Objective: To examine health concerns of Midwestern adults as part of regio
nal health planning. Method: Randomly selected households received mailed s
urveys. Responses (n = 2,209) to open-ended questions about most important
health concerns were analyzed. Results: Insurance costs/access and high cos
t of health care were most-cited health concerns. Differences were found in
identification of community and state/nation concerns and in urban versus
rural residence. Conclusion: Qualitative results Identified different healt
h priorities than those revealed by quantitative measures of health status
and behavior in the same survey. Analysis of residents' health concerns has
potential to improve community health planning.