Global Edelman Health Barometer 2011

HealthBarometer 2011 1

Health Barometer 2011 6 OCTOBER, 2011

Health, Redefined


*In the global total, the U.S. sample size is weighted down to 1,000 respondents to represent an equivalent portion of the total sample size as each of the other countries. Note: The study was representative of the total country population in all markets.


1 Health is

2 Health is

3 Health is


Health is


define health beyond being disease free

80%


Q7. How would you define being healthy? Please complete the following statement in the box below: To me, being healthy means . . . . [OPEN‐ENDED QUESTION] (Global)* Codes 3% or below do not appear in image

ACTIVE & FIT LIFESTYLE

FUNCTIONING BODY

ABSENCE OF DISEASESMENTAL & EMOTIONAL HEALTH BALANCED & NUTRITIOUS DIET

ABSENCE OF DRUGS & ALCOHOLHEALTHY WEIGHTENERGY

ABILITY TO EXERCISE

From how I am to how I act


THE HEALTHCARE SYSTEM38%

41%68%ME BUSINESS

IN GENERALGOV’TFAMILY

FRIENDSME GOV’T FAMILY

FRIENDSME GOV’T HEALTHCARE

PROVIDER OR INSURER

ME GOV’T48% 27% 40%75% 43% 20% 75% 36% 20% 20%

The factors we most control have the most impact on our healthFamily and friends are key to shaping our health

THE ENVIRONMENT 44%

YOUR LIFESTYLE 56%

Q11‐15. How much impact, either positive or negative, does each of the following have on your overall health? Please use a 9‐point scale where one means that you think it has “NO IMPACT AT ALL” and nine means that it has a “GREAT DEAL OF IMPACT” on your overall health. (Top 2 box – Great Deal of Impact) (Global); Q16, Q20, Q24, Q28. Thinking about the types of people and institutions who impact the environment /your nutrition/your lifestyle/ the healthcare system in your country either positively or negatively, who from the list below would you say has the most impact on the environment / your nutrition/ your lifestyle/ the healthcare system in your country as it relates to your overall health? [SELECT UP TO THREE] (Global) (only responses ranking in the top three are shown)

YOUR NUTRITION 55%


There is a knowledge‐action gap in healthBarriers to health are mostly behavioural

Not exercising enough 49%

Not maintaining a balanced or nutritious diet 36%

Having a health condition or disease 35%

Smoking or tobacco use 29%

Being in a harmful environment 23%

Lack of motivation or discipline 21%

Consumption of alcohol or drugs 20%

Q8. Keeping in mind your definition of what being healthy means from the previous question, which, if any, of the following prevents you from being healthy? [SELECT ALL THAT APPLY] (Global); Q57. (Base = ‘Yes’ to Q36 ) When answering the previous questions, what behaviour that negatively impacts your health were you thinking of? [SELECT ALL THAT APPLY] (Global)

NUTRITION LIFESTYLEKEY

TOP BARRIERS TO HEALTH

1

2

3

4

5

6

7

TOP UNHEALTHY BEHAVIOURS(AMONG THOSE ENGAGING IN UNHEALTHY BEHAVIORS)

1

2

3

4

5

6

Not exercising enough 55%

Smoking or tobacco use 41%

Poor nutrition 36%

Overeating 34%

Consuming of alcohol or drugs 24%

Not getting enough sleep 33%


& top motivators of behaviour change

Aspiration Social Influence Incentives InformationHEALTH BEHAVIOUR CHANGE MOTIVATORS

.

..

.

Q 36. Do you engage in any behaviour that you think negatively impacts your health? (Global Regression Analysis); Q38. ‐ 55. (Base = ‘Yes’ to Q36) Now please indicate how much each of the following factors would motivate you to change a behaviour that negatively impacts your health. Use a nine‐point scale where one means that the factor is “not at all motivating,” and nine means it is “extremely motivating.” (Global Regression Analysis); Q56. (Base = ‘Yes’ to Q36) After considering the factors in the previous question, now how motivated are you to change the behaviour that negatively impacts your health? (Global Regression Analysis) Q58. Have you ever tried to change a behaviour (s) that negatively impacts your health? (Global)

62%who have tried to change a negative health behaviour


Half experience negative health behaviour relapse

Q58. Have you ever tried to change a behaviour (s) that negatively impacts your health? (Global); Q60. (Base = ‘Yes’ to Q58) After changing a behaviour that negatively impacted your health, did you ever return to that behaviour? (Global); Q61. (Base = ‘Yes’ to Q60) Which, if any, of the following reasons describe why you returned to the behaviour(s) that negatively impacted your health? [SELECT ALL THAT APPLY] (Global)

Why did you return to the behaviour you changed?

Enjoyment of the negative

behaviour

Addiction or dependency

Did not experience

benefits soon enough

No longer cared about the

original reason

It made no difference to my overall health

I reached the goal

I experienced a significant life event

18% 12%16%30% 20% 13% 13%

62%

50%RETURNED TO A

NEGATIVE HEALTH BEHAVIOUR

46%SUSTAINED THEIR CHANGE

TRIED TO CHANGE ANEGATIVE HEALTH BEHAVIOUR


Q145. (Base= respondents who selected using online and/or mobile tracking device or tool, such as FitBit or BodyMedia; personal home health monitoring device, such as glucose or blood pressure monitor; software applications for your computer; mobile ‘apps’ in Q143) In general, how much has the tool, device and/or software application or mobile 'app' helped improve your health? (Global) (Top 2 Box –Helpful = A great Deal/Somewhat)

regularly use tools, devices, and apps for managing or tracking health

Tools and technologies are helpingBut most people aren’t taking advantage

68% 20% of those say using these technologies has helped improve their health

74%18‐3022%

18‐30


Health is


Triggers of health advocacy

Q62. Now thinking about other people, which, if any, of the following would prompt or trigger you to try to motivate another person to take better care of his or her health? [SELECT ALL THAT APPLY] (Global)

Helping others is more motivating than personal gain

Realizing the long‐term health of

another person would improve

Making a personal

commitment to help others

Experiencing a significant life event

Reading or hearing

information in the news

Receiving praise or

recognition

Fearing the loss of a

relationship

Joining a support network

24% 10%23%43% 28% 21% 19%

None of the

above

14%


Q34. How much do you agree or disagree with each of the following statements? Please use a nine‐point scale where one means that you “strongly disagree,” five means that you “neither agree nor disagree” and nine means that you “strongly agree.” – “I have spent less time with a friend because of his or her negative health‐related behaviour(s).”(Top 4 Box –Agree; Neither Agree nor Disagree – 5 on 9‐point scale; Bottom 4 Box ‐ Disagree) (Global)

spend less time with a friend because of their unhealthy behaviour

31%do not spend less time with a friend because of their unhealthy behaviour

44%

NEUTRAL: 25%

More frequent consumers of health information

Less likely to engage in unhealthy behaviours

Less likely to relapse after changing an unhealthy

behaviour

Engagement is key to spreading good healthPeople cluster around familiar behaviours avoiding candid conversations


Young adults on the leading edge of digital health engagement

ACTIVISTS


17%

22%

24%

29%

31%

45%

55%

62%

65%

72%

75%

77%

81%

88%

A celebrity

CEO

Regular employee

Journalist/reporter

Government official/regulator

NGO representative

Friend/family member

Health/science expert in a company

Someone living with a disease/conditon

Academic/expert on a health issue

Nutritionist/Dietician

Nurse

Pharmacist

Doctor

Q106 ‐ 119. Below is a list of people. In general if you heard health‐related information from that person, how credible do you think that information would be ‐ extremely credible, somewhat credible, neither credible nor incredible, not very credible or not credible at all? (Global) (Top 2 Box – Credible = Extremely Credible/Somewhat Credible)

Patients join experts as credible sourcesTraditional spokespeople have a deficit


Q120. In general if you heard health‐related information from a pharmaceutical company, brand or product, how credible do you think that information would be? (Top 2 Box‐Credible = Extremely Credible/Somewhat Credible and Bottom 2 Box‐Not Credible = Not Very Credible/Not Credible at all)(Global, US, Latin America, EU, Asia) (Latin American includes Mexico and Brazil; EU includes France, Germany, Italy and United Kingdom; Asia includes China, India and Japan)

0%

10%

20%

30%

40%

50%

60%

70%

80%

Global US Latin America EU Asia

Commercial interest doesn’t detract from credibilityGlobal appreciation for pharmaceutical industry expertise

CREDIBLE

NOT CREDIBLE

KEY


Health is


Header & Text

OVERALL HEALTH

LIFESTYLE NUTRITION ENVIRONMENT HEALTHCARE SYSTEM

Me

My family and friends

My local community

MY EMPLOYER(S)

BUSINESS IN GENERAL

MY GOVERNMENT

NGOs

My healthcare providers / insurers

Government and business must improve their ‘healthprint’ (Global)

POSITIVE IMPACT

NEITHER POSITIVE OR NEGATIVE IMPACT

NEGATIVE IMPACT

KEY

+

=

_


Header & Text

OVERALL HEALTHLIFESTYLE NUTRITION ENVIRONMENT HEALTHCARE SYSTEM

Me 77/9 76/10 74/5 74/5

My family and friends 79/9 72/15 78/8 78/10

My local community 63/18 66/17 57/20 57/23

My employer(s) 51/36 63/26 56/27 55/25

Business in general 39/45 31/52 23/60 22/60

My government 37/49 45/42 36/45 28/57

NGOs n/a 55/27 58/23 54/27

My healthcare providers / insurers 74/13 76/8 64/17 43/42

Government and business must improve their ‘healthprint’ (US)

POSITIVE IMPACT

NEITHER POSITIVE OR NEGATIVE IMPACT

KEY

+

=

_NEGATIVE IMPACT


68%72%

64%69% 71%

86%

73%

0%

10%

20%

30%

40%

50%

60%

70%

80%

90%

100%

US Canada UK France Germany Italy Japan

TRACKING Q83. If you think a company is effectively engaging in health, how does that affect your trust in that company? (Top 2 Box – Total Trust More) (US, Canada, UK, France, Germany, Italy, Japan); Increases for US, UK, France, Germany, Italy and Japan are significant at the 95% confidence level compared to 2010.

Health engagement increasingly builds

20102011


72%+15

TRACKING Q84‐ Q89. How likely would you be to do the following in relation to a company that you believe is effectively engaging in health? (Top 2 box‐ Total likely) (EU Member States included: Italy, United Kingdom, Germany and France ); Q91. ‐ Q95. How likely would you be to do the following in relation to a company that you believe is NOT effectively engaging in health? (Top 2 box‐Total likely)

59%

70%

53%

59%

Invest in it

Share positive company opinions/ experiences

Recommend a company’s products or servicesCriticize it to others

Buy a company’s product or services

Pay a premium for its products or services

Refuse to buy products or services

Not want to work for it

Not invest in it

Want to work for it

72%

61%

50%

62% 36%

42%

Share negative company opinions/ exper.

+12

+12

+10

+11

+13

+13

+12

+11

+7

+11

ROInaction ROInvestment+_

* All increases significant at the 95% confidence level compared to 2010

Growth opportunities and cost of inaction increasingFrance, Germany, Italy, United Kingdom


TRACKING Q84‐ Q89. How likely would you be to do the following in relation to a company that you believe is effectively engaging in health? (Top 2 box‐ Total likely) Q91. ‐ Q95. How likely would you be to do the following in relation to a company that you believe is NOT effectively engaging in health? (Top 2 box‐ Total likely) (U.S.)

Growth opportunities and cost of inaction increasing (US)

_

71%+11

53%

72%

54%

50%

Invest in it

Share positive company opinions/ experiences

Recommend a company’s products or servicesCriticize it to others

Buy a company’s product or services

Pay a premium for its products or services

Refuse to buy products or services

Not want to work for it

Not invest in it

Want to work for it

71%

52%

54%

55% 43%

41%

Share negative company opinions/ exper.

+9

+8

+7

+7

+10

+11

+12

+14

+11

+12

ROInaction ROInvestment+

* All increases significant at the 95% confidence level compared to 2010


Q68. ‐ Q80. How important is it for business in general to improve or maintain the health of the public in each of the following ways? Please use a 9‐point scale where one means that you think it is “NOT AT ALL IMPORTANT” and nine means that it is “EXTREMELY IMPORTANT” for business in general to improve or maintain the health of the public in each of the following ways? (Top 4 Box –Important) (Global)

EMPLOYMENTEDUCATION/COMMUNICATION

INNOVATION

Communicating health risks of products or services

Educating the public on healthy behaviours related to product or services

Enabling employees to have the time to take care of their health

Offering health and wellness programs or coaching for employees & their families

Supporting health of the communities in which it operates

Changing or eliminating products or services not considered healthy

Creating new products or services that maintain or improve the health of the public

PHILANTHROPYPARTNERSHIP PUBLIC POLICYLeading & convening discussions about government health priorities

Collaborating with other companies that produce similar products or services

Partnering with an NGO

Contributing company time or employee expertise to improve health of the public

Donating products or services to improve the health of the public

Donating money to improve the health of the public

83% 82% 81% 74% 72%

66%

78% 77% 79% 70%67%

76% 67%

Companies expected to engage in health in many specific waysAction more important than donation


Every individual has a unique and influential ‘healthprint’Your health choices ripple outwards

Education

Global Edelman Health Barometer 2011