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Managing Your Health - US - January 2018

Consumers and brands alike are talking about wellness in the face of an uncertain healthcare market and growing health issues. To bring down healthcare expenses, health management is increasingly placed in the hands of consumers who are turning to a variety of sources to improve their wellbeing and receive guidance. Wellness is a journey for many adults, indicating that the health and wellness industry will continue to grow by addressing the unique and changing needs of US adults.

This report examines the following issues:

  • The cost of health insurance causing concern
  • Proactive care is starting too late in life
  • Doctors cannibalize health guidance for older adults
  • Watered down wellness

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Table of contents

  1. Overview

    • What you need to know
      • Definition
      • Executive Summary

        • The issues
          • The cost of health insurance causing concern
            • Figure 1: US Election impact on overall cost of health insurance, November 2016-May 2017
          • Proactive care is starting too late in life
            • Figure 2: Proactive in caring for health, by generation, October 2017
          • Doctors cannibalize health guidance for older adults
            • Figure 3: Sources for health improvement, by age, October 2017
          • Watered down wellness
            • Figure 4: Universe count for mentions of “wellness”, December 2007-17
          • The opportunities
            • Wellness is a journey and brands should join the ride
              • Figure 5: Select wellbeing self-perceptions, October 2017
            • Promote self-care as an important component of health management kit
              • Figure 6: Self-care is important for my wellbeing, by gender and by age, October 2017
            • Don’t overlook seemingly disengaged adults
              • Figure 7: Currently do to manage health, by adults not focused on health, October 2017
            • Fitness app users feel healthier
              • Figure 8: App usage, by wellbeing self-perceptions, October 2017
            • What it means
            • The Market – What You Need to Know

              • Population changes indicate shifts in healthcare approaches
                • Most Americans have health insurance
                  • Adults have a positive health outlook
                    • Obesity and sleep issues plague the majority
                    • Market Factors – Demographics

                      • US population is growing; age influences health management approach
                        • Figure 9: US population, by age, 2013-23
                        • Figure 10: Health and wellbeing segmentation, by age, Summer 2017
                      • Health and wellbeing segmentation definitions
                        • US population growing diversity could impact healthcare needs
                          • Figure 11: Distribution of population, by age and race/Hispanic origin, 2018
                        • Location impacts access and choice of healthcare
                          • Figure 12: Interest in virtual health appointments, by area, October 2017
                      • Market Factors – Other

                        • Percentage of uninsured continues to fall
                          • Figure 13: Percentage of US uninsured, 2005-16
                        • Americans have mostly positive health perceptions
                          • Figure 14: Health status, by age, September 2017
                        • Rising rates of obesity and diabetes
                          • Figure 15: Obesity, diabetes prevalence, US, 1997-2016
                        • Sleep issues are prevalent; impact wellness
                          • Figure 16: Sleep self-assessment, by generation, December 2016
                      • Health and Wellness Trends – What You Need to Know

                        • Top highlights from 2017: sleep health, free-from, and value brands
                          • Taking on health taboos and where to find wellness
                            • 2017 slumps: nanny state, ACA, and the opioid crisis
                              • Future focus of health management
                              • What’s In?

                                • The importance of catching zzz’s is catching on
                                  • Figure 17: Share of total US sleep aid launches, by year, 2013-17
                                • Taking a cue from food and personal care: free-from claims
                                  • Figure 18: Percent of total US healthcare product launches with free-from claim, 2013-17
                                • Value brands thriving across most OTC markets
                                  • People are talking about it; more discussions can be had
                                    • The evolving wellness experience
                                    • What’s Struggling?

                                      • Taxing unhealthy choices
                                        • Figure 19: Managing health is a balancing act, September 2017
                                      • The ACA rollercoaster
                                        • Figure 20: US Election impact on overall cost of health insurance, November 2016-May 2017
                                      • The opioid crisis reaches public health emergency status
                                      • What’s Next?

                                        • Self-care, healthcare
                                          • Figure 21: Frequency of practicing self-care, by age, October 2017
                                          • Figure 22: Self-care is important for my wellbeing, by gender and by age, October 2017
                                        • Different health goals necessitate customization
                                          • The wellness burst
                                            • Figure 23: Universe count for online mentions of “wellness,” December 2007-17
                                            • Figure 24: Sentiment Topics for “wellness” mentions, December 2016-17
                                        • The Consumer – What You Need to Know

                                          • Wellness is a journey, half of adults feel they are healthy
                                            • People are paying attention to some aspect of wellness each day
                                              • Doctors are the top source for health improvements
                                                • Various health sources draw diverse perceptions
                                                  • Virtual health has promise, fitness apps makes users feel healthier
                                                    • Medication consumption is common
                                                    • Wellbeing Self-perceptions

                                                      • Adults view wellness as a journey
                                                        • Figure 25: Select wellbeing self-perceptions, October 2017
                                                        • Figure 26: Select wellbeing self-perceptions, by wellbeing is a work in progress, October 2017
                                                      • Half of Black adults recognize effort to improve wellness
                                                        • Figure 27: Wellbeing self-perceptions, by race and Hispanic origin, October 2017
                                                      • Health effort progress begins with adults 25+
                                                        • Figure 28: Wellbeing self-perceptions, by age, October 2017
                                                      • Proactive care is far more prevalent later in life
                                                        • Figure 29: Proactive in caring for health, by generation, October 2017
                                                    • Frequency of Health Management

                                                      • Daily attention is given to some aspect of wellness
                                                        • Figure 30: Frequency of health management, October 2017
                                                      • Adults dedicated to activity and nutrition are proactive minded
                                                        • Figure 31: Frequency of health management, by proactive in caring for health, October 2017
                                                      • Daily adherence progresses wellbeing
                                                        • Figure 32: health management activities done daily, by select wellbeing self-perceptions, October 2017
                                                      • Disengaged adults are still partaking in healthy activities
                                                        • Figure 33: Currently do to manage health, by adults in good health and those not focused on health, October 2017
                                                    • Locations for Health Improvement

                                                      • Doctors are the top source for health improvements
                                                        • Figure 34: Locations for health improvement, October 2017
                                                      • Younger adults accept a wider range of wellness sources
                                                        • Figure 35: Locations for health improvement, by age, October 2017
                                                      • The spa has a slight wellness halo
                                                        • Figure 36: Would go to the spa to improve general wellbeing, by age, October 2017
                                                      • Health self-perceptions impact where people turn for support
                                                        • Figure 37: Locations for health improvement, by select wellbeing self-perceptions, October 2017
                                                      • Fitness centers and retailers could tap into app users
                                                        • Figure 38: Locations for health improvement, by app users, October 2017
                                                    • Perceptions of Health Information Sources

                                                      • Different sources draw diverse perceptions
                                                          • Figure 39: Correspondence analysis – Sources of information, October 2017
                                                        • Methodology
                                                          • Older adults rely on fewer sources
                                                            • Figure 40: Sources of health information not used, by age, October 2017
                                                          • There’s some distrust in the media
                                                            • Figure 41: Perceptions of news source/media as source of health information, by age, October 2017
                                                        • Health Technology

                                                          • Virtual health appointments have promise
                                                            • Figure 42: Interest in virtual health appointments, by generation and parental status, October 2017
                                                          • Virtual health meetings could be key to improving health
                                                            • Figure 43: Interest in virtual health appointments, by select wellbeing self-perceptions, October 2017
                                                          • Wellness apps have modest use
                                                            • Figure 44: App usage, by generation, October 2017
                                                          • Daily adherence to wellness activities augmented by app use
                                                            • Figure 45: Eat a well-balanced diet, exercise or try to lose weight daily, by app users, October 2017
                                                          • Fitness app users feel healthier
                                                            • Figure 46: App usage, by select wellbeing self-perceptions, October 2017
                                                        • Medication Attitudes and Behaviors

                                                          • Medication consumption is common
                                                            • Figure 47: Current use of OTC and Prescription medication, by age, October 2017
                                                          • Medicine burden influenced by change in costs and income
                                                            • Figure 48: Medication cost perceptions, by age, October 2017
                                                          • Medicine costs could hinder wellbeing progress
                                                            • Figure 49: Cost of medicine is a burden, by wellbeing is a work in progress, October 2017
                                                          • Prescription pick-up is the norm
                                                            • Figure 50: Prescription pick-up and delivery behaviors, by gender and age, October 2017
                                                          • Pill fatigue isn’t a major issue
                                                            • Figure 51: Perception of pill fatigue, by age, October 2017
                                                          • Consumers rarely seek out new medications
                                                            • Figure 52: Seek out new medications, by age, October 2017
                                                        • Appendix – Data Sources and Abbreviations

                                                          • Consumer survey data
                                                            • Abbreviations and terms
                                                              • Abbreviations

                                                              Managing Your Health - US - January 2018

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