Forecasting Technology, Social & Digital Media in 2016 - Karen Schulman Dupuis
Allergies in America: A Landmark Survey of Nasal Allergy Sufferers Conducted by Schulman, Ronca &...
-
Upload
noah-mason -
Category
Documents
-
view
240 -
download
0
Transcript of Allergies in America: A Landmark Survey of Nasal Allergy Sufferers Conducted by Schulman, Ronca &...
Allergies in America: A Landmark Survey of Nasal Allergy Sufferers
Conducted bySchulman, Ronca & Bucuvalas, Inc.
February 17, 2006
Conducted bySchulman, Ronca & Bucuvalas, Inc.
February 17, 2006
Supported by:
2
QA. Including yourself, how many persons, aged 18 and older, live in this household (even if they are not there right now)? QB. Have any of these persons been diagnosed as having hay fever, rhinitis, or nasal
allergies? QC. How many persons, 18 or older, in this household have been diagnosed with hay fever, rhinitis or nasal allergies? N=61,655 adults in 31,470 households
Not diagnosed, 86%
Diagnosed, 14%
Adults Diagnosed with Nasal Allergies: Household Screening
3
QD. Has this person/have these persons had symptoms like sneezing, itching, watery eyes, nasal congestion, or other nasal allergy symptoms in the past 12 months? QE. Does this person/do any of these persons take any medication for their hay fever, rhinitis or nasal allergies? N=6,315 households with allergic
rhinitis
2%17%
76%5%
Current Nasal Allergies: Household Screening
4
10%12%
21%22%
17%15%
3%
5%
11%
22%
25%
20%
15%
1%
0%
10%
20%
30%
40%
50%
18-24 25-34 35-44 45-54 55-64 65 and older Refused
Screened Interviewed
QH. What is the age/ages of the person/persons with nasal allergies, rhinitis or hay fever? N=7,758 QD3. What is your age? N=2,500
Age of Persons with Nasal Allergies
5
Gender of Persons with Nasal Allergies
40%
60%
35%
65%
0%
20%
40%
60%
80%
100%
Male Female
Screened Interviewed
QH. What is the gender of the person/persons with nasal allergies, rhinitis or hay fever? N=4,614 QMGEN. Gender of respondent? N=2,500
6
Diagnosed with Nasal Allergies: Individual Screening
10%90%
QS1A. Has a doctor ever diagnosed you as having hay fever, rhinitis, or nasal allergies? Base: Persons identified as having been diagnosed and symptomatic or being treated for nasal allergies in household screen N=3,257
7
Current Nasal Allergies: Individual Screening
1%
32%
64%2%
QS1b. Do you still suffer from hay fever or nasal allergies? S1c. When was the most recent time that you experienced hay fever or symptoms of nasal allergies for a month or longer? QS2. In the past 12 months, have you taken a prescription medication to treat your nasal allergies? N=2,933 persons diagnosed
8
General Health Status
Poor/Very Poor4%
Fair12%
Good32%
Excellent19%
Very good33%
Q1. In general, would you say your health is excellent, very good, good, only fair, poor or very poor? Unweighted N=2,500
9
Asthma and Allergies
Never68%
Past 12 months20%
Not past 12 months12%
Q3c. Have you ever been diagnosed with asthma? Q3d. Have you had asthma in the past 12 months? Unweighted N=2,500
10
When Diagnosed With Nasal Allergies
7%
15%
18%
21%
14%
9%
5% 4%
7%
0%
5%
10%
15%
20%
25%
Under 6 6-11 12-17 18-29 30-39 40-49 50-59 60 andolder
Not sure
Q4. At what age were you first diagnosed with nasal allergies, rhinitis or hay fever? Unweighted N=2,500
11
Who Diagnosed Nasal Allergies
27%
20%
19%
12%
5%
4%
1%
1%
3%
8%
0% 10% 20% 30% 40% 50%
General Practice
Family Practice
Allergist
ENT
Pediatrician
Internal Medicine
Pulmonologist
Specialty Unknown
Other
Not sure
Q5. What was the medical specialty of the doctor who diagnosed you with nasal allergies? Unweighted N=2,500
12
Skin and Blood Tests for Allergies
Blood test only 8%
Not sure2%
Neither42%
Skin test only33%
Both15%
Q6a. Were you given a skin test to see what you were allergic to? Q6b. Were you given a blood test to see what you were allergic to? Unweighted N=2,500
13
Seasonal or Persistent Allergies
Not sure1%
Seasonal43%
Throughout the year56%
Q12. Would you describe your nasal allergies as seasonal or do they occur throughout the year? Unweighted N=2,500
14
Allergy Symptoms Worse During a Particular Season or Time of Year
71%
79%
66%
0%
20%
40%
60%
80%
100%
All Seasonal Persistent
Q12. Would you describe your nasal allergies as seasonal or do they occur throughout the year? Q13a. In the past 12 months, have your nasal allergy symptoms been more frequent or worse during a particular
season or time of year? Unweighted N=2,500
15
Season Allergies Are the Worse
56%
21%
45%
23%
0%
20%
40%
60%
80%
100%
Spring Summer Fall Winter
Q13b. During what times of the year are your nasal allergies the worse? Base: Worse at certain times Unweighted N=1,778
16
Allergies Worse Outdoors or Inside
Not sure1%
Same51%
Outside39%
Inside9%
Q13c. Are your nasal allergies worse when you are outdoors or inside, or is it about the same? Unweighted N=2,500
17
Symptoms During Worst Month
29%
25%
40%
12%
23%
13%
6%
11%
28%
30%
17%
15%
20%
10%
12%
12%
6%
10%
17%
16%
0% 20% 40% 60% 80% 100%
Repeated Sneezing
Watering Eyes
Stuffed up nose
Awakened / Unable to Sleep
Itching
Headache
Ear Pain
Facial Pain
Runny Nose
Post-nasal drip
Every day
Most days
Q14. During the worst one month period in the past year, did you have (symptom) every day, most days a week, a few days a week, a few days a month, less than that, or never? Unweighted N=2,500
18
How Bothersome are Symptoms
11%
16%
28%
26%
19%
33%
20%
28%
26%
25%
18%
40%
23%
20%
38%
36%
27%
31%
30%
31%
0% 20% 40% 60% 80% 100%
Repeated Sneezing
Watering Eyes
Red, itching eyes
Stuffed up nose
Itching
Headache
Ear Pain
Facial Pain
Runny Nose
Post-nasal drip
Extremely
Moderately
Q15. When you have nasal allergy attacks, how bothersome are the following symptoms usually --- extremely bothersome, moderately bothersome, slightly bothersome, or not bothersome ? Unweighted N=2,500
19
Most Bothersome Symptom
22%
14%
14%
10%
10%
9%
7%
5%
4%
4%
0% 5% 10% 15% 20% 25%
Stuffed up nose
Headache
Post-nasal drip
Red, itching eyes
Runny Nose
Repeated Sneezing
Facial Pain
Watering Eyes
Ear Pain
Itching
Most bothersome
Q16. Which of these symptoms was the most bothersome to you? Base: Had bothersome symptoms. Unweighted N=2,362
20
Degree of Discomfort from Allergies
Not sure1%
Can't Tolerate38%
Can Ignore6%
Can Tolerate55%
Q17. In general, when you have a nasal allergy attack would you say that your discomfort is usually something you can ignore, you can’t ignore it, but you can tolerate it, or you can’t tolerate it without relief? Unweighted
N=2,500
21
What Triggers Allergy Symptoms
41%
34%
22%
22%
18%
11%
6%
6%
6%
5%
4%
0% 10% 20% 30% 40% 50%
Pollen
Dust
Grass
Weather
Animals
Dampness/Mold/Mildew
Perfume
Tobacco Smoke
Plants/Trees/Leaves
Fumes, odors
Chemicals
Q19. What things usually trigger or make your nasal allergy symptoms worse? Unweighted N=2,500
22
What Triggers Allergy Symptoms (cont.)
3%
2%
2%
1%
1%
1%
1%
1%
1%
6%
9%
0% 10% 20% 30% 40% 50%
Pollution
Food/Drink
Outdoors
Hay/Straw/Weeds
Insescts
Stress
Virus or Cold
Air quality/Dry heat/Air conditioning
Nothing
Other
Not Sure
Q19. What things usually trigger or make your nasal allergy symptoms worse? Unweighted N=2,500
23
Employment Status of Persons with Nasal Allergies
Homemaker7%
Disabled4%
Student5%
Unemployed3%Retired
19%
Part time9%
Full time53%
D6. Are you currently employed full-time, employed part-time, in the military, unemployed and looking for work, retired and not working, student, homemaker, disabled or too ill to work? Unweighted N=2,500
24
Do Nasal Allergies Keep from Working Full Time
Yes5%
No36%
Working full time53%
Retired6%
Q21a. Do your nasal allergies keep you from working full time? Unweighted N=2,500
25
Nasal Allergies Stop or Limit Working
Keep from working5%
Limit work9%No
80%
Retired6%
Q21a. Do your nasal allergies keep you from working full time? Q21b. Are you limited in the kind or amount of work you do because of your nasal allergies? Unweighted N=2,500
26
Missed Work due to Nasal Allergies
Yes30%
No70%
Q22a. Have you missed work in the past 12 months due to your nasal allergies? Base: Employed full time Unweighted N=1,315
27
Work Interference from Nasal Allergies
Neither48%
Both20%
Missed work only10%
Interfered only22%
Q22a. Have you missed work in the past 12 months due to your nasal allergies? Q23a. Aside from actually missing work, have your nasal allergy symptoms in the past 12 months interfered with your performance at work? Base: Employed full time Unweighted N=1,315
28
Work Interference due to Allergies
None1%
Little16%
Some28%
A lot20%Moderate
35%
Q23b. On days when you had nasal allergy symptoms how much did the symptoms interfere with your ability to do your job? Did the symptoms interfere a lot, a moderate amount, some, only a little, or not at all? Base: Full time, Interfered with work Unweighted N=547
29
Productivity and Allergies
95%
72%
0%
20%
40%
60%
80%
100%
No Symptoms Symptoms at worstQ24. Thinking about your productivity on a scale of 0 to 100, where 100 means 100% productivity, where would
you rank your productivity on days when you don’t have nasal allergy symptoms? Q25. Where would you rank your productivity on the same scale of 0 to 100 … when your nasal allergies are at their worst? Base: Employed full time Unweighted N=1,315
Mean Productivity
30
Exposed to Allergens at Workplace
Not sure2%
Yes58%
No40%
N26a. Are you exposed to anything at your workplace that affects your nasal allergy symptoms? Base: Full time and interferes at work. Unweighted N=511
31
Avoid Activities because of Allergies
Yes35%
No65%
Q27a. Do you avoid any activities because of your nasal allergies? Unweighted N=2,500
32
Symptoms During Worst Month
13%
26%
44%
8%
29%
23%
38%
36%
15%
36%
0%
20%
40%
60%
80%
100%
Depressed orblue
Irritable Tired Embarrassed Miserable
Sometimes
Frequently
Q30. During allergy season, how often do you feel (ITEM) – frequently, sometimes, rarely or never? Unweighted N=2,500
33
Impact of Allergies on Daily Life
Not sure1%
Didn't really impact14%
Little19%
Some26%
A lot15%
Moderate25%
Q31. During allergy season, would you say the condition impacted your daily life …..? Unweighted N=2,500
34
Nasal Allergy Control in Past Week
Not sure1%
Completely24%
Well controlled28%
Somewhat controlled33%
Not controlled5%
Poorly controlled 9%
Q32. Overall, how well would you say that your nasal allergies have been controlled in the last week? Would you say it was completely controlled, well controlled, somewhat controlled, poorly controlled, or not controlled at all? Unweighted N=2,500
35
Allergy Symptom Severity in Past Week
No symptoms23%
Mild symptoms36%
Severe11%
Moderate symptoms30%
Q33. How would you describe your nasal allergies during the last week? Would you say you had … no symptoms, mild symptoms, moderate symptoms, or severe symptoms? Unweighted N=2,500
36
Other Conditions in the Past Week
50%
23%
17%
16%
15%
10%
9%
2%
33%
0% 20% 40% 60% 80% 100%
Sinus problems
Heartburn or GERD
Cold or flu
Earaches
Migraines
Skin rashes
Fever
Pink eye
None of theseHad
Q37. During the last week have you had ………….? Unweighted N=2,500
37
Usual Source of Medical Care
1%
1%
2%
1%
1%
1%
3%
87%
5%
0% 20% 40% 60% 80% 100%
Doctor's office
Hospital outpatient clinic
Public Health clinic
Hospital ER
Company or Union clinic
Veteran's hospital/clinic
Clinic
Other
Not sure
Q41. Is the place that you usually go for your overall medical care, medical advice or treatment a……? Unweighted N=2,500
38
Primary Health Care Provider
Not sure1%
Other1%
Physician Asst4%
Doctor87%
Nurse Practitioner7%
Q41b. Who do you see most often for your health care, medical advice or treatment ……? Unweighted N=2,500
39
Specialty of Doctor Treating Nasal Allergies
30%
23%
12%
9%
6%
1%
1%
2%
0% 10% 20% 30% 40% 50%
General practice
Family practice
Internal medicine
Allergist
ENT
OB/GYN
Pulmonologist
Other
Q43. What is the medical specialty of the doctor that you see most often for your nasal allergies? Unweighted N=2,500
40
Seen Doctor for Nasal Allergies in Past 12 Months
No, not seen doctor, 52%
47%
1%
Q42a. Have you seen a health practitioner about your nasal allergies in the past 12 months? Unweighted N =2,500
41
Skin Test for Nasal Allergies
7%
5%
4%19%
66%
Q45a. Has your doctor or health practitioner ever given you a skin test to see what causes your nasal allergies? Q45b. When was the most recent time you had a skin test for your nasal allergies? Unweighted N =2,500
42
Blood Test for Nasal Allergies
7%2%
2%
6%
82%
QN46a. Has your doctor or health practitioner ever given you a blood test to see what causes your nasal allergies? QN46b. When was the most recent time you had a blood test for your nasal allergies? N =2,500
43
Shots for Nasal Allergies
9%
2%
2%
11%
75%
QN47a. Has your doctor or health practitioner ever given you nasal allergy shots? QN47b. When was the most recent time you had nasal allergy shots? Unweighted N =2,500
44
Drops or Extracts for Nasal Allergies
11%2%
1%
2%
83%
QN47c. Has your doctor or health practitioner ever given you nasal allergy drops or extracts by mouth or under the tongue to treat your nasal allergies? QN47d. When was the most recent time you had nasal allergy drops or extracts by mouth or under the tongue? Unweighted N =2,500
45
Shown How to Use Nasal Spray
2%
31%14%
8%
15%
30%
Q48a. Has a health practitioner ever shown you how to use a nasal spray for your nasal allergies? Q48b. When was the most recent time a health practitioner showed you how to use a nasal spray for your
nasal allergies? Unweighted N=2,500
46
Follow Health Practitioner’s Advice
1%
36%
41%
13%
4%
4%
Q49. Would you say that you follow your health practitioner’s advice on the management and treatment of your nasal allergies – all of the time, most of the time, some of the time, rarely or never? Unweighted N=2,500
47
Satisfaction with Health Practitioner’s Management of Your Allergies
57%
31%
2%
7%
3%
Q51. Overall, how satisfied are you with your health practitioner’s management and treatment of your nasal allergies? Unweighted N=2,500
48
Changed Doctors due to Dissatisfaction
87%
13%
Q52a. Have you ever changed doctors because you were dissatisfied with their management of your nasal allergies? Unweighted N=2,500
49
Seen Specialist for Nasal Allergies
14%
10%76%
Q54a. Have you seen a specialist about your nasal allergies in the past 12 months? Unweighted N=2,500
50
Satisfaction with Specialist’s Management of Your Allergies
5%
10%
22%
63%
1%
Q54c. Overall, how satisfied are you with your specialist’s management and treatment of your nasal allergies? Base: Seen specialist other than primary doctor in the past year. Unweighted N=265
51
Types of Medications Used for Allergies
28%27%
42%
3%
0%
10%
20%
30%
40%
50%
Prescription only Non-prescriptiononly
Both Neither
Q62. For the current management and treatment of your nasal allergy symptoms do you use prescription medications only, non-prescription medications only, or both? Unweighted N=2,500
52
Non-Prescription Medicine for Allergies in Past 4 Weeks
49% 51%
0%
20%
40%
60%
80%
100%
Yes No
Q63a. In the past 4 weeks, have you used any over-the-counter, non-prescription medicine to give you relief from nasal allergy symptoms? Unweighted N=2,500
53
Non-Prescription Medicine for Allergies: Recency of Use
54%
18%6%
5%
16%
Q63a. In the past 4 weeks, have you used any over-the-counter, non-prescription medicine to give you relief from nasal allergy symptoms? Q63b. When was the most recent time that you used an over the counter, non-prescription medicine for relief from nasal allergy symptoms? Unweighted N=2,500
54
Which OTC Medicine Used
22%
20%
17%
10%
6%
5%
3%
2%
2%
1%
1%
1%
36%
0% 10% 20% 30% 40% 50%
Claratin
Benadryl
Sudafed
Tylenol Allergy
Cold medicines
Afrin
Actifed
Alavert
Chloritrimenton
Tavist
Nasalcrom
Neo-Synephrine
Other
Q63c. What is the name of the over-the-counter medicines you take/took for nasal allergies? Base: Used in past 4 weeks. Unweighted N=1,345
55
Satisfaction with Recent OTC Medicine for Nasal Allergies
1%
41%
48%
7%
3%
Q63f. How satisfied are you with the over-the-counter medicine you used for your nasal allergies in the past 4 weeks? Base: Used OTC for nasal allergies in the past 4 weeks. Unweighted N=1,344
56
Prescription Nasal Spray for Allergies in Past 4 Weeks
34%
66%
0%
20%
40%
60%
80%
100%
Yes No
Q64a. In the past 4 weeks, have you used any prescription nasal spray for your nasal allergies? Unweighted N=2,500
57
Prescription Nasal Spray for Allergies: Recency of Use
36%
7%
14%
24%18% 1%
Q64a. In the past 4 weeks, have you used any prescription nasal sprays for your nasal allergies? Q64b. When was the most recent time that you used a prescription nasal spray for your nasal allergies? Unweighted N=2,500
58
Which Prescription Nasal Spray Used
41%
21%
14%
10%
5%
3%
9%
0% 10% 20% 30% 40% 50%
Flonase
Nasonex
Nasacort
Rhinocort
Astelin
Naserel
Other
Q64c. What is the name of the prescription nasal spray you take/took for nasal allergies? Base: Used in past 4 weeks. Unweighted N=919
59
How Many Symptoms Relieved by Nasal Spray
1%
3%
34%
46%
16%
Q65. Does your current prescription nasal spray give you relief from all of your symptoms, most symptoms, some symptoms, or no symptoms? Base: Use prescription nasal spray. Unweighted N=919
60
How Quickly Does it Relieve
37%
21%
8%
2% 1% 1%2%
12%
4%
0%
10%
20%
30%
40%
50%
Within 1hour
1 hour 2 hours 3-4hours
5-6hours
7-10hours
11-23hours
1-6 days Oneweek or
more
Q68. How long does it take for your current prescription nasal spray to begin giving you symptom relief? Unweighted N=919
61
Does Effectiveness Wear Off
7%
45%
48%
Q69a. Does your current prescription nasal spray lose effectiveness over the course of the day or night, or does it remain as effective as when you first took it? Base: Used prescription nasal spray Unweighted N=919
62
When Begins Losing Effectiveness
18%
32%
20%
17%
3%
5%
5%
0% 10% 20% 30% 40% 50%
Less than 4 hours
4-7 hours
8-11 hours
12-15 hours
16-23 hours
24 hours or longer
Not sure
Q69b. How long after taking your current nasal allergy medicine does it begin losing effectiveness? Base: Nasal spray loses effectiveness. Unweighted N=440
63
Satisfaction with Recent Rx Nasal Spray for Nasal Allergies
4%
6%
39%
49%
1%
Q70a. How satisfied are you with the prescription nasal spray you used for your nasal allergies in the past 4 weeks? Base: Used Rx nasal spray for nasal allergies in the past 4 weeks. Unweighted N=919
64
Satisfaction with Rx Nasal Sprays for Nasal Allergies
4%
34%
38%
12%
12%
Q70b. In general, how satisfied have you been with the prescription nasal spray you have used for your nasal allergies in the past? Base: Ever used Rx nasal spray for nasal allergies. Unweighted N=2,033
65
Reason for Not Using Rx Nasal Spray Recently
30%
11%
11%
11%
9%
8%
7%
6%
2%
2%
1%
1%
1%
1%
4%
0% 10% 20% 30% 40% 50%
No symptoms
Not bad enough
Not effective
Haven't seen doctor/Received prescription
Side effects
Don't like sprays
Don't like/Prefer other meds.
No insurance/Cost too high
Don't tolerate
Interferes with condition/meds.
Dependence concerns
Hard to use
Taste/Smell
Causes nosebleeds
Other
Q71. Why haven’t you used a prescription nasal spray you take/took for nasal allergies in the past 4 weeks? Base: Used in past but not past 4 weeks. Unweighted N=1,156
66
Other Prescriptions for Allergies in Past 4 Weeks
22%
77%
0%
20%
40%
60%
80%
100%
Yes No
Q72a. Have you taken any other prescription medications for your nasal allergies in the past 4 weeks? Unweighted N=2,500
67
Other Prescription Medicine Used
33%
26%
14%
9%
7%
1%
1%
24%
3%
0% 10% 20% 30% 40% 50%
Allegra
Zyrtec
Singulaire
Claritin Rx
Clarinex
Prednisone/Medroldose pack
Fexofenadine
Other
Not sure
Q72b. What is the name of the other prescription medicine you take/took for nasal allergies? Base: Used in past 4 weeks. Unweighted N=576
68
How Many Symptoms Relieved by Nasal Spray
22%
50%
23%
1%
2%
Q73. Does this prescription medicine give you relief from all of your symptoms, most symptoms, some symptoms, or no symptoms? Base: Use other prescription medicine. Unweighted N=576
69
How Quickly Does it Relieve
23%25%
14%
3%1% 1%
3%
10%
3%
0%
10%
20%
30%
40%
50%
Within 1hour
1 hour 2 hours 3-4hours
5-6hours
7-10hours
11-23hours
1-6 days Oneweek or
more
Q76. How long does it take for this prescription medicine to begin giving you symptom relief? Base: Use other prescription medicine. Unweighted N=576
70
Does Effectiveness Wear Off
6%
51%
42%
Q77a. Does this prescription medicine lose effectiveness over the course of the day or night, or does it remain as effective as when you first took it? Base: Use other prescription medicine. Unweighted N=576
71
When Begins Losing Effectiveness
9%
24%
29%
20%
7%
5%
5%
0% 10% 20% 30% 40% 50%
Less than 4 hours
4-7 hours
8-11 hours
12-15 hours
16-23 hours
24 hours or longer
Not sure
Q77b. How long after taking this nasal allergy medicine does it begin losing effectiveness? Base: Other prescription medicine loses effectiveness. Unweighted N=243
72
Satisfaction with Other Prescription Medicine for Nasal Allergies
1%
52%
38%
7%
3%
Q78. How satisfied are you with the other prescription medicine you used for your nasal allergies in the past 4 weeks? Base: Used other prescription medicine for nasal allergies in the past 4 weeks. Unweighted N=576
73
Medicine for Allergies in Past 4 Weeks
49%
34%
22%
44%
71%
29%
0%
20%
40%
60%
80%
100%
OTC Rx Nasal Spray Other Rx Any Rx Any Medication No Medication
Q63a. In the past 4 weeks, have you used any over-the-counter, non-prescription medicine to give you relief from nasal allergy symptoms? Q64a. In the past 4 weeks, have you used any prescription nasal spray for your
nasal allergies? Q72a. Have you taken any other prescription medications for your nasal allergies in the past 4 weeks? Unweighted N=2,500
74
Use of Prescription Meds for Nasal Allergies
31%
51%
17%
1%
0%
20%
40%
60%
80%
100%
All year Only Part Year Never take Not sure
Q79. Do you take prescription medicines for your nasal allergies all through the year or only during the times of the year that your nasal allergies are the worst? Unweighted N=2,500
75
Change Prescription Medicines for Nasal Allergies
10%
2%
8%
12%
38%
29%
Q81a. How often do you change nasal allergy medicines ---several times each year, once a year, every few years, only rarely or never? Unweighted N=2,500
76
Why Changed Medicine for Nasal Allergies
37%
23%
11%
8%
5%
4%
3%
3%
3%
3%
2%
2%
2%
1%
3%
4%
0% 10% 20% 30% 40% 50%
Not effective enough
Doctor wanted to try other
Patient wanted to try other
Bothersome side effects
Cost/co-pay
Didn't treat symptoms
Not covered
Safety concerns
Developed an immunity
Availability/ Convenience/ Free samples
Not long lasting enough
Taken off market
Haven't changed allergy medicines
Not fast enough
Not sure
Other
Q81b. Why have you changed nasal allergy medicines? Anything else? Base: Have changed nasal allergy medicines. Unweighted N=1,723
77
Asked Doctor to Change Medication
66%
34%
Q82a. Have you ever asked your doctor to change your nasal allergy medication because you were dissatisfied with it? Unweighted N=2,500
78
Why Dissatisfied with Nasal Allergy Medicine
66%
21%
12%
10%
1%
1%
1%
4%
2%
0% 20% 40% 60% 80% 100%
Wasn't effective
Bothersome side effects
Effectiveness wore off
Didn't provide 24 hour relief
Not covered
Cost/co-pay
Hard to administer
Other
Not sure
Q82c. Why were you dissatisfied with that medicine? Base: Have asked doctor to change nasal allergy medicines. Unweighted N=860
79
How Quickly Supposed to Relieve
47%
17%
4%
1%
1%
4%
10%
15%
0% 10% 20% 30% 40% 50%
Within 1 hour
1-3 hours
4-6 hours
7-9 hours
10-12 hours
13-24 hours
25 hours or longer
Not sure
Q85. How quickly are prescription medicines supposed to begin providing symptom relief for nasal allergies? Unweighted N=2,500
80
How Long Supposed to Relieve
10%
19%21%
4%
30%
16%
0%
10%
20%
30%
40%
50%
Less than 6hours
6-11 hours 12-17 hours 18-23 hours 24 hours orlonger
Not sure
Q86. How long are prescription medicines supposed to provide symptom relief for nasal allergies? Unweighted N=2,500
81
Effectiveness Ever Wore Off before 24 Hours
9%
33%
58%
Q87a. Have you ever found that the effectiveness of a product that promised 24 hour relief began wearing off earlier? Unweighted N=2,500
82
Effectiveness Wore Off: Multiple Products
9%
33%
4%
16%
39%
Q87a. Have you ever found that the effectiveness of a product that promised 24 hour relief began wearing off earlier? Q87b. Has this happened with more than one nasal allergy product? Unweighted N=2,500
83
When Does Effectiveness Wear Off
3%2%
3%
15% 15%
19% 19%
25%
0%
10%
20%
30%
40%
50%
Within 1hour
1 hour 2 hours 3-4 hours 5-6 hours 7-10 hours 11 or more Not sure
Q87c. About how long after you started taking it does a nasal allergy medicine’s effectiveness begin wearing off? Base: Found nasal allergy medicine offering 24 hour relief wearing off. Unweighted N=1,461
84
Stopped Taking Because Effectiveness Wore Off
33%
57%
0%
20%
40%
60%
80%
100%
All Patients Unweighted N=2,500 Experienced Wear-off Unweighted N=1,461
Q87d. Have you ever stopped taking a product for your nasal allergies because its effectiveness had worn off?
85
Effectiveness Wears Off Over Time
6%
40%
2%
15%
38%
Q88a. Have you ever found that a product’s effectiveness in treating your nasal allergy symptoms wears off over time even when you are taking the medicine as prescribed? Q88b. Has this happened to you with more
than one nasal allergy product? Unweighted N=2,500
86
When Does Effectiveness Wear Off
12%
7% 6%
13% 13%
10%12%
27%
0%
10%
20%
30%
40%
50%
Within 1month
1 month 2 months 3-4 months 5-6 months 7-10 months 11 or moremonths
Not sure
Q88c. About how long after you started taking it does a nasal allergy medicine’s effectiveness begin wearing off even when taken as prescribed? Base: Found nasal allergy medicine wearing off. Unweighted N=1,364
87
Stopped Taking Because Effectiveness Wore Off
36%
66%
0%
20%
40%
60%
80%
100%
All Patients Unweighted N=2,500 Experienced Wear-off Unweighted N=1,364
Q88d. Have you ever stopped taking a product for your nasal allergies because its effectiveness had worn off?
88
Nasal Allergy Meds Cause Nosebleeds
2%
20%
78%
Q89a. Have any of the medicines that you have taken for your nasal allergy ever caused nosebleeds? Unweighted N=2,500
89
How Bothersome were Nosebleeds
1%8%
32%
28%
31%
Q89b. How bothersome were those nosebleeds? Base: Medicine caused nosebleeds. Unweighted N=501
90
Side Effects of Allergy Medicines
8%
3%
11% 10%
2% 4%
7%
3%
8%12%
7%
17%
11%
22%
25%
12%
26%
2%
0%
10%
20%
30%
40%
50%
Bad taste Burning Drippingdown throat
Drying feeling Headaches Drowsiness
Some
Most
All
Q90. How many of the medicines that you have taken for allergy had the following types of side effects --- all, most, some, few or none? Unweighted N=2,500
91
How Bothersome are Side Effects
7% 7%
13% 12% 12% 12%
15%
11%
20% 22%
13%
21%
0%
10%
20%
30%
40%
50%
Bad taste Burning Dripping downthroat
Drying feeling Headaches Drowsiness
Moderately
Extremely
Q91. How bothersome are the following side effects of nasal allergy medicines --- extremely, moderately, slightly or not bothersome? Unweighted N=2,500
92
Try to Avoid Certain Medicines
1%
62%
36%
Q100a. Are there any nasal allergy medications that you try to avoid using? Unweighted N=2,500
93
Reason Stopped Taking Nasal Allergy Prescription
37%
35%
32%
25%
14%
11%
4%
3%
39%
0% 10% 20% 30% 40% 50%
Didn't find it effective
Effectiveness began wearing off
Didn't provide 24 hour relief
Bothersome side effects
Not covered
Co-pay was too high
Dosing schedule was difficult
Hard to administer
None of these
Q94. Have you ever stopped taking a nasal allergy medicine prescribed by your doctor because…. Unweighted N=2,500
94
Tell Doctor when Stop Taking Rx Meds
1%
51%
48%
Q95. When you have stopped taking a nasal allergy medicine for one of these reasons, do you always tell your doctor right away? Base: Have stopped taking nasal allergy medicine prescribed by doctor. Unweighted N=1,490
95
Get Money’s Worth from Rx Meds
10%
55%
34%
Q97. Overall, do you feel that patients get their money’s worth out of prescription medicines for nasal allergies? Unweighted N=2,500
96
Most Important for Nasal Allergy Medicine
17%
32%
37%
2%
6%
5%
1%
0% 10% 20% 30% 40% 50%
Fast symptom relief
Long lasting relief
Complete symptom relief
Easy to take
Few side effects
Low cost
Not sure
Q98. In choosing a nasal allergy medicine, which would be the most important to you …? Unweighted N=2,500
97
Important for Nasal Allergy Medicine
17%
32%
37%
6%
5%
22%
30%
15%
13%
13%
2%
1%
4%
1%
0% 20% 40% 60% 80% 100%
Fast symptom relief
Long lasting relief
Complete symptomrelief
Easy to take
Few side effects
Low cost
Not sure
Most Next
Q98. In choosing a nasal allergy medicine, which would be the most important to you …? Q99. What would be the next most important to you? Unweighted N=2,500
98
How Many Symptoms Relieved for Success
1%
1%4%
8%53%
33%
Q101. How many symptoms would a nasal allergy medicine have to relieve for you to consider it a successful treatment --- all, most, some, a few or none? Unweighted N=2,500
99
Percent Relief for Success
86%84% 85%
83%85%
0%
20%
40%
60%
80%
100%
All Patients N=2,500 No symtoms Mild symptoms Moderate symptoms Severe symptoms
Q102. On a scale of 0 to 100 percent, what percent symptom relief would you expect from a nasal allergy medicine for it to be considered a successful treatment? Q33. How would you describe your nasal allergy symptoms in the past week?
100
How Quickly Must Relieve
43%
27%
10%
4%
1%
1%
8%
5%
0% 10% 20% 30% 40% 50%
Within 1 hour
1 hour
2 hours
3-4 hours
5-6 hours
7-10 hours
11 hours or longer
Not sure
Q103. How quickly after taking would a nasal allergy medicine have to begin relieving symptoms for you to consider it a successful treatment? Unweighted N=2,500
101
How Long Must Last
5%
18%
18%
24%
5%
27%
3%
0% 10% 20% 30% 40% 50%
Less than 4 hours
4-7 hours
8-11 hours
12-15 hours
16-23 hours
24 hours or longer
Not sure
Q104. How long after you take a dose of nasal allergy medicine should symptom relief last for you to consider it a successful treatment? Unweighted N=2,500
102
Failed to Follow Physician Instructions
41%
37%
35%
27%
22%
21%
19%
19%
3%
0% 10% 20% 30% 40% 50%
Lack of symptom relief
Loss of effectiveness overtime
Lack of symptoms
Troublesome side effects
Worry about side effects
Cost of drugs
Concern about long termuse
Poor toleration
Doctor's instructions hardto follow
Q108. People with nasal allergies sometimes fail to follow their physician’s instructions about their medicines for allergies. Have you ever failed to take an allergy medicine as prescribed because of ……
Unweighted N=2,500
103
Allergies Impact on Activities with Children
87%
3%
10%
Q109b. Do your nasal allergies interfere with activities that you would like to do with the children? Q109c. Do your nasal allergies ever make you feel guilty when they interfere with activities with the children? Base: Children under 18 Unweighted N=882
104
Attitudes about Nasal Allergies
55%
28%
15%
22%
56%
64%
29%
43%
20%
36%
19%
21%
0% 20% 40% 60% 80% 100%
Nasal allergies are serioushealth problem in US
Nasal allergies usuallycause some lifestyle
limitations
There are no truly effectivetreatments for nasal
allergies
Frequent nasal allergysymptoms can be
prevented
Nasal allergies can makeasthma worse
Nasal allegies can causesinus infections
Agree strongly
Agree somewhat
Q110. Now I am going to read you a series of statements. As I read each statement , please tell me whether you agree strongly, agree somewhat, disagree somewhat or disagree strongly with the statement. Unweighted N=2,500
105
Source of Health Insurance
67%
14%
14%
5%
3%
2%
1%
11%
0% 20% 40% 60% 80% 100%
Through work, school orunion
Bought directly by you
Medicare
Medicaid
Military/VA/Champus
Other
Not sure
Not covered
Q111a. Do you have any sort of health insurance or health plan to cover your health care costs? Q111c. Is your coverage under that/those plans from ….. Unweighted N=2,500
106
How Much of Prescription Drug Costs Covered
11%
3%
4%
3%19%
50%
10%
Q111d. How much of the costs of your prescription drugs is covered by your health plan --- all, most, some, little or none? Unweighted N=2,500
107
Insurance Restricts Type Of Medicine
10%
59%
20%
11%
Q111f. Does your insurance restrict your doctor from prescribing specific nasal allergy medications for you? Unweighted N=2,500
108
Need for Patient Education
49%
40%
7%
2%
3%
Q113. How much need do you think there is for better education of people with nasal allergies about their condition and its treatment? Unweighted N=2,500
109
Family History of Nasal Allergies
27%
37%
49%
46%
13%
17%
2%
0% 20% 40% 60% 80% 100%
Father
Mother
Brothers or sisters
Children
Grandparents
None of these
Not sure
Q116. Do any of the following relatives of yours have nasal allergies? Unweighted N=2,500
110
Pets in the Household
40%
28%
3%
2%
1%
1%
2%
44%
0% 10% 20% 30% 40% 50%
Dog
Cat
Bird
Fish
Hamster/gerbil
Rabbit
Other
No pets in house
Q117a. Do you have any pets living in your house? Q117b. What kind of pet or pets? Unweighted N=2,500
Allergies in America: Survey of Health Professionals
Conducted bySchulman, Ronca & Bucuvalas, Inc.
February 28, 2006
Conducted bySchulman, Ronca & Bucuvalas, Inc.
February 28, 2006
Supported by:
113
Study Design
Population Sampling Frame Interview LengthCompleted Sample
Population Aged 18+ National RDD 34.8 minutes 2,500
Cross-section: 1/5/06-1/31/06
Health Professional Survey-- Adult Primary Care-- Allergy-- Otolaryngology-- Nurse practitioner-- Physician assistant
AMA/AOA Master List
19.4 minutes
100100100 50 50
Physician Survey: 1/17/06-2/14/06
114
Health Provider Type
25% 25% 25%
13% 13%
0%
5%
10%
15%
20%
25%
30%
35%
40%
45%
50%
ENT Allergist Primary care NursePractitioner
Physician Asst
Base: Total completed interviews N=400
115
Primary Ambulatory Care Setting
1%
45%
44%
1%
41%
25%
22%
6%
4%
1%
1%
19%
18%
16%
34%
2%
6%
4%
2%
2%
17%
44%
34%
10%
0% 5% 10% 15% 20% 25% 30% 35% 40% 45% 50%
Solo practice
Single-specialtygroup
Multi-specialty group
Clinic
HMO
Hospital Outpatient
Other Nurse Prac./Physician Asst.Primary careAllergistENT
Q3. In what type of ambulatory care setting do you spend MOST of your (out-patient) patient care time during a usual work week? Is it… N=400
116
Patients Seen on Outpatient Basis
80
97
113
103
0
20
40
60
80
100
120
ENT Allergist Primary Care NursePrac./Physician
Asst
Q4. In an average week, about how many patients do you see on an outpatient basis? N=400
Wee
kly
aver
age
117
Percent of Patients with Rhinitis
22%22%
64%
33%
0%
20%
40%
60%
80%
100%
ENT Allergist Primary Care NursePrac./Physician
Asst
Q5. About what percent of the outpatients you see each week have allergic rhinitis? N=400
Wee
kly
aver
age
118
How Bothersome are Symptoms
81%
73%
77%10%
8%
26%
16%
84%
0% 20% 40% 60% 80% 100%
ENT
Allergist
Primary care
Nurse Prac./PhysicianAsst.
Extremely Moderately
Q6. For most patients that you see with allergic rhinitis, how bothersome are their nasal allergy symptoms? Would you say they are extremely bothersome, moderately bothersome, slightly bothersome or not bothersome? N=400
119
Most Bothersome Symptoms
96%
53%
50%
73%
98%
45%
57%
74%
78%
90%
46%
51%
63%
72%
90%
10%
5%
10%
14%
22%
75%
68%
45%
37%
69%
0% 20% 40% 60% 80% 100%
Red/Itching eyes
Watery eyes
Runny nose
Post-nasal drip
Nasal congestion
Patients (single choice)
Nurse Prac./Physician Asst.
Primary care
Allergist
ENT
Q7. Which of the following nasal allergy symptoms are most bothersome to your patients? N=400PQ16. Which of these symptoms was the most bothersome to you? Base: Had bothersome symptoms.
Unweighted N=2,362
120
Most Bothersome Symptoms (Cont.)
55%
31%
41%
42%
41%
4 1%
3 9%
3 9%
3 3%
4 8%
31%
30%
29%
36%
37%
4%
4%
9%
14%
7%
50%
31%
37%
45%
47%
0% 20% 40% 60% 80% 100%
Ear pain
Itching
Repeated sneezing
Headache
Facial pain
Patients (single choice)
Nurse Prac./Physician Asst.
Primary care
Allergist
ENT
Q7. Which of the following nasal allergy symptoms are most bothersome to your patients? N=400PQ16. Which of these symptoms was the most bothersome to you? Base: Had bothersome symptoms.
Unweighted N=2,362
121
Discomfort During Allergy Attack
45%
60%
44%
45%
38% 55%
55%
55%
38%
55%
0% 20% 40% 60% 80% 100%
ENT
Allergist
Primary care
Nurse Prac./PhysicianAsst.
Patients
Can't tolerate Can't ignore
Q8. In general, would you say that patients’ discomfort during a nasal allergy attack is usually something they can ignore, they can’t ignore it, but they can tolerate it, or they can’t tolerate it without relief? N=400
PQ17. In general, when you have a nasal allergy attack would you say that your discomfort is usually something you can ignore, you can’t ignore it, but you can tolerate it, or you can’t tolerate it without relief? Unweighted
N=2,500
122
Patients Missing Work due to Rhinitis
19%
19%
13%
23%
32%
27%
30%
3%
3%
14%
40%
0% 10% 20% 30% 40% 50% 60% 70%
ENT
Allergist
Primary care
Nurse Prac./PhysicianAsst.
Patients (yes)
All (91% to 100%) Most (51% to 90%) Some (11% to 50%)
Q9. Among your patients with allergic rhinitis who are employed, how many would you estimate have missed work in the past 12 months due to their nasal allergies? N=400
PQ22a. Have you missed work in the past 12 months due to your nasal allergies? Base: Employed full time Unweighted N=1,315
123
Productivity when Nasal Allergies are at Their Worst
72%
62%64%60%
65%
0%
20%
40%
60%
80%
100%
ENT Allergist Primary Care Nurse Prac./Physician Asst
Patients
Q10. Thinking about productivity at work on a scale from 0 to 100, where 100 means 100% productivity, where would you rank the productivity of persons with allergic rhinitis, when their nasal allergies are at their worst? N=400
PQ24. Thinking about your productivity on a scale of 0 to 100, where 100 means 100% productivity, where would you rank your productivity on days when you don’t have nasal allergy symptoms? PQ25. Where would you rank your productivity on the same scale of 0 to 100 … when your nasal allergies are at their worst? Base: Employed full time Unweighted N=1,315
Wee
kly
aver
age
124
Impact of Allergies on Daily Life
15%
62%
44%
47%
25%
34%
18%
47%
30%
63%
0% 20% 40% 60% 80% 100%
ENT
Allergist
Primary care
Nurse Prac./PhysicianAsst.
Patients
A lot Moderate
Q11. For the average patient with allergic rhinitis, during allergy season, would you say the condition impacted their daily life a lot, impacted their daily life a moderate amount, impacted their daily life some, impacted their daily life a little, or does not really impact their daily life? N=400
PQ31. During allergy season, would you say the condition impacted your daily life …..? Unweighted N=2,500
125
Classification of Nasal Allergies
41%
61%
71%
60%
0%
20%
40%
60%
80%
100%
ENT Allergist Primary Care NursePrac./Physician
Asst
Q12. Do you classify the severity of nasal allergies in patients [DOCTOR VERSION: when you make the diagnosis] [PA/NP VERSION: when you initially see them]? N=400
Wee
kly
aver
age
126
Percent of Patients with Seasonal Allergies
43%
57%55%
39%
49%
0%
20%
40%
60%
80%
100%
ENT Allergist Primary Care Nurse Prac./Physician
Asst
Patients
Q13a. What proportion of your patients with nasal allergies would you classify as having seasonal rather than perennial allergies? N=400
PQ12. Would you describe your nasal allergies as seasonal or do they occur throughout the year? Unweighted N=2,500
Wee
kly
aver
age
127
Proportion of Patients Classified by Symptom Severity
46%
45%
41%
27%
34%
34%26%
23%
35%
28%
42%
20%
0% 20% 40% 60% 80% 100%
ENT
Allergist
Primary care
Nurse Prac./PhysicianAsst.
Severe Moderate Mild
Q13b. What proportion of your patients with nasal allergies would you classify as having…? N=400
128
Skin Test to Confirm Diagnosis
49%
27%
39%
43%
27%
25%3%
3%
56%
3%
3%
2%
4%
0% 20% 40% 60% 80% 100%
ENT
Allergist
Primary care
Nurse Prac./PhysicianAsst.
Patients (yes)
Always Most of the time Sometimes
Q14. How often do you conduct a skin test, either in your office or by referral, when making or confirming a diagnosis of allergic rhinitis…? N=400
PQ6a. Were you given a skin test to see what you were allergic to? Unweighted N=2,500
129
Blood Test to Confirm Diagnosis
23%
12%
3%
28%
27%
19%1%
2%
1%
3%
1%
5%
33%
0% 10% 20% 30% 40% 50%
ENT
Allergist
Primary care
Nurse Prac./PhysicianAsst.
Patients (yes)
Always Most of the time Sometimes
Q15. How often do you conduct a blood test, either in your office or by referral, when making or confirming a diagnosis of allergic rhinitis…? N=400
PQ6b. Were you given a blood test to see what you were allergic to? Unweighted N=2,500
130
Allergy Shots to Treat Nasal Allergies
25%
18%
36%
10%
44%
35%
27%4%
9%
9%
13%
3%
44%
0% 20% 40% 60% 80% 100%
ENT
Allergist
Primary care
Nurse Prac./PhysicianAsst.
Patients (ever)
All Most Some
Q16. Among your patients with allergic rhinitis, do you give allergy shots to or refer patients to get allergy shots to treat nasal allergies to all, most, some, a few or none? N=400
PQN47a. Has your doctor or health practitioner ever given you nasal allergy shots? Unweighted N =2,500
131
Allergy Drops to Treat Nasal Allergies
17%
3%
7%
13%
12%
8%
2%
4%
3%
1%
3%
6%
0% 5% 10% 15% 20% 25% 30%
ENT
Allergist
Primary care
Nurse Prac./PhysicianAsst.
Patients (ever)
All Most Some
Q17. Among your patients with allergic rhinitis, do you give or refer patients to get allergy drops or extracts by mouth or under the tongue to treat nasal allergies to all, most, some, a few or none? N=400
PQN47c. Has your doctor or health practitioner ever given you nasal allergy drops or extracts by mouth or under the tongue to treat your nasal allergies? Unweighted N =2,500
132
How Often Show How to Use Nasal Spray
31%
4%
3%
3%
22%
64%
55%
72%
73%
15%
15%
15%
40%
22%
1%
0% 20% 40% 60% 80% 100%
ENT
Allergist
Primary care
Nurse Prac./PhysicianAsst.
Patients
At least once a year Every few years When first prescribed/5 years or more
Q18. How often do you show patients how to use a nasal spray for their nasal allergies? N=400PQ48a. Has a health practitioner ever shown you how to use a nasal spray for your nasal allergies? PQ48b.
When was the most recent time a health practitioner showed you how to use a nasal spray for your nasal allergies? Unweighted N=2,500
133
How Often Patients Follow Advice
36%
1%1%1%
67% 70%
57%
39%
41%
0%
20%
40%
60%
80%
100%
ENT Allergist Primary care Nurse Prac./Physician Asst.
Patients
Most of the time
All of the time
Q19. Would you say that most of your patients with allergic rhinitis follow your advice on the management and treatment of nasal allergies…? N=400
PQ49. Would you say that you follow your health practitioner’s advice on the management and treatment of your nasal allergies – all of the time, most of the time, some of the time, rarely or never? Unweighted N=2,500
134
Percent of Patients Very Satisfied With Disease Management
78%87%
62%
57%
3%4%3%
72%
8%
31%
17%28%
0%
20%
40%
60%
80%
100%
ENT Allergist Primary care Nurse Prac./Physician Asst.
Patients
All (91% to 100%) Most (51% to 90%) Some (11% to 50%)
Q20. Approximately, what proportion of your patients with nasal allergies would you say are VERY satisfied with the management of their disease? Would you say… N=400
PQ51. Overall, how satisfied are you with your health practitioner’s management and treatment of your nasal allergies? Unweighted N=2,500
135
Effect of Medical Treatment on Quality of Life
34%
26%
41%51%
46%
74%
60%
42%
0% 20% 40% 60% 80% 100%
ENT
Allergist
Primary care
Nurse Prac./PhysicianAsst.
A lot Moderate
Q21. How much effect does medical treatment have on the quality of life for an adult with allergic rhinitis? N=400
136
How Often Patients Change Allergy Medications
10%
29%
34%
25%
8%
38%
29%
39%
35%
12%
12%
19%
20%
17%
38%
20%
13%
17%
21%
28%
0% 20% 40% 60% 80% 100%
ENT
Allergist
Primary care
Nurse Prac./PhysicianAsst.
Patients
Several times a year Once a year Every few years Rarely
Q22. How often do your patients with allergic rhinitis change allergy medicines – sever times each year, once a year, once every few years, only rarely or never? N=400
PQ81a. How often do you change nasal allergy medicines ---several times each year, once a year, every few years, only rarely or never? Unweighted N=2,500
137
Patients Ask to Change Allergy Medicine
16%
51%
63%
56%
34%
1%
1%
1%
1%
13%
9%
5%
61%
0% 20% 40% 60% 80% 100%
ENT
Allergist
Primary care
Nurse Prac./PhysicianAsst.
Patients (yes)
All (91% to 100%) Most (51% to 90%) Some (11% to 50%)
Q23a. What proportion of your patients with allergic rhinitis have asked you to change their allergy medication because they were dissatisfied with it – all, most , some, only a few or none? N=400
PQ82a. Have you ever asked your doctor to change your nasal allergy medication because you were dissatisfied with it? Unweighted N=2,500
138
Reasons for Dissatisfaction with Medicine
3 5%
9%
1 1%
6%
5 3%
8 7%
5%
9%
1 3%
1 3%
3 3%
7 8%
8%
6%
8%
2 0%
3 1%
6 9%
1 0%
1%
1%
1 2%
2 1%
6 6%
8 2%
1 9%
1 1%
7%
1%
1 1%
0% 20% 40% 60% 80% 100%
No relief throughday/night
Co-pay too high
Not covered byinsurance
Effectiveness wearsoff
Bothersome sideeffects
Not effective
Patients
Nurse Prac./Physician Asst.Primary care
AllergistENT
Q23b. Why are patients dissatisfied with their allergy medicine? [Unaided question] Base: Have asked to change medicine because dissatisfied N=395
PQ82c. Why were you dissatisfied with that medicine? Base: Have asked doctor to change nasal allergy medicines. Unweighted N=860
139
Reasons for Dissatisfaction with Medicine (cont.)
2%
1%
2%
2%
2%
3%
1%
2%
1%
1%
1%
4%
2%
3%
2%
5%
2%
4%
1%
4%
1%
1%
1%
1%
1%
1%
1%
0% 20% 40% 60% 80% 100%
Other
Hard to administer
Dosing scheduledifficult
Cost/Expensive
Don't like nasal spray
Doctor wanted toswitch
Wanted to trysomething else
Patients
Nurse Prac./Physician Asst.Primary care
AllergistENT
Q23b. Why are patients dissatisfied with their allergy medicine? [Unaided question] Base: Have asked to change medicine because dissatisfied N=395
PQ82c. Why were you dissatisfied with that medicine? Base: Have asked doctor to change nasal allergy medicines. Unweighted N=860
140
Most Important Attribute of Allergy Medicine
1%
2 0%
3 0%
5%
2%
1%
2 8%
1 9%
4 3%
2%
4%
4%
1 3%
2 6%
3 8%
3%
3%
1 7%
1 7%
3 2%
3 7%
2%
6%
5%
1%
1%
4 2%
2 4%
3 1%
4 1%
0% 20% 40% 60% 80% 100%
Fast symptom relief
Long lasting symptomrelief
Complete symptomrelief
Easy to take
Few side effects
Low cost
Patients
Nurse Prac./Physician Asst.Primary care
AllergistENT
Q38. In choosing a medicine for nasal allergies, which would be most important to your patients? N=400PQ98. In choosing a nasal allergy medicine, which would be the most important to you …? Unweighted N=2,500
141
Most Important Attributes of Allergy Medicine
1 6%
3 9%
5 1%
1 6%
2 5%
8%
4 8%
5 2%
4 9%
1 3%
1 6%
2 2%
3 3%
4 3%
4 8%
1 6%
1 9%
3 9%
3 9%
6 2%
5 2%
6%
1 9%
1 8%
2 9%
1 3%
5 4%
3 9%
4 9%
6 1%
0% 20% 40% 60% 80% 100%
Fast symptom relief
Long lasting symptomrelief
Complete symptomrelief
Easy to take
Few side effects
Low costPatients
Nurse Prac./Physician Asst.Primary care
AllergistENT
Q38. In choosing a medicine for nasal allergies, which would be most important to your patients? Q39. What would be next most important to your patients? N=399
PQ98. In choosing a nasal allergy medicine, which would be the most important to you …? PQ99. What would be the next most important to you? Unweighted N=2,500
142
Preferred Medicines for Moderate to Severe Persistent Allergy Symptoms
9%
61%
1%
3%
10%
11%
5%
57%
4%
3%
6%
7%
4%
16%
37%
54%
8%
2%
5%
6%
9%
17%
41%
53%
39%
16%
5%
4%
6%
5%
28%
4%
0% 20% 40% 60% 80% 100%
Non sedating antihistamines
Oral antihistamines
Internasal antihistamines
Antichol. Nasal spray
Antihis./decon. RX
Antihis. OTC
Antihis. RX
Inhaled Corticosteroids
Nurse Prac./Physician Asst.
Primary care
Allergist
ENT
Q31. What class or classes of medication is your preferred choice for adults with moderate to severe persistent allergy symptoms? [Unaided response] N=400
143
Preferred Medicines for Moderate to Severe Persistent Allergy
Symptoms (cont.)
1 %
1 0%
9%
1%
2%
2%
1 5 %
5%
4%
4%
4%
4%
7%
5%
1%
1%
1%
3%
5%
7%
2%
2%
1%
4%
3%
1%
0% 20% 40% 60% 80% 100%
Other
Cromolyn
Decongestant nasal spray OTC
Leukotrienes
Antihis./decon. OTC
Decon. OTC
Medication names
Nasal steroids
Nurse Prac./Physician Asst.
Primary care
Allergist
ENT
Q31. What class or classes of medication is your preferred choice for adults with moderate to severe persistent allergy symptoms? [Unaided response] N=400
144
Patients Using Intra-Nasal Corticosteroids
36%
54%58%
72%72%
14%
7%
0%
20%
40%
60%
80%
100%
ENT Allergist Primary care Nurse Prac./Physician Asst.
Patients
Past 4 weeks Past 6 months Past year
Q32. What proportion of your patients with allergic rhinitis are currently using an intra-nasal corticosteroid for their condition? N=400
PQ64a. In the past 4 weeks, have you used any prescription nasal sprays for your nasal allergies? PQ64b. When was the most recent time that you used a prescription nasal spray for your nasal allergies? Unweighted N=2,500
145
Symptoms Relieved by Intra-nasal Corticosteroids
70%80%
73% 46%
16%
1%4%
72%
34%
19%25%30%
23%
0%
20%
40%
60%
80%
100%
ENT Allergist Primary care Nurse Prac./Physician Asst.
Patients
All Most Some
Q33. Do intra-nasal corticosteroids give most patients relief from all of their symptoms, most symptoms, some symptoms, few symptoms, or no symptoms? N=400
PQ65. Does your current prescription nasal spray give you relief from all of your symptoms, most symptoms, some symptoms, or no symptoms? Base: Use prescription nasal spray. Unweighted N=919
146
Time for Intra-nasal Corticosteroids Relief
71%
53%
63%
43%
12%
35%
17%
24%
35%
4%
14%
23%
18%
11%
50%
0% 20% 40% 60% 80% 100%
ENT
Allergist
Primary care
Nurse Prac./PhysicianAsst.
Patients
Hours Days Weeks
Q34. How long does it take an intra-nasal corticosteroid to begin giving symptoms relief? N=400PQ68. How long does it take for your current prescription nasal spray to begin giving you symptom relief?
Unweighted N=919
147
How Long Intra-nasals Provide Relief
Q25. How long are intra-nasal corticosteroids supposed to provide symptoms relief for nasal allergies? N=400
6 1%
6 4%
8 4%
6 7%
0%
20%
40%
60%
80%
100%
ENT Allergist Primary care NursePrac./Physician
Asst.
24 h
ou
rs o
r lo
ng
er
148
Do Intra-nasals Lose Effectiveness
48%
29%
37%
25%
48%
0%
20%
40%
60%
80%
100%
ENT Allergist Primary care Nurse Prac./Physician Asst.
Patients
Q35a. Do intra-nasal corticosteroids lose effectiveness over the course of the day or night, or do they remain as effective as when the patient first took it? N=400
PQ69a. Does your current prescription nasal spray lose effectiveness over the course of the day or night, or does it remain as effective as when you first took it? Base: Used prescription nasal spray Unweighted N=919
Yes
149
Time Until Intra-nasals Lose Effectiveness
Q35b. How long after taking an intra-nasal corticosteroid does it begin losing effectiveness allergies? Base: Lose effectiveness over day and night N=139
PQ69b. How long after taking your current nasal allergy medicine does it begin losing effectiveness? Base: Nasal spray loses effectiveness. Unweighted N=440
5%
21%
30%32%
25%
0%
20%
40%
60%
80%
100%
ENT Allergist Primary care Nurse Prac./Physician Asst.
Patients
24 h
ou
rs o
r lo
ng
er
150
Intra-Nasal Corticosteroids Wear Off Over Time
Q27a. Have you ever found that the effectiveness of intra-nasal corticosteroid products in treating nasal allergy symptoms wears off over time, even when taking the medicine as prescribed? N=400
54%54%50%
55%
0%
20%
40%
60%
80%
100%
ENT Allergist Primary Care NursePrac./Physician
Asst
Yes
151
Time Until Intra-nasal Corticosteroids Wear Off
7%
16%
4%
56%
36%
54%
48%
16%
26%
17%
26%
11%
0% 20% 40% 60% 80% 100%
ENT
Allergist
Primary care
Nurse Prac./PhysicianAsst.
Hours Days Weeks
Q27b. About how long after the patient starts taking an intra-nasal corticosteroid does its effectiveness for allergy symptoms begin wearing off, even when being taken as prescribed? Base: Effectiveness wears off N=213
152
Side Effects of Intranasal Corticosteroids
Q28. How many of the intranasal corticosteroids for nasal allergies have the following types of side effects – all, most, some, few or none? N=400
5%
4%
10%
1%
20%
12%
42%
20%
2%
5%
31%
13%
45%
18%
6%
2%
19%
34%
3%
20%
38%
0% 20% 40% 60% 80% 100%
Bad taste
Burning
Dripping down throat
Drying feeling
Headaches
Drowsiness
Nurse Prac./Physician Asst.
Primary care
Allergist
ENT
153
Patients Avoid Any Intra-Nasal Corticosteroids
31%35%
24%
18%
0%
20%
40%
60%
80%
100%
ENT Allergist Primary Care NursePrac./Physician
Asst
Q29a. Are there any intranasal corticosteroid medications for nasal allergies that your patients try to avoid using? N=400
Yes
154
Reasons Avoid Intranasal Corticosteroids by Specialty
10%
6%
5%
4%
3%
3%
3%
2%
2%
2%
2%
2%
8%
7%
7%
13%
15%
19%
36%
0% 20% 40% 60% 80% 100%
Smell/bad odor or smell/Taste
Nosebleeds
Burning/stinging
Side effects (not specified)
Spray up nose
Drying/Dried out
Price/cost
Don't work
Medication only mentioned
Dripping down throat
Headaches
Steroids
Not covered by insurance
Drowsiness/sleepy/tired/fatigue
Absorbs into system
Bad experience
Don't like it/causes discomfort
Don't understand/fear
Other
Q29b. Why do your patients try to avoid that/those product(s)? N=108
155
Satisfaction of Patients with Intra-nasal Corticosteroids
34%
54%
61%
55%
38%
41%
41%
39%
42%
57%
0% 20% 40% 60% 80% 100%
ENT
Allergist
Primary care
Nurse Prac./PhysicianAsst.
Patients
Very satisfied Somewhat satisfied
Q36. In general, how satisfied are your allergic rhinitis patients with their intra-nasal corticosteroids? Would you say that they are very satisfied, somewhat satisfied, somewhat dissatisfied, or very dissatisfied? N=400
PQ70b. In general, how satisfied have you been with the prescription nasal spray you have used for your nasal allergies in the past? Base: Ever used Rx nasal spray for nasal allergies. Unweighted N=2,033
156
Patients Avoid Using Intra-Nasal Corticosteroids for Nasal Allergies
Q37a. Do patients avoid using intra-nasal corticosteroids for their nasal allergies? N=400
42%40%
55%
41%
0%
20%
40%
60%
80%
100%
ENT Allergist Primary Care NursePrac./Physician
Asst
Yes
157
Reasons Avoid Intra-nasal Corticosteroids
22%
54%
5%
4%
5%
18%
29%
55%
8%
8%
10%
15%
30%
30%
45%
12%
5%
2%
2%
10%
40%
57%
1%
6%
11%
1%
9%
8%
29%
20%
2%
7%
2%
2%
29%
2%
0% 20% 40% 60% 80% 100%
Taste/smell
No insurancecoverage/cost too much
Not effective
Other side effects
Nosebleeds
Safety
Side effects
Don't like sprays
Patients
Nurse Prac./Physician Asst.Primary care
AllergistENT
Q37b. Why do they avoid using intra-nasal corticosteroids for their nasal allergies? Base: Avoid using intra-nasal corticosteroids for nasal allergies N=178
PQ71. Why haven’t you used a prescription nasal spray you take/took for nasal allergies in the past 4 weeks? Base: Used in past but not past 4 weeks. Unweighted N=1,156
158
Reasons Avoid Intra-nasal Corticosteroids (cont.)
2%
2%
4%
4%
2%
4%
3%
3%
5%
2%
7%
5%
5%
1%
1%
30%
2%
11%
4%
2%
2%
5%
2%
4%
0% 20% 40% 60% 80% 100%
Dependence worry
Hard to use
No symptoms
Don't tolerate well
Not bad enough
Too drying
Timing/frequency of use
Don't give immediate relief
Other
Patients
Nurse Prac./Physician Asst.Primary care
AllergistENT
Q37b. Why do they avoid using intra-nasal corticosteroids for their nasal allergies? Base: Avoid using intra-nasal corticosteroids for nasal allergies N=178
PQ71. Why haven’t you used a prescription nasal spray you take/took for nasal allergies in the past 4 weeks? Base: Used in past but not past 4 weeks. Unweighted N=1,156
159
Number of Symptoms Relieved for Success
33%
76%
75%
76%
53%
7%
6%
6%
4%
78%
0% 20% 40% 60% 80% 100%
ENT
Allergist
Primary care
Nurse Prac./PhysicianAsst.
Patients
All Most
Q40. How many symptoms would an intranasal corticosteroid have to relieve for you to consider it a successful treatment – all, most, some, a few or none? N=400
PQ101. How many symptoms would a nasal allergy medicine have to relieve for you to consider it a successful treatment --- all, most, some, a few or none? Unweighted N=2,500
160
Percent Symptom Relief for Success
85%
77%
71%73%72%
0%
20%
40%
60%
80%
100%
ENT Allergist Primary care NursePrac./Physician
Asst.
Patients
Q41. On a scale of 0 to 100 percent, what percent symptom relief would you expect from an intra-nasal corticosteroid for it to be considered a successful treatment? N=400
PQ102. On a scale of 0 to 100 percent, what percent symptom relief would you expect from a nasal allergy medicine for it to be considered a successful treatment? Unweighted N=2,500
Mea
n
161
How Quick Symptom Relief for Success
54
49
5859
0
10
20
30
40
50
60
70
ENT Allergist Primary care NursePrac./Physician
Asst.
Q42. How quickly after taking would an intra-nasal corticosteroid have to begin relieving symptoms for you to consider it a successful treatment? N=400
Mea
n n
um
ber
of
ho
urs
162
Time Intra-nasals Last for Success
54%
61%
73%
62%
0%
20%
40%
60%
80%
100%
ENT Allergist Primary care NursePrac./Physician
Asst.
Q43. How long after taking a dose of intra-nasal corticosteroid should symptom relief last for you to consider it a successful treatment? N=400
Wan
tin
g 2
4-h
ou
rs o
r lo
ng
er (
%)
163
Opinions About Nasal Allergies
Q44. Now I am going to read you a series of statements. As I read each statement, please tell me whether you agree strongly, agree somewhat, disagree somewhat or disagree strongly with the statement. N=400
PQ110. Now I am going to read you a series of statements. As I read each statement , please tell me whether you agree strongly, agree somewhat, disagree somewhat or disagree strongly with the statement. Unweighted N=2,500
82%
71%
25%
49%
78%
77%
35%
30%
1%
38%
70%
55%
44%
24%
1%
45%
73%
58%
55%
28%
15%
22%
56%
64%
79%
58%
2%
40%
59%
3%
0% 20% 40% 60% 80% 100%
Nasal allergies are a serious health problem inthe US
Even with proper treatment nasal allergiesusually cause some lifestyle limitations
There are no truly effective treatments fornasal allergies
Frequent nasal allergy symptoms can beprevented in most cases
Nasal allergies can make asthma worse
Nasal allergies can cause sinus infections
Patients
Nurse Prac./Physician Asst.Primary care
Allergist
ENT
164
Patients Get Monies Worth from Rx Medicines
55%
87%91%
85%82%
0%
20%
40%
60%
80%
100%
ENT Allergist Primary care Nurse Prac./Physician Asst.
Patients
Q30. Overall, do your patients feel they get their money’s worth out of prescription medicines for nasal allergies? N=400PQ97. Overall, do you feel that patients get their money’s worth out of prescription medicines for nasal allergies?
Unweighted N=2,500
Yes
165
Need for Better Education of Patients
49%
38%
37%
43%
40%
57%
52%
61%
57%
43%
0% 20% 40% 60% 80% 100%
ENT
Allergist
Primary care
Nurse Prac./PhysicianAsst.
Patients
Strong need Moderate need
Q45. How much need do you think there is for better education of PEOPLE WITH NASAL ALLERGIES about their condition and its treatment? Do you think there is a… N=400
PQ113. How much need do you think there is for better education of people with nasal allergies about their condition and its treatment? Unweighted N=2,500
166
Aware of Professional Guidelines
64%
46%
88%
62%
0%
20%
40%
60%
80%
100%
ENT Allergist Primary care Nurse Prac./Physician Asst.
Q46a. Are you aware of any professional guidelines for the diagnosis and management of allergic rhinitis? N=400
Yes
167
Publisher of Guidelines
21%
15%
1%
3%
2%
22%
40%
2%
11%
4%
28%
20%
5%
3%
13%
3%
3%
11%
13%
56%
16%
2%
57%
0% 20% 40% 60% 80% 100%
ALA
AMA
ERS
Other medical society
AAOA
Joint task force
AAAAI
ACAAI
Nurse Prac./Physician Asst.
Primary care
Allergist
ENT
Q46b. Who publishes those guidelines? Base: Aware of Guidelines N=260
168
Publisher of Guidelines (cont.)
2%
13%
2%
3%
2%
3%
7%
2%
2%
2%
33%
2%
2%
2%
5%
9%
39%
2%
6%
0% 20% 40% 60% 80% 100%
NHLBI
WHO
NIH
AAA
Medical journal
ARIA
Other
Don't know
Nurse Prac./Physician Asst.
Primary care
Allergist
ENT
Q46b. Who publishes those guidelines? Base: Aware of Guidelines N=260
169
Graduation Year
37%
36%
25%
14%
6%
16%
43%3%
21%
42%
27%
28%
29%
35%
22%
15%
0% 20% 40% 60% 80% 100%
ENT
Allergist
Primary care
Nurse Prac./PhysicianAsst.
1950 to 1975 1976 to 19851986 to 1995 1996 or later
D1. In what year did you [DOCTOR VER: graduate from Medical or Osteopathic school] [NP/PH VER: receive your license as a physician assistant]? N=400
170
Continuing Medical Education
92%
79%
99%95%
0%
20%
40%
60%
80%
100%
ENT Allergist Primary care NursePrac./Physician
Asst.
D2. Have you taken any continuing medical education (CME) courses related to the management and treatment of allergic rhinitis [DOCTOR VER: since medical school] [PA/NP VER: since receiving your license]? N=400
Yes
171
Primary Practice Location
37%
54%
23%
6%
3%
10%
6%
12%
18%33%
22%
29%
35%
42%
20%
14%
21%
13%
1%
1%
0% 20% 40% 60% 80% 100%
ENT
Allergist
Primary care
Nurse Prac./PhysicianAsst.
Central city Suburb Small city Town Rural
D3. Is your primary practice located in a central city, a suburb, a small city, a town or a rural area? N=400