The document discusses factors that impact health and barriers to healthy behaviors. It finds that while most people define health broadly, there is a gap between knowledge and action. The top barriers to health are behavioral like lack of exercise and poor nutrition. Motivators of behavior change are social influences and information more than incentives. Half of those trying to change an unhealthy behavior relapse, with enjoyment of the behavior being the most common reason.

1. 6 OCTOBER, 2011
Health Barometer 2011
Health, Redefined
HealthBarometer 2011 1

2. *In the global total, the U.S. sample size is weighted down to 1,000 respondents to represent an equivalent portion of the total sample size as each of the other countries. Note: The study was
representative of the total country population in all markets.
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3. 1 Health is
2 Health is
3 Health is
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4. Health is
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5. 80%
define health beyond being
disease free
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6. From how I am to how I act
FUNCTIONING
ACTIVE & FIT LIFESTYLE
HEALTHY WEIGHT
BODY ABSENCE OF DRUGS & ALCOHOL
ENERGY
ABSENCE OF DISEASES
MENTAL & EMOTIONAL
HEALTH BALANCED & NUTRITIOUS DIET
ABILITY TO EXERCISE
Q7. How would you define being healthy? Please complete the following statement in the box below: To me, being healthy means . . . . [OPEN‐ENDED QUESTION] (Global)
* Codes 3% or below do not appear in image
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7. The factors we most control have the most impact on our health
Family and friends are key to shaping our health
YOUR YOUR
LIFESTYLE NUTRITION
56% 55%
THE THE
ENVIRONMENT HEALTHCARE
44% SYSTEM
38%
75% 43% 20% 75% 36% 20% 48% 27% 40% 20% 68% 41%
ME FAMILY GOV’T ME FAMILY GOV’T ME BUSINESS GOV’T ME GOV’T HEALTHCARE
FRIENDS FRIENDS IN GENERAL PROVIDER OR
INSURER
Q11‐15. How much impact, either positive or negative, does each of the following have on your overall health? Please use a 9‐point scale where one means that you think it has “NO IMPACT AT ALL” and
nine means that it has a “GREAT DEAL OF IMPACT” on your overall health. (Top 2 box – Great Deal of Impact) (Global); Q16, Q20, Q24, Q28. Thinking about the types of people and institutions who
impact the environment /your nutrition/your lifestyle/ the healthcare system in your country either positively or negatively, who from the list below would you say has the most impact on the
environment / your nutrition/ your lifestyle/ the healthcare system in your country as it relates to your overall health? [SELECT UP TO THREE] (Global) (only responses ranking in the top three are shown)
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8. There is a knowledge‐action gap in health
Barriers to health are mostly behavioural
TOP BARRIERS TO HEALTH
TOP UNHEALTHY BEHAVIOURS
1 Not exercising enough 49% (AMONG THOSE ENGAGING IN UNHEALTHY BEHAVIORS)
Not maintaining a balanced or
2 nutritious diet 36% 1 Not exercising enough 55%
3 Having a health condition or
2 Smoking or tobacco use 41%
disease 35%
4 Smoking or tobacco use 29% 3 Poor nutrition 36%
5 Being in a harmful environment 23% 4 Overeating 34%
6 Lack of motivation or discipline 21% 5 Not getting enough sleep 33%
7 Consumption of alcohol or drugs 6 Consuming of alcohol or drugs 24%
20%
KEY
NUTRITION LIFESTYLE
Q8. Keeping in mind your definition of what being healthy means from the previous question, which, if any, of the following prevents you from being healthy? [SELECT ALL THAT APPLY] (Global); Q57.
(Base = ‘Yes’ to Q36 ) When answering the previous questions, what behaviour that negatively impacts your health were you thinking of? [SELECT ALL THAT APPLY] (Global)
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9. & top motivators of behaviour change
62%
who have tried to change
a negative health
behaviour
.
.
.
.
HEALTH BEHAVIOUR CHANGE MOTIVATORS
Aspiration Social Influence Incentives Information
Q 36. Do you engage in any behaviour that you think negatively impacts your health? (Global Regression Analysis); Q38. ‐ 55. (Base = ‘Yes’ to Q36) Now please indicate how much each of the following factors
would motivate you to change a behaviour that negatively impacts your health. Use a nine‐point scale where one means that the factor is “not at all motivating,” and nine means it is “extremely
motivating.” (Global Regression Analysis); Q56. (Base = ‘Yes’ to Q36) After considering the factors in the previous question, now how motivated are you to change the behaviour that negatively impacts your
HealthBarometer 2011
health? (Global Regression Analysis) Q58. Have you ever tried to change a behaviour (s) that negatively impacts your health? (Global) 9

10. Half experience negative health behaviour relapse
62% TRIED TO CHANGE A
NEGATIVE HEALTH BEHAVIOUR
50% 46%
RETURNED TO A SUSTAINED THEIR CHANGE
NEGATIVE HEALTH BEHAVIOUR
Why did you return to the behaviour you changed?
30% 20% 18% 16% 13% 13% 12%
Enjoyment Addiction or Did not No longer cared It made no I reached I experienced
of the negative dependency experience about the difference to my the goal a significant
behaviour benefits soon original reason overall health life event
enough
Q58. Have you ever tried to change a behaviour (s) that negatively impacts your health? (Global); Q60. (Base = ‘Yes’ to Q58) After changing a behaviour that negatively impacted your health, did you ever
return to that behaviour? (Global); Q61. (Base = ‘Yes’ to Q60) Which, if any, of the following reasons describe why you returned to the behaviour(s) that negatively impacted your health? [SELECT ALL THAT
APPLY] (Global)
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11. Tools and technologies are helping
But most people aren’t taking advantage
20% 68%
regularly use tools,
devices, and apps for
of those say using these
technologies has helped
managing improve their health
or tracking health
22%
18‐30
74%
18‐30
Q145. (Base= respondents who selected using online and/or mobile tracking device or tool, such as FitBit or BodyMedia; personal home health monitoring device, such as glucose or blood pressure monitor;
software applications for your computer; mobile ‘apps’ in Q143) In general, how much has the tool, device and/or software application or mobile 'app' helped improve your health? (Global) (Top 2 Box –
Helpful = A great Deal/Somewhat)
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12. Health is
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13. Helping others is more motivating than personal gain
Triggers of health advocacy
43% 28% 24% 23% 21% 19% 10% 14%
Realizing the Making a Experiencing Reading or Receiving Fearing the Joining a None of
long‐term personal a significant hearing praise or loss of a support the
health of commitment life event information in recognition relationship network above
another person to help others the news
would improve
Q62. Now thinking about other people, which, if any, of the following would prompt or trigger you to try to motivate another person to take better care of his or her health? [SELECT ALL THAT APPLY] (Global)
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14. Engagement is key to spreading good health
People cluster around familiar behaviours avoiding candid conversations
44% 31%
More frequent consumers of
health information
Less likely to engage in
unhealthy behaviours
Less likely to relapse after
do not spend less time with changing an unhealthy spend less time with a
a friend because of their behaviour friend because of their
unhealthy behaviour unhealthy behaviour
NEUTRAL: 25%
Q34. How much do you agree or disagree with each of the following statements? Please use a nine‐point scale where one means that you “strongly disagree,” five means that you “neither agree nor
disagree” and nine means that you “strongly agree.” – “I have spent less time with a friend because of his or her negative health‐related behaviour(s).”(Top 4 Box –Agree; Neither Agree nor Disagree – 5
on 9‐point scale; Bottom 4 Box ‐ Disagree) (Global)
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15. Young adults on the leading edge of digital health engagement
ACTIVISTS
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16. Patients join experts as credible sources
Traditional spokespeople have a deficit
Doctor 88%
Pharmacist 81%
Nurse 77%
Nutritionist/Dietician 75%
Academic/expert on a health issue 72%
Someone living with a disease/conditon 65%
Health/science expert in a company 62%
Friend/family member 55%
NGO representative 45%
Government official/regulator 31%
Journalist/reporter 29%
Regular employee 24%
CEO 22%
A celebrity 17%
Q106 ‐ 119. Below is a list of people. In general if you heard health‐related information from that person, how credible do you think that information would be
‐ extremely credible, somewhat credible, neither credible nor incredible, not very credible or not credible at all? (Global) (Top 2 Box – Credible = Extremely
Credible/Somewhat Credible)
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17. Commercial interest doesn’t detract from credibility
Global appreciation for pharmaceutical industry expertise
KEY
80% CREDIBLE
NOT CREDIBLE
70%
60%
50%
40%
30%
20%
10%
0%
Global US Latin America EU Asia
Q120. In general if you heard health‐related information from a pharmaceutical company, brand or product, how credible do you think that information would be? (Top 2 Box‐Credible = Extremely
Credible/Somewhat Credible and Bottom 2 Box‐Not Credible = Not Very Credible/Not Credible at all)(Global, US, Latin America, EU, Asia) (Latin American includes Mexico and Brazil; EU includes
France, Germany, Italy and United Kingdom; Asia includes China, India and Japan)
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18. Health is
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19. Government and business must improve their ‘healthprint’ (Global)
KEY
+ POSITIVE IMPACT _ NEGATIVE IMPACT
= NEITHER POSITIVE OR NEGATIVE IMPACT OVERALL HEALTH
LIFESTYLE NUTRITION ENVIRONMENT HEALTHCARE SYSTEM
Me
My family and friends
My local community
MY EMPLOYER(S)
BUSINESS IN GENERAL
MY GOVERNMENT
NGOs
My healthcare providers / insurers
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20. Government and business must improve their ‘healthprint’ (US)
KEY
+ POSITIVE IMPACT _ NEGATIVE IMPACT
= NEITHER POSITIVE OR NEGATIVE IMPACT OVERALL HEALTH
LIFESTYLE NUTRITION ENVIRONMENT HEALTHCARE SYSTEM
Me 77/9 76/10 74/5 74/5
My family and friends 79/9 72/15 78/8 78/10
My local community 63/18 66/17 57/20 57/23
My employer(s) 51/36 63/26 56/27 55/25
Business in general 39/45 31/52 23/60 22/60
My government 37/49 45/42 36/45 28/57
NGOs n/a 55/27 58/23 54/27
My healthcare providers / insurers 74/13 76/8 64/17 43/42
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21. Health engagement increasingly builds
100%
2010
90% 2011 86%
80%
72% 71% 73%
68% 69%
70% 64%
60%
50%
40%
30%
20%
10%
0%
US Canada UK France Germany Italy Japan
TRACKING Q83. If you think a company is effectively engaging in health, how does that affect your trust in that company? (Top 2 Box – Total Trust More) (US, Canada, UK, France, Germany, Italy, Japan);
Increases for US, UK, France, Germany, Italy and Japan are significant at the 95% confidence level compared to 2010.
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22. Growth opportunities and cost of inaction increasing
France, Germany, Italy, United Kingdom
ROInaction
_ + ROInvestment
+12 +13
59% 72%
Criticize it to others Recommend a company’s products or services
+13 +15
59% 72%
Refuse to buy products or services Buy a company’s product or services
+12 +12
61% 70%
Share negative company opinions/ exper. Share positive company opinions/ experiences
+10 +11
53% 50%
Not want to work for it Want to work for it
+11 +7
62% 36%
Not invest in it Invest in it
+11
42%
Pay a premium for its products or services
* All increases significant at the 95% confidence level compared to 2010
TRACKING Q84‐ Q89. How likely would you be to do the following in relation to a company that you believe is effectively engaging in health? (Top 2 box‐ Total likely) (EU Member States included:
Italy, United Kingdom, Germany and France ); Q91. ‐ Q95. How likely would you be to do the following in relation to a company that you believe is NOT effectively engaging in health? (Top 2 box‐
Total likely)
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23. Growth opportunities and cost of inaction increasing (US)
ROInaction
_ + ROInvestment
+9 +11
50% 71%
Criticize it to others Recommend a company’s products or services
+10 +11
53% 71%
Refuse to buy products or services Buy a company’s product or services
+8 +12
52% 72%
Share negative company opinions/ exper. Share positive company opinions/ experiences
+7 +14
54% 54%
Not want to work for it Want to work for it
+7 +11
55% 43%
Not invest in it Invest in it
+12
41%
Pay a premium for its products or services
* All increases significant at the 95% confidence level compared to 2010
TRACKING Q84‐ Q89. How likely would you be to do the following in relation to a company that you believe is effectively engaging in health? (Top 2 box‐ Total likely) Q91. ‐ Q95. How likely would
you be to do the following in relation to a company that you believe is NOT effectively engaging in health? (Top 2 box‐ Total likely) (U.S.)
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24. Companies expected to engage in health in many specific ways
Action more important than donation
EDUCATION/ EMPLOYMENT INNOVATION PARTNERSHIP PHILANTHROPY PUBLIC
COMMUNICATION POLICY
Communicating Enabling employees to Changing or Collaborating with other Contributing company Leading &
health risks of have the time eliminating products companies that produce time or employee convening
products or to take care of their or services not similar products or expertise to improve discussions
services health considered healthy services health of the public about
government
83% 82% 81% 74% 72% health priorities
66%
Educating the public Offering health Creating new Partnering with Donating
on healthy and wellness products or services an NGO products or
behaviours related to programs or that maintain or services to
product or services coaching for improve the health improve the
employees & of the public health of the
their families public
78% 77% 79% 67% 70%
Supporting Donating
health of the money to
communities in improve the
which it health of the
operates public
76% 67%
Q68. ‐ Q80. How important is it for business in general to improve or maintain the health of the public in each of the following ways? Please use a 9‐point scale where one means that you think it is
“NOT AT ALL IMPORTANT” and nine means that it is “EXTREMELY IMPORTANT” for business in general to improve or maintain the health of the public in each of the following ways? (Top 4 Box –
Important) (Global)
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25. Every individual has a unique and influential ‘healthprint’
Your health choices ripple outwards
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