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Key Findings From Nationwide Survey Among 1,219 Adults

Conducted June 20-27, 2013

From Hope To Cures:

PhRMA’s First Annual Health

Survey

Americans’ Personal Health and Optimism

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Americans are paying more attention to their health.Compared to a few years ago, would you say you are paying more attention to your personalhealth, about the same amount of attention, or less attention?

Sta

tus

An

d R

ole

Of

Hig

he

r Ed

uc

atio

n

58%

37%

5%

More attention

Same amount of attention

Less attention

All adults

Paying more attention to my health

Men 58%Women 58%

Whites 55%African Americans 71%Hispanic 60%

High school grad/less ed 57%Some college 60%College graduate 57%

Americans are paying more attention to preventativehealth behaviors.

23%

33%

35%

37%

37%

41%

41%

45%

54%

57%

4

Eating healthy diet

Maintaining healthy weight

Reducing stress

Info on health develop-ments, guidelines, etc.

Exercising regularly

Taking medicine as prescribed

Getting plenty of sleep

Seeing doctor regularly

Monitoring blood pressure

Moderating alcohol

Proportions who say they are paying more attention to this aspect of looking out for their health

Obesity, weight management, and diet are the top volunteered concerns about personal health.

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What are your biggest concerns about your own personal health? What specific things are youpaying attention to related to your personal health?

5%

6%

8%

9%

9%

13%

25%

Aggregated volunteered responsesObesity, trying to lose

weight, maintaining healthy weight

Eating healthy, good diet, watching what I eat

Exercise, working out, staying physically active

Heart health

High blood pressure

Diabetes, blood sugar

Cancer

The most common health challenges Americans faceare obesity and mental health.

5%

6%

12%

9%

14%

19%

21%

6

Obesity

Mental health problems such as depression and anxiety

Heart disease

Cancer

Diabetes

Diseases that are resistant to antibiotics

Alzheimer's disease

27%

Health concern I deal with now Health concern I've dealt with in the past but not currently

26%

18%

15%

14%

8%

7%

Most Americans say they personally have had a good healthyear, especially those who are young, educated, or affluent.

21%

40%

26%

9%4%

7

How would you describe the past year when it comes to your own personal health?

61% GREAT/GOOD YEAR

Great year

Good year

Okay year

Not good year Bad

year

Has been a great or good year

Age 18 to 34Age 35 to 49Age 50 to 64Age 65/over

High school grad/less edSome collegeCollege graduate

Income less than $30KIncome $30K to $75KIncome more than $75K

71%61%53%56%

51%62%68%

47%63%69%

There is a disconnect between how Americans evaluatetheir own health and that of the average American.

21%

40%

26%

9%4%

8

How would you describe the past year when it comes to your own personal health?

2%16%

48%

21%

5%

8%

Thinking about the country as a whole and thehealth of the average American, how wouldyou describe the past year?

61% GREAT/GOOD YEAR

18% GREAT/GOOD YEAR

Great year Good year Okay year Not good year Not sureBad year

By a large margin, doctors are the most trusted sourceof information on prescription medications.

2%

2%

15%

19%

60%

9

Doctor or medical professional

Pharmacist

Medical or health-related websites on the Internet

Friends or family who are not medical professionals

Practitioner of alternative medicine

(acupuncturist, chiropractor)

When you have questions about your prescription medicines, which one of the following do you most commonly go to for information?

Among 18- to 34-year-olds:Doctor/med, professional 53%Medical/health websites 22%

All adults

10

Finding reliable and trustworthy health information is fairlyeasy for most, more challenging for younger Americans.

When you have questions about your health or physical symptoms, how would you describe theprocess of getting reliable information that you can trust to answer your questions?

9%

Easy Difficult

All adults

Very easy to get reliable information

Age 18 to 34 33%Age 35 to 49 37%Age 50 to 64 46%Age 65/over 58%

Currently dealing with:Obesity 41%Cancer 45%Heart disease 49%

Very easy43%

Somewhat easy/only

a few challenges

90%

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Americans are optimistic about their own longevity.

To what age do you personally expect to live?

3% 4%

15%

37%

24%

11%

Mean = 86

Under60

60-69 70-79 80-89 90-99 100/older

72% believe they will live to at least 80

Mean longevity expectation

All adults 86

Age 18 to 34 84Age 35 to 49 85Age 50 to 64 86Age 65/over 89

Whites 85African Americans 88Hispanics 86

Currently dealing with:Obesity 85Cancer 86Heart disease 84

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Confidence extends to future generations: Americans estimatethat in 50 years life expectancy will increase more than 13 yearson average.

In 1900 the average life expectancy was about 47, in 1950 it was 68. What do you think the average life expectancy will be in 50 years?

2%4% 5%

28% 27%29%

Mean = 92

Under60

60-69 70-79 80-89 90-99 100/older

Mean future longevity expectation

All adults 92

Age 18 to 34 91Age 35 to 49 91Age 50 to 64 92Age 65/over 95

Whites 92African Americans 90Hispanics 94

84% expect future generations will live to at least 80

9%

9%

12%

31%

34%

35%

44%Genetics

Diet

Exercise

Quality of health care

Close relationships with family and friends

Socioeconomic status or income

Development of new medicines

Which one of the following do you think is the most important factor in determining how long a person lives?

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While Americans think that genetics is the primarydriver of longevity, they also identify a range of factorsover which they have more control.

Americans’ Agenda For Health Research And Discovery

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Americans outline a broad and ambitious research healthagenda, and put finding more cures for cancer at the top ofthe list.

25%

31%

33%

36%

41%

37%

38%

59%

15

Cures for more forms of cancer

More effective treatments for heart disease

More elderly needing more intensive medical care

Obesity

More effective Alzheimer’streatment/prevention

Finding more effective treatments for diabetes

Outbreaks of diseases resistant to antibiotics

New treatments for mental health (depression/anxiety)

86%

78%

Should be one of America’s top two or three health priorities Should be an important health priority

76%

74%

73%

73%

70%

64%

Americans’ biggest worries are cancer, heart disease, and Alzheimer’s.

18%

21%

29%

34%

40%

43%

49%

16

Cancer

Heart disease

Alzheimer's disease

Diabetes

Diseases that are resistant to antibiotics

Obesity

Mental health problems such as depression and anxiety

Health concern I am worried about for my future

Cancer and heart disease are leading concerns for Americansunder age 65; seniors’ leading concern is Alzheimer’s.

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Cancer

Heart disease

Alzheimer's disease

Diabetes

Diseases that are resistant to antibiotics

Obesity

Mental health problems such as depression and anxiety

Proportions saying each is a health concern they are worried about for their future

Age 18 to 34

59%

48%

38%

45%

36%

25%

20%

Age 50 to 64

49%

47%

41%

34%

29%

21%

16%

Age 35 to 49

54%

49%

40%

37%

29%

24%

21%

Age 65/over

34%

26%

43%

20%

23%

15%

14%

While cancer is the top priority across groups, there aregenerational and race differences in second-tier priorities.

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Cures for more forms of cancer

Obesity

More effective treatments for heart disease

More elderly needing more intensive medical care

Finding more effective Alzheimer’s treatment/ prevention

Finding more effective treatments for diabetes

Proportions saying each should be one of America’s top two or three health priorities

Age18 to 34

57%

46%

30%

27%

23%

23%

Age35 to 49

59%

39%

32%

32%

24%

26%

Age50 to 64

62%

39%

45%

45%

46%

39%

Age65/over

56%

37%

44%

46%

50%

43%

Whites

59%

39%

36%

37%

35%

31%

AfricanAmericans

58%

42%

51%

42%

43%

41%

His-panics

64%

56%

42%

32%

42%

42%

2%

6%

9%

9%

12%

12%

19%

26%Stem cell research

AIDS/HIV therapies

New treatments for heart disease and heart attacks

Robotic surgery

Genetic testing and Human Genome Project

Cervical cancer vaccine

Treatment for blood cancers

New treatments for cystic fibrosis

Which one of the following do you think is the biggest medical breakthrough in recent years?

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Stem cell research leads the list of the most significantbreakthroughs in recent years, followed by newAIDS/HIV therapies.

Overwhelmingly, Americans are optimistic that cures for many diseases will be found in the next 10 years.

16%

19%

21%

23%

23%

26%

20

Breast cancer

Heart disease

Diabetes

Colon cancer

Lung cancer

Alzheimer's disease

69%

68%

Very optimistic that cure for this will be found within the next 10 years Somewhat optimistic

56%

53%

68%

64%

One in five has had some personal experience with clinical trials.

Have you, a family member, or a close friend ever participated in clinical research or a clinical trial?

7%

8%

3%

81%

21

Have participated

Close friendFamily member

Personally have

Have not participated

18%

Americans see a wide range of motivations for participating in a clinical research study.

33%

46%

48%

52%

53%

22

Access to cutting-edge medical treatments

If doctor recommended it

If receive free health care because of participation

Participation would make a contribution to medical research

and discovery

If compensated or earn money by participating

80%

Very important factor Fairly important factor

73%

55%

75%

73%

How much of a factor would this be in your deciding whether to participate in a clinical research study?

Clinical trials are widely hailed as extremely important forresearch and discovery of new medicines.

In the process of researching and discovering new medicine, a series of clinical trials are used tocheck a compound's effectiveness and safety. These trials are conducted voluntarily with patientsover the course of several years, under the supervision of the FDA. How important do you think thiskind of research is?

65%

25%

7%3%

Not sure

Extremely important

Less/notimportant

Extremely important:

Men 65%Women 65%

Age 18 to 34 64%Age 35 to 49 65%Age 50 to 64 66%Age 65/over 63%

Whites 65%African Americans 64%Hispanics 66%

High school grad/less ed 66%Some college 64%College graduate 66%

23

Fairly important

All adults

Ads and PSAs are the most common source of informationon clinical trials, though most people would prefer to learnmore from a doctor.

28%

29%

57%

24

Advertisement or public service announcement

Medical website or online health source

Doctor or other health care professional

Proportions saying they have heard about participating in a clinical trial through each source

From where would you prefer to receive further information about the results of clinical trialsrelated to diseases you are interested in?

My doctor or health care 51% provider

News media 18%

Academic medical center 14%

Government body or website 11%such as clinical trials.gov or FDA

Pharmaceutical manufacturer 3%