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The Hispanic Millennial Project Wave 2: Hispanics and HealthCare Multicultural Health National 2014 October 16,

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Sensis and ThinkNow presentation from the 2014 Multicultural Health National Conference in Atlanta, GA. The Hispanic Millennial Project is a joint research study developed by cross-cultural advertising agency Sensis and leading market research firm ThinkNow Research. The HMP is designed to provide an in-depth analysis of Hispanic Millennials, one of the most compelling, dynamic and often misunderstood segments within the growing Hispanic market. Phase 2 of this project focuses on the attitudes of Hispanic Millennials toward healthcare, health insurance, and the ACA.

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Page 1: The Hispanic Millennial Project Wave 2: Hispanics and Healthcare / Multicultural Health National Conference

The Hispanic Millennial Project Wave 2: Hispanics and HealthCare

Multicultural Health National

2014 October 16,

Page 2: The Hispanic Millennial Project Wave 2: Hispanics and Healthcare / Multicultural Health National Conference

2 Overview

• Introduction • HMP Overview • Emerging Themes • Comparing Hispanic Millennials • Points of Tension • Implications for Marketers • What’s Next

Page 3: The Hispanic Millennial Project Wave 2: Hispanics and Healthcare / Multicultural Health National Conference

Introduction

Page 4: The Hispanic Millennial Project Wave 2: Hispanics and Healthcare / Multicultural Health National Conference

4 Jose R. Villa President Sensis @jrvilla

/in/JoseVilla

ThinkMulticultural.com SensisBureau.com

Roy Eduardo Kokoyachuk Partner ThinkNow Research @ThinkNowTweets thinknowresearch.com/blog

Roy Eduardo Kokoyachuk

Page 5: The Hispanic Millennial Project Wave 2: Hispanics and Healthcare / Multicultural Health National Conference

5 The Hispanic Millennial Project is a joint

research study developed by cross-cultural advertising agency Sensis and market

research firm ThinkNow Research.

Page 6: The Hispanic Millennial Project Wave 2: Hispanics and Healthcare / Multicultural Health National Conference

6

BACKGROUND • Advertising & digital agency • 43 employees • 12 million in revenue (2013) • 16 years in business • Independent, minority-owned • Offices in L.A. , DC, & Atlanta

CAPABILITIES • Research & Analytics • Strategic Planning • Media Planning & Buying • Creative Development • Digital Marketing • Mobile & Website Development • Hispanic, African-American, Asian Marketing

Page 7: The Hispanic Millennial Project Wave 2: Hispanics and Healthcare / Multicultural Health National Conference

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Online Panel Over 30,000 respondents to recruit from Nationally-representative, per Census Unique recruitment model that encompasses online and offline recruitment methods such as Spanish-language television advertising

ThinkNow Research

Research Fortune 500 clients Over 30 years of research experience specifically in the Hispanic market Only Hispanic market research company that owns & operates an in-house panel

Experts in Hispanic Market Research

ThinkNow Research provides innovative online market research solutions for companies looking to understand the U.S. Hispanic consumer. We specialize in researching the U.S. Hispanic demographic and other hard-to-reach consumers in order to deliver high quality research to our clients that bear actionable and meaningful results.

#HMPDC

Page 8: The Hispanic Millennial Project Wave 2: Hispanics and Healthcare / Multicultural Health National Conference

8 Hispanic Millennial Project Wave 2: Healthcare

The initial wave established a deeper understanding of Hispanic Millennials and highlighted meaningful differences between this group and other cohorts. This second wave focuses on healthcare, and explores attitudes and behaviors associated with health, diet, and exercise, as well as health-related technology, insurance, and the Affordable Care Act.

Page 9: The Hispanic Millennial Project Wave 2: Hispanics and Healthcare / Multicultural Health National Conference

9 Research Methodology • ThinkNow conducted a nationwide online survey in June 2014

• A total of n=908 interviews were completed. Qualified respondents

were segmented into one of the following three groups:

• Non-Hispanic White does not include African-Americans, Asians, and other ethnic groups

• Respondents in each group were weighted to match U.S. Census for age, gender, and U.S. region

The Hispanic Millennial Project research combined the following research elements: • Literature – An analysis of third

party research on Hispanic Millennials

• Secondary Research – An analysis of syndicated research data (U.S. Census Bureau, Experian Simmons, Geoscape, etc.) on Hispanic Millennials

• Primary Research/Quantitative Research – Online survey data gathered by ThinkNow Research

Research Abstract:

Hispanic Millennials Hispanics 35+ Non-Hispanic White Millennials

Origin Self-identify as Hispanic origin Self-identify as Hispanic origin

Self-identify as White Non-Hispanic Origin

Age 18 to 34 years of age 35 to 64 years of age 18 to 34 years of age

Base Size N=302 N=305 N=301

Page 10: The Hispanic Millennial Project Wave 2: Hispanics and Healthcare / Multicultural Health National Conference

10 Summary Findings This study shows that healthcare is a vital topic for Hispanic Millennials. On the one hand, the data suggests that Hispanic Millennials are at the forefront of the well-documented health “craze” sweeping the nation. On the other hand, we see Hispanic Millennials’ cultural views about health are rooted in traditional ideas inherited from their older Hispanic cohorts, while they clearly diverge from these conventional notions, they are reinventing them at the same time.

Page 11: The Hispanic Millennial Project Wave 2: Hispanics and Healthcare / Multicultural Health National Conference

Key Themes

Page 12: The Hispanic Millennial Project Wave 2: Hispanics and Healthcare / Multicultural Health National Conference

12 Hispanic Millennials…

1. Have sophisticated health attitudes 2. Are cautiously optimistic about health 3. Are engaged in healthy lifestyles 4. Embrace health technology 5. Trust doctors to a degree 6. Are widely insured 7. Favor the Affordable Care Act

Page 13: The Hispanic Millennial Project Wave 2: Hispanics and Healthcare / Multicultural Health National Conference

Theme 1 Have sophisticated health attitudes

Page 14: The Hispanic Millennial Project Wave 2: Hispanics and Healthcare / Multicultural Health National Conference

14 Diet, feeling good, and exercise define health “What does being ‘healthy’ mean to you? How do you define being ‘healthy’?” (Open-end)

Exercising,

Page 15: The Hispanic Millennial Project Wave 2: Hispanics and Healthcare / Multicultural Health National Conference

15 Proactive about managing health “Which, if any, preventative measures are you taking to avoid health problems in the future?”

Exercising

Page 16: The Hispanic Millennial Project Wave 2: Hispanics and Healthcare / Multicultural Health National Conference

Theme 2 Are cautiously optimistic about health

Page 17: The Hispanic Millennial Project Wave 2: Hispanics and Healthcare / Multicultural Health National Conference

17 Report lower levels of stress Which suggests Hispanic Millennials are more optimistic about their health.

Based on a 5-point scale – Completely Stress Free to Very Stressful “How would you consider your stress level overall?”

Page 18: The Hispanic Millennial Project Wave 2: Hispanics and Healthcare / Multicultural Health National Conference

18 Yet concerned about hereditary illnesses “You mentioned that you are concerned about getting an illness / condition in the future. What illness / condition is that?”

Page 19: The Hispanic Millennial Project Wave 2: Hispanics and Healthcare / Multicultural Health National Conference

Theme 3 Engage in healthy lifestyles

Page 20: The Hispanic Millennial Project Wave 2: Hispanics and Healthcare / Multicultural Health National Conference

20 Far more likely to exercise regularly “How often do you exercise, if at all?”

4+ Times per Week (Net)

Page 21: The Hispanic Millennial Project Wave 2: Hispanics and Healthcare / Multicultural Health National Conference

21 And exercise for health-related reasons “Please rank the top 3 reasons why you exercise.”

Page 22: The Hispanic Millennial Project Wave 2: Hispanics and Healthcare / Multicultural Health National Conference

22 Significantly higher engagement in team sports Difference in attitudes towards exercise & corroborates close knit social ties.

Playing a team sport (basketball, soccer, football, volleyball, etc…) “Which of the following types of exercise do you take part in regularly?”

Page 23: The Hispanic Millennial Project Wave 2: Hispanics and Healthcare / Multicultural Health National Conference

Theme 4 Embrace health technology

Page 24: The Hispanic Millennial Project Wave 2: Hispanics and Healthcare / Multicultural Health National Conference

24 Hispanic Millennials embrace health technology They are using mobile apps for health-related reasons.

“Do you use mobile applications (“apps”) for health-related purposes?”

Page 25: The Hispanic Millennial Project Wave 2: Hispanics and Healthcare / Multicultural Health National Conference

Theme 5 Trust doctors to a degree

Page 26: The Hispanic Millennial Project Wave 2: Hispanics and Healthcare / Multicultural Health National Conference

26 The doctor is the most trusted source Which sources are you likely to use when looking for health-related information or advice?

Page 27: The Hispanic Millennial Project Wave 2: Hispanics and Healthcare / Multicultural Health National Conference

27 Yet resistance to see the doctor persists “I don’t need to get check-ups or see a doctor unless it’s absolutely necessary.”

Page 28: The Hispanic Millennial Project Wave 2: Hispanics and Healthcare / Multicultural Health National Conference

Theme 6 Widely Insured

Page 29: The Hispanic Millennial Project Wave 2: Hispanics and Healthcare / Multicultural Health National Conference

29 Higher percentage receive public assistance “How do you get your health insurance?”

Page 30: The Hispanic Millennial Project Wave 2: Hispanics and Healthcare / Multicultural Health National Conference

Theme 7 Predominantly in favor the Affordable Care Act

Page 31: The Hispanic Millennial Project Wave 2: Hispanics and Healthcare / Multicultural Health National Conference

31 High familiarity of the Affordable Care Act

Familiarity with Affordable Care Act among those aware Awareness of Affordable Care Act

Page 32: The Hispanic Millennial Project Wave 2: Hispanics and Healthcare / Multicultural Health National Conference

32 Over half in favor of The Affordable Care Act Perception of The Affordable Care Act

Page 33: The Hispanic Millennial Project Wave 2: Hispanics and Healthcare / Multicultural Health National Conference

33 Health insurance favorability tied to income Opportunity to educate lower income Hispanic Millennials about the positive benefits of the Affordable Care Act.

Perception of Affordable Care Act (By income)

Page 34: The Hispanic Millennial Project Wave 2: Hispanics and Healthcare / Multicultural Health National Conference

Comparing Hispanic Millennials

Page 35: The Hispanic Millennial Project Wave 2: Hispanics and Healthcare / Multicultural Health National Conference

Hispanic Millennials vs. Hispanics 35-64

Page 36: The Hispanic Millennial Project Wave 2: Hispanics and Healthcare / Multicultural Health National Conference

36 Living active lifestyles Hispanic Millennials are more likely to lead active lifestyles, while older Hispanic are more cautious about their health.

What does being “healthy” mean to you? How would you define “healthy”?

Please select the point in the scale that describes how much you agree or disagree with each statement below (top 2 boxes)

Page 37: The Hispanic Millennial Project Wave 2: Hispanics and Healthcare / Multicultural Health National Conference

Hispanic Millennials vs. Non-Hispanic Millennials

Page 38: The Hispanic Millennial Project Wave 2: Hispanics and Healthcare / Multicultural Health National Conference

38 Common Diets Hispanic and non-Hispanic Millennials converge in terms of what they avoid eating.

Biggest Concern Overall

“Please rank the top 3 things you look for in food before eating (or the ones you try to avoid most).”

Page 39: The Hispanic Millennial Project Wave 2: Hispanics and Healthcare / Multicultural Health National Conference

39 Yet uncommon concerns Hispanic and non-Hispanic Millennials diverge when it comes to which illnesses they are concerned about.

What illness/condition is that?

“You mentioned that you are concerned about getting a certain illness/condition in the future.”

Page 40: The Hispanic Millennial Project Wave 2: Hispanics and Healthcare / Multicultural Health National Conference

40 More likely to exercise and engage in team sports Hispanic Millennials are more likely to exercise and engage in team sports compared to non-Hispanic Millennials.

How often do you exercise, if at all? Which of the following types of exercise do you take part in regularly?

Page 41: The Hispanic Millennial Project Wave 2: Hispanics and Healthcare / Multicultural Health National Conference

41 In favor of the Affordable Care Act Hispanic Millennials are more in favor of the Affordable Care Act compared to Non-Hispanic Millennials.

Perception of Affordable Care Act

Page 42: The Hispanic Millennial Project Wave 2: Hispanics and Healthcare / Multicultural Health National Conference

U.S. Born vs. Foreign-born Hispanic Millennials

Page 43: The Hispanic Millennial Project Wave 2: Hispanics and Healthcare / Multicultural Health National Conference

43 Different Definitions of Health

U.S. born Hispanic Millennials are more likely to define health as being happy, while Foreign born Hispanic Millennials are more likely to define it as not having physical problems.

What does being “healthy” mean to you? How do you define “healthy”?

Page 44: The Hispanic Millennial Project Wave 2: Hispanics and Healthcare / Multicultural Health National Conference

44 Foreign-born exercise to relieve stress Foreign born Hispanic Millennials are more likely to exercise to relieve stress compared to U.S. Born Hispanic Millennials.

Please select the point in the scale that describes how much you agree or disagree with each statement below (top 2 boxes).

Page 45: The Hispanic Millennial Project Wave 2: Hispanics and Healthcare / Multicultural Health National Conference

45 Foreign-born preference for home remedies Foreign Born Hispanic Millennials are more likely to prefer home remedies over medicine compared to U.S. Born Hispanic Millennials.

Please select the point in the scale that describes how much you agree or disagree with each statement below (top 2 boxes).

Page 46: The Hispanic Millennial Project Wave 2: Hispanics and Healthcare / Multicultural Health National Conference

Hispanic Millennial Males vs. Females

Page 47: The Hispanic Millennial Project Wave 2: Hispanics and Healthcare / Multicultural Health National Conference

47 More optimistic about their health Hispanic Millennial Males are more optimistic about their health compared to women.

How would you rate your overall health? How do you think your health will be 5-10 years from now?

Page 48: The Hispanic Millennial Project Wave 2: Hispanics and Healthcare / Multicultural Health National Conference

48 More likely to consult their spouse Hispanic Millennial Females are more likely to consult their spouse for health-related information compared to Males.

Which sources are you likely to use when looking for health-related information or advice?

Page 49: The Hispanic Millennial Project Wave 2: Hispanics and Healthcare / Multicultural Health National Conference

Points of Tension

Page 50: The Hispanic Millennial Project Wave 2: Hispanics and Healthcare / Multicultural Health National Conference

50 One of the most important ways to establish

a deeper understanding of Hispanic Millennials is to comprehend the points of tension characterizing their lives.

As marketers, we know points of tension provide powerful opportunities to communicate and connect with consumers.

Points of Tension

Page 51: The Hispanic Millennial Project Wave 2: Hispanics and Healthcare / Multicultural Health National Conference

51 Among the defining characteristics we see in Hispanic Millennials are the numerous and deep cultural and psychographic points of tension they face. • Because they live in two cultures, caught between very

different generations, they face constant cultural tensions related to decisions about health and wellness.

• We identified points of tension as it relates to healthcare.

Page 52: The Hispanic Millennial Project Wave 2: Hispanics and Healthcare / Multicultural Health National Conference

52 Rate overall health as good, but still concerned Rate overall health as good, yet still preoccupied with health concerns.

“How would you rate your overall health?” Results of Top 2 Box: Excellent/Good

“I am concerned with my health today” Results of Top 2 Box: Strongly Agree/Somewhat Agree

Page 53: The Hispanic Millennial Project Wave 2: Hispanics and Healthcare / Multicultural Health National Conference

53 The idea of seeing a doctor is important Hispanic Millennials agree that seeing a doctor regularly is important, although won’t go unless it is an emergency.

“Seeing a doctor regularly is important to me.” Results of Top 2 Box: Strongly Agree/Somewhat Agree

“I don’t need to get check-ups or see a doctor unless it’s absolutely necessary.”

Results of Top 2 Box: Strongly Agree/Somewhat Agree

Page 54: The Hispanic Millennial Project Wave 2: Hispanics and Healthcare / Multicultural Health National Conference

54 Inner well-being versus outside appearance They define Health in terms of diet and exercise, yet the cultural impulse to focus on physical appearance is strong.

What does being healthy mean to you? How do you define “Healthy”?

(Open end)

“Please rank the top 3 reasons why you exercise?”

Page 55: The Hispanic Millennial Project Wave 2: Hispanics and Healthcare / Multicultural Health National Conference

55 Trust doctors to a degree Foreign-born Hispanic Millennials place more trust in doctors, yet they are also more likely to get a second opinion.

“What sources do you trust most for health-related information or advice?”

“I always get a second opinion from other doctors.”

Results of Top 2 Box: Strongly Agree/Somewhat Agree

Page 56: The Hispanic Millennial Project Wave 2: Hispanics and Healthcare / Multicultural Health National Conference

56 Online health information used more than trusted Female Hispanic Millennials are more likely to seek out health-related information or advice online. However, they are less likely to trust the internet over doctors.

“What is the most trusted source that you are likely to use when looking for health-related information or

advice?”

“What sources are you likely to use when looking for health-related information or advice?”

Page 57: The Hispanic Millennial Project Wave 2: Hispanics and Healthcare / Multicultural Health National Conference

Implications for Marketers

Page 58: The Hispanic Millennial Project Wave 2: Hispanics and Healthcare / Multicultural Health National Conference

58 Marketing Healthcare to Hispanic Millennials

• Avoid pandering – Hispanic Millennials have fairly sophisticated attitudes and enlightened health

behaviors

• Showcase active, well-rounded lifestyles – Hispanic Millennial are actively engaged in living well-rounded and active

lifestyles – They exercise more regularly, watch what they eat, and take dietary supplements

on a regular basis

Page 59: The Hispanic Millennial Project Wave 2: Hispanics and Healthcare / Multicultural Health National Conference

59 Marketing Healthcare to Hispanic Millennials • Be positive and upbeat yet realistic

– Hispanic Millennials are more optimistic than non-Hispanic Millennials about their health today

– They also have a lingering preoccupation with hereditary health concerns common in the Hispanic community

• Address long-term benefits of health maintenance – Hispanic Millennials proactively take preventative measures to avoid health

problems in the future – They exercise more often and increasingly monitor the types of food they eat

Page 60: The Hispanic Millennial Project Wave 2: Hispanics and Healthcare / Multicultural Health National Conference

60 Marketing Healthcare to Hispanic Millennials

• Leverage technology and mobile apps – More and more Hispanic Millennials turning to the internet and digital tools to

manage their overall health – U.S. Born Hispanic Millennials embracing the internet as a trusted source versus

Foreign born Hispanic Millennials that trust doctors – Growing reliance on mobile apps to track physical activity and diet

• Educate lower income Hispanic Millennials about ACA – There is an opportunity to educate lower income Hispanic Millennials about the

existence of affordable healthcare options

Page 61: The Hispanic Millennial Project Wave 2: Hispanics and Healthcare / Multicultural Health National Conference

61 Spanish-Language Media Is Key to

Reaching Hispanic Millennials

Approach foreign-Born Hispanic Millennials Differently than U.S. born

Counterparts

Relevant Implications from Wave 1

Page 62: The Hispanic Millennial Project Wave 2: Hispanics and Healthcare / Multicultural Health National Conference

62 Other Considerations for Marketers

• Enlist doctors for endorsements – Hispanic Millennials, particularly the Foreign Born, view doctors as

an authoritative voice

• Communicate the long-term benefits of fitness – Hispanic Millennials see exercise as a way to maintain health and

avoid health problems later

• Highlight nutritional information especially about calories – Hispanic Millennials pay attention to what they eat, particularly

calories, sugars, and types of fats

Page 63: The Hispanic Millennial Project Wave 2: Hispanics and Healthcare / Multicultural Health National Conference

63 Other Considerations for Marketers • Market potential for organic products

– Hispanic Millennials are avid consumers of organic products and actively research them online

• Market potential for vitamins and dietary supplements – Hispanic Millennials are sold on the benefits of supplements

• Emphasize the added bonus of boosting physical appearance

– Hispanic Millennials are culturally tied to maintaining their health for the sake of physical appearance

Page 64: The Hispanic Millennial Project Wave 2: Hispanics and Healthcare / Multicultural Health National Conference

Wrap-Up

Page 65: The Hispanic Millennial Project Wave 2: Hispanics and Healthcare / Multicultural Health National Conference

65 What’s Next

• Sensis and ThinkNow Research will release future waves of this study throughout 2014 and early 2015

• Forthcoming waves will address the following topics:

– Wave 3: Banking / Financial Services – Behaviors and Attitudes (Nov 2014)

– Wave 4: Food, Beverages and Alcohol – Behaviors and Attitudes (Jan 2015)

– Wave 5: Media Consumption and Digital Behavior (Mar 2015)

Page 66: The Hispanic Millennial Project Wave 2: Hispanics and Healthcare / Multicultural Health National Conference

66

Download the full reports at

www.HispanicMillennialProject.com

follow-us on Twitter @HispMillennial

Page 67: The Hispanic Millennial Project Wave 2: Hispanics and Healthcare / Multicultural Health National Conference

67 THANK YOU