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HealthBarometer 2011 1
Health Barometer 2011 6 OCTOBER, 2011
Health, Redefined
HealthBarometer 2011 2
*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.
HealthBarometer 2011 3
1 Health is
2 Health is
3 Health is
HealthBarometer 2011 4
Health is
HealthBarometer 2011 5
define health beyond being disease free
80%
HealthBarometer 2011 6
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
HealthBarometer 2011 7
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%
HealthBarometer 2011 8
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%
HealthBarometer 2011 9
& 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
HealthBarometer 2011 10
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
HealthBarometer 2011 11
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
HealthBarometer 2011 1212
Health is
HealthBarometer 2011 1313
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%
HealthBarometer 2011 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
HealthBarometer 2011 15
Young adults on the leading edge of digital health engagement
ACTIVISTS
HealthBarometer 2011 16
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
HealthBarometer 2011 17
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
HealthBarometer 2011 1818
Health is
HealthBarometer 2011 19
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
+
=
_
HealthBarometer 2011 20
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
HealthBarometer 2011 2121
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
HealthBarometer 2011 2222
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
HealthBarometer 2011 2323
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
HealthBarometer 2011 2424
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
HealthBarometer 2011 2525
Every individual has a unique and influential ‘healthprint’Your health choices ripple outwards
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