© Yankelovich, Inc. 2006 The Segmentation Company a division of Yankelovich © Yankelovich, Inc....

© Yankelovich, Inc. 2006The Segmentation Company a division of Yankelovich 1© Yankelovich, Inc. 2008The Segmentation Company a division of Yankelovich

prepared for: CIGNASeptember/October 2008

Health & the Economy


• In addition to the cost of gas, healthcare and keeping up with the cost of living, Americans show high concern for today’s economy.– Ninety percent of Americans are very/a little worried about the economy.

• Those generations approaching retirement show higher economic concern, as over 7 in 10 Americans between the ages of 45 and 64 are very worried.

– Since September, more Americans are very worried about the stock market.• Again, Americans between the ages of 45 and 64 are most worried.

• About one in three Americans say that today’s economy has caused them to change their health behavior.– Of those that admit the economy has impacted their health behavior:

• Over half (55%) say they are taking better care of their health.– To achieve this end, more than six in ten say they are exercising more and

eating healthier.• While four in ten (41%) say they are taking worse care of their health.

– Thirty-five percent of these Americans say that they are not going to the doctor as often/at all as a result.

There Is a Link Between the Economy and American Health Behaviors


27%

24%

29%

41%

33%

30%

38%

26%

18%

65%

67%

59%

46%

54%

50%

31%

39%

25%

0% 10% 20% 30% 40% 50% 60% 70% 80% 90% 100%

The economy

The cost of gasoline

The cost of healthcare

The cost of food

Keeping up with the cost of living

The cost of medicine

The stock market

Being able to retire as planned

Your job security

Please tell me whether you are very worried, a little worried, or not at all worried about:

(Summary of Very/A little worried)

America’s Top Three Concerns: the Economy, the Cost of Gas, and the Cost of Healthcare

America’s Top Three Concerns

• Roughly half of Americans are also very worried about keeping up with the cost of food (46%), cost of living (54%), and the cost of medicine (50%).

A little worried Very worried

92%91%

88%

87%

80%

69%

65%

43%

87%

*Base: Among Total, N = 1,004. Data from September 12th – 15th.


26%

31%

35%

27%

38%

30%

30%

26%

22%

64%

55%

44%

52%

38%

42%

42%

32%

15%

0% 10% 20% 30% 40% 50% 60% 70% 80% 90% 100%

The economy

The cost of gasoline

Keeping up with the cost of living

The cost of healthcare

The cost of food

The cost of medicine

The stock market

Being able to retire as planned

Your job security

Please tell me whether you are very worried, a little worried, or not at all worried about:

(Summary of Very/A little worried, Data from Oct. 2nd – 5th)

The Economy Remains the Number One Concern

*Base: Among Total, N = 1,004. Data from October 2nd – 5th.

America’s Top

Concerns

• Since September 12th – 15th, more Americans are “very worried” about the stock market. Other areas have seen a decline in the number “very worried.”

A little worried Very worried

90%

86%

79%

76%

72%

72%

58%

37%

79%

11 percentage point increase saying “very

worried” since Sept. 12 – 15


• Women are more likely than men to change the way they take care of their health because of today’s economy (41% vs. 30%).

No, 64%

Yes, 36%

Has today’s economy caused you to change the way you take care of your health?

The Economy Has Impacted a Third of Americans’ Health Behaviors


Men

Women

Yes30%

41%


• Women are still more likely than men to change the way they take care of their health because of today’s economy (26% vs. 36%).

No, 68%

Yes, 31%

Don't know,

1%

Has today’s economy caused you to change the way you take care of your health?

(Data from Oct. 2nd – 5th)

With Volatility in the Market, About a Third Still Say Their Health Behaviors Have Been Impacted


Men

Women

Yes26%

36%


Many Americans Are Taking Better Care of Their Health Due to the Economy

*Base: Among Those that said Yes, the Economy has Changed My Health Behaviors, N = 334 compared to Among Total, N=1,004 (Sept. 12 – 15)

55%

41%

4%

Better Care

Worse Care

Don't know/Refused

And as a result of today’s economy, are you taking better or worse care of your health?*

• Among those who say that today’s economy has caused them to change the way they take care of their health, over half say they are taking better care (55%).

No, 64%

Yes, 36%

Has today’s economy caused you to change the way you take

care of your health?

Men

Women

Better Care

54%

56%

Worse Care

41%

41%


Americans Say They Are Exercising More and Eating Healthier to Stay On Top of Their Health

What sorts of things are you doing to take better care of your health?* (Unaided question, multiple responses recorded)

61%

60%

26%

19%

19%

19%

15%

14%

12%

14%

4%

Exercising More

Eating Healthier

Making sure to get regular health checkups, screening, etc.

Cooking/ Eating at home more often

Cutting back on fats/ Fatty foods

Eating more fruits and vegetables

Drinking more water

Cutting back on junk food, sweets, etc.

No longer smoke/ Cutting back on smoking

Something else

Don't know/ Refused

*Base: Among Those that said Yes, the Economy has Changed My Health Behaviors AND I’m taking BETTER care of my health, N = 168 (Sept. 12 – 15)

Better care,

55%

Worse care, 41%

Don't know, 4%

And as a result of today’s economy, are you taking better or worse care of your

health?


For Those Who Are Taking Worse Care, Many Are Not Going To the Doctor as Often

*Base: Among Those that said Yes, the Economy has Changed My Health Behaviors AND I’m taking WORSE care of my health N = 148 (Sept. 12 – 15)

How are you changing the way you take care of your health?* (Unaided open-end, responses were coded)

35%

17%

10%

4%

4%

4%

3%

3%

7%

15%

Not going to the doctor often/ at all

Taking medications less often/ not at all

Can't afford to eat properly/ Eating less healthy foods

Not going to the dentist as often/ at all

Having no health insurance

Not getting checkups/ preventative care

Spending less money (unspecified)

Can't afford gym/ health club/ Exercising less

Other

Not SureBetter care, 55%

Worse care,

41%

DK, 4%

And as a result of today’s economy, are you taking better or worse care of your

health?


• Americans recognize the importance of their health, and many would like ways to improve it.

– Nine in ten agree/strongly agree that now more than ever a healthy diet and regular exercise are crucial to safeguarding their health.

– Thirty-six percent say their health is important and that they exercise and eat well whenever they can, and just over a quarter (27%) say they work on their health every day.

– Looking ahead, many Americans say they will be more likely to engage in specific healthy behaviors such as exercising and eating healthier in response to today’s economy.

– However, about a third (30%) of Americans recognize they should be doing more or could use help.

• Many Americans recognize that maintaining a healthy lifestyle will benefit them in the long run, including increased wealth and saving money.

– Seventy-eight percent of Americans believe that exercise and eating right can save you money in the long run.

– More than six in ten (65%) agree/strongly agree that “Better health can lead to greater wealth.”– Over half (54%) believe that a healthy lifestyle can help you earn more money in the long run.

• However, today’s concerns (cost of food, cost of healthcare, the economy, etc.) are preventing some Americans from investing in those long term benefits:

– Many Americans agree/strongly agree that healthy meals are more time consuming (44%) and difficult to prepare (36%).

– Sixty-three percent of Americans agree/strongly agree that healthy foods cost more than unhealthy foods.– Almost half (49%) agree/strongly agree that “being healthy is expensive.”

Americans See the Benefits of Investing in Good Health, Yet Many Perceive Cost As a Barrier


• And fewer than one in four (22%) agree that it takes too much time to exercise.

51%

50%

19%

41%

41%

3%

0% 10% 20% 30% 40% 50% 60% 70% 80% 90% 100%

Now more than ever, a healthy diet is crucial to

safeguard your health

Now more than ever, regular exercise is crucial to

safeguard your health

It takes too much time to exercise

Now More Than Ever: Exercise and a Healthy Diet Are Crucial to Safeguarding Health


Agree Agree Strongly

92%

91%

22%

Would you say you agree strongly, agree, disagree or disagree strongly with each of the following?

(Summary of Agree strongly/Agree)


Looking Ahead, Americans Anticipate Changing Their Behavior

11%

14%

17%

18%

27%

13%

20%

19%

20%

24%

75%

64%

63%

61%

47%

0% 10% 20% 30% 40% 50% 60% 70% 80% 90% 100%

Eat at home rather

than eating out

Take better care of

your health

Eat healthier

Exercise

Get regular checkups,

screenings, etc.

Less likely

No change More likely

Given the state of today’s economy, are you more or less likely to do each of the following things in the next 12 months?

• Given the state of the economy, Americans see the need to change their habits.• Many say they are more likely to engage in healthy behaviors over the next year.



• Nearly two thirds of Americans say their health is a priority.• About a third have good intentions; saying they should be doing

more, or could use help.

36%

27%

24%

6%

4%

2%

1%

My health is important - I exercise and eat well whenever I can

My health is something I work on every day

I believe I should be doing more to improve my health

I could use help in improving my health

I am not particularly concerned with my health

I do not believe I have any control over my health

Don't know/Refused

Which of the following statements best describes the priority you place on a healthy lifestyle?

While Most Americans Say They Lead Healthy Lives, Many Want to Improve Their Health

63% of Americans say their health is a

priority.

… and 6% aren’t concerned or feel

they have no control.

… 30% have good intentions.



• Americans agree that in the long run, healthy behaviors can:– Help you save money and– Help you earn more money.

93%

93%

91%

85%

78%

77%

54%

2%

Help you enjoy life more

Improve your energy

Help you lead a longer life

Help you take better care of your family

Save you money in the long run

Help you be more productive at work

Help you earn more money in the long run

None of these

Thinking about the possible benefits of healthy behaviors, what do you think exercise and eating right will do for you? Will it…

(Percent saying “Yes, it will”)

Many Americans Link Healthy Behaviors To Having More Money

*Base: Among Total, N = 1,004 (Multiple Responses Allowed) (Sept 12 – 15)


• While one-in-three disagree and do not see the link between health and prosperity.

18%

47%

29%

4%

2%

Strongly Agree

Agree

Disagree

Strongly Disagree

Don't know

“Better health can lead to greater wealth”

Most Americans Agree Better Health Leads to Greater Wealth

65% of Americans

agree.



• Many find healthy meals more time-consuming (44%) or difficult (36%) to prepare.• Furthermore, many agree that healthier foods cost more (63%).

37%

31%

32%

26%

26%

18%

12%

10%

Healthy foods cost more than unhealthy foods

Being healthy is expensive

Healthy meals are more time consuming to

prepare

Healthy meals are more difficult to prepare

However, Americans Also Agree that Being Healthy Costs Time and Money

Cost

Time / Effort

Agree

63%

49%

44%

36%

Agree Strongly

Would you say you agree strongly, agree, disagree or disagree strongly with each of the following?

(Summary of Agree strongly/Agree)



• Americans are very interested in a number of health services, but few actually know if their health plan offers them.– Seventy-eight percent of Americans have interest in a website that shows

the price you’d pay at different pharmacies to find the best deals on medications.

• However, only 15% of Americans know if their health plan offers this service.– Seventy-five percent of Americans would like to discounts for weight loss

programs, fitness centers, etc., • But less than three-in-ten (28%) know if their health plan offers this option.

– More than seven-in-ten Americans (71%) would like a phone number to call, or a website to access, in order to get a price for a doctor visit or other common test or procedure before they go.

• However, only 25% of Americans know if their health plan offers this service.

• Younger Americans are more interested in health services than older consumers.– More than nine-in-ten Americans (94%) aged 18-24 would like a website that

shows prices at different pharmacies (to find the best deals on medications).• Whereas only 54% of Americans aged 65 or older show interest.

– Eight-in-ten younger Americans show interest in access to an Employee Assistance Program to improve work/life balance or cope with personal/family issues.

• Less than four-in-ten Americans (35%) aged 65 or older show interest.

Americans Aren’t Sure What Their Health Plan Offers


Americans Want as Much Health Help as They Can Get

Age

Total 18-2425-34

35-44

45-54 55-64 65+

A website that shows the price you’d pay at different pharmacies (to find the best deals

on medications)78% 94% 92% 76% 77% 76% 54%

The ability to get ratings of your doctors based on the opinions of their existing

patients77% 75% 86% 81% 79% 74% 63%

The ability to order your medications by phone or online for home delivery

76% 82% 80% 78% 73% 74% 68%

Discounts for things like weight loss programs, fitness centers, massage

therapy, and chiropractic care75% 84% 83% 82% 78% 69% 55%

The ability to speak to a nurse 24 hours a day

74% 73% 83% 76% 73% 71% 69%

A phone number to call/website to get a price for a doctor visit or other common

test/procedure71% 74% 83% 73% 72% 72% 51%

Access to an Employee Assistance Program to improve your work/life balance or cope

with issues67% 80% 77% 74% 69% 68% 35%

Online coaching or health information 60% 62% 67% 66% 60% 61% 44%

Health coaching over the phone 43% 38% 51% 42% 44% 46% 32%

The following services would be helpful:

• Younger generations generally find health services more useful than older consumers.



Yet Few Americans Say They Are Aware Their Health Insurance Provider Offers the Services They Want

Do you know if your health insurance offers any of the following services?

47%

39%

35%

29%

28%

25%

17%

15%

The ability to order your medications by phone or online for home

delivery

The ability to speak to a nurse 24 hours a day

Access to an Employee Assistance Program to improve your work/ life

balance or cope with issues

Online coaching or health information

Discounts for things like weight loss programs, fitness centers,

massage therapy, and chiropractic care

A phone number to call/ website to get a price for a doctor visit or

other common test/ procedure

Health coaching over the phone

A website that shows the price you’d pay at different pharmacies (to

find the best deals on medications)



The Gap Between What Services Americans Want and Which They Know Are Offered Is Significant

Gap between Services Desired and Known Offered

75%

71%

74%

67%

60%

76%

43%

15%

28%

25%

39%

35%

29%

47%

17%

78%A website that shows the price you’d pay

at different pharmacies (to find the best

Discounts for things like weight loss

programs, fitness centers, massage therapy

A phone number/website to get a price for

a doctor visit or common test/procedure

The ability to speak to a nurse 24 hours a

day

Access to an Employee Assistance Program

help improve your work/life balance

Online coaching or health information

The ability to order your medications by

phone or online for home delivery

Health coaching over the phone

Services Americans find helpful

Services Americans are awaretheir health insurance provides

Gap of 63 percentage points

47

46

26

29

31

32

35



Methodology

• Two separate telephone interviews were conducted among a national probability sample of 1,004 American adults 18 years of age or older, living in private households in the continental United States.

• These random-digit-dial samples were fully replicated and stratified by region. Only one interview was conducted per household. All sample numbers selected were subject to up to four attempts to complete an interview.

• The interviews took place between the 12th and 15th of September and the 2nd and 5th of October, 2008. The second survey was fielded in response to increasing uncertainty about the economy.

• Data are weighted by age, gender, geographic region, and race to ensure reliable and accurate representation of the population.

• The sampling error for this study is +/- 3%.

© Yankelovich, Inc. 2006 The Segmentation Company a division of Yankelovich © Yankelovich, Inc....

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