State of Well-Being City, State & Congressional District Well-Being Report WEST VIRGINIA

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State of Well-Being 2009 City, State & Congressional District Well-Being Report WEST VIRGINIA

Gallup Healthways Well-Being Index In an historic collaboration for American health transformation, Gallup and Healthways entered into a 25-year partnership in January 2008 with the goal of creating an official statistic for the daily state of health and well-being in the United States. Merging decades of social and clinical research, development expertise, health leadership and behavioral economics, Gallup and Healthways collaborated to develop the Gallup-Healthways Well-Being Index (WBI) the first and largest survey of its kind, aggregating data from 1,000 calls a day, 350 days a year. The Well-Being Index is already the largest behavioral economic database ever created and, over the next quarter century, will generate more than nine million individual responses. The Well-Being Index and associated City, State and Congressional District Reports provide the only measurement today for total well-being. Beyond medical condition and access to healthcare coverage and services, the Index also questions respondents about economic, professional, emotional and social circumstances. With Well-Being Index data, it s possible to quantify and establish a correlation between the places where people work and the communities in which they live and their well-being. Employers and organizations can also use the Well-Being Index to measure the well-being of their employees to make better decisions about health benefits, work environment, corporate culture, community investment or even site selection for a new facility. Methodology The research and methodology underlying the Gallup-Healthways Well-Being Index and the City, State and Congressional District Well-Being Reports are based on the World Health Organization definition of health, which is, not only the absence of infirmity and disease but also a state of physical, mental and social well-being. To compile the Well-Being Index, Gallup obtains completed interviews from 1,000 U.S. adults nationally, seven days a week, excluding only major holidays. Based on their response, individuals and communities receive an overall wellbeing composite score and a score in each of six sub-indices including life evaluation, emotional health, physical health, healthy behavior, work environment and basic access. Changes in condition can be tracked over time, and the introduction of both controlled and uncontrolled variables considered. Discrete populations can also be ranked one against another for a stratified view of their relative wellbeing. For more information: 615.614.4440 Healthways 404.267.7711 Gallup WELLBEINGINDEX@healthways.com Trademark 2010 Gallup-Healthways Well-Being Index. All rights reserved. Copyrights 2010 Gallup, Inc., and Healthways, Inc. All rights reserved.

State of West Virginia Well-Being Ranking from data collected January 2, 2009 December 30, 2009 Result Rank 2008 2009 2008 2009 Well-Being Overall 61.2 60.5 50 50 Life Evaluation 29.5 36.8 50 50 Emotional Health 75.5 74.6 50 50 Physical Health 70.3 70.6 50 50 Healthy Behavior 60.3 58.6 45 47 Work Environment 52.8 44.4 13 47 Basic Access 78.6 77.8 48 48 *#1 is the top Rank and 50 the bottom *#0 is the bottom Result and 100 the top (see methodology for descriptions) *Source: Gallup-Healthways Well-Being Index Survey 2009, n = 353,849 and 2008, n = 355,334 1. HI 2. UT 3. MT 4. MN 5. IA 6. VT 7. CO 8. AK 9. ND 10. KS 11. ID 12. VA 13. NH 14. MD 15. WA 16. ME 17. WY 18. MA 19. SD 20. CA 21. AZ 22. CT 23. NE 24. TX 25. GA 26. OR 27. WI 28. IL 29. NJ 30. PA 31. NM 32. NC 33. NY 34. MI 35. SC 36. MO 37. FL 38. DE 39. OK 40. RI 41. LA 42. TN 43. MS 44. IN 45. AL 46. NV 47. OH 48. AR 49. KY 50. WV 2009 WELL-BEING STATE RANKING TOP QUINTILE 2 ND QUINTILE 3 rd QUINTILE 4 TH QUINTILE 5 TH QUINTILE WWW.WELL-BEINGINDEX.COM

West Virginia City Rankings Ranking from data collected January 2, 2009 December 30, 2009 Hagerstown Charleston Huntington STATE 261,198 303,950 284,026 Overall Rank 2009 168 182 186 50 2008 147 178 184 50 Life Evaluation 2009 162 164 177 50 2008 116 178 179 50 Emotional Health 2009 181 182 186 50 2008 164 180 184 50 Physical Health 2009 161 185 185 50 2008 160 182 183 50 Healthy Behavior Work Environment 2009 182 185 158 47 2008 120 159 178 45 2009 60 89 158 47 2008 107 46 90 13 Basic Access 2009 148 171 180 48 2008 152 170 175 48 *Ranking of 187 Cities, following U.S. Census Bureau Definitions for Metropolitan Statistical Areas (MSAs) *Source: Gallup-Healthways Well-Being Index Survey 2009, n = 353,849 and 2008, n = 355,334 *Source: Wikipedia.org 2010, City Population TOP QUINTILE 2 ND QUINTILE 3 rd QUINTILE 4 TH QUINTILE 5 TH QUINTILE WWW.WELL-BEINGINDEX.COM

West Virginia Congressional District Rankings Ranking from data collected January 2, 2009 December 30, 2009 WV-01 WV-02 WV-03 STATE Overall Rank 2009 391 413 434 50 2008 353 401 432 50 Life Evaluation 2009 378 389 434 50 2008 374 410 432 50 Emotional Health 2009 375 406 434 50 2008 319 353 432 50 Physical Health 2009 373 426 435 50 2008 413 425 434 50 Healthy Behavior 2009 315 389 427 47 2008 343 292 399 45 Work Environment 2009 356 336 313 47 2008 183 259 87 13 Basic Access 2009 313 368 427 48 2008 297 350 418 48 *Ranking of 435 Congressional Districts *Source: Gallup-Healthways Well-Being Index Survey 2009, n = 353,849 and 2008, n = 355,334 TOP QUINTILE 2 ND QUINTILE 3 rd QUINTILE 4 TH QUINTILE 5 TH QUINTILE WWW.WELL-BEINGINDEX.COM

About the City, State & Congressional District Reports Survey Dates: January 2, 2009 through December 30, 2009 Sample Information: Total Surveys: 353,849 respondents aged 18 and older Maximum Sample Size: Cities: 16,772 respondents States: 37,203 respondents Congressional District: 1,860 respondents Minimum Sample Size: Cities: 306 respondents States: 878 respondents Congressional District: 300 respondents Margin of Error: For results based on the overall 353,849 respondents, one can say with 95% confidence that the maximum margin of sampling error is ±0.2 percentage points. For results based on 5,000, ±1.4 percentage points For results based on 1,000, ±3.1 percentage points For results based on 500, ±4.4 percentage points For results based on 300, ±5.7 percentage points In addition to sampling error, question wording and practical difficulties in conducting surveys can introduce error or bias into the findings of public opinion polls. Composite Result: The Well-Being Index composite result is an average of six domains: life 0 (bottom) -100 (top) Scale evaluation, emotional health, physical health, healthy behaviors, work environment and basic access. Among states, overall Well-Being Index results ranged from a high of 70.2 (Hawaii) to a low of 60.5 (West Virginia). The 2009 national average for Well-Being was 65.9, Life Evaluation - 45.8, Emotional Health - 78.7, Physical Health - 49.1, Healthy Behaviors - 63.1, Work Environment - 49.1 and Basic Access - 82.2. For detailed descriptions of the domains, visit the methodology section of www.well-beingindex.com. Position Scale: Each State is positioned from 1-50, based on composite scores as compared to all States; Each Congressional District is positioned from 1-436 (including Washington D.C.), based on composite scores as compared to all Congressional Districts; Each City (Metropolitan Statistical Area) is positioned from 1-187, based on composite scores as compared to all Cities. The survey methods for Gallup-Healthways Well-Being Index relies on live (not automated) interviewers, dual-frame random-digit-dial (RDD) sampling (which includes landlines as well as wireless phone sampling to reach those in wireless-only households), and a random selection method for choosing respondents within a household. Additionally, daily tracking includes Spanish-language interviews for respondents who speak only Spanish, includes interviews in Alaska and Hawaii. The data are weighted daily to compensate for disproportional ties in selection probabilities and nonresponse. The data are weighted to match targets from the U.S. Census Bureau by age, sex, region, gender, education, ethnicity and race. The Gallup-Healthways Well-Being Index Composite Score is comprised of six sub-indices: Life Evaluation, Emotional Health, Physical Health, Healthy Behavior, Work Environment and Basic Access. The Life Evaluation Sub-Index is partially based on the Cantril Self-Anchoring Striving Scale and combines the evaluation of one s present life situation with one s anticipated life situation five years from now. The Emotional Health Sub-Index is primarily a composite of respondents daily experiences, asking respondents to think about how they felt yesterday along nine dimensions. The Physical Health Sub-Index is comprised of questions related to: Body Mass Index, disease burden, sick days, physical pain, daily energy, history of disease and daily health experiences. The Healthy Behavior Sub-Index includes items measuring life style habits with established relationships to health outcomes. The Work Environment Sub-Index surveys workers on several factors to gauge their feelings and perceptions about their work environment. The Basic Access Sub-Index is based on thirteen items measuring resident s access to food, shelter, healthcare and a safe and satisfying place to live.

Congressional District #1 WEST VIRGINIA CONGRESSIONAL DISTRICT DEFINITIONS Cities: Morgantown, Parkersburg, Wheeling Counties: Hancock, Brooke, Ohio, Marshall, Wetzel, Tyler, Pleasants, Wood, Ritchie, Gilmer, Doddridge, Harrison, Marion, Monongalia, Taylor, Barbour, Preston, Tucker, Grant, Mineral Congressional District #2 Cities: Charleston Counties: Mason, Putnam, Kanawha, Jackson, Wirt, Roane, Calhoun, Clay, Braxton, Lewis, Upshur, Randolph, Pendleton, Hardy, Hampshire, Morgan, Berkeley, Jefferson Congressional District #3 Cities: Huntington Counties: Cabell, Wayne, Lincoln, Mingo, Logan, Boone, Wyoming, McDowell, Raleigh, Fayette, Summers, Mercer, Monroe, Greenbrier, Nicholas, Webster, Pocahontas *Source: Wikipedia.org 2010, Congressional District Definitions WWW.WELL-BEINGINDEX.COM

WWW.WELL-BEINGINDEX.COM 866.603.8277