The document discusses the results of the 2014 Pfizer Health Index survey on the impacts of austerity measures and recession in Ireland. Key findings include:
- Nearly 3 in 10 adults felt the recession negatively impacted their personal health, most commonly among those aged 35-64 and from lower socioeconomic groups.
- Over half felt healthcare cuts have had the greatest impact, while nearly a quarter cited social welfare cuts. Education cuts also impacted over 70%.
- When prioritizing the reversal of austerity measures, most chose healthcare cuts, especially those benefiting families with young children.
- There is strong support for universal healthcare access in Ireland.
The document discusses several topics related to public health in Scotland, including:
1) It discusses challenges facing public health in Scotland like economic outlook and life expectancy trends.
2) It talks about shifting from a deficits approach in public health to focusing more on health assets and everyday experiences of health.
3) It explores concepts like sense of coherence and managing complex systems to improve health and communities.
Gender Differences in Health Care, Status, and Use: Spotlight on Men's HealthKFF
1) Men report worse access to health care than women. Fewer men have a regular doctor or place to go for care, see a clinician regularly, or have had a medical visit in the past two years. Low-income and uninsured men face even greater barriers.
2) Cost is a significant barrier to care for many men, with poorer and uninsured men much more likely to delay or go without needed care due to inability to pay. Non-financial barriers like transportation and time constraints also prevent many men from receiving care.
3) Men are less likely than women to receive some recommended preventive services like general checkups, blood pressure checks, and cholesterol screens. Improving preventive care for men could help
During 2009-2013:
- 3.3% of US adults experienced serious psychological distress, measured by a K6 scale score of 13 or higher. Rates were highest among those aged 45-64 and lowest among those 65 and older.
- Psychological distress decreased as income increased relative to the federal poverty level. Adults with distress were also more likely to be uninsured.
- Over 1/4 of adults aged 65+ with psychological distress had limitations in daily activities, compared to only 6% without distress.
- Those with distress were more likely to have chronic conditions like COPD, heart disease, and diabetes than those without.
Men's health in general practice aims to holistically manage health conditions common in men. Men die on average 6 years earlier than women, often due to external causes like accidents, suicide, and work-related injuries. General practices need to address masculinity norms and the specific health risks facing men, such as higher rates of smoking, drinking, drug use, and HIV/AIDS. Practices should create male-friendly environments, educate men about their health, and address issues like violence exposure that impact men.
This document discusses gender differences in health and discusses various health indicators in the Philippines. It notes that while women live about 5 years longer than men on average, they tend to be sicker. It also provides statistics on maternal mortality in the Philippines, noting the number of mothers who die during or shortly after childbirth has risen in recent years. The document also covers traditional and modern contraceptive methods and includes statistics on HIV cases in the country.
Clarian health health promotion inservice november 8, 2010Julie Gahimer
This document provides an overview of health promotion concepts for physical therapists. It discusses the six dimensions of health, obesity trends in the US, national health goals and objectives, and the roles of physical therapists in health promotion. Physical therapists are well-positioned to educate clients and the public about prevention, screening, and maintaining healthy behaviors through the lifespan. The document also reviews resources like the American Physical Therapy Association for promoting health and wellness.
The document provides tips for men to improve their health and reduce risk factors for common causes of death like heart disease and cancer. It recommends eating a healthy diet, maintaining a healthy weight, engaging in regular physical activity, not smoking, getting routine health screenings, managing stress, knowing personal health risks, being safe, and making health a priority. The leading causes of death for men are attributed to modifiable risks like stress, tobacco use, weight, activity levels, and nutrition.
The document discusses several topics related to public health in Scotland, including:
1) It discusses challenges facing public health in Scotland like economic outlook and life expectancy trends.
2) It talks about shifting from a deficits approach in public health to focusing more on health assets and everyday experiences of health.
3) It explores concepts like sense of coherence and managing complex systems to improve health and communities.
Gender Differences in Health Care, Status, and Use: Spotlight on Men's HealthKFF
1) Men report worse access to health care than women. Fewer men have a regular doctor or place to go for care, see a clinician regularly, or have had a medical visit in the past two years. Low-income and uninsured men face even greater barriers.
2) Cost is a significant barrier to care for many men, with poorer and uninsured men much more likely to delay or go without needed care due to inability to pay. Non-financial barriers like transportation and time constraints also prevent many men from receiving care.
3) Men are less likely than women to receive some recommended preventive services like general checkups, blood pressure checks, and cholesterol screens. Improving preventive care for men could help
During 2009-2013:
- 3.3% of US adults experienced serious psychological distress, measured by a K6 scale score of 13 or higher. Rates were highest among those aged 45-64 and lowest among those 65 and older.
- Psychological distress decreased as income increased relative to the federal poverty level. Adults with distress were also more likely to be uninsured.
- Over 1/4 of adults aged 65+ with psychological distress had limitations in daily activities, compared to only 6% without distress.
- Those with distress were more likely to have chronic conditions like COPD, heart disease, and diabetes than those without.
Men's health in general practice aims to holistically manage health conditions common in men. Men die on average 6 years earlier than women, often due to external causes like accidents, suicide, and work-related injuries. General practices need to address masculinity norms and the specific health risks facing men, such as higher rates of smoking, drinking, drug use, and HIV/AIDS. Practices should create male-friendly environments, educate men about their health, and address issues like violence exposure that impact men.
This document discusses gender differences in health and discusses various health indicators in the Philippines. It notes that while women live about 5 years longer than men on average, they tend to be sicker. It also provides statistics on maternal mortality in the Philippines, noting the number of mothers who die during or shortly after childbirth has risen in recent years. The document also covers traditional and modern contraceptive methods and includes statistics on HIV cases in the country.
Clarian health health promotion inservice november 8, 2010Julie Gahimer
This document provides an overview of health promotion concepts for physical therapists. It discusses the six dimensions of health, obesity trends in the US, national health goals and objectives, and the roles of physical therapists in health promotion. Physical therapists are well-positioned to educate clients and the public about prevention, screening, and maintaining healthy behaviors through the lifespan. The document also reviews resources like the American Physical Therapy Association for promoting health and wellness.
The document provides tips for men to improve their health and reduce risk factors for common causes of death like heart disease and cancer. It recommends eating a healthy diet, maintaining a healthy weight, engaging in regular physical activity, not smoking, getting routine health screenings, managing stress, knowing personal health risks, being safe, and making health a priority. The leading causes of death for men are attributed to modifiable risks like stress, tobacco use, weight, activity levels, and nutrition.
This document discusses reasons for shorter life expectancy among Nigerian men and recommendations for prevention. Non-communicable diseases like cardiovascular disease, cancers, chronic respiratory disease and diabetes are the main culprits responsible for low life expectancy. These diseases can be prevented through lifestyle modifications like a healthy diet, exercise, preventative health screenings, stress management, and seeing a doctor regularly. The Dennis Ashley Wellness Centre provides various services to help men assess health risks and take proactive steps to live longer, healthier lives.
Mental illnesses are highly prevalent worldwide but most countries allocate less than 2% of their health budgets to mental health. Effective and low-cost treatments are available but there is a treatment gap of over 75% in many low- and middle-income countries. Investing in mental health is important for several reasons: the burden of mental illness is huge and costs societies enormous amounts, mental health is essential for economic development, and some interventions have been shown to be highly cost-effective "best buys" that can reduce future health costs. Without adequate investment in mental health services and supports, individuals and societies cannot reach their full potential.
The document discusses World Mental Health Day which is observed annually on October 10th. It notes that mental health is defined as a state of well-being where one can cope with life's stresses and realize their abilities. Causes of mental illness include organic conditions, heredity, and social factors. Every 40 seconds someone dies by suicide globally. The objectives of World Mental Health Day are to improve awareness of suicide as a public health issue and reduce stigma. It encourages individuals to take 40 seconds of action to start a conversation about mental health or suicide prevention.
Keynote address by Anna Dixon (Chief Executive, Centre for Ageing Better) at the Royal College of Occupational Therapists Older People Annual Conference 2017.
This document provides an overview of data collected on adverse childhood experiences (ACEs) in South Carolina. Some key points:
- 62% of South Carolinians reported experiencing at least one ACE, with 22% experiencing 2 or more and 16% experiencing 4 or more.
- Experiencing ACEs is associated with increased risk of physical and mental health problems in adulthood like heart disease, diabetes, depression, and poorer overall health.
- ACEs are also linked to higher rates of behavioral risks in adulthood like smoking, binge drinking, and not wearing a seatbelt.
- Those with ACEs were more likely to face barriers to healthcare access as adults such as
- Enlightened aging is a hopeful approach to aging based on science that empowers people to prepare well for late life and live well with the natural changes of aging.
- The Group Health Research Institute has been conducting research on aging for over 30 years through studies like the Adult Changes in Thought Project to better understand normal and abnormal aging and identify ways to prevent or delay age-related mental and physical declines.
- Findings from the ACT study have provided insights on how exercise, physical activity, diet, brain health, and other lifestyle factors can help people remain independent and functional for as long as possible.
The document discusses gender and health inequalities. It notes that gender is a social construct that influences health differences between men and women. Women tend to be sicker but men have higher mortality rates. Gender health inequalities are determined by biological, social, economic, and psychological factors. The document outlines some common diseases that affect women like dementia and depression as well as reproductive health issues. It also discusses initiatives to improve reproductive health and lists some common diseases among men.
Presentation by Steven H. Woolf, MD, MPH at the 2009 Virginia Health Equity Conference.
Dr. Woolf shared research on the dramatic influences of social conditions on health inequities nationally and in the Commonwealth of Virginia. He also discussed the importance of packaging the evidence in compelling formats for policymakers and the public.
This document discusses investing in mental health. It argues that investing in mental health makes economic sense for several reasons: the burden of mental illness is huge and costs societies enormous amounts in healthcare and lost productivity; mental health is essential for economic development; and some mental health interventions are highly cost-effective "best buys." It also notes that without proper mental health interventions, costs will continue to rise over time. The document provides information on current low levels of funding for mental health globally and argues for increased investment, focusing on priority actions identified by the WHO as affordable and effective.
The document discusses public mental health in Northern Ireland. Some key points:
- Mental health issues place a large burden on societies worldwide in terms of health and economic costs.
- Northern Ireland has greater mental health needs than England, with costs estimated at £1 billion. Issues include poverty, domestic abuse, self-harm, suicide, and effects from "The Troubles."
- In response, policies like the Bamford Review aimed to improve mental health services, support for carers and those with mental health issues, crisis response, and more.
- The Mental Capacity Act of 2016 strengthened protections for those with mental health issues in decision making.
- The Programme for Government includes outcomes and action plans related to
This document discusses public mental health in Northern Ireland. It notes that mental health issues place a large burden on societies worldwide in terms of health and economic costs. Northern Ireland in particular has high levels of issues like poverty, domestic abuse, self-harm, and suicide that stem at least in part from its history of conflict. Several policy initiatives in Northern Ireland have aimed to improve mental health services, support for caregivers, and legislation to protect those with mental health issues or lack of capacity. The Programme for Government has included mental health outcomes and action plans focused on issues like parity with physical health, children's mental health, and reducing stigma. However, challenges remain regarding fully implementing family support programs, expanding therapy access, integrating crisis services,
This document discusses the importance of physical activity, diet, and leisure time for health and wellness. It notes that a sedentary lifestyle and unhealthy diet are major contributors to diseases like cardiovascular disease and diabetes. Regular physical activity of at least 30 minutes 3 times per week can help prevent serious illness. Team sports provide exercise as well as social and mental benefits. Eating a diet high in vegetables, fruits and minerals and low in fast food and junk food promotes health and prevents obesity. Spending leisure time engaged in physical activity rather than passive activities like screen time is important for heart, mind and overall wellness. Maintaining a balanced lifestyle with proper diet, exercise and leisure habits is key to avoiding sickness and enjoying good health
In 2013, the House of Lords Select Committee report Ready for Ageing stated that we were “woefully underprepared” for our longer lives and our growing older population. Geoffrey Filkin, who proposed and chaired the Committee asks what has changed four years on?
The document discusses the aging workforce in the UK and what it means for occupational health. It notes that there are over 10 million workers over 50, accounting for around 2 in 7 workers, and this proportion is growing rapidly. It also discusses how work supports a good later life through health, financial security, social connections and purpose. Finally, it examines the role of occupational health in supporting older workers through taking a preventative approach, focusing on capability over age, and ensuring access to flexible working and workplace adaptations.
Why You Should Care about the Mental Health of your WorkforceDavid Covington
HEALTHWORKS is a division of Carolinas HealthCare and teams up with employers to engage their employees and family members who are sick or may become sick and provides the right healthcare solutions when and where they need them.
HEALTHWORKS sponsored this event which was attended by over a hundred business leaders with presentations by Dr. John Santopietro with welcoming by President Dan Birach.
October 2013 presentation on Life-Span Disparity, Wellness & Social Determinants of Health - http://bit.ly/lifespan-disparity
In 2007, USA Today first reported on the 25 to 30 year life-span disparity for individuals with serious mental illness. Much of the initial discussion of integration focused on broader systems and planned care with little thought to those with Schizophrenia, Bipolar Disorder and Major Depression. If we are to make an impact, a broader wellness and social ecology approach is required in addition to better mental health and medical care integration.
Mental health issues are widespread in the UK and globally. According to statistics, 1 in 4 people in the UK will experience a mental health problem each year, with mixed anxiety and depression being the most common. Rates of mental illness are higher among women, children, unemployed individuals, and those with lower incomes. Anxiety disorders specifically affect around 9% of the population at some point, with generalized anxiety disorder being the most prevalent at 2-5% of people. Certain groups are more likely to experience anxiety, such as women, younger people, students, and the unemployed.
This document summarizes trends in childhood obesity in the United States. It finds that obesity rates have doubled in children ages 2-5 and tripled in children ages 6-11 and 12-19 between 1976-2008. Currently, around 32% of children and adolescents are overweight or obese. Obesity rates vary significantly by race and ethnicity, with non-Hispanic black and Hispanic youth having higher rates. Childhood obesity is associated with serious health risks that often continue into adulthood such as cardiovascular disease, diabetes, and psychological issues. A multifaceted response is needed that addresses individual, family, community and societal factors contributing to the current obesogenic environment experienced by many youth.
20 key strategies to a healthier heart - Karmic Ally CoachingVatsala Shukla
Considering your heart health and taking care of your heart is extremely important since it is the #1 killer of both men and women in the United States and even worldwide. This short report gives your 20 key strategies to a healthier heart.
The National Health Agenda 2021 of the UAE aims to reduce rates of cardiovascular disease, diabetes, cancer, tobacco use, and childhood obesity through 2021. Major key performance indicators have been identified, such as reducing cardiovascular deaths by 25% and diabetes prevalence to 16.3% by 2021. The agenda also aims to increase average healthy life expectancy in the UAE to 73 years.
This document summarizes discussions from a Health and Wellbeing Board (HWBB) on health inequalities in Sheffield. It outlines the context of health inequalities, how the city currently addresses the issue, evidence on effective interventions, and next steps. The key points are: the data shows inequalities have not improved in recent years; the current plan from 2014 still aligns with evidence but lacks program management; evidence points to addressing social determinants like poverty, education and employment; and the city needs to focus resources disproportionately to disadvantaged areas and populations to make meaningful progress on reducing inequalities.
Day 3- Thursday 19 March 2015: Preparing for our Individual Challenge
Transformation & Technology Track: Wellness in the Workplace. Presented by Dr Vanessa Govender, Medical Doctor, Health and Wellness Executive, Aveng Limited.
#astdza2015
This document discusses reasons for shorter life expectancy among Nigerian men and recommendations for prevention. Non-communicable diseases like cardiovascular disease, cancers, chronic respiratory disease and diabetes are the main culprits responsible for low life expectancy. These diseases can be prevented through lifestyle modifications like a healthy diet, exercise, preventative health screenings, stress management, and seeing a doctor regularly. The Dennis Ashley Wellness Centre provides various services to help men assess health risks and take proactive steps to live longer, healthier lives.
Mental illnesses are highly prevalent worldwide but most countries allocate less than 2% of their health budgets to mental health. Effective and low-cost treatments are available but there is a treatment gap of over 75% in many low- and middle-income countries. Investing in mental health is important for several reasons: the burden of mental illness is huge and costs societies enormous amounts, mental health is essential for economic development, and some interventions have been shown to be highly cost-effective "best buys" that can reduce future health costs. Without adequate investment in mental health services and supports, individuals and societies cannot reach their full potential.
The document discusses World Mental Health Day which is observed annually on October 10th. It notes that mental health is defined as a state of well-being where one can cope with life's stresses and realize their abilities. Causes of mental illness include organic conditions, heredity, and social factors. Every 40 seconds someone dies by suicide globally. The objectives of World Mental Health Day are to improve awareness of suicide as a public health issue and reduce stigma. It encourages individuals to take 40 seconds of action to start a conversation about mental health or suicide prevention.
Keynote address by Anna Dixon (Chief Executive, Centre for Ageing Better) at the Royal College of Occupational Therapists Older People Annual Conference 2017.
This document provides an overview of data collected on adverse childhood experiences (ACEs) in South Carolina. Some key points:
- 62% of South Carolinians reported experiencing at least one ACE, with 22% experiencing 2 or more and 16% experiencing 4 or more.
- Experiencing ACEs is associated with increased risk of physical and mental health problems in adulthood like heart disease, diabetes, depression, and poorer overall health.
- ACEs are also linked to higher rates of behavioral risks in adulthood like smoking, binge drinking, and not wearing a seatbelt.
- Those with ACEs were more likely to face barriers to healthcare access as adults such as
- Enlightened aging is a hopeful approach to aging based on science that empowers people to prepare well for late life and live well with the natural changes of aging.
- The Group Health Research Institute has been conducting research on aging for over 30 years through studies like the Adult Changes in Thought Project to better understand normal and abnormal aging and identify ways to prevent or delay age-related mental and physical declines.
- Findings from the ACT study have provided insights on how exercise, physical activity, diet, brain health, and other lifestyle factors can help people remain independent and functional for as long as possible.
The document discusses gender and health inequalities. It notes that gender is a social construct that influences health differences between men and women. Women tend to be sicker but men have higher mortality rates. Gender health inequalities are determined by biological, social, economic, and psychological factors. The document outlines some common diseases that affect women like dementia and depression as well as reproductive health issues. It also discusses initiatives to improve reproductive health and lists some common diseases among men.
Presentation by Steven H. Woolf, MD, MPH at the 2009 Virginia Health Equity Conference.
Dr. Woolf shared research on the dramatic influences of social conditions on health inequities nationally and in the Commonwealth of Virginia. He also discussed the importance of packaging the evidence in compelling formats for policymakers and the public.
This document discusses investing in mental health. It argues that investing in mental health makes economic sense for several reasons: the burden of mental illness is huge and costs societies enormous amounts in healthcare and lost productivity; mental health is essential for economic development; and some mental health interventions are highly cost-effective "best buys." It also notes that without proper mental health interventions, costs will continue to rise over time. The document provides information on current low levels of funding for mental health globally and argues for increased investment, focusing on priority actions identified by the WHO as affordable and effective.
The document discusses public mental health in Northern Ireland. Some key points:
- Mental health issues place a large burden on societies worldwide in terms of health and economic costs.
- Northern Ireland has greater mental health needs than England, with costs estimated at £1 billion. Issues include poverty, domestic abuse, self-harm, suicide, and effects from "The Troubles."
- In response, policies like the Bamford Review aimed to improve mental health services, support for carers and those with mental health issues, crisis response, and more.
- The Mental Capacity Act of 2016 strengthened protections for those with mental health issues in decision making.
- The Programme for Government includes outcomes and action plans related to
This document discusses public mental health in Northern Ireland. It notes that mental health issues place a large burden on societies worldwide in terms of health and economic costs. Northern Ireland in particular has high levels of issues like poverty, domestic abuse, self-harm, and suicide that stem at least in part from its history of conflict. Several policy initiatives in Northern Ireland have aimed to improve mental health services, support for caregivers, and legislation to protect those with mental health issues or lack of capacity. The Programme for Government has included mental health outcomes and action plans focused on issues like parity with physical health, children's mental health, and reducing stigma. However, challenges remain regarding fully implementing family support programs, expanding therapy access, integrating crisis services,
This document discusses the importance of physical activity, diet, and leisure time for health and wellness. It notes that a sedentary lifestyle and unhealthy diet are major contributors to diseases like cardiovascular disease and diabetes. Regular physical activity of at least 30 minutes 3 times per week can help prevent serious illness. Team sports provide exercise as well as social and mental benefits. Eating a diet high in vegetables, fruits and minerals and low in fast food and junk food promotes health and prevents obesity. Spending leisure time engaged in physical activity rather than passive activities like screen time is important for heart, mind and overall wellness. Maintaining a balanced lifestyle with proper diet, exercise and leisure habits is key to avoiding sickness and enjoying good health
In 2013, the House of Lords Select Committee report Ready for Ageing stated that we were “woefully underprepared” for our longer lives and our growing older population. Geoffrey Filkin, who proposed and chaired the Committee asks what has changed four years on?
The document discusses the aging workforce in the UK and what it means for occupational health. It notes that there are over 10 million workers over 50, accounting for around 2 in 7 workers, and this proportion is growing rapidly. It also discusses how work supports a good later life through health, financial security, social connections and purpose. Finally, it examines the role of occupational health in supporting older workers through taking a preventative approach, focusing on capability over age, and ensuring access to flexible working and workplace adaptations.
Why You Should Care about the Mental Health of your WorkforceDavid Covington
HEALTHWORKS is a division of Carolinas HealthCare and teams up with employers to engage their employees and family members who are sick or may become sick and provides the right healthcare solutions when and where they need them.
HEALTHWORKS sponsored this event which was attended by over a hundred business leaders with presentations by Dr. John Santopietro with welcoming by President Dan Birach.
October 2013 presentation on Life-Span Disparity, Wellness & Social Determinants of Health - http://bit.ly/lifespan-disparity
In 2007, USA Today first reported on the 25 to 30 year life-span disparity for individuals with serious mental illness. Much of the initial discussion of integration focused on broader systems and planned care with little thought to those with Schizophrenia, Bipolar Disorder and Major Depression. If we are to make an impact, a broader wellness and social ecology approach is required in addition to better mental health and medical care integration.
Mental health issues are widespread in the UK and globally. According to statistics, 1 in 4 people in the UK will experience a mental health problem each year, with mixed anxiety and depression being the most common. Rates of mental illness are higher among women, children, unemployed individuals, and those with lower incomes. Anxiety disorders specifically affect around 9% of the population at some point, with generalized anxiety disorder being the most prevalent at 2-5% of people. Certain groups are more likely to experience anxiety, such as women, younger people, students, and the unemployed.
This document summarizes trends in childhood obesity in the United States. It finds that obesity rates have doubled in children ages 2-5 and tripled in children ages 6-11 and 12-19 between 1976-2008. Currently, around 32% of children and adolescents are overweight or obese. Obesity rates vary significantly by race and ethnicity, with non-Hispanic black and Hispanic youth having higher rates. Childhood obesity is associated with serious health risks that often continue into adulthood such as cardiovascular disease, diabetes, and psychological issues. A multifaceted response is needed that addresses individual, family, community and societal factors contributing to the current obesogenic environment experienced by many youth.
20 key strategies to a healthier heart - Karmic Ally CoachingVatsala Shukla
Considering your heart health and taking care of your heart is extremely important since it is the #1 killer of both men and women in the United States and even worldwide. This short report gives your 20 key strategies to a healthier heart.
The National Health Agenda 2021 of the UAE aims to reduce rates of cardiovascular disease, diabetes, cancer, tobacco use, and childhood obesity through 2021. Major key performance indicators have been identified, such as reducing cardiovascular deaths by 25% and diabetes prevalence to 16.3% by 2021. The agenda also aims to increase average healthy life expectancy in the UAE to 73 years.
This document summarizes discussions from a Health and Wellbeing Board (HWBB) on health inequalities in Sheffield. It outlines the context of health inequalities, how the city currently addresses the issue, evidence on effective interventions, and next steps. The key points are: the data shows inequalities have not improved in recent years; the current plan from 2014 still aligns with evidence but lacks program management; evidence points to addressing social determinants like poverty, education and employment; and the city needs to focus resources disproportionately to disadvantaged areas and populations to make meaningful progress on reducing inequalities.
Day 3- Thursday 19 March 2015: Preparing for our Individual Challenge
Transformation & Technology Track: Wellness in the Workplace. Presented by Dr Vanessa Govender, Medical Doctor, Health and Wellness Executive, Aveng Limited.
#astdza2015
Public perceptions and awareness of NHS England's calorie reduction programme Ipsos UK
An Ipsos MORI survey, commissioned by Public Health England (PHE), explored the public’s perceptions of obesity and PHE’s sugar and calorie reduction programmes. Our findings highlight that the public clearly recognise obesity to be a problem facing the UK (93% say it is a problem). The public bestow the government (72%) and the food industry (80%) with responsibility for tackling obesity, albeit less responsibility than individuals and their families (90%). The predominant view is that the government could do more to address the issue of obesity (60%). There is also strong public support for the government to work with the food industry, in order to make foods and drinks healthier.
The document discusses several key issues facing public health and an aging population:
- The average age of Americans is rising as baby boomers retire, increasing healthcare costs.
- Improving health and preventing disease/disability in older adults is a challenge, as is controlling rising medical costs in an equitable way.
- As life expectancy increases, ensuring additional years are spent in good health, rather than with chronic illness, is a priority for public health.
The 2024 Outlook for Older Adults: Healthcare Consumer SurveyMedia Logic
Our second annual Outlook of Older Adults Survey delves into the perspectives, concerns and aspirations of older adults for the upcoming year. Our survey unveiled critical themes around the daily lives and long-term concerns of older adults to capture a comprehensive snapshot of this influential demographic's outlook on the coming months.
This document summarizes the connection between wealth and health, discussing how wealth can positively impact health but also how maintaining good financial and physical habits can mutually benefit both wealth and health. It notes that while wealthier individuals tend to be healthier, simply giving people more money may not improve health on its own. Good habits like regular savings and exercise can help maintain both financial discipline and better health long-term. The document also discusses how term life insurance works, noting that costs rise significantly with age, creating uncertainty about when policies will terminate.
Brief overview of group 2 final PowerPoint presentation pertaining to the affects of macro-trends on the U.S.Healthcare Systems and potential job growth/opportunities that will come from them.
Redefining health in an age of uncertainty roseConsumerMed
Learn 5 key trends in consumer health. Get a view into the hearts and minds of today’s consumers, including the boomers. Based on the latest research. Presented at ConsumerMed.org 2013 Summit by Pete Rose, Executive Vice President at The Futures Company.
Community Wellness Health Medical Essay.docxwrite12
This document discusses social determinants of health and their impact on community wellness. It explains that social factors like income level, neighborhood environment, and access to resources have a significant influence on health outcomes. Only 10-15% of health is due to medical care factors, while social and economic circumstances are stronger determinants. Addressing social determinants like access to healthy food and safe places to exercise is necessary to effectively improve health, especially for chronic conditions like diabetes.
Community Wellness Health Medical Essay.docxwrite31
This document discusses social determinants of health and their impact on community wellness. It explains that social factors like income level, neighborhood environment, and access to resources have a significant influence on health outcomes. Only 10-15% of health is due to medical care factors, while 40% is due to individual behaviors and 30% to social and economic conditions. The document advocates for a holistic, systematic approach that addresses social determinants to improve community health and achieve the goals of better care, lower costs, and healthier populations.
mHealth Israel_Kantar Health_Jeremy Brody, EVP Corporate Development, Health ...Levi Shapiro
1. The document discusses the role of Chief Health Officers (CHOs), who make healthcare decisions for themselves and others across generations. It finds that CHOs are more diverse than assumed, including men and millennials, and they care for extended networks beyond just families.
2. CHOs face challenges meeting the varying health and wellness needs of those in their care due to lack of time, resources, and knowledge. Younger generations are taking on caregiving roles for parents and others.
3. In order to effectively communicate with CHOs, especially millennial CHOs, the healthcare industry needs to provide trusted health information through a variety of channels, address both medical and lifestyle needs, and help build confidence in decision
This document discusses trends in health engagement and the role of health information influencers. It finds that while most people are involved with health issues, a smaller group (about 1 in 5) are highly engaged, sharing health information frequently. This highly engaged group, called "Health Info-entials", is more influential and trusting of health organizations. The document advocates for building trust through authentic engagement focused on personal health concerns to increase engagement.
The document discusses 5 macro-trends that will impact the future of the US healthcare system: 1) Economy, 2) Demographics, 3) Personal lifestyle and behavior, 4) Technology, and 5) Government policies. It analyzes factors within each trend, such as the aging population, rise of chronic diseases, development of new technologies, and laws/regulations. The document recommends developing policies, plans, and job opportunities to address issues related to these macro-trends and ensure access to quality healthcare. It emphasizes managing personal lifestyles and the need for healthcare professionals to navigate changes in the system.
Module 1- History of the U.S. Healthcare System (1).pptxDavidOsunde
This document provides an overview of the US healthcare system and key statistics. It discusses the history and development of healthcare delivery, including milestones in medicine, hospitals, public health and health insurance. It also outlines stakeholders in the current system like employers, insurers, and government. Statistics like life expectancy, infant mortality, GDP spent on healthcare are presented, showing the US lags peers on some health indicators. Tobacco rates are lower in the US while obesity rates are higher versus other OECD nations.
1. Five macro-trends that affect the US healthcare system are identified: economy, demographics, personal lifestyle and behavior, technology, and government policies.
2. These macro-trends impact factors like poverty rates, health issues, and job opportunities in the healthcare industry.
3. Recommendations are made to control issues in the US healthcare system by promoting safety, managing hazards, and facilitating environmental plans.
National Institute on AgingNational Institutes of HealthU..docxvannagoforth
National Institute on Aging
National Institutes of Health
U.S. Department of Health and Human Services
Global Health and Aging
2 Global Health and AgingPhoto credits front cover, left to right (Dreamstime.com): Djembe; Sergey Galushko; Laurin Rinder; Indianeye;
Magomed Magomedagaev; and Antonella865.
3
Preface
Overview
Humanity’s Aging
Living Longer
New Disease Patterns
Longer Lives and Disability
New Data on Aging and Health
Assessing the Cost of Aging and Health Care
Health and Work
Changing Role of the Family
Suggested Resources
Contents
Rose Maria Li
1
2
4
6
9
12
16
18
20
22
25
4 Global Health and Aging
5
Preface
The world is facing a situation without precedent: We soon will have more older people than
children and more people at extreme old age than ever before. As both the proportion of older
people and the length of life increase throughout the world, key questions arise. Will population
aging be accompanied by a longer period of good health, a sustained sense of well-being, and
extended periods of social engagement and productivity, or will it be associated with more illness,
disability, and dependency? How will aging affect health care and social costs? Are these futures
inevitable, or can we act to establish a physical and social infrastructure that might foster better
health and wellbeing in older age? How will population aging play out differently for low-income
countries that will age faster than their counterparts have, but before they become industrialized
and wealthy?
This brief report attempts to address some of these questions. Above all, it emphasizes the central
role that health will play moving forward. A better understanding of the changing relationship
between health with age is crucial if we are to create a future that takes full advantage of the
powerful resource inherent in older populations. To do so, nations must develop appropriate
data systems and research capacity to monitor and understand these patterns and relationships,
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well-being. And research needs to be better coordinated if we are to discover the most cost-effective
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existing knowledge about the prevention and treatment of heart disease, stroke, diabetes, and
cancer.
Managing population aging also requires building needed infrastructure and institutions as soon as
possible. The longer we delay, the more costly and less effective the solutions are likely to be.
Population aging is a powerful and transforming demographic force. We are only just beginning
to comprehend its impact ...
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Dale Rayman article for BenefitsQuarterly_FINALDale Rayman
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comparing contrasting the selected three groups from.pdfstudywriters
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Pfizer health index 2014
1. THE 2014 PFIZER HEALTH INDEX
Recession Pension
Cost of living
Attitudes
Looking forward
Medical Card
Behaviour
Entitlements
Spending less
Private
Looking ahead
Older people
Happiness
Work
Health
Education
Budgets
Families
Impact
Disposable income
Welfare
Future
Hospital
Austerity
Mental health
Smoking
Hospital beds
Universal healthcare
Unemployment
Access
Health insurance
Cutbacks
Prioritising spend
Public
Luxuries
Disability
GP
Doctor
Funding
Illness
Exercise
Health screening
Prescriptions
Job security Stress
Medicine
2. 1
INTRODUCTION THE 2014 PFIZER HEALTH INDEX
THE 2014 PFIZER HEALTH INDEX
ii
INTRODUCTION
INTRODUCTION
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Yours sincerely,
Paul Reid
Managing Director
Pfizer Healthcare Ireland
3. THE 2014 PFIZER HEALTH INDEX
2
THE 2014 PFIZER HEALTH INDEX
3
IMPACT OF
EXECUTIVE SUMMARY AUSTERITY MEASURES
IMPACT OF RECESSION ON PERSONAL HEALTH
Having questioned people in detail about their current health status and perceptions, respondents were
asked whether they felt the recession has had a negative impact on their personal health or not.
Almost 3 in 10 adults indicate that the recession has had an impact on their personal health. Those who
were more likely to have experienced some form of impact are aged between 35 and 64 years old, and
are more likely to be from lower socio-economic groups.
Do you think the recession has had a negative impact on your own
personal health or not?
Health Status
While the pattern is suggestive of a greater recessionary impact in middle age and lower socio-economic
groups, it is still important to acknowledge that a quarter of adults from higher socio-economic groups
believe that they have equally experienced an impact on their health due to the recession.
This pattern is not dissimilar from the distribution of recession-related impact generally. In this instance
the impact of the recession on health is not any higher in those over 65 years of age.
EXECUTIVE SUMMARY
A number of encouraging shifts are apparent from the 2014 Pfizer Health Index data. Although visits
to doctors for medical treatment may have reduced, there is evidence that the general health status
of Irish adults is reasonably resilient, and certain indicators in relation to health behaviour are very
encouraging too. Most notably, the number of people smoking is at an all-time low with 25% of adults
(aged 16 years plus) currently smoking, down significantly from 33% in 2012.
There is a substantial rise in interest in taking exercise, with a claimed ten percentage point growth in
the numbers intent on becoming more active in the next three months (from 25% to 35% since 2011.)
Equally, there is much greater focus on the need for weight loss and the adoption of a more balanced
diet. The stated commitment to do these things is more apparent amongst those with poorer health
status overall, and the proportion in poor health who aim to give up smoking stands at 18%, relative to
9% for the population at large, or 7% among those in good health.
There remains significant enthusiasm for the introduction of free universal healthcare access, which
remains a commitment of the Government to be introduced through a system of universal health
insurance by 2019.
The impact of the recession on the general health of the Irish population is substantial and 28% are of
the view that their health was detrimentally affected by it. The greatest impact seen is between the ages
of 35 and 64, which would tie in with other data demonstrating that those in the ‘family life stage’ have
experienced more negative implications during the course of the recession.
Relatedly, the priorities of many now revolve around ensuring that families with children are treated
fairly, and most would prioritise health and social welfare initiatives aimed at this group. When asked to
decide the order in which austerity-related measures should be addressed, the majority would prioritise
the reversal of healthcare related cuts. Among these, changes which would be beneficial to families with
young children should be implemented first. While this may be reflective of the current dialogue around
the provision of free healthcare to children aged five and under, it is clear that there is substantial
support for this initiative, with 76% considering it worthy of merit and few people against the proposal.
Impact of recession on personal health
Base: 1004 Adults aged 16+, 3,551,000
Yes, it has impacted my health No, it has not impacted
Male
%
Female
%
U25
%
2534
%
3549
%
5064
%
65+
%
ABC1
%
C2
%
F%
All
Adults
%
DE
%
28
72
Urban
%
Rural
%
Good
%
Average
%
Poor
%
27
73
28
72
14
26 33 33
25
86
74
67 67
75
23 25
37
21
77 75
63
79
28
72
27
73
18
28
49
82
72
51
4. THE 2014 PFIZER HEALTH INDEX
Health 53 28 12
24 27 24
14 30 28
7 12 22
4
THE 2014 PFIZER HEALTH INDEX
5
IMPACT OF
AUSTERITY MEASURES
IMPACT OF
AUSTERITY MEASURES
Thinking back upon the recent austerity budget/years, which cutbacks
have had the greatest impact on people (or society?) in your view?
17
Ranking the impact of cutbacks by demographics
Base: 1004 Adults aged 16+, 3,551,000
For those over 35 years of age, the perceived impact of healthcare related cuts is more evident, whereas
the impact of social welfare and education-related cuts is more apparent among those under the age
of 25.
There is limited focus on the perceived impact of changes to the State pension until respondents reach
the age of 65, with 1 in 6 pensioners believing that it is the primary cause for concern among them.
Among older adults, health remains the number one issue.
RANKING THE IMPACT OF CUTBACKS
The research focused on cutbacks that have been made in the context of recent austerity budgets, in an
effort to determine which have had the greatest impact on people generally. Interviewees were asked to
indicate the areas which they felt had experienced the greatest decline, with the choice of nominating
education, health, transport, social welfare and the State pension.
Thinking back upon the recent austerity budget/years, which cutbacks
have had the greatest impact on people (or society?) in your view?
Which second? And third?
Ranking the impact of cutbacks
Base: 1004 Adults aged 16+, 3,551,000
Greatest % Second % Third %
2 3 13
Social Welfare
(dole, disability,
child allowance)
Education
State pension
Transport
More than half nominated health as the area in which cutbacks have had the greatest impact. Health
was mentioned first, second or third by more than 9 in 10.
Cuts to social welfare, whether dole, disability or child allowance, have had greatest impact for 24%, and
were mentioned in the top three by three out of every four people. Cuts to education were less likely to
be mentioned first, but are in the top three categories in terms of perceived impact for 72%.
The perceived impact of cuts to the State pension or indeed to transport, seem to be considered more
minimally. Health, social welfare and education predominate in the public consciousness.
TOTAL SEX AGE SOCIAL CLASS
Male Female U25 25-34 35-49 50-64 65+ ABC1 C2 DE F
Base: 1004 475 529 145 190 285 229 155 444 221 263 76
% % % % % % % % % % % %
Health 53 54 52 35 49 57 60 61 52 58 47 67
Social Welfare (dole, disability,
24 23 25 29 27 23 22 20 19 34 13
child allowance)
Education 14 14 15 27 18 14 10 4 18 15 10 10
State Pension 7 7 8 5 5 6 5 17 6 7 7 10
Transport 2 3 1 4
2 1 2 1 3 1 2 -
5. THE 2014 PFIZER HEALTH INDEX
Families with
young children 36 36 72
16 31 47
10 26 36
12 19
31
23 31
16 25
5 19 24
6
THE 2014 PFIZER HEALTH INDEX
Base: 1,004 475 529 145 190 285 229 155 444 221 263 76 276 728
7
IMPACT OF
AUSTERITY MEASURES
IMPACT OF
AUSTERITY MEASURES
Which of these groups do you feel was hit hardest by austerity
budgets/measures?
Impact of austerity by demographics
Base: 1004 Adults aged 16+, 3,551,000
SEX AGE SOCIAL CLASS
Total Male Female U25 25-34 35-49 50-64 65+ ABC1 C2 F
RECESSION
HEALTH IMPACT
Urban Rural
DE
% % % % % % % % % % % % %
Families with young children
Older people
Young people
Families
Middle class
Lower socio-economic class
%
36 38 34 32 39 44 28 33 34 36 41 34 37
37
18
16 14 17 15 13 9 17 29 15 15 12 21 13
14
12 11 14 20 16 10 7 11 12 12 7 13 12
11
10 10 10 12 9 10 10 10 8 12 9 12 9
3
9 9 9 4 7 10 14 8 13 9 11 6 10
8
8 7 8 7 6 9 11 4 8 8 6 7 8
Middle aged people 5 6 3 1 5 5 7 2 5 3 5 3 5 4
Married people 1 1 2 1 – 2 2 2 1 1 2 2 2 1
Upper class * * * 1 – – * – * – – – 0 0
Single people * – 1 3 – * – – 1 * – – 1 0
Don’t know 3 4 2 4 4 2 3 * 2 3 2 9 – 4
Looking at responses by gender, age and social class magnifies the perception that the impact on
families with young children is sensed more by those aged between 35 and 49, essentially the core
family life stage.
Older adults were the second most likely to have been nominated as the key casualty of austerity budgets,
and this is particularly true when we isolate the responses of adults over the age of 65. However, even
among this group, families with young children still tended to be mentioned ahead of older people. Not
surprisingly, younger people were disproportionately more likely to be mentioned by those under the
age of 25.
IMPACT OF AUSTERITY
Respondents were asked to indicate the groups they felt have been hardest hit by austerity budgets and
measures in recent years. They were given the choice of nominating families with young children, older
people, young people, singles and so on. In effect, they could nominate age groups, life stage groups
and groups of different socio-economic backgrounds.
Which, of these groups do you feel was hit hardest by austerity
budgets/measures?
Impact of austerity
Base: 1004 Adults aged 16+, 3,551,000
Hit hardest % Some impact % Total %
8
9
1 12 13
9 9
1 1
3 11 14
Older people
Families
Young people
Lower socio-economic
class
Middle class
Middle aged people
Married people
Single people
Upper class
Don’t know
Almost 72% of respondents believe that families with young children have been impacted by austerity
budgets, with more than a third suggesting that they have in fact been the hardest hit. As such, they
were twice as likely to be nominated as the hardest hit group than any other listed. 16% felt older
people were impacted most by austerity measures whilst 12% felt that young people were hardest hit.
The findings suggest a consensus that the primary difference in impact is related to life stage and there
appears to be broad acceptance that the impact has been widely felt, albeit most particularly so by
those with younger children.
6. THE 2014 PFIZER HEALTH INDEX
Personal impact of recession: Medium term shifts (2009 & 2014)
Base: 1004 adults aged 16+, 3, 551,000
8
THE 2014 PFIZER HEALTH INDEX
9
IMPACT OF
AUSTERITY MEASURES
IMPACT OF
AUSTERITY MEASURES
16% of the sample suggest that at some stage since the start of the recession they have lost a job, while
11% indicate that their partner has lost their job since the recession started. While these figures have
risen since 2009, they have started to fall back since the question was asked in the 2013 Pfizer Health
Index.
Almost 1 in 10 adults in Ireland suggest that they have stopped paying for private medical insurance
since the start of the recession, and this represents about a fifth of the (previous) market for private
health insurance.
7% of adults indicate that they have stopped using a car, or taken a car off the road, which represents
about 1 in 10 Irish motorists. In addition, almost a third of respondents indicate they have changed
utility suppliers since the start of the recession.
34%
43%
49%
43%
40%
In the analysis of the data, the figures relating to job loss, reduction in hours worked and reduction
in income is cumulated and the composite figure is used as a measure of fundamental recessionary
impact. The proportion that experienced a fundamental impact was as high as 49% in 2011 but has
reduced to 40% by 2014. The most severe impact is noted by adults between the ages of 35 and 50,
but there has been an improvement in what we describe as fundamental impact between the ages of
25 and 34. This reinforces the suggestion that the recession has hardest hit those in the core family life
stage, and particularly those with young children. Those who are pre-family or post-family are less likely
to have experienced a fundamental impact.
CHANGES THAT HAVE COME ABOUT
BECAUSE OF THE RECESSION
Respondents were asked to indicate the cutbacks or changes they had made in their own lives since the
start of the recession, mirroring a question that has been asked in the previous four Health Index reports.
Which of the following has happened to you or to your immediate
family as a result of this current recession?
Spending less on luxuries
Avoid making big purchases
Finding it much harder to make ends meet
Going out/socialising less
Grocery shopping in cheaper shops now
Not booking overseas holidays
Not booking any holidays
Changed utility suppliers
Difficulties making loan or mortgage payments
Self: Reduced salary at work
Partner: Reduced salary at work
Personally lost job
Giving up gym or club memberships
Self: Reduced hours at work
Queried cost of medicines with GP/pharmacist
Cutting down on kids afterschool/
extra curricular/lessons
Asked GP/pharmacist to prescribe cheaper medicines
Partner: Reduced hours at work
Partner has lost job
Stopped paying for private medical insurance
Stopped using car/car off the road
70
78
66
74
48
69
45
69
45
60
32
48
31
47
32
18
31
16
22
10
18
7
16
8
16
13
14
14
7
14
14
7
12
3
11
9
7
%
2009 2014
The broad pattern of response remains the same year on year, with most suggesting that they are
not buying luxuries and that they are avoiding buying bigger items. Almost 7 in 10 suggested they are
finding it harder to make ends meet and a similar proportion say that they are going out or socialising
less than they had been before. In both of these regards, the proportions agreeing have substantially
risen since 2009, constituting two of the most significant changes registered over the past five years.
There has also been quite a sizeable growth in the number suggesting that they are neither booking
holidays nor booking overseas holidays, with both levels having risen from roughly a third to a half over
the past five years.
Fundamental Recession Impact
Respondent or partner
has had salary or hours
reduced or lost job
(1,137,000)
U25 22% 25-34 46% 35-49 61% 50-64 40% 65+ 10%
2009 2010 2011 2013
2014
7. THE 2014 PFIZER HEALTH INDEX
10
THE 2014 PFIZER HEALTH INDEX
11
IMPACT OF
AUSTERITY MEASURES
IMPACT OF
AUSTERITY MEASURES
PRIORITISING GOVERNMENT SPENDING
Respondents were asked to indicate how they feel spending and investment should be prioritised as the
country emerges from austerity/recession.
As we now emerge from austerity, I would like you to rank in order
of your priority where you feel that money/investment should be
prioritised going forward? Rank 1st/2nd/3rd
Prioritisation of spend
Base: 1004 Adults aged 16+, 3,551,000
Greatest % Second % Third %
Health 51 34 15
21 30 49
28 36 36
Social Welfare
(dole, disability,
child allowance)
Education
More than half of respondents feel that the greatest focus needs to be placed on investment in health,
and it is voted first or second by 85% of the population. It surpasses all other categories, with education
tending to be placed in second place overall, and social welfare third. Of the three choices, social welfare,
(encompassing dole, disability and child allowance) was ranked third by almost half of the sample.
Thinking about your current level of disposable income, can you see it
improving in 2014 or not?
Disposable income
% in agreement
Male 24%
Female 15%
U25 28%
25-34 26%
25-49 21%
50-64 12%
65+ 8%
ABC1 26%
C2DE 15%
Urban 20%
Rural 18%
81
19
Yes
No
When asked whether people feel their current level of disposable income is likely to improve in 2014 or
not, almost 1 in 5 responded that they felt it would. This suggests that the vast majority of Irish adults
do not believe there will be an improvement in their personal situation in 2014. An improvement in
disposable income is more evident in men and particularly so in adults under the age of 35. The view
that income is likely to improve in the year ahead is reflected more by higher socio-economic than lower
socio-economic groups. Older adults were less inclined to agree that their current level of disposable
income is likely to improve in 2014.
8. THE 2014 PFIZER HEALTH INDEX
Prioritisation of spend (first choice) by demographics
Base: 1004 Adults aged 16+, 3,551,000
Base: 263
12
THE 2014 PFIZER HEALTH INDEX
13
IMPACT OF
AUSTERITY MEASURES
IMPACT OF
AUSTERITY MEASURES
As a follow-on question, participants were asked which groups should be first to get greater health
benefits. Respondents were presented with the following options: married people with families, older
people, single people with young children, and students.
Of the following groups, who do you feel should be first to get greater
health benefits (such as medical cards)?
Prioritisation of health benefits by demographic
Base: 1,004 adults aged 16+, 3,551,000
Total
1004
%
Male
475
%
Female
529
%
U25
145
%
25-34
190
%
35-49
285
%
50-64
229
%
65+
155
%
Married people
with families
Older people
Single people with
young children
Students
Other
Don’t know
ABC1
444
%
C2
221
%
DE
263
%
F
76
%
Yes
276
%
No
628
%
GENDER AGE SOCIAL CLASS
RECESSION
HEALTH IMPACT
45
31
17
3
22
50
31
14
3
12
41
32
20
4
22
32
27
24
11
6
47
27
22
2
12
47
30
16
2
31
49
33
12
3
21
45
41
91
12
45
30
16
4
32
44
36
12
3
23
44
30
23
21
52
30
10
1
16
17
46
33
2
11
16
45
31
4
23
Married people with families attracted highest support, followed by older people then single people with
young children.
There is much greater support for married people with families between the ages of 25 and 64, while
almost a quarter of adults under the age of 35 would choose to prioritise the needs of single people
with young children.
It is among the group over 65 years of age that a preference for older adults emerges, but again,
registering somewhat lower than the level of preference for married people with families.
Results differ somewhat by age group and social class, with a focus on health more pronounced over the
age of 35 and being relegated to second place, after education, by those under the age of 25.
SEX AGE SOCIAL CLASS
Total
Health
Education
Social welfare (dole, disability,
child allowance)
1,004
%
51
28
21
Male
475
%
51
29
20
Female
529
%
51
27
22
U25
145
%
37
44
20
25-34
190
%
50
27
23
35-49
285
%
54
27
19
50-64
229
%
55
23
21
65+
155
%
54
21
25
ABC1
444
%
52
33
16
C2
221
%
53
28
19
F
76
%
61
19
20
DE
%
46
23
31
Education is prioritised only among those under 25. Slightly higher focus is placed on social welfare
among those from lower socio-economic groups and those aged over 65 years.
Middle class and younger adults are more likely to favour education as a key priority, but across all social
grades, health is prioritised ahead of education or social welfare.
9. THE 2014 PFIZER HEALTH INDEX FUNDING OF
HEALTHCARE
15
THE 2014 PFIZER HEALTH INDEX
CHILDREN IN
HOUSEHOLD
14
IMPACT OF
AUSTERITY MEASURES
HEALTHCARE FUNDING
Since 2010 the proportion of adults holding private medical insurance has declined from 44% of the
population to 33% today. The rate of decline was more pronounced between 2010 and 2012, but has
slowed in recent years.
Which of the following descriptions apply to you - I have a medical
card, I have private medical insurance, I have neither medical card nor
private insurance?
Funding Medical Care
Base: All Adults aged 16+, 1,003 / 3,551,000
2010
2011
2012
Private
Medical
Insurance 2013
2014
44%
40%
35%
34%
33%
Medical
Card
2010
2011
2012
2013
2014
36%
41%
44%
41%
39%
Neither PMI
nor Medical
Card
2010
2011
2012
2013
2014
25%
23%
25%
27%
31%
1,539,000
1,419,000
1,250,000
1,220,000
1,175,000
1,255,000
1,470,000
1,573,000
1,474,000
1,376,000
868,000
842,000
968,000
947,000
1,105,000
Over the same time period, the number of people with medical cards had climbed to a high of 44%
in 2012, but has since retracted to 39% of the population in 2014.
As numbers with both private cover and medical cards has fallen, we see a growth in the number of
the people who have neither private insurance nor a medical card. This group constituted only 23%
of adults in 2011 but it has risen to 31% today.
Continuing in the context of families and children, respondents were asked their opinion on the proposal
to extend GP visit cards to all children aged 5 years or under.
Would you personally be in favour of or opposed to a proposal
to extend GP visit cards to all children aged five years or under
(i.e.:1 to 5 inclusive)?
GP care to children 5 and under
Base: 1,004 adults aged 16+, 3,551,000
Total
1004
%
Male
475
%
Female
529
%
U25
145
%
25-34
190
%
35-49
285
%
50-64
229
%
65+
155
%
Strongly in favour
In favour
Neither in favour
nor against
Against
Strongly against
ABC1
444
%
C2
221
%
DE
263
%
F
76
%
Yes
276
%
No
728
%
GENDER AGE SOCIAL CLASS
RECESSION
HEALTH IMPACT
47
29
13
9
3
44
30
14
9
3
49
28
11
9
3
38
33
14
11
5
49
30
16
3
2
57
27
9
6
2
57
24
11
6
3
33
33
14
14
6
47
26
12
11
3
46
33
14
4
3
50
27
10
4
30
35
20
12
3
50
23
13
10
4
45
31
12
8
3
Yes
390
%
No
614
%
60
23
10
6
2
29
33
16
17
4
9
Almost half suggest that they are strongly in favour of this proposal, with as many as three quarters
broadly in favour. Opposition to the idea registers no higher than 12%, so the margin of preference is
of the order of 6:1.
Support for the proposal is much stronger among parents of young children and among those aged
between 25 and 50. A majority at each age group is in support of the proposal, although a third of over
65 year olds are opposed to the proposal or undecided.
10. THE 2014 PFIZER HEALTH INDEX ILLNESS EXPERIENCE
17
FUNDING OF THE 2014 PFIZER HEALTH INDEX
HEALTHCARE
Health funding by age
Base: All Adults aged 16+, 1,004 / 3,551,000
Neither PMI nor medical card Private medical insurance Have medical card
20%
34%
46%
20%
36%
33% 35%
33%
20%
46%
36%
7%
43%
62%
U25 25 - 34 35 - 49 50 - 64 65 - 70
16
Looking at cumulated data over eight years we are able to examine disease incidence based on a sample
of 8,174 respondents.
Do you suffer from any of the following conditions?
8 years consolidated data
Approximately 4 in 10 adults claim to have one of a number of significant medical conditions. The
incidence of most conditions rises substantially with age, with a majority experiencing one or more
conditions over the age of 50. Illness experience is much less prevalent in those aged under 50.
The 2014 survey illustrates that 11% of the adult population experience high or low blood pressure, with
arthritis experienced by 10% and high cholesterol by 9%.
46%
Almost half of adults up to the age of 35 indicate that they have neither a medical card nor private
medical insurance. The likelihood of holding private medical cover grows from a fifth to more than a
third between 35 and 49 and extends to almost a half (46%) between the ages of 50 and 64.
Conditions personally experienced: 2007 to 2014 combined
Base: All Aged 16+, 8,174 / 3,551,000
402,000
362,000
306,000
210,000
143,000
144,000
146,000
139,000
122,000
87,000
66,000
46,000
20,000
U25
16
1
1
*
9
3
1
*
*
1
*
*
*
*
25-34
19
2
2
1
6
3
2
1
1
3
*
*
1
1
35-49
30
6
4
6
5
4
4
2
3
5
1
1
1
1
50-64
57
21
17
17
5
5
7
7
6
4
4
3
2
1
65+
80
34
36
22
4
4
7
15
12
3
10
5
1
-
Any condition 38%
11%
9%
6%
4%
High/Low Blood Pressure
Arthritis
High Cholesterol
Asthma
Infections
(chest, urinary, ear, throat)
Chronic pain (i.e. head/back)
Heart Disease
Diabetes
Depression
Osteoporosis
Cancer
Obesity
Other mental illness
10%
4%
4%
4%
3%
2%
2%
1%
1%
11. ILLNESS EXPERIENCE THE 2014 PFIZER HEALTH INDEX THE 2014 PFIZER HEALTH INDEX
HEALTH INTENTIONS
19
Illness severity
Base: All Respondents 8,174 / 3,551,000
18
HEALTH INTENTIONS
Respondents were asked about their intention to make positive health changes in the subsequent three
months.
Which of the following, if any, do you think you are likely to do in the
next three months?
Short term* health intentions
Base: 1004 adults aged 16+, 3, 551,000
The proportion indicating that they are prepared to make any change in their life to be healthier continues
to rise. Three categories in particular have grown over the past three years; with a ten percentage point
growth in the number of adults intending to be active and take more exercise, 4% more intending to
lose weight, and a similar number hoping to adopt a more balanced diet. Indeed, these are three of
the most prevalent responses, with becoming active and taking more exercise establishing a strong first
place over the past three years.
Would you consider (your condition) to be severe, moderate, mild or of
no effect to you at all?
Severe Moderate Mild No effect Don’t know
8 years
consolidated
data
46
40
13
34
26
39
32
2
1 1
Severe
Moderate
Mild
No effect
Don’t know
24
43
29
4
18
32
35
13
17
41
31
9
1 1
16
49
33
2
16
46
32
6
1
15
41
40
4
11
36
49
3
9
43
42
6
Chronic
Pain
(356)
%
Cancer
(167)
%
Arthritis
(911)
%
Infections
(339)
%
Osteoporosis
(215)
%
Asthma
(469)
%
Depression
(283)
%
Diabetes
(335)
%
Heart
Disease
(367)
%
Other
mental
illness
(40*)
%
High/Low
Blood
Pressure
(1000)
%
High
Cholesterol
(762)
%
29
25
11
7
46
39
7
*Small base size
The cumulated data on illness experience shows that perceived severity differs substantially by condition.
Those experiencing chronic pain are more likely to regard the condition as more severe, whereas at the
other end of the scale, cholesterol, blood pressure and asthma are all broadly seen as much less severe,
with many considering them to be ‘mild’ or of ‘limited effect’.
3 Year
Change
+10%
+1%
+4%
+4%
+2%
+1%
+2%
0%
+1%
+1%
2011 2013 2014
Being active/taking more exercise
Be less stressed
Try to lose weight
Adopt a more balanced diet
Get more sleep
Give up smoking
Become better informed about health
Reduce alcohol intake
Work less
Visit the doctor more often
25
32
35
20
21
19
14
17
18
12
16
16
12
16
14
8
6
9
5
8
7
444
3
3
4
2
4
%
3
*Likely to do in the next 3 months
12. THE 2014 PFIZER HEALTH INDEX HEALTH ASSESSMENT
6 out of 10 8
21
THE 2014 PFIZER HEALTH INDEX
Base: 1004 329 509 166 276 728
20
HEALTH INTENTIONS
HEALTH ASSESSMENT
Since the introduction of the Pfizer Health Index, respondents have been asked to assess their own
personal health out of ten, where 10 is excellent health and 1 is very poor health.
If you were to assess your own personal health out of 10, where 10
is excellent health and 1 is very poor health, how would you rate
yourself?
2005
%
2007
%
2008
%
2009
%
2010
%
10 out of 10
9 out of 10
8 out of 10
7 out of 10
5 out of 10
1-4 out of 10
2011
%
2012
%
2013
%
2014
%
17
18
26
19
10
6
3
18
19
27
19
9
42
15
16
29
21
11
53
15
20
29
19
9
53
13
16
30
20
12
6
3
11
18
30
20
10
7
31
20
20
25
18
8
53
9
16
30
22
11
8
3
14
19
30
20
6
1
1 1 1 1 1
Don’t know
The vast majority give themselves a very positive mark, with 2 out of 3 assessing themselves as 8 out
of 10 or better. The proportion scoring their health this high has lifted over the course of the survey,
although it fluctuates from year to year.
The average volunteered score, at 7.9 out of 10 is very high, and it should be noted that just 1 in 6 score
their own health as below 7 out of 10.
Those that state being in average or poor health report to intend to be more active in the short term, and
equally have an intention to be less stressed and lose weight. Those who are in poor health are twice as
likely as the rest of the population to want to give up smoking in the short term.
We noted earlier that roughly 28% of the population felt that the recession had in some way negatively
impacted their health. Looking at health intentions of people that felt the recession had in some way
negatively impacted their health, we see that they are considerably more likely to want to adopt an
exercise regime and to want to become less stressed. Weight reduction is also a greater need for them.
1 in 8 claim that they would like to give up smoking in the short term, in comparison with just 1 in 12 of
those for whom the recession has not had a substantial health impact.
.
TOTAL PERSONAL HEALTH RECESSION HEALTH IMPACT
Good Average Poor Has Impacted Not Impacted
% % % % % %
Be active / take more exercise
Be less stressed
Try to lose weight
Adopt a more balanced diet
Get more sleep
Give up smoking
35 27 38 43 39 34
21 16 22 27 28 19
18 7 21 31 22 16
16 12 19 16 16 16
14 12 16 16 15 14
9 7 8 18 12 8
Health intentions by status
Base: Adults aged 16+, 1004 /3,551,000
Become better informed about health 7 6 7 8 8 7
Reduce alcohol intake 4 1 5 6 5 3
Work less 4 3 6 1 3 4
Visit the doctor more often 3 2 2 5 5 1
Don’t know 5 6 5 7 5 6
None of these 23 33 20 12 15 26
Personal health assessment
Base: All adults aged 16+, 1,004 / 3,551,000
Mean 7.8 7.9 7.8 7.9 7.7 7.6 8.0 7.5 7.9
13. HEALTH ASSESSMENT THE 2014 PFIZER HEALTH INDEX THE 2014 PFIZER HEALTH INDEX
TRENDS IN SMOKING
Smoking Past Week by Demographics
Female Insurance Neither
%
27
27
30
24
27
23
Personal health by demographics
Base: 1,004 adults aged 16+, 3,551,000
6 out of 10 8
6
11
7
9
8
7
6
13
9
7
9
8
9
Average 2014 7.9 8.0 7.7 8.3 8.2 8.0 7.3 7.3 8.0 8.0 7.6 7.9 7.8 8.0
Health perception is strongly a function of age but while average scores weaken over the age of 50, this
is mainly attributable to the vast majority giving themselves 7 or 8 out of 10, rather than 9 or 10 out of
10, as is more prevalent below the age of 50.
Men tend to be more positive about their own health than women, as do younger adults under the age
of 35 years.
22
ALL
ADULTS
2014
%
Male
%
Female
%
U25
%
25-34
%
35-49
%
50-64
%
65+
%
10 out of 10
9 out of 10
8 out of 10
7 out of 10
5 out of 10
14
out of 10
ABC1
%
C2
%
DE
%
F%
Urban
%
Rural
%
14
19
30
20
61
15
21
32
18
62
14
17
29
22
62
29
22
24
11
23
16
27
32
14
31
17
20
32
17
61
4
13
32
32
10
4
7
11
31
27
9
2
15
21
29
21
41
19
15
36
16
6
2
11
17
31
21
8
3
14
27
21
23
71
13
17
32
21
53
17
22
29
18
71
SMOKING
The number of respondents who smoke continues to decline year on year. In 2014, 25% of participants
reported to smoke, down significantly from 33% in 2012.
When did you last smoke cigarettes?
Incidence of Smoking
Base: 1,004 adults aged 16+, 3,551,000
Past week Past month Past year
33
1 1
33
1 1
33
28
2
1
25
1
1
2010 2011 2012 2013 2014
HEALTH
Medical
Card
Private
% % %
Good Average Poor
% % %
GENDER
2010
2011
2012
2013
2014
35
35
35
27
27
25
25
30
16
21
33
33
32
26
27
33
33
40
34
39
38
38
39
37
38
17
17
17
11
11
It is also noteworthy that the incidence of smoking among those who believe they are in good health
stands at just 21%, rising to 27% among those who believe themselves to be in average health, and
39% among those who believe they are in poor health.
36
36
39
23
29
HEALTH COVER
Male
%
31
31
33
25
23
14. PRIORITISATION OF
HEALTH THE 2014 PFIZER HEALTH INDEX
THE 2014 PFIZER HEALTH INDEX
Ranking of personal concerns, 2014
Base: Adults aged 16+
Greatest % Second % Third % Of concern
Health & welfare of family 30 23 15 12
10
5 7 15 27
7 8 8 20
5 4 8 18
24
If you were made Minister for Health, could you give me the order in
which you would address the following priorities? Only rate those you
feel you would want to address.
Medium term change* in prioritisation of health issues 2011-2014
Since the initiation of the Index the vast majority of adults place greatest focus on providing more
hospitals or indeed hospital beds. This remains the number one concern for most, but the introduction
into the survey of free universal healthcare, even with the need to increase taxes, has served to depress
the extent to which hospital beds are the number one priority. A fifth now give their first vote to the
introduction of free universal healthcare, the proportions scoring it first, second or third, have doubled to
38% since it was first mooted in 2011.
There is also a greater perceived need to provide more medical cards and to implement screening
programmes.
25
PRIORITISATION OF
HEALTH
THE PRIORITISATION OF HEALTH
Since the introduction of the Pfizer Health Index, a series of questions has been posed to ask the public
how they prioritise health relative to other facets such as finances and money, happiness, job security
and so on.
Thinking about the future which of the following would concern you
most? Which second? Third? And which others are of concern to you
at all?
All Vs 2013
+6
+1
+3
+3
-1
+4
+4
20 22 16 15
19 15 15
21
16 16
Personal health
Finances/money
Cost of living
Being happy
Job security
Children being successful
24
At all
80
73
70
66
54
43
35
Comparing 2014 data to that collected in 2013, we see an increase in the prioritisation of the health and
welfare of one’s family. Indeed, both personal health and family health have risen as overall priorities.
We also see much greater focus being placed on finances and money as well as on the cost of living.
First Second Third
Provide more hospital beds
Introduce free universal healthcare
(and need to increase taxes)
Provide more access to GPs
Provide more access to non GP/non-hospital services
Implement screening programmes
Reimburse the cost of medicine
Provide more medical cards
Implement public awareness campaigns
Give people tax incentives to be healthier
Tax cigarettes & alcohol more heavily
Tax food & drinks that people should consume
less of (fatty/fast)
Provide more medical cards
47 13 8
%
2011
2014
2011
2014
2011
2014
2011
2014
2011
2014
2011
2014
2011
2014
2011
2014
2011
2014
2011
2014
2011
2014
68
41 19 11 71
9 6 5 20
20 11 7 38
8 13 7 28
6 12 12 30
4 15 13 32
6 12 14 32
5 8 10 23
5 10 12 27
3 7 10 20
4 8 9 21
7 8 7 22
7 10 8 25
2 4 5 11
2 3 6 11
3 4 7 14
4 3 6 13
4 5 4 13
3 5 4 12
1 3 3 7
2 3 4 9
*Change from 2011-2014
15. SOCIAL CLASS
DEFINITIONS THE 2014 PFIZER HEALTH INDEX
METHODOLOGY
SOCIAL CLASS DEFINITIONS
The market research industry classifies respondents relative to the occupation of the Head of Household.
In other words, a working adult, still living in the parental home, will be classified relative to their parents’
classification.
A: These are professional people, very senior managers in business or commerce or top-level
26
civil servants.
B: Middle management executives in large organisations, with appropriate qualifications.
Principal officers in local government and civil service, top management or owners of small
business concerns, education and service establishments.
C1: Junior management, owners of small establishments, and all other non-manual positions.
ABC1’s: All of the above: approximately 40% of the population. Collectively ABC1’s are referred to
as middle class.
C2: All skilled manual workers and those manual workers with responsibility for other people.
C2s are approximately 22% of the population.
D: All semi-skilled and unskilled workers, apprentices and trainees to skilled workers.
E: All those entirely dependent on the state, long term, through sickness, unemployment, old
age or other reasons. Those unemployed for a period exceeding six months, casual workers
and those without regular income.
DE’s: Represents approximately 30% of the total population.
C2DE’s: 52% of the adult population and referred to as lower socio-economic.
F: A separate social grade in Ireland, referring to farmers and their dependents. This group has
contracted very severely over the past 15 years to about 7% of population, having been
over 20% at one stage.
THE 2014 PFIZER HEALTH INDEX
HOW THE RESEARCH WAS UNDERTAKEN
The 2014 Pfizer Health Index was conducted as a sample survey of 1,004 adults aged 16 and over, with
interviewing undertaken on a face-to-face basis, in-home.
The purpose of the survey is to update national perceptions of health and wellbeing, using a questionnaire
which has remained broadly the same since the study was introduced nine years ago. Greater focus has
been placed on certain aspects from year-to-year and the broad topic in focus in 2014 is the recovery
from recession and the impact it has had on the national health and psyche.
The Pfizer Health Index has been conducted annually since 2005. Data on disease incidence and
experience has been cumulated across the various years, providing us with a more stable and robust
dataset, and enabling greater focus on individual diseases and conditions.
The study is a nationally representative survey of the adult population and uses quota controls to reflect
the latest census of population in terms of gender, age, region and area of residence. Standard social
class quota controls are also imposed based upon industry agreed estimates. Social class is determined
by the occupation of the Head of Household or Chief Income Earner, and the following terminologies
are used; AB, people from higher professional and managerial backgrounds; C1, those from lower middle
class backgrounds; C2, those from skilled working class backgrounds; D, those from unskilled working class
backgrounds; E, those who survive solely on State payments (and/or who don’t have a private pension)
and F, farmers and their dependants. Sampling points are chosen in proportion to population within a
predetermined regional framework, and interviewing is distributed across 63 sampling locations, which
are chosen randomly within this regional structure.
Fieldwork on the research was undertaken between 31st March and 9th April of 2014.
Interviewing is undertaken by highly trained and closely supervised members of Behaviour & Attitudes
interviewer panel, and detailed back checks on completed interviews are undertaken. The interview itself
is administered on small portable netbook computers; the questions are asked and the data entered by
the interviewer, rather than by the respondent. The data is transmitted in an encrypted format.
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