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Blue Zones Project
2012 Well-Being Findings
Beach Cities Well-Being Climb!


      3.5   Beach Cities Well-Being Climb

       3

      2.5

       2

      1.5

       1

      0.5

       0
               2010                                 2011                              2012




                            Copyright© 2008, 2012 Gallup, Inc. All rights reserved.
Dramatic Well-Being Improvement Results!

  “The positive well-being trend in the Beach Cities is both authentic and impressive. The
  rate at which the community has improved since 2010 far surpasses what has been
  measured in the large majority of other communities nationwide.
  Given the timing of this progress, we believe the Blue Zones Project has been a strong
  driver of the Beach Cities success.”
                                                      —Dan Witters, Principal at Gallup—




                                    Copyright© 2008, 2012 Gallup, Inc. All rights reserved.
Well-Being Jump by the Numbers!




 • $2.35M h.care savings   • $6.97M h.care savings




                                     Copyright© 2008, 2012 Gallup, Inc. All rights reserved.
Overall Well-Being and Life Evaluation

                          Well-Being Index
          Population
                          Composite Score
                                                                               “The Composite score was
   Beach Cities Overall         76.4                                           already really impressively high.
   U.S. Total (MY12)            66.2                                           We weren’t sure it could go any
                                                                               higher.”
   California (MY12)            67.3                                                               —Dan Witters
   LA Metro Area (2011)         67.9

                                                                Beach Cities
                                                                                          U.S. Change   CA Change
                                                                Change Since
                                                                                          Since 2010    Since 2010
                                                                   2010
  OVERALL WBI COMPOSITE SCORE                                       +3.0                      0.0          +0.8
  LIFE EVALUATION INDEX                                                     +8.3             +0.4          +1.7
  % Thriving                                                                +8.2             +0.4          +1.1
  % Suffering                                                                -0.3             0.0          -0.6



                                                          5
                                Copyright© 2008, 2012 Gallup, Inc. All rights reserved.
Awareness, Support & Participation

   Target Blue Zones Project Participation is 20%:
   •   10% of the population’s aware and has participated in at least one activity
   •   Many more residents are touched by Blue Zones Project’s environmental
       changes


                                                                                                 Beach Cities Overall

       Have you heard about the Blue Zones Project?                                                     35%

       Do you support the Beach Cities participating in the Blue Zones
                                                                                                        79%
       Project?
       Participation in at least one Blue Zones Project activity?                                       31%




                                                                 6
                                       Copyright© 2008, 2012 Gallup, Inc. All rights reserved.
2012 Beach Cities
Overview of Principle Discoveries
Well-Being Index Top Line Overview

1.   Well-being overall remains high in all three Beach Cities, well ahead of the Los
     Angeles metropolitan statistical area.

2.   Well-being is up in the Beach Cities for the second straight year, compared to little
     well-being change in CA and the U.S. in general.

3.   Residents of Manhattan Beach, followed closely by residents of Hermosa Beach, have
     the highest well-being among the three communities.

4.   Life Evaluation, Physical Health, Healthy Behaviors, Work Environment, and Basic
     Access all rate very strong in the Beach Cities compared to nationwide city
     comparables.

5.   Emotional Health in the Beach Cities is not better than most other cities, and is worse
     on some metrics.


                                                               8
                                     Copyright© 2008, 2012 Gallup, Inc. All rights reserved.
Top Line Overview (cont.)

6.   Greatest well-being strengths include:
     • Low obesity, diabetes, and associated chronic conditions
     • Very low smoking rates; good exercise and produce consumption
     • Safe places to exercise and safe community in general
     • Very good oral health behaviors
     • Strengths usage and management partnership in the workplace
     • Strong city momentum and optimism for future

7.   Biggest areas for improvement include:
     • Treating one another with respect
     • Negative Emotional Health (daily worry and stress)
     • Not particularly well-rested on any given day


                                                              9
                                    Copyright© 2008, 2012 Gallup, Inc. All rights reserved.
Top Line Overview (cont.)

8.   Physical Health has improved considerably in the Beach Cities since 2010, with lower
     obesity and fewer residents with disease burden.

9.   While stress and treating each other with respect have worsened, most other
     Emotional Health indicators have improved since 2010.

10. Beach Cities residents are exercising more and eating better than they were in
    2010, and at a rate that considerably exceeds what is found in California in general.

11. Since 2010, Work Environment wellbeing has improved in the Beach Cities at about
    the same rate as in California, driven primarily by an increased use of strengths each
    day.

12. The Beach Cities have considerable positive livability momentum, driven primarily by
    a greater sense of safety and improved efforts at good oral health.




                                                             10
                                    Copyright© 2008, 2012 Gallup, Inc. All rights reserved.
Top Line Overview (cont.)

13. Obesity has come down from 12.3% in 2010 to 10.6% today. This represents a 14%
    reduction on the percentage of residents who are obese.

14. Still, obesity — even comparatively low obesity — costs the Beach Cities significant
    amounts of money in incremental healthcare costs and lost productivity annually.

    • $14.6 million in incremental healthcare costs per year

    • $38.6 million in overall cost to local economy per year, including
      lost productivity

15. While Redondo residents in the 90278 ZIP code have better overall well-being —
    driven primarily by Life Evaluation and Work Environment — those in 90277 enjoy
    better Emotional and Physical Health.




                                                             11
                                    Copyright© 2008, 2012 Gallup, Inc. All rights reserved.
Overview of the
Gallup-Healthways Well-Being Index
®
Gallup-Healthways Well-Being Index :
A Comprehensive Approach to Measuring Well-being

Gallup-Healthways tracks 55 items that comprise six core sub-indexes to provide leaders with a
comprehensive metric that covers six key interrelated areas of wellbeing:

       Life Evaluation
       Ranking one’s life today and in the future

       Emotional Health
       Daily feelings, clinical depression

       Physical Health
       Chronic conditions, obesity, physical pain, cold/flu                                            Well-Being Index
                                                                                                       Composite Score
       Healthy Behaviors                                                                               (Average of six domains)
       Smoking, healthy eating, exercise

       Work Environment
       Using strengths, supervisor relationships

       Basic Access
       Healthcare, community satisfaction, money for basics


                                                                  13
                                         Copyright© 2008, 2012 Gallup, Inc. All rights reserved.
Life Evaluation – Thriving, Struggling, and Suffering



                                                               10
Six well-being domains                                              Thriving
1. Life Evaluation       •   Asks Americans to evaluate        9    Average 20%
                             their lives by imagining a             Lower Medical
2. Emotional Health                                            8    Costs
                             "ladder" with steps
3. Physical Health           numbered from 0 to                7
4. Healthy Behavior          10, where "0" represents the
                             worst possible life and "10"      6
5. Work Environment          represents the best possible      5
6. Basic Access              life.                              4
                                                                3
                              • Evaluation of present life
                                                                    Suffering
                                                                2   Average 50%
                                situation
                                                               1    Higher
                              • Anticipated life situation 5        Medical Costs
                                years from now                 0
Overall Well-being and Life Evaluation

Residents of the Beach Cities evaluate their lives very well, particularly in Manhattan Beach.
Less than 1% of Redondo Beach residents are “suffering.”

                                                                                Life
                              Well-Being Index                                                     %           %
          Population                                                         Evaluation
                              Composite Score                                                   Thriving   Suffering
                                                                               Index
 Beach Cities Overall               76.4                                             71.1        72.6        1.4

 Manhattan Beach                    77.9                                             75.4        77.5        2.2

 Hermosa Beach                      77.5                                             70.4        73.3        2.9

 Redondo Beach                      75.4                                             69.3        70.0        0.7

 U.S. Total (MY12)                  66.2                                             48.8        52.5        3.7

 California (MY12)                  67.3                                             50.4        53.4        3.1

 LA Metro Area (2011)               67.9                                             51.4        54.3        2.9



                                                               15
                                      Copyright© 2008, 2012 Gallup, Inc. All rights reserved.
Change in Overall Well-being and Life Evaluation

Since 2010, Beach Cities residents’ overall well-being has improved at a rate that far exceeds
what’s been measured nationally or in the state of California. Life Evaluation is way up!

                                                                       Beach Cities
                                                                                               U.S. Change   CA Change
                                                                       Change Since
                                                                                               Since 2010    Since 2010
                                                                          2010
 OVERALL WBI COMPOSITE SCORE                                                       +3.0            0.0          +0.8

 LIFE EVALUATION INDEX                                                             +8.3           +0.4          +1.7

 Ladder Today                                                                      +0.1           -0.1          +0.1

 Ladder 5 Years From Now                                                           +0.3           +0.1          +0.1

 % Thriving                                                                        +8.2           +0.4          +1.1

 % Suffering                                                                        -0.3           0.0          -0.6




                                                              16
                                     Copyright© 2008, 2012 Gallup, Inc. All rights reserved.
Physical and Emotional Health, and Healthy Behaviors

Strong Healthy Behaviors feed very good Physical Health in the Beach Cities, but Emotional
Health lags back closer to state and national norms.

                                                                                               Healthy    Emotional
                           Well-Being Index Physical Health
                                                                                              Behaviors    Health
                           Composite Score      Index
                                                                                                Index       Index
 Beach Cities Overall            76.4                                     83.5                  74.1        80.4

    Manhattan Beach              77.9                                     85.6                  77.9        81.6

    Hermosa Beach                77.5                                     84.2                  74.1        80.0

    Redondo Beach                75.4                                     82.3                  72.3        80.0

 U.S. Total (MY12)               66.2                                     76.7                  63.4        79.0

 California (MY12)               67.3                                     77.9                  66.9        79.3

 LA Metro Area (2011)            67.9                                     79.1                  66.7        79.2




                                                             17
                                    Copyright© 2008, 2012 Gallup, Inc. All rights reserved.
Extra Cost of Obesity in the Beach Cities

Obesity — even comparatively low obesity — costs the Beach Cities a LOT of money in
incremental healthcare costs and lost productivity annually. In 2012, 14% fewer Beach Cities
residents are obese than in 2010.


                                                                                                         Total Incremental Costs to
                                                                       Incremental Annual                 Local Economy, Including
                                         % Obese                        Healthcare Costs*                    Lost Productivity**

 Beach Cities Overall                      10.6                                $14.6 million                  $38.6 million

    Manhattan Beach                          8.3                                   $3.1 million                $8.25 million

    Hermosa Beach                           12.4                                   $2.9 million                $7.65 million

    Redondo Beach                           11.2                                   $8.6 million                $22.7 million

 * = Among adults only, based on estimates from NIH-HHS sponsored research
 ** = Among adults only, based on George Washington University estimates


                                                                        18
                                               Copyright© 2008, 2012 Gallup, Inc. All rights reserved.

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2012 Well-Being Findings

  • 1. Blue Zones Project 2012 Well-Being Findings
  • 2. Beach Cities Well-Being Climb! 3.5 Beach Cities Well-Being Climb 3 2.5 2 1.5 1 0.5 0 2010 2011 2012 Copyright© 2008, 2012 Gallup, Inc. All rights reserved.
  • 3. Dramatic Well-Being Improvement Results! “The positive well-being trend in the Beach Cities is both authentic and impressive. The rate at which the community has improved since 2010 far surpasses what has been measured in the large majority of other communities nationwide. Given the timing of this progress, we believe the Blue Zones Project has been a strong driver of the Beach Cities success.” —Dan Witters, Principal at Gallup— Copyright© 2008, 2012 Gallup, Inc. All rights reserved.
  • 4. Well-Being Jump by the Numbers! • $2.35M h.care savings • $6.97M h.care savings Copyright© 2008, 2012 Gallup, Inc. All rights reserved.
  • 5. Overall Well-Being and Life Evaluation Well-Being Index Population Composite Score “The Composite score was Beach Cities Overall 76.4 already really impressively high. U.S. Total (MY12) 66.2 We weren’t sure it could go any higher.” California (MY12) 67.3 —Dan Witters LA Metro Area (2011) 67.9 Beach Cities U.S. Change CA Change Change Since Since 2010 Since 2010 2010 OVERALL WBI COMPOSITE SCORE +3.0 0.0 +0.8 LIFE EVALUATION INDEX +8.3 +0.4 +1.7 % Thriving +8.2 +0.4 +1.1 % Suffering -0.3 0.0 -0.6 5 Copyright© 2008, 2012 Gallup, Inc. All rights reserved.
  • 6. Awareness, Support & Participation Target Blue Zones Project Participation is 20%: • 10% of the population’s aware and has participated in at least one activity • Many more residents are touched by Blue Zones Project’s environmental changes Beach Cities Overall Have you heard about the Blue Zones Project? 35% Do you support the Beach Cities participating in the Blue Zones 79% Project? Participation in at least one Blue Zones Project activity? 31% 6 Copyright© 2008, 2012 Gallup, Inc. All rights reserved.
  • 7. 2012 Beach Cities Overview of Principle Discoveries
  • 8. Well-Being Index Top Line Overview 1. Well-being overall remains high in all three Beach Cities, well ahead of the Los Angeles metropolitan statistical area. 2. Well-being is up in the Beach Cities for the second straight year, compared to little well-being change in CA and the U.S. in general. 3. Residents of Manhattan Beach, followed closely by residents of Hermosa Beach, have the highest well-being among the three communities. 4. Life Evaluation, Physical Health, Healthy Behaviors, Work Environment, and Basic Access all rate very strong in the Beach Cities compared to nationwide city comparables. 5. Emotional Health in the Beach Cities is not better than most other cities, and is worse on some metrics. 8 Copyright© 2008, 2012 Gallup, Inc. All rights reserved.
  • 9. Top Line Overview (cont.) 6. Greatest well-being strengths include: • Low obesity, diabetes, and associated chronic conditions • Very low smoking rates; good exercise and produce consumption • Safe places to exercise and safe community in general • Very good oral health behaviors • Strengths usage and management partnership in the workplace • Strong city momentum and optimism for future 7. Biggest areas for improvement include: • Treating one another with respect • Negative Emotional Health (daily worry and stress) • Not particularly well-rested on any given day 9 Copyright© 2008, 2012 Gallup, Inc. All rights reserved.
  • 10. Top Line Overview (cont.) 8. Physical Health has improved considerably in the Beach Cities since 2010, with lower obesity and fewer residents with disease burden. 9. While stress and treating each other with respect have worsened, most other Emotional Health indicators have improved since 2010. 10. Beach Cities residents are exercising more and eating better than they were in 2010, and at a rate that considerably exceeds what is found in California in general. 11. Since 2010, Work Environment wellbeing has improved in the Beach Cities at about the same rate as in California, driven primarily by an increased use of strengths each day. 12. The Beach Cities have considerable positive livability momentum, driven primarily by a greater sense of safety and improved efforts at good oral health. 10 Copyright© 2008, 2012 Gallup, Inc. All rights reserved.
  • 11. Top Line Overview (cont.) 13. Obesity has come down from 12.3% in 2010 to 10.6% today. This represents a 14% reduction on the percentage of residents who are obese. 14. Still, obesity — even comparatively low obesity — costs the Beach Cities significant amounts of money in incremental healthcare costs and lost productivity annually. • $14.6 million in incremental healthcare costs per year • $38.6 million in overall cost to local economy per year, including lost productivity 15. While Redondo residents in the 90278 ZIP code have better overall well-being — driven primarily by Life Evaluation and Work Environment — those in 90277 enjoy better Emotional and Physical Health. 11 Copyright© 2008, 2012 Gallup, Inc. All rights reserved.
  • 13. ® Gallup-Healthways Well-Being Index : A Comprehensive Approach to Measuring Well-being Gallup-Healthways tracks 55 items that comprise six core sub-indexes to provide leaders with a comprehensive metric that covers six key interrelated areas of wellbeing: Life Evaluation Ranking one’s life today and in the future Emotional Health Daily feelings, clinical depression Physical Health Chronic conditions, obesity, physical pain, cold/flu Well-Being Index Composite Score Healthy Behaviors (Average of six domains) Smoking, healthy eating, exercise Work Environment Using strengths, supervisor relationships Basic Access Healthcare, community satisfaction, money for basics 13 Copyright© 2008, 2012 Gallup, Inc. All rights reserved.
  • 14. Life Evaluation – Thriving, Struggling, and Suffering 10 Six well-being domains Thriving 1. Life Evaluation • Asks Americans to evaluate 9 Average 20% their lives by imagining a Lower Medical 2. Emotional Health 8 Costs "ladder" with steps 3. Physical Health numbered from 0 to 7 4. Healthy Behavior 10, where "0" represents the worst possible life and "10" 6 5. Work Environment represents the best possible 5 6. Basic Access life. 4 3 • Evaluation of present life Suffering 2 Average 50% situation 1 Higher • Anticipated life situation 5 Medical Costs years from now 0
  • 15. Overall Well-being and Life Evaluation Residents of the Beach Cities evaluate their lives very well, particularly in Manhattan Beach. Less than 1% of Redondo Beach residents are “suffering.” Life Well-Being Index % % Population Evaluation Composite Score Thriving Suffering Index Beach Cities Overall 76.4 71.1 72.6 1.4 Manhattan Beach 77.9 75.4 77.5 2.2 Hermosa Beach 77.5 70.4 73.3 2.9 Redondo Beach 75.4 69.3 70.0 0.7 U.S. Total (MY12) 66.2 48.8 52.5 3.7 California (MY12) 67.3 50.4 53.4 3.1 LA Metro Area (2011) 67.9 51.4 54.3 2.9 15 Copyright© 2008, 2012 Gallup, Inc. All rights reserved.
  • 16. Change in Overall Well-being and Life Evaluation Since 2010, Beach Cities residents’ overall well-being has improved at a rate that far exceeds what’s been measured nationally or in the state of California. Life Evaluation is way up! Beach Cities U.S. Change CA Change Change Since Since 2010 Since 2010 2010 OVERALL WBI COMPOSITE SCORE +3.0 0.0 +0.8 LIFE EVALUATION INDEX +8.3 +0.4 +1.7 Ladder Today +0.1 -0.1 +0.1 Ladder 5 Years From Now +0.3 +0.1 +0.1 % Thriving +8.2 +0.4 +1.1 % Suffering -0.3 0.0 -0.6 16 Copyright© 2008, 2012 Gallup, Inc. All rights reserved.
  • 17. Physical and Emotional Health, and Healthy Behaviors Strong Healthy Behaviors feed very good Physical Health in the Beach Cities, but Emotional Health lags back closer to state and national norms. Healthy Emotional Well-Being Index Physical Health Behaviors Health Composite Score Index Index Index Beach Cities Overall 76.4 83.5 74.1 80.4 Manhattan Beach 77.9 85.6 77.9 81.6 Hermosa Beach 77.5 84.2 74.1 80.0 Redondo Beach 75.4 82.3 72.3 80.0 U.S. Total (MY12) 66.2 76.7 63.4 79.0 California (MY12) 67.3 77.9 66.9 79.3 LA Metro Area (2011) 67.9 79.1 66.7 79.2 17 Copyright© 2008, 2012 Gallup, Inc. All rights reserved.
  • 18. Extra Cost of Obesity in the Beach Cities Obesity — even comparatively low obesity — costs the Beach Cities a LOT of money in incremental healthcare costs and lost productivity annually. In 2012, 14% fewer Beach Cities residents are obese than in 2010. Total Incremental Costs to Incremental Annual Local Economy, Including % Obese Healthcare Costs* Lost Productivity** Beach Cities Overall 10.6 $14.6 million $38.6 million Manhattan Beach 8.3 $3.1 million $8.25 million Hermosa Beach 12.4 $2.9 million $7.65 million Redondo Beach 11.2 $8.6 million $22.7 million * = Among adults only, based on estimates from NIH-HHS sponsored research ** = Among adults only, based on George Washington University estimates 18 Copyright© 2008, 2012 Gallup, Inc. All rights reserved.

Editor's Notes

  1. Per the Gallup-Healthways Well-Being Index, Beach Cities overall well-being climbed 3 points since 2012. This is significant because the WBI is designed to be a very stable index. A 3 points jump in 2 years is considerable movement.Beach Cities was already pretty healthy, so upward movement is extremely exciting. This life far exceeded our expectations.During these first two years of the Blue Zones Project : The Beach Cities adopted bicycle master plans, livability policies and smoking restrictions.Thousands of residents pledged to complete at least one action to improve their well-being. Dozens of local restaurants are taking steps to promote a healthier experience for patrons.More than 150 local employers have committed to implement simple changes that increase employee well-being and create healthier work environments. More than 5,500 students have been reached by school based strategies and programs like Walking School Bus” programs that encourage increased physical activity and social connection through chaperoned walks to school… and MindUP along with changes to the cafeterias, menus, policies, etc.
  2. Per the Gallup-Healthways Well-Being Index, Beach Cities overall well-being climbed 3 points since 2012. This is significant because the WBI is designed to be a very stable index. A 3 points jump in 2 years is considerable movement.Beach Cities was already pretty healthy, so upward movement is extremely exciting. This life far exceeded our expectations.During these first two years of the Blue Zones Project : The Beach Cities adopted bicycle master plans, livability policies and smoking restrictions.Thousands of residents pledged to complete at least one action to improve their well-being. Dozens of local restaurants are taking steps to promote a healthier experience for patrons.More than 150 local employers have committed to implement simple changes that increase employee well-being and create healthier work environments. More than 5,500 students have been reached by school based strategies and programs like Walking School Bus” programs that encourage increased physical activity and social connection through chaperoned walks to school… and MindUP along with changes to the cafeterias, menus, policies, etc.
  3. Obesity — even comparatively low obesity — costs the Beach Cities a LOT of money in incremental healthcare costs and lost productivity annually. In 2012, 14% fewer Beach Cities residents are obese than in 2010. 1,645 fewer adults are obese$2.35 million savings in healthcare related costs30% reduction in smoking: Over 3,000 fewer adults smoke$6.97 million savings in healthcare-related costs10% increase in exercise9% increase in healthy eating
  4. Tipping Point Theory tells us that once 15% of a population adopts a new behavior, the rest of the population is more likely to follow
  5. The life evaluation aspect of well-being uses the Cantril “self-anchoring striving scale,” which is a measure first developed in 1965 by Hadley Cantril and his colleagues at Princeton University.Let’s look at one example question for the first dimension, life evaluation.“Please imagine a ladder…”Actually, it’s a little more complicated than this, as we ask the question both now and where you see yourself in six months.By normalizing across the population, scores for this dimension are segmented into thirds: thriving, struggling, and suffering.AND, based on data from your membership, it really does matter: see impact on medical costs.