Findings for Adults, Full Results - World Allergy Organization

worldallergy.org

Findings for Adults, Full Results - World Allergy Organization

Allergies in America:A Landmark Survey of Nasal Allergy SufferersConducted bySchulman, Ronca & Bucuvalas, Inc.February 17, 2006Supported by:


Adults Diagnosed with Nasal Allergies:Household ScreeningNot diagnosed, 86%Diagnosed, 14%QA. Including yourself, how many persons, aged 18 and older, live in this household (even if they are not thereright now)? QB. Have any of these persons been diagnosed as having hay fever, rhinitis, or nasalallergies? QC. How many persons, 18 or older, in this household have been diagnosed with hay fever,rhinitis or nasal allergies? N=61,655 adults in 31,470 households1


Current Nasal Allergies:Household Screening17%2%76%5%QD. Has this person/have these persons had symptoms like sneezing, itching, watery eyes, nasal congestion,or other nasal allergy symptoms in the past 12 months? QE. Does this person/do any of these personstake any medication for their hay fever, rhinitis or nasal allergies? N=6,315 households with allergicrhinitis2


50%Age of Persons with Nasal AllergiesScreenedInterviewed40%30%20%10%0%25%21%22% 22%20%17%15% 15%12%11%10%5%3%1%18-24 25-34 35-44 45-54 55-64 65 and older RefusedQH. What is the age/ages of the person/persons with nasal allergies, rhinitis or hay fever? N=7,758QD3. What is your age? N=2,5003


Gender of Persons with Nasal Allergies100%ScreenedInterviewed80%60%60%65%40%40%35%20%0%MaleFemaleQH. What is the gender of the person/persons with nasal allergies, rhinitis or hay fever? N=4,614QMGEN. Gender of respondent? N=2,5004


Diagnosed with Nasal Allergies:Individual Screening90%10%QS1A. Has a doctor ever diagnosed you as having hay fever, rhinitis, or nasal allergies?Base: Persons identified as having been diagnosed and symptomatic or being treated fornasal allergies in household screen N=3,2575


Current Nasal Allergies:Individual Screening32%1%64%2%QS1b.Do you still suffer from hay fever or nasal allergies? S1c. When was the most recent time that youexperienced hay fever or symptoms of nasal allergies for a month or longer? QS2. In the past 12months, have you taken a prescription medication to treat your nasal allergies? N=2,933 personsdiagnosed6


General Health StatusGood32%Fair12%Poor/Very Poor4%Very good33%Excellent19%Q1. In general, would you say your health is excellent, very good, good, only fair, poor or very poor?Unweighted N=2,5007


Asthma and AllergiesPast 12 months20%Not past 12 months12%Never68%Q3c.Q3d.Have you ever been diagnosed with asthma?Have you had asthma in the past 12 months? Unweighted N=2,5008


When Diagnosed With Nasal Allergies25%21%20%18%15%15%14%10%9%7%7%5%5% 4%0%Under 6 6-11 12-17 18-29 30-39 40-49 50-59 60 andolderNot sureQ4. At what age were you first diagnosed with nasal allergies, rhinitis or hay fever? Unweighted N=2,5009


Who Diagnosed Nasal AllergiesNot sure8%Other3%Specialty Unknown1%Pulmonologist1%Internal Medicine4%Pediatrician5%ENT12%Allergist19%Family Practice20%General Practice27%0% 10% 20% 30% 40% 50%Q5. What was the medical specialty of the doctor who diagnosed you with nasal allergies? Unweighted N=2,50010


Skin and Blood Tests for AllergiesNeither42%Not sure2%Both15%Blood test only8%Skin test only33%Q6a.Q6b.Were you given a skin test to see what you were allergic to?Were you given a blood test to see what you were allergic to? Unweighted N=2,50011


Seasonal or Persistent AllergiesThroughout the year56%Not sure1%Seasonal43%Q12. Would you describe your nasal allergies as seasonal or do they occur throughout the year?Unweighted N=2,50012


Allergy Symptoms Worse During aParticular Season or Time of Year100%80%71%79%66%60%40%20%0%All Seasonal PersistentQ12. Would you describe your nasal allergies as seasonal or do they occur throughout the year?Q13a. In the past 12 months, have your nasal allergy symptoms been more frequent or worse during a particularseason or time of year? Unweighted N=2,50013


Season Allergies Are the Worse100%80%60%56%45%40%20%21%23%0%Spring Summer Fall WinterQ13b.During what times of the year are your nasal allergies the worse? Base: Worse at certain timesUnweighted N=1,77814


Allergies Worse Outdoors or InsideSame51%Not sure1%Inside9%Outside39%Q13c.Are your nasal allergies worse when you are outdoors or inside, or is it about the same?Unweighted N=2,50015


Symptoms During Worst MonthPost-nasal drip30%16%Runny Nose28%17%Facial Pain11%10%Ear Pain6%6%Every dayMost daysHeadache13%12%Itching23%12%Awakened / Unable to Sleep12%10%Stuffed up nose40%20%Watering Eyes25%15%Repeated Sneezing29%17%0% 20% 40% 60% 80% 100%Q14. During the worst one month period in the past year, did you have (symptom) every day, most days aweek, a few days a week, a few days a month, less than that, or never? Unweighted N=2,50016


How Bothersome are SymptomsPost-nasal drip28%33%Runny Nose26%36%Facial Pain16%27%Ear Pain11%19%Headache25%26%ExtremelyModeratelyItching18%28%Stuffed up nose40%38%Red, itching eyes23%30%Watering Eyes20%31%Repeated Sneezing20%31%0% 20% 40% 60% 80% 100%Q15. When you have nasal allergy attacks, how bothersome are the following symptoms usually --- extremelybothersome, moderately bothersome, slightly bothersome, or not bothersome ? Unweighted N=2,50017


Most Bothersome SymptomItching4%Ear Pain4%Watering EyesFacial Pain5%7%Most bothersomeRepeated Sneezing9%Runny NoseRed, itching eyes10%10%Post-nasal dripHeadache14%14%Stuffed up nose22%0% 5% 10% 15% 20% 25%Q16. Which of these symptoms was the most bothersome to you? Base: Had bothersome symptoms.Unweighted N=2,36218


Degree of Discomfort from AllergiesCan't Tolerate38%Not sure1%Can Ignore6%Can Tolerate55%Q17. In general, when you have a nasal allergy attack would you say that your discomfort is usually somethingyou can ignore, you can’t ignore it, but you can tolerate it, or you can’t tolerate it without relief? UnweightedN=2,50019


What Triggers Allergy SymptomsChemicals4%Fumes, odors5%Plants/Trees/Leaves6%Tobacco Smoke6%Perfume6%Dampness/Mold/Mildew11%Animals18%Weather22%Grass22%Dust34%Pollen41%0% 10% 20% 30% 40% 50%Q19. What things usually trigger or make your nasal allergy symptoms worse? Unweighted N=2,50020


What Triggers Allergy Symptoms (cont.)Not Sure9%Other6%Nothing1%Air quality/Dry heat/Air conditioning1%Virus or Cold1%Stress1%Insescts1%Hay/Straw/Weeds1%Outdoors2%Food/Drink2%Pollution3%0% 10% 20% 30% 40% 50%Q19. What things usually trigger or make your nasal allergy symptoms worse? Unweighted N=2,50021


Employment Status of Persons withNasal AllergiesPart time9%Retired19%Unemployed3%Student5%Full time53%Disabled4%Homemaker7%D6. Are you currently employed full-time, employed part-time, in the military, unemployed and looking for work,retired and not working, student, homemaker, disabled or too ill to work? Unweighted N=2,50022


Do Nasal AllergiesKeep from Working Full TimeYes5%No36%Working full time53%Retired6%Q21a. Do your nasal allergies keep you from working full time? Unweighted N=2,50023


Nasal Allergies Stop or Limit WorkingRetired6%No80%Limit work9%Keep from working5%Q21a.Do your nasal allergies keep you from working full time? Q21b. Are you limited in the kind or amount ofwork you do because of your nasal allergies? Unweighted N=2,50024


Missed Work due to Nasal AllergiesYes30%No70%Q22a. Have you missed work in the past 12 months due to your nasal allergies? Base: Employed full timeUnweighted N=1,31525


Work Interference from Nasal AllergiesNeither48%Missed work only10%Both20%Interfered only22%Q22a. Have you missed work in the past 12 months due to your nasal allergies? Q23a. Aside from actually missingwork, have your nasal allergy symptoms in the past 12 months interfered with your performance at work?Base: Employed full time Unweighted N=1,31526


Work Interference due to AllergiesSome28%Little16%None1%Moderate35%A lot20%Q23b. On days when you had nasal allergy symptoms how much did the symptoms interfere with your ability to doyour job? Did the symptoms interfere a lot, a moderate amount, some, only a little, or not at all? Base: Fulltime, Interfered with work Unweighted N=54727


100%Productivity and Allergies95%Mean Productivity80%72%60%40%20%0%No SymptomsSymptoms at worstQ24. Thinking about your productivity on a scale of 0 to 100, where 100 means 100% productivity, where wouldyou rank your productivity on days when you don’t have nasal allergy symptoms? Q25. Where would you rankyour productivity on the same scale of 0 to 100 … when your nasal allergies are at their worst? Base:Employed full time Unweighted N=1,31528


Exposed to Allergens at WorkplaceNo40%Not sure2%Yes58%N26a. Are you exposed to anything at your workplace that affects your nasal allergy symptoms? Base: Full timeand interferes at work. Unweighted N=51129


Avoid Activities because of AllergiesYes35%No65%Q27a. Do you avoid any activities because of your nasal allergies? Unweighted N=2,50030


Symptoms During Worst Month100%80%SometimesFrequently60%36%40%38%36%20%0%23%13%Depressed orblue44%26%15%29%8%Irritable Tired Embarrassed MiserableQ30. During allergy season, how often do you feel (ITEM) – frequently, sometimes, rarely or never?Unweighted N=2,50031


Impact of Allergies on Daily LifeLittle19%Didn't really impact14%Not sure1%Some26%A lot15%Moderate25%Q31. During allergy season, would you say the condition impacted your daily life …..? Unweighted N=2,50032


Nasal Allergy Control in Past WeekCompletely24%Not sure1%Well controlled28%Not controlled5%Poorly controlled9%Somewhat controlled33%Q32. Overall, how well would you say that your nasal allergies have been controlled in the last week? Would yousay it was completely controlled, well controlled, somewhat controlled, poorly controlled, or not controlled atall? Unweighted N=2,50033


Allergy Symptom Severity in Past WeekNo symptoms23%Severe11%Moderate symptoms30%Mild symptoms36%Q33. How would you describe your nasal allergies during the last week? Would you say you had … no symptoms,mild symptoms, moderate symptoms, or severe symptoms? Unweighted N=2,50034


Other Conditions in the Past WeekNone of these33%HadPink eye2%Fever9%Skin rashes10%Migraines15%Earaches16%Cold or flu17%Heartburn or GERD23%Sinus problems50%0% 20% 40% 60% 80% 100%Q37. During the last week have you had ………….? Unweighted N=2,50035


Usual Source of Medical CareNot sure1%Other2%Clinic1%Veteran's hospital/clinic1%Company or Union clinic1%Hospital ER1%Public Health clinic3%Hospital outpatient clinic5%Doctor's office87%0% 20% 40% 60% 80% 100%Q41. Is the place that you usually go for your overall medical care, medical advice or treatment a……?Unweighted N=2,50036


Primary Health Care ProviderNurse Practitioner7%Physician Asst4%Doctor87%Other1%Not sure1%Q41b. Who do you see most often for your health care, medical advice or treatment ……? Unweighted N=2,50037


Specialty of Doctor Treating NasalAllergiesOther2%Pulmonologist1%OB/GYN1%ENT6%Allergist9%Internal medicine12%Family practice23%General practice30%0% 10% 20% 30% 40% 50%Q43. What is the medical specialty of the doctor that you see most often for your nasal allergies?Unweighted N=2,50038


Seen Doctor for Nasal Allergies in Past12 MonthsNo, not seen doctor,52%1%47%Q42a. Have you seen a health practitioner about your nasal allergies in the past 12 months? Unweighted N =2,50039


Skin Test for Nasal Allergies19%4%5%66%7%Q45a. Has your doctor or health practitioner ever given you a skin test to see what causes your nasal allergies?Q45b. When was the most recent time you had a skin test for your nasal allergies? Unweighted N =2,50040


Blood Test for Nasal Allergies6%82%2%7%2%QN46a. Has your doctor or health practitioner ever given you a blood test to see what causes your nasal allergies?QN46b. When was the most recent time you had a blood test for your nasal allergies? N =2,50041


Shots for Nasal Allergies75%11%2%9%2%QN47a. Has your doctor or health practitioner ever given you nasal allergy shots?QN47b. When was the most recent time you had nasal allergy shots? Unweighted N =2,50042


Drops or Extracts for Nasal Allergies2%83%1%11%2%QN47c.Has your doctor or health practitioner ever given you nasal allergy drops or extracts by mouth or underthe tongue to treat your nasal allergies? QN47d. When was the most recent time you had nasalallergy drops or extracts by mouth or under the tongue? Unweighted N =2,50043


Shown How to Use Nasal Spray14%31%8%2%15%30%Q48a. Has a health practitioner ever shown you how to use a nasal spray for your nasal allergies? Q48b.When was the most recent time a health practitioner showed you how to use a nasal spray for yournasal allergies? Unweighted N=2,50044


Follow Health Practitioner’s Advice1%36%4%4%41%13%Q49. Would you say that you follow your health practitioner’s advice on the management and treatment of yournasal allergies – all of the time, most of the time, some of the time, rarely or never? Unweighted N=2,50045


Satisfaction with Health Practitioner’sManagement of Your Allergies3%57%7%31%2%Q51. Overall, how satisfied are you with your health practitioner’s management and treatment of your nasalallergies? Unweighted N=2,50046


Changed Doctors due to Dissatisfaction87%13%Q52a. Have you ever changed doctors because you were dissatisfied with their management of yournasal allergies? Unweighted N=2,50047


Seen Specialist for Nasal Allergies14%76%10%Q54a. Have you seen a specialist about your nasal allergies in the past 12 months? Unweighted N=2,50048


Satisfaction with Specialist’sManagement of Your Allergies63%1%10%5%22%Q54c. Overall, how satisfied are you with your specialist’s management and treatment of your nasal allergies?Base: Seen specialist other than primary doctor in the past year. Unweighted N=26549


50%Types of Medications Used for Allergies40%42%30%28%27%20%10%3%0%Prescription onlyNon-prescriptiononlyBothNeitherQ62. For the current management and treatment of your nasal allergy symptoms do you use prescriptionmedications only, non-prescription medications only, or both? Unweighted N=2,50050


Non-Prescription Medicinefor Allergies in Past 4 Weeks100%80%60%49%51%40%20%0%YesNoQ63a.In the past 4 weeks, have you used any over-the-counter, non-prescription medicine to give you relief fromnasal allergy symptoms? Unweighted N=2,50051


Non-Prescription Medicinefor Allergies: Recency of Use18%6%5%54%16%Q63a.In the past 4 weeks, have you used any over-the-counter, non-prescription medicine to give you relief fromnasal allergy symptoms? Q63b. When was the most recent time that you used an over the counter, nonprescriptionmedicine for relief from nasal allergy symptoms? Unweighted N=2,50052


Which OTC Medicine UsedOther36%Neo-SynephrineNasalcromTavistChloritrimentonAlavertActifed1%1%1%2%2%3%AfrinCold medicines5%6%Tylenol Allergy10%Sudafed17%BenadrylClaratin20%22%0% 10% 20% 30% 40% 50%Q63c.Base:What is the name of the over-the-counter medicines you take/took for nasal allergies?Used in past 4 weeks. Unweighted N=1,34553


Satisfaction with Recent OTC Medicinefor Nasal Allergies1%41%3%7%48%Q63f. How satisfied are you with the over-the-counter medicine you used for your nasal allergies in the past 4weeks? Base: Used OTC for nasal allergies in the past 4 weeks. Unweighted N=1,34454


Prescription Nasal Spray for Allergies inPast 4 Weeks100%80%60%66%40%34%20%0%YesNoQ64a. In the past 4 weeks, have you used any prescription nasal spray for your nasal allergies? Unweighted N=2,50055


Prescription Nasal Sprayfor Allergies: Recency of Use24%18% 1%14%7%36%Q64a.In the past 4 weeks, have you used any prescription nasal sprays for your nasal allergies? Q64b. When wasthe most recent time that you used a prescription nasal spray for your nasal allergies? Unweighted N=2,50056


Which Prescription Nasal Spray UsedOther9%Naserel3%Astelin5%Rhinocort10%Nasacort14%Nasonex21%Flonase41%0% 10% 20% 30% 40% 50%Q64c. What is the name of the prescription nasal spray you take/took for nasal allergies?Base: Used in past 4 weeks. Unweighted N=91957


How Many Symptoms Relieved byNasal Spray34%3%46%16%1%Q65. Does your current prescription nasal spray give you relief from all of your symptoms, most symptoms,some symptoms, or no symptoms? Base: Use prescription nasal spray. Unweighted N=91958


How Quickly Does it Relieve50%40%37%30%20%21%12%10%8%0%Within 1hour2%1 hour 2 hours 3-4hours1% 1%5-6hours7-10hours2%11-23hours4%1-6 days Oneweek ormoreQ68. How long does it take for your current prescription nasal spray to begin giving you symptom relief?Unweighted N=91959


Does Effectiveness Wear Off45%7%48%Q69a. Does your current prescription nasal spray lose effectiveness over the course of the day or night, or does itremain as effective as when you first took it? Base: Used prescription nasal spray Unweighted N=91960


When Begins Losing EffectivenessNot sure5%24 hours or longer5%16-23 hours3%12-15 hours17%8-11 hours20%4-7 hours32%Less than 4 hours18%0% 10% 20% 30% 40% 50%Q69b. How long after taking your current nasal allergy medicine does it begin losing effectiveness?Base: Nasal spray loses effectiveness. Unweighted N=44061


Satisfaction with Recent Rx Nasal Sprayfor Nasal Allergies49%1%4%6%39%Q70a. How satisfied are you with the prescription nasal spray you used for your nasal allergies in the past 4weeks? Base: Used Rx nasal spray for nasal allergies in the past 4 weeks. Unweighted N=91962


Satisfaction with Rx Nasal Sprays forNasal Allergies34%38%4%12%12%Q70b. In general, how satisfied have you been with the prescription nasal spray you have used for your nasalallergies in the past? Base: Ever used Rx nasal spray for nasal allergies. Unweighted N=2,03363


Reason for Not Using Rx Nasal SprayRecentlyOther4%Causes nosebleedsTaste/SmellHard to useDependence concernsInterferes with condition/meds.Don't tolerate1%1%1%1%2%2%No insurance/Cost too highDon't like/Prefer other meds.Don't like spraysSide effects6%7%8%9%Haven't seen doctor/Received prescriptionNot effectiveNot bad enough11%11%11%No symptoms30%0% 10% 20% 30% 40% 50%Q71. Why haven’t you used a prescription nasal spray you take/took for nasal allergies inthe past 4 weeks? Base: Used in past but not past 4 weeks. Unweighted N=1,15664


Other Prescriptions for Allergies in Past4 Weeks100%80%77%60%40%20%22%0%YesNoQ72a.Have you taken any other prescription medications for your nasal allergies in the past 4 weeks?Unweighted N=2,50065


Other Prescription Medicine UsedNot sure3%Other24%FexofenadinePrednisone/Medroldose pack1%1%Clarinex7%Claritin Rx9%Singulaire14%Zyrtec26%Allegra33%0% 10% 20% 30% 40% 50%Q72b. What is the name of the other prescription medicine you take/took for nasal allergies?Base: Used in past 4 weeks. Unweighted N=57666


How Many Symptoms Relieved byNasal Spray23%1%50%22%2%Q73. Does this prescription medicine give you relief from all of your symptoms, most symptoms,some symptoms, or no symptoms? Base: Use other prescription medicine. Unweighted N=57667


How Quickly Does it Relieve50%40%30%20%23%25%14%10%10%0%Within 1hour3%1 hour 2 hours 3-4hours1% 1%5-6hours7-10hours3%11-23hours3%1-6 days Oneweek ormoreQ76. How long does it take for this prescription medicine to begin giving you symptom relief?Base: Use other prescription medicine. Unweighted N=57668


Does Effectiveness Wear Off51%6%42%Q77a. Does this prescription medicine lose effectiveness over the course of the day or night, or does itremain as effective as when you first took it? Base: Use other prescription medicine. Unweighted N=57669


When Begins Losing EffectivenessNot sure5%24 hours or longer5%16-23 hours7%12-15 hours20%8-11 hours29%4-7 hours24%Less than 4 hours9%0% 10% 20% 30% 40% 50%Q77b. How long after taking this nasal allergy medicine does it begin losing effectiveness?Base: Other prescription medicine loses effectiveness. Unweighted N=24370


Satisfaction with Other PrescriptionMedicine for Nasal Allergies1%52%3%7%38%Q78. How satisfied are you with the other prescription medicine you used for your nasal allergies in the past 4weeks? Base: Used other prescription medicine for nasal allergies in the past 4 weeks. Unweighted N=57671


100%Medicine for Allergies in Past 4 Weeks80%71%60%49%44%40%34%29%20%22%Q63a.0%OTC Rx Nasal Spray Other Rx Any Rx Any Medication No MedicationIn the past 4 weeks, have you used any over-the-counter, non-prescription medicine to give you relief fromnasal allergy symptoms? Q64a. In the past 4 weeks, have you used any prescription nasal spray for your nasalallergies? Q72a. Have you taken any other prescription medications for your nasal allergies in the past 4weeks? Unweighted N=2,50072


Use of Prescription Meds forNasal Allergies100%80%60%51%40%31%20%17%0%All year Only Part Year Never take Not sure1%Q79. Do you take prescription medicines for your nasal allergies all through the year or only during the times of theyear that your nasal allergies are the worst? Unweighted N=2,50073


Change Prescription Medicinesfor Nasal Allergies29%2%10%38%8%12%Q81a.How often do you change nasal allergy medicines ---several times each year, once a year, every few years,only rarely or never? Unweighted N=2,50074


Why Changed Medicine for NasalAllergiesOtherNot sure3%4%Not fast enoughHaven't changed allergy medicinesTaken off marketNot long lasting enoughAvailability/ Convenience/ Free samplesDeveloped an immunitySafety concernsNot coveredDidn't treat symptomsCost/co-pay1%2%2%2%3%3%3%3%4%5%Bothersome side effects8%Patient wanted to try other11%Doctor wanted to try other23%Not effective enough37%0% 10% 20% 30% 40% 50%Q81b.Why have you changed nasal allergy medicines? Anything else? Base: Have changed nasal allergymedicines. Unweighted N=1,72375


Asked Doctor to Change Medication66%34%Q82a.Have you ever asked your doctor to change your nasal allergy medication because you were dissatisfiedwith it? Unweighted N=2,50076


Why Dissatisfied withNasal Allergy MedicineNot sure2%Other4%Hard to administer1%Cost/co-pay1%Not covered1%Didn't provide 24 hour relief10%Effectiveness wore off12%Bothersome side effects21%Wasn't effective66%0% 20% 40% 60% 80% 100%Q82c.Why were you dissatisfied with that medicine? Base: Have asked doctor to changenasal allergy medicines. Unweighted N=86077


How Quickly Supposed to RelieveNot sure15%25 hours or longer10%13-24 hours4%10-12 hours1%7-9 hours1%4-6 hours4%1-3 hours17%Within 1 hour47%0% 10% 20% 30% 40% 50%Q85. How quickly are prescription medicines supposed to begin providing symptom relief for nasal allergies?Unweighted N=2,50078


How Long Supposed to Relieve50%40%30%30%20%19%21%16%10%10%4%0%Less than 6hours6-11 hours 12-17 hours 18-23 hours 24 hours orlongerNot sureQ86. How long are prescription medicines supposed to provide symptom relief for nasal allergies? Unweighted N=2,50079


Effectiveness Ever Wore Offbefore 24 Hours33%9%58%Q87a. Have you ever found that the effectiveness of a product that promised 24 hour relief began wearing off earlier?Unweighted N=2,50080


Effectiveness Wore Off:Multiple Products4%33%16%9%39%Q87a. Have you ever found that the effectiveness of a product that promised 24 hour relief began wearing off earlier?Q87b. Has this happened with more than one nasal allergy product? Unweighted N=2,50081


When Does Effectiveness Wear Off50%40%30%25%20%15% 15%19% 19%10%3%2%3%0%Within 1hour1 hour 2 hours 3-4 hours 5-6 hours 7-10 hours 11 or more Not sureQ87c.About how long after you started taking it does a nasal allergy medicine’s effectiveness begin wearingoff? Base: Found nasal allergy medicine offering 24 hour relief wearing off. Unweighted N=1,46182


Stopped Taking BecauseEffectiveness Wore Off100%80%60%57%40%33%20%0%All Patients Unweighted N=2,500Experienced Wear-off Unweighted N=1,461Q87d. Have you ever stopped taking a product for your nasal allergies because its effectiveness had worn off?83


Effectiveness Wears Off Over Time2%40%15%6%38%Q88a. Have you ever found that a product’s effectiveness in treating your nasal allergy symptoms wears off overtime even when you are taking the medicine as prescribed? Q88b. Has this happened to you with morethan one nasal allergy product? Unweighted N=2,50084


When Does Effectiveness Wear Off50%40%30%27%20%10%12%7%6%13% 13%10%12%0%Within 1month1 month 2 months 3-4 months 5-6 months 7-10 months 11 or moremonthsNot sureQ88c.About how long after you started taking it does a nasal allergy medicine’s effectiveness begin wearingoff even when taken as prescribed? Base: Found nasal allergy medicine wearing off.Unweighted N=1,36485


Stopped Taking BecauseEffectiveness Wore Off100%80%66%60%40%36%20%0%All Patients Unweighted N=2,500Experienced Wear-off Unweighted N=1,364Q88d. Have you ever stopped taking a product for your nasal allergies because its effectiveness had worn off?86


Nasal Allergy Meds Cause Nosebleeds20%78%2%Q89a. Have any of the medicines that you have taken for your nasal allergy ever caused nosebleeds?Unweighted N=2,50087


How Bothersome were Nosebleeds32%28%8%1%31%Q89b. How bothersome were those nosebleeds? Base: Medicine caused nosebleeds. Unweighted N=50188


Side Effects of Allergy Medicines50%Some40%Most25%All30%22%20%17%8%12%26%10%0%7%8%11%3%3%Bad taste Burning Drippingdown throat11% 10%12%2%2%7%4%Drying feeling Headaches DrowsinessQ90. How many of the medicines that you have taken for allergy had the following types of side effects ---all, most, some, few or none? Unweighted N=2,50089


How Bothersome are Side Effects50%40%ModeratelyExtremely30%20%20% 22%13%21%10%15%11%13% 12% 12% 12%0%7% 7%Bad taste Burning Dripping downthroatDrying feeling Headaches DrowsinessQ91. How bothersome are the following side effects of nasal allergy medicines --- extremely, moderately,slightly or not bothersome? Unweighted N=2,50090


Try to Avoid Certain Medicines62%1%36%Q100a. Are there any nasal allergy medications that you try to avoid using? Unweighted N=2,50091


Reason Stopped TakingNasal Allergy PrescriptionNone of these39%Hard to administer3%Dosing schedule was difficult4%Co-pay was too high11%Not covered14%Bothersome side effects25%Didn't provide 24 hour relief32%Effectiveness began wearing off35%Didn't find it effective37%0% 10% 20% 30% 40% 50%Q94. Have you ever stopped taking a nasal allergy medicine prescribed by your doctor because….Unweighted N=2,50092


Tell Doctor when Stop Taking Rx Meds51%1%48%Q95. When you have stopped taking a nasal allergy medicine for one of these reasons, do you always tell yourdoctor right away? Base: Have stopped taking nasal allergy medicine prescribed by doctor.Unweighted N=1,49093


Get Money’s Worth from Rx Meds55%10%34%Q97. Overall, do you feel that patients get their money’s worth out of prescription medicines for nasal allergies?Unweighted N=2,50094


Most Important for Nasal AllergyMedicineNot sure1%Low cost5%Few side effects6%Easy to take2%Complete symptom relief37%Long lasting relief32%Fast symptom relief17%0% 10% 20% 30% 40% 50%Q98. In choosing a nasal allergy medicine, which would be the most important to you …?Unweighted N=2,50095


Important for Nasal Allergy MedicineNot sure1%1%MostNextLow cost5%13%Few side effects6%13%Easy to take2%4%Complete symptomrelief37%15%Long lasting relief32%30%Fast symptom relief17%22%0% 20% 40% 60% 80% 100%Q98. In choosing a nasal allergy medicine, which would be the most important to you …?Q99. What would be the next most important to you? Unweighted N=2,50096


How Many SymptomsRelieved for Success53%8%4%1%1%33%Q101. How many symptoms would a nasal allergy medicine have to relieve for you to consider it a successfultreatment --- all, most, some, a few or none? Unweighted N=2,50097


Percent Relief for Success100%85%86%84% 85%83%80%60%40%20%0%All Patients N=2,500 No symtoms Mild symptoms Moderate symptoms Severe symptomsQ102. On a scale of 0 to 100 percent, what percent symptom relief would you expect from a nasal allergymedicine for it to be considered a successful treatment? Q33. How would you describe your nasal allergysymptoms in the past week?98


How Quickly Must RelieveNot sure5%11 hours or longer8%7-10 hours1%5-6 hours1%3-4 hours4%2 hours10%1 hour27%Within 1 hour43%0% 10% 20% 30% 40% 50%Q103. How quickly after taking would a nasal allergy medicine have to begin relieving symptoms for you toconsider it a successful treatment? Unweighted N=2,50099


How Long Must LastNot sure3%24 hours or longer27%16-23 hours5%12-15 hours24%8-11 hours18%4-7 hours18%Less than 4 hours5%0% 10% 20% 30% 40% 50%Q104. How long after you take a dose of nasal allergy medicine should symptom relief last for you to consider it asuccessful treatment? Unweighted N=2,500100


Failed to Follow Physician InstructionsDoctor's instructions hardto follow3%Poor tolerationConcern about long termuseCost of drugs19%19%21%Worry about side effects22%Troublesome side effects27%Lack of symptomsLoss of effectiveness overtime35%37%Lack of symptom relief41%0% 10% 20% 30% 40% 50%Q108. People with nasal allergies sometimes fail to follow their physician’s instructions about their medicinesfor allergies. Have you ever failed to take an allergy medicine as prescribed because of ……Unweighted N=2,500101


Allergies Impact onActivities with Children87%10%3%Q109b. Do your nasal allergies interfere with activities that you would like to do with the children? Q109c.Do your nasal allergies ever make you feel guilty when they interfere with activities with thechildren? Base: Children under 18 Unweighted N=882102


Attitudes about Nasal AllergiesNasal allegies can causesinus infections64%21%Nasal allergies can makeasthma worse56%19%Frequent nasal allergysymptoms can bepreventedThere are no truly effectivetreatments for nasalallergies15%22%20%36%Agree stronglyAgree somewhatNasal allergies usuallycause some lifestylelimitations28%43%Nasal allergies are serioushealth problem in US55%29%0% 20% 40% 60% 80% 100%Q110. Now I am going to read you a series of statements. As I read each statement , please tell mewhether you agree strongly, agree somewhat, disagree somewhat or disagree strongly withthe statement. Unweighted N=2,500103


Source of Health InsuranceNot covered11%Not sure1%Other2%Military/VA/Champus3%Medicaid5%Medicare14%Bought directly by you14%Through work, school orunion67%0% 20% 40% 60% 80% 100%Q111a. Do you have any sort of health insurance or health plan to cover your health care costs?Q111c. Is your coverage under that/those plans from ….. Unweighted N=2,500104


How Much of Prescription Drug CostsCovered19%3%4%50%11%3%10%Q111d. How much of the costs of your prescription drugs is covered by your health plan ---all, most, some, little or none? Unweighted N=2,500105


Insurance Restricts Type Of Medicine59%10%11%20%Q111f. Does your insurance restrict your doctor from prescribing specific nasal allergy medications for you?Unweighted N=2,500106


Need for Patient Education40%7%2%49%3%Q113. How much need do you think there is for better education of people with nasal allergiesabout their condition and its treatment? Unweighted N=2,500107


Family History of Nasal AllergiesNot sure2%None of these17%Grandparents13%Children46%Brothers or sisters49%Mother37%Father27%0% 20% 40% 60% 80% 100%Q116. Do any of the following relatives of yours have nasal allergies? Unweighted N=2,500108


Pets in the HouseholdNo pets in house44%Other2%Rabbit1%Hamster/gerbil1%Fish2%Bird3%Cat28%Dog40%0% 10% 20% 30% 40% 50%Q117a. Do you have any pets living in your house? Q117b. What kind of pet or pets? Unweighted N=2,500109


Smokers in Household76%24%Q118a. Does anyone in your household smoke? Unweighted N=2,500110


Allergies in America:Survey of Health ProfessionalsConducted bySchulman, Ronca & Bucuvalas, Inc.February 28, 2006Supported by:


Study DesignPopulationSampling FrameInterview LengthCompletedSamplePopulation Aged 18+National RDD34.8 minutes2,500Cross-section: 1/5/06-1/31/06Health Professional Survey-- Adult Primary Care-- Allergy-- Otolaryngology-- Nurse practitioner-- Physician assistantAMA/AOA MasterList19.4 minutes1001001005050Physician Survey: 1/17/06-2/14/06112


Health Provider Type50%45%40%35%30%25%25% 25% 25%20%15%13% 13%10%5%0%ENT Allergist Primary care NursePractitionerPhysician AsstBase: Total completed interviews N=400113


Primary Ambulatory Care SettingOtherHospital Outpatient4%1%6%1%2%Nurse Prac./Physician Asst.Primary careAllergistENTHMO2%4%1%Clinic1%2%6%34%Multi-specialty group10%16%17%22%Single-specialtygroup18%25%44%44%Solo practice19%34%41%45%0% 5% 10% 15% 20% 25% 30% 35% 40% 45% 50%Q3. In what type of ambulatory care setting do you spend MOST of your (out-patient) patient care time during ausual work week? Is it… N=400114


Patients Seen on Outpatient Basis12011310010397Weekly average80604080200ENT Allergist Primary Care NursePrac./PhysicianAsstQ4. In an average week, about how many patients do you see on an outpatient basis? N=400115


Percent of Patients with Rhinitis100%80%Weekly average60%40%20%33%64%22%22%0%ENT Allergist Primary Care NursePrac./PhysicianAsstQ5. About what percent of the outpatients you see each week have allergic rhinitis? N=400116


How Bothersome are SymptomsNurse Prac./PhysicianAsst.10%77%Primary care8%84%Allergist26%73%ENT16%81%0% 20% 40% 60% 80% 100%ExtremelyModeratelyQ6. For most patients that you see with allergic rhinitis, how bothersome are their nasal allergysymptoms? Would you say they are extremely bothersome, moderately bothersome, slightlybothersome or not bothersome? N=400117


Most Bothersome SymptomsNasal congestion22%90%90%98%96%Post-nasal drip14%72%78%73%75%Runny nose10%63%74%69%68%Watery eyesRed/Itching eyes5%10%37%51%57%50%45%46%45%53%Patients (single choice)Nurse Prac./Physician Asst.Primary careAllergistENT0% 20% 40% 60% 80% 100%Q7. Which of the following nasal allergy symptoms are most bothersome to your patients? N=400PQ16. Which of these symptoms was the most bothersome to you? Base: Had bothersome symptoms.Unweighted N=2,362118


Most Bothersome Symptoms (Cont.)Facial pain7%37%41%4 8 %55%Headache14%3 3 %36%42%50%Repeated sneezing9%29%31%3 9 %47%ItchingEar pain4%4%30%31%31%3 9 %41%37%4 1 %45%Patients (single choice)Nurse Prac./Physician Asst.Primary careAllergistENT0% 20% 40% 60% 80% 100%Q7. Which of the following nasal allergy symptoms are most bothersome to your patients? N=400PQ16. Which of these symptoms was the most bothersome to you? Base: Had bothersome symptoms.Unweighted N=2,362119


Discomfort During Allergy AttackPatients38% 55%Nurse Prac./PhysicianAsst.45%55%Primary care44%55%Allergist60%38%ENT45%55%0% 20% 40% 60% 80% 100%Can't tolerateCan't ignoreQ8. In general, would you say that patients’ discomfort during a nasal allergy attack is usually something they canignore, they can’t ignore it, but they can tolerate it, or they can’t tolerate it without relief? N=400PQ17. In general, when you have a nasal allergy attack would you say that your discomfort is usually somethingyou can ignore, you can’t ignore it, but you can tolerate it, or you can’t tolerate it without relief? UnweightedN=2,500120


Patients Missing Work due to RhinitisPatients (yes)30%Nurse Prac./PhysicianAsst.3%13%27%Primary care14%32%Allergist19%40%ENT3%19%23%0% 10% 20% 30% 40% 50% 60% 70%All (91% to 100%) Most (51% to 90%) Some (11% to 50%)Q9. Among your patients with allergic rhinitis who are employed, how many would you estimate have missedwork in the past 12 months due to their nasal allergies? N=400PQ22a. Have you missed work in the past 12 months due to your nasal allergies? Base: Employed full timeUnweighted N=1,315121


Productivity when Nasal Allergies are atTheir Worst100%Weekly average80%60%40%65%60%64%62%72%20%0%ENT Allergist Primary Care Nurse Prac./Physician AsstPatientsQ10. Thinking about productivity at work on a scale from 0 to 100, where 100 means 100% productivity, where wouldyou rank the productivity of persons with allergic rhinitis, when their nasal allergies are at their worst? N=400PQ24. Thinking about your productivity on a scale of 0 to 100, where 100 means 100% productivity, where would yourank your productivity on days when you don’t have nasal allergy symptoms? PQ25. Where would you rank yourproductivity on the same scale of 0 to 100 … when your nasal allergies are at their worst? Base: Employed fulltime Unweighted N=1,315122


Impact of Allergies on Daily LifePatients15%25%Nurse Prac./PhysicianAsst.34%47%Primary care18%63%Allergist47%44%ENT30%62%0% 20% 40% 60% 80% 100%A lotModerateQ11. For the average patient with allergic rhinitis, during allergy season, would you say the conditionimpacted their daily life a lot, impacted their daily life a moderate amount, impacted their daily life some,impacted their daily life a little, or does not really impact their daily life? N=400PQ31. During allergy season, would you say the condition impacted your daily life …..? Unweighted N=2,500123


Classification of Nasal Allergies100%80%71%Weekly average60%40%60%61%41%20%0%ENT Allergist Primary Care NursePrac./PhysicianAsstQ12. Do you classify the severity of nasal allergies in patients [DOCTOR VERSION: when you make the diagnosis][PA/NP VERSION: when you initially see them]? N=400124


Percent of Patients with SeasonalAllergies100%80%Weekly average60%40%49%39%55%57%43%20%0%ENT Allergist Primary Care Nurse Prac./PhysicianAsstPatientsQ13a.PQ12.What proportion of your patients with nasal allergies would you classify as having seasonal rather thanperennial allergies? N=400Would you describe your nasal allergies as seasonal or do they occur throughout the year?Unweighted N=2,500125


Proportion of Patients Classified bySymptom SeverityNurse Prac./PhysicianAsst.26%41%34%Primary care23%42%34%Allergist35%45%20%ENT28%46%27%0% 20% 40% 60% 80% 100%Severe Moderate MildQ13b. What proportion of your patients with nasal allergies would you classify as having…? N=400126


Skin Test to Confirm DiagnosisPatients (yes)49%Nurse Prac./PhysicianAsst.3%3%25%Primary care3%2%27%Allergist56%39%4%ENT3%27%43%0% 20% 40% 60% 80% 100%Always Most of the time SometimesQ14. How often do you conduct a skin test, either in your office or by referral, when making or confirming adiagnosis of allergic rhinitis…? N=400PQ6a. Were you given a skin test to see what you were allergic to? Unweighted N=2,500127


Blood Test to Confirm DiagnosisPatients (yes)23%Nurse Prac./PhysicianAsst.1%5%19%Primary care2%3%27%Allergist1%1%33%ENT3%12%28%0% 10% 20% 30% 40% 50%Always Most of the time SometimesQ15. How often do you conduct a blood test, either in your office or by referral, when making or confirming adiagnosis of allergic rhinitis…? N=400PQ6b. Were you given a blood test to see what you were allergic to? Unweighted N=2,500128


Allergy Shots to Treat Nasal AllergiesPatients (ever)25%Nurse Prac./PhysicianAsst.4%10%27%Primary care9%3%35%Allergist9%36%44%ENT13%18%44%0% 20% 40% 60% 80% 100%All Most SomeQ16. Among your patients with allergic rhinitis, do you give allergy shots to or refer patients to get allergy shotsto treat nasal allergies to all, most, some, a few or none? N=400PQN47a. Has your doctor or health practitioner ever given you nasal allergy shots? Unweighted N =2,500129


Allergy Drops to Treat Nasal AllergiesPatients (ever)17%Nurse Prac./PhysicianAsst.3%7%8%Primary care4%3%12%Allergist3%6%ENT2%1%13%0% 5% 10% 15% 20% 25% 30%All Most SomeQ17. Among your patients with allergic rhinitis, do you give or refer patients to get allergy drops or extractsby mouth or under the tongue to treat nasal allergies to all, most, some, a few or none? N=400PQN47c. Has your doctor or health practitioner ever given you nasal allergy drops or extracts by mouth or underthe tongue to treat your nasal allergies? Unweighted N =2,500130


How Often Show How to Use NasalSprayPatients31%22%15%Nurse Prac./PhysicianAsst.15%3%73%Primary care15%1%72%Allergist40%3%55%ENT22%4%64%0% 20% 40% 60% 80% 100%At least once a year Every few years When first prescribed/5 years or moreQ18. How often do you show patients how to use a nasal spray for their nasal allergies? N=400PQ48a. Has a health practitioner ever shown you how to use a nasal spray for your nasal allergies? PQ48b.When was the most recent time a health practitioner showed you how to use a nasal spray for yournasal allergies? Unweighted N=2,500131


How Often Patients Follow Advice100%Most of the timeAll of the time80%60%41%40%67% 70%57%20%39%36%0%1%1%ENT Allergist Primary care Nurse Prac./Physician Asst.1%PatientsQ19. Would you say that most of your patients with allergic rhinitis follow your advice on the management andtreatment of nasal allergies…? N=400PQ49. Would you say that you follow your health practitioner’s advice on the management and treatment of yournasal allergies – all of the time, most of the time, some of the time, rarely or never? Unweighted N=2,500132


Percent of Patients Very Satisfied WithDisease Management100%80%17%8%28%31%60%40%20%78%87%72%62%57%0%3%4%ENT Allergist Primary care Nurse Prac./Physician Asst.3%PatientsAll (91% to 100%) Most (51% to 90%) Some (11% to 50%)Q20. Approximately, what proportion of your patients with nasal allergies would you say are VERY satisfied withthe management of their disease? Would you say… N=400PQ51. Overall, how satisfied are you with your health practitioner’s management and treatment of your nasalallergies? Unweighted N=2,500133


Effect of Medical Treatmenton Quality of LifeNurse Prac./PhysicianAsst.51%41%Primary care46%42%Allergist74%26%ENT60%34%0% 20% 40% 60% 80% 100%A lotModerateQ21. How much effect does medical treatment have on the quality of life for an adult with allergic rhinitis? N=400134


How Often Patients Change AllergyMedicationsPatients10%8%12%38%Nurse Prac./PhysicianAsst.20%25%35%17%Primary care13%28%39%20%Allergist17%34%29%19%ENT21%29%38%12%0% 20% 40% 60% 80% 100%Several times a year Once a year Every few years RarelyQ22. How often do your patients with allergic rhinitis change allergy medicines – sever times each year, once ayear, once every few years, only rarely or never? N=400PQ81a. How often do you change nasal allergy medicines ---several times each year, once a year, every few years,only rarely or never? Unweighted N=2,500135


Patients Ask to Change AllergyMedicinePatients (yes)34%Nurse Prac./PhysicianAsst.1%16%56%Primary care1%5%63%Allergist1%13%61%ENT1%9%51%0% 20% 40% 60% 80% 100%All (91% to 100%) Most (51% to 90%) Some (11% to 50%)Q23a. What proportion of your patients with allergic rhinitis have asked you to change their allergy medicationbecause they were dissatisfied with it – all, most , some, only a few or none? N=400PQ82a. Have you ever asked your doctor to change your nasal allergy medication because you were dissatisfiedwith it? Unweighted N=2,500136


Reasons for Dissatisfaction withMedicine6 6 %Not effective6 9 %7 8 %8 7 %8 2 %Bothersome sideeffects2 1 %3 1 %3 3 %3 5 %5 3 %Effectiveness wearsoff6 %1 2 %1 3 %1 9 %2 0%Not covered byinsuranceCo-pay too highNo relief throughday/night1 %1 %1 %8 %1 3 %1 1 %1 1 %6 %9 %1 1 %7 %1 0%8 %5 %9 %PatientsNurse Prac./Physician Asst.Primary careAllergistENT0% 20% 40% 60% 80% 100%Q23b. Why are patients dissatisfied with their allergy medicine? [Unaided question] Base: Have asked to changemedicine because dissatisfied N=395PQ82c. Why were you dissatisfied with that medicine? Base: Have asked doctor to change nasal allergy medicines.Unweighted N=860137


Reasons for Dissatisfaction withMedicine (cont.)Wanted to trysomething else1 %1 %2 %4 %Doctor wanted toswitch1 %1 %2 %Don't like nasal spray1 %2 %5 %Cost/Expensive1 %2 %2 %1 %Dosing scheduledifficultHard to administerOther3 %1 %1 %1 %1 %2 %3 %1 %4 %4 %2 %2 %PatientsNurse Prac./Physician Asst.Primary careAllergistENT1 %0% 20% 40% 60% 80% 100%Q23b. Why are patients dissatisfied with their allergy medicine? [Unaided question] Base: Have asked to changemedicine because dissatisfied N=395PQ82c. Why were you dissatisfied with that medicine? Base: Have asked doctor to change nasal allergy medicines.Unweighted N=860138


Most Important Attribute of AllergyMedicine5 %Low cost4 %1 7 %1 %1 %6 %Few side effects2 %3 %4 %1 %2 %Easy to take2 %3 %5 %1 %Complete symptomrelief3 7 %3 8 %4 1 %4 2 %4 3 %Long lasting symptomreliefFast symptom relief1 3 %1 7 %1 9 %2 0%3 2 %2 6 %3 0%2 4 %2 8 %PatientsNurse Prac./Physician Asst.Primary careAllergistENT3 1 %0% 20% 40% 60% 80% 100%Q38. In choosing a medicine for nasal allergies, which would be most important to your patients? N=400PQ98. In choosing a nasal allergy medicine, which would be the most important to you …? Unweighted N=2,500139


Most Important Attributes of AllergyMedicineLow costFew side effects8 %1 8 %1 9 %1 9 %1 6 %1 6 %2 2 %2 5 %2 9 %3 9 %PatientsNurse Prac./Physician Asst.Primary careAllergistENT6 %Easy to take1 3 %1 6 %1 6 %1 3 %Complete symptomrelief4 8 %4 9 %5 2 %5 4 %6 1 %Long lasting symptomrelief3 9 %4 3 %5 1 %5 2 %6 2 %3 9 %Fast symptom relief3 3 %3 9 %4 8 %4 9 %0% 20% 40% 60% 80% 100%Q38. In choosing a medicine for nasal allergies, which would be most important to your patients? Q39. Whatwould be next most important to your patients? N=399PQ98. In choosing a nasal allergy medicine, which would be the most important to you …? PQ99. What would bethe next most important to you? Unweighted N=2,500140


Preferred Medicines for Moderate toSevere Persistent Allergy SymptomsInhaled CorticosteroidsAntihis. RXAntihis. OTCAntihis./decon. RXAntichol. Nasal sprayInternasal antihistaminesOral antihistaminesNon sedating antihistamines17%16%5%16%9%4%11%9%6%7%10%5%5%6%4%4%2%3%3%6%8%4%1%5%28%41%37%39%53%54%57%61%Nurse Prac./Physician Asst.Primary careAllergistENT0% 20% 40% 60% 80% 100%Q31. What class or classes of medication is your preferred choice for adults with moderate to severe persistentallergy symptoms? [Unaided response] N=400141


Preferred Medicines forModerate to Severe Persistent AllergySymptoms (cont.)Nasal steroids7 %7 %1 5 %1 0%Medication names3 %4 %5 %2 %Decon. OTC2 %3 %4 %Antihis./decon. OTC1 %4 %1 %Leukotrienes1 %2 %4 %2 %Decongestant nasal spray OTC1 %1 %1 %Nurse Prac./Physician Asst.Cromolyn1 %Primary careAllergistOther5 %5 %9 %ENT4 %0% 20% 40% 60% 80% 100%Q31. What class or classes of medication is your preferred choice for adults with moderate to severe persistentallergy symptoms? [Unaided response] N=400142


Patients Using Intra-NasalCorticosteroids100%Past 4 weeks Past 6 months Past year80%60%7%40%72%72%14%58%54%20%36%0%ENT Allergist Primary care Nurse Prac./Physician Asst.PatientsQ32. What proportion of your patients with allergic rhinitis are currently using an intra-nasal corticosteroid for theircondition? N=400PQ64a. In the past 4 weeks, have you used any prescription nasal sprays for your nasal allergies? PQ64b. When wasthe most recent time that you used a prescription nasal spray for your nasal allergies? Unweighted N=2,500143


Symptoms Relieved by Intra-nasalCorticosteroids100%80%30%19%23%25%34%60%40%70%80%72%73% 46%20%0%ENT Allergist Primary care Nurse Prac./Physician Asst.4%All Most Some1%16%PatientsQ33. Do intra-nasal corticosteroids give most patients relief from all of their symptoms, most symptoms, somesymptoms, few symptoms, or no symptoms? N=400PQ65. Does your current prescription nasal spray give you relief from all of your symptoms, most symptoms,some symptoms, or no symptoms? Base: Use prescription nasal spray. Unweighted N=919144


Time for Intra-nasalCorticosteroids ReliefPatients71%12%4%Nurse Prac./PhysicianAsst.14%43%35%Primary care23%50%24%Allergist18%63%17%ENT11%53%35%0% 20% 40% 60% 80% 100%Hours Days WeeksQ34. How long does it take an intra-nasal corticosteroid to begin giving symptoms relief? N=400PQ68. How long does it take for your current prescription nasal spray to begin giving you symptom relief?Unweighted N=919145


How Long Intra-nasals Provide Relief100%80%8 4 %24 hours or longer60%40%20%6 7 %6 4 %6 1 %0%ENT Allergist Primary care NursePrac./PhysicianAsst.Q25. How long are intra-nasal corticosteroids supposed to provide symptoms relief for nasal allergies? N=400146


Do Intra-nasals Lose Effectiveness100%80%Yes60%40%20%48%25%37%29%48%0%ENT Allergist Primary care Nurse Prac./Physician Asst.PatientsQ35a.PQ69a.Do intra-nasal corticosteroids lose effectiveness over the course of the day or night, or do they remain aseffective as when the patient first took it? N=400Does your current prescription nasal spray lose effectiveness over the course of the day or night, or does itremain as effective as when you first took it? Base: Used prescription nasal spray Unweighted N=919147


Time Until Intra-nasals LoseEffectiveness100%24 hours or longer80%60%40%20%25%32%30%21%0%ENT Allergist Primary care Nurse Prac./Physician Asst.5%PatientsQ35b. How long after taking an intra-nasal corticosteroid does it begin losing effectiveness allergies? Base: Loseeffectiveness over day and night N=139PQ69b. How long after taking your current nasal allergy medicine does it begin losing effectiveness? Base: Nasalspray loses effectiveness. Unweighted N=440148


Intra-Nasal Corticosteroids Wear OffOver Time100%80%Yes60%40%55%50%54%54%20%0%ENT Allergist Primary Care NursePrac./PhysicianAsstQ27a. Have you ever found that the effectiveness of intra-nasal corticosteroid products in treating nasal allergysymptoms wears off over time, even when taking the medicine as prescribed? N=400149


Time Until Intra-nasal CorticosteroidsWear OffNurse Prac./PhysicianAsst.26%4%48%Primary care17%11%54%Allergist26%16%36%ENT16%7%56%0% 20% 40% 60% 80% 100%Hours Days WeeksQ27b. About how long after the patient starts taking an intra-nasal corticosteroid does its effectiveness for allergysymptoms begin wearing off, even when being taken as prescribed? Base: Effectiveness wears off N=213150


Side Effects ofIntranasal CorticosteroidsDrowsiness6%5%1%2%Headaches2%Drying feeling10%18%20%19%Dripping down throatBurningBad taste4%3%5%13%12%20%20%45%42%38%34%31%Nurse Prac./Physician Asst.Primary careAllergistENT0% 20% 40% 60% 80% 100%Q28. How many of the intranasal corticosteroids for nasal allergies have the following types of side effects – all, most,some, few or none? N=400151


Patients Avoid Any Intra-NasalCorticosteroids100%80%Yes60%40%20%31%35%24%18%0%ENT Allergist Primary Care NursePrac./PhysicianAsstQ29a. Are there any intranasal corticosteroid medications for nasal allergies that your patients try to avoid using?N=400152


Reasons Avoid IntranasalCorticosteroids by SpecialtyOther8%Don't understand/fearDon't like it/causes discomfortBad experienceAbsorbs into systemDrowsiness/sleepy/tired/fatigueNot covered by insuranceSteroidsHeadachesDripping down throatMedication only mentionedDon't workPrice/costDrying/Dried outSpray up noseSide effects (not specified)Burning/stingingNosebleeds2%2%2%2%2%3%3%3%4%5%6%7%7%10%13%15%19%Smell/bad odor or smell/Taste36%Q29b. Why do your patients try to avoid that/those product(s)? N=1080% 20% 40% 60% 80% 100%153


Satisfaction of Patients withIntra-nasal CorticosteroidsPatients34%38%Nurse Prac./PhysicianAsst.41%55%Primary care41%57%Allergist39%61%ENT42%54%0% 20% 40% 60% 80% 100%Very satisfiedSomewhat satisfiedQ36. In general, how satisfied are your allergic rhinitis patients with their intra-nasal corticosteroids? Would yousay that they are very satisfied, somewhat satisfied, somewhat dissatisfied, or very dissatisfied? N=400PQ70b. In general, how satisfied have you been with the prescription nasal spray you have used for your nasalallergies in the past? Base: Ever used Rx nasal spray for nasal allergies. Unweighted N=2,033154


Patients Avoid Using Intra-NasalCorticosteroids for Nasal Allergies100%80%60%55%Yes40%41%40%42%20%0%ENT Allergist Primary Care NursePrac./PhysicianAsstQ37a. Do patients avoid using intra-nasal corticosteroids for their nasal allergies? N=400155


Reasons Avoid Intra-nasalCorticosteroidsDon't like spraysSide effects8%9%30%29%29%40%45%57%55%54%SafetyNosebleeds1%10%20%15%18%22%30%29%Other side effectsNot effectiveNo insurancecoverage/cost too muchTaste/smell2%5%2%2%2%7%11%10%6%5%8%4%2%1%12%8%5%2%PatientsNurse Prac./Physician Asst.Primary careAllergistENT0% 20% 40% 60% 80% 100%Q37b. Why do they avoid using intra-nasal corticosteroids for their nasal allergies? Base: Avoid using intra-nasalcorticosteroids for nasal allergies N=178PQ71. Why haven’t you used a prescription nasal spray you take/took for nasal allergies in the past 4 weeks? Base:Used in past but not past 4 weeks. Unweighted N=1,156156


Reasons Avoid Intra-nasalCorticosteroids (cont.)OtherDon't give immediate relief4%5%4%2%5%3%2%Timing/frequency of use2%7%Too dryingNot bad enoughDon't tolerate wellNo symptomsHard to useDependence worry4%2%3%4%2%2%2%5%4%1%5%1%2%11%30%PatientsNurse Prac./Physician Asst.Primary careAllergistENT0% 20% 40% 60% 80% 100%Q37b. Why do they avoid using intra-nasal corticosteroids for their nasal allergies? Base: Avoid using intra-nasalcorticosteroids for nasal allergies N=178PQ71. Why haven’t you used a prescription nasal spray you take/took for nasal allergies in the past 4 weeks? Base:Used in past but not past 4 weeks. Unweighted N=1,156157


Number of Symptoms Relieved forSuccessPatients33%53%Nurse Prac./PhysicianAsst.7%76%Primary care6%78%Allergist6%75%ENT4%76%0% 20% 40% 60% 80% 100%AllMostQ40. How many symptoms would an intranasal corticosteroid have to relieve for you to consider it a successfultreatment – all, most, some, a few or none? N=400PQ101. How many symptoms would a nasal allergy medicine have to relieve for you to consider it a successfultreatment --- all, most, some, a few or none? Unweighted N=2,500158


100%Percent Symptom Relief for Success85%80%72%73%71%77%Mean60%40%20%0%ENT Allergist Primary care NursePrac./PhysicianAsst.PatientsQ41. On a scale of 0 to 100 percent, what percent symptom relief would you expect from an intra-nasalcorticosteroid for it to be considered a successful treatment? N=400PQ102. On a scale of 0 to 100 percent, what percent symptom relief would you expect from a nasal allergymedicine for it to be considered a successful treatment? Unweighted N=2,500159


How Quick Symptom Relief for Success70Mean number of hours605040302010595849540ENT Allergist Primary care NursePrac./PhysicianAsst.Q42. How quickly after taking would an intra-nasal corticosteroid have to begin relieving symptoms for you toconsider it a successful treatment? N=400160


Wanting 24-hours or longer (%)100%80%60%40%20%0%Time Intra-nasals Last for Success62%73%ENT Allergist Primary care NursePrac./PhysicianAsst.Q43. How long after taking a dose of intra-nasal corticosteroid should symptom relief last for you to consider it asuccessful treatment? N=40061%54%161


Opinions About Nasal AllergiesNasal allergies can cause sinus infectionsNasal allergies can make asthma worseFrequent nasal allergy symptoms can beprevented in most casesThere are no truly effective treatments fornasal allergiesEven with proper treatment nasal allergiesusually cause some lifestyle limitationsNasal allergies are a serious health problem inthe US1%1%3%2%15%22%28%24%30%25%35%44%64%58%55%56%45%38%49%58%40%55%59%73%70%78%82%71%77%79%PatientsNurse Prac./Physician Asst.Primary careAllergistENT0% 20% 40% 60% 80% 100%Q44. Now I am going to read you a series of statements. As I read each statement, please tell me whether you agreestrongly, agree somewhat, disagree somewhat or disagree strongly with the statement. N=400PQ110. Now I am going to read you a series of statements. As I read each statement , please tell me whether youagree strongly, agree somewhat, disagree somewhat or disagree strongly with the statement. UnweightedN=2,500162


Patients Get Monies Worthfrom Rx Medicines100%80%82%85%91%87%Yes60%40%55%20%0%ENT Allergist Primary care Nurse Prac./Physician Asst.PatientsQ30. Overall, do your patients feel they get their money’s worth out of prescription medicines for nasal allergies?N=400PQ97. Overall, do you feel that patients get their money’s worth out of prescription medicines for nasal allergies?Unweighted N=2,500163


Need for Better Education of PatientsPatients49%40%Nurse Prac./PhysicianAsst.57%43%Primary care52%43%Allergist61%37%ENT57%38%0% 20% 40% 60% 80% 100%Strong needModerate needQ45. How much need do you think there is for better education of PEOPLE WITH NASAL ALLERGIES abouttheir condition and its treatment? Do you think there is a… N=400PQ113. How much need do you think there is for better education of people with nasal allergies about their conditionand its treatment? Unweighted N=2,500164


Aware of Professional Guidelines100%88%80%60%62%64%Yes46%40%20%0%ENT Allergist Primary care Nurse Prac./Physician Asst.Q46a. Are you aware of any professional guidelines for the diagnosis and management of allergic rhinitis? N=400165


Publisher of GuidelinesACAAI13%15%20%40%AAAAI11%28%57%56%Joint task force3%4%22%AAOA3%2%21%Other medical society3%13%11%16%ERSAMAALA2%3%2%5%1%Nurse Prac./Physician Asst.Primary careAllergistENT0% 20% 40% 60% 80% 100%Q46b. Who publishes those guidelines? Base: Aware of Guidelines N=260166


Publisher of Guidelines (cont.)Don't know7%13%33%39%Other2%9%ARIA3%Medical journalAAANIH5%2%2%2%2%2%2%6%WHONHLBI2%2%3%2%Nurse Prac./Physician Asst.Primary careAllergistENT0% 20% 40% 60% 80% 100%167Q46b. Who publishes those guidelines? Base: Aware of Guidelines N=260


Graduation YearNurse Prac./PhysicianAsst.3%25%29%43%Primary care21%28%35%16%Allergist42%36%15%6%ENT27%37%22%14%0% 20% 40% 60% 80% 100%1950 to 1975 1976 to 19851986 to 1995 1996 or laterD1. In what year did you [DOCTOR VER: graduate from Medical or Osteopathic school] [NP/PH VER: receiveyour license as a physician assistant]? N=400168


Continuing Medical Education100%95%99%92%80%79%60%Yes40%20%0%ENT Allergist Primary care NursePrac./PhysicianAsst.D2. Have you taken any continuing medical education (CME) courses related to the management and treatment ofallergic rhinitis [DOCTOR VER: since medical school] [PA/NP VER: since receiving your license]? N=400169


Primary Practice LocationNurse Prac./PhysicianAsst.33%23%20%6%18%Primary care22%42%14%10%12%Allergist29%54%13%3%1%ENT35%37%21%6%1%0% 20% 40% 60% 80% 100%Central city Suburb Small city Town RuralD3. Is your primary practice located in a central city, a suburb, a small city, a town or a rural area? N=400170


GenderNurse Prac./PhysicianAsst.21%79%Primary care75%25%Allergist76%24%ENT86%14%0% 20% 40% 60% 80% 100%D4. Gender N=400MaleFemale171

More magazines by this user
Similar magazines