and challenges of Avenidas area communities aging in place, Avenidas partnered with Polco to administer The Community Assessment Survey for Older Adults (CASOA ) across all service areas. Data in this report focus speciﬁcally on older residents in the Avenidas service area. Survey participants rated the overall quality of life in their community. They also evaluated their communities as livable communities for older adults within six domains: · Community Design · Employment and Finances · Equity and Inclusivity · Health and Wellness · Information and Assistance · Productive Activities. The extent to which older adults experience challenges within these domains is also described. Overall Community Quality Measuring community livability for older adults starts with assessing the quality of life of those who live there, and ensuring that the community is attractive, accessible, and welcoming to all. Exploring how older residents view their community overall and how likely they are to recommend and remain in their communities can provide a high- level overview of the quality and livability of the community. ® Avenidas | Community Assessment Survey for Older Adults September 2022 6 · About 89% of older residents living in the region rated their overall quality of life as excellent or good. Most of the older respondents scored their communities positively as a place to live and would recommend their communities to others. About 85% residents planned to stay in their community throughout their retirement. · Positive scores were given to their communities as places to retire by 70% of older residents. Overall Scores of Community Livability The Community Assessment Survey of Older Adults (CASOA) is designed to examine the status of older adults and the community around many (17) topics of livability within six domains: Community Design, Employment and Finances, Equity and Inclusivity, Health and Wellness, Information and Assistance, and Productive Activities. Summary scores of community livability were created through the aggregation of a series of resident ratings within each of these diﬀerent livability aspects and domains. Of the 17 aspects of livability examined, the aspects found to be strongest in the region related to areas of Safety (average positive score of 85%), Physical Health (77%), and Social Engagement (76%). The areas showing the greatest need for improvement related to Housing (19%), Employment (32%) and Mental Health (39%). More detailed information about each livability domain follows. Community Design Livable communities (which include those with mixed-use neighborhoods, higher-density development, increased connections, shared community spaces and more human-scale design) will become a necessity for communities to age successfully. Communities that have planned and been designed for older adults tend to emphasize access, helping to facilitate movement and participation. · About 63% of respondents rated the overall quality of the transportation system (auto, bicycle, foot, bus) in their community as excellent or good. In many communities, ease of travel by walking or bicycling is given lower ratings than travel by car. Here, ease of travel by car was considered excellent or good by 88% of Avenidas | Community Assessment Survey for Older Adults September 2022 7 respondents, while ease of travel by walking and bicycling was considered excellent or good by 80% and 79% of respondents, respectively. · When considering aspects of housing (aﬀordability and variety) and community features of new urbanism (where people can live close to places where they can eat, shop, work, and receive services), relatively lower scores were given by older adults compared to many other items on the survey. Only 11% of respondents gave a positive score to the availability of aﬀordable quality housing in their communities, and only about 32% older adults gave excellent or good ratings to the availability of mixed-use neighborhoods. · About 44% of older residents in the region reported experiencing housing needs and 24% reported mobility needs. Employment and Finances The life expectancy for those born between 1940 and 1960 has increased dramatically due to advances in health care and lifestyle changes. While this is a very positive trend overall, it also highlights both the importance of communities providing employment opportunities for older adults and the need for older adults to plan well for their retirement years. · About 92% of older residents rated the overall economic health of their communities positively, although the cost of living was rated as excellent or good by only 13%. · Employment opportunities for older adults (quality and variety) received low ratings (23% and 20% positive, respectively), and the opportunity to build work skills also was found to be lacking (51% excellent or good). · About 15% older adults reported ﬁnancial challenges and 14% reported employment needs. Equity and Inclusion A community is often greater than the sum of its parts. Having a sense of community entails not only a sense of membership and belonging, but also feelings of equity and trust in the other members of the community. Avenidas | Community Assessment Survey for Older Adults September 2022 8 · About 64% of older residents rated the sense of community in their towns as excellent or good, and neighborliness was rated positively by 59% of residents. · About 64% of the respondents positively rated their community’s openness and acceptance toward older residents of diverse backgrounds, and 57% indicated that their community valued older residents. · Inclusion challenges were reported by about 18% of older residents and equity challenges by 4%. Health and Wellness Of all the attributes of aging, health poses the greatest risk and the biggest opportunity for communities to ensure the independence and contributions of their aging populations. Health and wellness, for the purposes of this study, included not only physical and mental health, but issues of safety, independent living and health care. · About 83% older residents in the region rated their overall physical health as excellent or good and 89% rated their mental health as excellent or good. · In most places, opportunities for health and wellness receive higher ratings from older adults than do health care ratings. Here, community opportunities for health and wellness were scored positively by 86% residents, while the percent giving ratings of excellent or good to the availability of physical health care was 56%, to mental health care 39%, and to long term care options 45%. · Health-related problems were some of the most common challenges listed by older adults in the survey, with 36% reporting physical health challenges and 25% reporting mental health challenges. Health care was also a challenge for about 24% of older residents. Information and Assistance The older adult service network, while strong, is under-resourced and unable to single-handedly meet the needs of the continuously growing population of older adults. Providing useful and well-designed Avenidas | Community Assessment Survey for Older Adults September 2022 9 programs, as well as informing residents about other assistance resources, is an important way that government agencies can help residents age in place. · The overall services provided to older adults in the region were rated as excellent or good by 73% of survey respondents. · About 70% of survey respondents reported being somewhat informed or very informed about services and activities available to older adults. The availability of information about resources for older adults was rated positively by 54% of older residents and the availability of ﬁnancial or legal planning services was rated positively by 54% of older residents. · About 30% of older adults were found to have information access challenges in the region. Productive Activities Productive activities outside of work (such as volunteerism and social activity) promote quality of life and contribute to active aging. This domain examines the extent of older adults’ participation in social and leisure programs and their time spent attending or viewing civic meetings, volunteering or providing help to others. · About 73% of older adults surveyed felt they had excellent or good opportunities to volunteer, and 53% participated in some kind of volunteer work. · The caregiving contribution of older adults was substantial in the region. About 32% of older residents reported providing care to individuals 55 and older, 12% to individuals 18-54 and 19% to individuals under 18. · Older adults in the region reported challenges with being civically engaged 19%, being socially engaged 19% and caregiving 10%. The Economic Contribution of Older Adults The contribution older adults make through employment, volunteerism and caregiving was calculated for all older adults living in the region. It is estimated that older residents contribute $895,616,087 annually to their community through paid and unpaid work. Avenidas | Community Assessment Survey for Older Adults September 2022 10 Older Resident Needs Through the survey, more than 40 challenges commonly facing older adults were assessed by respondents. These challenges were grouped into 15 larger categories of needs. In the region, the largest challenges were in the areas of housing, physical health, and information about older adult services. At least 44% of older residents reported at least one item in these categories was a major or moderate problem in the 12 months prior to taking the survey. Comparison to National Benchmarks Community Characteristics Benchmarks To better provide context to the survey data, resident responses for the region were compared to Polco’s national benchmark database or older adult opinion. Of the 52 assessments of community livability that were compared to the benchmark database, 34 were similar, 14 above, and 4 below the benchmark comparisons. The areas in which the region ratings were lower than benchmark comparisons were: · Quality of employment opportunities for older adults · Cost of living in your community · Availability of aﬀordable quality housing · Variety of housing options The areas in which the region rating was higher than benchmark comparisons were: · Overall economic health of your community · Overall design or layout of your community's residential and commercial areas (e.g., homes, buildings, streets, parks, etc.) · Overall quality of the utility infrastructure in your community (water, sewer, storm water, electric/gas, broadband) · Overall health and wellness opportunities in your community · Overall opportunities for education, culture, and the arts · How would you rate the overall services provided to older adults in your community? · Ease of travel by car in your community · Ease of walking in your community Avenidas | Community Assessment Survey for Older Adults September 2022 11 · Ease of bicycling in your community · Opportunities to build work skills · Availability of information about resources for older adults · Availability of ﬁnancial or legal planning services · Availability of daytime care options for older adults · Opportunities to enroll in skill-building or personal enrichment classes Older Adult Challenges Benchmarks Comparisons to the benchmark database can also be made for the proportion of residents experiencing a variety of challenges. In region, there was a lower proportion of older adults experiencing challenges for 9 item(s), a greater proportion of older adults experiencing challenges for 1 item(s), and a similar proportion experiencing challenges for 32 item(s). The challenge for which a greater proportion of residents reported a problem compared to benchmarks was: · Maintaining your home The challenges for which a lower proportion of residents reported a problem compared to benchmarks were: · Having enough money to meet daily expenses · Having enough money to pay your property taxes · Finding aﬀordable health insurance · Getting the health care you need · Getting the oral health care you need · Aﬀording the medications you need · Maintaining a healthy diet · Feeling like your voice is heard in the community · Having interesting recreational or cultural activities to attend Avenidas | Community Assessment Survey for Older Adults September 2022 12 Trends Favorably At least 7 percentage points more favorable than last measure Similar No statistically significant difference Unfavorably At least 7 percentage points less favorable than last measure Benchmarks Much more favorable At least 20 points more favorable than benchmark More favorable 10-20 points more favorable than benchmark Similar No statistically significant difference Less favorable 10-20 points less favorable than benchmark Much less favorable At least 20 points less favorable than benchmark Throughout this report, iconography is used to denote trends and benchmarks. While some pages will show the legend, others won’t for the sake of space. Keep this page handy for reference. Section 3: Understanding the Report Avenidas | Community Assessment Survey for Older Adults September 2022 13 Section 4: Community Readiness Communities that assist older adults to remain or become active community participants must provide the requisite opportunities for recreation, transportation, culture, education, communication, social connection, spiritual enrichment and health care. Because every community is diﬀerent, each must identify what its older adults value most and what the community oﬀers its older residents. The judgments of these residents provide the elements used to calculate the overall community quality in Avenidas. Survey respondents were asked to rate a number of aspects of the community. These ratings were converted to an average scale of 0 (the lowest rating, such as poor) to 100 (the highest rating, such as excellent) and then combined to provide one overall rating (index ) for each of the six dimensions of Community Readiness, as well as an overall rating of the Quality of the Community. If trend data prior to 2022 are shown, it should be noted that community readiness scores have been updated from previous reports to improve these metrics. Readiness scores for past surveys were recalculated using the new dimensions to make them comparable to the current structure. Community Readiness Chart Dimension Community Livability Topics Score (out of 100) Overall Community Quality • Place to Live and Retire • Recommend and Remain in Community 64 Community Design • Housing • Mobility • Land Use 38 Employment and Finances • Employment • Finances 27 Equity and Inclusivity • Equity • Community Inclusivity 45 1 Avenidas | Community Assessment Survey for Older Adults September 2022 14 Dimension Community Livability Topics Score (out of 100) Health and Wellness • Safety • Physical Health • Mental Health • Health Care • Independent Living 41 Information and Assistance • Quality of Older Adult Services • Information on Available Older Adult Services 31 Productive Activities • Civic Engagement • Social Engagement • Caregiving 45 Avenidas | Community Assessment Survey for Older Adults September 2022 15 These ratings are not to be understood like ratings from school tests, because they are summaries of several questions that range from 0 as poor, 33 as fair, 67 as good and 100 as excellent. For example, a score 1 Avenidas | Community Assessment Survey for Older Adults September 2022 16 of 58 should be interpreted as closer to good than to fair (with the midpoint of the scale, 50, representing equidistance between good and fair). Avenidas | Community Assessment Survey for Older Adults September 2022 17 Section 5: Community livability topics The Community Assessment Survey of Older Adults (CASOA) is designed to examine the status of older adults and the community around many (17) aspects of livability within six domains: Community Design, Employment and Finances, Equity and Inclusivity, Health and Wellness, Information and Assistance, and Productive Activities. Overall community quality also is assessed with two topics. (See Introduction section About the Community Assessment Survey for Older Adults for an overview of all the community livability topics within these domains.) For each of these 19 community livability topic areas, survey questions evaluated the community's ability to accommodate the needs of older residents, as well as the actual experiences and challenges of older adults. To summarize the data, an index score was calculated for each aspect of livability by averaging the ratings given to the questions related to the speciﬁc community livability topic. (This index includes only the ratings of community amenities, not those items related to the respondents' own status or the challenges faced by the respondent .) Overall Community Quality Place to Live and Retire 87 / 100 Recommend and Remain in Community 77 / 100 Community Design Housing 19 / 100 Land Use 63 / 100 Mobility 72 / 100 Livability score trend unavailable. Because Avenidas doesn't have a prior livability score, trends for livability aren't available. Trends will be available aer this survey has been conducted a second time. Avenidas | Community Assessment Survey for Older Adults September 2022 18 Employment and Finances Employment 32 / 100 Finances 53 / 100 Equity and Inclusivity Community Inclusivity 61 / 100 Equity 60 / 100 Health and Wellness Health Care 66 / 100 Independent Living 43 / 100 Mental Health 39 / 100 Physical Health 77 / 100 Safety 85 / 100 Information and Assistance Information on Available Older Adult Services 54 / 100 Quality of Older Adult Services 73 / 100 Avenidas | Community Assessment Survey for Older Adults September 2022 19 Productive Activities Caregiving Scoring not applicable Civic Engagement 69 / 100 Social Engagement 76 / 100 Avenidas | Community Assessment Survey for Older Adults September 2022 20 Section 6A: Place to Live and Retire Successful aging communities are attractive and welcoming to older adults and provide the support necessary for residents to age in place. Livability score Average of community quality items 87 Livability score trend unavailable. Because Avenidas doesn't have a prior livability score, trends for livability aren't available. Trends will be available aer this survey has been conducted a second time. Avenidas | Community Assessment Survey for Older Adults September 2022 21 Related survey results Items on the survey related to this topic are shown below. These tables display the ratings given by respondents, as well as a comparison to the national benchmark (average ratings from communities across the nation) and, if available, comparisons to ratings from the most recently implemented survey. Quality of Community Percent reporting excellent or good. Your community as a place to live 94% Your neighborhood as a place to live 93% The overall quality of life in your community 89% Your community as a place to retire 70% Status Indicators - Personal Quality of Life Percent reporting excellent or good. Your overall quality of life 91% Trends unavailable Because Avenidas doesn't have any prior measurements, these trends aren't available. Trends will be available aer this survey has been conducted a second time. Characteristic % positive National Benchmark Characteristic % positive National Benchmark Avenidas | Community Assessment Survey for Older Adults September 2022 22 Section 6B: Recommend and Remain in Community A strong testament to the quality of a community is the likelihood of residents recommending and remaining in the community. Generally, residents will not recommend a community to friends unless they believe that community is oﬀering the right amenities and services. Furthermore, communities that do a good job supporting seniors allow their residents to remain throughout their retirement years. Livability score Average of community quality items 77 Livability score trend unavailable. Because Avenidas doesn't have a prior livability score, trends for livability aren't available. Trends will be available aer this survey has been conducted a second time. Avenidas | Community Assessment Survey for Older Adults September 2022 23 Related survey results Items on the survey related to this topic are shown below. These tables display the ratings given by respondents, as well as a comparison to the national benchmark (average ratings from communities across the nation) and, if available, comparisons to ratings from the most recently implemented survey. Quality of Community Percent reporting very likely or somewhat likely. Remain in your community throughout your retirement 85% Recommend living in your community to older adults 69% Trends unavailable Because Avenidas doesn't have any prior measurements, these trends aren't available. Trends will be available aer this survey has been conducted a second time. Characteristic % likely National Benchmark Avenidas | Community Assessment Survey for Older Adults September 2022 24 Section 7A: Housing Most older adults want to age in place; however, many do not have homes that feature universal design allowing access for walkers and wheelchairs and providing safety for those who are frail or experiencing mobility impairments. Ensuring the availability of housing stock that is both aﬀordable and suitable for seniors is necessary as a community’s population ages. Livability score Average of community quality items 19 Livability score trend unavailable. Because Avenidas doesn't have a prior livability score, trends for livability aren't available. Trends will be available aer this survey has been conducted a second time. Avenidas | Community Assessment Survey for Older Adults September 2022 25 Related survey results Items on the survey related to this topic are shown below. These tables display the ratings given by respondents, as well as a comparison to the national benchmark (average ratings from communities across the nation) and, if available, comparisons to ratings from the most recently implemented survey. Potential Problems Percent reporting minor problem, moderate problem or major problem. Doing heavy or intense housework 61% Maintaining your home 59% Maintaining your yard 56% Having housing to suit your needs 23% Trends unavailable Because Avenidas doesn't have any prior measurements, these trends aren't available. Trends will be available aer this survey has been conducted a second time. Characteristic % problematic National Benchmark Avenidas | Community Assessment Survey for Older Adults September 2022 26 Quality of Community Percent reporting excellent or good. Availability of accessible housing (e.g., homes with a no step entry, single -ﬂoor living, wide hallways and doorways) 28% Variety of housing options 23% Availability of aﬀordable quality housing 11% Characteristic % positive National Benchmark Avenidas | Community Assessment Survey for Older Adults September 2022 27 Section 7B: Land Use The movement in America towards designing more livable communities (which include mixed-use neighborhoods, higher-density development , increased connections, shared community spaces and more human-scale design) will become a necessity for communities to age successfully. Communities that have planned and been designed for older adults tend to emphasize access, helping to facilitate movement and participation. Livability score Average of community quality items 63 Livability score trend unavailable. Because Avenidas doesn't have a prior livability score, trends for livability aren't available. Trends will be available aer this survey has been conducted a second time. Avenidas | Community Assessment Survey for Older Adults September 2022 28 Related survey results Items on the survey related to this topic are shown below. These tables display the ratings given by respondents, as well as a comparison to the national benchmark (average ratings from communities across the nation) and, if available, comparisons to ratings from the most recently implemented survey. Quality of Community Percent reporting excellent or good. Overall quality of the utility infrastructure in your community (water, sewer, storm water, electric/gas, broadband) 83% Overall design or layout of your community's residential and commercial areas (e.g., homes, buildings, streets, parks, etc.) 79% Public places where people want to spend time 52% Availability of mixed-use neighborhoods where people live close to places where they can eat , shop, work, and receive services 32% Trends unavailable Because Avenidas doesn't have any prior measurements, these trends aren't available. Trends will be available aer this survey has been conducted a second time. Characteristic % positive National Benchmark Avenidas | Community Assessment Survey for Older Adults September 2022 29 Section 7C: Mobility The ease with which older residents can move about their communities, whether for commuting, leisure, or recreation, plays a major role in the quality of life for all who live, work, and play in the community. Those who reside in livable communities where they can reach their destinations easily and comfortably by auto, on foot or in public transportation are more likely to remain engaged in their communities and to demonstrate signs of successful aging. Residents that must give up driving are more likely to be able to age in place if other modes of transportation are easily accessed in their neighborhood and community. Livability score Average of community quality items 72 Livability score trend unavailable. Because Avenidas doesn't have a prior livability score, trends for livability aren't available. Trends will be available aer this survey has been conducted a second time. Avenidas | Community Assessment Survey for Older Adults September 2022 30 Related survey results Items on the survey related to this topic are shown below. These tables display the ratings given by respondents, as well as a comparison to the national benchmark (average ratings from communities across the nation) and, if available, comparisons to ratings from the most recently implemented survey. Potential Problems Percent reporting minor problem, moderate problem or major problem. Having safe and aﬀordable transportation available 41% No longer being able to drive 16% Trends unavailable Because Avenidas doesn't have any prior measurements, these trends aren't available. Trends will be available aer this survey has been conducted a second time. Characteristic % problematic National Benchmark Avenidas | Community Assessment Survey for Older Adults September 2022 31 Quality of Community Percent reporting excellent or good. Ease of travel by car in your community 88% Ease of getting to the places you usually have to visit 84% Ease of walking in your community 80% Ease of bicycling in your community 79% Overall quality of the transportation system (auto, bicycle, foot , bus) in your community 63% Ease of travel by public transportation in your community 30% Characteristic % positive National Benchmark Avenidas | Community Assessment Survey for Older Adults September 2022 32 Section 8A: Employment People in the U.S. are working longer and retiring at an older age than they have in the past . Older adults are postponing retirement for a variety of reasons: improved health, the desire to accumulate additional wealth and/or beneﬁt from delayed pension plans, and because the information age –based economy is less physically demanding than jobs from the industrial age. Older workers are an untapped resource for many communities seeking economic stability and growth. Livability score Average of community quality items 32 Livability score trend unavailable. Because Avenidas doesn't have a prior livability score, trends for livability aren't available. Trends will be available aer this survey has been conducted a second time. Avenidas | Community Assessment Survey for Older Adults September 2022 33 Related survey results Items on the survey related to this topic are shown below. These tables display the ratings given by respondents, as well as a comparison to the national benchmark (average ratings from communities across the nation) and, if available, comparisons to ratings from the most recently implemented survey. Potential Problems Percent reporting minor problem, moderate problem or major problem. Building skills for paid or unpaid work 30% Finding work in retirement 29% Trends unavailable Because Avenidas doesn't have any prior measurements, these trends aren't available. Trends will be available aer this survey has been conducted a second time. Certain benchmarks unavailable Because this survey includes new characteristics, we can’t determine your benchmark performance on the new characteristics until a suﬃcient number of communities have completed surveying. Characteristic % problematic National Benchmark Avenidas | Community Assessment Survey for Older Adults September 2022 34 Quality of Community Percent reporting excellent or good. Opportunities to build work skills 51% Quality of employment opportunities for older adults 23% Variety of employment opportunities for older adults 20% Characteristic % positive National Benchmark Avenidas | Community Assessment Survey for Older Adults September 2022 35 Section 8B: Finances With longer life spans, the importance of ﬁnancial well-being in old age has increased dramatically. Financial independence and the ability to economically contribute to a community have become critical factors in enhancing the quality of life of older adults. Livability score Average of community quality items 53 Livability score trend unavailable. Because Avenidas doesn't have a prior livability score, trends for livability aren't available. Trends will be available aer this survey has been conducted a second time. Avenidas | Community Assessment Survey for Older Adults September 2022 36 Related survey results Items on the survey related to this topic are shown below. These tables display the ratings given by respondents, as well as a comparison to the national benchmark (average ratings from communities across the nation) and, if available, comparisons to ratings from the most recently implemented survey. Potential Problems Percent reporting minor problem, moderate problem or major problem. Having enough money to meet daily expenses 24% Having enough money to pay your property taxes 16% Quality of Community Percent reporting excellent or good. Overall economic health of your community 92% Cost of living in your community 13% Trends unavailable Because Avenidas doesn't have any prior measurements, these trends aren't available. Trends will be available aer this survey has been conducted a second time. Characteristic % problematic National Benchmark Characteristic % positive National Benchmark Avenidas | Community Assessment Survey for Older Adults September 2022 37 Status Indicators - Household Financial Status Percent reporting very positive or somewhat positive. What impact , if any, do you think the economy will have on your family income in the next 6 months? Do you think the impact will be: 20% Characteristic % positive National Benchmark Avenidas | Community Assessment Survey for Older Adults September 2022 38 Section 9A: Community Inclusivity Inclusivity refers to a cultural and environmental feeling of belonging. Creating places in which any individual or group can be and feel welcomed, respected, supported, and valued increases the overall livability of communities. Livability score Average of community quality items 61 Livability score trend unavailable. Because Avenidas doesn't have a prior livability score, trends for livability aren't available. Trends will be available aer this survey has been conducted a second time. Avenidas | Community Assessment Survey for Older Adults September 2022 39 Related survey results Items on the survey related to this topic are shown below. These tables display the ratings given by respondents, as well as a comparison to the national benchmark (average ratings from communities across the nation) and, if available, comparisons to ratings from the most recently implemented survey. Potential Problems Percent reporting minor problem, moderate problem or major problem. Feeling lonely or isolated 36% Having friends or family you can rely on 35% Feeling like you don't ﬁt in or belong 28% Trends unavailable Because Avenidas doesn't have any prior measurements, these trends aren't available. Trends will be available aer this survey has been conducted a second time. Certain benchmarks unavailable Because this survey includes new characteristics, we can’t determine your benchmark performance on the new characteristics until a suﬃcient number of communities have completed surveying. Characteristic % problematic National Benchmark Avenidas | Community Assessment Survey for Older Adults September 2022 40 Quality of Community Percent reporting excellent or good. Sense of community in your community 64% Neighborliness of your community 59% Making all residents feel welcome 59% Characteristic % positive National Benchmark Avenidas | Community Assessment Survey for Older Adults September 2022 41 Section 9B: Equity Opportunities for health, income, housing and other life circumstances are oen disproportionate. Strong communities work to decrease inequalities so that all residents can successfully age in place. Livability score Average of community quality items 60 Livability score trend unavailable. Because Avenidas doesn't have a prior livability score, trends for livability aren't available. Trends will be available aer this survey has been conducted a second time. Avenidas | Community Assessment Survey for Older Adults September 2022 42 Related survey results Items on the survey related to this topic are shown below. These tables display the ratings given by respondents, as well as a comparison to the national benchmark (average ratings from communities across the nation) and, if available, comparisons to ratings from the most recently implemented survey. Potential Problems Percent reporting minor problem, moderate problem or major problem. Being treated unfairly or discriminated against because of your age 20% Quality of Community Percent reporting excellent or good. Openness and acceptance of the community towards older residents of diverse backgrounds 64% Valuing older residents in your community 57% Trends unavailable Because Avenidas doesn't have any prior measurements, these trends aren't available. Trends will be available aer this survey has been conducted a second time. Characteristic % problematic National Benchmark Characteristic % positive National Benchmark Avenidas | Community Assessment Survey for Older Adults September 2022 43 Section 10A: Health Care Poor health does not need to be an inevitable consequence of aging. Adoptions of healthy lifestyles and the use of preventive services will reduce the risk of morbidity and increase healthy longevity of older residents. Livability score Average of community quality items 66 Livability score trend unavailable. Because Avenidas doesn't have a prior livability score, trends for livability aren't available. Trends will be available aer this survey has been conducted a second time. Avenidas | Community Assessment Survey for Older Adults September 2022 44 Related survey results Items on the survey related to this topic are shown below. These tables display the ratings given by respondents, as well as a comparison to the national benchmark (average ratings from communities across the nation) and, if available, comparisons to ratings from the most recently implemented survey. Potential Problems Percent reporting minor problem, moderate problem or major problem. Finding aﬀordable health insurance 29% Getting the health care you need 26% Getting the vision care you need 21% Getting the oral health care you need 21% Aﬀording the medications you need 20% Trends unavailable Because Avenidas doesn't have any prior measurements, these trends aren't available. Trends will be available aer this survey has been conducted a second time. Characteristic % problematic National Benchmark Avenidas | Community Assessment Survey for Older Adults September 2022 45 Quality of Community Percent reporting excellent or good. Availability of preventive health services (e.g., health screenings, ﬂu shots, educational workshops) 75% Availability of aﬀordable quality physical health care 56% Characteristic % positive National Benchmark Avenidas | Community Assessment Survey for Older Adults September 2022 46 Section 10B: Independent Living If the community cannot help maintain the independence of residents who experience the decline in health that oen accompanies aging, the potential contribution of older residents will be lost to hospitals and nursing homes. Livability score Average of community quality items 43 Livability score trend unavailable. Because Avenidas doesn't have a prior livability score, trends for livability aren't available. Trends will be available aer this survey has been conducted a second time. Avenidas | Community Assessment Survey for Older Adults September 2022 47 Related survey results Items on the survey related to this topic are shown below. These tables display the ratings given by respondents, as well as a comparison to the national benchmark (average ratings from communities across the nation) and, if available, comparisons to ratings from the most recently implemented survey. Average Number of Hours Providing Care Average number of hours spent per respondent in a typical week Why aren't statistical comparisons to trends/benchmarks shown? Receiving assistance, paid or unpaid (e.g., with shopping, cooking, etc.) 1.2 Potential Problems Percent reporting minor problem, moderate problem or major problem. Performing regular activities, including walking, eating and preparing meals 25% Trends unavailable Because Avenidas doesn't have any prior measurements, these trends aren't available. Trends will be available aer this survey has been conducted a second time. Characteristic Average # of Hours National Benchmark Characteristic % problematic National Benchmark Avenidas | Community Assessment Survey for Older Adults September 2022 48 Quality of Community Percent reporting excellent or good. Availability of long-term care options 45% Availability of daytime care options for older adults 41% Status Indicators - Activities Percent reporting 1 to 3 hours, 4 to 5 hours, 6 to 10 hours, 11 to 19 hours or 20 or more hours. Receiving assistance, paid or unpaid (e.g., with shopping, cooking, etc.) 19% Status Indicators - Long-term Care Admissions Percent reporting 1-2 days, 3-5 days or 6 or more days. In a long-term care facility (including nursing home or in- patient rehabilitation facility) 5% Characteristic % positive National Benchmark Characteristic % of respondents National Benchmark Characteristic % of respondents National Benchmark Avenidas | Community Assessment Survey for Older Adults September 2022 49 Section 10C: Mental Health Mental health plays a vital role in the well-being of residents. Depression, isolation, anxiety and memory loss can have a direct and profound eﬀect on older adults’ quality of life. Livability score Average of community quality items 39 Livability score trend unavailable. Because Avenidas doesn't have a prior livability score, trends for livability aren't available. Trends will be available aer this survey has been conducted a second time. Avenidas | Community Assessment Survey for Older Adults September 2022 50 Related survey results Items on the survey related to this topic are shown below. These tables display the ratings given by respondents, as well as a comparison to the national benchmark (average ratings from communities across the nation) and, if available, comparisons to ratings from the most recently implemented survey. Potential Problems Percent reporting minor problem, moderate problem or major problem. Dealing with the loss of a close family member or friend 41% Experiencing confusion or forgetfulness 35% Feeling depressed 35% Quality of Community Percent reporting excellent or good. Availability of aﬀordable quality mental health care 39% Trends unavailable Because Avenidas doesn't have any prior measurements, these trends aren't available. Trends will be available aer this survey has been conducted a second time. Characteristic % problematic National Benchmark Characteristic % positive National Benchmark Avenidas | Community Assessment Survey for Older Adults September 2022 51 Status Indicators - Personal Health Status Percent reporting excellent or good. Your overall mental health/emotional wellbeing 89% Characteristic % positive National Benchmark Avenidas | Community Assessment Survey for Older Adults September 2022 52 Section 10D: Physical Health Of all the attributes of aging, health poses the greatest risk and the biggest opportunity. When good health can be sustained, the individuals beneﬁt by living a life of better quality, friends and family beneﬁt from reduced caregiving burdens, and the community beneﬁts by harnessing the power of older adults’ contributions. Livability score Average of community quality items 77 Livability score trend unavailable. Because Avenidas doesn't have a prior livability score, trends for livability aren't available. Trends will be available aer this survey has been conducted a second time. Avenidas | Community Assessment Survey for Older Adults September 2022 53 Related survey results Items on the survey related to this topic are shown below. These tables display the ratings given by respondents, as well as a comparison to the national benchmark (average ratings from communities across the nation) and, if available, comparisons to ratings from the most recently implemented survey. Potential Problems Percent reporting minor problem, moderate problem or major problem. Your physical health 59% Staying physically ﬁt 50% Falling or injuring yourself in your home 34% Maintaining a healthy diet 33% Having enough food to eat 8% Trends unavailable Because Avenidas doesn't have any prior measurements, these trends aren't available. Trends will be available aer this survey has been conducted a second time. Characteristic % problematic National Benchmark Avenidas | Community Assessment Survey for Older Adults September 2022 54 Quality of Community Percent reporting excellent or good. Overall quality of natural environment in your community 88% Overall health and wellness opportunities in your community 86% Fitness opportunities (including exercise classes and paths or trails, etc.) 76% Availability of aﬀordable quality food 59% Status Indicators - Falls Percent reporting 1 to 2 times, 3 to 5 times or more than 5 times. Thinking back over the past 12 months, how many times have you fallen and injured yourself ? 34% Status Indicators - Hospitalizations Percent reporting 1-2 days, 3-5 days or 6 or more days. As a patient in a hospital 21% Characteristic % positive National Benchmark Characteristic % of respondents National Benchmark Characteristic % of respondents National Benchmark Avenidas | Community Assessment Survey for Older Adults September 2022 55 Status Indicators - Personal Health Status Percent reporting excellent or good. Your overall physical health 83% Characteristic % positive National Benchmark Avenidas | Community Assessment Survey for Older Adults September 2022 56 Section 10E: Safety Safety is one of the most essential components of community livability. The extent to which older residents feel safe from crime and other adverse events can strengthen their feelings of comfort and trust and impact their ability to live independently. Livability score Average of community quality items 85 Livability score trend unavailable. Because Avenidas doesn't have a prior livability score, trends for livability aren't available. Trends will be available aer this survey has been conducted a second time. Avenidas | Community Assessment Survey for Older Adults September 2022 57 Related survey results Items on the survey related to this topic are shown below. These tables display the ratings given by respondents, as well as a comparison to the national benchmark (average ratings from communities across the nation) and, if available, comparisons to ratings from the most recently implemented survey. Potential Problems Percent reporting minor problem, moderate problem or major problem. Being a victim of fraud or a scam 16% Being a victim of crime 9% Being physically or emotionally abused 5% Quality of Community Percent reporting excellent or good. Overall feeling of safety in your community 85% Trends unavailable Because Avenidas doesn't have any prior measurements, these trends aren't available. Trends will be available aer this survey has been conducted a second time. Characteristic % problematic National Benchmark Characteristic % positive National Benchmark Avenidas | Community Assessment Survey for Older Adults September 2022 58 Section 11A: Information on Available Older Adult Services Sometimes residents of any age fail to take advantage of services oﬀered by a community solely because they are not aware of the opportunities that exist . Educating a large community of older adults is not simple, but raising awareness about attractive, useful and well-designed programs will lead more residents to beneﬁt from becoming participants. Livability score Average of community quality items 54 Livability score trend unavailable. Because Avenidas doesn't have a prior livability score, trends for livability aren't available. Trends will be available aer this survey has been conducted a second time. Avenidas | Community Assessment Survey for Older Adults September 2022 59 Related survey results Items on the survey related to this topic are shown below. These tables display the ratings given by respondents, as well as a comparison to the national benchmark (average ratings from communities across the nation) and, if available, comparisons to ratings from the most recently implemented survey. Potential Problems Percent reporting minor problem, moderate problem or major problem. Not knowing what services are available to older adults in your community 62% Having adequate information or dealing with public programs such as Social Security, Medicare, and Medicaid 45% Trends unavailable Because Avenidas doesn't have any prior measurements, these trends aren't available. Trends will be available aer this survey has been conducted a second time. Certain benchmarks unavailable Because this survey includes new characteristics, we can’t determine your benchmark performance on the new characteristics until a suﬃcient number of communities have completed surveying. Characteristic % problematic National Benchmark Avenidas | Community Assessment Survey for Older Adults September 2022 60 Quality of Community Percent reporting excellent or good. Availability of information about resources for older adults 54% Availability of ﬁnancial or legal planning services 54% Status Indicators - Informed about Services Percent reporting very informed or somewhat informed. In general, how informed or uninformed do you feel about services and activities available to older adults in your community? 70%N/A Characteristic % positive National Benchmark Characteristic % informed National Benchmark Avenidas | Community Assessment Survey for Older Adults September 2022 61 Status Indicators - Use of Technology Percent reporting several times a day, once a day or a few times a week. Use or check email 96% Access the internet from your home using a computer, laptop, or tablet computer 94% Access the internet from your cell phone 76% Visit social media sites such as Facebook, Twitter, Nextdoor, etc.61% Shop online 38% Share your opinions online 25% Percent reporting yes. I have high-speed internet /broadband at home 91%N/A Characteristic % of respondents National Benchmark Characteristic % yes National Benchmark Avenidas | Community Assessment Survey for Older Adults September 2022 62 Section 11B: Quality of Older Adult Services Strong local governments play a major role in producing communities that meet the needs of older residents while making the best use of available resources. Providing services that are responsive to the present and future needs of the older community is an important responsibility and a vital component of livable communities. Livability score Average of community quality items 73 Livability score trend unavailable. Because Avenidas doesn't have a prior livability score, trends for livability aren't available. Trends will be available aer this survey has been conducted a second time. Avenidas | Community Assessment Survey for Older Adults September 2022 63 Related survey results Items on the survey related to this topic are shown below. These tables display the ratings given by respondents, as well as a comparison to the national benchmark (average ratings from communities across the nation) and, if available, comparisons to ratings from the most recently implemented survey. Quality of Community Percent reporting excellent or good. How would you rate the overall services provided to older adults in your community? 73% Trends unavailable Because Avenidas doesn't have any prior measurements, these trends aren't available. Trends will be available aer this survey has been conducted a second time. Characteristic % positive National Benchmark Avenidas | Community Assessment Survey for Older Adults September 2022 64 Section 12A: Caregiving According to the Centers for Disease Control, about 2 in 5 adults 65 years and older have a disabling condition that aﬀects their ability to live independently . Those who provide care to a loved one or friend with such a condition oen feel a sense of contribution and personal worth despite the physical, emotional and ﬁnancial burden such care can produce. While such caregiving is most oen provided by family members and is unpaid, AARP researchers estimate the value of the care as $470 billion annually. A caregiving crunch is predicted in the future, where the average American will spend more years caring for their parents than for their own children . Prevalence of Disabilities and Health Care Access by Disability Status and Type Among Adults — United States, 2016 AARP Family Caregiver Contribution study 1 2 1 2 Livability scoring is not applicable. Because data for this topic are informational and not evaluative, no livability score is calculated. Avenidas | Community Assessment Survey for Older Adults September 2022 65 Related survey results Items on the survey related to this topic are shown below. These tables display the ratings given by respondents, as well as a comparison to the national benchmark (average ratings from communities across the nation) and, if available, comparisons to ratings from the most recently implemented survey. Average Number of Hours Providing Care Average number of hours spent per respondent in a typical week Why aren't statistical comparisons to trends/benchmarks shown? Providing care to someone age 55+2.7 Providing care someone under age 18 1.3 Providing care to someone age 18 to 54 0.6 Trends unavailable Because Avenidas doesn't have any prior measurements, these trends aren't available. Trends will be available aer this survey has been conducted a second time. Characteristic Average # of Hours National Benchmark Avenidas | Community Assessment Survey for Older Adults September 2022 66 Potential Problems Percent reporting minor problem, moderate problem or major problem. Feeling EMOTIONALLY burdened by providing care for another person 23% Feeling PHYSICALLY burdened by providing care for another person 17% Feeling FINANCIALLY burdened by providing care for another person 15% Status Indicators - Activities Percent reporting 1 to 3 hours, 4 to 5 hours, 6 to 10 hours, 11 to 19 hours or 20 or more hours. Providing care to someone age 55+32% Providing care someone under age 18 19% Providing care to someone age 18 to 54 12% Characteristic % problematic National Benchmark Characteristic % of respondents National Benchmark Avenidas | Community Assessment Survey for Older Adults September 2022 67 Section 12B: Civic Engagement In communities where residents care about local politics and social conditions, where they feel engaged and eﬀective, there tends to be greater social, economic and cultural prosperity. Civic activity of any kind, such as volunteering, participating in political groups or being active in community decision-making, beneﬁts both communities and seniors themselves. Livability score Average of community quality items 69 Livability score trend unavailable. Because Avenidas doesn't have a prior livability score, trends for livability aren't available. Trends will be available aer this survey has been conducted a second time. Avenidas | Community Assessment Survey for Older Adults September 2022 68 Related survey results Items on the survey related to this topic are shown below. These tables display the ratings given by respondents, as well as a comparison to the national benchmark (average ratings from communities across the nation) and, if available, comparisons to ratings from the most recently implemented survey. Average Number of Hours Providing Care Average number of hours spent per respondent in a typical week Why aren't statistical comparisons to trends/benchmarks shown? Volunteering your time 2.3 Potential Problems Percent reporting minor problem, moderate problem or major problem. Feeling like your voice is heard in the community 37% Finding productive or meaningful activities to do 30% Finding meaningful volunteer work 25% Trends unavailable Because Avenidas doesn't have any prior measurements, these trends aren't available. Trends will be available aer this survey has been conducted a second time. Characteristic Average # of Hours National Benchmark Characteristic % problematic National Benchmark Avenidas | Community Assessment Survey for Older Adults September 2022 69 Quality of Community Percent reporting excellent or good. Opportunities to volunteer 73% Opportunities to participate in community matters 73% Residents' connection and engagement with their community 62% Status Indicators - Activities Percent reporting 1 to 3 hours, 4 to 5 hours, 6 to 10 hours, 11 to 19 hours or 20 or more hours. Volunteering your time 53% Characteristic % positive National Benchmark Characteristic % of respondents National Benchmark Avenidas | Community Assessment Survey for Older Adults September 2022 70 Status Indicators - Participation Percent reporting yes. Voted in your most recent local election 88% Watched (online or on television) a local public meeting 31% Attended a local public meeting (of local elected oﬃcials like City Council or County Commissioners, advisory boards, town halls, HOA, neighborhood watch, etc.) 22% Participated in a civic group (including Elks, Kiwanis, Masons, etc.) 17% Characteristic % yes National Benchmark Avenidas | Community Assessment Survey for Older Adults September 2022 71 Section 12C: Social Engagement It is well documented that social support also has many mental and physical health beneﬁts. Extensive opportunities for recreation, the arts and social interaction make a community more attractive, especially to older adults. Livability score Average of community quality items 76 Livability score trend unavailable. Because Avenidas doesn't have a prior livability score, trends for livability aren't available. Trends will be available aer this survey has been conducted a second time. Avenidas | Community Assessment Survey for Older Adults September 2022 72 Related survey results Items on the survey related to this topic are shown below. These tables display the ratings given by respondents, as well as a comparison to the national benchmark (average ratings from communities across the nation) and, if available, comparisons to ratings from the most recently implemented survey. Average Number of Hours Providing Care Average number of hours spent per respondent in a typical week Why aren't statistical comparisons to trends/benchmarks shown? Talking or visiting with friends/family 6.5 Assisting friends, relatives, or neighbors 3.9 Potential Problems Percent reporting minor problem, moderate problem or major problem. Having interesting social events or activities to attend 43% Having interesting recreational or cultural activities to attend 35% Feeling bored 34% Trends unavailable Because Avenidas doesn't have any prior measurements, these trends aren't available. Trends will be available aer this survey has been conducted a second time. Characteristic Average # of Hours National Benchmark Characteristic % problematic National Benchmark Avenidas | Community Assessment Survey for Older Adults September 2022 73 Quality of Community Percent reporting excellent or good. Overall quality of parks and recreation opportunities 85% Overall opportunities for education, culture, and the arts 84% Opportunities to attend religious or spiritual activities 80% Recreation opportunities (including games, arts, library services, etc.) 75% Opportunities to enroll in skill- building or personal enrichment classes 68% Opportunities to attend social events or activities 61% Status Indicators - Activities Percent reporting 1 to 3 hours, 4 to 5 hours, 6 to 10 hours, 11 to 19 hours or 20 or more hours. Talking or visiting with friends/family 97% Assisting friends, relatives, or neighbors 78% Characteristic % positive National Benchmark Characteristic % of respondents National Benchmark Avenidas | Community Assessment Survey for Older Adults September 2022 74 Status Indicators - Participation Percent reporting yes. Used a public library in your community 62% Participated in a club (including book, dance, game, and other social) 45% Participated in religious or spiritual activities with others 41% Participated in a recreation program or group activity 40% Used a recreation center in your community 30% Used a senior center in your community 24% Characteristic % yes National Benchmark Avenidas | Community Assessment Survey for Older Adults September 2022 75 Section 13: Economic Contribution Productive behavior is “any activity, paid or unpaid, that generates goods or services of economic value.” Productive activities include many types of paid and unpaid work, as well as services provided to friends, family or neighbors. Older adults make signiﬁcant contributions (paid and unpaid) to the communities in which they live. In addition to their paid work, older adults contribute to the economy through volunteering, providing informal help to family and friends, and caregiving. Economic Contribution of Older Adults in Avenidas The calculations of the economic contributions of older adults in Avenidas were rough estimates using data from the U.S. Department of Labor Bureau of Labor Statistics (Metropolitan and Nonmetropolitan Area Occupational Employment and Wage Estimates). Economic Contribution of Older Adults % of older adults # of older adults Average # of hours Average hourly rate Annual total 1 *** *** Avenidas | Community Assessment Survey for Older Adults September 2022 76 Providing care to older adult(s) 33%18,128 2.97 $16.35 $45,781,935 Providing care to adult(s) 13%7,218 0.6 $16.35 $3,691,291 Providing care to child(ren) 20%11,132 1.41 $17.99 $14,637,369 Providing help to family and friends 79%43,548 4.09 $20.28 $187,911,966 Volunteering 54%29,971 2.38 $23.32 $86,501,535 Subtotal unpaid $338,524,095 Working part time 12%6,580 15 $41.14 $211,159,079 Working full time 9%5,053 32 $41.14 $345,932,913 Subtotal paid $557,091,992 Total contribution $895,616,087 Rowe JW, Kahn RL. Successful Aging. New York: Pantheon Books; 1998. * Based on U.S. Census Bureau - 2019 American Community Survey; about 55,229 adults age 60 and over in the state. ** Respondents were asked to select a range of hours. The average number of hours was calculated from the mid-point of the response scale. For example, a response of 1 to 3 hours equated to 2 hours and a response of never was assumed to be zero hours. In cases where the respondent chose a response that indicated 11 or more hours or 20 or more hours, the number of hours was calculated as 125% of 11 and 1 Avenidas | Community Assessment Survey for Older Adults September 2022 77 125% of 20 (i.e., 13.75 and 25 respectively). Working full time was assumed to be 32 hours per week and working part time was assumed to be 15 hours per week. *** The economic value of an hour worked was assumed to be the same as the average hourly wage as calculated by the Bureau of Labor statistics for similar types of work in undeﬁned. Providing care for older adults and adults was assumed to be the equivalent of “Personal and Home Care Aides.” Providing care for children was assumed to be the equivalent of “Child Care Workers.” Providing help to family and friends was assumed to be the equivalent of “Personal Care and Service Occupations.” Volunteering was assumed to be the equivalent of “Oﬃce Clerks, General.” Working full time and part time was assumed to be the equivalent of “All Occupations.” Avenidas | Community Assessment Survey for Older Adults September 2022 78 Section 14: Community Needs The individual survey questions about speciﬁc problems faced by older community members were summarized into the 17 larger categories to provide a broad picture of older resident needs in Avenidas. The ﬁgure below shows the percent of respondents who reported that one or more items within each of these 17 areas was a major or moderate problem. (See Methods for more information on the items included in each area.) Typically, it is understood that the self-reported needs of older adults represent a minimum level, a conservative estimate attenuated by respondents’ strong desire to feel and appear self-reliant and further reduced by the silent voice of some older adults who, no matter how sensitive the attempt, are too frail to participate in any survey enterprise. Percent and Estimated Number of Older Adults With a Need Percent with need Number aﬀected (N=55,229) Housing 44%24,518 Mobility 24%13,400 Employment 14%7,738 Finances 15%8,408 Equity 4%2,381 Community Inclusivity 18%9,769 Safety 9%4,839 Physical Health 36%19,848 Mental Health 25%14,057 Health Care 24%13,417 Independent Living 7%4,027 * Avenidas | Community Assessment Survey for Older Adults September 2022 79 Percent with need Number aﬀected (N=55,229) Housing 44%24,518 Mobility 24%13,400 Information on Available Older Adult Services 30%16,549 Civic Engagement 19%10,718 Social Engagement 19%10,306 Caregiving 10%5,678 Populations at Higher Risk As people age, many learn to take better care of themselves, to plan for retirement and, generally, to move more deliberately. Aging builds wisdom but can sap resources — physical, emotional and ﬁnancial. Even those blessed by good luck or prescient enough to plan comprehensively for the best future may ﬁnd themselves with unanticipated needs or with physical, emotional or ﬁnancial strengths that could endure only with help. Some people age better than others, and aging well requires certain strengths that are inherent and others that can be supported by assistance from the private sector and government. The tables below show the reported needs within each category of livability of Avenidas's older adult population, by demographic subgroup. This information can help identify which groups are at higher risk in the community and account for sociodemographic disparities when addressing these needs. Percent Needs of Older Population by Sociodemographic Characteristics, (55,229) The sociodemographic characteristics examined included Gender, Age, Race, Ethnicity, Annual Household Income, Housing Tenure (Rent or Own), and Household Composition (Lives alone or Lives with others) Housing Mobility Employment Finances Equity * * Avenidas | Community Assessment Survey for Older Adults September 2022 80 Female 48%27%16%18%7% Male 40%21%12%12%1% 60 to 64 years 42%11%11%20%5% 65 to 74 years 45%22%17%15%2% 75 or over 46%37%13%12%6% White 40%25%12%12%5% Not white 55%21%19%23%4% Hispanic 56%14%40%33%6% Not Hispanic 43%25%12%13%4% Less than $75,000 64%45%25%31%6% $75,000 to $199,999 43%20%13%12%6% $200,000 or more 21%9%1%3%0% Rent 53%39%23%35%12% Own 42%20%11%9%2% Lives alone 51%33%15%17%7% Lives with others 40%19%13%14%2% Overall 44%24%14%15%4% Community Inclusivity Safety Physical Health Mental Health Health Care Independent Living Female 22%11%44%32%25%9% Male 13%6%27%18%24%5% Avenidas | Community Assessment Survey for Older Adults September 2022 81 60 to 64 years 20%7%33%26%35%8% 65 to 74 years 16%8%27%24%24%5% 75 or over 17%10%47%26%17%9% White 17%8%36%27%19%7% Not white 17%10%35%21%37%8% Hispanic 18%13%61%36%40%13% Not Hispanic 17%8%34%24%22%7% Less than $75,000 30%13%60%36%38%10% $75,000 to $199,999 17%9%31%24%19%9% $200,000 or more 7%7%16%16%13%2% Rent 28%15%53%37%37%9% Own 14%7%31%22%21%7% Lives alone 27%11%43%34%25%10% Lives with others 12%7%31%20%24%5% Overall 18%9%36%25%24%7% Information on Available Older Adult Services Civic Engagement Social Engagement Caregiving Avenidas | Community Assessment Survey for Older Adults September 2022 82 Information on Available Older Adult Services Civic Engagement Social Engagement Caregiving Female 35%21%23%11% Male 24%17%14%9% 60 to 64 years 32%22%22%9% 65 to 74 years 34%17%13%13% 75 or over 24%21%22%8% White 28%20%16%10% Not white 33%15%24%8% Hispanic 45%20%30%26% Not Hispanic 28%19%17%9% Less than $75,000 46%26%34%11% $75,000 to $199,999 29%24%17%11% $200,000 or more 16%8%6%7% Rent 40%28%31%8% Own 27%17%15%11% Lives alone 32%21%19%8% Lives with others 28%17%18%12% Overall 30%19%19%10% Source: U.S. Census Bureau, 2019 American Community Survey 5- Year Estimates * Avenidas | Community Assessment Survey for Older Adults September 2022 83 Section 15: Full Results (with No Opinion) These results include all questions. The results include the percentage that responded for each answer choice and the number of responses. If the choices included a choice with no opinion (like don't know or not applicable), they will be shown in this section. The following section shows the results with no opinion choices. 1. In which category is your age? Answer Choice Percent 50-54 years 6% (47) 55-59 years 10% (83) 60-64 years 22% (179) 65-69 years 17% (141) 70-74 years 14% (113) 75-79 years 15% (122) 80-84 years 10% (78) 85-89 years 4% (34) 90-94 years 1% (10) 95 years or older 0% (3) Avenidas | Community Assessment Survey for Older Adults September 2022 84 2. Please rate each of the following aspects of quality of life in your community. Characteristic Excellent Good Fair Poor Don't know Your community as a place to live 55% (372)38% (254)5% (33)1% (5)1% (9) Your neighborhood as a place to live 56% (373)36% (236)6% (41)1% (6)1% (5) Your community as a place to retire 32% (211)36% (234)21% (140)7% (48)3% (20) Sense of community in your community 27% (178)35% (234)26% (170)10% (63)3% (18) The overall quality of life in your community 45% (300)43% (281)10% (65)1% (6)1% (8) Avenidas | Community Assessment Survey for Older Adults September 2022 85 3. Please rate each of the following characteristics as they relate to your community as a whole. Characteristic Excellent Good Fair Poor Don't know Overall economic health of your community 45% (304)42% (285)7% (48)1% (6)5% (34) Overall quality of the transportation system (auto, bicycle, foot, bus) in your community 16% (106)44% (292)28% (183)8% (54)4% (27) Overall design or layout of your community's residential and commercial areas (e.g., homes, buildings, streets, parks, etc.) 25% (163)52% (346)18% (119)3% (19)3% (19) Overall quality of the utility infrastructure in your community (water, sewer, storm water, electric/gas, broadband) 32% (210)49% (330)13% (89)3% (19)3% (20) Overall feeling of safety in your community 38% (252)47% (316)13% (90)1% (9)0% (3) Overall quality of natural environment in your community 37% (248)50% (331)11% (72)2% (11)1% (5) Overall quality of parks and recreation opportunities 39% (261)44% (296)12% (81)3% (19)2% (11) Overall health and wellness opportunities in your community 39% (258)42% (276)11% (75)2% (13)6% (42) Overall opportunities for education, culture, and the arts 47% (317)36% (239)12% (82)3% (21)2% (12) Residents' connection and engagement with their community 17% (117)39% (261)28% (185)7% (48)9% (60) Avenidas | Community Assessment Survey for Older Adults September 2022 86 4. How would you rate the overall services provided to older adults in your community? Answer Choice Percent Excellent 15% (103) Good 39% (265) Fair 16% (108) Poor 4% (28) Don't know 25% (168) 5. Please indicate how likely or unlikely you are to do each of the following. Characteristic Very likely Somewhat likely Somewhat unlikely Very unlikely Don't know Recommend living in your community to older adults 23% (152)42% (281)18% (124)11% (74)6% (41) Remain in your community throughout your retirement 52% (338)29% (188)7% (48)7% (47)5% (30) Avenidas | Community Assessment Survey for Older Adults September 2022 87 6. In general, how informed or uninformed do you feel about services and activities available to older adults in your community? Answer Choice Percent Very informed 21% (139) Somewhat informed 50% (336) Somewhat uninformed 20% (131) Very uninformed 10% (67) 7. Please rate the quality of each of the following. Characteristic Excellent Good Fair Poor Don't know Your overall physical health 21% (146)62% (422)15% (99)2% (14)0% (0) Your overall mental health/emotional wellbeing 35% (235)54% (362)10% (64)1% (6)0% (1) Your overall quality of life 38% (255)53% (356)9% (58)1% (4)0% (0) Avenidas | Community Assessment Survey for Older Adults September 2022 88 8. What impact, if any, do you think the economy will have on your family income in the next 6 months? Do you think the impact will be: Answer Choice Percent Very positive 3% (18) Somewhat positive 17% (116) Neutral 47% (320) Somewhat negative 30% (205) Very negative 2% (15) Avenidas | Community Assessment Survey for Older Adults September 2022 89 9. Please rate each of the following characteristics as they relate to older adults in your community. Characteristic Excellent Good Fair Poor Don't know Ease of travel by public transportation in your community 5% (31)19% (131)28% (186)29% (194)20% (132) Ease of travel by car in your community 33% (220)52% (351)10% (65)2% (16)3% (17) Ease of walking in your community 34% (228)45% (304)16% (111)3% (21)1% (8) Ease of bicycling in your community 25% (165)40% (267)14% (94)3% (21)18% (121) Ease of getting to the places you usually have to visit 33% (220)50% (334)13% (90)2% (14)1% (9) Opportunities to build work skills 4% (29)17% (112)13% (84)7% (49)58% (383) Quality of employment opportunities for older adults 2% (11)6% (42)13% (89)13% (89)65% (431) Variety of employment opportunities for older adults 2% (12)6% (37)16% (106)14% (89)63% (413) Cost of living in your community 3% (17)10% (66)35% (232)48% (316)4% (29) Availability of affordable quality food 21% (142)36% (243)32% (214)8% (57)3% (17) Availability of affordable quality housing 3% (19)7% (46)18% (118)63% (420)10% (67) Variety of housing options 2% (15)17% (111)28% (183)37% (248)16% (106) Availability of accessible housing (e.g., homes with a no step entry, single-floor living, wide hallways and doorways) 2% (13)14% (95)22% (146)20% (133)42% (282) Availability of mixed-use neighborhoods where people live close to places where they can eat, shop, work, and receive services 6% (42)21% (139)35% (235)21% (143)16% (107) Avenidas | Community Assessment Survey for Older Adults September 2022 90 Characteristic Excellent Good Fair Poor Don't know Public places where people want to spend time 13% (85)34% (232)33% (224)11% (73)9% (58) Availability of information about resources for older adults 9% (64)33% (225)24% (159)12% (83)21% (142) Availability of financial or legal planning services 10% (69)23% (155)17% (115)11% (73)39% (261) Availability of long-term care options 5% (35)23% (151)21% (138)14% (92)38% (253) Availability of daytime care options for older adults 3% (22)18% (117)17% (115)12% (82)49% (326) Availability of affordable quality physical health care 14% (96)29% (190)23% (152)11% (74)23% (149) Availability of affordable quality mental health care 6% (40)14% (94)18% (118)14% (93)48% (315) Availability of preventive health services (e.g., health screenings, flu shots, educational workshops) 25% (167)42% (278)17% (111)5% (35)10% (66) Recreation opportunities (including games, arts, library services, etc.) 25% (169)44% (294)20% (131)3% (22)8% (53) Fitness opportunities (including exercise classes and paths or trails, etc.) 27% (180)40% (272)18% (119)4% (27)11% (73) Opportunities to participate in community matters 19% (126)38% (257)18% (120)3% (20)22% (146) Opportunities to volunteer 22% (144)33% (223)16% (110)3% (22)25% (170) Opportunities to enroll in skill-building or personal enrichment classes 11% (76)36% (241)17% (111)6% (38)30% (198) Opportunities to attend social events or activities 14% (96)34% (226)25% (164)6% (41)21% (136) Opportunities to attend religious or spiritual activities 28% (184)34% (223)13% (88)2% (11)23% (153) Avenidas | Community Assessment Survey for Older Adults September 2022 91 Characteristic Excellent Good Fair Poor Don't know Openness and acceptance of the community towards older residents of diverse backgrounds 15% (101)35% (237)21% (140)7% (48)22% (144) Making all residents feel welcome 14% (93)35% (236)25% (167)9% (62)17% (111) Valuing older residents in your community 11% (75)33% (220)24% (157)10% (69)22% (147) Neighborliness of your community 17% (112)39% (260)29% (192)10% (66)6% (40) Avenidas | Community Assessment Survey for Older Adults September 2022 92 10. Older adults may or may not face a number of challenges. Thinking back over the last 12 months, how much of a problem, if at all, have each of the following been for you? Characteristic Not a problem Minor problem Moderate problem Major problem Don't know Having enough money to meet daily expenses 76% (497)11% (74)11% (71)2% (13)0% (0) Having enough money to pay your property taxes 75% (485)8% (51)6% (38)1% (6)11% (68) Having housing to suit your needs 76% (501)11% (70)9% (57)3% (23)1% (6) Doing heavy or intense housework 39% (254)28% (187)19% (125)12% (82)2% (12) Maintaining your home 40% (263)32% (212)19% (126)7% (48)2% (12) Maintaining your yard 41% (266)25% (162)20% (132)6% (40)7% (47) Having safe and affordable transportation available 54% (357)18% (121)12% (78)8% (51)8% (56) No longer being able to drive 74% (472)4% (26)5% (32)5% (35)12% (73) Finding work in retirement 40% (256)5% (30)7% (44)5% (30)44% (282) Building skills for paid or unpaid work 35% (217)6% (39)7% (40)2% (12)50% (309) Having adequate information or dealing with public programs such as Social Security, Medicare, and Medicaid 49% (323)22% (143)14% (93)4% (23)11% (75) Not knowing what services are available to older adults in your community 32% (207)28% (178)20% (128)5% (32)16% (102) Your physical health 41% (269)34% (225)21% (135)4% (28)0% (0) Falling or injuring yourself in your home 64% (420)22% (141)11% (70)1% (10)2% (14) Avenidas | Community Assessment Survey for Older Adults September 2022 93 Characteristic Not a problem Minor problem Moderate problem Major problem Don't know Finding affordable health insurance 69% (454)18% (118)8% (54)2% (14)3% (20) Getting the health care you need 74% (489)16% (104)9% (57)1% (9)0% (2) Getting the oral health care you need 79% (519)9% (61)7% (46)5% (32)0% (1) Getting the vision care you need 79% (516)11% (72)7% (48)3% (20)0% (1) Affording the medications you need 80% (527)14% (92)4% (30)1% (10)0% (1) Staying physically fit 50% (326)32% (206)12% (78)7% (43)0% (0) Maintaining a healthy diet 67% (437)22% (147)10% (65)1% (6)0% (0) Having enough food to eat 92% (606)6% (38)2% (13)0% (1)0% (0) Experiencing confusion or forgetfulness 64% (426)27% (180)6% (43)1% (9)1% (3) Feeling depressed 65% (429)26% (170)7% (44)2% (13)1% (5) Feeling bored 66% (431)25% (166)7% (44)2% (10)1% (4) Having friends or family you can rely on 66% (432)24% (159)5% (35)5% (34)0% (0) Feeling lonely or isolated 64% (418)25% (160)8% (53)3% (18)0% (0) Dealing with the loss of a close family member or friend 56% (370)22% (145)11% (73)6% (41)5% (31) Being a victim of crime 85% (558)5% (32)3% (17)1% (4)7% (43) Being a victim of fraud or a scam 80% (523)9% (58)5% (33)1% (9)5% (32) Avenidas | Community Assessment Survey for Older Adults September 2022 94 Characteristic Not a problem Minor problem Moderate problem Major problem Don't know Being physically or emotionally abused 92% (595)3% (22)1% (4)1% (4)4% (24) Being treated unfairly or discriminated against because of your age 76% (503)15% (101)2% (16)2% (12)4% (25) Feeling like you don't fit in or belong 70% (458)22% (143)4% (25)2% (13)2% (13) Feeling like your voice is heard in the community 52% (335)19% (122)8% (51)3% (23)18% (119) Feeling PHYSICALLY burdened by providing care for another person 78% (507)11% (68)4% (29)2% (10)5% (35) Feeling EMOTIONALLY burdened by providing care for another person 73% (475)13% (84)5% (35)3% (19)6% (38) Feeling FINANCIALLY burdened by providing care for another person 81% (527)10% (65)3% (17)1% (9)5% (32) Performing regular activities, including walking, eating and preparing meals 75% (484)17% (111)5% (34)2% (13)1% (6) Finding meaningful volunteer work 55% (357)10% (65)6% (39)3% (18)26% (167) Finding productive or meaningful activities to do 66% (432)19% (125)8% (50)2% (11)6% (36) Having interesting recreational or cultural activities to attend 62% (405)20% (128)10% (69)3% (20)5% (34) Having interesting social events or activities to attend 53% (343)26% (170)11% (69)3% (20)8% (50) Avenidas | Community Assessment Survey for Older Adults September 2022 95 11. Thinking back over the past 12 months, how much time did you spend in each of the following? Characteristic 0 days 1-2 days 3-5 days 6 or more days As a patient in a hospital 79% (516)12% (78)5% (36)4% (25) In a long-term care facility (including nursing home or in-patient rehabilitation facility) 95% (622)2% (10)0% (2)3% (20) 12. Thinking back over the past 12 months, how many times have you fallen and injured yourself? Answer Choice Percent Never 66% (443) 1 to 2 times 30% (202) 3 to 5 times 3% (18) More than 5 times 1% (10) Don't know 0% (2) Avenidas | Community Assessment Survey for Older Adults September 2022 96 13. Please indicate whether or not you have done each of the following in the last 12 months. Characteristic No Yes Attended a local public meeting (of local elected officials like City Council or County Commissioners, advisory boards, town halls, HOA, neighborhood watch, etc.) 78% (523)22% (151) Watched (online or on television) a local public meeting 69% (462)31% (211) Voted in your most recent local election 12% (82)88% (590) Participated in a civic group (including Elks, Kiwanis, Masons, etc.)84% (558)17% (110) Used a senior center in your community 76% (508)24% (164) Used a public library in your community 38% (253)62% (420) Used a recreation center in your community 70% (466)30% (203) Participated in a recreation program or group activity 60% (400)40% (270) Participated in religious or spiritual activities with others 59% (399)41% (273) Participated in a club (including book, dance, game, and other social)55% (366)45% (301) Avenidas | Community Assessment Survey for Older Adults September 2022 97 14. During a typical week, how many hours do you spend: Characteristic Never 1 to 3 hours 4 to 5 hours 6 to 10 hours 11 to 19 hours 20 or more hours Don't know Assisting friends, relatives, or neighbors 21% (138)47% (304)14% (92)7% (46)3% (19)5% (33)3% (20) Volunteering your time 46% (304)33% (217)11% (74)4% (26)2% (14)2% (13)2% (17) Talking or visiting with friends/family 3% (19)33% (218)27% (177)23% (155)7% (46)7% (46)1% (7) Providing care to someone age 55+67% (446)14% (94)5% (32)4% (27)2% (14)6% (40)2% (11) Providing care to someone age 18 to 54 87% (576)7% (45)2% (15)2% (12)0% (2)1% (4)1% (9) Providing care someone under age 18 80% (525)10% (64)3% (17)2% (14)2% (11)2% (15)2% (12) Receiving assistance, paid or unpaid (e.g., with shopping, cooking, etc.) 81% (536)12% (80)3% (18)1% (8)2% (10)2% (13)0% (1) Avenidas | Community Assessment Survey for Older Adults September 2022 98 15. Please answer the following, as they relate to Internet access at your home: Characteristic No Yes I have high-speed internet/broadband at home 9% (61)91% (603) High speed internet is not available 90% (514)10% (57) I can't afford high speed internet 91% (532)9% (51) I'm not interested in high speed internet 91% (516)9% (53) High speed internet is available, but is not reliable 88% (485)12% (67) 16. In general, how many times do you: Characteristic Several times a day Once a day A few times a week Every few weeks Less often or never Don't know Access the internet from your home using a computer, laptop, or tablet computer 78% (526)11% (73)4% (26)1% (8)5% (33)1% (4) Access the internet from your cell phone 60% (399)10% (63)5% (36)3% (19)21% (136)2% (12) Visit social media sites such as Facebook, Twitter, Nextdoor, etc. 28% (188)18% (118)14% (95)6% (39)33% (223)1% (6) Use or check email 77% (513)16% (107)3% (18)1% (5)4% (24)0% (1) Share your opinions online 10% (69)5% (32)9% (63)13% (87)60% (405)2% (15) Shop online 7% (49)5% (33)26% (170)39% (257)22% (149)1% (5) Avenidas | Community Assessment Survey for Older Adults September 2022 99 17. How many years have you lived in your community? Answer Choice Percent Less than 2 years 4% (27) 2-5 years 4% (26) 6-10 years 6% (38) 11-20 years 12% (81) More than 20 years 75% (508) 18. Which best describes the building you live in? Answer Choice Percent Single family home 69% (471) Townhouse, condominium, duplex, or apartment 25% (168) Mobile home 2% (12) Assisted living residence 2% (11) Nursing home 0% (0) Other 3% (18) Avenidas | Community Assessment Survey for Older Adults September 2022 100 19. Do you rent or own your home? Answer Choice Percent Rent 24% (160) Own (with a mortgage payment)29% (194) Own (free and clear; no mortgage)47% (319) 20. About how much is your monthly housing cost for the place you live (including rent, mortgage payment, property tax, property insurance, and homeowners' association (HOA) fees)? Answer Choice Percent Less than $300 per month 7% (43) $300 to $599 per month 13% (85) $600 to $999 per month 15% (96) $1,000 to $1,499 per month 14% (91) $1,500 to $2,499 per month 16% (106) $2,500 or more per month 35% (226) Avenidas | Community Assessment Survey for Older Adults September 2022 101 21. How many people, including yourself, live in your household? Answer Choice Percent 1 person (live alone)38% (258) 2 people 51% (344) 3 people 7% (49) 4 or more people 4% (25) 22. How many of these people, including yourself, are 60 or older? Answer Choice Percent 1 person 45% (304) 2 people 53% (353) 3 people 1% (7) 4 or more people 1% (8) Avenidas | Community Assessment Survey for Older Adults September 2022 102 23. What is your employment status? Answer Choice Percent Fully retired 77% (527) Working full time for pay 9% (62) Working part time for pay 12% (81) Unemployed, looking for paid work 2% (11) 24. At what age do you expect to retire completely and not work for pay at all? Answer Choice Percent 60-64 5% (10) 65-67 9% (18) 68-69 8% (17) 70-72 20% (40) 73 or older 58% (119) Avenidas | Community Assessment Survey for Older Adults September 2022 103 25. How much do you anticipate your household's total income before taxes will be for the current year? (Please include in your total income money from all sources for all persons living in your household.) Answer Choice Percent Less than $25,000 8% (47) $25,000 to $49,999 15% (90) $50,000 to $74,999 10% (62) $75,000 to $99,999 11% (70) $100,000 to $149,999 19% (115) $150,000 to $199,999 12% (72) $200,000 or more.25% (156) 26. Are you Spanish, Hispanic, or Latino? Answer Choice Percent No, not of Hispanic, Latino/a/x, or Spanish origin 93% (617) Yes, I consider myself to be of Hispanic, Latino/a/x, or Spanish origin 7% (50) Avenidas | Community Assessment Survey for Older Adults September 2022 104 27. What is your race? (Mark one or more races to indicate what race you consider yourself to be.) Answer Choice Percent American Indian or Alaska Native 2% (14) Asian 17% (119) Black or African American 2% (15) Native Hawaiian or Other Pacific Islander 1% (4) White 73% (506) A race not listed 5% (32) 28. What is your gender? Answer Choice Percent Woman 54% (368) Man 46% (308) Identify in another way 0% (1) Avenidas | Community Assessment Survey for Older Adults September 2022 105 30. What is your sexual orientation? Answer Choice Percent Heterosexual 96% (611) Lesbian 1% (4) Gay 1% (6) Bisexual 2% (15) Identify in another way 1% (5) Avenidas | Community Assessment Survey for Older Adults September 2022 106 Section 16: Full Results (excluding No Opinion) These results include all questions. The results include the percentage that responded for each answer choice and the number of responses. If the choices included a choice with no opinion (like don't know or not applicable), the tables in the prior section show the results with those no opinion choices. This section shows the results without those choices. 1. In which category is your age? Not including don't know Answer Choice Percent 50-54 years 6% (47) 55-59 years 10% (83) 60-64 years 22% (179) 65-69 years 17% (141) 70-74 years 14% (113) 75-79 years 15% (122) 80-84 years 10% (78) 85-89 years 4% (34) 90-94 years 1% (10) 95 years or older 0% (3) Avenidas | Community Assessment Survey for Older Adults September 2022 107 2. Please rate each of the following aspects of quality of life in your community. Not including don't know Characteristic Excellent Good Fair Poor Your community as a place to live 56% (372)38% (254)5% (33)1% (5) Your neighborhood as a place to live 57% (373)36% (236)6% (41)1% (6) Your community as a place to retire 33% (211)37% (234)22% (140)8% (48) Sense of community in your community 28% (178)36% (234)26% (170)10% (63) The overall quality of life in your community 46% (300)43% (281)10% (65)1% (6) Avenidas | Community Assessment Survey for Older Adults September 2022 108 3. Please rate each of the following characteristics as they relate to your community as a whole. Not including don't know Characteristic Excellent Good Fair Poor Overall economic health of your community 47% (304)44% (285)8% (48)1% (6) Overall quality of the transportation system (auto, bicycle, foot, bus) in your community 17% (106)46% (292)29% (183)8% (54) Overall design or layout of your community's residential and commercial areas (e.g., homes, buildings, streets, parks, etc.) 25% (163)53% (346)18% (119)3% (19) Overall quality of the utility infrastructure in your community (water, sewer, storm water, electric/gas, broadband) 32% (210)51% (330)14% (89)3% (19) Overall feeling of safety in your community 38% (252)47% (316)13% (90)1% (9) Overall quality of natural environment in your community 38% (248)50% (331)11% (72)2% (11) Overall quality of parks and recreation opportunities 40% (261)45% (296)12% (81)3% (19) Overall health and wellness opportunities in your community 41% (258)44% (276)12% (75)2% (13) Overall opportunities for education, culture, and the arts 48% (317)36% (239)12% (82)3% (21) Residents' connection and engagement with their community 19% (117)43% (261)30% (185)8% (48) Avenidas | Community Assessment Survey for Older Adults September 2022 109 4. How would you rate the overall services provided to older adults in your community? Not including don't know Answer Choice Percent Excellent 20% (103) Good 53% (265) Fair 21% (108) Poor 6% (28) 5. Please indicate how likely or unlikely you are to do each of the following. Not including don't know Characteristic Very likely Somewhat likely Somewhat unlikely Very unlikely Recommend living in your community to older adults 24% (152)45% (281)20% (124)12% (74) Remain in your community throughout your retirement 54% (338)30% (188)8% (48)8% (47) Avenidas | Community Assessment Survey for Older Adults September 2022 110 6. In general, how informed or uninformed do you feel about services and activities available to older adults in your community? Not including don't know Answer Choice Percent Very informed 21% (139) Somewhat informed 50% (336) Somewhat uninformed 20% (131) Very uninformed 10% (67) 7. Please rate the quality of each of the following. Not including don't know Characteristic Excellent Good Fair Poor Your overall physical health 21% (146)62% (422)15% (99)2% (14) Your overall mental health/emotional wellbeing 35% (235)54% (362)10% (64)1% (6) Your overall quality of life 38% (255)53% (356)9% (58)1% (4) Avenidas | Community Assessment Survey for Older Adults September 2022 111 8. What impact, if any, do you think the economy will have on your family income in the next 6 months? Do you think the impact will be: Not including don't know Answer Choice Percent Very positive 3% (18) Somewhat positive 17% (116) Neutral 47% (320) Somewhat negative 30% (205) Very negative 2% (15) Avenidas | Community Assessment Survey for Older Adults September 2022 112 9. Please rate each of the following characteristics as they relate to older adults in your community. Not including don't know Characteristic Excellent Good Fair Poor Ease of travel by public transportation in your community 6% (31)24% (131)34% (186)36% (194) Ease of travel by car in your community 34% (220)54% (351)10% (65)2% (16) Ease of walking in your community 34% (228)46% (304)17% (111)3% (21) Ease of bicycling in your community 30% (165)49% (267)17% (94)4% (21) Ease of getting to the places you usually have to visit 33% (220)51% (334)14% (90)2% (14) Opportunities to build work skills 11% (29)41% (112)31% (84)18% (49) Quality of employment opportunities for older adults 5% (11)18% (42)39% (89)39% (89) Variety of employment opportunities for older adults 5% (12)15% (37)43% (106)37% (89) Cost of living in your community 3% (17)10% (66)37% (232)50% (316) Availability of affordable quality food 22% (142)37% (243)33% (214)9% (57) Availability of affordable quality housing 3% (19)8% (46)20% (118)70% (420) Variety of housing options 3% (15)20% (111)33% (183)45% (248) Availability of accessible housing (e.g., homes with a no step entry, single-floor living, wide hallways and doorways) 3% (13)25% (95)38% (146)34% (133) Availability of mixed-use neighborhoods where people live close to places where they can eat, shop, work, and receive services 8% (42)25% (139)42% (235)26% (143) Avenidas | Community Assessment Survey for Older Adults September 2022 113 Characteristic Excellent Good Fair Poor Public places where people want to spend time 14% (85)38% (232)37% (224)12% (73) Availability of information about resources for older adults 12% (64)42% (225)30% (159)16% (83) Availability of financial or legal planning services 17% (69)38% (155)28% (115)18% (73) Availability of long-term care options 8% (35)36% (151)33% (138)22% (92) Availability of daytime care options for older adults 7% (22)35% (117)34% (115)24% (82) Availability of affordable quality physical health care 19% (96)37% (190)30% (152)14% (74) Availability of affordable quality mental health care 12% (40)27% (94)34% (118)27% (93) Availability of preventive health services (e.g., health screenings, flu shots, educational workshops) 28% (167)47% (278)19% (111)6% (35) Recreation opportunities (including games, arts, library services, etc.)27% (169)48% (294)21% (131)4% (22) Fitness opportunities (including exercise classes and paths or trails, etc.)30% (180)45% (272)20% (119)5% (27) Opportunities to participate in community matters 24% (126)49% (257)23% (120)4% (20) Opportunities to volunteer 29% (144)45% (223)22% (110)4% (22) Opportunities to enroll in skill-building or personal enrichment classes 16% (76)52% (241)24% (111)8% (38) Opportunities to attend social events or activities 18% (96)43% (226)31% (164)8% (41) Opportunities to attend religious or spiritual activities 36% (184)44% (223)17% (88)2% (11) Openness and acceptance of the community towards older residents of diverse backgrounds 19% (101)45% (237)27% (140)9% (48) Avenidas | Community Assessment Survey for Older Adults September 2022 114 Characteristic Excellent Good Fair Poor Making all residents feel welcome 17% (93)42% (236)30% (167)11% (62) Valuing older residents in your community 14% (75)42% (220)30% (157)13% (69) Neighborliness of your community 18% (112)41% (260)30% (192)11% (66) Avenidas | Community Assessment Survey for Older Adults September 2022 115 10. Older adults may or may not face a number of challenges. Thinking back over the last 12 months, how much of a problem, if at all, have each of the following been for you? Not including don't know Characteristic Not a problem Minor problem Moderate problem Major problem Having enough money to meet daily expenses 76% (497)11% (74)11% (71)2% (13) Having enough money to pay your property taxes 84% (485)9% (51)7% (38)1% (6) Having housing to suit your needs 77% (501)11% (70)9% (57)4% (23) Doing heavy or intense housework 39% (254)29% (187)19% (125)13% (82) Maintaining your home 41% (263)33% (212)19% (126)7% (48) Maintaining your yard 44% (266)27% (162)22% (132)7% (40) Having safe and affordable transportation available 59% (357)20% (121)13% (78)8% (51) No longer being able to drive 84% (472)5% (26)6% (32)6% (35) Finding work in retirement 71% (256)8% (30)12% (44)8% (30) Building skills for paid or unpaid work 70% (217)13% (39)13% (40)4% (12) Having adequate information or dealing with public programs such as Social Security, Medicare, and Medicaid 55% (323)25% (143)16% (93)4% (23) Not knowing what services are available to older adults in your community 38% (207)33% (178)23% (128)6% (32) Your physical health 41% (269)34% (225)21% (135)4% (28) Falling or injuring yourself in your home 66% (420)22% (141)11% (70)2% (10) Avenidas | Community Assessment Survey for Older Adults September 2022 116 Characteristic Not a problem Minor problem Moderate problem Major problem Finding affordable health insurance 71% (454)18% (118)8% (54)2% (14) Getting the health care you need 74% (489)16% (104)9% (57)1% (9) Getting the oral health care you need 79% (519)9% (61)7% (46)5% (32) Getting the vision care you need 79% (516)11% (72)7% (48)3% (20) Affording the medications you need 80% (527)14% (92)4% (30)1% (10) Staying physically fit 50% (326)32% (206)12% (78)7% (43) Maintaining a healthy diet 67% (437)22% (147)10% (65)1% (6) Having enough food to eat 92% (606)6% (38)2% (13)0% (1) Experiencing confusion or forgetfulness 65% (426)27% (180)6% (43)1% (9) Feeling depressed 65% (429)26% (170)7% (44)2% (13) Feeling bored 66% (431)26% (166)7% (44)2% (10) Having friends or family you can rely on 66% (432)24% (159)5% (35)5% (34) Feeling lonely or isolated 64% (418)25% (160)8% (53)3% (18) Dealing with the loss of a close family member or friend 59% (370)23% (145)12% (73)6% (41) Being a victim of crime 91% (558)5% (32)3% (17)1% (4) Being a victim of fraud or a scam 84% (523)9% (58)5% (33)1% (9) Avenidas | Community Assessment Survey for Older Adults September 2022 117 Characteristic Not a problem Minor problem Moderate problem Major problem Being physically or emotionally abused 95% (595)3% (22)1% (4)1% (4) Being treated unfairly or discriminated against because of your age 80% (503)16% (101)3% (16)2% (12) Feeling like you don't fit in or belong 72% (458)22% (143)4% (25)2% (13) Feeling like your voice is heard in the community 63% (335)23% (122)10% (51)4% (23) Feeling PHYSICALLY burdened by providing care for another person 83% (507)11% (68)5% (29)2% (10) Feeling EMOTIONALLY burdened by providing care for another person 77% (475)14% (84)6% (35)3% (19) Feeling FINANCIALLY burdened by providing care for another person 85% (527)11% (65)3% (17)1% (9) Performing regular activities, including walking, eating and preparing meals 75% (484)17% (111)5% (34)2% (13) Finding meaningful volunteer work 75% (357)14% (65)8% (39)4% (18) Finding productive or meaningful activities to do 70% (432)20% (125)8% (50)2% (11) Having interesting recreational or cultural activities to attend 65% (405)21% (128)11% (69)3% (20) Having interesting social events or activities to attend 57% (343)28% (170)11% (69)3% (20) Avenidas | Community Assessment Survey for Older Adults September 2022 118 11. Thinking back over the past 12 months, how much time did you spend in each of the following? Not including don't know Characteristic 0 days 1-2 days 3-5 days 6 or more days As a patient in a hospital 79% (516)12% (78)5% (36)4% (25) In a long-term care facility (including nursing home or in-patient rehabilitation facility) 95% (622)2% (10)0% (2)3% (20) 12. Thinking back over the past 12 months, how many times have you fallen and injured yourself? Not including don't know Answer Choice Percent Never 66% (443) 1 to 2 times 30% (202) 3 to 5 times 3% (18) More than 5 times 1% (10) Avenidas | Community Assessment Survey for Older Adults September 2022 119 13. Please indicate whether or not you have done each of the following in the last 12 months. Not including don't know Characteristic No Yes Attended a local public meeting (of local elected officials like City Council or County Commissioners, advisory boards, town halls, HOA, neighborhood watch, etc.) 78% (523)22% (151) Watched (online or on television) a local public meeting 69% (462)31% (211) Voted in your most recent local election 12% (82)88% (590) Participated in a civic group (including Elks, Kiwanis, Masons, etc.)84% (558)17% (110) Used a senior center in your community 76% (508)24% (164) Used a public library in your community 38% (253)62% (420) Used a recreation center in your community 70% (466)30% (203) Participated in a recreation program or group activity 60% (400)40% (270) Participated in religious or spiritual activities with others 59% (399)41% (273) Participated in a club (including book, dance, game, and other social)55% (366)45% (301) Avenidas | Community Assessment Survey for Older Adults September 2022 120 14. During a typical week, how many hours do you spend: Not including don't know Characteristic Never 1 to 3 hours 4 to 5 hours 6 to 10 hours 11 to 19 hours 20 or more hours Assisting friends, relatives, or neighbors 22% (138)48% (304)15% (92)7% (46)3% (19)5% (33) Volunteering your time 47% (304)34% (217)11% (74)4% (26)2% (14)2% (13) Talking or visiting with friends/family 3% (19)33% (218)27% (177)23% (155)7% (46)7% (46) Providing care to someone age 55+68% (446)14% (94)5% (32)4% (27)2% (14)6% (40) Providing care to someone age 18 to 54 88% (576)7% (45)2% (15)2% (12)0% (2)1% (4) Providing care someone under age 18 81% (525)10% (64)3% (17)2% (14)2% (11)2% (15) Receiving assistance, paid or unpaid (e.g., with shopping, cooking, etc.) 81% (536)12% (80)3% (18)1% (8)2% (10)2% (13) 15. Please answer the following, as they relate to Internet access at your home: Not including don't know Characteristic No Yes I have high-speed internet/broadband at home 9% (61)91% (603) High speed internet is not available 90% (514)10% (57) I can't afford high speed internet 91% (532)9% (51) I'm not interested in high speed internet 91% (516)9% (53) Avenidas | Community Assessment Survey for Older Adults September 2022 121 Characteristic No Yes High speed internet is available, but is not reliable 88% (485)12% (67) 16. In general, how many times do you: Not including don't know Characteristic Several times a day Once a day A few times a week Every few weeks Less often or never Access the internet from your home using a computer, laptop, or tablet computer 79% (526)11% (73)4% (26)1% (8)5% (33) Access the internet from your cell phone 61% (399)10% (63)6% (36)3% (19)21% (136) Visit social media sites such as Facebook, Twitter, Nextdoor, etc. 28% (188)18% (118)14% (95)6% (39)34% (223) Use or check email 77% (513)16% (107)3% (18)1% (5)4% (24) Share your opinions online 11% (69)5% (32)10% (63)13% (87)62% (405) Shop online 7% (49)5% (33)26% (170)39% (257)23% (149) Avenidas | Community Assessment Survey for Older Adults September 2022 122 17. How many years have you lived in your community? Not including don't know Answer Choice Percent Less than 2 years 4% (27) 2-5 years 4% (26) 6-10 years 6% (38) 11-20 years 12% (81) More than 20 years 75% (508) 18. Which best describes the building you live in? Not including don't know Answer Choice Percent Single family home 69% (471) Townhouse, condominium, duplex, or apartment 25% (168) Mobile home 2% (12) Assisted living residence 2% (11) Nursing home 0% (0) Other 3% (18) Avenidas | Community Assessment Survey for Older Adults September 2022 123 19. Do you rent or own your home? Not including don't know Answer Choice Percent Rent 24% (160) Own (with a mortgage payment)29% (194) Own (free and clear; no mortgage)47% (319) 20. About how much is your monthly housing cost for the place you live (including rent, mortgage payment, property tax, property insurance, and homeowners' association (HOA) fees)? Not including don't know Answer Choice Percent Less than $300 per month 7% (43) $300 to $599 per month 13% (85) $600 to $999 per month 15% (96) $1,000 to $1,499 per month 14% (91) $1,500 to $2,499 per month 16% (106) $2,500 or more per month 35% (226) Avenidas | Community Assessment Survey for Older Adults September 2022 124 21. How many people, including yourself, live in your household? Not including don't know Answer Choice Percent 1 person (live alone)38% (258) 2 people 51% (344) 3 people 7% (49) 4 or more people 4% (25) 22. How many of these people, including yourself, are 60 or older? Not including don't know Answer Choice Percent 1 person 45% (304) 2 people 53% (353) 3 people 1% (7) 4 or more people 1% (8) Avenidas | Community Assessment Survey for Older Adults September 2022 125 23. What is your employment status? Not including don't know Answer Choice Percent Fully retired 77% (527) Working full time for pay 9% (62) Working part time for pay 12% (81) Unemployed, looking for paid work 2% (11) 24. At what age do you expect to retire completely and not work for pay at all? Not including don't know Answer Choice Percent 60-64 5% (10) 65-67 9% (18) 68-69 8% (17) 70-72 20% (40) 73 or older 58% (119) Avenidas | Community Assessment Survey for Older Adults September 2022 126 25. How much do you anticipate your household's total income before taxes will be for the current year? (Please include in your total income money from all sources for all persons living in your household.) Not including don't know Answer Choice Percent Less than $25,000 8% (47) $25,000 to $49,999 15% (90) $50,000 to $74,999 10% (62) $75,000 to $99,999 11% (70) $100,000 to $149,999 19% (115) $150,000 to $199,999 12% (72) $200,000 or more.25% (156) 26. Are you Spanish, Hispanic, or Latino? Not including don't know Answer Choice Percent No, not of Hispanic, Latino/a/x, or Spanish origin 93% (617) Yes, I consider myself to be of Hispanic, Latino/a/x, or Spanish origin 7% (50) Avenidas | Community Assessment Survey for Older Adults September 2022 127 27. What is your race? (Mark one or more races to indicate what race you consider yourself to be.) Not including don't know Answer Choice Percent American Indian or Alaska Native 2% (14) Asian 17% (119) Black or African American 2% (15) Native Hawaiian or Other Pacific Islander 1% (4) White 73% (506) A race not listed 5% (32) 28. What is your gender? Not including don't know Answer Choice Percent Woman 54% (368) Man 46% (308) Identify in another way 0% (1) Avenidas | Community Assessment Survey for Older Adults September 2022 128 30. What is your sexual orientation? Not including don't know Answer Choice Percent Heterosexual 96% (611) Lesbian 1% (4) Gay 1% (6) Bisexual 2% (15) Identify in another way 1% (5) Avenidas | Community Assessment Survey for Older Adults September 2022 129 Section 17: National Benchmark Comparisons Rated characteristics are eligible for trend and benchmark comparisons. For trends, the characteristic must have been asked in a prior survey, and to be statistically significant the difference between the last measurement and current measurements must be at least 7 percentage points. All characteristics should have benchmarks, and to be statistically significant (more/less favorable), the difference must be at least 10 points. To be much more favorable/unfavorable, difference must be at least 20 points. Demographic questions aren't eligible for trend and benchmark comparisons. Though all survey questions are listed in this section, demographic questions are noted as not having trends or benchmarks. 1. In which category is your age? Percent positive, trends, and benchmarks do not apply to this question 2. Please rate each of the following aspects of quality of life in your community. Percent positive is the percentage of responses that rated the characteristic as: "Excellent" or "Good" Characteristic % positive National Benchmark Rank # of Compared Communities Your community as a place to live 94 36 296 Your neighborhood as a place to live 93 31 257 Your community as a place to retire 70 138 296 Sense of community in your community 64 110 296 The overall quality of life in your community 89 37 257 Avenidas | Community Assessment Survey for Older Adults September 2022 130 3. Please rate each of the following characteristics as they relate to your community as a whole. Percent positive is the percentage of responses that rated the characteristic as: "Excellent" or "Good" Characteristic % positive National Benchmark Rank # of Compared Communities Overall economic health of your community 92 4 257 Overall quality of the transportation system (auto, bicycle, foot, bus) in your community 63 122 257 Overall design or layout of your community's residential and commercial areas (e.g., homes, buildings, streets, parks, etc.) 79 21 257 Overall quality of the utility infrastructure in your community (water, sewer, storm water, electric/gas, broadband) 83 19 163 Overall feeling of safety in your community 85 93 296 Overall quality of natural environment in your community 88 48 257 Overall quality of parks and recreation opportunities 85 48 163 Overall health and wellness opportunities in your community 86 29 257 Overall opportunities for education, culture, and the arts 84 14 257 Residents' connection and engagement with their community 62 45 163 Avenidas | Community Assessment Survey for Older Adults September 2022 131 4. How would you rate the overall services provided to older adults in your community? Percent positive is the percentage of responses that rated the characteristic as: "Excellent" or "Good" Characteristic % positive National Benchmark Rank # of Compared Communities How would you rate the overall services provided to older adults in your community? 73 6 101 5. Please indicate how likely or unlikely you are to do each of the following. Percent positive is the percentage of responses that rated the characteristic as: "Very likely" or "Somewhat likely" Characteristic % likely National Benchmark Rank # of Compared Communities Recommend living in your community to older adults 69 239 296 Remain in your community throughout your retirement 85 31 101 6. In general, how informed or uninformed do you feel about services and activities available to older adults in your community? Percent positive is the percentage of responses that rated the characteristic as: "Very informed" or "Somewhat informed" Characteristic % informed National Benchmark Rank # of Compared Communities In general, how informed or uninformed do you feel about services and activities available to older adults in your community? 70 Avenidas | Community Assessment Survey for Older Adults September 2022 132 7. Please rate the quality of each of the following. Percent positive is the percentage of responses that rated the characteristic as: "Excellent" or "Good" Characteristic % positive National Benchmark Rank # of Compared Communities Your overall physical health 83 130 295 Your overall mental health/emotional wellbeing 89 25 101 Your overall quality of life 91 11 101 8. What impact, if any, do you think the economy will have on your family income in the next 6 months? Do you think the impact will be: Percent positive is the percentage of responses that rated the characteristic as: "Very positive" or "Somewhat positive" Characteristic % positive National Benchmark Rank # of Compared Communities What impact, if any, do you think the economy will have on your family income in the next 6 months? Do you think the impact will be: 20 170 257 Avenidas | Community Assessment Survey for Older Adults September 2022 133 9. Please rate each of the following characteristics as they relate to older adults in your community. Percent positive is the percentage of responses that rated the characteristic as: "Excellent" or "Good" Characteristic % positive National Benchmark Rank # of Compared Communities Ease of travel by public transportation in your community 30 150 279 Ease of travel by car in your community 88 15 296 Ease of walking in your community 80 43 296 Ease of bicycling in your community 79 1 21 Ease of getting to the places you usually have to visit 84 2 61 Opportunities to build work skills 51 6 59 Quality of employment opportunities for older adults 23 230 295 Variety of employment opportunities for older adults 20 27 59 Cost of living in your community 13 282 296 Availability of affordable quality food 59 140 288 Availability of affordable quality housing 11 267 295 Variety of housing options 23 246 296 Availability of accessible housing (e.g., homes with a no step entry, single-floor living, wide hallways and doorways) 28 20 59 Avenidas | Community Assessment Survey for Older Adults September 2022 134 Characteristic % positive National Benchmark Rank # of Compared Communities Availability of mixed-use neighborhoods where people live close to places where they can eat, shop, work, and receive services 32 11 59 Public places where people want to spend time 52 144 256 Availability of information about resources for older adults 54 8 101 Availability of financial or legal planning services 54 6 101 Availability of long-term care options 45 23 101 Availability of daytime care options for older adults 41 7 101 Availability of affordable quality physical health care 56 148 287 Availability of affordable quality mental health care 39 136 285 Availability of preventive health services (e.g., health screenings, flu shots, educational workshops) 75 46 285 Recreation opportunities (including games, arts, library services, etc.)75 83 294 Fitness opportunities (including exercise classes and paths or trails, etc.) 76 100 293 Opportunities to participate in community matters 73 63 294 Opportunities to volunteer 73 73 203 Opportunities to enroll in skill-building or personal enrichment classes 68 10 101 Avenidas | Community Assessment Survey for Older Adults September 2022 135 Characteristic % positive National Benchmark Rank # of Compared Communities Opportunities to attend social events or activities 61 126 294 Opportunities to attend religious or spiritual activities 80 35 101 Openness and acceptance of the community towards older residents of diverse backgrounds 64 85 296 Making all residents feel welcome 59 97 163 Valuing older residents in your community 57 32 101 Neighborliness of your community 59 90 202 Avenidas | Community Assessment Survey for Older Adults September 2022 136 10. Older adults may or may not face a number of challenges. Thinking back over the last 12 months, how much of a problem, if at all, have each of the following been for you? Percent positive is the percentage of responses that rated the characteristic as: "Minor problem", "Moderate problem", or "Major problem" Characteristic % problematic National Benchmark Rank # of Compared Communities Having enough money to meet daily expenses 76 8 101 Having enough money to pay your property taxes 84 7 101 Having housing to suit your needs 77 36 101 Doing heavy or intense housework 39 56 101 Maintaining your home 41 77 101 Maintaining your yard 44 86 101 Having safe and affordable transportation available 59 80 101 No longer being able to drive 84 46 100 Finding work in retirement 71 30 101 Building skills for paid or unpaid work 70 35 100 Having adequate information or dealing with public programs such as Social Security, Medicare, and Medicaid 55 31 101 Not knowing what services are available to older adults in your community 38 22 101 Avenidas | Community Assessment Survey for Older Adults September 2022 137 Characteristic % problematic National Benchmark Rank # of Compared Communities Your physical health 41 58 101 Falling or injuring yourself in your home 66 62 101 Finding affordable health insurance 71 5 101 Getting the health care you need 74 13 101 Getting the oral health care you need 79 9 101 Getting the vision care you need 79 15 101 Affording the medications you need 80 4 101 Staying physically fit 50 17 101 Maintaining a healthy diet 67 9 101 Having enough food to eat 92 15 100 Experiencing confusion or forgetfulness 65 52 101 Feeling depressed 65 23 101 Feeling bored 66 14 101 Having friends or family you can rely on 65 74 101 Avenidas | Community Assessment Survey for Older Adults September 2022 138 Characteristic % problematic National Benchmark Rank # of Compared Communities Feeling lonely or isolated 64 49 100 Dealing with the loss of a close family member or friend 59 48 101 Being a victim of crime 91 20 99 Being a victim of fraud or a scam 84 13 101 Being physically or emotionally abused 95 25 99 Being treated unfairly or discriminated against because of your age 80 22 59 Feeling like you don't fit in or belong 72 10 59 Feeling like your voice is heard in the community 63 10 101 Feeling PHYSICALLY burdened by providing care for another person 83 17 101 Feeling EMOTIONALLY burdened by providing care for another person 77 32 101 Feeling FINANCIALLY burdened by providing care for another person 85 21 101 Performing regular activities, including walking, eating and preparing meals 75 3 21 Finding meaningful volunteer work 75 9 21 Avenidas | Community Assessment Survey for Older Adults September 2022 139 Characteristic % problematic National Benchmark Rank # of Compared Communities Finding productive or meaningful activities to do 70 4 21 Having interesting recreational or cultural activities to attend 65 3 21 Having interesting social events or activities to attend 57 6 21 11. Thinking back over the past 12 months, how much time did you spend in each of the following? Percent positive is the percentage of responses that rated the characteristic as: "1-2 days", "3-5 days", or "6 or more days" Characteristic % of respondents National Benchmark Rank # of Compared Communities As a patient in a hospital 21 54 101 In a long-term care facility (including nursing home or in- patient rehabilitation facility) 5 14 85 12. Thinking back over the past 12 months, how many times have you fallen and injured yourself? Percent positive is the percentage of responses that rated the characteristic as: "1 to 2 times", "3 to 5 times", or "More than 5 times" Characteristic % of respondents National Benchmark Rank # of Compared Communities Thinking back over the past 12 months, how many times have you fallen and injured yourself? 34 60 101 Avenidas | Community Assessment Survey for Older Adults September 2022 140 13. Please indicate whether or not you have done each of the following in the last 12 months. Percent positive is the percentage of responses that rated the characteristic as: "Yes" Characteristic % yes National Benchmark Rank # of Compared Communities Attended a local public meeting (of local elected officials like City Council or County Commissioners, advisory boards, town halls, HOA, neighborhood watch, etc.) 22 156 295 Watched (online or on television) a local public meeting 31 11 100 Voted in your most recent local election 88 51 161 Participated in a civic group (including Elks, Kiwanis, Masons, etc.)17 23 101 Used a senior center in your community 24 19 99 Used a public library in your community 62 15 101 Used a recreation center in your community 30 33 101 Participated in a recreation program or group activity 40 24 101 Participated in religious or spiritual activities with others 41 83 101 Participated in a club (including book, dance, game, and other social)45 1 101 Avenidas | Community Assessment Survey for Older Adults September 2022 141 14. During a typical week, how many hours do you spend: Percent positive is the percentage of responses that rated the characteristic as: "1 to 3 hours", "4 to 5 hours", "6 to 10 hours", "11 to 19 hours", or "20 or more hours" Characteristic % of respondents National Benchmark Rank # of Compared Communities Assisting friends, relatives, or neighbors 78 49 101 Volunteering your time 53 31 101 Talking or visiting with friends/family 97 15 101 Providing care to someone age 55+32 48 101 Providing care to someone age 18 to 54 12 77 101 Providing care someone under age 18 19 34 100 Receiving assistance, paid or unpaid (e.g., with shopping, cooking, etc.) 19 19 21 Avenidas | Community Assessment Survey for Older Adults September 2022 142 15. Please answer the following, as they relate to Internet access at your home: Percent positive is the percentage of responses that rated the characteristic as: "Yes" Characteristic % yes National Benchmark Rank # of Compared Communities I have high-speed internet/broadband at home 91 High speed internet is not available 10 I can't afford high speed internet 9 I'm not interested in high speed internet 9 High speed internet is available, but is not reliable 12 16. In general, how many times do you: Percent positive is the percentage of responses that rated the characteristic as: "Several times a day", "Once a day", or "A few times a week" Characteristic % of respondents National Benchmark Rank # of Compared Communities Access the internet from your home using a computer, laptop, or tablet computer 94 40 162 Access the internet from your cell phone 76 93 162 Visit social media sites such as Facebook, Twitter, Nextdoor, etc. 61 109 161 Use or check email 96 37 162 Share your opinions online 25 74 162 Avenidas | Community Assessment Survey for Older Adults September 2022 143 Characteristic % of respondents National Benchmark Rank # of Compared Communities Shop online 38 74 162 17. How many years have you lived in your community? Percent positive, trends, and benchmarks do not apply to this question 18. Which best describes the building you live in? Percent positive, trends, and benchmarks do not apply to this question 19. Do you rent or own your home? Percent positive, trends, and benchmarks do not apply to this question 20. About how much is your monthly housing cost for the place you live (including rent, mortgage payment, property tax, property insurance, and homeowners' association (HOA) fees)? Percent positive, trends, and benchmarks do not apply to this question 21. How many people, including yourself, live in your household? Percent positive, trends, and benchmarks do not apply to this question 22. How many of these people, including yourself, are 60 or older? Percent positive, trends, and benchmarks do not apply to this question 23. What is your employment status? Percent positive, trends, and benchmarks do not apply to this question 24. At what age do you expect to retire completely and not work for pay at all? Percent positive, trends, and benchmarks do not apply to this question 25. How much do you anticipate your household's total income before taxes will be for the current year? (Please include in your total income money from all sources for all persons living in your household.) Percent positive, trends, and benchmarks do not apply to this question 26. Are you Spanish, Hispanic, or Latino? Percent positive, trends, and benchmarks do not apply to this question Avenidas | Community Assessment Survey for Older Adults September 2022 144 27. What is your race? (Mark one or more races to indicate what race you consider yourself to be.) Percent positive, trends, and benchmarks do not apply to this question 28. What is your gender? Percent positive, trends, and benchmarks do not apply to this question 30. What is your sexual orientation? Percent positive, trends, and benchmarks do not apply to this question Avenidas | Community Assessment Survey for Older Adults September 2022 145 Section 18: Methods About the Community Assessment Survey for Older Adults (CASOA) The Community Assessment Survey for Older Adults (CASOA) was developed by National Research Center at Polco (NRC) to provide an accurate, aﬀordable and easy way to assess and interpret the experience of older adults in the community. The CASOA survey instrument and its administration are standardized to assure high- quality survey methods and comparable results across CASOA communities. The CASOA was customized for Avenidas to reﬂect the correct local age deﬁnition of older adults and to use oﬃcial Avenidas graphics, contact information and signatures on survey invitation mailing materials. The undeﬁned sponsored and funded this research. Please contact John Sink of the Avenidas at jsink@avenidas.org if you have any questions about the survey. Questionnaire Development The CASOA questionnaire contains many questions related to the life of older residents in the community. The instrument includes questions related to overall quality of life, characteristics of the community, perceptions of safety, and many diﬀerent needs common to older adults. The questionnaire grew from a synthesis of numerous data collection processes, including a national search of needs assessments conducted by communities across the United States, a review of the literature on aging, and numerous surveys and large-scale needs assessments conducted by NRC. A blue-ribbon panel of national experts contributed to the concept and content of CASOA. ® ® ® Avenidas | Community Assessment Survey for Older Adults September 2022 146 The items in the questionnaire were pilot tested on older adult residents using a “think-aloud” method in which older adults were asked to complete the survey and describe their thought processes related to speciﬁc questions and question sets. The results of the pilot test were used to alter the questionnaire for better understanding by senior participants. The ﬁnal questionnaire was tested in a set of diverse U.S. communities and modiﬁcations again were made as necessary. Random (Probability) Sample Survey Selecting Survey Recipients One of the ﬁrst steps taken to ensure survey results are representative of the target population is to use a source from which survey recipients are selected that provides adequate to good coverage of the target population. This source is referred to as the sampling frame. The target population for this survey was residents age 60 years or older in households within the Avenidas service area boundaries. Since it would be cost prohibitive to survey every person age 60 years or older in the Avenidas service area, a random selection of records from the sampling frame was made. This process can be illustrated using an example that may be familiar from a math or statistics class of a jar of marbles of various colors. If the jar has two-thirds red marbles and one-third blue marbles, a random selection of marbles from that jar should result in a similar proportion (although perhaps not identical) of red and blue marbles as in the original jar. The sampling frame used for this survey was a list of households with a high likelihood of having a resident age 60 years or older within the Avenidas service area boundaries from Mail Graphics. These lists, compiled by sampling and marketing ﬁrms based on data from Avenidas | Community Assessment Survey for Older Adults September 2022 147 multiple sources (such as warranty information, voting lists, and more), provide fairly complete coverage of all members of the target population. Data Collection Each randomly selected household received two mailings, about one week apart, beginning on August, 1, 2022. The ﬁrst mailing was a prenotiﬁcation postcard announcing the upcoming survey. This half- sheet postcard included a URL so that recipients could immediately go online to complete the survey if they wished. The second mailing contained a letter from the Vice President, Enrichment Services inviting the household to participate, a printed questionnaire and a postage- paid return envelope. The survey was available in English, Spanish, Traditional Chinese, Vietnamese, Korean, and Arabic. Completed surveys were collected over the following 7 weeks. About 505 (4%) of the 12,000 surveys mailed were returned because the housing unit was vacant or the postal service was unable to deliver the survey as addressed. Of the remaining 11,495 households that received the survey, 669 completed the survey, providing an overall response rate of 5.82%. Of the total surveys received, 463 were completed using the hard copy surveys while 206 were submitted online. Response rates are calculated using AAPOR’s response rate #2 for mailed surveys of unnamed persons. Open Participation Survey In addition to the random sample “probability” survey described above, an open participation survey was conducted, in which all older adults age 60 years or older were invited to participate. The open participation survey instrument was identical to the probability sample survey. This survey was conducted entirely online. For the open participation survey a single URL was provided to contacts from Avenidas to share with residents through email lists, social media accounts, service settings and community partners. The URL directed 1 Avenidas | Community Assessment Survey for Older Adults September 2022 148 community members to a short survey where they indicated their geographic location and were directed to the survey for their appropriate city. Avenidas conducted all outreach, after receiving guidance on best practices for conducting such outreach from Polco. This guidance suggested the use of social media, press releases, newsletters and e-newsletters, existing resident email lists, printed materials, and invitations publicized at local and virtual meetings. This survey became available to all residents on 9/2/2022 and remained open until 9/16/2022. A total of 143 surveys were completed by open participation survey respondents. Analysis and Reporting Conﬁdence Intervals It is customary to describe the precision of estimates made from probability surveys by a “level of conﬁdence” and accompanying “conﬁdence interval” (or margin of error). A traditional level of conﬁdence, and the one used here, is 95%. The 95% conﬁdence interval can be any size and quantiﬁes the sampling error or imprecision of the survey results because some residents’ opinions are relied on to estimate all residents’ opinions. The margin of error for the Avenidas survey is no greater than plus or minus 3.79 percentage points around any given percent reported for all probability survey respondents (669). For subgroups of responses, the margin of error increases because the number of respondents for each subgroup is smaller. For subgroups of approximately 100 respondents, the margin of error is plus or minus 10 percentage points. The open participation survey results were combined with responses from the probability sample survey, for a total of 812 completed surveys. With the inclusion of the open participation survey participants, it is likely that the precision of the responses would be even greater (and thus the margin of error smaller). 2 Avenidas | Community Assessment Survey for Older Adults September 2022 149 Survey Processing (Data Entry) Upon receipt, completed hard copy surveys were assigned a unique identiﬁcation number. Additionally, each survey was reviewed and “cleaned” as necessary. An example of cleaning would be if a question asked a respondent to pick two items out of a list of ﬁve, but the respondent checked three; in this case, NRC would use protocols to randomly choose two of the three selected items for inclusion in the dataset. All surveys then were entered twice into an electronic dataset; any discrepancies were resolved in comparison to the original survey form. Range checks as well as other forms of quality control were also performed. The online survey data was collected on Polco, an online civic engagement platform. Use of Polco means all collected data are entered into the dataset immediately when the respondents submit the surveys. Skip patterns are programmed into the system so respondents are automatically directed to the appropriate question (skipping irrelevant questions, when applicable) based on the individual responses given. A series of quality control checks were also performed in order to ensure the integrity of the web data. Steps may include (and are not limited to) reviewing the data for clusters of repeat IP addresses and time stamps (indicating duplicate responses) and removing empty submissions (questionnaires submitted with no questions answered). Survey Data Weighting The primary objective of weighting survey data is to make the survey sample reﬂective of the larger population of Avenidas. This is done by reviewing the demographic proﬁle of respondents and comparing it to the demographic proﬁle of older adults based on the most recent Census data. Those respondent subgroups that were less likely to respond are statistically adjusted to be given more weight, while those Avenidas | Community Assessment Survey for Older Adults September 2022 150 subgroups that were more likely to respond are given less weight. The characteristics used for weighting were age, gender, race, Hispanic origin, housing type, rent or own home, and area. No adjustments were made for design eﬀects. Weights were calculated using an iterative, multiplicative raking model known as the ANES Weighting Algorithm (see https://surveyinsights.org/wp-content/uploads/2014/07/Full- anesrake-paper.pdf for more details). The results of the weighting scheme are presented in the following table. Weighting Scheme for the 2022 Avenidas CASOA Demographic Group Unweighted Weighted Population Target Rent or Own Home Rent 10.6 %23.8 %23.9 % Own 89.4 %76.2 %76.1 % Housing Type Detached 75.1 %71 %71.2 % Attached 24.9 %29 %28.8 % Race White 83.1 %73 %72.6 % Not white 16.9 %27 %27.4 % Ethnicity Hispanic 3.5 %7.5 %6.4 % Not Hispanic 96.5 %92.5 %93.6 % Gender Female 62 %54.4 %54.4 % Male 38 %45.6 %45.6 % Age Age 60 to 64 15.9 %26.2 %26.3 % Age 65 to 74 41.4 %37.3 %37.3 % Age 75 and over 42.8 %36.4 %36.4 % * Avenidas | Community Assessment Survey for Older Adults September 2022 151 Gender and Age Female 60 to 64 8.9 %13.2 %13.2 % Female 65 to 74 25.7 %20.1 %20.1 % Female 75 and over 27.4 %21.2 %21.1 % Male 60 to 64 6.7 %13.1 %13.1 % Male 65 to 74 15.7 %17.3 %17.3 % Male 75 and over 15.6 %15.2 %15.2 % Reporting For the most part, the percentages presented in the reports represent the “percent positive.” The percent positive is the combination of the top two most positive response options (i.e., excellent and good, very safe and somewhat safe, essential and very important, etc.), or, in the case of resident behaviors/participation, the percent positive represents the proportion of respondents indicating yes or participating in an activity at least once a month. On many of the questions in the survey respondents may answer don’t know. The proportion of respondents giving this reply is shown in the full set of responses included in the Responses tab. However, these responses have been removed from the analyses presented in the main body of the report. In other words, the tables and graphs display the responses from respondents who had an opinion about a speciﬁc item. Multiple Response Questions For some questions, respondents were permitted to select multiple responses. When the total exceeds 100% in a table for a multiple response question, it is because some respondents are counted in multiple categories. Rounding Avenidas | Community Assessment Survey for Older Adults September 2022 152 Excluding the Participants tab, percentages shown are rounded to the nearest whole number. This can sometimes mean that the percent of responses across all the possible response categories may sum to something other than exactly 100%. It also means that in some instances, the “percent positive,” “percent problem,” or other summaries of data may not equal the rounded percentages of the two categories. For example, if 30.4% of respondents rated quality of life as excellent, and 20.4% of respondents rated it as good, a display of all the responses will show 30% excellent and 20% good. However, a display of the percent rating quality of life as excellent or good will show 51% (as 30.4% + 20.4% equals 50.8%, which rounds to 51%). Making Comparisons to Benchmarks National Research Center at Polco has developed a database that collates responses to CASOA and related surveys administered in other communities, which allows the results from Avenidas to be compared against a set of national benchmarks. This benchmarking database includes responses from more than 35,000 older adults (age 55 and over) in over 326 communities across the nation. Ratings are compared when similar questions are included in Polco’s database, and there are at least ﬁve other communities in which the question was asked. Where comparisons for ratings were available, Avenidas’s results are shown as being more favorable than the benchmark, less favorable than the benchmark or similar to the benchmark. In instances where ratings are considerably more or less favorable than the benchmark, these ratings have been further demarcated by the attribute of “much,” (for example, much more favorable or much less favorable). Reporting Statistical Signiﬁcance For the crosstabs of survey results by selected respondent characteristic, chi-square or ANOVA (Analysis of Variance) tests of signiﬁcance were applied to these breakdowns of selected survey questions. A p-value of 0.05 or less indicates that there is less than a Avenidas | Community Assessment Survey for Older Adults September 2022 153 Dimension of Community Readiness Items Included in Community Readiness Score 5% probability that diﬀerences observed between groups are due to chance; or in other words, a greater than 95% probability that the diﬀerences observed in the selected categories of the sample represent “real” diﬀerences among those populations. However, it should be noted that while these tests of statistical signiﬁcance were used to help guide readers and policy makers to diﬀerences that are likely not due to chance alone, these types of probabilistic inferences were designed for use when results come from random sampling alone (for more information, see Hirschauer, N., Gruner, S., Mußhoﬀ, O., Becker, C., & Jantsch, A. (2020). Can p-values be meaningfully interpreted without random sampling? Statistics Surveys, 14, 71-91). Community Readiness Scores The community readiness scores presented in Community Readiness represents the average of the questions included in the index. Although the evaluative or frequency questions were made on 4- or 5- point scales, with 1 representing the best rating, the scales had diﬀerent labels (e.g., excellent, very likely). To calculate these average scores, the questions used in the index were converted to a common scale where 0 is the worst possible rating and 100 is the best possible rating. If everyone answered excellent, then the result would be 100 on the 0-100 scale. If the average rating for quality of life was right in the middle of the scale (halfway between good and fair), then the result would be 50. This scale can be thought of like the thermometer that is often used to illustrate total donations received by charitable organizations—the higher the thermometer reading, the closer to the goal. In this case, 100 (the top of the thermometer) would represent the most positive response possible. The table below shows the individual questions comprising each summary score for the six dimensions of community readiness, as well as the overall rating for the Quality of the Community. Avenidas | Community Assessment Survey for Older Adults September 2022 154 Dimension of Community Readiness Items Included in Community Readiness Score Overall Community Quality • Your community as a place to live • Your neighborhood as a place to live • Your community as a place to retire • The overall quality of life in your community • Recommend living in your community to older adults • Remain in your community throughout your retirement Community Design • Housing • Mobility • Land Use Employment and Finances • Employment • Finances Equity and Inclusivity • Equity • Community Inclusivity Health and Wellness • Overall feeling of safety in your community • Overall quality of natural environment in your community • Overall health and wellness opportunities in your community • Availability of aﬀordable quality food • Availability of long-term care options • Availability of daytime care options for older adults • Availability of aﬀordable quality physical health care • Availability of aﬀordable quality mental health care • Availability of preventive health services (e.g., health screenings, ﬂu shots, educational workshops) • Fitness opportunities (including exercise classes and paths or trails, etc.) Avenidas | Community Assessment Survey for Older Adults September 2022 155 Dimension of Community Readiness Items Included in Community Readiness Score Information and Assistance • How would you rate the overall services provided to older adults in your community? • Availability of information about resources for older adults • Availability of ﬁnancial or legal planning services Productive Activities • Overall quality of parks and recreation opportunities • Overall opportunities for education, culture, and the arts • Residents' connection and engagement with their community • Recreation opportunities (including games, arts, library services, etc.) • Opportunities participate in community matters Needs Score Items Included in the Score Needs Summary Each livability topic covered in the survey includes a summary of needs identiﬁed by respondents. For almost all of these needs summaries, a respondent was counted as having a need if they had a major problem or moderate problem with any of the items examined in each score area. The one exception is for the independent living topic; for this needs score, a respondent was counted as having a need if they reported spending any time in a hospital or in a long-term care facility in the last year. Avenidas | Community Assessment Survey for Older Adults September 2022 156 Needs Score Items Included in the Score Caregiving • Any of the following were a major or moderate problem: • Feeling PHYSICALLY burdened by providing care for another person • Feeling EMOTIONALLY burdened by providing care for another person • Feeling FINANCIALLY burdened by providing care for another person Civic Engagement • Any of the following were a major or moderate problem: • Feeling like your voice is heard in the community Community Inclusivity • Any of the following were a major or moderate problem: • Having friends or family you can rely on • Feeling lonely or isolated • Feeling like you don't ﬁt in or belong Employment • Any of the following were a major or moderate problem: • Finding work in retirement • Building skills for paid or unpaid work Equity • Any of the following were a major or moderate problem: • Being treated unfairly or discriminated against because of your age Finances • Any of the following were a major or moderate problem: • Having enough money to meet daily expenses • Having enough money to pay your property taxes Avenidas | Community Assessment Survey for Older Adults September 2022 157 Needs Score Items Included in the Score Health Care • Any of the following were a major or moderate problem: • Finding aﬀordable health insurance • Getting the health care you need • Getting the oral health care you need • Getting the vision care you need • Aﬀording the medications you need Housing • Any of the following were a major or moderate problem: • Having housing to suit your needs • Doing heavy or intense housework • Maintaining your home • Maintaining your yard Independent Living • Spent one or more days: • In a long-term care facility (including nursing home or in-patient rehabilitation facility) • As a patient in a hospital Information and Assistance • Any of the following were a major or moderate problem: • Having adequate information or dealing with public programs such as Social Security, Medicare, and Medicaid • Not knowing what services are available to older adults in your community Mental Health • Any of the following were a major or moderate problem: • Experiencing confusion or forgetfulness • Feeling depressed • Dealing with the loss of a close family member or friend Mobility • Any of the following were a major or moderate problem: • Having safe and aﬀordable transportation available • No longer being able to drive Avenidas | Community Assessment Survey for Older Adults September 2022 158 Needs Score Items Included in the Score Physical Health • Any of the following were a major or moderate problem: • Your physical health • Falling or injuring yourself in your home • Staying physically ﬁt • Maintaining a healthy diet • Having enough food to eat Safety • Any of the following were a major or moderate problem: • Being a victim of crime • Being a victim of fraud or a scam • Being physically or emotionally abused Social Engagement • Any of the following were a major or moderate problem: • Feeling bored See A APOR’s Standard Deﬁnitions here: http://www.aapor.org/Standards-Ethics/Standard-Deﬁnitions-(1).aspx for more information A 95% conﬁdence interval indicates that for every 100 random samples of this many residents, 95 of the conﬁdence intervals created will include the “true” population response. This theory is applied in practice to mean that the “true” perspective of the target population lies within the conﬁdence interval created for a single survey. For example, if 75% of residents rate a service as excellent or good, then a 4% margin of error (for the 95% conﬁdence interval) indicates that the range of likely responses for the entire community is between 71% and 79%. This source of uncertainty is called sampling error. In addition to sampling error, other sources of error may aﬀect any survey, including the non-response of residents with opinions diﬀerent from survey responders. Though standardized on CASOA, on other surveys, diﬀerences in question wording, order, translation and data entry (as examples) can lead to somewhat varying results. 1 2 Avenidas | Community Assessment Survey for Older Adults September 2022 159 *Source: U.S. Census Bureau - 2019 American Community Survey 5- year estimates Age, rent or own home, and gender estimates are for those age 60+, while type of housing unit, race and ethnicity are for those age 65+. Avenidas | Community Assessment Survey for Older Adults September 2022 160