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EURO RSCG WORLDWIDE




                                                                                                      Vol. 12, 2012



                                                              My Body, Myself, Our Problem:
                                                              Health and Wellness in Modern Times




Prosumer Reports is a series of thought leadership
publications by Euro RSCG Worldwide—part of a global
initiative to share information and insights, including our
own proprietary research, across the Euro RSCG network
of agencies and client companies.

Euro RSCG Worldwide is a leading integrated marketing
communications agency and was the first agency to be
named Global Agency of the Year by both Advertising Age
and Campaign in the same year. Euro RSCG is made up
of 233 offices in 75 countries and provides advertising,
marketing, corporate communications, and digital and
social media solutions to clients, including Air France,
BNP Paribas, Charles Schwab, Citigroup, Danone Group,
Heineken USA, IBM, Kraft Foods, Lacoste, Merck,
Pernod Ricard, PSA Peugeot Citroën, Reckitt Benckiser,
Sanofi, and Volvo. Headquartered in New York,
Euro RSCG Worldwide is the largest unit of Havas, a world
leader in communications (Euronext Paris SA: HAV.PA).

For more information about Prosumer Reports, please visit
www.prosumer-report.com or contact Naomi Troni, global
chief marketing officer, at naomi.troni@eurorscg.com.

Follow us on Twitter @prosumer_report.
“The greatest wealth is health.”
          –Virgil




Table of Contents

Humans and Health: The New Deal ................................................................................................................ 4

Prosumer Nation: A Subculture of Proactive Health Consumers ............................................. 6

Global Wellness Scorecard ....................................................................................................................................... 8

Sense of Control Changes Everything .......................................................................................................... 10

The New Notion of Health Solidarity: Factoring in Finance ....................................................... 12

Brains and Diet: Key Weapons in the Fight for Good Health ..................................................... 14

Marketing Implications ............................................................................................................................................. 24

Back to the Future ........................................................................................................................................................ 26


                                                                                                       My Body, Myself, Our Problem: Health and Wellness in Modern Times         3
Humans and Health:                                                                                                                                                                                                    Everything about how people regard, prevent,

                                                                                20
                                                                                                         Percentage increase in
                                                                                                         annual rate of new cancer
The New Deal                                                                                             cases worldwide in past
                                                                                                         decade.1
                                                                                                                                                                                                                      and treat physical ailments is changing.

In 1970, the Boston Women’s Health Book Collective
                               Our Bodies, Ourselves, a                                                                                                                     CN                                                             A
                                                                                                                                                                                                                                           landscape is globalization. Though there continue to


                                                                                                                    US
book intended to inspire and empower women to                                                                                                                                                                                              be local variations on notions of what constitutes
become their own “health experts” through education,                                                                                                                                                                                       good health, how it can be fostered, and how illness
access to information, and open discussions of issues                                                                                                          Modernized medicine: Public Chinese                                         should be treated, thinking about health is moving
                                                                                                                                                                hospitals make about 60% of their                                          closer to standardization in every country because
related to health. In the four decades since, the extent
                                                                                                          Impact of aging population:                              revenue through the sale of
to which the relationship between humans and their                                                                                                                                                                                         it increasingly draws on a global body of medical
                                                                                                        Per capita healthcare spending                                  pharmaceuticals.5
health has evolved is astounding. In part, that’s because                                                                                                                                                                                  research and knowledge. Healthcare specialists train
increased knowledge and new tools and technologies                                                       is 5.6 times higher for people                                                                                                    and work internationally, pharmaceutical companies
have removed some of the mystery and unthinking                                                            age 65+ than for children.2                                                                                                     draw on global resources and look for products with
acquiescence from the healthcare equation. Thanks to                                                                                                                                                                                       global potential, universities and research institutes
the Internet and social media, we are no longer at the                                                                                                                                                                                     collaborate across borders, and all of the above meet
mercy of the medical profession; we can research our                                                                                                                                                                                       and mix at international congresses and conventions.
illnesses, hunt for alternative treatment options, and
                                                                                                                                                                                                                                           In 2011, Euro RSCG Worldwide undertook a major
suited for our care.                                                                                                                                                                                                                        global study on the new realities in health and

Our changing relationship with our health also has
to do with the nature of today’s ailments. As medical
                                                                                     BR                                                                                                                                                     wellness. Working with research partner Market

                                                                                                                                                                                                                                            survey in 19 countries around the world, representing


                                                                                                                                                                       AU
science advances, dying is increasingly perceived less                     Average life expectancy in Brazil                                                                                                                                a combined population of 3.6 billion.8 Our respondent
as a fate to be accepted than as a failure of disease                        increased from 45.5 years in                                                                                                                                   base is made up of 7,213 men and women age 18 or
management. For the most part, people in prosperous                         1940 to 72.86 years in 2008.3                                                                                                                                   older. What our study has uncovered is a revolution
parts of the world aren’t succumbing to disasters.                                                                                                                                                                                          in attitudes toward health—led by Prosumers and
                                                                                                                                                               Australia spent 8.5% of GDP
Nor are they dying in infancy or being cut down by                                                                                                                                                                                          with important implications for brands both within
                                                                                                                                                                on healthcare in 2008 (vs.
communicable disease or infection in their primes.                                                                                                                                                                                          and outside the healthcare arena.
                                                                                                                                                                    16% in the U.S.).6
As communities live longer, death increasingly comes
from the malfunctioning and decay of body systems:
cardiovascular disease, cancer, autoimmune conditions,
                                                                                                                                                                                                                                           1 World Cancer Research Fund
and degenerative diseases. In a number of these cases,                                                                                                                                                                                     2 www.hhs.gov




                                                                                    65
lifestyle plays at least as great a role as heredity or                                                        Percentage of world’s population                                                                                            3 Brazilian Institute of Geography and Statistics
                                                                                                               living in countries where overweight                                                                                        4 WHO




                                                                                                                                                                                                                  33
chance. And that changes everything about how people                                                           and obesity kills more people than                               Percentage of countries                                    5 PBS NewsHour
regard, prevent, and treat physical disorders.                                                                 underweight.4                                                                                                               6 OECD
                                                                                                                                                                                with no mental health
                                                                                                                                                                                                                                           7 WHO
                                                                                                                                                                                budget.7

Topline Findings
                                                                                                                                                                                                                                           8 Findings from three Middle Eastern countries—Lebanon, Saudi Arabia, and

                                                                                                                                                                                                                                             available to Euro RSCG employees and clients upon request.




    1

    Healthcare is moving out of        The Western world is moving         Consumers in disparate markets         Prosumers are taking a multipronged     As populations age, brain health   Many aspects of modern life                                                   Consumers are looking to
    the sole control of medical        toward a more Eastern view of                                              approach to healthcare, including       is becoming a paramount concern,   are considered deleterious to        linked: The least healthy                their brand partners for help
    authorities and into the hands     personal responsibility, one that   their control over a variety of        tapping into social networks for free   and people are seeking new ways    health. By the same token, many      are most vulnerable to the               in keeping their health and
    of individuals. Opportunities      regards health as something to      diseases and disorders. They           expertise to reduce medical costs.      to protect and promote it.         of the activities deemed best for    economy, while the poor                  wellness goals on track. A nudge
    abound for brands to better        be maintained and supported         also share a strong belief in the                                                                                 us (e.g., sleep, exercise) largely   are most vulnerable to                   in the right direction can go a
                                       over time rather than remedied      power of the mind to heal.                                                                                        lie outside the world of modern      disease. Healthcare decisions            long way toward strengthening a
    illness and maximize well-being.                                                                                                                                                         commerce and consumption.            increasingly are based not               relationship.




4       Prosumer Report, Vol. 12                                                                                                                                                                                                               My Body, Myself, Our Problem: Health and Wellness in Modern Times       5
Prosumer Nation: A Subculture of                                                                                                         Mainstream   Prosumers                % agreeing strongly/somewhat                  Prosumers and Health

Proactive Health Consumers                                                                                                                                                                                                   As in other areas of their lives, Prosumers
                                                                                                                                                                                                                             use information to wield power in the
                                                                                                                                                                                                                             healthcare arena. As far back as 2004,
men and women, the various age groups, or even countries and cultures. The most consistent                                                                        I pay a lot of attention to health issues                  our studies showed that 72 percent of
                                                                                                                                                                  and consider myself well informed in
                                                                                                                                         52
                                                                                                                                                                                                                             U.S. Prosumers searched for medical
                                                                                                                                                                  this area.
the balance of power away from retailers and manufacturers and instead toward themselves.                                                                                                                                    information online. Today, each of the
Now they are using their access to information and new tools of communication to siphon                                                                                                                                      most popular health-oriented websites
power away from the medical community, as well.                                                                                                                                                                              (e.g., Yahoo! Health, WebMD, MedicineNet)
                                                                                                                                                                                                                             receives well over 10 million visitors a
                                                                                                                                                                                                                             month. We have also seen an explosion
                                                                                                                                                                                                                             of books and other publications intended
health advocates for themselves and their families, and even to believe they can, to some
extent, control whether they get sick.                                                                                                                            I have become a stronger advocate                          diseases or simply improve their overall
                                                                                                                                                                  for my own health and/or my family’s                       health; among them: Anticancer: A New
                                                                                                                                                                  health; I no longer automatically accept                   Way of Life by David Servan-Schreiber
A New Relationship to Health: Three Pillars                                                                                                                       what the doctor tells me.*
                                                                                                                                                                                                                             (1.2 million copies sold in 40 countries)
The Prosumer-driven notion that people have personal responsibility for their health changes the way we perceive                                                                                                             and the multiple best sellers of health guru
ourselves and our world.                                                                                                                                                                                                     Dr. Andrew Weil (e.g., Spontaneous Healing,
                                                                                                                                                                                                                             8 Weeks to Optimum Health).
Pillar 1:                                        Pillar 2:                                   Pillar 3:
Health in Relation to Self                       Health in Relation to Others                Health in Relation to the
                                                                                             Medical Community
                                                                                                                                                                                                                             In recent years, Prosumers have gained
                                                                                                                                                                                                                             increasing control over their worlds,
The empowered health consumer is taking          The empowered health consumer is more       The empowered health consumer is
more responsibility for and exerting more        cognizant of the impact his/her health      more demanding of and less willing                                   The Internet is a good source of                           thanks to portable technologies such as
control over his/her health and wellness.        has on others in terms of social costs      to accede to the control of healthcare                               information and support for people with                    smartphones and tablets, and to constant
Embracing anew the ancient notion of             (e.g., burden on the healthcare system)     professionals. He/she now seeks partners                             health problems.*                                          improvement of the tools of research and
a link between mind and body, modern             and also is aware of the impact the         and advocates rather than voices of
consumers regard the brain as a vital            health of others has on him/her (e.g.,      absolute authority.                                                                                                             communication. They count on technology
                                                 more taxes, higher insurance premiums).                                                                                                                                     to organize their daily lives and expect to
                                                                                             Questions raised:                                                                                                               exert equal control over issues pertaining
With control comes power. But is this new        Questions raised:
power primarily a source of satisfaction
                                                                                                                                                                                                                             to health and wellness. As a consequence,
                                                                                               What should I expect from
or angst?                                          If good health is a question of             physicians? Drugs or advice on           We are witnessing the rise of a subculture                                           Prosumers are driving demand for
                                                   personal responsibility and discipline,                                                                                                                                   proactive health boosters ranging from
Questions raised:                                  what is my obligation as an individual
                                                   and member of society in regard to
                                                                                                                                        with health and wellness.                                                            alternative therapies to functional foods.
                                                                                               What other sorts of practitioners/                                                                                            In many cases, these activities are meant
    What if I’m not capable of living up           those who don’t behave properly? Is it      experts should I include on my
    to expectations—my own or those                the duty of the collective to support       healthcare advisory team?
    of others?                                     its weakest members—or are we                                                                                                                                             to negate the need to buy and consume
                                                   obliged to censure the unhealthy            What products and services will enable
    How much personal responsibility do I                                                                                                                                                                                    pharmaceuticals. “Natural healing” has
                                                   behaviors of others?                        me to be a more active and informed                                I am more apt to ask for a second
    bear for a particular illness or disorder?                                                                                                                                                                               become a hugely attractive concept for
                                                                                               participant in my healthcare?                                      opinion (medical) than I used to be.*
                                                   Is there a greater role for communal                                                                                                                                      people who already feel disconnected
    is outside my control?                         care now that government and                How can I best apply my consumer                                                                                              from nature and who have little faith in
                                                   healthcare systems are falling short?       smarts to my healthcare consumption?
    How can I not only protect my brain                                                                                                                                                                                      the medical industry’s laboratory-created
    from the ravages of modern life but            With whom should I associate? Is                                                                                                                                          solutions. As part of this more natural
    also fortify it so it will, in turn, serve     it better to spend time with those                                                                                                                                        approach to healthcare, three-quarters
    as my protector?                               who have the same health-oriented                                                                                                                                         of Prosumers and 63 percent of their
                                                   lifestyle I do? To form bonds with
    How do I control my levels of stress           those who are managing or simply                                                                                                                                          mainstream counterparts say they try
    and anxiety, which I know are bad for          facing the potential for the same
                                                                                                                                                                  I have some or a lot of control over                       to “listen” to their bodies more than they
    my health but seem almost intrinsic to         types of disease? We’re already seeing
                                                                                                                                                                  illness in general.
                                                                                                                                                                                                                             used to—further evidence that people are
    modern life?                                   research that obesity spreads within
                                                   friendship circles; does this mean I
                                                                                                                                                                                                                             beginning to assume greater responsibility
                                                   need to consider health factors when                                                                                                                                      for their own health.
                                                   choosing friends? Coworkers?                                                                              *Euro RSCG Worldwide, The New Consumer (2010)—U.S. sample
6     Prosumer Report, Vol. 12                                                                                                                                                                                     My Body, Myself, Our Problem: Health and Wellness in Modern Times   7
the standard U.S. report card system: A=excellent,   B=good, C=average/acceptable, D=poor, F=fail.




    Overall,                                                         For                                                                             Notions of physical health and weight management are well          The modern notion of stress was virtually nonexistent
    health. Nearly two-thirds of the total sample gave               one of the most tangible aspects of physical health. In modern                  established in most countries. In comparison, in many countries    until the late 1960s. It took another couple of decades for
    themselves an A or B, while just 10 percent scored                                                                                               mental health is a highly sensitive topic; people who admit to     the notion to pass from the realm of psychology into the
    themselves a D or F. There are key regional and perhaps          keep the number on their bathroom scales under control.                         having problems risk stigma and loss of face. Consequently, it’s   mainstream media and two more to become a standard
                                                                                                                                                     not surprising that the scorecard results for mental health were   reference in everyday life. Mental-health practitioners point
    by far the healthiest-feeling respondents, while those           Respondents overall were less positive about their weight                       higher than for physical health.                                   out that the crucial factor is not stressful events, but rather
    in English-speaking countries were more apt to give              management than about their physical health. Just slightly more                                                                                    how individuals respond to them—i.e., how they manage
    themselves tepid marks. The United States, Australia,            than half the global sample scored themselves high, while nearly                Considering the severity of the global economic crisis,            their stress.
    and the United Kingdom scored themselves lowest of all.          1 in 5 scored themselves low. As with physical health, Latin                    respondents have a rather robust sense of their emotional
                                                                                                                                                     health. Experts have seen signs of mental health problems,         The scores for stress management were noticeably less
    The Physical Health scorecard shows clearly that,                India and China.                                                                including increased rates of suicide, associated with the          positive than for mental health. France, the U.K., Ireland, and
    whatever the objective reality, people in developing                                                                                                                                                                Australia scored especially low.
    countries tend to feel better about their physical               The fact is that obesity is spreading around the globe, and
    health than do those in developed countries.                     all populations are at risk. The scorecard responses are less a                 If the economic crisis continues and high unemployment             As weight management is to physical health, so stress
                                                                                                                                                     persists, there is a good probability that more people will        management is to mental health; it’s a tangible aspect of
                                                                     insight into the relative levels of complacency, guilt, and anxiety                                                                                an abstract idea. People may not know how to evaluate
                                                                     on the subject.                                                                                                                                    their mental health, but they have a much keener sense of
                                                                                                                                                     conversation in markets where they are currently taboo.            whether they are stressed and how they are managing it.




This aspect is arguably the point of most human activities, recognized by the ancient Greek philosopher Aristotle—with his
    central concepts of eudaimonia (“happiness”) and eu zên (“living well”)—and the U.S. Declaration of Independence (“Life, liberty,
    and the pursuit of happiness”), and cited in countless self-help books. Across the overall sample, two-thirds rated their sense of
    happiness an A or B, while fewer than 1 in 10 scored it a D or F.

Happiness
    by the norms of their cultures. Some cultures pride themselves on their exuberance (especially Latin cultures), while others
    regard themselves as no-frills phlegmatic (e.g., northern Europe) or even soulfully melancholic (e.g., Russia—not in the survey).
    We know from our earlier New Consumer study that a slight majority in the surveyed markets (Brazil, China, France, Japan,

    area in which consumers continue to attempt to better their “scores.”
8      Prosumer Report, Vol. 12                                                                                                                                                                                                My Body, Myself, Our Problem: Health and Wellness in Modern Times   9
Sense of Control Changes Everything
                      “How people perceive health today is quite surprising: It is a mix of modernity
                       and archaism. Modernity because people see themselves as empowered to wield
                       control over their lives. Archaism because their belief in their control over even
                       genetics-based illnesses sounds like magical or mystical thinking.”

                       –Clement Boisseau, Strategic Planner,
                        BETC Euro RSCG


Feeling in control of key elements of life is               When asked to rate how much they think it’s
fundamental to health and wellness. In Britain’s            within their control whether they develop a
landmark Whitehall II study, for instance, clear links      range of common conditions, respondents were
were found between well-being and levels of control         given the following scoring options:
at work: “People in jobs characterized by low control       5=“I have a lot of control”; 4=“I have some
had higher rates of sickness absence, of mental             control”; 3=“Don’t know”; 2=“Mostly outside
illness, of heart disease and pain in the lower back.”      my control”; and 1=“Entirely outside my control.”
The report cites high stress and low control as             In most instances, Prosumers outscored their
a predictor of ill health.                                  mainstream counterparts, meaning they have

                                                            these diseases and disorders. They were
Throughout history, people have attempted to                10 points more likely to think they can, to some
exert control over disease and disaster by means of
                                                            extent at least, control whether they develop
everything from charms and tonics to pilgrimages
                                                            obesity or a sexually transmitted disease and
                                                            8 points more likely to think they can control
unprecedented access to healthcare information,
                                                            whether they develop diabetes, depression, or                                                    It’s worth noting that although the consensus of the medical
products, and services, they are being encouraged to
                                                            heart disease.                                                                                   community would be that individuals have little or no control over
take more responsibility for their health by following

actually feel a greater sense of personal control? Or       The disorders that respondents across the
do they still believe themselves to be at the mercy of      sample feel most able to control are obesity and                                                 believe otherwise. Remarkably, roughly as many respondents think
genetics and fate or luck?                                  sexually transmitted disease, both of which 71                                                   they have some measure of control over depression (53 percent) as
                                                            percent of respondents scored a 5 or 4. Even                                                     they do over diabetes (56 percent) or heart disease (52 percent). This
                                                            with these largely behavior-based conditions,
We know from our survey that a majority of                  though, 15 percent of respondents feel they                                                      of depression, or may be indicative of people lumping the “blues” with
respondents in each of the 19 markets rated their
                                                            have no control, suggesting that around 1 in 6                                                   more serious, clinical forms of depression. The general perception of
overall “sense of control” in life an A or B (not
                                                            consumers may be dismissing not just their ability                                               Alzheimer’s and other degenerative diseases as being totally outside
shown), ranging from a low of 56 percent in China
                                                                                                                                                             one’s control suggests there is scope for further education regarding
and Hungary to a high of 79 percent in India, and
                                                            disorders but also their responsibility to do so.
including 72 percent of Prosumers in the global
sample versus just 63 percent of the mainstream.
                                                                                                                 52 percent of global respondents believe obesity is not a disease
people’s sense of their control over particular
ailments and diseases.                                                                                           but, rather, is caused by lack of willpower and self-control.



       “Australian Prosumers believe their health is very much within their control if they take                      “Over the last decade, Argentina has seen increased interest in and awareness of what is
         certain physical and dietary paths. They’ve obviously been getting the messages the                           necessary to achieve harmony between body and mind, including daily exercise and a
         government has been pushing on topics such as obesity, STDs, diabetes, and heart disease.                     healthy diet. Both are essential to staying younger longer.”
         It will be good for the health of the nation when the mainstream follow.”
                                                                                                                       –Ayelen Colombatto, Strategic Planning Director,
         –Phil Johnston, Head of Planning,                                                                              Euro RSCG Buenos Aires
           Euro RSCG Australia

     Prosumer Report, Vol. 12                                                                                                                                                    My Body, Myself, Our Problem: Health and Wellness in Modern Times   11
The New Notion of Health Solidarity:
Factoring in Finance
                      In recent centuries, citizenries in most places have accepted the notion of “public
                      health.” We accept it when people with communicable diseases are quarantined to
                      avoid the further spread of disease. Most of us accept that childhood vaccinations
                      are necessary, not just to protect the individual but to reduce the incidence of
                      those diseases as a whole. As a society, we work together to avoid pandemics
                      and other communal health threats.

What                                                                Going forward, we’ll see governments and businesses
to consider individual health actions as having an                  around the world devise all sorts of new ways to reduce the
                          If the people in the apartment            burden of healthcare costs. Already, more than 8 in 10 U.S.                                         The increasingly strong link between money
next to me smoke, I have to deal with the impact, which
may range from nuisance factors (e.g., cigarette smell              health-promotion program.
                                                                                                                                                                        and health means people are focusing not just
                                                                                                                                                                        on the physical impact of serious illness but
secondhand smoke). If I am obese, I, in turn, contribute to         As healthcare increasingly is seen more as a communal                                               also on the consequences it has for themselves,
the community’s expenses as a result of direct health costs         matter than a personal one, societies will have to determine
                                                                                                                                                                        their families, and communities.
(e.g., building more hospitals to cope with higher rates of         how to encourage better health choices. Our study shows
                                                                    that a good portion of consumers are already prepared
                                                                    to punish “transgressors”: 4 in 10 respondents believe
As these examples show, collective health concerns now              companies should not be required to provide health
extend beyond whether we’re going to come in contact                coverage to employees who smoke. We believe, however,
with a disease carrier. I don’t want my neighbor to engage          that people will show more support for positive behavioral
in unhealthy behaviors not so much because I fear I’ll become
sick, but because I fear I’ll have to help shoulder the resultant   the weak (and weak-willed) likely will be tempered by the
                 . Imagine how such fears multiply when             greater sense of solidarity that comes from seeing ourselves
applied to hundreds or thousands of employees or to millions        as part of an interconnected ecosystem of humankind. The
                                                                                                                                            navigate the labyrinth that is the modern
of citizens. The CDC estimates that smoking-related                 idea that we, as individuals, have the ability to improve
health costs, including lost productivity, exceed $193              the overall health of this ecosystem through our personal               healthcare system is an increasingly important
billion annually in the U.S. At the One Young World summit          choices is empowering—and falls into line with our earlier
held this past fall in Zurich, television chef–turned-activist      New Consumer research showing that people are hungering
Jamie Oliver noted that obesity costs the U.S. government           for more personal responsibility and interconnectedness.
$10 million an hour. It doesn’t take too great a leap in logic
to consider what role escalating healthcare costs may be




      “During previous economic crises, health and social protections were considered sacrosanct. Now,                             “The new discourses on health augur the advent of a new kind of society: The idea of one big nation
                                                                                                                                   that takes care of everyone is replaced by multiple communities of people who share the same risks,
                                                                                                                                   the same way of life, and the same mindset regarding what their personal responsibilities are in the
       result in preventable death or long-term disability. For ourselves and for our countries, we are more                       realm of health.”
       fearful of what the future holds.”
                                                                                                                                    –Marianne Hurstel, Vice President, BETC Euro RSCG


         Euro RSCG New York

12   Prosumer Report, Vol. 12                                                                                                                                                               My Body, Myself, Our Problem: Health and Wellness in Modern Times   13
Brains and Diet: Key Weapons in the
Fight for Good Health                                                                                                         Powerful thoughts can help heal a person

A New Focus on Brain Health


                       forgetfulness and hyperactivity to strokes, trauma, tumors, and dementia.
                       One consequence is that neuroscience has become a media darling, raising
                       public awareness of and interest in the brain.


Our brain functions as our body’s “control center,” so it’s no wonder we want to protect it. What we’re seeing develop goes
beyond basic care, however. We are seeing signs that consumers are paying more attention to the brain for three reasons:


          1. The brain is arguably the body part most susceptible to the negative
             impacts of modern life.

               As we’ll see later in this section, the brain is considered vulnerable to many of the most
               prevalent factors in 21st-century life, including stress and anxiety, environmental pollutants,
               cell-phone technology, poor diet, and lack of sleep. With populations aging in many parts of




           2. A consensus is emerging that the brain—to be in top form—must be
              the focus of ongoing care and attention.


               on ways to fortify the brains of both young and old—safeguarding the brain from harm and
               potentially making it even more powerful. Interest is growing in “brain training” techniques.
               Recent studies have found that children who are taught that the brain is a muscle and
               are encouraged to participate in activities intended to “bulk up” that muscle have seen
                                                                                                                                                                                                                                                     Agree
               best when we are proactive about their care, exercise, and feeding.
                                                                                                                                                                                                                                             %                      Disagree

           3. What we think plays a vital role in how we feel.
                                                                                                                              Arguably more surprising is that 4 in 10 respondents believe at least somewhat that most illness is psychosomatic—in other
                                                                                                                              words, that it’s all in our heads (not shown in chart). That’s pretty astonishing considering all the types of illnesses that befall us.

               The notion of a link between mind and body goes back to ancient times, but modern
               consumers are embracing it with renewed vigor. Nearly two-thirds of our survey sample                          illness. This may prove a vital pathway of communication for people seeking to play a more active role in their own health
               agreed that powerful thoughts can help heal a person.                                                          management and that of their families or employees.




14   Prosumer Report, Vol. 12                                                                                                                                                                                  My Body, Myself, Our Problem: Health and Wellness in Modern Times   15
Now that brain health is of general
interest, the question arises as to what
                                                                                                                                                                                                                 Good for the Brain
sorts of behaviors help and hurt this
most vital organ. What can we do                                                                                                                1.70               4.20                                          Of the 14 factors that netted out overall as good for
                                                                                                                                Recreational/                                                                    the brain, it’s striking that all except one are timeless
                                                                                                                                                               Exercise
                                                                                                                                Illegal Drugs                                                                    factors unrelated to technology. The only exception
                                                                                                                                                                                                                 was Online Social Networks, which netted out lowest of
behaviors and asked respondents to                                                                  1.76                                                                                                         the “good” factors with a mean of 3.11 (not shown); this

                                                                                           Tobacco
                                                                                                                                                                                                                 counterpart: Meeting People and Socializing in Person.
good”; 4=“Possibly good”; 3=“Neither
good nor bad”; 2=“Possibly bad”; and                                                                                                                                                                             What’s more, technology and modern living have
                                                                                                                                                                                                                   impinged on a number of “good for the brain” factors,
at the means (averages) for the total                                                                                                                                                                                particularly the top-scoring Exercise (4.20) and Sleep
sample on each behavior; the more                                      1.89                                                                                                                       4.18                (4.19). While a Healthful Diet (4.17) and Slow Eating
                                                                                                                                                                                                                       (3.67) are clearly aspirations, the reality of modern
                                                         Air and Water                                                                                                                         Love
the better they are judged to be for                       Pollution                                                                                                                                                     life is, for many, processed convenience foods
the brain; the more they are below the
                                                                                                                                                                                                                            numerous claims on attention, there’s also a
were judged to be by respondents.                                                                                                                                                                                           squeeze on time for Playing (3.86) (not shown)
                                                                                                                                                                                                                             and Meeting People and Socializing in Person.

                                                                                                                                                                                                                              Identifying particular factors as good or
                                                              1.96                                                                                                                                        4.17                bad for the brain by no means implies we
                                                                                                                                                                                                                              will act accordingly. Rather, the factors are
                                                       Stressful                                                                                                                                  Healthful
                                                          Job                                                                                                                                       Diet

Bad for the Brain                                                                                                                                                                                                            whether we feel virtuous or guilty about
                                                                                                                                                                                                                            those choices.
Technology is behind several of the factors
respondents rated as detrimental to brain
health. Television (2.95) and Computer Games
(2.93) are so close to the neutral 3.0 that they
don’t really count. However, there’s a more
                                                                        2.00                                                                                                                     4.13
                                                                   Alcohol                                                                                                                Reading Books
negative assessment of Cell Phones (2.63)
and especially of Living/Working Near a
Cell-Phone Tower (2.31) and Living/Working
Near High-Tension Power Lines (2.20).

The factors rated worst for the brain are
intoxicants (e.g., recreational drugs, tobacco)
                                                                                                      2.02                                                                        4.01
                                                                                                Anxiety                                                                     Socializing
and emotional factors (e.g., stressful job,
anxiety). Looking at the top seven negative
factors for brain health, we might characterize                                                                                                2.05                4.00
them as a mix of environmental, corporeal,                                                                                          Low-Nutrition                Sex
                                                                                                                                        Diet
and emotional pollutants.
                                                                                                                                                                          Modern life is creating new typologies of fear. How can
                                                                                                                                                                          I protect myself and my family from things outside my
                                                   Chart shows mean scores for the 14 factors deemed best and worst for the brain out of all choices listed.
                                                                                                                                                                          control—e.g., cell-phone waves? How do I reduce the feelings
                                                   1                        2                         3                        4                         5                of anxiety and stress that I know are bad for my body?

16   Prosumer Report, Vol. 12                                                                                                                                                                                      My Body, Myself, Our Problem: Health and Wellness in Modern Times   17
Fortifying Body and Mind with Food

As we have come to feel we have more control


in our health-maintenance arsenals. This means

particular foods and beverages, and becoming
increasingly conscious of the state of our
individual and national diets.


Just as concepts and practices regarding healthcare are
becoming globalized, so is food culture, with important
implications for health. Around the world, the “Western”
diet is becoming more prevalent, which equates to the
consumption of more meat, more sugar, more calories, and
more processed food—and to a concomitant rise in heart
disease, obesity, diabetes, and other ailments.

Over the course of the 20th century, increased use

processing meant our bodies were being enriched less by
                                                                91 percent of Prosumers vs. 77 percent of the mainstream believe eating
the land than by production plants. In the 21st century, we
                                                                a healthful diet has a positive impact on the brain.
are seeing a countermarch, as people seek to reconnect
with the natural world and begin to recognize the link
between the consumption of natural, whole foods and good
health. Around two-thirds of our respondents indicated they
are much more aware today of the nutritional/health value
of the foods they eat than they used to be.

Even more notable is the extent to which food is being
perceived as having medicinal properties. Nearly 8 in 10
Prosumers and two-thirds of mainstream consumers
actually believe                                  in

recent focus on nutraceuticals and so-called “superfoods,”
but it is also tied to a greater understanding of the role of
food in our lives. As evidenced by the growing popularity
of the Slow Food movement, more of us are coming to
understand that the way we nourish our bodies—what we
eat, how it is prepared, and where, how, and with whom we
eat—has important implications for not just our physical
but also our emotional and spiritual well-being.




18   Prosumer Report, Vol. 12                                                                              My Body, Myself, Our Problem: Health and Wellness in Modern Times   19
Concerns over Food Safety


                   37 percent trust the food industry to provide them with healthful
                   food. In general, it is the more developed markets that express the

                   suspicion regarding Big Food.
                                                                                                                         health and wellness—more contact with the countryside, healthy food, healthy life, etc., as well
                                                                                                                         as more time to enjoy the company of others (family and friends).”
It’s entirely plausible that consumers’ lack of trust in the food industry is tied to the food scares of
recent decades. It seems as though just about every month there’s a new warning issued to avoid a
particular food because of one food-borne threat or another. The CDC’s newest estimates indicate                         –Giovanni Acuna, Planning Director,
that contaminated foods cause almost 48 million illnesses, more than 125,000 hospitalizations,                            Euro RSCG Colombia
and more than 3,000 deaths each year in the U.S. alone. It’s little wonder, then, that 7 in 10 global
respondents express concern over food safety.

Adding to fears are concerns over the additives found in so many packaged foods. In the survey, a

and coloring agents I eat and drink are having on my health,” while only 13 percent disagreed (chart
not shown). The higher levels of agreement than disagreement in every market tell us that concern
about additives is the norm.



Concerned about food safety
% moderately to extremely worried




               87                         85                         81                      81              76        75                  74                    71                      70                                 70
           South Africa                 Poland                      China                 Colombia         Hungary    India               Mexico                Brazil                Argentina                           GLOBAL




                 69                       68                         66                        66            66         65                 62                     52                       51                              46
         Czech Republic                Germany                     Canada                     U.S.         France    Australia           Belgium                 U.K.                   Ireland                        Netherlands
                                                                                                                                                                                 My Body, Myself, Our Problem: Health and Wellness in Modern Times   21
A Need for Clarity

few people have the knowledge and skills to evaluate which foods


And even those who pay attention to companies and brands have
trouble keeping track of who produces what.                                                                                                                                  Turning East for Holistic Healing


                                                                                                                                                                               Just as Eastern cultures have adopted
                                                                                                                                                                               conventional Western medicine in recent
     To simplify decision making, people apply general                                                                                                                         decades, the developed markets of the
     rules that make sense to them. One typical                                                                                                                                West have embraced Eastern philosophies
     example is that “natural is good,” even though                                                                                                                            and ancient remedies. Eastern cultures’
     molds, infections, and infestations are natural and                                                                                                                       more holistic approaches to medicine
     clearly not always good. Similarly, the suspicion                                                                                                                         bring all aspects of a person’s life into a
     that additives are not good is widespread, even                                                                                                                           single picture of his or her health and take
     though many foods could not be eaten in developed                                                                                                                         for granted that everything a person does
     countries without additives to preserve them and                                                                                                                          (from eating to sleeping and breathing) has
     prevent spoilage during transport.                                                                                                                                        an impact on how that person feels and
                                                                                                                                                                               heals. As citizens in modern societies seek
                                                                                                                                                                               to live longer and healthier lives, they are
                                                                                                                                                                               drawing wisdom from the ancient cultures
                                                                                                                                                                               of China and India in particular to change
     With 37 percent of our survey respondents
     trusting the food industry and 33 percent not
     trusting it, that leaves almost as many consumers                                                                                                                         This
     (30 percent) uncertain as to whether to have faith
     in their food suppliers—suggesting plenty of scope                                                                                                                        in sales of homeopathic and herbal
     for information, outreach, and building trust through                                                                                                                     remedies. We can expect to see a continued
     consistent quality and transparency.                                                                                                                                      melding of traditional and conventional
                                                                                                                                                                               approaches to healthcare, especially as
                                                                                                                                                                               more Western medical schools incorporate
                                                                                                                                                                               complementary and alternative medicine
                                                                                                                                                                               into their curricula.




        “Among Chinese, older generations (41–66) place importance on food for good health compared      “Our new relationship with health changes how we see the future. How are we imagining what’s next for
         with the younger generation (18–30) and worry about food safety more so than do the other age
          groups.”                                                                                       with nanotechnology and the like or attempting to revert to the simpler lifestyles our forebears enjoyed?”


          –Simone Zhang, Strategic Planning Director,                                                    –Marian Salzman, CEO,
            Euro RSCG Shanghai                                                                            Euro RSCG Worldwide PR, North America

22      Prosumer Report, Vol. 12                                                                                                                                      My Body, Myself, Our Problem: Health and Wellness in Modern Times   23
Marketing Implications
In this new climate, we must ask ourselves: How do we communicate with
consumers? How can brands help their customers live better and at the same
                                                                                                                      Brain Boosters
time protect themselves against the negative consequences of modern life?
                                                                                                                      Given our increased focus on brain health, consumers will be looking for products and services

                                                                                                                      (e.g., targeted exercise, Sudoku, adult learning). Over the next decade, we can expect to see
An Opening for Brand Partners to                                                                                      the emergence of a category of “n” (neurological) products, including nBoosters, nHancers,
                                                                                                                      nUtrients, and nGames. We are at the very beginning of the brain’s movement from something
Serve as Health Advocates                                                                                             mysterious and sacred (impossible to explore) to a body part that must be exercised and
                                                                                                                      cared for just as we do our heart and other organs. There will be a much greater focus on the
                                                                                                                      continued care and feeding of our brains, especially given the widespread acceptance that the
     As consumers—and Prosumers especially—seek to wield greater control over their health, they are                  physical health of our bodies is intrinsically linked to the powers and health of our minds.
     increasingly looking for tools that will help them keep their wellness goals on track. Brands in a number


     A few examples:                                                                                                                              Selling Certainty
       Reebok’s “The Promise Keeper” app allows the user to share when he/she goes for a run and automatically
       posts or tweets when the person fails to exercise. The app was designed to create brand engagement and                                     A lack of consumer trust in product categories related to health and wellness—including
       promote the ZigTech running shoe.
                                                                                                                                                  that operate on a model of transparency. As consumers begin to accept more responsibility
                                                                                                                                                  for their health, they are looking for brand partners that promote their progress.
       Department of Health’s Change4Life
      “eat well, move more, live longer.”                                                                                                         There’s particular opportunity for brands in the telephony sector. Government studies

       Apple’s Design + Health kit is intended to help designers exercise, keep proper ergonomic posture at the
                                                                                                                                                  recognized health hazards such as smoking. Brands in this and related categories must
       printed on them, an exercise guide, and more.                                                                                              assuage consumer concerns, not just through information (which can be dismissed) but

       In France, insurance company Swiss Life launched an online health dashboard that permits consumers to                                      and a more humanized approach are all-important.
       evaluate their allergy levels and receive alerts about local air pollution. They can also program in medical
       appointments, set alarms as reminders to take their medicines, and read articles and an RSS feed on health.




                                                                                                                       “The rise of ‘lifestyle’ diseases has created an urgent need to help people improve their health by changing
                                                                                                                        how they live. Change is not easy, and more resources need to be put against giving people the support


                                                                                                                        positive change can help make a healthier population a reality. Mutual support within these communities



                                                                                                                        –Kate Gill, Managing Director of Integrated Strategy and Planning,
                                                                                                                         Euro RSCG Tonic




24    Prosumer Report, Vol. 12                                                                                                                                                                 My Body, Myself, Our Problem: Health and Wellness in Modern Times   25
Back to the Future?

                        us simultaneously toward the future (higher-tech solutions, genome exploration,
                        implantable nanotechnology) and toward the past (wholesome lifestyles as the
                                                                                                              “Every patient carries her or his own doctor inside.”
                        communications, and automation ruining our quality of life? Is our increasing
                        separation from the natural world robbing us of the true fruits of human              –Albert Schweitzer
                        if so, have we already crossed it? Or are we truly creating a better world?

                        There are some who believe we will eventually morph into the next evolution of

                        question is whether this “posthuman” society is something to which we should aspire
                        or from which we should run.




     “What is happening today with health echoes what happened over the last 10 years with the environment.


     natural resources mean we have to invent new solutions and change our behavior if our species is to
     survive. Once they realized governments couldn’t—or wouldn’t—do it alone, people stepped up and
     began taking responsibility.”



      Euro RSCG Worldwide




26    Prosumer Report, Vol. 12                                                                                                                My Body, Myself, Our Problem: Health and Wellness in Modern Times   27

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Prosumer Report Health Wellness

  • 1. EURO RSCG WORLDWIDE Vol. 12, 2012 My Body, Myself, Our Problem: Health and Wellness in Modern Times Prosumer Reports is a series of thought leadership publications by Euro RSCG Worldwide—part of a global initiative to share information and insights, including our own proprietary research, across the Euro RSCG network of agencies and client companies. Euro RSCG Worldwide is a leading integrated marketing communications agency and was the first agency to be named Global Agency of the Year by both Advertising Age and Campaign in the same year. Euro RSCG is made up of 233 offices in 75 countries and provides advertising, marketing, corporate communications, and digital and social media solutions to clients, including Air France, BNP Paribas, Charles Schwab, Citigroup, Danone Group, Heineken USA, IBM, Kraft Foods, Lacoste, Merck, Pernod Ricard, PSA Peugeot Citroën, Reckitt Benckiser, Sanofi, and Volvo. Headquartered in New York, Euro RSCG Worldwide is the largest unit of Havas, a world leader in communications (Euronext Paris SA: HAV.PA). For more information about Prosumer Reports, please visit www.prosumer-report.com or contact Naomi Troni, global chief marketing officer, at naomi.troni@eurorscg.com. Follow us on Twitter @prosumer_report.
  • 2. “The greatest wealth is health.” –Virgil Table of Contents Humans and Health: The New Deal ................................................................................................................ 4 Prosumer Nation: A Subculture of Proactive Health Consumers ............................................. 6 Global Wellness Scorecard ....................................................................................................................................... 8 Sense of Control Changes Everything .......................................................................................................... 10 The New Notion of Health Solidarity: Factoring in Finance ....................................................... 12 Brains and Diet: Key Weapons in the Fight for Good Health ..................................................... 14 Marketing Implications ............................................................................................................................................. 24 Back to the Future ........................................................................................................................................................ 26 My Body, Myself, Our Problem: Health and Wellness in Modern Times 3
  • 3. Humans and Health: Everything about how people regard, prevent, 20 Percentage increase in annual rate of new cancer The New Deal cases worldwide in past decade.1 and treat physical ailments is changing. In 1970, the Boston Women’s Health Book Collective Our Bodies, Ourselves, a CN A landscape is globalization. Though there continue to US book intended to inspire and empower women to be local variations on notions of what constitutes become their own “health experts” through education, good health, how it can be fostered, and how illness access to information, and open discussions of issues Modernized medicine: Public Chinese should be treated, thinking about health is moving hospitals make about 60% of their closer to standardization in every country because related to health. In the four decades since, the extent Impact of aging population: revenue through the sale of to which the relationship between humans and their it increasingly draws on a global body of medical Per capita healthcare spending pharmaceuticals.5 health has evolved is astounding. In part, that’s because research and knowledge. Healthcare specialists train increased knowledge and new tools and technologies is 5.6 times higher for people and work internationally, pharmaceutical companies have removed some of the mystery and unthinking age 65+ than for children.2 draw on global resources and look for products with acquiescence from the healthcare equation. Thanks to global potential, universities and research institutes the Internet and social media, we are no longer at the collaborate across borders, and all of the above meet mercy of the medical profession; we can research our and mix at international congresses and conventions. illnesses, hunt for alternative treatment options, and In 2011, Euro RSCG Worldwide undertook a major suited for our care. global study on the new realities in health and Our changing relationship with our health also has to do with the nature of today’s ailments. As medical BR wellness. Working with research partner Market survey in 19 countries around the world, representing AU science advances, dying is increasingly perceived less Average life expectancy in Brazil a combined population of 3.6 billion.8 Our respondent as a fate to be accepted than as a failure of disease increased from 45.5 years in base is made up of 7,213 men and women age 18 or management. For the most part, people in prosperous 1940 to 72.86 years in 2008.3 older. What our study has uncovered is a revolution parts of the world aren’t succumbing to disasters. in attitudes toward health—led by Prosumers and Australia spent 8.5% of GDP Nor are they dying in infancy or being cut down by with important implications for brands both within on healthcare in 2008 (vs. communicable disease or infection in their primes. and outside the healthcare arena. 16% in the U.S.).6 As communities live longer, death increasingly comes from the malfunctioning and decay of body systems: cardiovascular disease, cancer, autoimmune conditions, 1 World Cancer Research Fund and degenerative diseases. In a number of these cases, 2 www.hhs.gov 65 lifestyle plays at least as great a role as heredity or Percentage of world’s population 3 Brazilian Institute of Geography and Statistics living in countries where overweight 4 WHO 33 chance. And that changes everything about how people and obesity kills more people than Percentage of countries 5 PBS NewsHour regard, prevent, and treat physical disorders. underweight.4 6 OECD with no mental health 7 WHO budget.7 Topline Findings 8 Findings from three Middle Eastern countries—Lebanon, Saudi Arabia, and available to Euro RSCG employees and clients upon request. 1 Healthcare is moving out of The Western world is moving Consumers in disparate markets Prosumers are taking a multipronged As populations age, brain health Many aspects of modern life Consumers are looking to the sole control of medical toward a more Eastern view of approach to healthcare, including is becoming a paramount concern, are considered deleterious to linked: The least healthy their brand partners for help authorities and into the hands personal responsibility, one that their control over a variety of tapping into social networks for free and people are seeking new ways health. By the same token, many are most vulnerable to the in keeping their health and of individuals. Opportunities regards health as something to diseases and disorders. They expertise to reduce medical costs. to protect and promote it. of the activities deemed best for economy, while the poor wellness goals on track. A nudge abound for brands to better be maintained and supported also share a strong belief in the us (e.g., sleep, exercise) largely are most vulnerable to in the right direction can go a over time rather than remedied power of the mind to heal. lie outside the world of modern disease. Healthcare decisions long way toward strengthening a illness and maximize well-being. commerce and consumption. increasingly are based not relationship. 4 Prosumer Report, Vol. 12 My Body, Myself, Our Problem: Health and Wellness in Modern Times 5
  • 4. Prosumer Nation: A Subculture of Mainstream Prosumers % agreeing strongly/somewhat Prosumers and Health Proactive Health Consumers As in other areas of their lives, Prosumers use information to wield power in the healthcare arena. As far back as 2004, men and women, the various age groups, or even countries and cultures. The most consistent I pay a lot of attention to health issues our studies showed that 72 percent of and consider myself well informed in 52 U.S. Prosumers searched for medical this area. the balance of power away from retailers and manufacturers and instead toward themselves. information online. Today, each of the Now they are using their access to information and new tools of communication to siphon most popular health-oriented websites power away from the medical community, as well. (e.g., Yahoo! Health, WebMD, MedicineNet) receives well over 10 million visitors a month. We have also seen an explosion of books and other publications intended health advocates for themselves and their families, and even to believe they can, to some extent, control whether they get sick. I have become a stronger advocate diseases or simply improve their overall for my own health and/or my family’s health; among them: Anticancer: A New health; I no longer automatically accept Way of Life by David Servan-Schreiber A New Relationship to Health: Three Pillars what the doctor tells me.* (1.2 million copies sold in 40 countries) The Prosumer-driven notion that people have personal responsibility for their health changes the way we perceive and the multiple best sellers of health guru ourselves and our world. Dr. Andrew Weil (e.g., Spontaneous Healing, 8 Weeks to Optimum Health). Pillar 1: Pillar 2: Pillar 3: Health in Relation to Self Health in Relation to Others Health in Relation to the Medical Community In recent years, Prosumers have gained increasing control over their worlds, The empowered health consumer is taking The empowered health consumer is more The empowered health consumer is more responsibility for and exerting more cognizant of the impact his/her health more demanding of and less willing The Internet is a good source of thanks to portable technologies such as control over his/her health and wellness. has on others in terms of social costs to accede to the control of healthcare information and support for people with smartphones and tablets, and to constant Embracing anew the ancient notion of (e.g., burden on the healthcare system) professionals. He/she now seeks partners health problems.* improvement of the tools of research and a link between mind and body, modern and also is aware of the impact the and advocates rather than voices of consumers regard the brain as a vital health of others has on him/her (e.g., absolute authority. communication. They count on technology more taxes, higher insurance premiums). to organize their daily lives and expect to Questions raised: exert equal control over issues pertaining With control comes power. But is this new Questions raised: power primarily a source of satisfaction to health and wellness. As a consequence, What should I expect from or angst? If good health is a question of physicians? Drugs or advice on We are witnessing the rise of a subculture Prosumers are driving demand for personal responsibility and discipline, proactive health boosters ranging from Questions raised: what is my obligation as an individual and member of society in regard to with health and wellness. alternative therapies to functional foods. What other sorts of practitioners/ In many cases, these activities are meant What if I’m not capable of living up those who don’t behave properly? Is it experts should I include on my to expectations—my own or those the duty of the collective to support healthcare advisory team? of others? its weakest members—or are we to negate the need to buy and consume obliged to censure the unhealthy What products and services will enable How much personal responsibility do I pharmaceuticals. “Natural healing” has behaviors of others? me to be a more active and informed I am more apt to ask for a second bear for a particular illness or disorder? become a hugely attractive concept for participant in my healthcare? opinion (medical) than I used to be.* Is there a greater role for communal people who already feel disconnected is outside my control? care now that government and How can I best apply my consumer from nature and who have little faith in healthcare systems are falling short? smarts to my healthcare consumption? How can I not only protect my brain the medical industry’s laboratory-created from the ravages of modern life but With whom should I associate? Is solutions. As part of this more natural also fortify it so it will, in turn, serve it better to spend time with those approach to healthcare, three-quarters as my protector? who have the same health-oriented of Prosumers and 63 percent of their lifestyle I do? To form bonds with How do I control my levels of stress those who are managing or simply mainstream counterparts say they try and anxiety, which I know are bad for facing the potential for the same I have some or a lot of control over to “listen” to their bodies more than they my health but seem almost intrinsic to types of disease? We’re already seeing illness in general. used to—further evidence that people are modern life? research that obesity spreads within friendship circles; does this mean I beginning to assume greater responsibility need to consider health factors when for their own health. choosing friends? Coworkers? *Euro RSCG Worldwide, The New Consumer (2010)—U.S. sample 6 Prosumer Report, Vol. 12 My Body, Myself, Our Problem: Health and Wellness in Modern Times 7
  • 5. the standard U.S. report card system: A=excellent, B=good, C=average/acceptable, D=poor, F=fail. Overall, For Notions of physical health and weight management are well The modern notion of stress was virtually nonexistent health. Nearly two-thirds of the total sample gave one of the most tangible aspects of physical health. In modern established in most countries. In comparison, in many countries until the late 1960s. It took another couple of decades for themselves an A or B, while just 10 percent scored mental health is a highly sensitive topic; people who admit to the notion to pass from the realm of psychology into the themselves a D or F. There are key regional and perhaps keep the number on their bathroom scales under control. having problems risk stigma and loss of face. Consequently, it’s mainstream media and two more to become a standard not surprising that the scorecard results for mental health were reference in everyday life. Mental-health practitioners point by far the healthiest-feeling respondents, while those Respondents overall were less positive about their weight higher than for physical health. out that the crucial factor is not stressful events, but rather in English-speaking countries were more apt to give management than about their physical health. Just slightly more how individuals respond to them—i.e., how they manage themselves tepid marks. The United States, Australia, than half the global sample scored themselves high, while nearly Considering the severity of the global economic crisis, their stress. and the United Kingdom scored themselves lowest of all. 1 in 5 scored themselves low. As with physical health, Latin respondents have a rather robust sense of their emotional health. Experts have seen signs of mental health problems, The scores for stress management were noticeably less The Physical Health scorecard shows clearly that, India and China. including increased rates of suicide, associated with the positive than for mental health. France, the U.K., Ireland, and whatever the objective reality, people in developing Australia scored especially low. countries tend to feel better about their physical The fact is that obesity is spreading around the globe, and health than do those in developed countries. all populations are at risk. The scorecard responses are less a If the economic crisis continues and high unemployment As weight management is to physical health, so stress persists, there is a good probability that more people will management is to mental health; it’s a tangible aspect of insight into the relative levels of complacency, guilt, and anxiety an abstract idea. People may not know how to evaluate on the subject. their mental health, but they have a much keener sense of conversation in markets where they are currently taboo. whether they are stressed and how they are managing it. This aspect is arguably the point of most human activities, recognized by the ancient Greek philosopher Aristotle—with his central concepts of eudaimonia (“happiness”) and eu zên (“living well”)—and the U.S. Declaration of Independence (“Life, liberty, and the pursuit of happiness”), and cited in countless self-help books. Across the overall sample, two-thirds rated their sense of happiness an A or B, while fewer than 1 in 10 scored it a D or F. Happiness by the norms of their cultures. Some cultures pride themselves on their exuberance (especially Latin cultures), while others regard themselves as no-frills phlegmatic (e.g., northern Europe) or even soulfully melancholic (e.g., Russia—not in the survey). We know from our earlier New Consumer study that a slight majority in the surveyed markets (Brazil, China, France, Japan, area in which consumers continue to attempt to better their “scores.” 8 Prosumer Report, Vol. 12 My Body, Myself, Our Problem: Health and Wellness in Modern Times 9
  • 6. Sense of Control Changes Everything “How people perceive health today is quite surprising: It is a mix of modernity and archaism. Modernity because people see themselves as empowered to wield control over their lives. Archaism because their belief in their control over even genetics-based illnesses sounds like magical or mystical thinking.” –Clement Boisseau, Strategic Planner, BETC Euro RSCG Feeling in control of key elements of life is When asked to rate how much they think it’s fundamental to health and wellness. In Britain’s within their control whether they develop a landmark Whitehall II study, for instance, clear links range of common conditions, respondents were were found between well-being and levels of control given the following scoring options: at work: “People in jobs characterized by low control 5=“I have a lot of control”; 4=“I have some had higher rates of sickness absence, of mental control”; 3=“Don’t know”; 2=“Mostly outside illness, of heart disease and pain in the lower back.” my control”; and 1=“Entirely outside my control.” The report cites high stress and low control as In most instances, Prosumers outscored their a predictor of ill health. mainstream counterparts, meaning they have these diseases and disorders. They were Throughout history, people have attempted to 10 points more likely to think they can, to some exert control over disease and disaster by means of extent at least, control whether they develop everything from charms and tonics to pilgrimages obesity or a sexually transmitted disease and 8 points more likely to think they can control unprecedented access to healthcare information, whether they develop diabetes, depression, or It’s worth noting that although the consensus of the medical products, and services, they are being encouraged to heart disease. community would be that individuals have little or no control over take more responsibility for their health by following actually feel a greater sense of personal control? Or The disorders that respondents across the do they still believe themselves to be at the mercy of sample feel most able to control are obesity and believe otherwise. Remarkably, roughly as many respondents think genetics and fate or luck? sexually transmitted disease, both of which 71 they have some measure of control over depression (53 percent) as percent of respondents scored a 5 or 4. Even they do over diabetes (56 percent) or heart disease (52 percent). This with these largely behavior-based conditions, We know from our survey that a majority of though, 15 percent of respondents feel they of depression, or may be indicative of people lumping the “blues” with respondents in each of the 19 markets rated their have no control, suggesting that around 1 in 6 more serious, clinical forms of depression. The general perception of overall “sense of control” in life an A or B (not consumers may be dismissing not just their ability Alzheimer’s and other degenerative diseases as being totally outside shown), ranging from a low of 56 percent in China one’s control suggests there is scope for further education regarding and Hungary to a high of 79 percent in India, and disorders but also their responsibility to do so. including 72 percent of Prosumers in the global sample versus just 63 percent of the mainstream. 52 percent of global respondents believe obesity is not a disease people’s sense of their control over particular ailments and diseases. but, rather, is caused by lack of willpower and self-control. “Australian Prosumers believe their health is very much within their control if they take “Over the last decade, Argentina has seen increased interest in and awareness of what is certain physical and dietary paths. They’ve obviously been getting the messages the necessary to achieve harmony between body and mind, including daily exercise and a government has been pushing on topics such as obesity, STDs, diabetes, and heart disease. healthy diet. Both are essential to staying younger longer.” It will be good for the health of the nation when the mainstream follow.” –Ayelen Colombatto, Strategic Planning Director, –Phil Johnston, Head of Planning, Euro RSCG Buenos Aires Euro RSCG Australia Prosumer Report, Vol. 12 My Body, Myself, Our Problem: Health and Wellness in Modern Times 11
  • 7. The New Notion of Health Solidarity: Factoring in Finance In recent centuries, citizenries in most places have accepted the notion of “public health.” We accept it when people with communicable diseases are quarantined to avoid the further spread of disease. Most of us accept that childhood vaccinations are necessary, not just to protect the individual but to reduce the incidence of those diseases as a whole. As a society, we work together to avoid pandemics and other communal health threats. What Going forward, we’ll see governments and businesses to consider individual health actions as having an around the world devise all sorts of new ways to reduce the If the people in the apartment burden of healthcare costs. Already, more than 8 in 10 U.S. The increasingly strong link between money next to me smoke, I have to deal with the impact, which may range from nuisance factors (e.g., cigarette smell health-promotion program. and health means people are focusing not just on the physical impact of serious illness but secondhand smoke). If I am obese, I, in turn, contribute to As healthcare increasingly is seen more as a communal also on the consequences it has for themselves, the community’s expenses as a result of direct health costs matter than a personal one, societies will have to determine their families, and communities. (e.g., building more hospitals to cope with higher rates of how to encourage better health choices. Our study shows that a good portion of consumers are already prepared to punish “transgressors”: 4 in 10 respondents believe As these examples show, collective health concerns now companies should not be required to provide health extend beyond whether we’re going to come in contact coverage to employees who smoke. We believe, however, with a disease carrier. I don’t want my neighbor to engage that people will show more support for positive behavioral in unhealthy behaviors not so much because I fear I’ll become sick, but because I fear I’ll have to help shoulder the resultant the weak (and weak-willed) likely will be tempered by the . Imagine how such fears multiply when greater sense of solidarity that comes from seeing ourselves applied to hundreds or thousands of employees or to millions as part of an interconnected ecosystem of humankind. The navigate the labyrinth that is the modern of citizens. The CDC estimates that smoking-related idea that we, as individuals, have the ability to improve health costs, including lost productivity, exceed $193 the overall health of this ecosystem through our personal healthcare system is an increasingly important billion annually in the U.S. At the One Young World summit choices is empowering—and falls into line with our earlier held this past fall in Zurich, television chef–turned-activist New Consumer research showing that people are hungering Jamie Oliver noted that obesity costs the U.S. government for more personal responsibility and interconnectedness. $10 million an hour. It doesn’t take too great a leap in logic to consider what role escalating healthcare costs may be “During previous economic crises, health and social protections were considered sacrosanct. Now, “The new discourses on health augur the advent of a new kind of society: The idea of one big nation that takes care of everyone is replaced by multiple communities of people who share the same risks, the same way of life, and the same mindset regarding what their personal responsibilities are in the result in preventable death or long-term disability. For ourselves and for our countries, we are more realm of health.” fearful of what the future holds.” –Marianne Hurstel, Vice President, BETC Euro RSCG Euro RSCG New York 12 Prosumer Report, Vol. 12 My Body, Myself, Our Problem: Health and Wellness in Modern Times 13
  • 8. Brains and Diet: Key Weapons in the Fight for Good Health Powerful thoughts can help heal a person A New Focus on Brain Health forgetfulness and hyperactivity to strokes, trauma, tumors, and dementia. One consequence is that neuroscience has become a media darling, raising public awareness of and interest in the brain. Our brain functions as our body’s “control center,” so it’s no wonder we want to protect it. What we’re seeing develop goes beyond basic care, however. We are seeing signs that consumers are paying more attention to the brain for three reasons: 1. The brain is arguably the body part most susceptible to the negative impacts of modern life. As we’ll see later in this section, the brain is considered vulnerable to many of the most prevalent factors in 21st-century life, including stress and anxiety, environmental pollutants, cell-phone technology, poor diet, and lack of sleep. With populations aging in many parts of 2. A consensus is emerging that the brain—to be in top form—must be the focus of ongoing care and attention. on ways to fortify the brains of both young and old—safeguarding the brain from harm and potentially making it even more powerful. Interest is growing in “brain training” techniques. Recent studies have found that children who are taught that the brain is a muscle and are encouraged to participate in activities intended to “bulk up” that muscle have seen Agree best when we are proactive about their care, exercise, and feeding. % Disagree 3. What we think plays a vital role in how we feel. Arguably more surprising is that 4 in 10 respondents believe at least somewhat that most illness is psychosomatic—in other words, that it’s all in our heads (not shown in chart). That’s pretty astonishing considering all the types of illnesses that befall us. The notion of a link between mind and body goes back to ancient times, but modern consumers are embracing it with renewed vigor. Nearly two-thirds of our survey sample illness. This may prove a vital pathway of communication for people seeking to play a more active role in their own health agreed that powerful thoughts can help heal a person. management and that of their families or employees. 14 Prosumer Report, Vol. 12 My Body, Myself, Our Problem: Health and Wellness in Modern Times 15
  • 9. Now that brain health is of general interest, the question arises as to what Good for the Brain sorts of behaviors help and hurt this most vital organ. What can we do 1.70 4.20 Of the 14 factors that netted out overall as good for Recreational/ the brain, it’s striking that all except one are timeless Exercise Illegal Drugs factors unrelated to technology. The only exception was Online Social Networks, which netted out lowest of behaviors and asked respondents to 1.76 the “good” factors with a mean of 3.11 (not shown); this Tobacco counterpart: Meeting People and Socializing in Person. good”; 4=“Possibly good”; 3=“Neither good nor bad”; 2=“Possibly bad”; and What’s more, technology and modern living have impinged on a number of “good for the brain” factors, at the means (averages) for the total particularly the top-scoring Exercise (4.20) and Sleep sample on each behavior; the more 1.89 4.18 (4.19). While a Healthful Diet (4.17) and Slow Eating (3.67) are clearly aspirations, the reality of modern Air and Water Love the better they are judged to be for Pollution life is, for many, processed convenience foods the brain; the more they are below the numerous claims on attention, there’s also a were judged to be by respondents. squeeze on time for Playing (3.86) (not shown) and Meeting People and Socializing in Person. Identifying particular factors as good or 1.96 4.17 bad for the brain by no means implies we will act accordingly. Rather, the factors are Stressful Healthful Job Diet Bad for the Brain whether we feel virtuous or guilty about those choices. Technology is behind several of the factors respondents rated as detrimental to brain health. Television (2.95) and Computer Games (2.93) are so close to the neutral 3.0 that they don’t really count. However, there’s a more 2.00 4.13 Alcohol Reading Books negative assessment of Cell Phones (2.63) and especially of Living/Working Near a Cell-Phone Tower (2.31) and Living/Working Near High-Tension Power Lines (2.20). The factors rated worst for the brain are intoxicants (e.g., recreational drugs, tobacco) 2.02 4.01 Anxiety Socializing and emotional factors (e.g., stressful job, anxiety). Looking at the top seven negative factors for brain health, we might characterize 2.05 4.00 them as a mix of environmental, corporeal, Low-Nutrition Sex Diet and emotional pollutants. Modern life is creating new typologies of fear. How can I protect myself and my family from things outside my Chart shows mean scores for the 14 factors deemed best and worst for the brain out of all choices listed. control—e.g., cell-phone waves? How do I reduce the feelings 1 2 3 4 5 of anxiety and stress that I know are bad for my body? 16 Prosumer Report, Vol. 12 My Body, Myself, Our Problem: Health and Wellness in Modern Times 17
  • 10. Fortifying Body and Mind with Food As we have come to feel we have more control in our health-maintenance arsenals. This means particular foods and beverages, and becoming increasingly conscious of the state of our individual and national diets. Just as concepts and practices regarding healthcare are becoming globalized, so is food culture, with important implications for health. Around the world, the “Western” diet is becoming more prevalent, which equates to the consumption of more meat, more sugar, more calories, and more processed food—and to a concomitant rise in heart disease, obesity, diabetes, and other ailments. Over the course of the 20th century, increased use processing meant our bodies were being enriched less by 91 percent of Prosumers vs. 77 percent of the mainstream believe eating the land than by production plants. In the 21st century, we a healthful diet has a positive impact on the brain. are seeing a countermarch, as people seek to reconnect with the natural world and begin to recognize the link between the consumption of natural, whole foods and good health. Around two-thirds of our respondents indicated they are much more aware today of the nutritional/health value of the foods they eat than they used to be. Even more notable is the extent to which food is being perceived as having medicinal properties. Nearly 8 in 10 Prosumers and two-thirds of mainstream consumers actually believe in recent focus on nutraceuticals and so-called “superfoods,” but it is also tied to a greater understanding of the role of food in our lives. As evidenced by the growing popularity of the Slow Food movement, more of us are coming to understand that the way we nourish our bodies—what we eat, how it is prepared, and where, how, and with whom we eat—has important implications for not just our physical but also our emotional and spiritual well-being. 18 Prosumer Report, Vol. 12 My Body, Myself, Our Problem: Health and Wellness in Modern Times 19
  • 11. Concerns over Food Safety 37 percent trust the food industry to provide them with healthful food. In general, it is the more developed markets that express the suspicion regarding Big Food. health and wellness—more contact with the countryside, healthy food, healthy life, etc., as well as more time to enjoy the company of others (family and friends).” It’s entirely plausible that consumers’ lack of trust in the food industry is tied to the food scares of recent decades. It seems as though just about every month there’s a new warning issued to avoid a particular food because of one food-borne threat or another. The CDC’s newest estimates indicate –Giovanni Acuna, Planning Director, that contaminated foods cause almost 48 million illnesses, more than 125,000 hospitalizations, Euro RSCG Colombia and more than 3,000 deaths each year in the U.S. alone. It’s little wonder, then, that 7 in 10 global respondents express concern over food safety. Adding to fears are concerns over the additives found in so many packaged foods. In the survey, a and coloring agents I eat and drink are having on my health,” while only 13 percent disagreed (chart not shown). The higher levels of agreement than disagreement in every market tell us that concern about additives is the norm. Concerned about food safety % moderately to extremely worried 87 85 81 81 76 75 74 71 70 70 South Africa Poland China Colombia Hungary India Mexico Brazil Argentina GLOBAL 69 68 66 66 66 65 62 52 51 46 Czech Republic Germany Canada U.S. France Australia Belgium U.K. Ireland Netherlands My Body, Myself, Our Problem: Health and Wellness in Modern Times 21
  • 12. A Need for Clarity few people have the knowledge and skills to evaluate which foods And even those who pay attention to companies and brands have trouble keeping track of who produces what. Turning East for Holistic Healing Just as Eastern cultures have adopted conventional Western medicine in recent To simplify decision making, people apply general decades, the developed markets of the rules that make sense to them. One typical West have embraced Eastern philosophies example is that “natural is good,” even though and ancient remedies. Eastern cultures’ molds, infections, and infestations are natural and more holistic approaches to medicine clearly not always good. Similarly, the suspicion bring all aspects of a person’s life into a that additives are not good is widespread, even single picture of his or her health and take though many foods could not be eaten in developed for granted that everything a person does countries without additives to preserve them and (from eating to sleeping and breathing) has prevent spoilage during transport. an impact on how that person feels and heals. As citizens in modern societies seek to live longer and healthier lives, they are drawing wisdom from the ancient cultures of China and India in particular to change With 37 percent of our survey respondents trusting the food industry and 33 percent not trusting it, that leaves almost as many consumers This (30 percent) uncertain as to whether to have faith in their food suppliers—suggesting plenty of scope in sales of homeopathic and herbal for information, outreach, and building trust through remedies. We can expect to see a continued consistent quality and transparency. melding of traditional and conventional approaches to healthcare, especially as more Western medical schools incorporate complementary and alternative medicine into their curricula. “Among Chinese, older generations (41–66) place importance on food for good health compared “Our new relationship with health changes how we see the future. How are we imagining what’s next for with the younger generation (18–30) and worry about food safety more so than do the other age groups.” with nanotechnology and the like or attempting to revert to the simpler lifestyles our forebears enjoyed?” –Simone Zhang, Strategic Planning Director, –Marian Salzman, CEO, Euro RSCG Shanghai Euro RSCG Worldwide PR, North America 22 Prosumer Report, Vol. 12 My Body, Myself, Our Problem: Health and Wellness in Modern Times 23
  • 13. Marketing Implications In this new climate, we must ask ourselves: How do we communicate with consumers? How can brands help their customers live better and at the same Brain Boosters time protect themselves against the negative consequences of modern life? Given our increased focus on brain health, consumers will be looking for products and services (e.g., targeted exercise, Sudoku, adult learning). Over the next decade, we can expect to see An Opening for Brand Partners to the emergence of a category of “n” (neurological) products, including nBoosters, nHancers, nUtrients, and nGames. We are at the very beginning of the brain’s movement from something Serve as Health Advocates mysterious and sacred (impossible to explore) to a body part that must be exercised and cared for just as we do our heart and other organs. There will be a much greater focus on the continued care and feeding of our brains, especially given the widespread acceptance that the As consumers—and Prosumers especially—seek to wield greater control over their health, they are physical health of our bodies is intrinsically linked to the powers and health of our minds. increasingly looking for tools that will help them keep their wellness goals on track. Brands in a number A few examples: Selling Certainty Reebok’s “The Promise Keeper” app allows the user to share when he/she goes for a run and automatically posts or tweets when the person fails to exercise. The app was designed to create brand engagement and A lack of consumer trust in product categories related to health and wellness—including promote the ZigTech running shoe. that operate on a model of transparency. As consumers begin to accept more responsibility for their health, they are looking for brand partners that promote their progress. Department of Health’s Change4Life “eat well, move more, live longer.” There’s particular opportunity for brands in the telephony sector. Government studies Apple’s Design + Health kit is intended to help designers exercise, keep proper ergonomic posture at the recognized health hazards such as smoking. Brands in this and related categories must printed on them, an exercise guide, and more. assuage consumer concerns, not just through information (which can be dismissed) but In France, insurance company Swiss Life launched an online health dashboard that permits consumers to and a more humanized approach are all-important. evaluate their allergy levels and receive alerts about local air pollution. They can also program in medical appointments, set alarms as reminders to take their medicines, and read articles and an RSS feed on health. “The rise of ‘lifestyle’ diseases has created an urgent need to help people improve their health by changing how they live. Change is not easy, and more resources need to be put against giving people the support positive change can help make a healthier population a reality. Mutual support within these communities –Kate Gill, Managing Director of Integrated Strategy and Planning, Euro RSCG Tonic 24 Prosumer Report, Vol. 12 My Body, Myself, Our Problem: Health and Wellness in Modern Times 25
  • 14. Back to the Future? us simultaneously toward the future (higher-tech solutions, genome exploration, implantable nanotechnology) and toward the past (wholesome lifestyles as the “Every patient carries her or his own doctor inside.” communications, and automation ruining our quality of life? Is our increasing separation from the natural world robbing us of the true fruits of human –Albert Schweitzer if so, have we already crossed it? Or are we truly creating a better world? There are some who believe we will eventually morph into the next evolution of question is whether this “posthuman” society is something to which we should aspire or from which we should run. “What is happening today with health echoes what happened over the last 10 years with the environment. natural resources mean we have to invent new solutions and change our behavior if our species is to survive. Once they realized governments couldn’t—or wouldn’t—do it alone, people stepped up and began taking responsibility.” Euro RSCG Worldwide 26 Prosumer Report, Vol. 12 My Body, Myself, Our Problem: Health and Wellness in Modern Times 27