Date post: | 07-Jun-2015 |
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A Quality of Life Assessment
Project Team
Project Consultant: Amy Flowers, Ph.D.
Project Manage: Kathryn Dodge, Ph.D.
Project Advocate: Torie Foote
Advisory Committee
Hank Bartos
Denise Daniello
Wendy Dominique
Jennifer Jolis
Banarsi Lal
Karen Parr
Bella Jean Savino
Freda M. Williams
Vickie L. Wilson
Allison K. Wing
Karen Wood
The Question
What services and characteristics of
Fairbanks encourage seniors and baby
boomers to stay – or leave – the FNSB?
What actions can the FNSB, community,
and service providers take to strengthen
these services or characteristics?
Methodology
414 early input survey participants
35 qualitative and in-person interviews
11 community forums with 78 participants
Phone/on-line/paper survey 251 seniors
250 baby boomers
49 internet / paper
Gender of All Respondents
43%
57%
Male
Female
Age of All Respondents
2%
45%
32%
16%
5%
Under 45
45-64
65-75
76-85
Over 85
Race/Ethnicity of All Participants3% 5%
0%
89%
3%
African American
Alaska Native
Pacific Islander
White
Other
Male45%
Female55%
Gender
n=500
0%
1%
2%
3%
4%
5%
6%
7%
8%
45 46 47 48 49 50 51 52 53 54 55 56 57 58 59 60 61 62 63 64 65 66 67 68 69 70 71 72 73 74 75 76 77 78 79 80 81 82 83 84 85 86 87 88 90 91 93 94 95108
Pe
rce
nta
ge
Age
"Age Distribution"
African American
2%Alaska Native
3%
Hispanic1%
Asian American1%
White92%
Other2%
Ethnicity
n=478
Employed Full time30%
Employed part time11%
Unemployed2%
Stay-at-home parent
homemaker or caregiver
2%
Retired52%
Medical disability
2%
Decline to answer
1%
Employment Status
n=496
$0 to $19,9994%
$20,000 to 29,0006% $30,000 to
$39,9998%
$40,000 to $49,000
7%
$50,000 to $59,999
11%$60,000 to
$74,99912%
$75,000 to $99,999
12%
$100,000 or more16%
Decline to State23%
Annual Household Income
n=501
$19,999 or less
$20,000 to 29,000
$30,000 to
$39,999
$40,000 to
$49,000
$50,000 to
$59,999
$60,000 to
$74,999
$75,000 to
$99,999
$100,000 or more
5.5%3.7%
6.9%
9.2%
14.3% 14.3%
20.7%
25.3%
6.0%
13.3%15.1%
10.2%
13.3%
17.5%
10.2%
14.5%
Income and Future vs. Current Seniors
45-64 years of age 65 and over
n=383Significant at .05
Another city in Alaska
23%
Another state75% Lived here all
my life2%
Moved From
n=500
4 years or less2%
5 to 9 years3%
10 to 14 years6%
15 years or longer89%
How long have you lived in FNSB?
n=498
Rent10%
Own90%
Home Ownership Status
n=495
House91%
Apartment6%
Retirement Community
1%
Assisted Living1%
Other1%
“Which of the following best describes where you live?“
n=499
Yes74%
No26%
“Do you have immediate family in the Borough?”
n=499
Common Complaints
Not enough Medicare doctors
Door to door transportation should be
readily available – wherever the door
is in the borough
Don’t want to ask people for help
Don’t know who or where to ask for
help
Energy too expensive
Limited housing options
Common Misconceptions
Borough has social service powers
Tax dollars pay to deliver
transportation services
I can move when I need to
Boomers will never be seniors
No jobs available for seniors
Proposed Service Delivery Model
CentralizedService Delivery
North
Pole
Chena
Ridge
SalchaEster
Two
Rivers
Fox
Importance of Services to Boomers and Seniors
1.00 1.50 2.00 2.50 3.00 3.50 4.00
Job training and career development�
*Job opportunities�
Continuing education and learning
Recreational opportunities�
Public transportation�
Mental Health services�
Sense of community�
Availability of assisted living facilities�
Caregiver support services�
Affordable senior housing�
Services to help seniors stay in homes�
Doctors specializing in older people
Doctors that take Medicare�
2.32
2.54
2.78
2.86
3.04
3.07
3.20
3.29
3.33
3.42
3.52
3.57
3.78
2.45
2.80
2.76
2.96
3.04
2.99
3.11
3.24
3.29
3.41
3.52
3.55
3.69
45-64 65+
Not at all Important Very important* Significant at .05
Satisfaction with service
1.00 1.50 2.00 2.50 3.00 3.50 4.00
Doctors that take Medicare�
*Affordable senior housing�
Availability of assisted living facilities�
*Doctors specializing in older people
Services to help seniors stay in homes�
Mental Health services �
Public transportation�
Job opportunities�
*Caregiver support services�
Job training and career development�
*Recreational opportunities�
Continuing education and learning�
Sense of community�
2.23
2.20
2.29
2.29
2.47
2.58
2.68
2.84
2.59
2.75
3.00
3.12
3.12
2.35
2.43
2.44
2.51
2.63
2.76
2.80
2.82
2.89
2.93
3.21
3.22
3.24
45-64 65+
Very Somewhat Somewhat VeryDissatisfied Dissatisfied Satisfied Satisfied
* Significant at .05
0% 10% 20% 30% 40% 50% 60%
�Crime prevention or safety �
�Local job opportunities�
�Long term care: Availability of facilities�
�Parks and recreation�
�Healthcare: Physicians refusing to take …
�Availability of services for caregivers�
�Assisted living: Availability of facilities�
�Inflation �
�Public transportation�
�Healthcare: General Affordability�
�Healthcare: Availability of doctors�
�Taxes �
�Housing: Availability of affordable …
�Cost of heating oil and fuel�
0.4%
0.0%
1.3%
0.4%
4.0%
0.0%
2.6%
5.7%
3.1%
4.8%
7.0%
3.5%
14.5%
47.6%
0%
0%
0%
1%
2%
3%
3%
3%
4%
5%
6%
7%
8%
54%
What do you feel is the single most important issue facing older residents and seniors in the Borough?
45-64 years of age 65 and over
n= 501
Issues Sorted by Importance to Seniors
-10% 0% 10% 20% 30% 40% 50% 60%
0.0%
2.6%
3.1%
3.5%
4.0%
4.8%
5.7%
7.0%
14.5%
47.6%
3%
3%
4%
7%
2%
5%
3%
6%
8%
54%
What do you feel is the single most important issue facing older residents and seniors in the Borough?
45-64 years of age 65 and over
n= 501
Cost of Heating Oil and Fuel
Availability of Affordable Housing
Availability of Doctors
Inflation
Affordable Healthcare
Physicians that don't take Medicare
Taxes
Public Transportation
Availability of Assisted Living Facilities
Availability of Services for Caregivers
-0.1 -0.1 0.0 0.1 0.1 0.2 0.2 0.3 0.3
-0.09
-0.09
-0.09
-0.05
-0.04
-0.02
-0.01
-0.01
0.01
0.01
0.10
0.12
0.27
Difference between Boomer and Senior Importance Ratings
Gaps in Importance
Job opportunities
Job training /career development
Recreational opportunities
Services to help seniors stay in homes
Public transportation
Affordable senior housing
Doctors specializing in older people
Continuing education and learning
Caregiver support services
Availability of assisted living facilities
Mental Health services
Sense of community
Doctors that take Medicare
Attitudes towards Health Related Issues
28%
17%
16%
14%
9%
3%
58%
52%
42%
46%
42%
10%
10%
21%
32%
32%
33%
48%
3%
5%
7%
6%
8%
32%
When I need to see a doctor I can
* If memory problems become an issue I know where to go for help
*In the next 5 to 10 years I may need help with household chores like snow shoveling or maintenance
*Growing older has limited the kinds of activities I can do
If I became very sick I would no longer be able to live in my current home
I know someone who has experienced elder abuse
Strongly agree Agree Disagree Strongly Disagree
*Significant at .05 n=501
Comparison of Senior and Boomers on Health-Related Issues
1 1.5 2 2.5 3 3.5 4
* �In the next 5 to 10 years I may need help with household chores like snow
shoveling or maintenance�
* �Growing older has limited the kinds of activities I can do�
�If I became very sick I would no longer be able to live in my current home�
* �If memory problems become an issue I know where to go for help �
�When I need to see a doctor I can�
3.0
2.9
2.6
3.0
3.2
2.4
2.5
2.5
2.8
3.1
45-64 65 and over
* Significant at .05
n=501
Strongly Strongly
Disagree Disagree Agree Agree
* Beta scores in multiple regression analysis indicate the relative impact of each variable on the
program’s overall effectiveness score.
R2=.586
Significance of the model=.000
Q55 I would like to work part-time in my
retirement years (.346)
Q42 I recognize most of the people who
live in my community (.761)
Q53 Growing older has limited the kinds
of activities I can do (-.344)
Q58 I have lost out on a promotion raise
or other benefit at work because of age
(-.502)
Q56 I know someone who has
experienced elder abuse (.460)
How important are
mental health services to
the quality of life for
seniors and future seniors
in the Borough?
Q57 “I have the information I need
regarding retirement and financial
planning for old age” (-.535)
Why Do People Stay?
Having family and friends nearby
Friendliness of community
Willingness of community to help others
Strong sense of community
Recreational and continuing education
activities
Nice place to live or raise
children
Having friends and family
nearby
Friendly neighborhood or community
Familiarity with places
Small town feel
Lived here since
childhood
Affordable living
Ability to make a positive
contribution to the
community
Nice house
21.6%
14.0%
10.8%10.0% 9.6%
8.0%
4.0% 2.0%1.2%
15.6%
30.8%
13.6%
9.6%
6.4% 6.0%
2.4% 1.6%
4.4%
What is the main reason you choose to live in the Fairbanks North Star Borough?
45-64 years of age 65 and over
n=501
Why Do People Leave?
Harsh climate
Family elsewhere
Lack of job opportunities
Cost of housing
Cost of heat
0% 10% 20% 30% 40%
Lack of transportation
Need for caregiver support or services
Healthcare needs
Cost of heat
Cost of housing
Lack of job opportunities
Family elsewhere
Harsh climate
1%
2%
3%
10%
11%
13%
17%34%
Q39 “What was the primary reason you considered leaving?”
n=232
Why are Seniors Important to Our
Community?
Investors
Voters
Opinion influencers
Volunteers
Mentors
Part of the family
Caregivers
Active historians
How Should We Invest in our
Seniors?
Investing in:
Transportation helps seniors stay in their
homes
Coordinating service delivery improves
quality of life and reduces expense of
service
Providing senior housing reduces injuries
and cost of service delivery
What Can We Do?
Things We Can Change or Influence Friendly community
Job opportunities for seniors & baby boomers
Cost of energy
Affordable housing
Coordination of service delivery
People friendly winter environments
Advocate for improvements in whole person healthcare
Things We Can’t Change Presence of family
Harsh climate
What Can Our Community Do?
Develop:
Aging and Disability Resource Center
Improved transportation system
System to coordinate volunteers and part-time
senior home care/rehab workers
Additional affordable senior housing
Workforce development services
Resolve health and social services powers
issue within borough
Strengthen FNSB Senior Commission
Next Steps
Make final results available to service providers, local and state government
Establish Aging and Disability Resource Center
Explore establishing transportation and service delivery system for outlying areas
Review FNSB Senior Commission placement, charter, and funding
Inform Alaska State Strategy for Senior Services
Develop local Strategy for Senior Services
Strengthen relationship with Alaska Commission on Aging
Questions?
Copy of Presentation or Final
Report
http://www.co.fairbanks.ak.us/MayorsOffic
e/EconomicDevelopment/default.htm