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6 OCTOBER, 2011

                        Health Barometer 2011 
     Health, Redefined




HealthBarometer 2011                             1
*In the global total, the U.S. sample size is weighted down to 1,000 respondents to represent an equivalent portion of the total sample size as each of the other countries. Note: The study was 
representative of the total country population in all markets. 

                     HealthBarometer 2011                                                                                                                                                           2
1 Health is 
2 Health is 
3 Health is




       HealthBarometer 2011   3
Health is




     HealthBarometer 2011   4
80%
define health beyond being 
disease free



     HealthBarometer 2011     5
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


                    HealthBarometer 2011                                                                                                                               6
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)

                      HealthBarometer 2011                                                                                                                                                             7
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)

                     HealthBarometer 2011                                                                                                                                                          8
&                                  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
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) 

                      HealthBarometer 2011                                                                                                                                                           10
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) 
                      HealthBarometer 2011                                                                                                                                                          11
Health is




     HealthBarometer 2011   12
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)


                            HealthBarometer 2011                                                                                                                                                           13
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) 

                      HealthBarometer 2011                                                                                                                                                            14
Young adults on the leading edge of digital health engagement




                                                                ACTIVISTS




        HealthBarometer 2011                                                15
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)

                HealthBarometer 2011                                                                                                                   16
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)

                     HealthBarometer 2011                                                                                                                                                         17
Health is




       HealthBarometer 2011   18
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




                HealthBarometer 2011                                                                       19
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




              HealthBarometer 2011                                                                            20
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.

                     HealthBarometer 2011                                                                                                                                                            21
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) 


                     HealthBarometer 2011                                                                                                                                                            22
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.)



                     HealthBarometer 2011                                                                                                                                                             23
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) 

                          HealthBarometer 2011                                                                                                                                                                24
Every individual has a unique and influential ‘healthprint’
Your health choices ripple outwards 




       HealthBarometer 2011                                   25

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Global Edelman Health Barometer 2011

  • 1. 6 OCTOBER, 2011 Health Barometer 2011  Health, Redefined HealthBarometer 2011 1
  • 3. 1 Health is  2 Health is  3 Health is HealthBarometer 2011 3
  • 4. Health is HealthBarometer 2011 4
  • 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 HealthBarometer 2011 6
  • 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) HealthBarometer 2011 7
  • 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) HealthBarometer 2011 8
  • 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)  HealthBarometer 2011 10
  • 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)  HealthBarometer 2011 11
  • 12. Health is HealthBarometer 2011 12
  • 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) HealthBarometer 2011 13
  • 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)  HealthBarometer 2011 14
  • 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) HealthBarometer 2011 16
  • 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) HealthBarometer 2011 17
  • 18. Health is HealthBarometer 2011 18
  • 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 HealthBarometer 2011 19
  • 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 HealthBarometer 2011 20
  • 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. HealthBarometer 2011 21
  • 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)  HealthBarometer 2011 22
  • 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.) HealthBarometer 2011 23
  • 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)  HealthBarometer 2011 24