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HealthBarometer 2011 1 Health Barometer 2011 OCTOBER 6, 2011

Edelman Health Barometer 2011_ FINALa

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HealthBarometer 2011 1

Health Barometer 2011OCTOBER 6, 2011

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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.

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1 Health is

2 Health is

3 Health is

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Health is

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define health beyond being

disease free

80%

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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

FUNCTIONINGBODY

ABSENCE OF DISEASESMENTAL & EMOTIONALHEALTH BALANCED & NUTRITIOUS DIET

ABSENCE OF DRUGS & ALCOHOLHEALTHY WEIGHT

ENERGY

ABILITY TO EXERCISE

From how I am to how I act

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THEHEALTHCARESYSTEM38%

41%68%ME BUSINESS

IN GENERALGOV’TFAMILY

FRIENDSME GOV’T FAMILY

FRIENDSME GOV’T HEALTHCARE

PROVIDER ORINSURER

ME GOV’T

48% 27% 40%75% 43% 20% 75% 36% 20% 20%

The factors we most control have the most impact on our health

Family and friends are key to shaping our health

THEENVIRONMENT44%

YOURLIFESTYLE56%

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” andnine 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 whoimpact 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 theenvironment / your nutrition/ your lifestyle/ the healthcare system in your country as it relates to your overall health? [SELECT UP TO THREE]

YOURNUTRITION55%

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There is a knowledge-action gap in healthBarriers to health are mostly behavioral

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 LIFESTYLE

KEY

TOP BARRIERS TO HEALTH

1

2

3

4

5

6

7

TOP UNHEALTHY BEHAVIORS(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%

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& top motivators of behavior change

Aspiration Social Influence Incentives Information

HEALTH 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 “extremelymotivating.” (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 yourhealth? (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

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Half who try to change behavior 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 everreturn to that behaviour? (Global); Q61. (Base = ‘Yes’ to Q60) Which, if any, of the following reasons describe why you retur ned to the behaviour(s) that negatively impacted your health? [SELECT ALL THATAPPLY] (Global)

Why did you return to the behaviour you changed?

Enjoymentof the negative

behaviour

Addiction ordependency

Did notexperience

benefits soonenough

No longer caredabout the

original reason

It made nodifference to my

overall health

I reachedthe goal

I experienceda 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

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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%18-30

22%18-30

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Health is

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Triggers of personal 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 thelong-termhealth of 

another personwould improve

Making apersonal

commitmentto help others

Experiencinga significant

life event

Reading orhearing

information inthe news

Receivingpraise or

recognition

Fearing theloss of a

relationship

Joining asupportnetwork

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

None of the

above

14%

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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 nordisagree” 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 – 5on 9-point scale; Bottom 4 Box - Disagree) (Global)

spend less time with a

friend because of their

unhealthy behavior31%

do not spend less time with

a friend because of their

unhealthy behavior44%

NEUTRAL: 25%

More frequent consumers of 

health information

Less likely to engage in

unhealthy behaviors

Less likely to relapse afterchanging an unhealthy

behavior

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

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Young adults on the leading edge of digital health engagement

ACTIVISTS

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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 = ExtremelyCredible/Somewhat Credible)

Patients are experts, tooHealth expertise and experience trump status

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Health is

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82%

72%78%

82%

91%

76%

86%

93%

78%

85% 87% 86%

77%

0%

10%

20%

30%

40%

50%

60%

70%

80%

90%

100%

Global US Canada Mexico Brazil UK France Italy Germany Russia India China Japan

Health is an imperative for business

87%

Most believe business is doing

How important is it for business in general to improve or maintain the health of the public?

Q64. How important is it for business in general to improve or maintain the health of the public? Please use a 9-point scale whe re one means that you think it is “NOT AT ALL IMPORTANT” andnine means that it is “EXTREMELY IMPORTANT” for business in general to improve or maintain the health of the public. (Top 4 B ox - Important) (Global and 12 Individual Countries)

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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

2010

2011

+10

+15

+7 +17

+10

+4

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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) (EU Member States included: Italy, United Kingdom, Germany and France); Increases are significant at the 95% confidence level compared to 2010.

Growth opportunities and cost of inaction increasing (US)

 _

71%+11

53%

72%

54%

50%

Invest in it

Share positive 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

Would not want to work for it

Not invest in it

Want to work for it

71%

52%

54%

55% 43%

41%

Shared negative company opinions/ exper.

+9

+8

+7

+7

+10

+11

+12

+14

+11

+12

ROInaction ROInvestment+

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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 hea lth of the public in each of the following ways? (Top 4 Box –Important) (Global)

EMPLOYMENTEDUCATION/COMMUNICATION

INNOVATION

Communicatinghealth risks of products orservices

Educating the publicon healthybehaviours related toproduct or services

Enabling employees tohave the timeto take care of theirhealth

Offering healthand wellnessprograms orcoaching foremployees &their families

Supportinghealth of thecommunities inwhich itoperates

Changing oreliminating productsor services notconsidered healthy

Creating newproducts or servicesthat maintain orimprove the healthof the public

PHILANTHROPYPARTNERSHIP PUBLICPOLICYLeading &conveningdiscussionsaboutgovernmenthealth priorities

Collaborating with othercompanies that producesimilar products orservices

Partnering withan NGO

Contributing companytime or employeeexpertise to improvehealth of the public

Donatingproducts orservices toimprove thehealth of thepublic

Donatingmoney toimprove thehealth of thepublic

83% 82% 81% 74% 72%

66%

78% 77% 79% 70%67%

76% 67%

Companies expected to improve health in many waysHealth should be central to business strategies, practices and policies

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Every individual has a unique and influential ‘healthprint’

Your health choices ripple outwards

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Conversation and questions

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