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Pfizer Index 2018 1

Confidential

Pfizer Health Index 2018

Quantitative Research Irish Health & Wellbeing Index Health of the Ages

PP-PFE-IRL-0125 Date of Preparation June 2018

Pfizer Index 2018 2 Confidential

● Nationally representative sample survey of 1149 adults aged 18+.

• Undertaken online but weighted to mirror national population for gender, age and class.

• Fieldwork completed between April 16th and 28th.

• Each year has also taken a separate focus on a specific area, with 2018’s being Health of the Ages.

Methodology

PP-PFE-IRL-0125 Date of Preparation June 2018

Pfizer Index 2018

Health Assessments


Incidence of conditions Base: All adults 1,149/3,571,000

13

9

6

9

2

7

5

6

3

2

19

16

15

11

7

8

5

8

4

2

High/low blood pressure

High cholesterol

Depression & anxiety

Arthritis

Obesity

Chronic pain

Diabetes

Asthma

Heart disease

Cancer

Face-to-face 2017Online 2018

The online survey approach leads to a significantly higher incidence of conditions in a number of areas, namely related to areas which may be more embarrassing to admit

to: cardiovascular, weight-related and to do with mental wellbeing. Online incidences substantially higher and particularly so for depression/anxiety (+9%), blood pressure

(+6%) and obesity (+5%).

%

2018

000s

693

578

546

397

244

269

163

280

155

68


8 8 10 12

12 16 13 17

27

32 26

27

29

25 28

29

Very slight

Moderate effect

Quite a significant effect

Very significant

effect

Condition impact on quality of life: time series Base: Living with a significant condition

The numbers indicating their condition has a significant impact have increased by almost half over four years.

2015 2016 2017 2018

% % % %

Q.2 How much of an effect if any do these condition(s) have on your overall quality of life?


55

22 21 21 14

0 3 6 10 4 2

9 0 0

13

37

52 52 48

50

57 48 44 39

39 36 23

28 21

0

9

24 28 26 36

38 40 40 38

42 52

50 51 66

0

0 3 0 5

0 5 9 11 13 14 10

18 22 13

87

Condition Severity Base: Living with a significant condition

The life impact of conditions such as depression/anxiety, arthritis and obesity is quite substantial.

Chronic pain (i.e.

head/back) Other

condition

Depression and other anxiety related

conditions Obesity Arthritis Diabetes

High/Low Blood

Pressure Osteopor

osis Heart

Disease

High Cholestero

l Asthma Cancer Multiple Sclerosis COPD Alzheimers

80 86 154 75 107 50 201 20 39 187 93 21 3 15 3 % % % % % % % % % % % % % % %

Severe

Moderate

Mild No effect

Pfizer Index 2018 7

Confidential

Personal health assessment Base: All adults 1,149/3,571,000

10 out of 10

9 out of 10

8 out of 10

7 out of 10

6 out of 10 5 out of 10

1-4 out of 10 Don’t know

14 16 14 6

22 21 18

14

29 28 31

26

19 16 16

23

8 9 8 14

6 7 7 9

2 3 5 6 0 0 0 0

Mean 7.82 7.82 7.66 7.17

2015 %

Q.4 If you were to assess your own personal health out of 10, where 10 is excellent health and 1 is very poor health, how would you rate yourself?

2016 %

2017 %

2018 %

MARK OUT OF TEN

Total 7.17

Men 7.17

Women 7.17

U39 7.25

40-59 6.91

60+ 7.42

ABC1 7.35

C2DE 7.01

F 7.19

Any Condition 6.66

No Condition 7.84

The proportion indicating a lower personal health

assessment in middle age is noteworthy.

Pfizer Index 2018

Personal Priorities


Concerns for the future

21 19

32 21

16 32

10 7

7 10

5 3

6 1

1 2

6 3

19 22

22 22

15 16

9 10

13 11

7 5

5 4

1 2

6 6

11 16

15 18

13 12

13 15

12 9

9 8

8 5

1 3

9 12

71 86

77 85

63 81

53 69

54 67

35 42

19 36

15 29

43 61

20172018

20172018

20172018

20172018

20172018

20172018

20172018

20172018

20172018

Personal health

Health & welfare of family

Finances/money

Being happy

Cost of living

Children being successful

Job security

Brexit/global political events

Quality of health services available

Q.3 Thinking about the future, which of the following would concern you most? And which second? And the third? And which others are of concern to you at all?

Most %

2nd %

3rd %

At all %

Much greater focussing on money and finances in this context, with a proportionate reduction in the

focus on health. A major upswing in focus upon need for better health services.

Pfizer Index 2018

Medical Interaction


2 1 6

2

8

4

5

6

7

6

26

21

55

41

Children & Medicine Base: All adults 1,149/3,571,000

Brought a child to the GP

Brought a child to the pharmacist for their

opinion % %

Q.5 Could you please tell us when did you last do each of the following?

Ever

Longer ago

Past year

Past 6 months

Past 3 months

Past month Past week

AGE

Total 20-39 40-59 60+ Base: 1,149 441 465 226

% % % % Brought child to GP 28 37 37 5

Brought child to pharmacist 19 22 26 3

Past year x Age bands

(30%) (21%) (Past Year 2017)

1 in 4 40 to 59 year olds (26%) have brought a child to the pharmacist for

a medical opinion, a level not far behind the GP use figure.


6 4 1 1 1

15 11

3 1 1

18 17

4 2 2

16 16

5 5 2

14 17

10 8

5

23 31

60 61

30

93 97

82 76

41

Interaction with doctors & hospitals Base: All adults 1,149/3,571,000

Visited GP for a check-up

Visited GP as felt unwell

Go into hospital for an operation or medical procedure

Gone to hospital A&E for

treatment

Gone to a privately funded

clinic for treatment that

paid for yourself % % % % %


Ever

Longer ago

Past year

Past 6 months

Past 3 months

Past month

Past week (44%) (Past 3 Months

2017) (37%) (7%) (6%) (4%)

Hospital use tends to be historic and GP use recent.


2 0 1 5

0 1

8

3 2

8

15 2

16

9

5

25 35

40

64 63

53

Screening & vaccination participation Base: All adults 1,149/3,571,000

Been for a screening for cancer, cholesterol,

blood pressure or a female condition such as breast or cervical

cancer

Bought children for childhood vaccines

(MMR, etc)

Been vaccinated as part of a public

programme (i.e. Flu Vaccine, Pneumococcal,

Swine Flu etc) % % %


Ever

Longer ago

Past year

Past 6 months Past 3 months

Past month Past week

(41%) (Past Year 2017) (18%) (27%)

About 2 in 5 adults have been screened in

the past year.

Pfizer Index 2018

Funding


Medical funding x Age Base: All adults 1,149/3,571,000

42 35 45 47

All Adults 20-39 40-59 60+

Q.5a Which of the following descriptions apply to you?

35 28 31

51

All Adults 20-39 40-59 60+

29 38

28 16

All Adults 20-39 40-59 60+

Older adults are well funded whereas 2 in 5 under 40 year olds have no form of cover. Still more than a quarter aged 40-59 are self-funding in the event of a medical issue.

Neither PMI nor Medical Card

Medical Card

Private Medical Insurance

Pfizer Index 2018

Spend Priorities


Prioritisation of money/investment going forward Base: All adults 1,149/3,571,000

50 62

19 12

17 11

7 5

2 5

3 4

25 21

31 29

13 18

11 11

7 9

10 10

14 9

19 25

19 21

14 12

14 15

14 15

2017

2018

2017

2018

2017

2018

2017

2018

2017

2018

2017

2018

Health

Education

Job creation/attracting new investments

Social welfare (dole, disability, child allowance)

Transport

State pension

First %

2nd %

3rd %

Q.6 As the economy begins to recover, we would like you to look at the following list of priorities and rank in order of where you feel that money/investment should be prioritised going forward. Which would you rank as the first priority? And the second priority? And the third priority?

A substantially greater focussing in 2018 on the prioritisation of health

spending (with education and social welfare the primary casualties.)

Pfizer Index 2018

Health Intentions


Health perspectives Base: All adults 1,149/3,571,000

43 35

28 34 33

26 24

48 56

54 46 45 48 50

8 9 17 17 18 22 23

1 1 2 4 4 4 3

I am very conscious that I

must eat healthily

I am very vigilant about maintaining my own personal

health

I am very conscious of conditions or

illnesses that I could develop, and take active steps to prevent

these

I take exercise to maintain my

existing state of health

I take exercise so that I will be in

good health in the future

I am very conscious of conditions or illnesses that others in my family could

develop and take steps to prevent

these

I am conscious of disease

prevention and have made

changes to how I live

% % % % % % %

Q.7 Thinking about a number of specific areas can you indicate how strongly the following apply to you personally?

Applies very strongly

Applies to an extent

Does not really apply Does not apply

Healthy eating, health maintenance and exercise are to the forefront: disease prevention vigilance less well developed.


Health perspectives x Age band Base: All adults 1,149/3,571,000

43

35

34

33

28

26

24


38

27

31

32

22

27

18

38

29

29

28

24

28

24

59

55

47

42

41

24

32

I am very conscious that I must eat healthily


health

I take exercise to maintain my existing state of health

I take exercise so that I will be in good health in the future

I am very conscious of conditions or illnesses that I could develop, and take active steps to prevent

these I am very conscious of conditions

or illnesses that others in my family could develop and take

steps to prevent these

I am conscious of disease prevention and have made


AGE All Adults 20-39 40-59 60+

% % % %

Only in the context of familial vigilance and exercise participation are younger adults more attentive/concerned.

Pfizer Index 2018

Active Steps for Future Health


Personal vigilance for future health Base: All adults 1,149/3,571,000

24 22 26 22 22 31 26 23 25 23 22 27

54 52

56 52 53

57

52 55 57

50 52

59

18 22 14

22 20

10 19 18 15

22 21

12 4 4 3 5 5 1 3 4 3 5 6 1

Total Male Female 20-39 40-59 60+ ABC1 C2DE

Any Conditi

on

No Conditi

on Medical Card

Private Ins

1149 555 594 441 465 226 633 508 631 518 351 610 % % % % % % % % % % % %

Q.8 Do you take any steps to ensure that you will enjoy good or better health in later life?

Applies very strongly

Applies to an extent

Does not really apply

Does not apply

Most are only moderately vigilant. Very limited differences, although the oldest age group are somewhat more actively vigilant than others. However, a sentiment that doesn’t strongly engage so many.


Steps taken to ensure good/better health later in life x Age bands Base: All adults who have taken steps 1,108/3,431,000

77

76

59

54

47

43

43

41

34

31

27

23

13

9

7

Diet: food quality

Exercise

Sleep

Relaxation

Diet: food quantity

Mental Health

Moderation/elimination of alcohol

Socialising/meeting friends

Going to the doctor

Sharing experiences, problems with others

Moderation/elimination of smoking

Reviewing/limiting medicines use

Working less

Going to see physical therapists, occupational therapists etc.

Talking to the pharmacist about my health

Q.9 And in what areas are these steps or measures (to ensure good or better health in later life)?

%

Age

20-39 40-59 60+ 425 444 222 % % %

75 78 81

72 75 81

61 57 60

52 50 60

48 48 45

51 42 33

39 45 45

44 31 48

28 34 44

36 27 30

25 28 27

22 22 27

10 16 14

10 9 9

7 7 7

The youngest age group recognise the

importance of sharing experiences

and facing up to mental health

difficulties.

Some middle aged adults have started to work less and socialise more. Older adults more anxious not to take too much medicine.

Pfizer Index 2018

Future Concerns


Illnesses/Conditions concerned about developing with age x Age bands Base: All adults 1,149/3,571,000

67

48

48

39

32

31

29

27

25

21

18

14

12

7

7

Cancer

Heart Disease

Alzheimers

Depression and other anxiety related conditions

High Cholesterol

Diabetes

Arthritis

High/Low Blood Pressure

Chronic pain (i.e. head/back)

Obesity

Osteoporosis

Multiple Sclerosis

COPD

Asthma

None of the above

Q.16 And which of these illnesses or conditions, if any, would you be particularly concerned about developing as you age?

%

Age

20-39 40-59 60+ 441 465 226 % % %

61 69 74

41 56 50

35 45 72

48 36 29

32 36 26

34 27 29

26 36 28

25 30 26

27 29 19

29 18 13

13 21 21

11 12 21

7 15 15

8 6 7

10 7 3

Illness concerns vary quite substantially with age. Young adults worry about mental health, diabetes and obesity, older adults cancer and Alzheimer’s particularly. Heart, cholesterol and

arthritis feature relatively more between 40 and 60.

Pfizer Index 2018 26

Confidential

Pfizer Health Index 2018

Attitudes: Health of

the Ages


Health & Wellness Attitudes x Age band Base: All adults 1,149/3,571,000

43

35

34

33

28

26

24


38

27

31

32

22

27

18

38

29

29

28

24

28

24

59

55

47

42

41

24

32

I am very conscious that I must eat healthily


health

I take exercise to maintain my existing state of health

I take exercise so that I will be in good health in the future

I am very conscious of conditions or illnesses that I could develop, and take active steps to prevent

these I am very conscious of conditions

or illnesses that others in my family could develop and take

steps to prevent these

I am conscious of disease prevention and have made


AGE All Adults 20-39 40-59 60+

% % % %

Only in the context of familial vigilance and exercise participation are younger adults more attentive/concerned.


Health perspectives (Any applies) x Demographics Base: All adults 1,149/3,571,000

GENDER AGE CLASS CONDITION

Total Male Female 20-39 40-59 60+ ABC1 C2DE Any None Base: 1,149 555 594 441 465 226 633 508 631 518

% % % % % % % % % % I am very vigilant about maintaining my own personal health 91 89 92 89 88 97 90 92 92 89

I am very conscious of conditions or illnesses that I could develop, and take active steps to prevent these 81 80 83 76 81 89 79 83 85 76

I am very conscious of conditions or illnesses that others in my family could develop and take steps to prevent these 74 74 75 73 79 72 73 76 77 71

I am very conscious that I must eat healthily 91 88 94 88 91 95 89 92 92 90

I take exercise to maintain my existing state of health 80 78 81 77 78 88 81 79 78 82

I take exercise so that I will be in good health in the future 78 75 80 74 78 85 79 76 76 80

I am conscious of disease prevention and have made changes to how I live 74 73 75 69 74 82 73 75 79 67


Most aspects more elevated over 60. Those with medical conditions a little more vigilant about diet and disease prevention.

Pfizer Index 2018

Active Steps for Future Health


Taking deliberate steps to ensure will enjoy better health in later life

20-39

0.90

0.97

1.19

40-60 60+

I take many steps

I take a few steps

I take very few steps

Q.8 Do you take any steps to ensure that you will enjoy good or better health in later life?

There is a sea-change in future focus as we age. Most are unengaged by the idea of taking deliberate health promotion

steps for later life but the salience and importance of this shifts dramatically as we move beyond 60.

0.90

0.99

1.09

1.30

1.06

0.57


Steps actually taken for future health*


20-39 40-59 60+ Diet: food quality 0.96 1.01 1.04 Diet: food quantity 1.02 1.01 0.96 Exercise 0.96 1.00 1.07 Mental Health 1.19 0.96 0.77 Relaxation 0.98 0.94 1.13 Sleep 1.04 0.96 1.01 Going to the doctor 0.83 0.98 1.29 Going to see physical therapists, occupational therapists etc. 1.07 0.94 0.98 Reviewing/limiting medicines use 0.95 0.94 1.15 Moderation/elimination of alcohol 0.91 1.05 1.07 Socialising/meeting friends 1.09 0.76 1.19 Talking to the pharmacist about my health 0.99 1.04 0.99 Moderation/elimination of smoking 0.94 1.06 1.01 Working less 0.73 1.25 1.05 Sharing experiences, problems with others 1.14 0.87 0.97 None 2.00 0.50 0.00

* Indices for population incidences


Steps taken to ensure good/better health later in life x Age bands Base: All adults who have taken steps 1,108/3,431,000

77

76

59

54

47

43

43

41

34

31

27

23

13

9

7

Diet: food quality

Exercise

Sleep

Relaxation

Diet: food quantity

Mental Health

Moderation/elimination of alcohol

Socialising/meeting friends

Going to the doctor

Sharing experiences, problems with others

Moderation/elimination of smoking

Reviewing/limiting medicines use

Working less

Going to see physical therapists, occupational therapists etc.

Talking to the pharmacist about my health


%

Age

20-39 40-59 60+ 425 444 222 % % %

75 78 81

72 75 81

61 57 60

52 50 60

48 48 45

51 42 33

39 45 45

44 31 48

28 34 44

36 27 30

25 28 27

22 22 27

10 16 14

10 9 9

7 7 7

The youngest age group recognise the

importance of sharing experiences

and facing up to mental health

difficulties.

Some middle aged adults have started to work less and socialise more. Older adults more anxious not to take too much medicine.

Pfizer Index 2018

Life Experience


Areas of current vigilance x Age bands Base: All adults 1,149/3,571,000

83

82

78

74

73

72

70

69

62

54

3

The quality of what I eat

Aiming to maintain my health

Staying conscious of how good I feelmentally/psychologically

Aiming to improve my health

How much alcohol I consume

The quantity of what I eat

Whether to exercise

How careful I am about my physical health

How often I exercise

Taking steps to prevent specific diseases

None of these

Q.12 In the current stage of your life how vigilant/or not vigilant are you in relation to the following…

%

Age

20-39 40-59 60+ 441 465 226 % % %

78 83 92

77 81 93

74 78 83

72 73 79

70 74 79

67 71 82

69 69 74

64 67 83

59 60 69

46 55 67

3 3 2

All steps and issues are more important in the oldest age group.


Significant influence on approach to your health and life x Age bands Base: All adults 1,149/3,571,000

37

30

29

22

18

14

13

9

6

5

4

3

3

3

11

Starting to feel old

Having a child

Becoming an adult

Loss of physical fitness

Living with a partner

Serious illness

Getting married

Job loss

Financial loss/loss of a home

Children leaving home

Loss of a partner/spouse

Loss of a child

Divorce

Emigration for work

None of the above

Q.11 And which of these have had a significant influence over how you think about and approach your health and your life?

%

Age

20-39 40-59 60+ 441 465 226 % % %

25 44 48

32 35 21

40 21 23

21 24 23

23 14 19

8 14 22

9 13 19

12 9 4

6 7 5

0 6 10

1 3 11

2 4 3

1 4 5

3 4 1

12 10 12

The onset of old age the most transformative with birth of kids a key factor younger. Cohabiting impacts more than marriage.


Deliberate steps taken in past 3 years x Age bands Base: All adults 1,149/3,571,000

79

74

69

68

66

66

65

63

59

48

3




Whether to exercise







None of these

Q.12a And over the past three years, which of the following would you say you have taken deliberate or decisive steps in relation to?

%

Age

20-39 40-59 60+ 441 465 226 % % %

75 81 84

66 74 86

67 70 71

71 65 69

62 66 75

65 65 69

59 67 71

65 61 65

56 58 66

40 47 63

4 4 1

The single area in which 20-40s are more vigilant than others is the decision in relation to whether to exercise or not.


Most important aspect currently x Age bands Base: All adults 1,149/3,571,000

21

13

12

10

9

8

7

6

6

2

4


Staying conscious of how good I feel mentally/psychologically





Whether to exercise




None of these / No Other

Q.12c And if you had to rank your current prioritisation of your top 10 aspects, how would you do so from most to least important?

%

Age

20-39 40-59 60+ 441 465 226 % % %

20 21 22

15 14 6

13 10 14

11 9 11

6 10 13

5 9 13

10 6 5

6 6 7

7 9 3

2 2 3

5 4 3

Existing health needs quite homogenous: youngest adults more mentally focussed particularly, with exercise important too. Mental wellbeing and health improvement

characteristic of middle age. Older age is more about maintenance and being careful.


Changes would make if could go back to earlier phase in life x Age bands Base: All adults 1,149/3,571,000

56

53

41

37

34

32

29

28

20

17

16

11

9

2

3

Taken more exercise

Eaten a more balanced diet

To be calmer

Not smoking/smoking less

Gone to the dentist more

To sleep more

Drink less alcohol

Eaten less

Not worked as hard

Gone to see a counsellor or therapist

Take some exercise

Gone to the doctor more

Not drinking alcohol

Nothing

None of the above

Q.13 If you could go back to an earlier phase in your life, what changes would you implement to ensure that you enjoyed better health now or later?

%

Age

20-39 40-59 60+ 441 465 226 % % %

57 55 54

57 53 47

46 42 33

34 44 34

36 35 29

29 34 32

26 31 30

28 29 29

14 26 21

28 14 5

16 17 14

11 11 11

8 11 8

1 2 4

3 3 4

Most regret their lack of exercise and need for dietary balance. Calmness a youth deficit and cutting out smoking and working less concerns for the middle aged group.

Pfizer Index 2018

Future Concerns


Illnesses/Conditions concerned about developing with age x Age bands Base: All adults 1,149/3,571,000

67

48

48

39

32

31

29

27

25

21

18

14

12

7

7

Cancer

Heart Disease

Alzheimers


High Cholesterol

Diabetes

Arthritis



Obesity

Osteoporosis

Multiple Sclerosis

COPD

Asthma

None of the above


%

Age

20-39 40-59 60+ 441 465 226 % % %

61 69 74

41 56 50

35 45 72

48 36 29

32 36 26

34 27 29

26 36 28

25 30 26

27 29 19

29 18 13

13 21 21

11 12 21

7 15 15

8 6 7

10 7 3

Illness concerns vary quite substantially with age. Young adults worry about mental health, diabetes and obesity, older adults cancer and Alzheimer’s particularly. Heart,

cholesterol and arthritis feature relatively more between 40 and 60.


Condition incidence x Age blocks Total

Age/life stage has a major influence over the likelihood of experiencing illness. Most conditions grow with age whereas depression and anxiety a lot more

widely report younger.

19

16

15

11

8

8

7

5

4

2

2

1

*

*

8


High Cholesterol


Arthritis


Asthma

Obesity

Diabetes

Heart Disease

Cancer

Osteoporosis

COPD

Alzheimers

Multiple Sclerosis

Other

% U40

6

4

21

2

5

8

7

1

*

*

*

*

*

*

8

% 40-60

19

20

14

11

10

8

8

5

3

2

1

1

*

*

8

% 60+

42

31

8

27

9

7

5

10

13

5

8

3

1

*

6

%


Life change Experiences x Age bands Base: All adults 1,149/3,571,000

37

30

29

22

18

14

13

9

6

5

4

3

3

3

11

Starting to feel old

Having a child

Becoming an adult

Loss of physical fitness

Living with a partner

Serious illness

Getting married

Job loss

Financial loss/loss of a home

Children leaving home

Loss of a partner/spouse

Loss of a child

Divorce

Emigration for work

None of the above

Q.11 And which of these have had a significant influence over how you think about and approach your health and your life?

%

Age

20-39 40-59 60+ 441 465 226 % % %

25 44 48

32 35 21

40 21 23

21 24 23

23 14 19

8 14 22

9 13 19

12 9 4

6 7 5

0 6 10

1 3 11

2 4 3

1 4 5

3 4 1

12 10 12

The onset of old age the most transformative with birth of kids a key factor younger. Cohabiting impacts more than marriage.


Areas will be more focused on in near future x Age bands Base: All adults 1,149/3,571,000

88

86

85

85

84

84

84

79

71

67

3






Whether to exercise





None of these

Q.12b Looking to the future, over the next few years, which of the following would you say you aim to become a lot more focused on..

%

Age

20-39 40-59 60+ 441 465 226 % % %

85 88 93

88 86 83

84 86 88

86 88 82

82 85 85

85 84 82

87 85 80

75 81 82

68 74 76

65 67 70

3 2 2

The gap between intention and action is much narrower by age band: younger people as focussed on many of these areas as older adults.


Health Concerns x Age bands Base: All adults 1,149/3,571,000

67

48

48

39

32

31

29

27

25

21

18

14

12

7

7

Cancer

Heart Disease

Alzheimers


High Cholesterol

Diabetes

Arthritis



Obesity

Osteoporosis

Multiple Sclerosis

COPD

Asthma

None of the above


%

Age

20-39 40-59 60+ 441 465 226 % % %

61 69 74

41 56 50

35 45 72

48 36 29

32 36 26

34 27 29

26 36 28

25 30 26

27 29 19

29 18 13

13 21 21

11 12 21

7 15 15

8 6 7

10 7 3

Illness concerns vary quite substantially with age. Young adults worry about mental health, diabetes and obesity, older adults cancer and Alzheimer’s particularly. Heart,

cholesterol and arthritis feature relatively more between 40 and 60.

quantitative research irish health & wellbeing index ... · pfizer index 2018 1 confidential...

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