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Marketing Health to Blacks and Hispanics - US - January 2011

Mintel explores how Hispanics and Blacks in the U.S. regard their health and what it means to lead a healthy life in these communities. Mintel’s exclusive consumer research examines who Black and Hispanics turn to for advice on health-related issues, their likelihood of using prescription medications and symptom-related OTC products, what they look for when purchasing insurance and their general attitudes toward personal health. This report will take a close look at:

  • Attitudes toward weight and diet
  • Self-perception of health and body image
  • Interest in learning more about health and healthcare products
  • Sources used to learn more about health and healthcare products
  • Likelihood of being insured across income and age demographics
  • What individuals are looking for when purchasing their own insurance
  • OTC products used most often by Black and Hispanic consumers
  • How level of acculturation affects health and healthcare for Hispanic consumers
  • Who is interested in alternative medicines and how that market might be better targeted
  • Importance of pharmacies in the Black and Hispanic communities.

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Table of contents

  1. Scope and Themes

    • What you need to know
      • Definition
        • Sources
          • Consumer survey data
            • Consumer Expenditure Survey
              • Advertising
                • Abbreviations and terms
                  • Abbreviations
                    • Terms
                    • Executive Summary

                      • Expenditure on healthcare
                        • Attitudes toward personal health
                          • Ailments and medical treatments
                            • Weight and diet
                              • Herbal supplements and nontraditional medications
                                • Over-the-counter remedies
                                  • Prescription remedies
                                    • Health insurance
                                      • Marketing strategies
                                        • U.S. Black and Hispanic population
                                        • Insights and Opportunities

                                          • Become a part of the community
                                            • Use pharmacies as “front lines” for imparting information about health
                                              • Find ways to encourage Black and Hispanic men to learn about health
                                                • Pay attention to differences between acculturated and unacculturated Hispanic consumers
                                                • Inspire Insights

                                                    • Trend: “A simple balance for health”
                                                    • Expenditure on Healthcare

                                                      • Key points
                                                        • Category expenditures
                                                          • Blacks and Hispanics under-index for healthcare expenditures
                                                            • Figure 1: Average annual CU expenditures—Hispanics vs. non-Hispanics, 2009
                                                            • Figure 2: Average annual expenditures, indexed to all CUs—Hispanics vs. non-Hispanics, 2009
                                                            • Figure 3: Average annual CU expenditures—by Blacks vs. other races, by expenditure category, 2009
                                                            • Figure 4: Average annual expenditures indexed to all CUs, by Blacks vs. other races, 2009
                                                            • Figure 5: Average annual expenditures, by Black CUs in current dollars, 2007-09
                                                          • Healthcare
                                                            • Hispanics index higher on medical services than on health insurance
                                                              • Figure 6: Average annual CU expenditures on healthcare, by Hispanic vs. non-Hispanic, 2009
                                                              • Figure 7: Average annual healthcare expenditures indexed to all CUs, by Hispanic vs. non-Hispanic, 2009
                                                            • Blacks spend highest percentage on health insurance
                                                              • Figure 8: Distribution of average annual CU healthcare expenditures, by Blacks vs. other races, 2009
                                                          • Attitudes Toward Personal Health

                                                            • Key points
                                                              • Attitudes toward personal health
                                                                • Hispanics’ and Blacks’ perception of health may differ from reality
                                                                  • Figure 9: Attitudes toward personal health, by Blacks and Hispanics, October 2010
                                                                • Black respondents least likely to feel they should exercise more or try to eat healthier
                                                                  • Figure 10: Attitudes toward health and diet, by race/Hispanic origin, April 2009-June 2010
                                                                • Black and Hispanics aged 35+ indicate willingness to “pay anything” for health
                                                                  • Figure 11: Attitudes toward health and diet, by race/Hispanic origin, April 2009-June 2010
                                                              • Ailments and Medical Treatment

                                                                • Key points
                                                                  • Type of ailments consumers have
                                                                    • Blacks and Hispanics less likely than Whites to report being sick in last 12 months
                                                                      • Figure 12: Type of ailments consumers have had in the last 12 months, by race/Hispanic origin, April 2009-June 2010
                                                                    • Black women report higher instances of illness
                                                                      • Figure 13: Type of ailments Black consumers have had in the last 12 months, by age and gender, April 2009-June 2010
                                                                    • Hispanics aged 55+ suffer more from health problems, good opportunity to educate youth through families
                                                                      • Figure 14: Type of ailments Hispanic consumers have had in the last 12 months, by age and gender, April 2009-June 2010
                                                                    • Flu most common for Spanish-dominant Hispanics
                                                                      • Figure 15: Type of ailments Hispanic consumers have had in the last 12 months, by language spoken in the home, April 2009-June 2010
                                                                    • Physical exams
                                                                      • Hispanics are less likely to have had a physical when compared to Blacks
                                                                        • Figure 16: Frequency of medical physical, by race/Hispanic origin, October 2010
                                                                      • Affluent Hispanics still show relatively low instances of having had a physical
                                                                        • Figure 17: Frequency of medical physical, by race and household income, October 2010
                                                                      • Hispanics less likely to get physicals, regardless of language
                                                                        • Figure 18: Frequency of medical physical by Hispanics, by language spoken in the home, October 2010
                                                                      • Who accompanies you during medical treatments?
                                                                        • Blacks and Hispanics visit the doctor alone most often
                                                                          • Figure 19: Who accompanies consumers during medical treatments, by race/Hispanic origin, October 2010
                                                                        • Spanish-dominant Hispanics do not bring translators
                                                                          • Figure 20: Who accompanies the Hispanic consumer during medical treatments, by language spoken in the home, October 2010
                                                                        • Younger Blacks are accompanied by family members, good opportunity to educate
                                                                          • Figure 21: Who accompanies the Black consumer during medical treatments, by age, October 2010
                                                                        • Medical advice for specific health conditions
                                                                          • Black men turn to spouse and friends for health advice
                                                                            • Figure 22: Sources Black consumers turn to for medical advice for specific health conditions, by age and gender, October 2010
                                                                          • Hispanic men aged 18-34 are least interested in health information
                                                                            • Figure 23: Sources Hispanic consumers turn to for medical advice for specific health conditions, by age and gender, October 2010
                                                                          • Spanish-dominant Hispanics turn to media for health advice
                                                                            • Figure 24: Sources Hispanic consumers turn to for medical advice for specific health conditions, by language spoken in the home, October 2010
                                                                        • Weight and Diet

                                                                          • Key points
                                                                            • Overweight
                                                                              • Fat is the new norm: Blacks and Hispanics do not recognize weight issues
                                                                                • Figure 25: Consumers who are overweight (30 lbs. or more), by race/Hispanic origin, April 2009-June 2010
                                                                              • Find ways to encourage black women to eat healthfully while still celebrating their curves
                                                                                • Figure 26: Hispanic and Black consumers who are overweight (30 lbs. or more), by age and gender, April 2009-June 2010
                                                                              • Likelihood and reasons for watching one’s diet
                                                                                • Blacks less likely to be watching diet to lose weight
                                                                                  • Figure 27: Consumers watching their diet and reasons, by race/Hispanic origin, April 2009-June 2010
                                                                                • Acculturation causes a desire to lose weight
                                                                                  • Figure 28: Reasons why the Hispanic consumer is watching their diet, by language spoken in the home, April 2009-June 2010
                                                                                • Black women watching their diet to lose weight
                                                                                  • Figure 29: Reasons why the Black consumer is watching their diet, by age and gender, April 2009-June 2010
                                                                                • Sources for diet and nutrition information
                                                                                  • Young Black women are particularly interested in diet and nutrition information
                                                                                    • Figure 30: Sources Black consumers turn to for information on diet and nutrition, by age and gender, October 2010
                                                                                  • Hispanic consumers turn to friends for information on nutrition
                                                                                    • Figure 31: Sources Hispanic consumers turn to for information on diet and nutrition, by age and gender, October 2010
                                                                                  • More than a third of acculturated Hispanics do not seek out nutrition information
                                                                                    • Figure 32: Sources Hispanic consumers turn to for information on diet and nutrition, by language spoken in the home, October 2010
                                                                                • Herbal Supplements and Nontraditional Medications

                                                                                  • Key points
                                                                                    • Consumption of vitamins and minerals
                                                                                      • Likelihood of usage by Blacks and Hispanics
                                                                                        • Figure 33: Likelihood of taking vitamin/mineral tabs/caps/liquid, by race/Hispanic origin, April 2009-June 2010
                                                                                      • Black and Hispanic women take vitamins and minerals at higher rates than men
                                                                                        • Figure 34: Likelihood of Hispanic and Black consumers taking vitamin/mineral tabs/caps/liquid, by age and gender, April 2009-June 2010
                                                                                      • Type of vitamins and minerals consumed
                                                                                        • Blacks have greater need for vitamin D, but take it at lower levels
                                                                                          • Figure 35: Type of vitamin/mineral tabs/caps/liquid taken, by race/Hispanic origin, April 2009-June 2010
                                                                                        • Advice on herbal supplements/nontraditional medications
                                                                                          • Middle-aged Black women are potential market for alternative medicines
                                                                                            • Figure 36: Sources Black consumers turn to for advice on herbal supplements/nontraditional medications, by age and gender, October 2010
                                                                                          • Partner with alternative medical practitioners to promote wellness for Hispanic women
                                                                                            • Figure 37: Sources Hispanic consumers turn to for advice on herbal supplements/nontraditional medications, by age and gender, October 2010
                                                                                          • English-dominant respondents report highest instances of engaging a curandera
                                                                                            • Figure 38: Sources Hispanic consumers turn to for advice on herbal supplements/nontraditional medications, by language spoken in the home, October 2010
                                                                                        • Over-the-Counter Remedies

                                                                                          • Key points
                                                                                            • Consumption of OTC remedies
                                                                                              • Blacks and Hispanics use OTC remedies much more often than they report suffering from the illnesses treated by those remedies
                                                                                                • Figure 39: Usage and type of OTC remedies, by race/Hispanic origin, April 2009-June 2010
                                                                                              • Black women report using OTC medicines at high rates
                                                                                                • Figure 40: Usage and type of OTC remedies used by Black consumers, by age and gender, April 2009-June 2010
                                                                                              • Marketers of OTC medications should target Hispanic women with families, as well as Hispanic men who are “manly”
                                                                                                • Figure 41: Usage and type of OTC remedies used by Hispanic consumers, by age and gender, April 2009-June 2010
                                                                                              • Advice on OTC remedies
                                                                                                • Black respondents turn to pharmacists for advice on OTC meds, opportunity for pharmacists to advise on other health issues
                                                                                                  • Figure 42: Sources Black consumers turn to for advice on OTC remedies, by age and gender, October 2010
                                                                                                • Hispanics turn to friends and family, as well as pharmacists when seeking advice on OTC remedies
                                                                                                  • Figure 43: Sources Hispanic consumers turn to for advice on OTC remedies, by gender and age, October 2010
                                                                                                • Spanish-dominant respondents turn to friends for advice on OTC remedies
                                                                                                  • Figure 44: Sources Hispanic consumers turn to for advice on OTC remedies, by language spoken in the home, October 2010
                                                                                              • Prescription Remedies

                                                                                                • Key points
                                                                                                  • Usage of prescription remedies
                                                                                                    • Blacks and Hispanics much less likely than Whites to take prescription drugs
                                                                                                      • Figure 45: Usage of prescription drugs in the past 12 months, by race/Hispanic origin, April 2009-June 2010
                                                                                                    • More-affluent Hispanic and Black consumers are more likely to take prescription drugs
                                                                                                      • Figure 46: Usage of prescription drugs in the past 12 months, by race/Hispanic origin, April 2009-June 2010
                                                                                                    • Less-acculturated Hispanics report low instances of taking prescription medications
                                                                                                      • Figure 47: Usage of prescription drugs in the past 12 months by Hispanics, by language spoken in the home, April 2009-June 2010
                                                                                                    • Advice on prescription remedies
                                                                                                      • Middle-aged Hispanic women seek information about prescription drugs at high rates
                                                                                                        • Figure 48: Sources Hispanic consumers turn to for advice on prescription remedies, by age and gender, October 2010
                                                                                                      • Acculturated Hispanics are more comfortable conversing with doctors and pharmacists
                                                                                                        • Figure 49: Sources Hispanic consumers turn to for advice on prescription remedies, by language spoken in the home, October 2010
                                                                                                      • Black women trust doctors for information about prescription remedies
                                                                                                        • Figure 50: Sources Black consumers turn to for advice on prescription remedies, by age and gender, October 2010
                                                                                                      • Highly educated Black consumers turn to friends and family for advice on prescription remedies at higher rates than less-educated Blacks
                                                                                                        • Figure 51: Sources Black consumers turn to for advice on prescription remedies, by educational attainment, October 2010
                                                                                                      • Attitudes toward advertising of prescription remedies
                                                                                                        • Black respondents are receptive to advertising about prescription remedies
                                                                                                          • Figure 52: Attitudes toward advertising of prescription remedies, by race/Hispanic origin, October 2010
                                                                                                        • Spanish-dominant respondents interested in ads for prescription remedies
                                                                                                          • Figure 53: Attitudes of the Hispanic consumer toward advertising of prescription remedies, by language spoken in the home, October 2010
                                                                                                        • Blacks from all income brackets pay attention to ads about medical problems they suffer from
                                                                                                          • Figure 54: Attitudes of the Black consumer toward advertising of prescription remedies, by household income, October 2010
                                                                                                      • Health Insurance

                                                                                                        • Key points
                                                                                                          • Ownership of health insurance
                                                                                                            • Hispanics report being uninsured at high levels
                                                                                                              • Figure 55: Ownership of health insurance by Black and Hispanic consumers, by race, October 2010
                                                                                                            • Hispanics access public programs like Medicare/Medicaid at lower rates than Blacks
                                                                                                              • Figure 56: Ownership of health insurance by Black and Hispanic consumers, by race and household income, October 2010
                                                                                                            • Acculturation is an indicator for whether Hispanics have insurance
                                                                                                              • Figure 57: Ownership of health insurance by Hispanic consumers, by language spoken in the home, October 2010
                                                                                                            • Reasons for not having health insurance
                                                                                                              • Blacks and Hispanics cite cost of individual health insurance as primary reason they are uninsured
                                                                                                                • Figure 58: Reasons why Black and Hispanic consumers do not have health insurance, October 2010
                                                                                                              • Spanish-dominant respondents may not understand that health insurance provides a safety net for future tragedies
                                                                                                                • Figure 59: Reasons why Hispanic consumers do not have health insurance, by language in which survey was taken, October 2010
                                                                                                              • Individual health insurance priced too high even for Blacks earning $75K+
                                                                                                                • Figure 60: Reasons why Black consumers do not have health insurance, by household income, October 2010
                                                                                                              • Things consumers would look for when purchasing their own health insurance
                                                                                                                • Low premiums and low co-payments important for both Blacks and Hispanics
                                                                                                                  • Figure 61: Features Black and Hispanic consumers would look for if they were to purchase their own health insurance, October 2010
                                                                                                                • English-dominant Hispanics are interested in choice of doctor when buying health insurance
                                                                                                                  • Figure 62: Features Hispanic consumers would look for if they were to purchase their own health insurance, by language spoken in the home, October 2010
                                                                                                                • Black women concerned with choice of doctor and low premiums
                                                                                                                  • Figure 63: Features Black consumers would look for if they were to purchase their own health insurance, by age and gender, October 2010
                                                                                                              • Marketing Strategies

                                                                                                                • Key points
                                                                                                                  • Television
                                                                                                                    • Ads targeting the Hispanic consumer
                                                                                                                      • Women’s health at Walgreens
                                                                                                                        • Figure 64: Walgreens “at Walgreens there’s a way to being well,” Television ad, May 2010
                                                                                                                      • OneTouch blood sugar readers for the sophisticated
                                                                                                                        • Figure 65: LifeScan OneTouch UltraMini Meters, Television ad, March 2010
                                                                                                                      • Ads targeting the Black consumer
                                                                                                                        • Have a “chat” with your Walgreens’ pharmacist
                                                                                                                          • Figure 66: Walgreens “there’s a way to find answers” Television ad, September 2010
                                                                                                                        • Jennifer Hudson says “you can, too”
                                                                                                                          • Figure 67: Weight Watchers “because it works,” Television ad, October 2010
                                                                                                                        • Print
                                                                                                                          • Ads targeting the Hispanic consumer
                                                                                                                            • NyQuil promotes a different kind of beauty
                                                                                                                              • Figure 68: NyQuil, Magazine ad
                                                                                                                            • Gardasil reaches out to Hispanic girls and boys
                                                                                                                              • Figure 69: Gardasil, Magazine ad
                                                                                                                            • Ads targeting the Black consumer
                                                                                                                              • Coricidin targets HBP market segment
                                                                                                                                • Figure 70: Coricidin HBP Advertising, Magazine ad
                                                                                                                              • Magic Johnson says “don’t super size”
                                                                                                                                • Figure 71: Aetna, Magazine ad
                                                                                                                              • Online
                                                                                                                                • Community Vitality from Aetna
                                                                                                                                  • First Lady Michelle Obama’s Let’s Move campaign
                                                                                                                                  • Cluster Analysis

                                                                                                                                    • Black consumers
                                                                                                                                      • Aware and Regularly Ill
                                                                                                                                        • Demographics
                                                                                                                                          • Characteristics
                                                                                                                                            • Opportunities
                                                                                                                                              • Good Health and Job-Insured
                                                                                                                                                • Demographics
                                                                                                                                                  • Characteristics
                                                                                                                                                    • Opportunities
                                                                                                                                                      • Healthy Ad-Ignorers
                                                                                                                                                        • Demographics
                                                                                                                                                          • Characteristics
                                                                                                                                                            • Opportunities
                                                                                                                                                              • Characteristic tables
                                                                                                                                                                • Figure 72: Black health clusters, October 2010
                                                                                                                                                                • Figure 73: Consumer’s description of their health, by Black health clusters, October 2010
                                                                                                                                                                • Figure 74: Date of last physical, by Black health clusters, October 2010
                                                                                                                                                                • Figure 75: Who do consumers go to when seeking medical treatment, by Black health clusters, October 2010
                                                                                                                                                                • Figure 76: Attitudes toward ads of prescription drugs, by Black health clusters, October 2010
                                                                                                                                                                • Figure 77: Ownership of health insurance, by Black health clusters, October 2010
                                                                                                                                                              • Demographic tables
                                                                                                                                                                • Figure 78: Black health clusters, by gender, October 2010
                                                                                                                                                                • Figure 79: Black health clusters, by age, October 2010
                                                                                                                                                                • Figure 80: Black health clusters, by household income, October 2010
                                                                                                                                                                • Figure 81: Black health clusters, by education, October 2010
                                                                                                                                                                • Figure 82: Black health clusters, by employment, October 2010
                                                                                                                                                              • Cluster methodology
                                                                                                                                                                • Hispanic consumers
                                                                                                                                                                  • Aware and Chronically Ill
                                                                                                                                                                    • Demographics
                                                                                                                                                                      • Characteristics
                                                                                                                                                                        • Opportunities
                                                                                                                                                                          • Good Health and Uninsured
                                                                                                                                                                            • Demographics:
                                                                                                                                                                              • Characteristics
                                                                                                                                                                                • Opportunities
                                                                                                                                                                                  • Healthy Ad-Ignorers
                                                                                                                                                                                    • Demographics:
                                                                                                                                                                                      • Characteristics
                                                                                                                                                                                        • Opportunities
                                                                                                                                                                                          • Characteristic tables
                                                                                                                                                                                            • Figure 83: Hispanic health clusters, November 2010
                                                                                                                                                                                            • Figure 84: Consumer’s description of their health, by Hispanic health clusters, November 2010
                                                                                                                                                                                            • Figure 85: Frequency of physical exam, by Hispanic health clusters, November 2010
                                                                                                                                                                                            • Figure 86: Who accompanies consumers when seeking medical treatment, by Hispanic health clusters, November 2010
                                                                                                                                                                                            • Figure 87: Attitudes toward prescription drugs advertisement, by Hispanic health clusters, November 2010
                                                                                                                                                                                            • Figure 88: Ownership of health insurance, by Hispanic health clusters, November 2010
                                                                                                                                                                                          • Demographic tables
                                                                                                                                                                                            • Figure 89: Hispanic health clusters, by gender, November 2010
                                                                                                                                                                                            • Figure 90: Hispanic health clusters, by age, November 2010
                                                                                                                                                                                            • Figure 91: Hispanic health clusters, by household income, November 2010
                                                                                                                                                                                            • Figure 92: Hispanic health clusters, by language in which survey was taken, November 2010
                                                                                                                                                                                            • Figure 93: Hispanic health clusters, by language spoken in the home, November 2010
                                                                                                                                                                                            • Figure 94: Hispanic health clusters, by household internet access, November 2010
                                                                                                                                                                                          • Cluster methodology
                                                                                                                                                                                          • U.S. Black and Hispanic Population

                                                                                                                                                                                            • Key points
                                                                                                                                                                                              • U.S. population by race/Hispanic origin
                                                                                                                                                                                                • Figure 95: U.S. population, by race and Hispanic origin, 2005-15
                                                                                                                                                                                                • Figure 96: Population, by race/Hispanic origin, 1970-2020
                                                                                                                                                                                                • Figure 97: Asian, Black, and Hispanic populations, 1970-2020
                                                                                                                                                                                              • U.S. population by age
                                                                                                                                                                                                • Total U.S. population
                                                                                                                                                                                                  • Figure 98: Total U.S. population, by age, 2005-15
                                                                                                                                                                                                • Black population by age
                                                                                                                                                                                                  • Figure 99: U.S. Black population, by age, 2005-15
                                                                                                                                                                                                • Hispanic population by age
                                                                                                                                                                                                  • Figure 100: U.S. Hispanic population, by age, 2005-15
                                                                                                                                                                                                • Hispanics by generation
                                                                                                                                                                                                  • Figure 101: Generations—Hispanics vs. non-Hispanics, 2009
                                                                                                                                                                                                • Households
                                                                                                                                                                                                  • Size of Black and Hispanic households
                                                                                                                                                                                                    • Figure 102: Average household size, by Hispanic origin/race of householder, 2001 and 2008
                                                                                                                                                                                                  • Presence of children in the household
                                                                                                                                                                                                    • Figure 103: Households with children, by race/Hispanic origin of householder, 2009
                                                                                                                                                                                                  • Geographic concentration
                                                                                                                                                                                                    • Blacks by geographic concentration
                                                                                                                                                                                                      • Figure 104: Black geographic concentration, by region, 2007
                                                                                                                                                                                                    • Black population by state
                                                                                                                                                                                                      • Figure 105: States with largest Black population, 2008
                                                                                                                                                                                                      • Figure 106: States with the highest share of Black residents, 2008
                                                                                                                                                                                                    • Black metros
                                                                                                                                                                                                      • Figure 107: Metropolitan status of Black households, 2001 and 2007
                                                                                                                                                                                                      • Figure 108: Top 10 metropolitan areas with the largest number of Black residents, 2006-08
                                                                                                                                                                                                    • Hispanics by geographic concentration
                                                                                                                                                                                                      • Figure 109: Hispanic population, by region, by country of origin/ancestry, 2006-08
                                                                                                                                                                                                    • Hispanic population by region
                                                                                                                                                                                                      • Figure 110: Graph: Hispanic population, by region, 2006-08
                                                                                                                                                                                                    • Hispanic population by state and country of origin
                                                                                                                                                                                                      • Figure 111: Hispanic population in top five states, by country of origin, 2006-08
                                                                                                                                                                                                    • States with greatest Hispanic population growth
                                                                                                                                                                                                      • Figure 112: Hispanic population, states with greatest percentage increase, 2000 and 2006
                                                                                                                                                                                                    • Key Hispanic metropolitan areas
                                                                                                                                                                                                      • Figure 113: Metropolitan areas with the largest number of Hispanic residents, by country of origin/ancestry, 2006-08
                                                                                                                                                                                                    • Purchasing power
                                                                                                                                                                                                      • Household income distribution
                                                                                                                                                                                                        • Figure 114: Median household income, by race and Hispanic origin of householder, 2009
                                                                                                                                                                                                      • Purchasing power by race/Hispanic origin
                                                                                                                                                                                                        • Figure 115: Purchasing power, by race/Hispanic origin, 2008
                                                                                                                                                                                                      • Black income
                                                                                                                                                                                                        • Figure 116: Household income distribution for all households and Black households, 2008
                                                                                                                                                                                                      • Hispanic purchasing power
                                                                                                                                                                                                        • U.S. household income distribution
                                                                                                                                                                                                          • Figure 117: Median household income, by race and Hispanic origin of householder, 2009
                                                                                                                                                                                                        • Hispanic income levels
                                                                                                                                                                                                          • Figure 118: Largest Hispanic states, by Hispanic disposable income, 2005
                                                                                                                                                                                                        • Country of origin/heritage
                                                                                                                                                                                                          • The Black population
                                                                                                                                                                                                            • African immigrants
                                                                                                                                                                                                                • Figure 119: U.S. immigrants, baccalaureate and advanced degrees, by continent/region of origin, 2000
                                                                                                                                                                                                              • Caribbean immigrants
                                                                                                                                                                                                                • Top five countries of origin
                                                                                                                                                                                                                  • Geographic location
                                                                                                                                                                                                                    • Neighborhood characteristics
                                                                                                                                                                                                                      • The Hispanic population
                                                                                                                                                                                                                        • Figure 120: Hispanic population, by country of origin/ancestry, 2006-08
                                                                                                                                                                                                                        • Figure 121: Graph: Hispanics, by country of origin/heritage, 2006-08
                                                                                                                                                                                                                      • Acculturation of Hispanics
                                                                                                                                                                                                                        • What is acculturation?
                                                                                                                                                                                                                          • Why is level of acculturation important?
                                                                                                                                                                                                                            • Levels of acculturation
                                                                                                                                                                                                                                • Figure 122: Hispanics, by acculturation and assimilation level, 1998-2008
                                                                                                                                                                                                                              • What is retro-acculturation?
                                                                                                                                                                                                                              • Appendix: Additional Expenditure Consumer Tables

                                                                                                                                                                                                                                  • Figure 123: Distribution of average annual healthcare expenditures, Hispanics vs. non-Hispanics, 2009
                                                                                                                                                                                                                                  • Figure 124: Distribution of average annual healthcare expenditures, by Blacks vs. other races, 2009
                                                                                                                                                                                                                                  • Figure 125: Average annual expenditures on healthcare, by Blacks vs. other races, 2009
                                                                                                                                                                                                                                  • Figure 126: Average annual healthcare expenditures indexed to all CUs, by Blacks vs. other races, 2009
                                                                                                                                                                                                                              • Appendix: Trade Associations

                                                                                                                                                                                                                                Companies Covered

                                                                                                                                                                                                                                • Amazon North America
                                                                                                                                                                                                                                • American Cancer Society (ACS)
                                                                                                                                                                                                                                • American Diabetes Association
                                                                                                                                                                                                                                • American Dietetic Association (ADA)
                                                                                                                                                                                                                                • American Heart Association, Inc.
                                                                                                                                                                                                                                • American Herbal Products Association
                                                                                                                                                                                                                                • Asthma and Allergy Foundation of America (AAFA)
                                                                                                                                                                                                                                • Avon USA
                                                                                                                                                                                                                                • Centers for Disease Control and Prevention
                                                                                                                                                                                                                                • Centers for Medicare & Medicaid Services
                                                                                                                                                                                                                                • CVS Caremark Corporation
                                                                                                                                                                                                                                • Facebook, Inc.
                                                                                                                                                                                                                                • Food and Drug Administration
                                                                                                                                                                                                                                • FOX Broadcasting Company
                                                                                                                                                                                                                                • Hispanic Dental Association
                                                                                                                                                                                                                                • Lifescan, Inc.
                                                                                                                                                                                                                                • Los Angeles Times
                                                                                                                                                                                                                                • McKinsey & Company
                                                                                                                                                                                                                                • National Association of Chain Drug Stores (NACDS)
                                                                                                                                                                                                                                • National Medical Association
                                                                                                                                                                                                                                • Research In Motion (USA)
                                                                                                                                                                                                                                • Target Corporation
                                                                                                                                                                                                                                • The Kroger Co.
                                                                                                                                                                                                                                • Tupperware Europe
                                                                                                                                                                                                                                • U.S. Bureau of Labor Statistics
                                                                                                                                                                                                                                • U.S. Bureau of the Census
                                                                                                                                                                                                                                • U.S. Department of Agriculture
                                                                                                                                                                                                                                • U.S. Department of Homeland Security
                                                                                                                                                                                                                                • USA Today
                                                                                                                                                                                                                                • Walgreen Co
                                                                                                                                                                                                                                • Walmart Stores (USA)
                                                                                                                                                                                                                                • Weight Watchers International Inc.

                                                                                                                                                                                                                                Marketing Health to Blacks and Hispanics - US - January 2011

                                                                                                                                                                                                                                £3,199.84 (Excl.Tax)