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Indicator: Stress

Data and Data Discussion provided by Communities Count

Average Level of Stress By Age, Race/Ethnicity, Relationship Status, Education and Income King County, 2004

Average Level of Stress King County, 1999, 2001 & 2004

Sustainability Snapshot:

Common sources of daily stress include having less money than needed to meet living costs, work overload, competing demands of work and family, and lack of time to get everything done. Low-income individuals are more likely to experience stress conditions more frequently, while discrimination adds to their stress. Continuing anxiety, insecurity, low self-esteem, social isolation and lack of control over work and home life have powerful effects on physical and psychological health by "turning on" biological stress responses too often or for too long.

Sustainability Trend:

There was no significant increase or decrease in the average stress score for adults in King County between 2001 and 2004.

Data Discussion

The Indicator Defined

Average Level of Stress Among King County Residents Stress was measured by asking King County adults 4 questions about how often they have experienced certain symptoms of stress in the past 30 days. These were used to create a perceived stress scale with a possible score between 5 (low) and 20 (high). The four questions were: In the past 30 days, how often have you felt: (1)...that you were unable to control the important things in life? (2)...confident about your ability to handle your personal problems? (3)...that things were going your way? (4)...difficulties were piling up so high that you could not overcome them?

Data Interpretation/Evaluation

In 2004 the average (mean) stress score for adults in King County was 8.4. This was not a significant increase from 2001. Among the individual questions (see definition above), there was a significant decrease countywide between 2001 and 2004 in the percentage of people who felt confident about their ability to handle personal problems.

There were significant differences in levels of stress among the following populations (Figure 1):
- Young adults report feeling more stress, and older adults less stress, than people in other age groups.
- People living as couple, married or not, report less stress than those not in a couple relationship.
- College graduates report less stress than those with less education
- People with household incomes above $50,000 report less stress than those with lower incomes.

There was no significant difference among the regions of King County. (Figure 2)

Data Source and Limitations

The stress measures were contributed by Communities Count (www.communitiescount.org) and are from the King County Community Health Survey, 1999, 2001 and 2004, which used the shortened (telephone) version of the Perceived Stress Scale, Cohen S, Kamarok T, Mermelstein R, “A Global Measure of Perceived Stress,” Journal of Health and Social Behavior 1983 vol. 24: 385-396.

The limitations of an English-only telephone survey include the following: a) people who do not have a telephone are missed, b) people who do not speak English do not participate, c) people who have less education and lower incomes tend to be under-represented.

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