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Health and Wellness 2011
                                                   U.K.
                                        Ireland       Netherlands
        Canada                             Belgium          Poland
                                           France Germany Czech Republic
               U.S.                                          Hungary

                                                                             China
        Mexico                                                   India

                                  Colombia
19 countries
                             Brazil
Combined
population:                                                                    Australia
                                                   South
 3.6 billion          Argentina                    Africa


 n=7,213



               Extensive online survey created by Euro RSCG
                 and fielded by Market Probe International


                                                                         2
an exploration of a universal
human concern




                                3
In the past, physicians had a   Today, medical knowledge
monopoly on medical                    and tools are widely
knowledge                                       accessible


                                         4
In the past, treatments were   Today, medicine is based on
superstitious remedies and      rationalism and technology
prayers


                                        5
In the past, medical concepts       Today, concepts and
were dependent on cultural      practices are increasingly
factors                                      standardized


                                       6
In the past, health was a    Today, health is a major
taboo, a sign of God        media theme all over the
                                                world


                                   7
In the past:                          Today:

_ Physicians had a monopoly on    _ Medical knowledge and tools are
  medical knowledge                 widely accessible


_ Treatments were superstitious   _ Medicine is based on rationalism
  remedies and prayers              and technology


_ Medical concepts were tied to   _ Concepts and practices are
  culture                           increasingly standardized


_ Health was a taboo, a sign of   _ Health is a media major theme all
  God’s pleasure or wrath           over the world


                                                 8
WHAT’S THE NEXT MAJOR
SHIFT?




                9
A new tension is driving a revolution in how consumers think
about health and wellness…




Growing sense of                       Growing sensitivity to
control                                financial cost




                                          10
the new tension




Growing sense of   Growing sensitivity to
control            financial cost




                     11
Prosumers are changing the
healthcare equation—
becoming increasingly informed
and proactive in matters related
to health and wellness

shifting balance of power away
from medical authorities and
toward themselves




             12
what started with obesity
is expanding to other
diseases

feelings of personal
responsibility stem from
sense of control


 Majority of survey respondents
 agree they have some/a lot of
 control over illness in general—
 reflecting understanding of role
 of lifestyles in modern maladies
 (people less apt to die of
 disasters or communicable
 disease in their youth, but of
 malfunctioning and decay of
 body systems over time)


                                    13
In just about every instance, Prosumers are more confident
in their ability to control whether they get sick


                                                                                80
                        Obesity                                            70
                                                                                80
    Sexually transmitted disease                                           70
                                                                      63
                       Diabetes                                 55
                                                                          66
               Illness in general                               54
                                                                     60
                    Depression                                 52

                  Heart disease                                51
                                                                    59               Prosumers
                                                          42
                      Pandemic                          37                           Mainstream
                                                     36
                   Body cancer                     32
                                                   31                                             % saying they
               Mental disorders                   28
                                             21
                                                                                                  have a lot of/some
     Degenerative brain disease              21                                                   control over
                   Blood cancer          20
                                         19
                                                                                                  whether they
                                                                                                  contract these
                                         17
                    Brain tumor          17                                                       diseases/ailments

                                    0   20         40          60              80



                                                                                         14
Mexico
     Colombia
   South Africa
          India
     Argentina
      Australia
      Hungary
        Poland
           U.K.
           U.S.
                                                                No Control
      GLOBAL
                                                                Control
      Canada
Czech Republic
         China
          Brazil
     Germany
        Ireland
                                                Sense of control over
        France                                  illness in general also
   Netherlands
                                                influenced by cultural
       Belgium

                   0   10   20   30   40   50
                                                factors 70
                                                    60        80




                                                     15
disease is no longer considered just
bad luck but also bad management




                                       16
under these new circumstances, how
is the modern consumer exerting
control over his/her health?




                                     17
we can’t change heredity or chance, but we
      can control behaviors and lifestyle
       factors that help or harm our health




                      18
the new tension




Growing sense of   Growing sensitivity to
control            financial cost




                     19
even as we feel more empowered to take control
of our health, we are increasingly mindful of
financial perils of succumbing to illness



     lost wages            doctor visits


            insurance rate hikes
                                       tests and
                                       procedures
hospitalization
                     pharmaceuticals




                                           20
growing awareness of
                                                            individual lifestyle
                                                            choices contributing
                                                            to collective burden




Graphic by Joel Hrubesch; source: http://www.insideec.com
                                                               21
governments overwhelmed by
rising costs = reduced confidence
in state-provided safety net




                                    22
as a consequence, more             4 in 10 say
pressure on individuals to     companies should
                               not be required to
reduce financial burden they     pay for health
represent                        coverage for
                                employees who
                                     smoke




                                  23
how did New York City choose to spend $31.1MM
received in grants under Recovery Act?
on anti-obesity and anti-smoking “interventions”




                                         24
prevention is cheaper than cure—
adding to pressure on individuals
to “live right”




                                    25
the new tension



Growing sense of   Growing sensitivity to
control            financial cost




                     26
new sense of power over health
brings with it anxiety…



                      Am I making the right decisions?




   Which sources of information should I trust?



                                            What more could I be doing?


                                                      27
…and, often, leads to counterproductive feelings
(e.g., guilt, embarrassment, shame, frustration)


                                         28
creating new typologies of fear




     How can I protect myself and
     my family from things outside
     my control—e.g., cell-phone
     waves?



                    How do I reduce the feelings of
                    anxiety and stress that I know are
                    bad for my body?




                                         29
how to resolve the tension?


Growing sense of                  Growing sensitivity to
control                           financial cost




               1. Change your lifestyle


   2. Change your relationship with your physician

                                     30
how to resolve the tension?


Growing sense of                      Growing sensitivity to
control                               financial cost




                   1. Change your lifestyle


   2. Change your relationship with your physician

                                        31
75% of
                             Prosumers and
                             63% of
                             mainstream try to
                             “listen” to their
                             bodies more than
                             they used to
connect to natural rhythms




                                   32
                              32
embrace ancient practices and
philosophies




 Around 40% of American adults swear
 by some form of complementary and
 alternative medicine [U.S. News & World Report]

 In U.K., sales of complementary meds
 expected to shoot up 60% between
 2011 and 2016 [Mintel]



                                                   33
protect and promote
brain health




      34
the brain functions as body’s “control
center”: what we think plays vital role in
how we feel




            4 in 10 believe “most illness is
         psychosomatic—it’s all in your head”


                                             35
6 in 10
believe “powerful
thoughts can help
heal a person”




                    36
brain health seen
as particularly                   worst   best
vulnerable to
modern life




 bad for brain   good for brain




                                          37
focus on brain health intensifying as
populations age
intelligence no longer considered “fixed” for life
(brain as muscle to be “pumped up”)




     1 in 4
     believe
     computer
     games have
     positive impact
     on brain health



                                                     38
diet also growing in perceived
importance as weapon in fight for
lasting health




                                    39
era of “superfoods” has elevated diet
as a means to a longer, healthier life




   76% of Prosumers and 63% of mainstream are
   much more aware of nutritional/health value
     of the food they eat than they used to be




                                                 40
78% of Prosumers and 66% of the mainstream
believe “food is as effective as medicine in
maintaining one’s overall health”




                                        41
91% of
 Prosumers and
      77% of
   mainstream
believe eating a
healthful diet has
a positive impact
 on brain health




 42
And yet…




…only 37% trust the food industry to provide
consumers with healthful food…



                                          43
lack of trust in food industry is particularly evident in Europe
                                             44
                                                   44
…and 7 in 10 are moderately to extremely
concerned about food safety




                                       45
67% of Prosumers and 58% of the mainstream worry about
the health impact of the artificial ingredients and coloring
agents they eat and drink




                                           46
how to resolve the tension?


Growing sense of                  Growing sensitivity to
control                           financial cost




               1. Change your lifestyle


   2. Change your relationship with your physician

                                     47
seek out additional sources of
health information




67% of Prosumers and 52% of mainstream pay a lot of
attention to health issues and consider themselves well
informed in this area

                                        48
question authority

      60% of Prosumers and 42%
      of mainstream are more
      apt to ask for a second
      medical opinion than they
      used to be*

      62% of Prosumers and 44%
      of mainstream no longer
      automatically accept
      what their doctors tell
      them*


*Euro RSCG Worldwide, The New Consumer (2010)—U.S. sample




                                                            49
find or create
supportive health-
centered communities



   75% of Prosumers and
   62% of mainstream
   say the Internet is a
   good source of
   information and
   support for people
   with health problems*


*Euro RSCG Worldwide, The New Consumer (2010)—U.S. sample




                                                            50
get empowered with new
diagnostic tools, at-home medical
equipment, monitors, etc.




                                    51
be a smarter health
consumer




                      52
act as your own primary
care specialist




                          53
KEY TAKEWAYS FOR MARKETERS




                    54
consumers are looking for brand
partners to serve as wellness
advocates and make it easier to live
more healthfully




                 55
“Promise Keeper” app allows people to
share when they go for a run and tweets
when person fails to exercise




                                          56
Apple’s Design + Health kit is intended to help designers
exercise, keep proper ergonomic posture at keyboard, and
eat right




                                        57
Swiss Life online health dashboard permits
consumers to evaluate allergy levels and receive
alerts about local air pollution




                                        58
consumers are looking for
products and services that
stave off mental effects of
aging




         59
individualized products
and programs fit modern
lifestyles


                          60
food for (improved) thought




                              61
bringing age-old health
                                   benefits to 21st century


Tracking quantity and quality of sleep and daily water intake


                                               62
Old = scold
New = affirmation

                    63
consumers looking for brands offering a sense
of protectedness and peace of mind




                                         64
65
Ford Sync lets drivers monitor health on the go, including glucose and
 allergen levels




technology for healthier
living

                                                       66
Conflicting and ever-changing recommendations have built up confusion
   around health—especially with regard to health values of specific foods



a need for clarity
and reassurance




                                                     67
consumers long to reconnect with nature,
in a holistic approach to life




                                           68
69
reminders of simpler, more “authentic”
times and places




                                         70
“Every patient carries
her or his own doctor
inside.”
                –Albert Schweitzer




                        71
For more insights from Euro RSCG research, including the Health and
Wellness white paper, visit www.prosumer-report.com
And follow us on Twitter (@prosumer_report)


                                                    72
Images courtesy of Creative Commons @flickr.com

_ 4: xtopher42 (plague doctor)                          _ 29: stuant63 (fear)
_ 5: Truthout.org (voodoo doll); Rosie O’Beirne (MRI)   _ 32: thekellyscope (meditation)
_ 6: rperlin83 (Vietnamese medicine)                    _ 33: CeeKay’s Pix (Chinese health balls)
_ 7: Realistic Imaginations (will of God)               _ 34: Digital Shotgun (brain)
_ 11: Korean Resource Center (“For Health” poster)      _ 35: dontcallmeikke (eye)
_ 12: Cougar-Studio (crosswalk)                         _ 39: Ron Dressel (onions)
_ 14: marymactavish (superheroes)                       _ 40: Bonita Sarita (honey)
_ 15: ToastyKen (globe)                                 _ 41: tantek (itsu)
_ 16: DrewOtt (Chaos sculpture)                         _ 45: Microbe World (E. coli)
_ 17: Jason Pier in DC (man flexing)                    _ 48: Neighborhood Centers (health fair)
_ 18: David Feltkamp (Fitness First)                    _ 54: Polycart (shopping carts)
_ 19: stevendamron (bills)                              _ 64: welshkaren (baby and dog)
_ 20: urbanbohemian (medical bills)                     _ 65: LoopZilla (Boots Health Club)
_ 27: sleepy.demon (anxiety)                            _ 68: DWinton (kayaker)
_ 28: artfulblogger (dieting note)                      _ 71: Loving Earth (self hug)




                                                                              73

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

  • 1. 1
  • 2. Health and Wellness 2011 U.K. Ireland Netherlands Canada Belgium Poland France Germany Czech Republic U.S. Hungary China Mexico India Colombia 19 countries Brazil Combined population: Australia South 3.6 billion Argentina Africa n=7,213 Extensive online survey created by Euro RSCG and fielded by Market Probe International 2
  • 3. an exploration of a universal human concern 3
  • 4. In the past, physicians had a Today, medical knowledge monopoly on medical and tools are widely knowledge accessible 4
  • 5. In the past, treatments were Today, medicine is based on superstitious remedies and rationalism and technology prayers 5
  • 6. In the past, medical concepts Today, concepts and were dependent on cultural practices are increasingly factors standardized 6
  • 7. In the past, health was a Today, health is a major taboo, a sign of God media theme all over the world 7
  • 8. In the past: Today: _ Physicians had a monopoly on _ Medical knowledge and tools are medical knowledge widely accessible _ Treatments were superstitious _ Medicine is based on rationalism remedies and prayers and technology _ Medical concepts were tied to _ Concepts and practices are culture increasingly standardized _ Health was a taboo, a sign of _ Health is a media major theme all God’s pleasure or wrath over the world 8
  • 9. WHAT’S THE NEXT MAJOR SHIFT? 9
  • 10. A new tension is driving a revolution in how consumers think about health and wellness… Growing sense of Growing sensitivity to control financial cost 10
  • 11. the new tension Growing sense of Growing sensitivity to control financial cost 11
  • 12. Prosumers are changing the healthcare equation— becoming increasingly informed and proactive in matters related to health and wellness shifting balance of power away from medical authorities and toward themselves 12
  • 13. what started with obesity is expanding to other diseases feelings of personal responsibility stem from sense of control Majority of survey respondents agree they have some/a lot of control over illness in general— reflecting understanding of role of lifestyles in modern maladies (people less apt to die of disasters or communicable disease in their youth, but of malfunctioning and decay of body systems over time) 13
  • 14. In just about every instance, Prosumers are more confident in their ability to control whether they get sick 80 Obesity 70 80 Sexually transmitted disease 70 63 Diabetes 55 66 Illness in general 54 60 Depression 52 Heart disease 51 59 Prosumers 42 Pandemic 37 Mainstream 36 Body cancer 32 31 % saying they Mental disorders 28 21 have a lot of/some Degenerative brain disease 21 control over Blood cancer 20 19 whether they contract these 17 Brain tumor 17 diseases/ailments 0 20 40 60 80 14
  • 15. Mexico Colombia South Africa India Argentina Australia Hungary Poland U.K. U.S. No Control GLOBAL Control Canada Czech Republic China Brazil Germany Ireland Sense of control over France illness in general also Netherlands influenced by cultural Belgium 0 10 20 30 40 50 factors 70 60 80 15
  • 16. disease is no longer considered just bad luck but also bad management 16
  • 17. under these new circumstances, how is the modern consumer exerting control over his/her health? 17
  • 18. we can’t change heredity or chance, but we can control behaviors and lifestyle factors that help or harm our health 18
  • 19. the new tension Growing sense of Growing sensitivity to control financial cost 19
  • 20. even as we feel more empowered to take control of our health, we are increasingly mindful of financial perils of succumbing to illness lost wages doctor visits insurance rate hikes tests and procedures hospitalization pharmaceuticals 20
  • 21. growing awareness of individual lifestyle choices contributing to collective burden Graphic by Joel Hrubesch; source: http://www.insideec.com 21
  • 22. governments overwhelmed by rising costs = reduced confidence in state-provided safety net 22
  • 23. as a consequence, more 4 in 10 say pressure on individuals to companies should not be required to reduce financial burden they pay for health represent coverage for employees who smoke 23
  • 24. how did New York City choose to spend $31.1MM received in grants under Recovery Act? on anti-obesity and anti-smoking “interventions” 24
  • 25. prevention is cheaper than cure— adding to pressure on individuals to “live right” 25
  • 26. the new tension Growing sense of Growing sensitivity to control financial cost 26
  • 27. new sense of power over health brings with it anxiety… Am I making the right decisions? Which sources of information should I trust? What more could I be doing? 27
  • 28. …and, often, leads to counterproductive feelings (e.g., guilt, embarrassment, shame, frustration) 28
  • 29. creating new typologies of fear How can I protect myself and my family from things outside my control—e.g., cell-phone waves? How do I reduce the feelings of anxiety and stress that I know are bad for my body? 29
  • 30. how to resolve the tension? Growing sense of Growing sensitivity to control financial cost 1. Change your lifestyle 2. Change your relationship with your physician 30
  • 31. how to resolve the tension? Growing sense of Growing sensitivity to control financial cost 1. Change your lifestyle 2. Change your relationship with your physician 31
  • 32. 75% of Prosumers and 63% of mainstream try to “listen” to their bodies more than they used to connect to natural rhythms 32 32
  • 33. embrace ancient practices and philosophies Around 40% of American adults swear by some form of complementary and alternative medicine [U.S. News & World Report] In U.K., sales of complementary meds expected to shoot up 60% between 2011 and 2016 [Mintel] 33
  • 35. the brain functions as body’s “control center”: what we think plays vital role in how we feel 4 in 10 believe “most illness is psychosomatic—it’s all in your head” 35
  • 36. 6 in 10 believe “powerful thoughts can help heal a person” 36
  • 37. brain health seen as particularly worst best vulnerable to modern life bad for brain good for brain 37
  • 38. focus on brain health intensifying as populations age intelligence no longer considered “fixed” for life (brain as muscle to be “pumped up”) 1 in 4 believe computer games have positive impact on brain health 38
  • 39. diet also growing in perceived importance as weapon in fight for lasting health 39
  • 40. era of “superfoods” has elevated diet as a means to a longer, healthier life 76% of Prosumers and 63% of mainstream are much more aware of nutritional/health value of the food they eat than they used to be 40
  • 41. 78% of Prosumers and 66% of the mainstream believe “food is as effective as medicine in maintaining one’s overall health” 41
  • 42. 91% of Prosumers and 77% of mainstream believe eating a healthful diet has a positive impact on brain health 42
  • 43. And yet… …only 37% trust the food industry to provide consumers with healthful food… 43
  • 44. lack of trust in food industry is particularly evident in Europe 44 44
  • 45. …and 7 in 10 are moderately to extremely concerned about food safety 45
  • 46. 67% of Prosumers and 58% of the mainstream worry about the health impact of the artificial ingredients and coloring agents they eat and drink 46
  • 47. how to resolve the tension? Growing sense of Growing sensitivity to control financial cost 1. Change your lifestyle 2. Change your relationship with your physician 47
  • 48. seek out additional sources of health information 67% of Prosumers and 52% of mainstream pay a lot of attention to health issues and consider themselves well informed in this area 48
  • 49. question authority 60% of Prosumers and 42% of mainstream are more apt to ask for a second medical opinion than they used to be* 62% of Prosumers and 44% of mainstream no longer automatically accept what their doctors tell them* *Euro RSCG Worldwide, The New Consumer (2010)—U.S. sample 49
  • 50. find or create supportive health- centered communities 75% of Prosumers and 62% of mainstream say the Internet is a good source of information and support for people with health problems* *Euro RSCG Worldwide, The New Consumer (2010)—U.S. sample 50
  • 51. get empowered with new diagnostic tools, at-home medical equipment, monitors, etc. 51
  • 52. be a smarter health consumer 52
  • 53. act as your own primary care specialist 53
  • 54. KEY TAKEWAYS FOR MARKETERS 54
  • 55. consumers are looking for brand partners to serve as wellness advocates and make it easier to live more healthfully 55
  • 56. “Promise Keeper” app allows people to share when they go for a run and tweets when person fails to exercise 56
  • 57. Apple’s Design + Health kit is intended to help designers exercise, keep proper ergonomic posture at keyboard, and eat right 57
  • 58. Swiss Life online health dashboard permits consumers to evaluate allergy levels and receive alerts about local air pollution 58
  • 59. consumers are looking for products and services that stave off mental effects of aging 59
  • 60. individualized products and programs fit modern lifestyles 60
  • 61. food for (improved) thought 61
  • 62. bringing age-old health benefits to 21st century Tracking quantity and quality of sleep and daily water intake 62
  • 63. Old = scold New = affirmation 63
  • 64. consumers looking for brands offering a sense of protectedness and peace of mind 64
  • 65. 65
  • 66. Ford Sync lets drivers monitor health on the go, including glucose and allergen levels technology for healthier living 66
  • 67. Conflicting and ever-changing recommendations have built up confusion around health—especially with regard to health values of specific foods a need for clarity and reassurance 67
  • 68. consumers long to reconnect with nature, in a holistic approach to life 68
  • 69. 69
  • 70. reminders of simpler, more “authentic” times and places 70
  • 71. “Every patient carries her or his own doctor inside.” –Albert Schweitzer 71
  • 72. For more insights from Euro RSCG research, including the Health and Wellness white paper, visit www.prosumer-report.com And follow us on Twitter (@prosumer_report) 72
  • 73. Images courtesy of Creative Commons @flickr.com _ 4: xtopher42 (plague doctor) _ 29: stuant63 (fear) _ 5: Truthout.org (voodoo doll); Rosie O’Beirne (MRI) _ 32: thekellyscope (meditation) _ 6: rperlin83 (Vietnamese medicine) _ 33: CeeKay’s Pix (Chinese health balls) _ 7: Realistic Imaginations (will of God) _ 34: Digital Shotgun (brain) _ 11: Korean Resource Center (“For Health” poster) _ 35: dontcallmeikke (eye) _ 12: Cougar-Studio (crosswalk) _ 39: Ron Dressel (onions) _ 14: marymactavish (superheroes) _ 40: Bonita Sarita (honey) _ 15: ToastyKen (globe) _ 41: tantek (itsu) _ 16: DrewOtt (Chaos sculpture) _ 45: Microbe World (E. coli) _ 17: Jason Pier in DC (man flexing) _ 48: Neighborhood Centers (health fair) _ 18: David Feltkamp (Fitness First) _ 54: Polycart (shopping carts) _ 19: stevendamron (bills) _ 64: welshkaren (baby and dog) _ 20: urbanbohemian (medical bills) _ 65: LoopZilla (Boots Health Club) _ 27: sleepy.demon (anxiety) _ 68: DWinton (kayaker) _ 28: artfulblogger (dieting note) _ 71: Loving Earth (self hug) 73