Most residents are not happy with Bermuda’s health system, according to a survey of the Island’s health trends.A total of 61 percent of people have said fundamental changes need to be made to make the system work better and 12 percent say the whole system needs an overhaul.Only 18 percent of people felt that the health care system was working pretty well with only minor changes needed an eight percent decline from 26 percent in 2005.It has been also found that residents’ satisfaction with the state of the health care system and the Government’s efforts to promote health and wellness in Bermuda has declined.A total of 58 percent said they were happy with what Government was doing a decline from 65 percent in 2005.The Mindmaps study, commissioned by the BHC and Ministry of Health, examined adult health and attitudes to health care across 801 local households.Health Minister Zane DeSilva revealed the findings of the ‘Health Survey of Adults in Bermuda 2011’ at a press conference this afternoon.A total of 85 percent of people rated their overall health as excellent, good or very good a slight decline from 88 percent in 2006.Less people said they were very satisfied or satisfied with their life in general 87 percent compared to 96 percent in 2006.A total of 64 percent of adults were overweight or obese, which has risen from 64 percent in 2006. Men were more likely to be overweight than women and those aged 55 to 64 were the most overweight age group.More people also described themselves as having a disability that limited everyday activities 14 percent compared to 11 percent in 2006.The survey found that there was deterioration in several areas of health care, including an increase in physical abuse and hypertension and fewer people having health checks and screenings.In 2006 23 percent of the population had suffered physical abuse by an intimate partner, compared to 30 percent in 2011. Those with hypertension rose ten points, from 25 percent in 2006 to 36 percent in 2011.However, those opting for mammogram screenings in the last two years tumbled from 95 percent in 2006 to 86 in 2011.Men over 40 opting for a prostate specific antigen (PSA) test in the past two years tumbled from 93 percent in 2006 to 86 percent in 2006.HIV testing has also declined with 44 percent being tested in their lifetime compared to 49 percent in 2006.This is said to be a concern as those reporting more than one sexual partner in the past year rose significantly a 17 point leap from 23 percent compared to six percent in 2006.A total of 26 percent were 15 years old or younger when they first had sex, but more people are using condoms 31 percent compared to 17 percent in 2006.Binge drinking is also on the rise, increasing 12 points from 24 percent in 2006 to 36 percent in 2011. The heaviest drinkers were men, those aged 18 to 34 and Asian and other races.The study shows improvements in some healthy habits, including a 20 point jump in the percentage of people doing moderate physical exercise for 30 minutes at least three times a week; from 65 percent five years ago to 85 percent this year.Bermuda still has 13 percent of smokers, but exposure to second-hand smoke at least once a week, has also decreased from 40 percent to 25 percent.Improved eating habits among the population were noted with 66 percent of people (compared to 71 percent in 2006) eating fast food at least once a week. Those eating fast food tended to be 18 to 34-year-olds and those in single-parent households.But only 73 percent consumed one or more servings of fruit per day and 19 percent at least three servings of vegetables per day drops from 76 percent and 17 percent in 2006.There was also a jump in the number of people watching two or more hours of television per day an increase from 72 percent in 2006.But more people are washing their hands to prevent disease; rising from 57 percent of the population in 2006 to 71 percent in 2011.The survey also showed how the spread of many chronic diseases had remained the same as 2006.A total of 34 percent of people have high blood cholesterol, the same as five years ago.Nine percent had asthma in 2006, compared to ten percent in 2011 with most sufferers likely to be Asian or other races (15 percent).The spread of diabetes decreased slightly from 13 percent in 2006 to 11 percent in 2011, with sufferers more likely to be women, aged 65 and above with secondary or lower education.And cardiovascular disease sufferers jumped from three percent of people in 2006 to five percent in 2011.It was announced that survey findings will “help to drive policy and programme development to improve health services and population health”.