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Survey says: Lincoln is nation's healthiest city

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By CARA PESEK / Lincoln Journal Star

Tuesday, Nov 18, 2008 - 06:06:51 pm CST

Lincoln is the healthiest city in the United States — sort of.

According to a survey of 712 people in Lancaster and Seward counties who responded to an annual survey conducted by the Nebraska Department of Health and Human Services, 92.8 percent of them rated their health as good, very good or excellent, according to the Centers for Disease Control.

That’s higher than anywhere else in the United States, according to the CDC.

Story Photo
Joey Wright, 7, leads the way down the Holmes Lake Dam Trail with his father, Marshall, and dog Curly close behind in September 2007. (LJS File)
Healthiest cities



1. Lincoln, NE Metropolitan Statistical Area

2. Fargo, ND-MN Metropolitan Statistical Area

3. Boulder, CO Metropolitan Statistical Area

4. Burlington-South Burlington, VT Metropolitan Statistical Area

5. Ogden-Clearfield, UT Metropolitan Statistical Area

6. Provo-Orem, UT Metropolitan Statistical Area

7. Concord, NH Micropolitan Statistical Area

8. Sioux Falls, SD Metropolitan Statistical Area

9. Barre, VT Micropolitan Statistical Area

10. Cambridge-Newton-Framingham, MA Metropolitan Division

West Palm Beach-Boca Raton-Boynton Beach, FL Metropolitan Division

11. Nassau-Suffolk, NY Metropolitan Division

12. Barnstable Town, MA Metropolitan Statistical Area

13. Hilton Head Island-Beaufort, SC Micropolitan Statistical Area

14. Minneapolis-St. Paul-Bloomington, MN-WI Metropolitan Statistical Area

15. Fort Collins-Loveland, CO Metropolitan Statistical Area

16. Worcester, MA Metropolitan Statistical Area

17. Charleston-North Charleston, SC Metropolitan Statistical Area

18. Grand Rapids-Wyoming, MI Metropolitan Statistical Area

19. Hartford-West Hartford-East Hartford, CT Metropolitan Statistical Area

20. Rapid City, SD Metropolitan Statistical Area

33. Omaha-Council Bluffs, NE-IA Metropolitan Statistical Area

120. Sioux City, IA-NE-SD Metropolitan Statistical Area

122. Grand Island, NE Micropolitan Statistical Area

Source: CDC, WebMD

However, the numbers are to be taken with a grain of salt, said CDC spokeswoman Karen Hunter.

The sample size of those who completed the survey varies from state to state, Hunter said, so it’s not accurate to compare the numbers, she said.

Plus, the purpose of the survey isn’t to rank the most- and least-healthy parts of the country, she said.

Rather, the purpose of the survey — known as the Behavorial Risk Factor Surveillance System — is to help state health departments pinpoint major health problems their residents might be facing — as well as areas in which education and other preventative measures seem to be paying off.

In the Lincoln area, the addition of bike lanes, as well as the presence of a large biking and walking trail system may be behind a boost in physical activity in recent years, said Dr. Joann Schaefer, chief medical officer for the state of Nebraska.

In addition, she said, many Lincoln employers have done a good job of encouraging their workforce to be active and take care of their health. Two local businesses, Duncan Aviation and Lincoln Industries, have received national awards for their employee health programs, she said.

“Corporate wellness is very entrenched in Lincoln,” she said.

Residents of Lincoln and the surrounding area have lower smoking, binge drinking and obesity rates than that national average, according to survey results. They also are more likely to get flu shots and mammograms than the national average.

But the state isn’t without its problems. Past surveys have indicated that Nebraskans in general consume fewer fruits and vegetables than recommended. Eating fruits and vegetables helps prevent colon cancer — a disease that Nebraskans also have a relatively high rate of, Schaefer said.

But by being aware of that, she said, the state can hopefully take some steps to increase fruit and vegetable consumption — and decrease colon cancer.

And that’s why the survey is so useful, she said.  “It’s a really good indicator for us."

Steve Frederick, manager of the health data and evaluation division at the Lincoln-Lancaster Health Department, agreed the survey was a good barometer of Lincoln’s general health.

He, too, agreed the system wasn’t perfect.

Nebraskans, and Midwesterners in general, tend to be an optimistic bunch, he said. Often, survey respondents rate their health as “very good” or “excellent,” even if they have health problems.

“It’s amazing how positive we are,” he said.

In addition, he said, the state conducted the survey via landline telephone, which means that those who use only cell phones were excluded from the sample.

Since many younger people don’t have landlines, he said, the survey likely skewed a bit older than it would have otherwise. And, because younger people tend to be more likely to binge drink, for example, than older populations, that data might not be entirely accurate.

Next year, though, cell phone users will be included in the survey, he said.

Even with its problems, though, the survey is a good indicator of general health, Frederick said.

And though Lincoln may not be definitively No. 1 in terms of public health, it still rates high in terms of how healthy its residents feel, he said.

“It’s fair to say that Lincoln is in the top tier of cities for that response,” he said.

Reach Cara Pesek at 473-7361 or cpesek@journalstar.com.


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Hmm wrote on November 18, 2008 11:21 am:
" This isn't really accurate as this is based on the answers of residents. Maybe Lincoln is just the most naive city? "

Kenny wrote on November 18, 2008 11:24 am:
" So the people rank themselves as being healthy or not? I wouldn't take this study very seriously then. While I believe LIncoln is better than some, most cities are rated on health by things such as park area, trails, number of fast food restaurants, health care facilities, etc. Not "do you think you are healthy?" type of questions. Most people probably think they are healthy, even though they are 30 lbs. overweight. Unless you eat healthy, exercise regularly, don't smoke, aren't overweight, you probably aren't healthy. Health isn't an objective measure, it is scientific. "

Como wrote on November 18, 2008 11:31 am:
" You have got to be kidding me. This is asking the individuals how they feel. It's not actually rating the city for how healthy the people really are. Lincolnites are either very optimistic or totally oblivious. Don't get excited over nothing, people. There's still too many unhealthy people here. "

THE OTHER JR wrote on November 18, 2008 11:34 am:
" I'm hoping there is more to this survey arriving at it's findings than simply asking the residents of a community how they would rate their level of health. Otherwise, this ranks as one of the most baseless reports out there. Come on, asking people to rate their health as excellent, very good, good, fair or poor...hmmm, unless a person happens to be suffering from some pretty serious health issues at the time, let me guess as to what most are going to answer? Utterly ridiculous. But at least we beat Omaha! "

Bill wrote on November 18, 2008 11:40 am:
" The state of mind rather than actual health data? It would be interessting to look at mortality rates alongside this. "

Locke wrote on November 18, 2008 11:54 am:
" Great way to measure the "healthiness" of a city. Let's ask the residents if they think they are healthy. What kind of objective measure is that? It's like asking cigarette executives if their product could have negative impacts on their users. "

Were just liars wrote on November 18, 2008 11:56 am:
" We're not the healthiest, but we're good at pretending! This doesn't sound like a very scientific study to me. They didn't run any tests. They just asked people and expected them to be honest. Like that will happen. "

Doug wrote on November 18, 2008 12:19 pm:
" I would submit that Lincoln is the whiniest, most pessemistic city based on comments received here. "

Cmon...... wrote on November 18, 2008 12:25 pm:
" Nebraska has had nothing but negative press lately. Can you not just enjoy something positive for once??? "

Chris wrote on November 18, 2008 12:28 pm:
" This sounds like an article right out of The Onion. "

surprised wrote on November 18, 2008 12:29 pm:
" i smoke two packs a day and drink myself to sleep every night but if i had a guess for my health id say excellent. duh, how bout asking the doctors next time "

obvious wrote on November 18, 2008 12:31 pm:
" Like any survey or stats - garbage in, garbage out. This is all subjective from people who granted have a good outlook, but who also have a "if it ain't broke, don't fix it" attitude about preventative health care. Nice and sincere people, but possibly with a twisted perception about their health? I live here and love it, and think it's a great secret from the rest of the nation, but healthiest???? "

Took survey.. wrote on November 18, 2008 12:55 pm:
" and it asked alot of questions like how many times have you been to the doctor, how severe have your illnessess been, etc. I would say they are lumping all of that info together - it was not a do you feel healthy question. Alot of it to was based around how much healthcare have you had and health insurance ?s too. They did ask do you smoke, drink & how much......not putting my vote one way or another, just pointing out that it was detailed. "

obvious wrote on November 18, 2008 12:58 pm:
" You know it's garbage when we are "first" and FARGO is "second". Neither of these two cities are what I would look to as leading examples of healthy behaviors. Obesity is a huge problem in both of these cities and their respective states. In addition, the fact that Boulder, Colorado Springs, and Hilton Head Island are lower on the list automatically discounts or discredits these findings. "

Hop wrote on November 18, 2008 1:02 pm:
" I was going to say that what this survey shows more than anything is that Lincolnites don't like to complain. But then I read the comments section for this article and changed my mind. Nothing but negativity and complaint.
Relax folks!
Maybe go for a walk.
Tomorrow is supposed to be nice! "

Cool wrote on November 18, 2008 1:21 pm:
" Good News is always welcome. I guess i figuired it would be as i see more and more people out on the trails running and biking.

It is nice to see everybody out their using the them as they are great to have such great trails here in Lincoln.

I know i have been in other areas of the country and we are very blessed to have great trails Thanks to those who got them going. "

Poster Boy wrote on November 18, 2008 1:24 pm:
" I'm in excellent health!

Where did I leave my potato chips? "

saywhat wrote on November 18, 2008 1:56 pm:
" Omaha is 33rd..? Wasn't Omaha just ranked one of the top 10 fattest cities in the nation a few years back..? "

Mike McDermott wrote on November 18, 2008 2:35 pm:
" The CDC is relying upon answers to a survey for it's belief? The CDC is a politicized cartoon. "

jo wrote on November 18, 2008 2:38 pm:
" I'll drink to that "

Mr. Snrub wrote on November 18, 2008 3:04 pm:
" Clean living and fresh air are important to this study. I was in Los Angeles a couple of months ago, and I couldn't breath real good cause of the snog. The air in Lincoln is real crisp, especially in the fall. Lincoln was founded partially because of the salt mining they thought they would be doing. I wonder how healthy Lincoln would be if they would have opened the salt mines and alot of the minors would have gotten the white lung? Mining is dangerous and I think that would have probably putten us closer to the mining towns in West Virginia on the study. I would have rated my health good though. "

dONT THINK wrote on November 18, 2008 3:13 pm:
" I take this to seriously either. You go into a restaurant and they say how are you and you say good. Works the same on a survey. Maybe some folks just are more honest in say west virginia. Good thing healthy isn't connected to safety. "

george wrote on November 18, 2008 6:34 pm:
" Real strange that the article mentions Lincoln Industries in a health article when they build in the floodplains and utilize hazardous chemicals. Just don't credit the Lincoln Health Department for the ratings. They tell you limestone dust is not hazardous to your health. "

Tim wrote on November 18, 2008 6:46 pm:
" I was born and raised in Lincoln and have lived in the south for 13 years now and as biased as this report has to be, having people judge themselves, it actually is quite accurate from what I have experienced. People in the south have many more health problems and mortality rate is much higher, along with smoking, drinking, obesity, poor diet etc. Lincoln is in very good shape. "

oak williams wrote on November 18, 2008 6:54 pm:
" ha ha I'm healthier than you. "

Huh wrote on November 18, 2008 8:09 pm:
" This is the money grabbing town. Why wouldn't people be healthy, the
Docs' have ya comin' in every other week to see if they can find something. I went to check on everything 30 years ago and was perfectly
fine and still am, but those Docs' keep makin' me come in every 3 or 6
months to see if they can find something. Guess they think I don't have
a brain to know if I'm not feeling well!!!! As one honest Doc in another
state once told me, "Ah they just want a house payment." "

bl wrote on November 18, 2008 9:35 pm:
" if you think Lincoln is a healthy city, just go to the north WalMart on a weekend and see for yourself. This article reminds me why I refuse to subscribe to the print edition of the paper. "

To Huh wrote on November 19, 2008 7:59 am:
" Lose-Lose for doctors. If they call you in too often, they waste resources and drive up costs, if they don't call you in enough, you get sick and sue them for not catching the cancer sooner. I opt for the latter. You don't have to go to the doctor every time he wants you to. You CAN say no to services you don't want or need! "

sure.... wrote on November 19, 2008 9:56 am:
" just look at the people who live here. I was in NY this last week and saw very few fat people. The only ones I did see were clearly tourists. I could tell when I was back in the midwest when there were obese people everywhere! "

what wrote on November 19, 2008 11:30 am:
" this doesn't explain why there are so MANY fast food places here and everytime I drive by one of em the drive throw is packed full "

R. SCOTT wrote on November 19, 2008 12:04 pm:
" I totally agree (cough!) with this survey. I see people jogging by (achooooooo!) my house all the time and when at the grocery (sniff) stores, I see people are filling their carts with fruits and vegetables. There are plenty (cough..hack..cough) of outdoor activities to participate in and indoor places to exercise and you know you rarely see cigarettes hanging out of our residents mouths. In fact, I will tell you (sniff) there is no better place….o.k. timeout, this writing has worn me down, I’m gonna lie on the couch for awhile and watch T.V. "

Public Health Student wrote on November 19, 2008 1:06 pm:
" To all of you discounting this survey: the LJS simply listed ONE question off of a 59 PAGE questionnaire. The Behavioral Risk Factor Surveillance Survey is a survey that the CDC has used for years to gauge health and to help health depts determine which areas to focus on in their local community. The survey not only asks "How do you feel?" but also, "When did you last see a dentist? Have you ever had a heart attack? Ever been diagnosed with diabetes?" Etc. It covers several different disease states, smoking, drinking, and health behaviors such as whether you get a flu shot or what your typical diet consists of. It's findings are far more legitimate than you give it credit for. You can read through the 2008 survey questions at http://www.cdc.gov/brfss/questionnaires/pdf-ques/2008brfss.pdf. It might be a good idea to know what you're talking about after all! "

Yeah right wrote on November 19, 2008 4:44 pm:
" You are kidding, right? All you have to do is drive by any school in town; grade school, middle school or high school and look at all the out-of-shape kids waddling down the sidewalk to find this survey difficult to believe. It may have been 28 years since I graduated, but I'll tell you there was about 1:60 ratio of kids out of shape. That's certainly not the case today. Could it be all the sitting on their butts watching TV and playing video games vs. getting out and playing in the fresh air??? "