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The Philips Center for Health and Well-being

Philips Index for Health and Well-being: A global perspective

The Philips Center for Health and Well-being is focused on improving the lives of people around the world

Contents
I. II. III. V. Introduction Executive Summary Survey Methodology a. Overall b. The Philips Index c. Drivers of Health and Well-Being Key Driver Analysis a. The Role of Peoples Lifestyles b. How People Take Care of Their Health and Well-Being a. General Attitudes to Aging and Health and Well-Being b. Older Citizens Attitudes to Health and Well-Being 4 5 8 12 12 14 18 30 35 35 53 68 68 71 78 83 83 88 90

IV. General State of Global Health and Well-Being

VI. Healthy Lifestyle

VII. Independent Living: Aging and Health and Well-Being

VIII. Impact of Communities on Health and Well-being IX. A City Perspective a. Healthy Lifestyle b. Independent Living c. Connecting to Ones Community in Cities

2 Philips Index for Health and Well-being: A global perspective Report 2010 - Updated October 31, 2011

A Word About the Philips Index for Health and Well-Being: A Global Perspective from the Center Director
Welcome, and on behalf of Philips, thank you for taking the time to learn more about our report, the Philips Index for Health and Well-Being: A Global Perspective. As the speed of change increases every day, we face many challenges, from responding to the needs of an aging population to increasing urbanization. Philips aspires to a greater understanding of how these issues impact our health and well-being. And, we believe that knowledge sharing can help meet many of those challenges. If we better understand societies and their people, we can improve health and well-being whether it is in Tokyo, Istanbul, Sydney, New York or Mumbai. There are some intriguing findings for example, overall health and well-being in a country does not seem to be linked to higher income or GDP levels the countries that feel best about their health and well-being are the United Arab Emirates, the Kingdom of Saudi Arabia and India, whereas those that are less positive include Japan, Turkey and Italy. All over the world, jobs and earnings seem to be some of the main global drivers responsible for reducing our overall sense of health and well-being, whereas personal relationships (alongside our own physical and mental health) rank as the main positive driver. When we look at personal responsibility for health, 91% of us feel a strong sense of responsibility for our own health. However, this does not necessarily translate into action only 40% of us feel as physically fit as we could be for our age. This study is based on responses from nearly 40,000 people across 31 countries. It was commissioned by The Philips Center for Health and Well-being. The Center is dedicated to helping improve peoples quality of life around the world. It serves as a knowledge-sharing forum to raise the level of discussion on what matters most to citizens and communities. The Center brings together experts for dialogue and debate to overcome barriers and identify solutions that will drive meaningful change in peoples health and well-being. Our report provides facts to encourage discussions about health and well-being, whether those conversations happen across the dinner table, at conferences, in classrooms, wherever. We want to further ignite the search for the best answers to the hardest questions about our future well-being. This is part of a series of Philips Index for Health and Well-Being special reports with a global perspective a series through which we will better understand how people, wherever they are in the world, feel about their health and well-being. It is from that understanding that together we can drive positive change for people. Yours sincerely, Katy Hartley, Director of The Philips Center for Health & Well-being www.philips-thecenter.org
Philips Index for Health and Well-being: A global perspective Report 2010 - Updated October 31, 2011 3

I. Introduction
Philips is a pioneer in developing and bringing to market, innovations that shape our healthcare, our lifestyle, and who we are as a society. Doing so means we need to understand the mega-trends in society. These include:  What is the state of our health and well-being?  What aspects of health and well-being are most important, and how satisfied are people with each of these aspects of their lives?  How do countries and regions vary in terms of their attitudes and behaviors toward health and well-being? What role do peoples lifestyles, age and communities play in their health and well-being? During 2010 and 2011, Philips conducted health and well-being research regarding how people in different countries approach health and well-being, and where we are similar and different across the globe. This research was carried out in 23 countries during 2010 and an additional eight countries in 2011. We believe that this understanding will enable us to continue to pioneer products, services and game-changing innovations that will help people, communities, healthcare systems, governments, and future generations address the critical issues surrounding how we live, how content we are, and our own roles in those dimensions of our lives.

4 Philips Index for Health and Well-being: A global perspective Report 2010 - Updated October 31, 2011

II. Executive Summary

The Philips Health and Well-being Index focuses on understanding the current state of peoples health and well-being around the globe. It explores not only how people state they feel, but it also keys in on the components that drive ones health and well-being. Furthermore, the Index aims to provide a full picture of how people feel about, approach and manage their health and well-being. The Health and Well-being Index was conducted among nearly 40,000 adult men and women from 31 countries around the world. The survey approach and methodology was determined on a country-by-country basis to best reflect the demographic make-up in that country (details of methodology and sample sizes can be found in Section III of this report). To provide a basis for a global comparison, an un-weighted average of all markets was compiled to create a combined total sample. Throughout this report, markets are compared against this combined total as well as across markets. The key areas of focus within the survey were:  Globally, what are peoples attitudes to health and well-being? More specifically:
o o o

How do they currently feel?  How has this feeling changed over time?  How important, and how satisfied, are people with the components that  drive feelings of health and well-being? How do people around the globe change their feelings of health and well-being? 

 What are peoples general attitudes when it comes to managing their health? More specifically:
o

What are their future health concerns?

Philips Index for Health and Well-being: A global perspective Report 2010 - Updated October 31, 2011 5

o o o

How much responsibility do they take for their own health? How often do they visit the doctor and dentist? Where do they turn for health information and advice?

 How does life expectancy vary around the globe?  How do people approach weight management and diet?  Are people getting enough sleep, and what impact does that have on their lives?  How much stress do people feel, and what are the main causes of stress?  What role does community play in peoples lives around the world? Nearly two-thirds (62%) of people from around the globe rate their current state of health and well-being as good or very good, indicating that people believe they are in a good state of body and mind. However, when we take a closer examination of whats driving that state, we find people are doing less well than they think. Combined, the 31 countries included in this report have an overall Health and Well-being Index score of 56%. The Health and Well-being Index is an analysis that weights the importance we place on various components of health and well-being against the satisfaction we have with those same components. In most of the 31 markets, Index scores were lower than the perceived state of health and well-being; this is especially true of the U.S. and European markets. Below is a summary of key health and well-being issues, and how they impact us globally. Some of these issues include the key role friends and family play in driving health and well-being, the impact of economic uncertainty, our approach to managing health and how stress impacts our lives.

Across markets, personal relationships is the key stated driver to health and well-being
Globally, we place a high importance on our relationships with family and friends (87%) and the health of our family (86%) relative to how they affect our own sense of health and well-being. As it turns out, we are also highly satisfied with these aspects of our lives (87% and 80% respectively). Conversely, people recognize that how they feel has a real impact on how well they get along with
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family and friends (72%). Across markets, in particular those with the highest Index scores, satisfaction with family relationships and friendships drove strong feelings of health and well-being.

Stress is a global issue, driven by financial and economic concerns


Every market is experiencing some level of stress, just to varying degrees. From a combined market perspective, 70 percent of people experience stress, with one in three (33%) saying they are a lot or somewhat stressed. The Americas and Europe tend to have higher levels of stress than those living in the Middle East and some Asian Pacific countries. Our stressors are focused on immediate micro concerns, such as having enough money to pay bills, as well as macro issues, such as the economy and healthcare costs. The threat of job loss is also a major stressor, and is felt most acutely by the worlds emerging economies, as well as European nations, such as Spain, whose economies are struggling. When it comes to managing our health, what we say and what we do differs. While the majority of people across markets claim to have a strong sense of personal responsibility as it relates to health management (91%), their actions tell a somewhat different story. Nearly half (48%) of people across markets dont exercise as much as they think they should, just 40 percent believe they are as physically fit as they can be for their age, and 35 percent believe they eat healthier than most people. From a preventative health perspective, developed nations are more likely to see their doctor on a regular basis for a general check-up, while those in markets such as the Kingdom of Saudi Arabia, India and Indonesia are less likely to get annual check-ups. However, its important to note that access and healthcare costs may be playing a role in these regions. Philips can be at the core of addressing the trends seen across the globe by providing meaningful innovations that encourage people to engage with the people most important to them, help to alleviate the stress felt in everyday life, and encouraging them to take control of their health so they can live long and fruitful lives.
Philips Index for Health and Well-being: A global perspective Report 2010 - Updated October 31, 2011 7

III. Survey Methodology


The Overall Approach
This report is based on samples taken from 31 markets globally. Sample sizes, methodology, and weighting were determined on a country-by-country basis to best reflect the demographic make-up in that country. These differences should be taken into
Country The Americas Brazil US Europe Belgium Denmark Finland France Germany Italy Netherlands Norway Poland Portugal Russia Spain Turkey Sweden UK Africa Egypt South Africa Table 1A Telephone In-person June 18 30, 2010 April 2011 1,000 1,076 Adults 18-64 Adults 18-64 Online Online Online Online Telephone Online Online Online In-person Telephone In-person Telephone Telephone Online Online May 10 20, 2010 January 31 February 7, 2011 January 31 February 7, 2011 May 21 26, 2010 June 15 25, 2010 July 20 27, 2010 May 10 24, 2010 January 31 February, 2011 June 24 27, 2010 February 2011 March 28 April 15, 2011 March April, 2010 July 20 Aug. 11, 2010 January 31 February 7, 2011 May 18 28, 2010 1,026 1,028 1,021 1,005 1,002 1,092 1,011 1,024 983 200 1,000 1,701 1,018 1,023 3,053 Adults 18+ Adults 18+ Adults 18+ Adults 18+ Adults 18+ Adults 18-70 Adults 18+ Adults 18+ Adults 18+ Adults 18+ Adults 18-64 Adults 18+ Adults 18+ Adults 18+ Adults 18+ Telephone Telephone February 2010 Nov. 23 Dec. 7, 2010 875 1,500 Adults 16+ in city areas Adults 18+ Methodology

consideration when making cross market comparisons. Where global averages are presented, they are simple averages of the country means and are not weighted by sample or population size.

Field Dates

Sample Size

Representative Of

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Country Middle East KSA UAE Asia China Taiwan India Japan Asia Pacific Australia Indonesia Korea Malaysia Philippines Singapore

Methodology Telephone In-person In-person Online (18-50 yrs), In-person (51 yrs +) Telephone In-person Online Telephone Telephone Telephone Telephone Telephone Telephone TOTAL SAMPLE

Field Dates

Sample Size

Representative Of

June 18 30, 2010 June 18 30, 2010 Jan. 27 Feb. 5, 2010 Aug. 21 31, 2010 Aug. 23 Sept. 7, 2010 August 2010 July 6 20, 2010 July 17 Aug. 6, 2010 July 17 Aug. 6, 2010 July 17 Aug. 2, 2010 July 17 Aug. 6, 2010 July 15 Aug. 3, 2010

1,000 753 1,573 1,062 6,299 1,000 1,000 1,004 1,000 800 1,007 802 38,959

Adults 18-64 Adults 18-64 Adults 18+ living in city areas 1 Adults 18-64 Adults 18-60 living in city areas 2 Adults 18+ Adults 18+ Adults 18+ Adults 18+ Adults 18+ Adults 18+ Adults 18+

Table 1B 1 Due to accessibility, for research purposes, the sample is comprised of mid to higher income households. 2 Due to accessibility, for research purposes, the sample is comprised of mid to higher income households.

Philips Index for Health and Well-being: A global perspective Report 2010 - Updated October 31, 2011 9

Demographic Breakdown
Men COMBINED TOTAL The Americas Brazil US Europe Belgium Denmark France Finland Germany Italy Netherlands Norway Poland Portugal Russia Sweden Spain Turkey UK Africa Egypt South Africa 52% 48% 48% 52% 25% 22% 30% 27% 23% 25% 12% 13% 7% 8% 2% 6% 48% 50% 48% 49% 49% 49% 49% 50% 48% 48% 47% 49% 49% 50% 48% 52% 50% 52% 51% 51% 51% 51% 50% 52% 53% 53% 51% 51% 50% 52% 11% 5% 9% 6% 10% 10% 11% 4% 13% 13% 15% 10% 9% 14% 10% 16% 21% 17% 21% 14% 23% 16% 24% 20% 19% 13% 16% 20% 26% 16% 18% 15% 27% 4 16% 19% 27% 20% 20% 16% 19% 12% 17% 20% 23% 20% 17% 22% 25% 5 19% 17% 23% 19% 19% 17% 17% 11% 18% 17% 17% 16% 16% 16% N/A 17% 16% 17% 6 16% 15% 16% 34% 7 9% 17% 13% 11% 15% 22% 21% 23% 20% 23% N/A 18% 18% 18% N/A 11% 21% 21% 10% 21% 49% 48% 51% 52% 22% 13% 30% 19% 18% 22% 16% 17% 3% 12% 12% 16%
3

Women 50%

18 to 24 15%

25 to 34 23%

35 to 44 21%

45 to 54 18%

55 to 64 12%

65+ 15%

50%

Table 2A 3 The sample is large enough to allow for sub-group analysis. 4 Figure is representative of 35-49 year-olds, which is how age data was captured in France. 5 Figure is representative of 50-64 year-olds, which is how age data was captured in France. 6 Figure is representative of 55-70 year-olds, which was the oldest age segment surveyed in Italy. 7 Figure is representative of 55-60 year-olds, which was the oldest age segment surveyed in India.

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Men COMBINED TOTAL Middle East KSA UAE Asia China Taiwan India Japan Asia Pacific Australia Indonesia Korea Malaysia Philippines Singapore 50% 50% 50% 50% 50% 49% 50% 50% 47% 50% 60% 60%
8

Women 50% 40% 40% 50% 50% 62% 50% 50% 50% 50% 50% 50% 51%

18 to 24 15% 30% 25% 8% 15% 17% 6% 13% 20% 15% 21% 23% 12%

25 to 34 23% 34% 35% 24% 24% 30% 20% 18% 26% 23% 24% 25% 20%

35 to 44 21% 21% 26% 24% 22% 28% 18% 19% 22% 25% 19% 20% 22%

45 to 54 18% 10% 12% 19% 24% 17% 18% 18% 16% 25% 18% 15% 21%

55 to 64 12% 4% 1% 12% 15% 9% 9 25% 15% 9% 11% 12% 9% 14%

65+ 15% N/A N/A 13% N/A N/A 14% 17% 7% 2% 7% 7% 11%

50%

Table 2B 8 The sample is large enough to allow for sub-group analysis. 9 Figure is representative of 55-60 year-olds, which was the oldest age segment surveyed in India.

Notes on Data within the Report


Combined total sample and country comparisons are provided throughout this report.The combined total is an un-weighted average of all markets that asked a question and/or response option. Throughout the analysis, significant differences have been identified and highlighted across gender, age and market / region, where relevant. o  For example, markets highlighted with green are significantly higher than the combined total, while markets highlighted in red are significantly below the combined total. o  Significant differences across demographics are circled within this report. Throughout the report, D/K (Dont know) answer options have been excluded. As a result, percentages may not always add to 100. Please note that not all questions and answer options were included in all markets. Accordingly, N/As have been added to figures and tables when this is the case. o  Any differences in questions or responses have been notated throughout the report. Countries are grouped together within charts and figures based on Philips perspective on markets and regions. It should be noted that one should be careful when drawing firm hypotheses where only minor differences exist among markets due to slight differences in sampling across markets included in this report.

Philips Index for Health and Well-being: A global perspective Report 2010 - Updated October 31, 2011 11

IV. General State of Global Health and Well-Being


IV a. Overall
Current State of Health and Well-Being
For the most part, feelings of health and well-being are strong across the globe. However, the UK, China,Taiwan and Japan are the least likely to say they are feeling good or very good. China and Taiwan, in particular,
COMBINED TOTAL Brazil US Belgium Denmark France Finland Germany Italy Netherlands Norway Poland Portugal Russia Spain Turkey Sweden UK Egypt South Africa KSA UAE China Taiwan India Japan 4 Australia Indonesia Korea Malaysia Philippines Singapore 0% Very good 9 21 20% Good 40% Neither good or bad 9 10 18 45 51 60% 25 47 42 43 17 10 5 19 32 34 33 11 33 11 18 12 80% Not so good 14 26 11 2 100% Not good at all 24 26 43 38 18 31 14 4 40 53 50 22 45 13 22 20 10 34 41 8 12 13 21 10 28 41 19 27 40 31 10 43 58 53 49 33 17 7 7 8 9 8 6 19 18 48 11 12 16 55 61 50 49 13 37 11 25 16 13 9 10 4 1 4 5 2 2 5 2 1 2 7 1 18 7 13 27 57 53 50 12 15 23 20 21 21 27 9 8 19 22 31 57 50 14 25 25 16 8 11 9 4 3 1 1 2 1 9 43 49 43

are the markets most likely to say they are not doing well from a health and well-being perspective. In Indonesia, there is strong polarization since people are just as likely to feel good about their health and well-being as not.
18 11 6 16 16 13 14 12 9 7 1 3 2 2 1 5 2 1 3 4

Figure 1: How would you rate your overall feeling of health and well-being? 12 Philips Index for Health and Well-being: A global perspective Report 2010 - Updated October 31, 2011

Changes in Health and Well-Being


Evolution of sentiment towards health and well-being varies across region. Emerging markets, such as the Kingdom of Saudi Arabia, United Arab Emirates, South Africa, and India claim to have had the best improvement in their feelings of health and well-being compared to five years ago. In
COMBINED TOTAL Brazil US Belgium Denmark France Finland Germany Italy 3 Netherlands Norway Poland 3 Portugal Russia Spain Sweden UK Egypt 2 South Africa KSA UAE China Taiwan India Japan 4 Australia Indonesia Korea Malaysia Philippines Singapore 0% 9 16 20% 3 11 21 25 40% 7 9 18 24 51 49 60% 80% 15 7 17 32 16 21 24 59 51 13 8 38 58 59 18 13 5 1 100% 30 27 28 33 26 5 3 6 8 13 20 39 17 18 34 37 30 38 12 7 10 6 2 1 1 1 4 6 8 13 14 11 31 62 28 46 18 29 44 50 20 7 2 34 45 54 37 18 14 28 9 8 11 5 4 1 3 4 1 5 6 4 6 10 12 13 26 57 54 33 25 18 13 33 31 44 48 36 11 16 13 10 28 42 37 44 37 30 22 28 25 3 6 1 10 4 4 5 18 19 15 44 40 36 22 9 11 6 5 6 46 37 46 37 20

Europe, those living in Belgium, France, Italy and the UK are most likely to say their feelings have got worse over the last five years. In Asia, the Japanese and Taiwanese are most likely to feel this way too.

21 25 19 8

4 4 4 7 5

Turkey 1 8

Much better

A little better

Stayed the same

Slightly worse

Much worse

Figure 2: Would you say your feeling of health and well-being has got much worse, slightly worse, stayed the same, got a little better, or got much better in the last five years? Philips Index for Health and Well-being: A global perspective Report 2010 - Updated October 31, 2011 13

IV b. The Philips Index


What is the Philips Index?
The Philips Index is an analysis that weights overall satisfaction with various components of health and well-being by their relative stated importance. Rather than merely asking how one feels, the Index weights 17 components tied to health and well-being. Doing so allows the opportunity to isolate drivers and satisfaction relative to components that are considered important. In addition to the Overall Health and Well-being Index, sub-indices were created to examine Physical Health, Well-being, Job, Friends and Family, and Community. These indices are found throughout this report.

How are the Indices Calculated?


Using survey questions three (stated importance) and question four (satisfaction), OneVoice Measurement multiplied the average stated importance against average satisfaction. More specifically: Total Index = the average of Q3 (stated importance) x Q4 (satisfaction) across all drivers to health and well-being (1-17).Those drivers are: o Your job o How much you earn o How much you weigh o Your overall physical health o Your mental health o The community you live in o Your relationship with your family and friends o How much stress you have o The place of worship you attend, if any o How much you contribute to your community o The overall physical health of family members o Your relationship with your spouse or partner o Your relationship with your boss and coworkers o The cost of living o The amount of vacation time you have o The amount of free time you have to spend with friends and family o The amount of free time you can spend alone

14 Philips Index for Health and Well-being: A global perspective Report 2010 - Updated October 31, 2011

Job Index = the average of Q3 (stated importance) x Q4 (satisfaction) across the following items: o Y  our job, how much you earn, your relationship with your boss and coworkers and the amount of vacation you have. Community Index = the average of Q3 (stated importance) x Q4 (satisfaction) across the following items: o  The community you live in, how much you contribute to your community and the cost of living. Physical Index = the average of Q3 (stated importance) x Q4 (satisfaction) across the following items: o  How much you weigh and your physical health. Emotional Health Index = the average of Q3 (stated importance) x Q4 (satisfaction) across the following items: o  Your mental health, how much stress you have, the place of worship you attend, if any and how much free time you can spend alone. Family/Friends Index = the average of Q3 (stated importance) x Q4 (satisfaction) across the following items: o  Your relationship with family and friends, the overall physical health of family members, your relationship with your spouse or partner and the amount of free time you have to spend with family and friends.

Philips Index for Health and Well-being: A global perspective Report 2010 - Updated October 31, 2011 15

IV b. The Philips Index (ctd)


What do the scores mean?
Relative to the Combined Overall Health and Well-being Index (the average of the Index in each of the 31 countries), emerging markets in the Middle East, Asia, and Asia Pacific are generally doing better from a health and well-being perspective when compared to some of the worlds more developed economies. Additionally, while those in Italy and Turkey initially perceive themselves to have good levels of health and well-being, when taking into account factors that drive health and well-being, they are doing less well than initially stated. In contrast, those in China, Taiwan, Korea and Malaysia state their health and well-being as low, however when comparing the factors that drive health and well-being, they are doing much better than initially stated.

State of Health and Well-being (very good/good) COMBINED TOTAL The Americas Brazil US Europe Belgium Denmark France Finland Germany Italy Netherlands Norway Poland Portugal Russia Spain Sweden Turkey UK Africa Egypt South Africa Table 3A 45% 79% 70% 76% 68% 64% 66% 67% 67% 69% 67% 58% 51% 70% 70% 66% 38% 71% 74% 62%

Overall Health and Well-being Index 56% 54% 55% 55% 56% 55% 48% 52% 34% 59% 55% 64% 65% 37% 54% 48% 34% 45% 52% 62%

16 Philips Index for Health and Well-being: A global perspective Report 2010 - Updated October 31, 2011

State of Health and Well-being (very good/good) COMBINED TOTAL Middle East KSA UAE Asia China Taiwan India Japan Asia Pacific Australia Indonesia Korea Malaysia Philippines Singapore Table 3B 58% 56% 52% 61% 53% 72% 34% 23% 75% 38% 83% 84% 62%

Overall Health and Well-being Index 56% 78% 88% 60% 54% 72% 27% 65% 55% 66% 71% 45% 68%

Philips Index for Health and Well-being: A global perspective Report 2010 - Updated October 31, 2011 17

IV c. Drivers of Health and Well-Being


After physical drivers, emotional health and key relation ships are strong influencers on health and well-being. However, large gaps exist between the importance that certain aspects have on feelings of well-being, and the level of satisfaction people have with each of these aspects. Across the globe, the
Combined Total Importance Job/Career Drivers How much you earn Your job The amount of vacation time you have Your relationship with your boss and coworkers Community Drivers The cost of living The community you live in
10

largest gaps exist with how much people earn and the cost of living, two components that are strongly correlated. Other large gaps exist with aspects of physical health (of themselves and family members), and how much stress people have in their lives.

Combined Total Satisfaction

GAP

RANK (Importance)

74% 72% 70% 68%

54% 64% 65% 67%

-20% -8% -5% -1%

12 13 14 15

81% 76% 65%

53% 76% 69%

-28% -4% 4%

7 9 16

How much you contribute to your community 11 Physical Health Drivers Your overall physical health How much you weigh 12 Emotional Health Drivers How much stress you have Your mental health The amount free time you can spend alone Religious services or practice you attend, if any Friends and Family Drivers The overall physical health of family members The amount free time you have to spend with friends and family Your relationship with your spouse or partner Your relationship with your family and friends 14
13

90% 75%

72% 62%

-18% -13%

1 11

80% 87% 84% 59%

62% 81% 73% 71%

-18% -6% -11% 12%

9 2 5 17

86% 84% 81% 87%

80% 74% 77% 87%

-6% -10% -4% -0%

4 5 7 2

Table 4 Not asked in France. 11 Not asked in China and France. 12 Due to cultural reasons, this was asked as your appearance in China and Taiwan. 13 Not asked in China and UK. 14  Relationships with family and friends were asked separately in Brazil, China, France, India, KSA, Poland and UAE. A combined average has been used.
10

18 Philips Index for Health and Well-being: A global perspective Report 2010 - Updated October 31, 2011

Globally, Feelings of Health and Well-Being Impact Key Relationships More Than Other Aspects of Peoples Lives15 16 17 18
How one feels has a direct impact on other aspects of ones life. Globally, relationships with friends/family and the overall physical health of family members are impacted most by ones own state of health and well-being. These effects are felt most strongly by women. Globally, physical and emotional factors, such as weight, appetite/diet and stress, are also most strongly affected by health and well-being among women.

How well you get along with your family & friends The overall physical health of family members Your relationship with your spouse or partner How much stress you have The amount of free time you have to spend with friends and family Your appetite and diet Your performance on the job The amount of free time you can spend alone How much you weigh Your relationship with your boss and coworkers How much you contribute to your community
0% 10% 20% 30% 40% 47 47 47 50% 60% 53 57 60 65

72 70 72 72 70 74 71 70 71 69 72

68 66 71 68 66 65 66 62 65 63 67

71

55 56 52

70%

80%

COMBINED TOTAL

Male

Female

Figure 3: How much does your feeling of health and well-being affect the following aspects of your life? GREATLY/ TO SOME DEGREE 15  This question, in its entirety, was not asked in Turkey, Japan, Egypt and South Africa. 16  Relationships with family and friends were asked individually in Brazil, China, France, India, KSA, Poland and UAE. A combined average has been used. 17  Due to cultural reasons, in China and Taiwan, how much you weigh was asked as your appearance. 18  How much you contribute to your community was not asked in China and France.

Philips Index for Health and Well-being: A global perspective Report 2010 - Updated October 31, 2011 19

Drivers of Health and Well-being: Job/Career


When looking at financial drivers, large gaps exist globally between their importance and satisfaction; these gaps are largest when it comes to how much people earn. The Japanese, Taiwanese, and Brazilians are most dissatisfied with what they earn. However, in every region covered there are key markets with large gaps in satisfaction.

GAP IN SATISFACTION and IMPORTANCE19 Your job COMBINED TOTAL The Americas Brazil US Europe Belgium Denmark France Finland Germany Italy Netherlands Norway Poland Portugal Russia Spain Sweden Turkey UK Africa Egypt South Africa -9% -22% -26% -38% -8% -8% -14% -18% 0% -7% 3% 6% -12% -9% 1% 0% -5% -10% -26% -4% 2% 45% -17% -8% -21% -20% -25% -32% -16% -18% -11% -31% -30% -59% -15% -22% 46% -33% 5% 7% 15% -5% -10% 10% 6% -8% -4% -3% -8% 2% -7% 54% -9% 3% 18% 16% -12% -8% -8% 7% -2% -18% -11% -32% -2% -7% 34% -18% -8% -20% -21% -36% -1% -15% -5% -11% -8% How much you earn Relationship with coworkers and boss Amount of vacation time you have -21% -1% -5%

Table 5A: For each of the following, how important are they in affecting your health and well-being? VERY IMPORTANT/IMPORTANT. For each of the following, how satisfied are you with this aspect of your life? COMPLETELY SATISFIED/SATISFIED. 19 N/A indicates that a response category was not part of a countrys Philips Index Survey.

20 Philips Index for Health and Well-being: A global perspective Report 2010 - Updated October 31, 2011

GAP IN SATISFACTION and IMPORTANCE20 Your job COMBINED TOTAL Middle East KSA UAE Asia China Taiwan India Japan Asia Pacific Australia Indonesia Korea Malaysia Philippines Singapore -5% -30% -25% 9% -24% -11% -6% -36% -39% 1% -22% -18% -1% -21% -11% 11% -16% -4% -2% -21% -19% 6% 1% -12% 3% -28% 0% -41% -21% -45% -6% -67% 9% -11% -3% -32% 2% -25% -3% -22% 1% -2% 1% -5% 1% 0% -2% -3% -8% How much you earn Relationship with coworkers and boss Amount of vacation time you have -21% -1% -5%

Table 5B: For each of the following, how important are they in affecting your health and well-being? VERY IMPORTANT/IMPORTANT. For each of the following, how satisfied are you with this aspect of your life? COMPLETELY SATISFIED/SATISFIED. 20 N/A indicates that a response category was not part of a countrys Philips Index Survey.

Philips Index for Health and Well-being: A global perspective Report 2010 - Updated October 31, 2011 21

Drivers of Health and Well-Being: Community


Regardless of geography, there are high levels of dissatisfaction with the current cost of living. This sentiment is felt most strongly by those within the developed nations, and in particular, some of the worlds stock market centers (US, UK and Japan) where over half the population is dissatisfied.

GAP IN SATISFACTION and IMPORTANCE21 Community you live in COMBINED TOTAL The Americas Brazil US Europe Belgium Denmark France Finland Germany Italy Netherlands Norway Poland Portugal Russia Spain Sweden Turkey UK Africa Egypt South Africa -34% -16% -24% -11% -46% -31% -8% 3% N/A -5% -9% 12% -5% -4% 0% 2% -20% 0% -14% 49% -8% 37% -2% N/A -14% -6% 30% 25% -25% 12% -4% 6% 5% -16% 65% 13% -33% -8% -48% -36% -33% -26% -20% -19% -38% -56% -66% -41% -32% 30% -57% -11% -12% 6% -18% -42% -54% -4% How much you contribute to your community 4% The cost of living -28%

Table 6A: For each of the following, how important are they in affecting your health and well-being? VERY IMPORTANT/IMPORTANT. For each of the following, how satisfied are you with this aspect of your life? COMPLETELY SATISFIED/SATISFIED. 21 N/A indicates that a response category was not part of a countrys Philips Index Survey.

22 Philips Index for Health and Well-being: A global perspective Report 2010 - Updated October 31, 2011

GAP IN SATISFACTION and IMPORTANCE22 Community you live in COMBINED TOTAL Middle East KSA UAE Asia China Taiwan India Japan Asia Pacific Australia Indonesia Korea Malaysia Philippines Singapore 1% -23% -10% 6% 4% -6% 6% -23% -8% 11% 2% -6% -9% -35% -33% -5% -20% -30% -2% -13% 0% -20% N/A 28% -1% 3% -12% -37% -4% -65% -1% 0% 3% 2% -6% -18% -4% How much you contribute to your community 4% The cost of living -28%

Table 6B: For each of the following, how important are they in affecting your health and well-being? VERY IMPORTANT/IMPORTANT. For each of the following, how satisfied are you with this aspect of your life? COMPLETELY SATISFIED/SATISFIED. 22 N/A indicates that a response category was not part of a countrys Philips Index Survey.

Philips Index for Health and Well-being: A global perspective Report 2010 - Updated October 31, 2011 23

Drivers of Health and Well-Being: Physical Health


By and large, dissatisfaction with weight is a common theme across markets. This is particularly true among the nations of the Americas and developed European nations. With the exception of the Philippines, there is a strong correlation between a countrys satisfaction with weight and their satisfaction with their overall physical health.

GAP IN SATISFACTION and IMPORTANCE23 How much you weigh COMBINED TOTAL The Americas Brazil US Europe Belgium Denmark France Finland Germany Italy Netherlands Norway Poland Portugal Russia Spain Sweden Turkey UK Africa Egypt South Africa -12% -16% -22% -15% -32% -31% -12% -29% -17% -5% -38% -29% -2% -12% 0% 1% -30% 41% -43% -30% -8% -14% -31% -27% -4% -33% -21% -17% -11% -35% -8% -33% 42% -47% -31% -23% -25% -27% -14% Your overall physical health -18%

Table 7A: For each of the following, how important are they in affecting your health and well-being? VERY IMPORTANT/IMPORTANT. For each of the following, how satisfied are you with this aspect of your life? COMPLETELY SATISFIED/SATISFIED. 23 N/A indicates that a response category was not part of a countrys Philips Index Survey.

24 Philips Index for Health and Well-being: A global perspective Report 2010 - Updated October 31, 2011

GAP IN SATISFACTION and IMPORTANCE24 How much you weigh25 COMBINED TOTAL Middle East KSA UAE Asia China Taiwan India Japan Asia Pacific Australia Indonesia Korea Malaysia Philippines Singapore -8% -27% -32% -5% 15% -10% -13% -29% -18% 0% -19% -15% 15% -37% -4% -53% -13% -39% -4% -64% -6% -5% -3% -2% -14% Your overall physical health -18%

Table 7B: For each of the following, how important are they in affecting your health and well-being? VERY IMPORTANT/IMPORTANT. For each of the following, how satisfied are you with this aspect of your life? COMPLETELY SATISFIED/SATISFIED. 24 N/A indicates that a response category was not part of a countrys Philips Index Survey. 25 Due to cultural reasons, in China and Taiwan this question was phrased as Do you consider yourself to be in a state of sub-health?

Philips Index for Health and Well-being: A global perspective Report 2010 - Updated October 31, 2011 25

Drivers of Health and Well-Being: Emotional Health


With few exceptions, people worldwide are dissatisfied with the amount of stress they have in their lives (relative to the importance it plays to their well-being). Developed markets, such as the US, Belgium, UK, and Japan have the largest gaps when it comes to stress. Among emerging markets, both the Philippines and Taiwan are strongly dissatisfied with current stress levels. As is Russia, the only BRIC market to be significantly more dissatisfied than the global average.

GAP IN SATISFACTION and IMPORTANCE26 Your mental health COMBINED TOTAL The Americas Brazil US Europe Belgium Denmark France Finland Germany Italy Netherlands Norway Poland Portugal Russia Spain Sweden Turkey UK Africa Egypt South Africa -9% -7% -25% -20% -12% -11% -7% -7% -15% 16% 2% 18% -19% 10% -21% 13% -5% -5% -29 -1% 3% 32% -18% -30% -13% -17% -23% -4% -25% -17% -14% -15% -17% -40% -12% -30% 10% -34% 1% 0% 18% -12% 10% 9% -4% -14% -9% -2% -18% 7% -19 52% -15% 58% 6% 51% 0% 11% 37% 53% -32% 15% 17% 7% 7% -12% 64% N/A -14% -14% -21% -31% -6% -13% 5% -6% -6% How much stress you have -18% Amount of free time you have to spend alone -3% Place of worship you attend, if any 12%

Table 8A: For each of the following, how important are they in affecting your health and well-being? VERY IMPORTANT/IMPORTANT. For each of the following, how satisfied are you with this aspect of your life? COMPLETELY SATISFIED/SATISFIED. 26 N/A indicates that a response category was not part of a countrys Philips Index Survey.

26 Philips Index for Health and Well-being: A global perspective Report 2010 - Updated October 31, 2011

GAP IN SATISFACTION and IMPORTANCE27 Your mental health COMBINED TOTAL Middle East KSA UAE Asia China Taiwan India Japan Asia Pacific Australia Indonesia Korea Malaysia Philippines Singapore -5% -25% -13% 7% -3% -6% -13% -26% -26% 6% -30% -10% -8% -25% -20% 6% -6% -9% 2% -19% 3% 15% 24% -2% -3% -24% -3% -59% -3% -39% -5% -63% 1% -18% 1% -36% N/A 30% 1% 18% 0% 1% 0% -4% 5% -3% 6% 1% -9% How much stress you have -18% Amount of free time you have to spend alone -3% Place of worship you attend, if any 18%

Table 8B: For each of the following, how important are they in affecting your health and well-being? VERY IMPORTANT/IMPORTANT. For each of the following, how satisfied are you with this aspect of your life? COMPLETELY SATISFIED/SATISFIED. 27 N/A indicates that a response category was not part of a countrys Philips Index Survey.

Philips Index for Health and Well-being: A global perspective Report 2010 - Updated October 31, 2011 27

Drivers of Health and Well-Being: Friends and Family


The largest gap, as it relates to friends and family, has to do with the amount of free time people get with the people that are most important to them. This is consistent from market to market, with only Italy, Turkey, KSA and Malaysia feeling satisfied with the time they have available to spend with friends and family.

GAP IN SATISFACTION and IMPORTANCE28 Relationship with your Overall physical health Relationship with your The amount of free time you have to family and friends29 of family members partner or spouse spend with friends and family COMBINED TOTAL The Americas Brazil US Europe Belgium Denmark France Finland Germany Italy Netherlands Norway Poland Portugal Russia Spain Sweden Turkey UK Africa Egypt South Africa -12% -6% -20% -14% -3% -7% -17% -13% -1% 15% 10% 11% -5% 21% -5% 13% 0% -1% -7% 0% 7% 48% -7% -6% 20% -2% 17% -22% 10% -13% 6% -7% -18% -24% -5% 5% 41% -19% -7% 10% -1% 0% -9% 12% -6% -2% -2% -5% -13% -2% -4% 43% -13% -9% -4% 0% -21% -23% 8% -4% -14% -6% -16% -25% -7% -24% 49% -18% -6% -12% -14% -24% -7% -7% -18% -26% 0% -6% -4% -9%

Table 9A: For each of the following, how important are they in affecting your health and well-being? VERY IMPORTANT/IMPORTANT. For each of the following, how satisfied are you with this aspect of your life? COMPLETELY SATISFIED/SATISFIED. 28  N/A indicates that a response category was not part of a countrys Philips Index Survey. 29  In Brazil, China, France, India, KSA, Poland and UAE, figures for related to family and friends are representative of a combined average because in those markets that component was asked separately.

28 Philips Index for Health and Well-being: A global perspective Report 2010 - Updated October 31, 2011

GAP IN SATISFACTION and IMPORTANCE30 Relationship with your Overall physical health Relationship with your The amount of free time you have to family and friends31 of family members partner or spouse spend with friends and family COMBINED TOTAL Middle East KSA UAE Asia China Taiwan India Japan Asia Pacific Australia Indonesia Korea Malaysia Philippines Singapore -6% -19% -5% 7% -11% -6% -2% -20% -9% 3% -38% -14% -5% -20% -8% 5% -23% -7% -7% -25% -24% 4% -17% -11% 4% -14% 0% -34% -8% -23% -2% -44% -1% -14% 0% -35% -1% -22% -1% -34% 3% -1% 2% -1% 2% 0% 4% -1% -3% -9% -5% -8%

Table 9B: For each of the following, how important are they in affecting your health and well-being? VERY IMPORTANT/IMPORTANT. For each of the following, how satisfied are you with this aspect of your life? COMPLETELY SATISFIED/SATISFIED. 30  N/A indicates that a response category was not part of a countrys Philips Index Survey. 31  In Brazil, China, France, India, KSA, Poland and UAE, figures for related to family and friends are representative of a combined average because in those markets that component was asked separately.

Philips Index for Health and Well-being: A global perspective Report 2010 - Updated October 31, 2011 29

V. Key Driver Analysis


Stated versus Derived Importance
To gain a deeper understanding as to what is truly driving peoples good feelings of health and well-being, an analysis was conducted to uncover which components were relatively more important than others to overall health and well-being. This driver analysis is a derived importance analysis where correlations between overall health and well-being and satisfaction with specific components are determined. For each market, components of health and well-being are grouped into the following categories:  Key Drivers: components people say are important to having a good feeling of health and well-being and influence whether or not people feel good.  Hidden Drivers: components that people dont explicitly state as being important, but often influence good feelings of health and well-being.  Table Stakes: components people see as must haves for them to have a good feeling of health and well-being. These components are often considered table stakes, but do not differentiate how well people feel when they are lost.  Relatively Unimportant: components that are not important in shaping peoples good feelings of health and well-being.

For the purpose of this report, key drivers were examined across developed and emerging markets. What follows is a round-up of the common key drivers, as well as how these key drivers differ by type of market.

30 Philips Index for Health and Well-being: A global perspective Report 2010 - Updated October 31, 2011

Key drivers32 of Health and Well-being: Developed Markets33


Among developed markets, the key driver of health and well-being that each market has in common is overall physical health. Key differences exist among European markets. In Spain, France and Germany, drivers are financially driven, while in the UK, Netherlands and Belgium, drivers are focused on stress and health. In Australia, Korea, and Singapore, personal relationships are the key drivers to well-being. In the Nordic region, dealing with stress levels is key to a good state of health and well-being.

SIN KOR -Relationship with -Relationfamily & friends ship with family -Relationship with & friends pouse or partner -How much stress -Free time with you have friends & family -Overall physical health of family members -How much you weigh -Relationship with AUS spouse or -Relationship with partner family & friends -Cost of living -Relationship with -Free time spouse or partner spent alone

US -Overall physical health of family members -Cost of living

BEL -Relationship with family & friends -How much stress you have -How much you weigh DEN -Community -Your job you live in -How much stress -Cost of living you have -Your job -How much you weigh

SWE -Your relationship with your family & friends -How much stress you have

UK -How much stress you have -How much you weigh

Common Drivers Your overall physical health

FRA -How much stress you have -Cost of living -Free time with friends & family -How much you earn

FIN -How much stress you have -Cost of living

ESP -Cost of living

POR -How much you weigh -Your mental health -Your relationship with NOR your spouse or -How much partner stress you have -The overall physical -Cost of living health of family members -Your relationship with your boss and co-workers

GER -How much you earn NED -How much stress you have -Overall physical health of family members -How much you weigh

Figure 4 32  Based on a correlation analysis of data from 28 countries using the core 17 variables asked in most countries where SPSS files were available. 33  Definitions of Developed vs. Emerging markets are based on the International Monetary Funds World Economic Outlook report, released April 2010.

Philips Index for Health and Well-being: A global perspective Report 2010 - Updated October 31, 2011 31

Key drivers34 of Health and Well-being: Emerging Markets35


The common drivers are overall physical health and the overall physical health of family members, emphasizing the importance of personal relationships in the worlds developing nations. Furthermore, while varying to some degree, maintaining healthy personal relationships either with family, friends, or spouse/partners is key to peoples well-being. Additionally, emerging countries have several drivers deemed key to its citizens well-being compared to developed nations, including mental health, stress and financial/job related drivers.

PHI -Your mental health -Relationship with MAS family & friends -Your mental -Relationship with health spouse or -Relationship with family partner & friends -Free time -Relationship with with family & spouse or partner friends INA -Your mental health -Cost of living -Your job -How much you earn

BRA -Your mental health -Relationship with spouse or partner

RUS -Your job -How much you earn -Your mental health -Relationship with family & friends TUR -How much stress -Your mental you have health -Cost of living -How much stress you have -Cost of living

IND -Your mental health -How much you weigh -The community you live in -Free time with friends & family -Success relative to peers

Common Drivers
Your overall physical health

KSA -How much stress you have -How much you weigh -Community you live in

UAE The overall IND -How much stress you have -Your mental health physical health -How much you weigh -How much you weigh of family -Cost of living -The community you live in members EGY -Free time with friends & family -Free time with friends & family TPE -The -Vacation time -Success relative -Your mental community you -Free time alone to peers health EGY live in -Relationship with -The -How much you family & friends commuCHN contribute to your RSA -How much stress you nity you live -Your community -How have in mental health -Cost of living much you -Relationship with spouse or -How much -Relationship -The amount of free time weigh partner you contribute with spouse or you have to spend with -Your mental -Your job to your partner friends & family health -How much you community -Cost of living -Cost of living earn -Cost of living -How much you -The amount of -The amount of earn free time you can free time you have to spend alone spend with friends & family

34

35

 Based on a correlation analysis of data from 28 countries using the core 17 variables asked in most countries where SPSS files were available.  Definitions of Developed vs. Emerging markets are based on the International Monetary Funds World Economic Outlook report, released April 2010.

32 Philips Index for Health and Well-being: A global perspective Report 2010 - Updated October 31, 2011

Sidebar: Relationships
Relationships are very important to having a good sense of health and well-being. In the vast majority of cases, people are more satisfied with their relationship with their friends and family compared with their spouse or partner. This is particularly true for Filipinos and Japanese who are the least satisfied with their relationship with their spouse or partner. Additionally, Brits, the Japanese and Egyptians indicated they are the least satisfied with their relationships with their boss and co-workers.

SATISFACTION WITH RELATIONSHIPS Relationship with your spouse or partner COMBINED TOTAL The Americas Brazil US Europe Belgium Denmark Finland France Germany Italy Netherlands Norway Poland Portugal Russia Spain Sweden Turkey UK Africa Egypt South Africa 66% 77% 44% 59% 83% 90% 83% 80% 77% 83% 69% 73% 84% 79% 79% 87% 68% 87% 73% 90% 66% 72% 76% 68% 77% 57% 58% 74% 75% 58% 84% 58% 76% 68% 86% 43% 91% 93% 88% 93% 89% 82% 89% 88% 96% 98% 82% 96% 86% 91% 85% 75% 71% 72% 53% 81% 86% 77% Relationship with your boss/coworkers 67% Relationship with your family and friends36 87%

Table 10A: For each of the following, how important are they in affecting your health and well-being? VERY IMPORTANT/IMPORTANT. For each of the following, how satisfied are you with this aspect of your life? COMPLETELY SATISFIED/SATISFIED. 36  In Brazil, China, France, India, KSA, Poland, and UAE, figures for relationship with family and friends are representative of a combined average because in those markets that component was asked separately.

Philips Index for Health and Well-being: A global perspective Report 2010 - Updated October 31, 2011 33

SATISFACTION WITH RELATIONSHIPS Relationship with your spouse or partner COMBINED TOTAL Middle East KSA UAE Asia China Taiwan India Japan Asia Pacific Australia Indonesia Korea Malaysia Philippines Singapore 81% 66% 88% 90% 52% 84% 75% 55% 79% 83% 51% 75% 84% 76% 90% 96% 78% 91% 85% 73% 83% 50% 83% 70% 59% 32% 89% 81% 92% 55% 87% 91% 77% 86% 95% 99% 77% Relationship with your boss/coworkers 67% Relationship with your family and friends37 87%

Table 10B: For each of the following, how important are they in affecting your health and well-being? VERY IMPORTANT/IMPORTANT. For each of the following, how satisfied are you with this aspect of your life? COMPLETELY SATISFIED/SATISFIED. 37  In Brazil, China, France, India, KSA, Poland, and UAE, figures for relationship with family and friends are representative of a combined average because in those markets that component was asked separately.

34 Philips Index for Health and Well-being: A global perspective Report 2010 - Updated October 31, 2011

VI. Healthy Lifestyle


VI a. The Role of Peoples Lifestyle
Philips Index Components: Physical and Emotional Health
From a physical health standpoint, European nations fare least well. Overall, gender differences tend to be small; in cases where gaps exist, womens lower scores are driven by their dissatisfaction with their weight relative to the
PHYSICAL HEALTH INDEX38 Overall COMBINED TOTAL The Americas Brazil US Europe Belgium Denmark France Finland Germany Italy Netherlands Norway Poland Portugal Russia Spain Sweden Turkey UK Africa Egypt South Africa 66% 72% 61% 76% 72% 68% 65% 66% 62% 70% 68% 63% 51% 45% 57% 36% 58% 43% 53% 40% 69% 75% 39% 62% 30% 33% 40% 52% 47% 57% 36% 59% 43% 57% 40% 68% 76% 40% 63% 30% 30% 45% 49% 43% 57% 35% 56% 43% 49% 39% 69% 74% 37% 60% 30% 36% 35% 48% 58% 48% 50% 43% 35% 51% 54% 76% 56% 32% 44% 50% 36% 61% 48% 55% 45% 48% 43% 33% 51% 51% 74% 53% 32% 42% 49% 34% 62% 48% 61% 51% 51% 43% 36% 50% 57% 78% 57% 33% 45% 52% 38% 60% 50% 59% 56% 63% 44% 54% 57% 59% 58% 60% 56% 58% 56% Men 57% Women 55%

role it plays to their well-being. In general, people tend to be doing better from an emotional health standpoint; much like physical health, Europeans tend to lag behind other nations with regards to emotional health.
EMOTIONAL HEALTH INDEX39 Overall 57% Men 56% Women 58%

Table 11A 38 Physical Health Index=average of Q3 (stated importance) x Q4 (satisfaction): how much you weigh and your physical health. 39  Emotional Health Index=average of Q3 (stated importance) x Q4 (satisfaction): your mental health, how much stress you have, place of worship you attend, if any, and how much free time you can spend alone.

Philips Index for Health and Well-being: A global perspective Report 2010 - Updated October 31, 2011 35

PHYSICAL HEALTH INDEX40 Overall COMBINED TOTAL Middle East KSA UAE Asia China Taiwan India Japan Asia Pacific Australia Indonesia Korea Malaysia Philippines Singapore 66% 56% 69% 70% 55% 70% 68% 57% 72% 71% 51% 74% 64% 56% 66% 67% 58% 67% 56% 43% 84% 24% 55% 45% 85% 23% 56% 41% 83% 24% 84% 93% 88% 94% 79% 91% 56% Men 57% Women 55%

EMOTIONAL HEALTH INDEX41 Overall 57% 82% 94% 61% 53% 74% 26% 68% 56% 62% 73% 51% 68% Men 56% 80% 94% 60% 53% 73% 23% 68% 57% 60% 73% 47% 70% Women 58% 84% 94% 63% 54% 74% 29% 67% 55% 65% 73% 54% 67%

Table 11B 40 Physical Health Index=average of Q3 (stated importance) x Q4 (satisfaction): how much you weigh and your physical health. 41  Emotional Health Index=average of Q3 (stated importance) x Q4 (satisfaction): your mental health, how much stress you have, place of worship you attend, if any, and how much free time you can spend alone.

36 Philips Index for Health and Well-being: A global perspective Report 2010 - Updated October 31, 2011

Philips Index Components: Work/Life Balance


Interestingly, some of the worlds financial centers, and developed countries, have the worlds lowest Job Index scores, while APAC has quite high scores. Few gender differences exist across markets. Below average scores in developed nations could be driven by peoples dissatisfaction with compensation relative
JOB INDEX42 Overall COMBINED TOTAL The Americas Brazil US Europe Belgium Denmark France Finland Germany Italy Netherlands Norway Poland Portugal Russia Spain Sweden Turkey UK Africa Egypt South Africa 23% 41% 40% 49% 9% 34% 63% 75% 61% 79% 66% 72% 53% 53% 50% 38% 40% 27% 53% 55% 36% 61% 32% 50% 42% 29% 27% 52% 51% 52% 37% 43% 28% 53% 56% 42% 60% 34% 51% 40% 27% 31% 53% 56% 48% 40% 37% 26% 53% 54% 30% 61% 31% 50% 43% 34% 24% 74% 62% 73% 59% 70% 45% 75% 62% 80% 82% 57% 79% 59% 42% 63% 73%
59%

to the number of hours they work, and time lost with family and friends. Friends and family, relative to other Index scores in each market, are relatively high in most countries. These scores are a reflection of the important role personal relationships play to peoples sense of health and well-being.
FRIENDS and FAMILY INDEX43

Men 49% 48% 45%

Women 42% 40% 33%

Overall 68% 65% 69%

Men 68% 68% 70%

Women 69% 62% 67% 75%


66%

46% 44% 39%

73% 54% 70% 41% 75% 61% 80% 85% 58% 77% 54% 39% 63%

74% 63% 69% 48% 75% 65% 80% 79% 55% 81% 63% 45% 63%

Table 12A 42  Job Index=average of Q3 (stated importance) x Q4 (satisfaction): your job, how much you earn, your relationship with your boss and coworkers, and the amount of vacation time you have. 43  Friends and Family Index=average of Q3 (stated importance) x Q4 (satisfaction):your relationship with family and friends, overall physical health of family members, relationship with your spouse or partner, the amount of free time you have to spend with family and friends.

Philips Index for Health and Well-being: A global perspective Report 2010 - Updated October 31, 2011 37

JOB INDEX44 Overall COMBINED TOTAL Middle East KSA UAE Asia China Taiwan India Japan Asia Pacific Australia Indonesia Korea Malaysia Philippines Singapore 59% 44% 58% 59% 32% 58% 62% 44% 60% 64% 30% 64% 56% 43% 56% 54% 34% 52% 72% 65% 80% 81% 53% 80% 52% 51% 50% 21% 53% 51% 65% 20% 51% 51% 39% 23% 71% 69% 81% 41% 63% 75% 83% 85% 39% 63% 83% 93% 46% Men 49% Women 42%

FRIENDS and FAMILY INDEX45 Overall 68% Men 68% 84% 92% 70% 68% 80% 36% 73% 65% 78% 81% 50% 82% Women 69% 82% 93% 72% 69% 82% 45% 71% 65% 82% 82% 56% 77%

Table 12B 44  Job Index=average of Q3 (stated importance) x Q4 (satisfaction): your job, how much you earn, your relationship with your boss and coworkers, and the amount of vacation time you have. 45  Friends and Family Index=average of Q3 (stated importance) x Q4 (satisfaction) your relationship with family and friends, overall physical health of family members, relationship with your spouse or partner, the amount of free time you have to spend with family and friends.

38 Philips Index for Health and Well-being: A global perspective Report 2010 - Updated October 31, 2011

Overall, People Have a Positive Body Image46


Generally, most people dont consider themselves to be overweight despite national data from health organizations that reveal data to the contrary. Countries in the Americas and Europe are most likely to say they are overweight, in particular Belgium, Finland, the Netherlands, and the UK. In both China and Taiwan, half believe they are in a state of sub health47.

COMBINED TOTAL
Brazil US Belgium France Denmark Finland Germany Italy Netherlands Norway Poland Portugal Spain Sweden Russia Turkey UK KSA UAE China Taiwan India Japan Australia Indonesia Korea Malaysia Philippines Singapore

38 46 40 51 49 41 53 37 48 51 40 32 34 38 48 35 27 54 35 26 55 51 17 48 23 28 43 29 24 21 0% 20% 40% Yes 71 76 79 60% No 77 72 83 74 73

62 54 60 49 51 60 46 63 52 49 58 66 67 62 50 65 46 65 45 49 53

57

80%

100%

Figure 6: Do you consider yourself to be overweight? 46  Due to cultural reasons, in China and Taiwan this question was phrased as Do you consider yourself to be in a state of sub-health? In Egypt and South Africa, this question was not asked. 47  Due to cultural reasons, in China and Taiwan this question was phrased as Do you consider yourself to be in a state of sub-health? Philips Index for Health and Well-being: A global perspective Report 2010 - Updated October 31, 2011 39

Across markets, most people who do want to lose weight, only want to lose between 1 and 5 kilograms. People living in the US along with several European markets like Russia, Spain, Turkey and the UK, are most

likely to want to lose 10 kilograms or more. Even though a high number of people in Japan and Korea believe they are overweight, very few believe that they need to lose a significant amount of weight.

COMBINED TOTAL Brazil US Belgium Denmark France Finland Germany Italy Netherlands Norway Poland Portugal Russia Spain Sweden Turkey UK KSA UAE India Japan Australia Indonesia Korea Malaysia Philippines Singapore 0% None 36 14 5 23 3 3 4 16 20 15 27 4 36 16 24 22 19 21 17 31 27 31 29

43 6 11 12 21 10 16 12 10 10 17 15 21 21 9

9 12 24 21 28

15 29 17 21 20 19 18 27

17 23 30

18

21 18 22 27 16 13 14 22 24 7 24 46 51

18 24 22 12 28 31 17

30 20

19 37 12 56 74 79 23 58 65 12 61 63 52 20% 1-2 Kilos 40% 3-5 Kilos 15

19 20 6 9 4 22 9 8 18 5 8 10 60% 6-10 Kilos 11 7 6 14 9 9 23 11 9

24 34 30 10 8 3 5 10 16 11 11 16 10 12 13 100% 6 6 6 13 7 7 6

80% More than 10 Kilos

48 

Figure 7: How much weight are you trying to or would you like to lose? 48 This question was not asked in China, Egypt, Taiwan and South Africa. Countries marked with an asterisk (*) asked this question in different weight ranges.

40 Philips Index for Health and Well-being: A global perspective Report 2010 - Updated October 31, 2011

Most Would Use a Combination of Diet and Exercise to Lose Weight


Just over half of people across markets would increase their exercise regimen when trying to lose weight. Interestingly, people would rather give up sweets, salty snacks and junk food than alcohol when trying to lose weight. While there is little difference in the approach men and women would take towards losing weight globally, women are more likely to cut back food consumption than are men.
COMBINED TOTAL49 Increase exercise Eat lower fat Eat lower calories Stop/cut down eating sweets Eat fewer carbohydrates Stop/cut down eating salty snacks Stop/cut down eating fast food An exercise device 50 Consume less alcohol Go on Weight Watchers or other diet programme Use diet aids or supplements Consider surgery Nothing works for me Other Nothing works for me 51 52% 36% 36% 33% 24% 24% 23% 15% 14% 11% 7% 2% 2% 2% 2%

Men 50% 34% 32% 28% 23% 22% 22% 15% 16% 11% 6% 2% 2% 2% 2%

Women 49% 38% 37% 35% 27% 26% 25% 15% 13% 15% 8% 3% 2% 3% 2%

Table 13: If you wanted to lose weight, which of the following would you do?  Questions 23 was not asked in Egypt, France, Germany and South Africa. 50 Not asked in China, Portugal and Taiwan. 51 Not asked in Portugal.
49

Philips Index for Health and Well-being: A global perspective Report 2010 - Updated October 31, 2011 41

Many People Across the Globe Arent Getting Enough Sleep


While sleep patterns vary, in most markets large portions of society dont feel they are getting enough sleep on a daily basis (most notably those living in France, Norway, Sweden, and Taiwan, with almost half being sleep deprived). In UAE, Turkey and India at least one in ten of citizens feel sleep deprived, these countries have the highest percentage of people who sleep well.

COMBINED TOTAL
Brazil US Belgium Denmark France Finland Germany Italy Netherlands Norway Portugal Russia Spain Sweden Turkey Egypt South Africa KSA UAE China Taiwan India Japan Australia Indonesia Korea Malaysia Philippines Singapore

67 60 63 54 62 51 60 65 62 63 51 68 60 75 49 85 65 78 88 63 44 86 57 77 79 69 81 69 74 32 50 34 46 35 46 36 45 36 37 37

30

38 35 29 31 32 24 15 20 21 11 30 13 22 20 30 17 30 23

0%

20%

40% Yes

60% No

80%

100%

52 

Figure 8: Do you get enough sleep at night?52 Question not asked in this manner in the UK and Poland.

42 Philips Index for Health and Well-being: A global perspective Report 2010 - Updated October 31, 2011

Reasons for Lack of Sleep: Globally53


Going to bed late and having to wake up early in the morning is the number one reason across markets as to why people dont get the sleep they need. Snoring, sleep apnea, and other health conditions, while impacting some, appear to have little impact on sleeping patterns. The top reasons appear to be work related and driven by stress.

COMBINED TOTAL
I go to sleep very late at night and have to be up early in the morning I am worried/stressed about things going on in my life I am a poor sleeper overall I have too much to do during the day and not enough time to get it all done I am worried/stressed about things going on in the outside world My children keep me up at night I have a health condition that wakes me up at night Snoring (my own or my spouse/partner) Outside noise Sleep apnea 0% 4 20% 40% 60% 7 9 10 10 10 21 31 29 44

Figure 9: What are some reasons you dont get enough sleep at night? 53  Question, in its entirety, not asked in Poland. Data excludes Egypt & South Africa due to inconsistencies in the way question was asked. I am a poor sleeper not asked in Italy. I have too much to do during the day not asked in Germany. I am worried/ stressed about the outside world not asked in Germany and Turkey. Outside noise not asked in UAE. Sleep apnea not asked in Portugal.

Philips Index for Health and Well-being: A global perspective Report 2010 - Updated October 31, 2011 43

Reasons for Lack of Sleep: Market Details54


Taiwan, Malaysia, Philippines and Singapore are the most likely to cite late nights and early mornings as the top reason behind sleep deprivation. This may be driven by tougher working conditions, as well as transportation issues affecting travel to and from work in those markets. Stress and worry is affecting peoples sleep in many markets across the globe, most notably in Belgium, Italy, India, Singapore and the US.

Go to sleep late at night, up very early COMBINED TOTAL The Americas Brazil US Europe Belgium Denmark France Finland Germany Italy Netherlands Norway Poland Portugal Russia Spain Sweden Turkey UK Africa Egypt South Africa N/A N/A 40% 47% 37% 52% 55% 46% 44% 49% N/A 9% 60% 22% 43% 4% 32% 41% 36% 44%

Poor sleeper 29% 17% 38% 45% 27% 36% 42% 42% N/A 34% 32% N/A 11% 9% 26% 35% 21% 45% N/A N/A

Worried/Stressed about life 31% 24% 49% 42% 32% 39% 37% 39% 41% 30% 31% N/A 19% 22% 29% 34% 35% 31% N/A N/A

Table 14A: What are some reasons you dont get enough sleep at night? 54 N/A indicates that a response category was not part of a countrys Philips Index Survey.

44 Philips Index for Health and Well-being: A global perspective Report 2010 - Updated October 31, 2011

Go to sleep late at night, up very early COMBINED TOTAL Middle East KSA UAE Asia China Taiwan India Japan Asia Pacific Australia Indonesia Korea Malaysia Philippines Singapore 51% 31% 40% 56% 70% 72% 52% 63% 47% 38% 40% 36% 44%

Poor sleeper 29% 18% 13% 43% 39% 33% 37% 22% 43% 27% 13% 29% 29%

Worried/Stressed about life 31% 27% 27% 30% 33% 54% 27% 30% 9% 26% 8% 33% 43%

Table 14B: What are some reasons you dont get enough sleep at night?

Philips Index for Health and Well-being: A global perspective Report 2010 - Updated October 31, 2011 45

Across Markets, People Recognize Sleep Deprivations Impact on Their Lives55


Sleep deprivation is considered to have an impact on many aspects of health and well-being across markets. The majority of people feel that their physical health is affected by sleep deprivation; however nearly half believe it also affects their mental health (50%) and home life (49%).

COMBINED TOTAL
Your physical health 55

Your mental health

50

Home life

48

Job performance

46

Relationships with others

43

Community involvement 0% 20%

30 40% 60%

Figure 10: How much does a lack of enough sleep affect each of the following? GREATLY / SOMEWHAT 55  Question not asked in Egypt, Poland and South Africa. Excludes Belgium due to the way the question was asked. Community involvement not asked in China and France.

46 Philips Index for Health and Well-being: A global perspective Report 2010 - Updated October 31, 2011

Physical and Mental Health Are Most Affected by Lack of Sleep


In general, the French and those living in the Middle East are most likely to say lack of sleep impacts several aspects of their lives. Meanwhile, there is a polarized opinion across regions as to the impact of lack of sleep on community involvement and relationships with others.

Your physical health COMBINED TOTAL The Americas Brazil US Europe Denmark France Finland Germany Italy Netherlands Norway Portugal Russia Spain Sweden Turkey UK 31% 75% 61% 33% 40% 40% 43% 69% 63% 58% 57% 57% 55% 53% 57% 55%

Your mental health 50% 53% 48% 38% 62% 57% 30% 39% 44% 40% 50% 63% 51% 58% 70% 48%

Home life 48% 41% 46% 29% 64% 54% 20% 43% 33% 43% 53% 49% 45% 52% 65% 45%

Job performance 46% 48% 43% 27% 59% 55% 22% 43% 29% 37% 47% 52% 44% 42% 51% 28%

Relationships with others 43% 42% 41% 23% 57% 50% 30% 54% 27% 37% 44% 48% 35% 43% 42% 36%

Community involvement 30% 24% 34% 10% N/A 41% 6% 67% 23% 31% 14% 28% 13% 27% 54% 18%

Table 15A: How much does a lack of enough sleep affect each of the following? 56  Belgium, Egypt, Poland and South Africa were not asked this question. N/A indicates that a response category was not part of a countrys Philips Index Survey.

Philips Index for Health and Well-being: A global perspective Report 2010 - Updated October 31, 2011 47

Your physical health COMBINED TOTAL Middle East KSA UAE Asia China Taiwan India Japan Asia Pacific Australia Indonesia Korea Malaysia Philippines Singapore 51% 45% 57% 42% 52% 64% 70% 73% 48% 53% 73% 73% 55%

Your mental health 50% 59% 59% 59% 67% 45% 60% 44% 37% 58% 36% 29% 57%

Home life 48% 73% 71% 48% 58% 54% 52% 39% 37% 56% 35% 37% 58%

Job performance 46% 65% 69% 53% 69% 42% 53% 42% 47% 48% 35% 45% 53%

Relationships with others 43% 63% 72% 49% 53% 35% 33% 48% 32% 55% 30% 21% 57%

Community involvement 30% 55% 62% N/A 25% 36% 11% 31% 31% 35% 30% 43% 27%

Table 15B: How much does a lack of enough sleep affect each of the following?

48 Philips Index for Health and Well-being: A global perspective Report 2010 - Updated October 31, 2011

While Stress is a Global Issue, Some Regions Experience it More than Others
Every market is experiencing some level of stress, just to varying degrees.The US and Europe tend to have higher levels of stress than those living in the Middle East and some Asia Pacific countries; in particular, France, Finland, Russia and the UK where almost half of the people say they are a lot or somewhat stressed. People in India and Taiwan feel particularly stressed, with two-thirds and three-fourths feeling a lot or somewhat stressed.

COMBINED TOTAL
Brazil US Belgium Denmark France Finland Germany Italy Netherlands Norway Poland Portugal Russia Spain Sweden Turkey UK Egypt South Africa KSA UAE China Taiwan India Japan Australia Indonesia Korea Malaysia Philippines Singapore
3 2 2 1 5 5 3 4 4 4 2

8 7 15 9 10 8 9 8 7 19 24 16 12 11 8 6 10 12 12 10 13 11 10 14 37 13 12 16 19 19

25 32 25 47 40 35 25 23 39 39 50 25 42 27 21 41 30 17 20 26 31 46 25 13 31 52 33 36

37 53 31 47 39 39 37 31 53 38

30 22 22 19 13 19 17 28 27 48 23 34 22 35 36 45 48 61 60 12 20 15

28 34 38 34 33 27 43 53 56 55 36 54 43 38 40

31 6 20 10 5

34 9 10 14 19

6 33

0%

20% A lot

40% Somewhat Only a little

60% Not at all

80%

100%

Figure 11: How stressed do you consider yourself to be?

Philips Index for Health and Well-being: A global perspective Report 2010 - Updated October 31, 2011 49

Financial Concerns Are Key Stressors for People Across All Markets57
As a true illustration of how interconnected todays world economies have become, financial concerns are the common stressors in peoples lives across the globe. Additionally, given the current economic climate, job related stressors and those related to future financial planning are also very high concerns.

COMBINED TOTAL
Having enough money to pay bills Job Having enough money to save for the future The economy Healthcare costs Loss of job Getting enough sleep Ability to retire Spouse Boss Crime that might affect you Your kids World news and events Your home / apartment Politics / government related issues Coworkers Where you live Wars (cross border conflicts) in high tensions regions... Commuting to / from work The telephone Other communication technology 0% 20% 25 23 22 40% 60% 35 35 35 33 32 30 30 30 29 29 42 40 49 47 53 53 52 55

Figure 12: To what degree do each of the following contribute to stress you might feel? A LOT / SOMEWHAT 57  Loss of job not asked in Turkey, Boss not asked in Germany. Coworkers not asked in Egypt, Germany and South Africa. Your kids not asked in Egypt and South Africa. Home/apt not asked in Egypt, South Africa and Turkey. Community not asked in Egypt and South Africa. Money to pay bills not asked in Germany. Money to save not asked in Egypt, South Africa and Turkey. Ability to retire not asked in Egypt, Germany, South Africa and Turkey. Enough sleep not asked in Egypt and South Africa. Phone not asked in Egypt, Germany, South Africa and Turkey. Other communications tech not asked in Egypt, Italy and South Africa. Crime not asked in Italy. Government/Politics not asked in Egypt, Germany, South Africa and UK. World news/events not asked in Egypt, Germany and South Africa. War not asked in China, Egypt, Germany, Poland, South Africa and Turkey. 50 Philips Index for Health and Well-being: A global perspective Report 2010 - Updated October 31, 2011

Financial Concerns are Universal Stressors58


Collectively, having enough money to pay bills is a key driver of stress across the majority of markets. This is felt most strongly in the US, UAE and European markets such as Spain,Turkey and the UK. Stress over losing ones
Having enough money to pay bills 55% 66% 66% 31% 30% 59% 48% N/A 57% 32% 32% 60% 71% 73% 77% 34% 65% 67% 61% 72% The economy 52% 36% 74% 25% 23% N/A 45% 54% 68% 19% 31% 38% 76% 48% 74% 35% 76% 54% 67% 75%

job is felt most strongly in emerging economies such as Brazil, UAE, Indonesia, Singapore and the Philippines, as well as the struggling economy of Spain.

Healthcare costs 49% 58% 67% 30% 13% 35% 32% 54% 52% 33% 20% 51% 68% 66% 41% 14% 66% N/A 64% 70%

Loss of job 47% 57% 48% 26% 29% 50% 44% 36% 46% 21% 33% 48% 74% 75% 76% 23% N/A 42% 46% 53%

Getting enough sleep 42% 66% 49% 31% 29% 59% 49% 19% 57% 32% 30% 40% 58% 59% 63% 32% 39% 50% N/A N/A

Boss 35% 48% 32% 28% 21% 61% 30% N/A 37% 27% 26% 34% 32% 48% 40% 17% 31% 26% 38% 38%

COMBINED TOTAL The Americas Brazil US Europe Belgium Denmark France Finland Germany Italy Netherlands Norway Poland Portugal Russia Spain Sweden Turkey UK Africa Egypt South Africa

Table 16A: To what degree do each of the following contribute to stress you might feel? A LOT / SOMEWHAT 58 N/A indicates that a response category was not part of a countrys Philips Index Survey.

Philips Index for Health and Well-being: A global perspective Report 2010 - Updated October 31, 2011 51

COMBINED TOTAL Middle East KSA UAE Asia China Taiwan India Japan Asia Pacific Australia Indonesia Korea Malaysia Philippines Singapore

Having enough money to pay bills 55% 53% 66% 59% 61% 52% 47% 49% 49% 60% 35% 48% 60%

The economy 52% 53% 70% 46% 44% 54% 35% 57% 58% 58% 46% 58% 59%

Healthcare costs 49% 57% 70% 60% 45% 54% 32% 58% 52% 51% 45% 59% 68%

Loss of job 47% 41% 61% 49% 48% 20% 55% 46% 59% 38% 49% 74% 61%

Getting enough sleep 42% 53% 53% 59% 44% 34% 47% 41% 46% 48% 37% 21% 53%

Boss 35% 37% 61% 46% 49% 24% 28% 36% 43% 39% 36% 55% 45%

Table 16B: To what degree do each of the following contribute to stress you might feel? A LOT / SOMEWHAT

52 Philips Index for Health and Well-being: A global perspective Report 2010 - Updated October 31, 2011

VI b. How People Take Care of Their Health and Well-Being59 Personal Time is the Global Currency for Improving Health and Well-Being
Though people across the globe do practice a variety of methods to improve their health, spending time with friends and family or relaxing are the most popular ways people boost their feelings of well-being. Having time is the key ingredient to improved health and well-being.

COMBINED TOTAL
Spend time with friends and family Spend time relaxing at home Spend time outside Spend time doing hobbies Take vitamins or supplements Go to a health club facility Religious activities Eat a special diet Volunteer my time with a charity or organization Use herbal or homeopathic remedies Practice yoga See a mental health professional or therapist Get acupuncture 0% 5 4 10% 20% 30% 40% 50% 60% 70% 8 17 15 14 24 20 32 49 56 67 65

Figure 13: Which of the following do you do to help improve your feeling of well-being? 59 Spend time with friends/family not asked in Egypt, Italy, South Africa and Turkey. Relaxing at home not asked in Taiwan. Spend  time outside not asked in China, Egypt, and South Africa. Hobbies not asked in Egypt, South Africa and Turkey. Health club not asked in Portugal. Religious activities only asked in Australia and Indonesia. Volunteer my time not asked in China, Egypt, Russia and South Africa. Practice yoga not asked in France, Egypt, Germany and South Africa. Mental health professional not asked in China, Egypt and South Africa. Acupuncture not asked in Egypt, France and South Africa.

Philips Index for Health and Well-being: A global perspective Report 2010 - Updated October 31, 2011 53

Spending Time with Friends and Family is the Preferred Way of Improving Health and Well-Being60
Universally, having time to themselves or with family/ friends, are the key ways people improve their sense of well-being.These sentiments are felt most strongly in the Americas and Europe, especially in the US, Germany, Spain and the Netherlands.The Swedes are least likely to feel this way. Surprisingly, in countries with strong family traditions and connections, less people cite these activities as necessary to improving well-being.This could be driven by the fact that these markets KSA, UAE, Turkey have such high levels of satisfaction with their current state of personal relationships.

Spend time with friends and family COMBINED TOTAL The Americas Brazil US Europe Belgium Denmark France Finland Germany Italy Netherlands Norway Poland Portugal Russia Sweden Spain Turkey UK Africa Egypt South Africa Middle East KSA UAE 51% 59% N/A N/A 74% 82% 64% 77% 93% N/A 64% 76% 49% 97% 55% 80% 88% N/A 67% 68% 87% 67%

Spend time relaxing at home 65% 73% 84% 79% 87% 60% 81% 92% 61% 84% 80% 41% 84% 64% 83% 79% 30% 75% 31% 54% 43% 52%

Spend time outside 56% N/A 79% 62% 66% 46% 57% 95% 47% 64% 70% 54% 94% 51% 6% 76% 12% 60% N/A N/A 33% 48%

Spend time doing hobbies 49% 34% 69% 65% 61% 51% 59% 83% 49% 62% 56% 28% 60% 18% 56% 68% 16% 53% N/A N/A 31% 31%

Take vitamins or supplements 32% 25% 56% 26% 53% 14% 57% 22% 34% 27% 47% 14% 21% 36% 31% 15% 3% 41% 31% 33% 4% 33%

Table 17A: Which of the following do you do to help improve your feeling of well-being? 60 N/A indicates that a response category was not part of a countrys Philips Index Survey.

54 Philips Index for Health and Well-being: A global perspective Report 2010 - Updated October 31, 2011

Spend time with friends and family COMBINED TOTAL Middle East KSA UAE Asia China Taiwan India Japan Asia Pacific Australia Indonesia Korea Malaysia Philippines Singapore 39% 49% 28% 68% 87% 72% 59% 58% 70% 49% 51% 59% 67%

Spend time relaxing at home 65% 43% 52% 63% N/A 69% 74% 49% 47% 26% 68% 71% 72%

Spend time outside 56% 33% 48% N/A 60% 53% 52% 39% 22% 17% 60% 62% 61%

Spend time doing hobbies 49% 31% 31% 46% 40% 30% 58% 29% 32% 32% 52% 72% 58%

Take vitamins or supplements 32% 14% 22% 29% 48% 31% 36% 41% 49% 24% 51% 42% 50%

Table 17B: Which of the following do you do to help improve your feeling of well-being?

Philips Index for Health and Well-being: A global perspective Report 2010 - Updated October 31, 2011 55

Globally, There is a Strong Sense of Personal Responsibility When it Comes to Health


Across markets, very few people believe there is not much they can do about their health. Those in Brazil, Portugal, UAE and the US are most likely to believe that for the most part, my health is up to me.

COMBINED TOTAL Brazil US Belgium Denmark France Finland Germany Italy Netherlands Norway Portugal Russia Spain Sweden Turkey UK Egypt South Africa KSA UAE China India Japan Australia Indonesia Korea Malaysia Philippines Singapore 5 0% 4 6 6 4 6 5 4 5 2 5

9 7 11 46 14 32 34

46 61 61 47 52 67 59 45 15 61 47 53 35 17 41 69 44 50 51 49 40 31 38 29 69 53 59 52 57 52 37 54 62

44

43 19 35 47 24 42 41 41 25 45 39 36 45

7 12

9 11 13 5 9 10 10 14

25 42 53 42 52 59 23 38

14 8 19

33 54 40 56 20% 40% 60%

80%

100%

There is not much that I can do about my health How I take care of myself makes an important difference in my health

Figure 14: How much do you feel that the state of your health is up to you to control?61 61 This question was not asked in Taiwan and Poland.

56 Philips Index for Health and Well-being: A global perspective Report 2010 - Updated October 31, 2011

Preventative Health from a Global Standpoint


There are regional differences when it comes to taking preventative health measures. People in developed nations are much more likely to see their doctor on a regular basis for a general check-up than those in emerging markets. China is the key exception; more than half claim to visit the doctor annually for a general check-up. Markets such as Egypt, India, Indonesia, KSA, Turkey, and UAE are most likely not to get regular check-ups. Access and healthcare costs likely play a role in these markets.

COMBINED TOTAL
Brazil US Belgium Denmark France Finland Germany Italy Netherlands Norway Portugal Russia Spain Sweden Turkey UK Egypt South Africa KSA UAE China Taiwan India Japan Australia Indonesia Korea Malaysia Philippines Singapore
17 27 17 27 33 28 57 9 5 27 3 2 31 29 26

42 46 67 56 12 7 32 50 48 5 43 80 34 68 10 49 4 36 57 20 7 4 5 67 62 3 2 2 26 45 37 55 12 5 2 14 5 7 15

12 10 6

8 4

4 35 11 9 6 5 35 16 8

32 1 23 13

11 5 26

10 1 16 19 9 15 52 13 7 9 80 11 6 5 3 62 2 2 46 43 20 15 5 67 9 75 11 14 21 22 6 4 4 9 6 2 2 23 8 5 8 7 4

14 21 4 18 20 5 5 2 20

10

14 11

37 4 1 37 32 32

10 16

5 5 3

3 32

15

20 10 22

32 31 21 3 13

0%

20%
Once a year or more Less than five years

40%

60%
Every couple of years Hardly ever or never

80%
Every three to five years

100%

Figure 14: How often do you go to the doctor for a general check-up?62 62  Questions 11, 12, and 13 regarding Preventative Health were not asked in Poland.

Philips Index for Health and Well-being: A global perspective Report 2010 - Updated October 31, 2011 57

Preventative Health from a Global Standpoint


Across markets, people are generally more likely to visit the doctor for a specific health problem or condition than they are for a general check-up. However, with the
COMBINED TOTAL 18 14 13 11 4 4 5 14 18 17 6 8 14 12 12 15 10 18 52 3 8 30 13 21 49 27 14 11 20 17 16 28 31 8 9 18 28 12 0% 10% 17 20% 30% 40% 6 16 19 30 35 50% 60% 70% 31 35 30 20 35 80% 90% 100% 10 16 23 24 16 15 13 9 16 55 39 33 22 27 57 48 40 28 30 30 11 9 24 35 22 30 11 8 48 38 42 26 31 36 36 33 21 36 33 44 21 9 51 12 26 37 46 46 26 44 9 5 14 27 15 16 22 44 26 50 36 18 28 31 43 37 43 29 20 26 28 42 40 25

exception of China, BRIC nations are highly likely not to visit the doctor for a specific issue.This is also true among the Swedes, Japanese and Indonesians.
34

Brazil US Belgium Denmark France Finland Germany Italy Netherlands Norway Portugal Russia Spain Sweden Turkey UK Egypt South Africa KSA UAE China Taiwan India Japan Australia Indonesia Korea Malaysia Philippines Singapore

At least once a month A couple of times a year

Every few months Hardly ever or never

Figure 15: How often do you go to the doctor for a specific problem?63 64 63  Questions 11, 12, and 13 regarding Preventative Health were not asked in Poland; for Portugal, a couple times a year is sum of two times per year and once a year. Due to questionnaire differences in France, every few months is sum of once every two to three months and once every six months, a couple times a year is representative of once a year, and hardly ever or never is sum of once every two years, once every three to five years, once every five years or less, and almost never / never. 64 Due to the exclusion of dont know responses, not all country figures add up to 100%. 58 Philips Index for Health and Well-being: A global perspective Report 2010 - Updated October 31, 2011

Globally the Frequency of Dentist Visits Vary by Market


Generally speaking, there is a high propensity to visit the dentist for a cleaning or general check-up at least once a year. The key exceptions are China, Japan, Korea, KSA, UAE; access to dental care could be playing a role in some of these markets. There is a distinct difference in frequency of visits in developed markets compared with those in emerging markets. In the US and Europe people tend to visit the dentist more frequently than those living in the Middle East and some Asian markets.

COMBINED TOTAL

56 55 64 74 82 57 47 87 59 83 69 75 44 68 72 31 68 52 39 40 63 11 6 4 44 73 16 2 3 31 29 68 63 0% 10% 20% 30% 40% 50% 14 29 4 20 16 8

17 14 6

23 25 15 4 13 3 10 27 40 5 7 18 10 3 3 11 5

Brazil US Belgium Denmark France Finland Germany Italy Netherlands Norway Portugal Russia Spain Sweden Turkey UK KSA UAE China Taiwan India Japan Australia Indonesia Korea Malaysia Philippines Singapore

6 1 5 21 5 5 1 20 13 29 15 7 1 19 45 10 12 5 25 4 20 79 20 4 33 20 78 7 33 52 7 19 60% 70% 80% 4 3 20 14 90% 100% 2 5 2 37 31 3 14 3 20 34 2 17 16 4 4 15 11 4 5 11

Once a year or more Less than every five years

Every two to five years Hardly ever or never

Figure 16: How often do you go to the dentist for a cleaning or a general check-up?65 65  This question was not asked in Poland, Egypt and South Africa.

Philips Index for Health and Well-being: A global perspective Report 2010 - Updated October 31, 2011 59

Doctors Sought Out for Health and Medical Information First, Before Any Other Source Across the Globe
Despite the availability of information online, and increased Internet access globally, doctors are still the number one go-to sources for medical information. Family members and/or friends are also seen as a reliable go-to source for health information.

COMBINED TOTAL
Doctors Family members or friends Internet search Pharmacists Television Books Newspapers Magazines/newsletters Natural health advocates Government Brochures At the gym or health club Psychics/spiritual advisors 0% 3 2 10% 20% 30% 40% 50% 1 5 7 3 3 2 1 13 16 18 19 17 22 24 30 38 40 44

First Choice

Any Choice (Net)

Figure 17: When you are concerned about being sick, where do you usually get your medical or health information FIRST? Where else do you get your medical or health information? 66 66 Data for Egypt and South Africa was not included because it was asked differently in those markets. Question 15 (any choice) was not  asked in Poland.

60 Philips Index for Health and Well-being: A global perspective Report 2010 - Updated October 31, 2011

Doctors Are the First Choice for Health Information Globally


Doctors are the clear-cut first choice for health news and information almost universally. The only exceptions are the Japanese and the Swedes, who turn to the Internet first, and Indonesians and Malaysians, who turn first to their family and friends. Access and cost of healthcare, as well as social traditions, may be driving this sentiment in these markets, as well as in India where family is also turned to for health information. The Dutch are just as likely to seek out their doctor as to go on the Internet, while the Nordics countries are more, or just as likely, to go online first.

Doctors COMBINED TOTAL The Americas Brazil US Europe Belgium Denmark France Finland Germany Italy Netherlands Norway Poland Portugal Russia Spain Sweden Turkey UK 54% 28% 56% 17% 60% 45% 39% 37% 56% 55% 32% 70% 9% 51% 53% 40% 53% 44%

Family members / friends 19% 15% 12% 11% 10% 7% 10% 15% 14% 12% 12% 23% 20% 32% 19% 11% 22% 8%

Internet 17% 32% 18% 20% 27% 11% 21% 5% 29% 38% 31% 3% 6% 8% 3% 42% 7% 26%

Table 18A: When you are concerned about being sick, where do you usually get your medical or health information FIRST?67 67 Respondents in Egypt and South Africa were not asked this question.

Philips Index for Health and Well-being: A global perspective Report 2010 - Updated October 31, 2011 61

Doctors COMBINED TOTAL Middle East KSA UAE Asia China Taiwan India Japan Asia Pacific Australia Indonesia Korea Malaysia Philippines Singapore 45% 30% 37% 58% 27% 43% 43% 45% 45% 22% 53% 63% 44%

Family members / friends 19% 23% 20% 12% 23% 35% 21% 13% 42% 28% 19% 35% 15%

Internet 17% 8% 5% 19% 21% 1% 48% 12% 5% 15% 5% 7% 14%

68

Table 18B: When you are concerned about being sick, where do you usually get your medical or health information FIRST?68 Respondents in Egypt and South Africa were not asked this question.

62 Philips Index for Health and Well-being: A global perspective Report 2010 - Updated October 31, 2011

Attitudes to Taking Care of Health: Globally


While there are many contributing factors towards attitudes to health geographic, social, historical, economical in general, people across geographies have a good relationship with their doctor and follow his or her advice.There is a global recognition of the importance of exercise.

COMBINED TOTAL Fitness I dont exercise as much as I think I should I am as physically fit as I can be for my age I eat healthier than most people Im in better shape now than ever before Physician Directed Health Management I do whatever the Doctor tells me I am comfortable talking to my Doctor about medical issues I always go for the medical tests Im supposed to get I avoid going to the Doctor as much as possible I dont think I go to the Doctor as much as I should Im nervous/skeptical about going to the hospital I would much prefer to do my own medical tests at home If I dont like what a Doctor says, I ignore it Health and Technology I expect medical technology to keep me healthy to a ripe old age I wish I could email my Doctor when I have questions I am eager to try new gadgets or devices aimed at improving my health and well-being I would communicate with my Doctor more often if I didnt have to make a trip Health Engagement I like to stay on top of health-related news and information If I dont like what a Doctor says, I go for a second opinion I go to the Doctor regularly Treatment Affinity I think that surgery should always be avoided if possible I believe in non-traditional forms of medicine such as acupuncture and herbal treatments I believe most health problems get better if you give them time I dont always take the medicine Im prescribed Health Alternatives I believe you can improve your appearance without cosmetic surgery I wouldn't mind having a little cosmetic surgery to improve my appearance Table 19: Which of the following statements are true about you?69 69 This question was not asked in Egypt and South Africa. 40% 13% 39% 28% 26% 17% 38% 29% 30% 34% 29% 21% 21% 47% 48% 39% 33% 26% 22% 14% 11% 48% 40% 35% 20%

RANK

2 5 9 21 3 1 7 11 16 18 23 25 10 14 20 19 8 13 12 6 15 17 22 4 24

Philips Index for Health and Well-being: A global perspective Report 2010 - Updated October 31, 2011 63

Attitudes to Taking Care of Health: In Detail Health and Technology


Australian and US citizens are most optimistic about the benefits of medical technology, and show the most enthusiasm when it comes to using technology for health management.This enthusiasm is also shared by their European counterparts in Spain, Germany and Turkey, as well as Asia Pacific countries, Australia and the Philippines. The Nordics are the biggest pessimists when it comes to technology extending life expectancy. When it comes to communicating with their doctor, Europeans want more of a digital connection as many wish they could email when they have questions.

I expect medical technology to keep me healthy to a ripe old age COMBINED TOTAL The Americas Brazil US Europe Belgium Denmark France Finland Germany Italy Netherlands Norway Poland Portugal Russia Spain Sweden Turkey UK 27% 10% 22% 12% 66% 21% 17% 15% 78% 90% 12% 75% 19% 75% 16% 31% 59% 34%

I am eager to try new gadgets or devices aimed at improving my health and well-being 21% 12% 42% 6% 3% 5% 5% 47% 5% 8% 6% 46% 63% 13% 51% 19% 55% 13%

I wish I could email my Doctor when I have questions 29% 28% 59% 20% 23% 25% 34% 23% 30% 22% 44% 42% 64% 14% 47% 40% 60% 31%

I would communicate with my Doctor more often if I didnt have to make a trip 21% 25% 49% 6% 18% 11% 23% 5% 14% 2% 26% 46% 46% 13% 33% 19% 44% 12%

70

Table 20A: Which of the following statements are true about you? 70 This question was not asked in Egypt and South Africa.

64 Philips Index for Health and Well-being: A global perspective Report 2010 - Updated October 31, 2011

I expect medical technology to keep me healthy to a ripe old age COMBINED TOTAL Middle East KSA UAE Asia China Taiwan India Japan Asia Pacific Australia Indonesia Korea Malaysia Philippines Singapore 47% 16% 35% 27% 43% 44% 33% 33% 21% 13% 18% 17% 34%

I am eager to try new gadgets or devices aimed at improving my health and well-being 21% 10% 10% 18% 6% 11% 5% 40% 7% 17% 18% 42% 29%

I wish I could email my Doctor when I have questions 29% 8% 10% N/A 8% 7% 27% 52% 7% 12% 11% 28% 39%

I would communicate with my Doctor more often if I didnt have to make a trip 21% 8% 8% N/A 16% 9% 4% 46% 7% 10% 15% 49% 34%

71

Table 20B: Which of the following statements are true about you?71 This question was not asked in Egypt and South Africa.

Philips Index for Health and Well-being: A global perspective Report 2010 - Updated October 31, 2011 65

Attitudes to Taking Care of Health: In Detail Fitness


Developed nations are most likely to believe they are as physically fit as they can be for their age, with the exception being those living in the Nordic countries. This sentiment is also held by countries in Asia Pacific such as Indonesia, Philippines and Singapore. However, on the whole, European citizens are much less likely to believe they are in better shape now than ever before.

I am as physically fit as I can be for my age COMBINED TOTAL The Americas Brazil US Europe Belgium Denmark France Finland Germany Italy Netherlands Norway Poland Portugal Russia Spain Sweden Turkey UK 34% 23% 21% 21% 84% 26% 31% 17% 68% 78% 31% 69% 18% 86% 22% Table 21A: Which of the following statements are true about you?72 72  This question was not asked in Egypt and South Africa. 24% 51% 40%

I am in better shape now than ever before 20% 11% 29% 6% 11% 4% 5% 21% 5% 5% 9% 36% 22% 10% 21% 7% 70% 5%

66 Philips Index for Health and Well-being: A global perspective Report 2010 - Updated October 31, 2011

I am as physically fit as I can be for my age COMBINED TOTAL Middle East KSA UAE Asia China Taiwan India Japan Asia Pacific Australia Indonesia Korea Malaysia Philippines Singapore 53% 45% 21% 31% 72% 51% Table 21B: Which of the following statements are true about you?73 73  This question was not asked in Egypt and South Africa 21% 16% 44% 38% 25% 34% 40%

I am in better shape now than ever before 20% 17% 19% 35% 6% 32% 2% 45% 22% 22% 21% 37% 43%

Philips Index for Health and Well-being: A global perspective Report 2010 - Updated October 31, 2011 67

VII.  Independent Living: Aging and Health and Well-Being


VII a. General Attitudes to Aging and Health and Well-Being
Life Expectancy People are Optimistic About Living Long into the Future Across Markets
Generally speaking, most people across geographies believe they are going to live longer or for about the same as their parents. While few markets believe they are going to live a shorter life than their parents, the least optimistic markets are UAE, Japan, India, Norway, Russia, Turkey, and Korea. Most people believe they are going to live until at least 70 years of age.

COMBINED TOTAAL
Brazil US Belgium Denmark France Finland Germany Italy Netherlands Norway Poland Portugal Russia Spain Sweden Turkey UK Egypt South Africa KSA UAE Taiwan India Japan Australia Indonesia Korea Malaysia Philippines Singapore

34 51 47 34 46 31 29 36 34 35 35 22 42 26 47 35 14 35 11 32 59 24 8 23 16 44 49 23 44 56 41 0% 20% 40% 51 43 17 38 3 24 39 37 28

38 27 36 58 43 57 52 51 45 59 49 11 39 9 32 49 14 43 85 6 72 32 36 9 25 16 28 30 42 60% 42 1 4

8 2

21 20 10 4

6 8 7 12

9 8 5 40

10 11 3 13 7 12 14 6 11 9 14 3 6

27 9 7 33 8 32 46 26 31

16 8 6 33 22 26 9 8 80% 9 100% 5 5

A longer life than your parents A shorter life than your parents

About the same length as your parents Don't know

74 

Figure 18: Do you expect to live...?74 This question was not asked in China.

68 Philips Index for Health and Well-being: A global perspective Report 2010 - Updated October 31, 2011

COMBINED TOTAL Brazil US Belgium Denmark France Finland Germany Italy Netherlands Norway Portugal Russia Spain Sweden Turkey UK South Africa KSA UAE China Taiwan India Japan 3 Australia Indonesia Korea Malaysia Philippines Singapore 0% 9 9 9 11 12 5 13 11 9 7 11

17 34 25

30 26 34 42 46 41 43 36

25 14 22 35

12 11 12

16 15 7 12 5 13 10 8 17 10 6 10 25 9 19 8 35 14 15 12 6 5 5 8 12 5

21 17

20 30 30 39 28 10 33 20 29 17 23 30 24 27 22 18 48 67 40 17 33 14 24 21 25 15 33 41 6

16 10 20 19 18 17 13 13 42 6 6 35 14 14 18 50 21 19 34 27 20% 17 6 14

29 47 49 33 29 35 44 23 32 21 9 28 22 36 16 40 20 28 40% 16

4 4 11 23 22 4 9 6 1 7 11 100%

14 17 35 23 60%

35 15 11 80%

Over 90

81 - 90

71 - 80

Under 70

Dont know

75

Figure 19: How old do you expect to be?75  This question was not asked in Poland; because of high dont know responses (92%), Egypt data was excluded from this figure.

Philips Index for Health and Well-being: A global perspective Report 2010 - Updated October 31, 2011 69

Potential Threats to Health


General ailments associated with aging and potentially losing independence, such as declining vision and hearing, joint pain/arthritis, high cholesterol and memory loss, are more worrisome than more specific afflictions (i.e. cancer, depression, AIDS).

COMBINED TOTAL Declining vision Joint pain/Arthritis Being overweight/obesity High cholesterol Cancer Memory loss High sugar count/diabetes Anxiety Depression Heart attack Declining hearing Widespread influenza (Flu) Viral infections (general) Stroke Bacterial infections (general) AIDS Table 22: Which of the following are you concerned about as potential threats to your health in the next five years?76 This question was not asked in Germany and Poland. 30% 29% 26% 22% 20% 20% 19% 19% 18% 17% 16% 16% 14% 13% 12% 5%

76

70 Philips Index for Health and Well-being: A global perspective Report 2010 - Updated October 31, 2011

VII b. Older Citizens Attitudes to Health and Well-Being Aging Index77


The Aging Index is an examination of citizens 65 and older, and gives us a sense of how well they are doing relative to the general population within each market (specific to that countries total Index score, which is a weighted satisfaction score of the components of health and well-being). From a combined market
Aging Index COMBINED TOTAL US Belgium Denmark France Finland Germany Netherlands Norway Poland Spain Sweden Turkey UK China Japan Australia Indonesia Korea Malaysia Philippines Singapore 93 99 99 102 87 111 93 98 106 81 100 112 77 98 102 106 86 94 79 93 119 82

perspective, older people are doing less well than the general population. Additionally, this calculation reveals that our worlds older citizens are feeling better in Belgium, Japan, the Nordics and the Philippines, and having a tougher time in France, Germany, Turkey, Australia, Korea and Singapore.

Table 23 77  Aging Index is calculated among people 65 and older and is representative of those respondents total Index score relative to the total Index score of all respondents in that market. An Index of 100 indicates parity. For markets in which data was not collected for people 65 and older an Aging Index figure was not calculated.

Philips Index for Health and Well-being: A global perspective Report 2010 - Updated October 31, 2011 71

General State of Health and Well-being


Unsurprisingly, older citizens in most markets rate their current state of health and well-being as being less than that of the population as a whole. In a few exceptionssuch as the US, Belgium, France and Singapore, the health and well-being of the older population is consistent with the nations as a whole.
General State of Health and Well-being TOTAL MARKET COMBINED TOTAL The Americas Brazil US Europe Belgium Denmark France Finland Germany Netherlands Norway Poland Spain Sweden Turkey UK Asia China Japan Asia Pacific Australia Indonesia Korea Malaysia Philippines Singapore 58% 56% 52% 61% 53% 72% 21% 45% 51% 50% 33% 68% 34% 38% 34% 35% 70% 76% 68% 64% 66% 67% 69% 67% 70% 70% 66% 38% 71% 77% 69% 62% 55% 59% 72% 30% 55% 76% 40% 40% 71% 74% 39% 75% 62% 65+ 53%

78 

Table 24: How would you rate your overall feeling of health and well-being? Very good/Good78 Data for the 65+ population was not available in Italy, Portugal, Russia, Egypt, South Africa, KSA, UAE, Taiwan and India.

72 Philips Index for Health and Well-being: A global perspective Report 2010 - Updated October 31, 2011

Responsibility for Health


When we examine markets as a combined whole, there is little difference between the total market versus nations older citizens in regard to feelings of personal control of their health.The exceptions appear to be older citizens in Brazil and China, who are more likely than the general populations in their respective markets to believe their health is entirely in their own hands.

Feel Personal Responsibility for Health TOTAL MARKET COMBINED TOTAL The Americas Brazil US Europe Belgium Denmark France Finland Germany Netherlands Norway Spain Sweden Turkey UK Asia China Japan Asia Pacific Australia Indonesia Korea Malaysia Philippines Singapore 42% 53% 42% 52% 23% 38% 46% 52% 24% 43% 28% 41% 52% 25% 72% 35% 43% 52% 19% 35% 47% 42% 41% 54% 46% 45% 39% 35% 52% 17% 27% 54% 41% 29% 54% 33% 30% 36% 61% 60% 73% 55% 44% 65+ 42%

79

Table 25: How much do you feel that the state of your health is up to you to control?79 Data for the 65+ population was not available in Italy, Portugal, Russia, Egypt, South Africa, KSA, UAE, Taiwan and India.

Philips Index for Health and Well-being: A global perspective Report 2010 - Updated October 31, 2011 73

Not all Seniors Believe They are Getting Enough Sleep


On the whole, seniors in each market tend to feel like they are getting enough sleep. However, when examined at the Combined Total level, one in four are feeling sleep deprived.This is especially true in Korea and the Philippines, where seniors are more likely to say they arent getting enough sleep compared to the total population in those markets.

GETTING ENOUGH SLEEP AT NIGHT: YES TOTAL MARKET COMBINED TOTAL The Americas Brazil US Europe Belgium Denmark France Finland Germany Netherlands Norway Spain Sweden Turkey Asia China Japan Asia Pacific Australia Indonesia Korea Malaysia Philippines Singapore 77% 79% 69% 81% 69% 74% 75% 77% 58% 84% 60% 82% 63% 57% 76% 68% 54% 62% 51% 60% 65% 63% 51% 75% 49% 85% 65% 75% 65% 76% 77% 59% 71% 81% 67% 90% 60% 63% 78% 80% 67% 65+ 73%

Table 26: Do you get enough sleep each night?80 80  Data for the 65+ population was not available in Italy, Portugal, Russia, Egypt, South Africa, KSA, UAE, Taiwan and India. This question was not asked in the UK.

74 Philips Index for Health and Well-being: A global perspective Report 2010 - Updated October 31, 2011

Attitudes Towards Health and Technology


Compared to their counterparts across the globe, seniors in the US are most optimistic and enthusiastic about the role technology current plays, or will play, in their health management. In particular, how technology
I expect medical technology to keep me healthy to a ripe old age (65+) COMBINED TOTAL The Americas Brazil US Europe Belgium Denmark France Finland Germany Netherlands Norway Poland Spain Sweden Turkey UK Asia China Japan Asia Pacific Australia Indonesia Korea Malaysia Philippines Singapore 37% 12% 37% 24% 58% 50% 57% 1% 6% 3% 25% 34% 31% 1% 11% 19% 32% 11% 38% 4% 21% 14% 35% 31% 41% 24% N/A 25% 15% 8% N/A 4% 43% 14% 27% 6% 69% 24% 18% 70% 84% 27% 65% 26% 17% 19% 22% 40% 8% 10% 33% 21% 33% 36% 28% 22% 3% 2% 2% 5% 56% 3% 7% 35% 40% 17% 46% 11% 4% 12% 7% 19% 4% 1% 15% 51% 35% 13% 37% 7% 81% 77% 16% 35% 29% 38% 34% 26% 42%

will keep them healthy as they age. Those living in Asia Pacific countries, with the exception of Australia, and the Nordic countries are the least optimistic.

I wish I could email my Doctor when I have questions (65+) 23%

I am eager to try new I would communicate gadgets or devices aimed with my Doctor more at improving my health often if I didnt have to and well-being (65+) make a trip (65+) 19% 20%

Table 27: Which of the following statements are true about you?81 81  Data for the 65+ population was not available in Italy, Portugal, Russia, Egypt, South Africa, KSA, UAE, Taiwan and India. Some of these responses were omitted in China.

Philips Index for Health and Well-being: A global perspective Report 2010 - Updated October 31, 2011 75

Fitness Attitudes
Seniors feel most physically fit in Brazil, Turkey, the Philippines, and Singapore, while older citizens appear to be having a harder time with their physical health in France, Korea and Malaysia. When it comes to doing medical tests at home, those living in Brazil are the most enthusiastic about the idea.

I am as physically fit as I can be for my age (65+) COMBINED TOTAL The Americas Brazil US Europe Belgium Denmark France Finland Germany Netherlands Norway Poland Spain Sweden Turkey UK Asia China Japan Asia Pacific Australia Indonesia Korea Malaysia Philippines Singapore 50% 44% 15% 34% 62% 59% 30% 65% 53% 51% 34% 41% 88% 49% 44% 54% 82% 41% 74% 41% 75% 75% 53%

I am in better shape now than ever before (65+) 19% 46% 22% 6% 5% 2% 2% 23% 4% 6% 18% 25% 6% 46% 3% N/A 2% 38% 17% 21% 14% 45% 51%

I would much prefer to do my own medical tests at home (65+) 15% 51% 17% 3% 2% 3% 10% 25% 1% 4% 47% 25% 2% 27% 4% 12% 16% 12% 8% 11% 11% 15% 13%

82

Table 28: Which of the following statements are true about you?82  Data for the 65+ population was not available in Italy, Portugal, Russia, Egypt, South Africa, KSA, UAE, Taiwan and India. Some of these responses were omitted in China.

76 Philips Index for Health and Well-being: A global perspective Report 2010 - Updated October 31, 2011

Aging and Community


Overall, as people age they tend to be in step with the general population when it comes to the importance that access to healthcare, safety and crime play in their ideal community. However, availability of employment is consistently less of an important factor, aside from emerging economies such as Brazil and in Asia Pacific.

Safety and Crime 65+ 83% 97% 91% 84% N/A 92% 92% 84% 32% 84% N/A 77% 78% 82% 96% 91% 90% 82%

Access to Healthcare TOTAL MARKET 86% 93% 94% 87% N/A 89% 92% 88% 41% 82% 87% 82% 80% 87% 74% 95% 91% 91% 65+ 77% 88% 69% 74% N/A 83% 94% 92% 31% 81% N/A 76% 75% 85% 64% 90% 80% 78%

Availability of Employment TOTAL MARKET 77% 89% 80% 60% 65% 61% 77% 84% 41% N/A 91% 62% 74% 78% 73% 90% 85% 82% 65+ 53% 65% 44% 38% 26% 22% 51% 73% 28% N/A N/A 39% 59% 67% 76% 80% 78% 47%

TOTAL MARKET COMBINED TOTAL The Americas Brazil US Europe Belgium Germany Netherlands Poland Spain UK Asia China India Japan Asia Pacific Australia Indonesia Korea Malaysia Philippines Singapore 81% 88% 64% 91% 78% 85% 80% 89% 63% 72% N/A 79% 90% 88% 41% 92% 89% 81%

Table 29: When you think of the community you would most like to live in, how important are each of the following? VERY IMPORTANT/ IMPORTANT83 83  This question was not asked in Egypt, France, Denmark, Finland, Italy, KSA, Norway, Portugal, Russia, South Africa, Sweden, Taiwan, Turkey and UAE. Some of the response options were omitted in Germany, India, Singapore, the Netherlands, and Belgium.

Philips Index for Health and Well-being: A global perspective Report 2010 - Updated October 31, 2011 77

VIII.  Impact of Communities on Health and Well-Being


From a community perspective, those living in the Middle East and Asia are generally most satisfied with the community they live and how much they contribute to it. This sentiment is mixed among more developed nations in Europe.

Community Index84 85 Overall COMBINED TOTAL The Americas Brazil US Europe Belgium Denmark France Finland Germany Italy Netherlands Norway Poland Portugal Russia Spain Sweden Turkey UK Africa Egypt South Africa 50% 59% 43% 65% 57% 54% 51% 59% 54% 58% 46% 57% 38% 63% 57% 65% N/A N/A 47% 58% N/A 51% 56% 23% 58% 58% 64% 52% 21% 36% 52% 29% 35% 46% 56% N/A 49% 56% 21% 55% 57% 65% 52% 22% 35% 52% 25% 37% 49% 60% N/A 53% 55% 25% 60% 58% 64% 51% 20% 38% 52% 33% 34% 46% 62% N/A 49% 58% 20% 55% 47% 67% N/A 28% 32% 43% 35% 34% 44% 53% N/A 53% 48% 21% 52% 57% 70% N/A 22% 34% 46% 27% 35% 45% 55% N/A 49% 60% 27% 54% 56% 65% N/A 20% 34% 49% 30% 33% 48% 58% N/A 48% 50% 22% 55% 59% 66% N/A 21% 38% 56% 29% 33% 46% 60% N/A 49% 54% 23% 63% 53% 61% N/A 15% 42% 57% 33% 35%
86

Men 51% 49% 51%

Women 52% 42% 50%

18-24 yrs 50% 42% 44%

25-34 yrs 51% 46% 48%

35-44 yrs 51% 47% 49%

45-54 yrs 51% 44% 51%

55-64 yrs 53% 37% 55%

65+ yrs 53% 54% 57% 52% 59% N/A 59% 62% N/A 65% 65% 56% N/A N/A 39% 54% 15% 40%

52% 45% 50%

Table 30A 84  Community Index = the average of Q3 (stated importance) x Q4 (satisfaction) across the following items: The community you live in, how much you contribute to your community and the cost of living. 85  Community responses were omitted from the French Philips Index Survey; N/A indicates that a response category was not available in market data or not part of a markets sample methodology. 86  Index is representative of 55-70 year-olds.

78 Philips Index for Health and Well-being: A global perspective Report 2010 - Updated October 31, 2011

Community Index87 88 Overall COMBINED TOTAL Middle East KSA UAE Asia China Taiwan India Japan Asia Pacific Australia Indonesia Korea Malaysia Philippines Singapore 58% 54% 60% 72% 38% 64% 59% 52% 60% 73% 33% 66% 58% 56% 59% 71% 43% 63% 59% 54% 64% 71% 41% 55% 61% 58% 61% 74% 33% 62% 61% 57% 58% 73% 26% 66% 58% 50% 58% 69% 36% 69% 55% 45% 57% 69% 67% 69% 56% 52% 52% 71% 55% 61% 53% 45% 78% 19% 54% 44% 79% 16% 53% 46% 77% 22% 37% 42% 76% 20% 56% 39% 77% 17% 49% 36% 79% 18% 55% 51% 80% 18% 55% 60% N/A 18% 62% N/A N/A 25% 80% 88% 82% 88% 79% 87% 82% 88% 80% 89% 82% 85% 80% 89% 71% 87% N/A N/A 52% Men 51% Women 52% 18-24 yrs 50% 25-34 yrs 51% 35-44 yrs 51% 45-54 yrs 51% 55-64 yrs 53% 65+ yrs 53%

Table 30B 87  Community Index = the average of Q3 (stated importance) x Q4 (satisfaction) across the following items: The community you live in, how much you contribute to your community and the cost of living. 88  N/A indicates that a response category was not available in market data or not part of a markets sample methodology.

Philips Index for Health and Well-being: A global perspective Report 2010 - Updated October 31, 2011 79

Fitness Attitudes
Seniors feel most physically fit in Brazil, Turkey, the Philippines, and Singapore, while older citizens appear to be having a harder time with their physical health in France, Korea and Malaysia. When it comes to doing medical tests at home, those living in Brazil are the most enthusiastic about the idea.
Contribute to your community Importance to H&WB 66% 20 13 5 23 N/A 16 1 29 3 14 7 16 28 24 15 30 21 65% 81% 37% 79% N/A 82% 63% 28% 56% 85% 84% 74% 38% 51% 83% 29% 45% 18 6 26 13 N/A 9 19 28 20 6 7 16 25 22 8 27 23

Community you live in Importance to H&WB COMBINED TOTAL The Americas Brazil US Europe Belgium Denmark France Finland Germany Italy Netherlands Norway Poland Portugal Russia Spain Sweden Turkey UK 92% 76% N/A 83% 97% 51% 95% 86% 91% 85% 60% 74% 86% 35% 77% 77% 87% 81%

RANK

RANK

Table 31A: For each of the following, how satisfied are you with this aspect of your life?

80 Philips Index for Health and Well-being: A global perspective Report 2010 - Updated October 31, 2011

Community you live in Importance to H&WB COMBINED TOTAL Africa Egypt South Africa Middle East KSA UAE Asia China Taiwan India Japan Asia Pacific Australia Indonesia Korea Malaysia Philippines Singapore 77% 88% 90% 85% 65% 91% 73% 83% 92% 63% 94% 97% 91% 90% 81%

RANK

Contribute to your community Importance to H&WB 66%

RANK

8 10 4 2 25 19 6 27 22 12 11 17 26 9

87% 80% 87% 94% N/A 39% 87% 25% 72% 86% 75% 77% 53% 80%

2 11 3 1 N/A 24 4 29 17 5 15 14 21 12

Table 31B: For each of the following, how satisfied are you with this aspect of your life?

Philips Index for Health and Well-being: A global perspective Report 2010 - Updated October 31, 2011 81

Community Priorities are Consistent across the Globe89


The safety and crime rate of a community is clearly the most important factor people consider when they think of their ideal community. On the whole, European
Safety and Crime COMBINED TOTAL The Americas Brazil US Europe Belgium Denmark Finland Germany Netherlands Norway Poland Portugal Russia Spain Sweden UK Middle East KSA UAE Asia China India Japan Asia Pacific Australia Indonesia Korea Malaysia Philippines Singapore 80% 87% 74% 95% 91% 91% 79% 90% 72% 93% 56% 87% 68% 84% 61% 84% 84% 78% 81% 88% 64% 91% 78% 85% 74% 78% 73% 90% 85% 82% 75% 90% 67% 93% 85% 75% 82% 87% 82% 80% 95% 86% 86% 78% 74% 80% 89% 63% N/A 91% 62% 70% 94% 51% 93% 98% 95% 97% 86% 92% 91% 97% 90% 98% 96% 92% 87% 85% 89% N/A 89% 87% 90% 96% 60% 88% 89% 41% 42% 61% 84% 71% 59% 72% 82% 92% 35% 85% 83% 39% 76% 77% 74% N/A 74% 77% 79% 88% 58% 82% 74% 40% 72% 75% 92% N/A 74% 79% 92% 83% 43% 88% 94% 41% 60% 70% 83% 65% 61% 81% 77% 85% 41% 84% 89% 41% 43% 78% 75% N/A 47% 77% 72% 84% 37% 79% 81% 30% 93% 94% 89% 90% 87% 86% 92% 89% 89% 80% 89% 78% 85% Local Hospitals 77%

markets tend to place less importance on public facilities, such as schools and healthcare, compared to their counterparts in other regions.
Access to Healthcare 80% Availability of Employment 76% Local Schools 73%

Pollution and Smog 77%

Table 32: When you think of the community you would most like to live in, how important are each of the following? VERY IMPORTANT / SOMEWHAT IMPORTANT 89  N/A indicates that a response category was not part of a countrys Philips Index Survey. This question was not asked in Egypt, South Africa, Taiwan and Turkey. 82 Philips Index for Health and Well-being: A global perspective Report 2010 - Updated October 31, 2011

IX. A City Perspective

For city comparisons, major cities were examined from regions around the globe, including North America, Europe, the Middle East, Asia and Asia Pacific. Please note, due to sample size or questionnaire design, city data was not available for all markets involved in the Index studies.

IX a. Healthy Lifestyle
Overall, physical and mental health are the most important aspects of health and well-being in cities. However, there are significant differences between the importance of the community one lives in compared to the contributions one makes to that community. This difference is particularly true in London, Amsterdam, and Tokyo. Stress is also consistently ranked as an important factor to health and well-being. In Delhi, job and salary are significantly less important than in other cities.
Relationship with boss / coworkers

Physical health

Mental health

Weight

Stress

Community Contribute you to live in community

Cost of living

How much you earn

Job

IMPORTANCE TO YOUR HEALTH AND WELL-BEING COMBINED CITY New York London Amsterdam* Abu Dhabi Delhi Beijing Tokyo Jakarta 96% 94% 94% 100% 99% 93% 91% 96% 99% 96% 91% 92% 100% 99% 96% 91% 98% 99% 84% 82% 85% 86% 96% 92% 66% 77% 88% 86% 80% 90% 85% 94% 84% 82% 93% 77% 85% 83% 78% 98% 93% 96% 74% 68% 89% 68% 81% 51% 52% 87% 92% N/A 24% 89% 89% 88% 85% 76% 98% 93% 83% 92% 94% 79% 79% 71% 86% 94% 48% 79% 88% 86% 75% 70% 67% 76% 94% 54% 71% 78% 87% 69% 70% 61% 62% 97% 49% 75% 69% 67%

Table 33: How important are each of the following to your overall health and well-being? (* Amsterdam= small sample size)

Philips Index for Health and Well-being: A global perspective Report 2010 - Updated October 31, 2011 83

Impact of Health and Well-Being on Key Components of Life


In cities across the globe, people are most satisfied with their mental health and their communities. Citizens from key economic centers of London, New York and Tokyo are the least satisfied with their job and the cost of living, whereas in cities from emerging markets, such as Delhi and Beijing, people are more dissatisfied with how much they earn.

Physical health

Mental health

Weight

Stress

Community Contribute you to live in community

Cost of living

How much you earn

Job

Relationship with boss / coworkers

SATISFACTION RELATIVE TO HEALTH AND WELL-BEING COMBINED CITY New York London Amsterdam Abu Dhabi Delhi Beijing Tokyo Jakarta 69% 75% 51% 64% 98% 93% 72% 41% 55% 76% 87% 69% 79% 100% 93% 84% 40% 54% 61% 63% 41% 43% 95% 92% 77% 26% 51% 61% 50% 53% 58% 92% 84% 72% 31% 45% 72% 73% 59% 77% 95% 99% 67% 50% 53% 65% 54% 55% 74% 94% 96% N/A 32% 49% 52% 28% 30% 53% 80% 92% 65% 25% 42% 50% 42% 35% 68% 91% 44% 53% 21% 45% 60% 39% 44% 73% 95% 79% 72% 29% 47% 62% 62% 47% 76% 98% 50% 82% 40% 38%

Table 34: For each of the following, how satisfied are you with this aspect of your life?

84 Philips Index for Health and Well-being: A global perspective Report 2010 - Updated October 31, 2011

Overall, City Dwellers Have Positive Body Images and Dont Believe Themselves to be Overweight
In general, inhabitants of some of the worlds largest cities dont believe they are overweight, despite reports from leading health organizations, such as WHO, that point to an increase in the obesity epidemic globally. Residents of Abu Dhabi and Delhi are most likely to feel this way (that they are not overweight), while those in Amsterdam and London are most likely to consider themselves overweight.

Overweight (Yes) New York London Amsterdam Abu Dhabi Delhi Beijing Tokyo Jakarta 0% 32 44 40 21 15 59 38 30 20% 40% Yes 70 60% No 80% 100% 79 85 41 62 60 68 56 US: UK: NDL: UAE: IND: CHN: JPN: INA: 39% 54% 51% 26% 17% 55% 48% 28%

Figure 20: Do you consider yourself to be overweight?90 90  In China this question was asked as Do you consider yourself to be in a state of sub-health?

Philips Index for Health and Well-being: A global perspective Report 2010 - Updated October 31, 2011 85

Among Major Cities, New Yorkers Are Most likely to Feel Sleep Deprived
Compared to other major cities around the globe, New Yorkers are the most sleep deprived. Those living in emerging nations, such as Abu Dhabi, Jakarta, and Delhi, are most likely to be getting a good nights rest.

New York London Amsterdam Abu Dhabi Delhi Beijing Tokyo Jakarta

52 N/A 67 91 85 61 57 72 0% 20% 40% Yes 60% No

48 28 9 15 30 30 27 80% 100%

91

Figure 21: Do you get enough sleep at night?91 The question was not asked in this manner in the UK.

86 Philips Index for Health and Well-being: A global perspective Report 2010 - Updated October 31, 2011

Most Are Experiencing Some Level of Stress in Their Lives


While degrees of stress vary by city, most urbanites report that they experience some level of stress. Those in London are most likely to say they feel very or somewhat stressed, while those in Abu Dhabi and Jakarta are the most likely to report feeling no stress.

21 New York 14 London 5 18 Amsterdam 12 Abu Dhabi 2 8 20 Delhi Beijing 11 Tokyo 13 Jakarta 21

22 41 40 27

33 35 36 60 70

24 10

2 29 13 52

31 29 26

29 45

Very/Somewhat stressed 43% 55% 23% 14% 28% 42% 42% 21%

0% Very

20% Somewhat

40% Only a little

60%

80% Not at all

100%

Figure 22: How stressed do you consider yourself to be?

Philips Index for Health and Well-being: A global perspective Report 2010 - Updated October 31, 2011 87

IX b. Independent Living Changes in Health and Well-Being


Overall, global sentiment in cities about health and well-being has stayed the same or improved over the past five years. City dwellers in Abu Dhabi and Delhi are more likely than others to say that their feeling of health and well-being has got much better in the past five years. In contrast, Tokyo, New York, Amsterdam, and London residents are more likely to say that their health has got slightly worse or much worse.

New York London Amsterdam Abu Dhabi Delhi Beijing Tokyo Jakarta

12 11 6 10

13 16 34 36

38 35 48 16 30 30 32 38

27 26 32 48 26 22 34 50

8 12 4 7 2 1 3 3 100%

14 8 6 0% 17 30 20%

14 80%

Declining Health & Well-being 35% 38% 36% 2% 8% 25% 37% 14%

40% A little better Much worse

60% Stayed the same

Much better Slightly worse

Figure 23: Would you say your feeling of health and well-being has got much worse, slightly worse, stayed the same, got a little better, or got much better in the last five years?

88 Philips Index for Health and Well-being: A global perspective Report 2010 - Updated October 31, 2011

Potential Threats to your Health


City dwellers are most concerned about declining vision and obesity as major threats to their health in the next five years. New Yorkers tend to be the most concerned about each of these health threats (except for declining vision) compared to their global counterparts. Abu Dhabi is the least concerned with obesity than other cities, despites statics from the WHO that state one in four men, and four in 10 of women, are obese.

Declining vision COMIBINED CITY New York London Amsterdam Abu Dhabi Delhi Beijing Tokyo Jakarta

High cholesterol

High sugar count/diabetes 15% 31% 16% 15% 10% 12% 10% 9% 13%

Being overweight/ obesity 21% 31% 27% 21% 6% 19% 28% 17% 20%

Heart attack

AIDS

32% 39% 28% 23% 12% 30% 35% 48% 39%

19% 30% 25% 21% 10% 8% 19% 16% 27%

10% 31% 12% 5% 0% 5% 13% 4% 11%

3% 14% 2% 0% N/A 0% 0% 1% 2%

Table 35: Which of the following are you concerned about as potential threats to your health in the next five years?

Philips Index for Health and Well-being: A global perspective Report 2010 - Updated October 31, 2011 89

IX c. Connecting to Ones Community in Cities Importance of Community to Health and Well-Being at the City Levell
Residents in some of the worlds major cities place high importance on the community they live in with regards to its impact on their overall health and well-being. However, not all place equal value on how much they contribute. Those in London and Amsterdam believe their community contributions are less important to driving well-being than their counterparts in New York, Abu Dhabi, Delhi and Jakarta.

The Community You Live In Importance to H&WB COMBINED CITY New York London Amsterdam Abu Dhabi Delhi Beijing Tokyo Jakarta 85% 83% 78% 98% 93% 96% 74% 68% 89%

How Much You Contribute To Your Community Importance to H&WB 68% 81% 51% 52% 87% 92% N/A 24% 89%

Table 38: How important are each of the following to your overall health and well-being?

90 Philips Index for Health and Well-being: A global perspective Report 2010 - Updated October 31, 2011

Safety and Crime Are the Most Important Aspects in an Ideal Community among Key Cities
With the exception of London, global city dwellers say safety/crime, access to healthcare and the quality of local hospitals are most important when choosing an ideal community in which to live. Local schools are more important to residents of Jakarta, New York, Delhi and Abu Dhabi, as is the availability of employment in those cities.

Safety and Crime COMBINED CITY New York London Amsterdam Abu Dhabi Delhi Beijing Tokyo Jakarta

Local Schools

Access to Healthcare 81% 95% 48% 82% 97% 92% 83% 60% 93%

Local Hospitals

Availability of Employment 72% 79% 45% 53% 99% 87% N/A 57% 85%

87% 96% 50% 93% 99% 88% 88% 88% 94%

67% 70% 38% 35% 93% 93% 68% 42% 95%

81% 95% 44% 55% 99% 99% 85% 81% 90%

Table 37: When you think of the community you would most like to live in, how important are each of the following? VERY IMPORTANT / SOMEWHAT IMPORTANT

Philips Index for Health and Well-being: A global perspective Report 2010 - Updated October 31, 2011 91

For more information on the Philips Health and Well-Being Index: A Global Perspective report, or for additional information on country Index reports and/or special Index reports, please contact Katy Hartley at katy.hartley@philips.com or visit www.philips-thecenter.org

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