Transcript Allergies in America - World Allergy Organization

Allergies in American Kids:
Comparisons of Children aged 4 to 17
with and without Allergies
Conducted by
Schulman, Ronca & Bucuvalas, Inc.
April, 2007
Supported by:
Study Design for Comparisons of Child
Health and Nasal Allergies
• National Sample of the Parents of 1,000 children,
aged 4-17
• 500 with current nasal allergies
• 500 without current nasal allergies
• Conducted by random digit dialing of a national
sample of households
• Conducted 3/07/07 to 4/25/07
1
Age of Designated Child
Percent of children
40%
Allergy N=351
Not Allergy N=501
30%
27%
25%
22%
20%
20%
19%
18% 18%
18%
18%
16%
10%
0%
4 to 6
7 to 9
10 to 12
Age (years)
13 to 15
16 to 17
2
Gender of Designated Child
100%
Allergy N=351
Children (%)
80%
60%
52%
50%
Not Allergy N=501
48%
50%
40%
20%
0%
Male
Female
3
General Health Rating
Percent of respondents
100%
80%
Allergy N=351
Not allergy N=501
59%
60%
46%
40%
30%
26%
17%
20%
11%
6%
4%
1%
1%
0%
Excellent
Very good
Good
Only fair
Poor/Very
Poor
Q1. In general, would you say that your (AGE)’s health is excellent, very good, good, only fair, poor or very poor?
4
Activity Limitation in Past 4 Weeks
Percent of respondents
100%
80%
Allergy N=351
Not allergy N=501
60%
40%
24%
21%
24%
22%
20%
11%
10%
10%
10%
0%
Been limited in
kind of work
Difficulty in
performing
Cut down on
amount
Accomplished
less
N2a. During the past four weeks has your (AGE)… been limited in the kind of work or other activities he/she could
do as a result of his health? N2b. … had difficulty in performing work or other activities …? N2c. … had to cut
down on the amount of time spent on his/her regular daily activities…? N2d… accomplished less than he/she would
like to….?
5
Felt Full of Life in Past 4 Weeks
Percent of respondents
100%
80%
Not allergy N=501
Allergy N=351
60%
51%
40%
48%
38%
33%
20%
8%
5%
7%
4%
2%
1%
1%
0%
1%
1%
0%
All the
time
Most of Good Bit
the time
Some
Little
None
Not sure
N3a. During the past 4 weeks how often has your (AGE) felt full of life --- all of the time, most of the time, a good bit of
the time, some of the time, little of the time, or none of the time?
6
Been Nervous in Past 4 Weeks
Percent of respondents
100%
80%
Allergy N=351
Not allergy N=501
58%
60%
50%
40%
23%
27%
17%
20%
11%
2%
1%
3%
1%
3%
2%
1%
1%
0%
All the
time
Most of Good Bit
the time
Some
Little
None
Not sure
N3b. During the past 4 weeks how often has your (AGE) been nervous --- all of the time, most of the time, a good bit of
the time, some of the time, little of the time, or none of the time?
7
Felt Calm and Peaceful in Past 4 Weeks
Percent of respondents
100%
80%
Allergy N=351
Not allergy N=501
60%
45% 47%
40%
29%
20%
19%
15%
9% 8%
9%
6%
2%
4% 2%
2% 3%
None
Not sure
0%
All the
time
N3c.
Most of Good Bit
the time
Some
Little
During the past 4 weeks how often has your (AGE) felt calm and peaceful --- all of the time, most of the time, a
good bit of the time, some of the time, little of the time, or none of the time?
8
Had a Lot of Energy in Past 4 Weeks
Percent of respondents
100%
80%
Allergy N=351
Not allergy N=501
60%
51%
40%
38%
38% 36%
20%
9%
11%
6%
5%
4% 1%
1% 1%
1% 1%
Little
None
Not sure
0%
All the
time
Most of Good Bit
the time
Some
N3d. During the past 4 weeks how often has your (AGE) had a lot of energy --- all of the time, most of the time, a good
bit of the time, some of the time, little of the time, or none of the time?
9
Been Downhearted or
Blue in Past 4 Weeks
Percent of respondents
100%
80%
Allergy N=351
Not allergy N=501
59%
60%
50%
40%
29% 31%
20%
13%
7%
1% 1%
0%
All the
time
3%
0%
3% 0%
Most of Good Bit
the time
1% 2%
Some
Little
None
Not sure
N3e. During the past 4 weeks how often has your (AGE) been downhearted and blue --- all of the time, most of the time, 10
a good bit of the time, some of the time, little of the time, or none of the time?
Felt Worn Out in Past 4 Weeks
Percent of respondents
100%
Allergy N=351
80%
Not allergy N=501
60%
43%
40%
32% 34%
25%
29%
18%
20%
3% 1%
5%
6%
1%
2%
0% 1%
0%
All the
time
N3f.
Most of Good Bit
the time
Some
Little
None
Not sure
During the past 4 weeks how often has your (AGE) felt worn out --- all of the time, most of the time, a good bit of
the time, some of the time, little of the time, or none of the time?
11
Been Happy in Past 4 Weeks
Percent of respondents
100%
80%
Allergy N=351
58%
60%
40%
Not allergy N=501
54%
30% 32%
20%
7% 6%
6%
3%
0%
All the
time
Most of Good Bit
the time
Some
2% 0%
1% 0%
0% 0%
Little
None
Not sure
N3g. During the past 4 weeks how often has your (AGE) been happy --- all of the time, most of the time, a good bit of
the time, some of the time, little of the time, or none of the time?
12
Felt Tired in Past 4 Weeks
Percent of respondents
100%
Allergy N=351
80%
Not allergy N=501
60%
40%
40%
36%
30%
30%
23%
17%
20%
4%
6%
1%
7%
2%
3%
0% 1%
0%
All the
time
Most of Good Bit
the time
Some
Little
None
Not sure
N3h. During the past 4 weeks how often has your (AGE) felt tiredt --- all of the time, most of the time, a good bit of
the time, some of the time, little of the time, or none of the time?
13
Ever Diagnosed with Asthma
100%
Percent of respondents
88%
80%
Allergy N=351
Not Allergy N=501
60%
60%
40%
40%
20%
12%
1%
0%
0%
Yes
No
Not sure
14
Q3c. Has your (AGE) ever been diagnosed with asthma?
Asthma in the Past 12 Months
Percent of respndents
100%
Allergy N=351
Not Allergy N=501
88%
80%
60%
60%
40%
28%
20%
12%
6%
5%
1%
0%
0%
Yes
Not Past 12
months
Never
Not sure
15
Q3c. Has your (AGE) ever been diagnosed with asthma? Q3d. Has your (AGE) had asthma in the past 12 months?
Any Other Serious Health Condition
100%
92%
Percent of respondents
89%
80%
Allergy N=351
Not Allergy N=501
60%
40%
20%
11%
8%
1%
0%
Yes
No
1%
Not sure
16
Q3a. Does your (AGE) have any other chronic or serious health conditions?
Other Chronic or
Serious Health Conditions
Percent of respondents
100%
Allergy N=37
80%
82%
Not allergy N=38
62%
60%
40%
20%
11%
11%
11%
8%
5%
3%
0%
0%
ADHD
Allergies
0%
Asthma
5%
3%
0%
Diabetes
0%
Eczema
Other
Refused
17
Q3b. What are these other chronic or serious health conditions? Base: Reported other health conditions
Other Conditions in the Past Week
None of these
Resp. infections
1%
5%
Pink eye
1%
4%
Fever
3%
12%
Not Allergy N=501
4%
Skin rashes
12%
Migraines
3%
Earaches
3%
Allergy N=351
11%
11%
13%
Cold or flu
Heartburn or GERD
75%
37%
22%
2%
6%
4%
Sinus problems
43%
0%
20%
40%
60%
80%
100%
18
Q37. During the last week has your (AGE) had ………….?
Tonsils or Adenoids Removed
100%
Percent of respondents
88%
Allergy N=351
Not Allergy N=501
80%
82%
60%
40%
20%
13%
6%
2%
3%
3%
2%
0%
0%
Tonsils
Adenoids
Both
No
1%
Not sure
19
N5. Has your (AGE) had his/her tonsils or adenoids removed?
Tubes in Ears
Percent of respondents
100%
Allergy N=351
Not Allergy N=501
91%
85%
80%
60%
40%
20%
15%
9%
1%
0%
0%
Yes
No
Not sure
20
N6a. Has your (AGE) had tubes put in his/her ears?
Nasal or Sinus Surgery
Percent of respondents
80%
98%
97%
100%
Allergy N=351
Not Allergy N=501
60%
40%
20%
3%
1%
0%
0%
Yes
No
0%
Not sure
21
N6b. Has your (AGE) ever had nasal or sinus surgery?
Every/Most Days During Worst Month
4%
Dry cough
Post-nasal drip
2%
Ear Pain
33%
5%
Runny Nose
Facial Pain
19%
0%
36%
7%
1%
5%
Headache
2%
Awakened or unable to sleep
2%
Itching
1%
Not Allergy N=501
Allergy N=351
11%
13%
25%
6%
Stuffed up nose
Red Itching Eyes
1%
Watering Eyes
2%
52%
29%
34%
4%
Repeated Sneezing
0%
45%
20%
40%
60%
80%
Q14. During the worst one month period in the past year, did your (AGE) have (symptom) every day, most days
a week, a few days a week, a few days a month, less than that, or never?
100%
22
Extremely or Very Important to Child
Not Allergy N=501
Allergy N=351
66%
64%
Indoor activities
73%
74%
Outdoor activities
52%
Having pets
63%
78%
82%
Going out/playing with friends
88%
82%
Doing things with family
43%
42%
School activities
82%
80%
Doing well in school
66%
63%
Playing organized sports or exercising
0%
20%
40%
60%
80%
N7. In your opinion, how important are each of the following to your (AGE)? Would you say it is extremely important,
very important, somewhat important or not too important?
100%
23
Employment Status of Parents
Percent of respondents
100%
80%
Allergies N=351
Not Allergies N=501
60%
54%
58%
40%
20%
17% 18%
15%
11%
1% 1%
3%
5%
3% 3%
3% 2%
3% 2%
2% 1%
D6.
ef
us
ed
R
is
ab
le
d
D
et
ire
d
R
St
ud
en
t
H
om
em
ak
er
U
ne
m
pl
oy
ed
ili
ta
ry
M
e
tim
Pa
rt
Fu
ll
tim
e
0%
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?
24
Work Days Missed by Parents in
Past 12 Months due to Child’s Health
Percent of respondents
100%
Allergies N=247
Not Allergies N=344
80%
62%
66%
60%
Mean work days lost for allergy: 8.4
Mean work days lost non-allergy: 3.6
40%
20%
4%
8%
7%
9%
6% 5%
9% 9%
7%
3%
5%
0%
None
1
2
3
4
2% 1%
0%
5
6 or
more
Not sure
Q15a. Has your (AGE) asthma/health caused you or your spouse to miss work in the past 12 months?
Q15b. How many work days have you or your spouse lost as a result of your (AGE) asthma/heath in the past 12
months? Base: Employed or in the military
25
Educational Status of Children
100%
92%
Percent of respondents
86%
80%
Allergy N=351
Not Allergy N=501
60%
40%
20%
3%
4%
1%
3%
7%
4%
0%
0%
School
Daycare
Home
schooled
No
0%
Refused
26
N8.
Is your (AGE) currently enrolled in a school or daycare facility?
Missed School or Daycare in the Past 12
Months due to Allergies/Health
Percent of respondents
100%
80%
Allergy N=333
64%
61%
Not Allergy N=451
60%
39%
40%
35%
20%
0%
0%
Yes
No
0%
Not sure
Q22a. Has you (AGE) missed (school/daycare) in the past 12 months due to his nasal allergies/health?
Base: In school or daycare
27
Allergies/Health Interfered with School or
Daycare in the Past 12 Months
Percent of respondents
100%
80%
59%
60%
40%
89%
Allergy N=333
Not Allergy N=501
39%
20%
11%
0%
0%
Yes
No
0%
Not sure
Q23a. Aside from actually missing (school/daycare), has his/her allergies/health interfered with his/her performance at
school? Base: In school or daycare
28
Avoid Activities
100%
96%
Percent of respondents
Allergy N=351
Not Allergy N=501
80%
71%
60%
40%
28%
20%
4%
1%
0%
Yes
No
0%
Not sure
29
Q27a. Does your (AGE) avoid any activities because of his/her nasal allergies/health?
Allergies/Health Interferes a Lot or Some
8%
Sleeping
38%
5%
10%
Indoor activities
8%
Outdoor activities
31%
4%
Having pets
29%
Going out/playing with friends
7%
Doing things with family
5%
School activities
5%
30%
22%
Not Allergy N=429
Allergy N=344
16%
9%
Doing well in school
26%
10%
Organized sports or exercising
31%
0%
20%
40%
60%
80%
100%
N9. How much do you feel your (AGE)’s allergies/health limit what he/she can do in the following areas --- a lot, some,
only a little or not at all?
30
At Least Somewhat Troubled
by Symptoms
12%
Lack of a good
night's sleep
28%
8%
Waking up during
the night
25%
Not Allergy N=501
Allergy N=351
12%
Difficulty in getting
to sleep
32%
0%
20%
40%
60%
80%
QR3a-c. How troubled has your (AGE) been by each of these symptoms during the last week as a result of his/her
nasal symptoms --- not troubled, hardly troubled, somewhat troubled, moderately troubled, quite a bit troubled, very
troubled or extremely troubled?
100%
31
How Often Snores While Sleeping
Percent of respondents
100%
Allergy N=351
Not allergy N=501
80%
60%
40%
29%
24%
20%
19%
14%
10%
0%
Every
night
Most
nights
Some
nights
Rarely
Never
Not sure
N10. How often does your (AGE) snore while sleeping? Would you say he/she snores --- every night, most nights,
some nights, rarely or never?
32
Usual Source of Medical Care
Not sure
1%
0%
Other
1%
3%
Public Health clinic
2%
3%
Company or Union clinic
1%
0%
Hospital ER
1%
1%
Not allergy N=501
Allergy N=351
3%
4%
Hospital outpatient clinic
91%
90%
Doctor's office
0%
20%
40%
60%
80%
100%
33
Q41. Is the place that you usually go for your overall medical care, medical advice or treatment a……?
Primary Health Care Provider
100%
90%
Percent of respondents
86%
80%
Allergy N=351
Non-allergy N=501
60%
40%
20%
5%
5%
6%
3%
3%
2%
1%
1%
0%
Doctor
Nurse
Practitioner
Physician
Asst
Other
Not sure
34
Q41b. Who does your (AGE) see most often for his/her health care, medical advice or treatment ……?
Seen Health Practitioner
in Past 12 Months
Percent of respondents
100%
80%
77%
73%
Allergy N=351
Not allergy N=501
60%
40%
23%
26%
20%
1%
1%
0%
Yes, seen doctor
No, not seen doctor
Not Sure
35
Q42a. Has your (AGE) seen a doctor or other health practitioner about his/her health in the past 12 months?
Attitudes about Nasal Allergies: Agree
44%
Rx nasal sprays are not safe for children
27%
77%
82%
Nasal allegies can cause sinus infections
75%
72%
Nasal allergies can make asthma worse
Frequent nasal allergy symptoms can be
prevented
62%
59%
There are no truly effective treatments for
nasal allergies
Not allergy N=501
25%
32%
Allergy N=351
Nasal allergies usually cause some lifestyle
limitations
67%
68%
Nasal allergies are serious health problem
in US
75%
90%
0%
20%
40%
60%
Q110. Now I am going to read you a series of statements. As I read each statement , please tell me
whether you agree strongly, agree somewhat, disagree somewhat or disagree strongly with
the statement.
80%
100%
36
Patient Has Health Insurance
Percent of respondents
100%
96%
95%
80%
Allergy N=351
Not allergy N=501
60%
40%
20%
3%
4%
1%
1%
0%
Yes, have health
insurance
No, do not have health
insurance
Not sure/Refused
37
Q111a. Do you have any sort of health insurance or health plan to cover your (AGE)’s health care costs?
Source of Health Insurance
Percent of respondents
100%
80%
Allergy N=337
Not allergy N=474
69% 69%
60%
40%
20%
13% 15%
9% 9%
5%
2%
2% 3%
0% 0%
2% 4%
1% 1%
COBRA
Other
Not sure
0%
Work or
union
Bought Medicare Medicaid Military
by you
or VA
38
Q111c.
Is your (AGE)’s coverage under that/those plan(s) from….? Base: Has health insurance for child
Amount of Prescription Drug Costs
Covered by Health Plan
Percent of respondents
100%
80%
Allergy N=337
60%
50%
Not allergy N=501
53%
40%
26% 27%
19%
20%
12%
3%
2%
1%
2%
1%
4%
0%
All
Most
Some
Little
None
Q111d. How much of the costs of your (AGE)’s prescription drugs is covered by your health plan?
Base: Has health insurance for child
Not sure
39
Need for Parent Education
Percent of respondents
100%
80%
Allergy N=351
Not allergy N=501
60%
50%
43%
43%
39%
40%
20%
8%
7%
6%
1%
1%
3%
0%
Strong need
Q113.
Moderate
need
Not much of No need at all
a need
How much need do you think there is for better education of parents of children with
nasal allergies about their condition and its treatment?
Not sure
40
Family History of Nasal Allergies
Not sure
1%
1%
48%
None of these
11%
Not allergy N=501
Allergy N=351
23%
Grandparents
49%
18%
Brothers or sisters
45%
23%
Mother
56%
19%
Father
46%
0%
20%
40%
60%
80%
100%
41
Q116. Do any of the following relatives of yours have nasal allergies?
Pets in Household
Percent of respondents
100%
80%
64%
Allergy N=351
63%
Not allergy N=501
60%
40%
37%
36%
20%
1%
0%
0%
Yes
No
Not sure
42
Q117a. Do you have pets living in your house?
Type of Pet
18%
Other
13%
Not allergy N=501
6%
Hamster/Gerbil
Allergy N=351
5%
4%
Bird
4%
51%
Cat
51%
70%
Dog
74%
0%
20%
40%
60%
80%
100%
43
Q65b.
What kind of pet or pets? Base: Has pets in household
Smokers in Household
Percent of respondents
100%
Allergy N=351
Not allergy N=501
80%
74%
73%
60%
40%
26%
27%
20%
1%
0%
Yes, someone smokes
No, no one smokes
0%
Not sure
44
Q118a. Does anyone in your household smoke?
Lives Near a Highway
Percent of respondents
100%
Allergy N=351
80%
60%
Not allergy N=501
54%
50%
48%
45%
40%
20%
2%
1%
0%
Yes
No
Not sure
45
N119.
Do you live within a quarter of a mile of a highway?
Heavy Trucks Pass Your Home
Percent of respondents
100%
Allergy N=337
80%
Not allergy N=501
60%
40%
36%
31%
20%
17%
16%
12%
6%
30%
31%
15%
5%
2%
1%
0%
Continuously Several times Several times
an hour
a day
Infrequently
Never
Not sure
46
N120. How often do heavy trucks pass your home? Would you say ……….?
Age of Parent or Caregiver
Percent of responders
100%
80%
Allergy N=351
Not allergy N=501
60%
43%
40%
40%
33%
21%
34%
22%
20%
1%
3%
2%
1%
0%
Under 25
25 to 34
35 to 44
45 or older
Not
sure/refused
47
D3. How old are you?
Education of Parent or Caregiver
Not sure/refused
1%
2%
Not allergy N=501
14%
15%
Graduate degree
Allergy N=351
Four-year college graduate
28%
26%
Some college
24%
28%
27%
23%
High school graduate
6%
6%
Some high school
8th grade or less
1%
1%
0%
20%
40%
60%
80%
100%
48
D4. What is the last year or grade of school you completed?
Hispanic Descent
Percent of respondents
100%
80%
Allergy N=351
Not allergy N=501
90%
91%
60%
40%
20%
8%
9%
2%
0%
0%
Yes, Hispanic
No, not Hispanic
Not sure/refused
49
D7. Are you of Hispanic origin or decent?
Race of Patient or Caregiver
Refused
1%
2%
Other
1%
1%
Not allergy N=501
Allergy N=351
Hispanic (vol)
7%
4%
Mixed
3%
7%
76%
75%
White
9%
8%
Black/African American
Asian
2%
1%
American Indian or Alaskan Native
1%
1%
Pacific Islander
1%
1%
0%
20%
40%
60%
80%
100%
50
D8. In which of the following categories do you feel you belong?
Household Income
11%
10%
Not sure/refused
19%
18%
Over $100,000
Not allergy N=501
Allergy N=351
13%
14%
$75,001 to $100,000
$50,001 to $75,001
17%
17%
$35,001 to $50,000
16%
17%
10%
9%
$25,001 to $35,000
6%
7%
$15,001 to $25,000
3%
5%
$10,001 to $15,000
6%
4%
$10,000 or less
0%
20%
40%
60%
80%
100%
51
D9. Which of the following categories best describes your 2006 household income before taxes?
Breast Fed for First Four Months
Percent of respondents
100%
Allergy N=351
Not allergy N=501
80%
62%
63%
60%
40%
34%
33%
20%
4%
4%
0%
Exclusively breast fed Not exclusively breast
fed
Not sure/refused
D10. Did the (AGE) take formula or solid food before he/she was five months old, or was he/she exclusively
breast fed for the first four months?
52
Pediatric Allergies in America:
Comparisons of Children aged 10 to 17 with Allergies
and their Parents
Conducted by
Schulman, Ronca & Bucuvalas, Inc.
April, 2007
Supported by:
Study Design for Comparison of Parents
and Children with Nasal Allergies
• National Sample of the Parents of 500 children, aged 4-17
with current nasal allergies
• Permission to interview children aged 10-17 was
requested after parent interview
• Questions in the child interview were a subset of the
questions asked of the parent about the child
• Conducted 3/07/07 to 4/25/07
54
Interviews with Children 10-17
Child refused, 1%
Parent refused, 24%
Child callback, 14%
Child complete, 61%
QCS1. Could we interview the child now, or at some better time?
N=260 parents of children aged 10-17 with current nasal allergies
55
General Health Rating
Percent of respondents
100%
80%
Parents
Children
60%
48%
38%
40%
32%
27%
20%
20%
14%
13%
4%
1%
2%
1%
0%
Excellent
Very good
Good
Only fair
Poor/Very
Poor
Not sure
Q1. In general, would you say that your (AGE)’s health is excellent, very good, good, only fair, poor or very poor?
C1. In general, would you say that your health is excellent, very good, good, only fair, poor or very poor?
N=158
56
Felt Full of Life in Past 4 Weeks
Percent of
100%
80%
60%
54%
40%
29%
20%
7%
7%
2%
0%
All the
time
Most of Good Bit
the time
Some
Little
None
Not sure
N3a. During the past 4 weeks how often has your (AGE) felt full of life --- all of the time, most of the time, a good bit of
the time, some of the time, little of the time, or none of the time? N=158
57
Been Nervous in Past 4 Weeks
Percent of respondents
100%
Parents
Kids
80%
60%
49%
44%
40%
25%
27%
18%
20%
18%
8%
1%
1%
2%
4%
3%
1%
0%
All the
time
Most of Good Bit
the time
Some
Little
None
0%
Not sure
N3b. During the past 4 weeks how often has your (AGE) been nervous --- all of the time, most of the time, a good bit of 58
the time, some of the time, little of the time, or none of the time? N=158
Felt Calm and Peaceful in Past 4 Weeks
Percent of respondents
100%
80%
60%
52%
40%
20%
17%
15%
10%
4%
0%
All the
time
N3c.
Most of
the time
Good Bit
Some
Little
None
Not sure
During the past 4 weeks how often has your (AGE) felt calm and peaceful --- all of the time, most of the time, a
good bit of the time, some of the time, little of the time, or none of the time? N=158
59
Had a Lot of Energy in Past 4 Weeks
Percent of respondents
100%
Parents
80%
Kids
60%
43%
39%
40%
29%
27%
20%
15%
13% 15%
8%
5%
4%
2%
1%
1%
1%
0%
All the
time
Most of
the time
Good Bit
Some
Little
None
Not sure
N3d. During the past 4 weeks how often has your (AGE) had a lot of energy --- all of the time, most of the time, a good
bit of the time, some of the time, little of the time, or none of the time? N=158
60
Been Downhearted or
Blue in Past 4 Weeks
Percent of respondents
100%
80%
Parents
Kids
60%
44%
40%
35%
47%
37%
20%
10%
1%
1%
4%
3%
3%
9%
4%
1%
1%
0%
All the
time
Most of
the time
Good Bit
Some
Little
None
Not sure
N3e. During the past 4 weeks how often has your (AGE) been downhearted and blue --- all of the time, most of the time, 61
a good bit of the time, some of the time, little of the time, or none of the time? N=158
Felt Worn Out in Past 4 Weeks
Percent of respondents
100%
80%
Parents
Kids
60%
40%
36%
32%
24% 25%
20%
20%
14%
13%
8%
4%
10%
4%
8%
2%
0%
All the
time
N3f.
Most of
the time
Good Bit
Some
Little
None
Not sure
During the past 4 weeks how often has your (AGE) felt worn out --- all of the time, most of the time, a good bit of
the time, some of the time, little of the time, or none of the time? N=158
62
Been Happy in Past 4 Weeks
Percent of respondents
100%
80%
66%
60%
Parents
Kids
53%
40%
20%
20% 22%
16%
6%
5%
6%
3%
3%
0%
All the
time
Most of Good Bit
the time
Some
Little
1%
1%
0%
None
Not sure
N3g. During the past 4 weeks how often has your (AGE) been happy --- all of the time, most of the time, a good bit of
the time, some of the time, little of the time, or none of the time? N=158
63
Felt Tired in Past 4 Weeks
Percent of respondents
100%
80%
Parents
Kids
60%
40%
34%
31%
34%
26%
19%
20%
10%
4% 4%
15%
10%
8%
4%
0%
All the
time
Most of Good Bit
the time
Some
Little
None
0% 1%
Not sure
N3h. During the past 4 weeks how often has your (AGE) felt tired --- all of the time, most of the time, a good bit of
the time, some of the time, little of the time, or none of the time? N=158
64
Ever Diagnosed with Asthma
Percent of respondents
100%
80%
Parents
61%
Kids
61%
60%
40%
39%
37%
20%
2%
0%
Yes
No
Not sure
65
Q3c. Has your (AGE) ever been diagnosed with asthma? N=158
Asthma in the Past 12 Months
Percent of respondents
100%
Parents
Kids
80%
61%
63%
60%
40%
30%
24%
20%
12%
8%
1%
0%
Yes
Not Past 12
months
Never
Not sure
Q3c. Has your (AGE) ever been diagnosed with asthma? Q3d. Has your (AGE) had asthma in the past 12 months?
N=158
66
Any Other Serious Health Condition
100%
91%
Percent of respondents
87%
Parents
Kids
80%
60%
40%
20%
12%
6%
1%
4%
0%
Yes
No
Not sure
67
Q3a. Does your (AGE) have any other chronic or serious health conditions? N=158
Conditions in the Past Week
27%
None of these
Resp. infections
3%
3%
Pink eye
3%
4%
41%
Parents
Fever
8%
11%
Skin rashes
10%
10%
Kids
28%
Migraines
15%
Earaches
14%
11%
18%
21%
Cold or flu
10%
8%
Heartburn or GERD
51%
Sinus problems
40%
0%
20%
40%
60%
80%
100%
68
Q37. During the last week has your (AGE) had ………….? N=158
Seasonal or Persistent Allergies
Percent of respondents
100%
80%
Parents
Kids
67%
62%
60%
40%
36%
32%
20%
2%
1%
0%
Seasonal
Persistent
Q12. Would you describe your nasal allergies as seasonal or do they occur throughout the year?
N=158
Not sure
69
Allergies Worse Inside or Out
Percent of respondents
100%
Parents
Kids
80%
63%
60%
50%
46%
40%
27%
20%
10%
4%
1%
1%
0%
Outdoors
Inside
About the same
Q13c. Are your nasal allergies symptoms worse when you are outdoors or inside, or is it about the same?
N=158
Not sure
70
Every/Most Days During Worst Month
12%
20%
19%
Post-nasal drip
3%
Facial Pain
34%
34%
37%
10%
3%
4%
Headache
13%
13%
13%
15%
Itching
15%
Parents
25%
39%
15%
Red Itching Eyes
20%
0%
20%
53%
30%
33%
35%
Repeated Sneezing
Kids
40%
46%
60%
80%
Q14. During the worst one month period in the past year, did your (AGE) have (symptom) every day, most days
a week, a few days a week, a few days a month, less than that, or never? N=158
100%
71
Extremely or Moderately Bothersome
52%
51%
Dry Cough
63%
Post-nasal drip
69%
58%
Runny Nose
65%
53%
Facial Pain
60%
45%
Ear Pain
60%
63%
62%
Headache
47%
Itching
60%
67%
Stuffed up nose
74%
57%
54%
Red, itching eyes
50%
52%
Watering Eyes
Parent
Kids
54%
50%
Repeated Sneezing
0%
20%
40%
60%
80%
Q15. When you have nasal allergy attacks, how bothersome are the following symptoms usually --- extremely
bothersome, moderately bothersome, slightly bothersome, or not bothersome? Base: Had symptom
100%
72
Most Bothersome Symptom
Not sure
3%
2%
7%
7%
Dry Cough
Facial Pain
2%
4%
2%
4%
6%
5%
2%
1%
Repeated Sneezing
6%
Itching
Ear Pain
Watering Eyes
12%
Parents
12%
14%
10%
10%
7%
7%
15%
14%
Runny Nose
Red, itching eyes
Post-nasal drip
Headache
Kids
25%
26%
Stuffed up nose
0%
20%
40%
60%
80%
100%
73
Q16. Which of these symptoms was the most bothersome to you? Base: Had bothersome symptoms.
Missed School due to Allergies
Percent of
100%
80%
65%
60%
58%
39%
40%
34%
20%
3%
1%
0%
Yes
No
Not sure
Q22a. Has you (AGE) missed (school/daycare) in the past 12 months due to his nasal allergies/health?
Base: In school or daycare
74
Allergies Interfered with School
Percent of respondents
100%
80%
65%
60%
54%
41%
40%
32%
20%
5%
3%
0%
Yes
No
Q23a. Aside from actually missing (school/daycare), has his/her allergies/health interfered with
his/her performance at school?
Base: In school or daycare
Not sure
75
Productivity and Allergies
100%
96%
Percent of respondents
92%
Parents
Kids
80%
69%
63%
60%
40%
20%
0%
No Symptoms
Symptoms at worst
Q24. Thinking about your productivity on a scale of 0 to 100, where 100 means 100% productivity, where would
you rank your productivity on days when you don’t have nasal allergy symptoms? Q25. Where would you rank
your productivity on the same scale of 0 to 100 … when your nasal allergies are at their worst?
76
Avoid Activities
100%
Percent of respondents
Parents
Kids
80%
69%
69%
60%
40%
31%
30%
20%
1%
0%
Yes
No
0%
Not sure
77
Q27a. Does your (AGE) avoid any activities because of his/her nasal allergies/health?
N=158
Allergies Interferes a Lot or Some
36%
36%
Sleeping
10%
11%
Indoor activities
33%
31%
Outdoor activities
Having pets
34%
30%
Going out/playing with friends
33%
29%
18%
24%
Doing things with family
16%
17%
School activities
28%
27%
Doing well in school
Parents
Kids
30%
32%
Organized sports or exercising
0%
20%
40%
60%
80%
100%
N9. How much do you feel your (AGE)’s allergies/health limit what he/she can do in the following areas --- a lot, some,
only a little or not at all?
78
Frequently or Sometimes
Felt During Allergy Season
Percent of respondents
100%
80%
72%
66%
63%
60%
44%
40%
43%
34%
32%
35%
28%
23%
23%
20%
0%
Depressed Hyperactive
or blue
Irritable
Tired
Anxious
Miserable
79
Q30. During allergy season, how often do you feel (ITEM) – frequently, sometimes, rarely or never? N=158
Impact of Allergies on Daily Life
Percent of respondents
100%
80%
Parents
Kids
60%
40%
30%
25%
19%
20%
23%
25%
23% 25%
13%
8%
7%
2%
0%
A lot
Moderate
Some
Little
Didn't
really
impact
Not sure
80
Q31. During allergy season, would you say the condition impacted your daily life …..? N=158
Nasal Allergy Control in Past Week
Percent of respondents
100%
Parents
Kids
80%
60%
39%
40%
26%
27%
39%
29%
23%
20%
3%
4%
6%
3%
1%
0%
Not
controlled
Poorly
controlled
Somewhat
controlled
Well
controlled
Completely
Not sure
Q32. Overall, how well would you say that your nasal allergies have been controlled in the last week? Would you
say it was completely controlled, well controlled, somewhat controlled, poorly controlled, or not controlled at
all? N=158
81
Allergy Symptom Severity in Past Week
Percent of respondents
100%
80%
Parents
Kids
60%
48%
40%
36%
23%
33%
27%
22%
20%
6%
3%
2%
1%
0%
Severe
Moderate
symptoms
Mild
symptoms
No symptoms
Not sure
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? N=158
82
At Least Somewhat Troubled
by Symptoms
35%
Lack of a good
night's sleep
29%
Parents
Kids
30%
Waking up during
the night
24%
39%
Difficulty in getting
to sleep
29%
0%
20%
40%
60%
80%
QR3a-c. How troubled has your (AGE) been by each of these symptoms during the last week as a result of his/her
nasal symptoms --- not troubled, hardly troubled, somewhat troubled, moderately troubled, quite a bit
troubled, very troubled or extremely troubled?
100%
83
Prescription Nasal Spray for
Allergies in Past 4 Weeks
100%
Percent of respondents
Parents
Kids
80%
69%
64%
60%
40%
35%
30%
20%
1%
1%
0%
Yes
No
Not Sure
Q64a. In the past 4 weeks, have you used any prescription nasal spray for your nasal allergies? Q64b. When was the
most recent time that you used a prescription nasal spray? N=158
84
How Many Symptoms Relieved
by Nasal Spray
Percent of respondents
100%
80%
Parents
Kids
60%
50%
46%
40%
29%
25%
20%
16%
13%
7%
8%
5%
0%
All
Q65.
Most
Some
None
Not sure
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
85
How Quickly Does it Relieve
Percent of respondents
100%
80%
Parents
Kids
60%
46%
40%
29%
20%
27%
20%
13%
13%
9%
5%
0%
Within 1 hour
2
1 hour
hours
0%
0% 2%
2%
3-4
hours
5-6
hours
7-10
hours
0%
4% 2%
4%
11-23
hours
1-6
days
Q68. How long does it take for your current prescription nasal spray to begin giving you symptom relief?
Base: Use prescription nasal spray
10%
7%
2%
1+
week
Not
Sure
86
Does Effectiveness Wear Off
Percent of respondents
100%
80%
Parents
60%
Kids
56%
46%
40%
36%
38%
18%
20%
6%
0%
Loses effectiveness
Does not
Not sure
Q69a. Does your current prescription nasal spray lose effectiveness over the course of the day or night, or does it
remain as effective as when you first took it? Base: Used prescription nasal spray
87
When Begins Losing Effectiveness
11%
Not sure
24 hours or longer
4%
0%
4%
Parents
16-23 hours
4%
7%
12-15 hours
19%
15%
19%
8-11 hours
41%
4-7 hours
31%
26%
Less than 4 hours
19%
0%
Q69b.
Base:
Kids
0%
20%
40%
60%
How long after taking your current nasal allergy medicine does it begin losing effectiveness?
Nasal spray loses effectiveness.
80%
100%
88
Satisfaction with Recent Rx Nasal Spray
for Nasal Allergies
Percent of respondents
100%
80%
Parents
Kids
60%
46%
42%
40%
40%
30%
20%
11%
10%
11%
8%
2%
0%
Very Satisfied
Somewhat
Satisfied
Somewhat
dissatisfied
Very
dissatisfied
0%
Not sure
Q70a. How satisfied are you with the prescription nasal spray you used for your nasal allergies in the past 4
weeks? Base: Used Rx nasal spray for nasal allergies in the past 4 weeks.
89
How Quickly Supposed to Relieve
24%
Not sure
17%
25 hours or longer
2%
13-24 hours
1%
10-12 hours
3%
1%
7-9 hours
2%
1%
11%
Parents
6%
Kids
4%
3%
4-6 hours
22%
1-3 hours
11%
42%
Within 1 hour
49%
0%
20%
40%
60%
80%
Q85. How quickly are prescription medicines supposed to begin providing symptom relief for nasal allergies?
N=158
100%
90
Effectiveness Ever Wore Off
before 24 Hours
Percent of
100%
80%
60%
46%
40%
38%
35%
34%
27%
21%
20%
0%
Yes
No
Not sure
Q87a. Have you ever found that the effectiveness of a product that promised 24 hour relief began wearing off earlier?
N=158
91
When Does Effectiveness Wear Off
Percent of respondents
100%
80%
Parents
Kids
60%
40%
33%
18%
20%
13%
3%
2%
4%
2%
21%
15%
23%
24%
15%
12% 11%
4%
0%
Within 1
hour
Q87c.
1 hour
2 hours
3-4
hours
5-6
hours
7-10
hours
11 or
more
Not sure
About how long after you started taking it does a nasal allergy medicine’s effectiveness begin wearing
off? Base: Found nasal allergy medicine offering 24 hour relief wearing off.
92
Effectiveness Wears Off Over Time
Percent of respondents
100%
80%
Parents
Kids
60%
46%
43%
38%
40%
28%
26%
19%
20%
0%
Yes
No
Not sure
Q88a. Have you ever found that a product’s effectiveness in treating your nasal allergy symptoms wears off over
time even when you are taking the medicine as prescribed? N=158
93
When Does Effectiveness Wear Off
Percent of respondents
100%
80%
Parents
Kids
60%
36%
40%
20%
14%
14%
14%
11%
7%
0%
Within 1 1 month
2
3-4
5-6
7-10
11 + Not sure
month
months months months months months
Q88c.
About how long after you started taking it does a nasal allergy medicine’s effectiveness begin wearing
off even when taken as prescribed? Base: Found nasal allergy medicine wearing off.
94
Nasal Allergy Meds Cause Nosebleeds
100%
Percent of respondents
81%
80%
75%
Parents
Kids
60%
40%
20%
14%
11%
9%
9%
0%
Yes
No
Not sure
95
Q89a. Have any of the medicines that you have taken for your nasal allergy ever caused nosebleeds?
How Bothersome were Nosebleeds
Percent of respondents
100%
80%
Parents
Kids
60%
43%
39%
40%
36%
28%
20%
28%
14%
6%
7%
0%
Extremely
bothersome
Moderately
bothersome
Slightly
bothersome
Not bothersome
96
Q89b. How bothersome were those nosebleeds? Base: Medicine caused nosebleeds.
Most Important for Nasal Allergy
Medicine
4%
Not sure
Low cost
3%
2%
1%
Parents
Kids
4%
Few side effects
8%
7%
Easy to take
3%
Complete symptom
relief
27%
40%
35%
Long lasting relief
25%
21%
Fast symptom relief
20%
0%
20%
40%
60%
Q98. In choosing a nasal allergy medicine, which would be the most important to you …?
N=158
80%
100%
97
Pets in Household
Percent of respondents
100%
80%
Parents
61%
Kids
61%
60%
39%
40%
39%
20%
0%
Yes
No
Not sure
98
Q117a. Do you have pets living in your house? N=158
Smokers in Household
Percent of respondents
100%
Parents
80%
Kids
74%
67%
60%
40%
33%
26%
20%
1%
0%
Yes, someone smokes
No, no one smokes
Not sure
99
Q118a. Does anyone in your household smoke? N=158
Allergies in American Kids:
Treatment Survey of Nasal Allergy Sufferers
Conducted by
Schulman, Ronca & Bucuvalas, Inc.
April, 2007
Supported by:
Children Diagnosed with Nasal Allergies:
Household Screening
Not diagnosed, 86%
Diagnosed, 14%
QA3. How many persons under age 18 live in this household (even if they are not there right now)? QB. Have any
of these persons under age 18 been diagnosed by a medical professional as having hay fever, allergic rhinitis, or
nasal allergies? QC. How many persons, under age 18 in this household have been diagnosed by a medical
professional as having hay fever, allergic rhinitis or nasal allergies? N=7,504 adults in 33,522 households
101
Current Nasal Allergies:
Household Screening
Symtoms only , 14%
Symptoms and
Medication, 80%
Medication only, 2%
Neither, 3%
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 persons
take any medication for their hay fever, rhinitis or nasal allergies? N=6,315 households with allergic
rhinitis
102
Children with Current
Nasal Allergies aged 4 to 17
Percent of respondents
100%
80%
74%
60%
40%
20%
16%
6%
4%
1%
0%
None
1
2
3
H1. What are the ages of the persons with have fever, allergic rhinitis or nasal allergies?
Base: Children diagnosed with allergies and either symptoms in past year or current medication N=680
4 or more
103
Individual Screening for Diagnosis
Percent of respondents
100%
80%
74%
60%
40%
33%
26%
20%
5%
0%
Hay Fever
Allergic Rhinitis
Nasal allergies
None of these
S1a. Has a doctor or other medical professional ever diagnosed the (AGE) as having …….?
Base: Household screened as diagnosed and current nasal allergies aged 4 to 17 N=506
104
Current Nasal Allergies:
Individual Screening
Symptoms only , 28%
Medication only, 4%
Symptoms and
Medication, 67%
Neither, 2%
QS1b. Do you still suffer from hay fever or nasal allergies? S1c. When was the most recent time that you
experienced hay fever or symptoms of nasal allergies for a month or longer? QS2. In the past 12
months, have you taken a prescription medication to treat your nasal allergies? N=478 persons
diagnosed
105
When Diagnosed With Nasal Allergies
Percent of respondents
20%
18%
14%
13%
11%
10%
8%
8%
8%
7%
6%
4%
3%
0%
Under
3
3
4
5
6
7
8
Age (years)
9
10-12 13+
Not
Sure
106
Q4. At what age were you first diagnosed with nasal allergies, rhinitis or hay fever? N=407
Who Diagnosed Nasal Allergies
Not sure
2%
Other
Internal Medicine
3%
1%
Pediatrician
42%
ENT/OTO
11%
Allergist
15%
Family Practice
19%
General Practice
8%
0%
20%
40%
60%
80%
100%
107
Q5. What was the medical specialty of the doctor who diagnosed your (AGE) with nasal allergies? N=407
Skin and Blood Tests for Allergies
Neither
50%
Not sure
1%
Blood test only
11%
Both
13%
Q6a.
Q6b.
Skin test only
24%
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=407
108
Seasonal or Persistent Allergies
Throughout the year,
37%
Not sure, 1%
Seasonal, 62%
Q12. Would you describe your nasal allergies as seasonal or do they occur throughout the year?
Unweighted N=407
109
Allergy Symptoms Worse During a
Particular Season or Time of Year
Percent of respondents
100%
80%
78%
72%
64%
60%
40%
20%
0%
All
Q12.
Q13a.
Seasonal
Persistent
Would you describe your nasal allergies as seasonal or do they occur throughout the year?
In the past 12 months, have your nasal allergy symptoms been more frequent or worse during a particular
season or time of year? Unweighted N=407
110
Season Allergies Are the Worse
Percent of respondents
100%
80%
75%
60%
40%
33%
20%
17%
13%
2%
0%
Spring
Q13b.
Summer
Fall
Winter
During what times of the year are your nasal allergies the worse? Base: Worse at certain times
Unweighted N=350
Not Sure
111
Allergies Worse Outdoors or Inside
Same
50%
Not sure
1%
Inside
3%
Outside
46%
Q13c.
Are your nasal allergies worse when you are outdoors or inside, or is it about the same?
Unweighted N=407
112
Symptoms During Worst Month
9%
Post-nasal drip
10%
17%
16%
19%
Facial Pain
16%
3%5%
Every day
2%
3%
Most days
Headache
13%
Awakened / Unable to Sleep
6% 9%
27%
Red, itching eyes
12%
17%
16%
Repeated Sneezing
26%
19%
25%
0%
20%
20%
40%
60%
80%
100%
Respondent report frequency (%)
Q14. During the worst one month period in the past year, did you have (symptom) every day, most days a
week, a few days a week, a few days a month, less than that, or never? Unweighted N=407
113
How Bothersome are Symptoms
Dry Cough
15%
38%
23%
Runny Nose
47%
25%
39%
18%
Ear Pain
33%
19%
41%
19%
Itching
39%
22%
35%
32%
Red, itching eyes
42%
21%
35%
16%
Repeated Sneezing
32%
13%
0%
Extremely
Moderately
37%
20%
40%
60%
80%
100%
Rrespondent reported frequency (%)
Q15. When you have nasal allergy attacks, how bothersome are the following symptoms usually --- extremely
bothersome, moderately bothersome, slightly bothersome, or not bothersome ?
114
Most Bothersome Symptom
Not Sure
2%
Dry Cough
10%
Itching
4%
Ear Pain
3%
Watering Eyes
5%
Facial Pain
2%
Repeated Sneezing
6%
Runny Nose
12%
Red, itching eyes
8%
Post-nasal drip
8%
Headache
13%
Stuffed up nose
28%
0%
10%
20%
30%
40%
50%
Rrespondent reported frequency (%)
Q16. Which of these symptoms was the most bothersome to you? Base: Had bothersome symptoms.
Unweighted N=356
115
Degree of Discomfort from Allergies
Can't Tolerate
34%
Not sure
1%
Can Ignore
9%
Can Tolerate
56%
Q17. In general, when you have a nasal allergy attack would you say that your discomfort is usually something
you can ignore, you can’t ignore it, but you can tolerate it, or you can’t tolerate it without relief? Unweighted
N=407
116
What Triggers Allergy Symptoms
Chemicals
3%
Fumes, odors
7%
Exercise
6%
Tobacco Smoke
5%
Perfume
4%
Animals
17%
Weather
17%
Grass
27%
Dust
31%
Pollen
57%
0%
20%
40%
60%
Respondent reported frequency (%)
117
Q19. What things usually trigger or make your nasal allergy symptoms worse? Unweighted N=407
What Triggers Allergy Symptoms (cont.)
Not Sure
6%
Other
13%
Nothing
1%
Emotions
2%
Virus or Cold
6%
Stress
4%
Insects
2%
Pollution
8%
0%
5%
10%
15%
20%
Respondents reported frequency
118
Q19. What things usually trigger or make your nasal allergy symptoms worse? Unweighted N=407
Productivity and Allergies
Respondents mean reported
productivity (%)
100%
97%
80%
68%
60%
40%
20%
0%
No Symptoms N=395
Symptoms at worst N=397
Q24. Thinking about your productivity on a scale of 0 to 100, where 100 means 100% productivity, where would you rank
your productivity on days when you don’t have nasal allergy symptoms?
Q25. Where would you rank your productivity on the same scale of 0 to 100 when your nasal allergies are at their worst?119
Base: Employed full time Unweighted N=1,315
Symptoms During Worst Month
Miserable
Anxious
48%
22%
Irritable
45%
20%
Hyperactive
18%
15%
7%
0%
Frequently
Sometimes
22%
9%
Tired
Depressed or blue
31%
15%
19%
20%
40%
60%
80%
100%
Respondent reported frequency (%)
Q30. During allergy season, how often do you feel (ITEM) – frequently, sometimes, rarely or never?
Unweighted N=407
120
Impact of Allergies on Daily Life
Little, 27%
Didn't really impact,
23%
A lot, 8%
Some, 24%
Moderate, 17%
121
Q31. During allergy season, would you say the condition impacted your daily life …..? Unweighted N=407
Nasal Allergy Control in Past Week
Not sure
0%
Completely
34%
Poorly controlled
4%
Not controlled
3%
Well controlled
32%
Somewhat controlled
27%
Q32. Overall, how well would you say that your nasal allergies have been controlled in the last week? Would you
say it was completely controlled, well controlled, somewhat controlled, poorly controlled, or not controlled at
all? Unweighted N=407
122
Allergy Symptom Severity in Past Week
Not sure
1%
Severe
6%
No symptoms
28%
Moderate symptoms
22%
Mild symptoms
43%
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=407
123
Specialty of Doctor
Treating Nasal Allergies
Not sure
1%
Other
37%
ENT
2%
Allergist
13%
Internal medicine
3%
Family practice
31%
General practice
14%
0%
10%
20%
30%
40%
50%
Respondents reported frequency (%)
Q43. What is the medical specialty of the doctor that you see most often for your nasal allergies?
Unweighted N=351 Base: See a doctor for nasal care
124
Seen Doctor for Nasal Allergies
in Past 12 Months
No, not seen doctor,
38%
Not Sure, 1%
Yes, seen doctor, 62%
125
Q42a. Have you seen a health practitioner about your nasal allergies in the past 12 months? Unweighted N =407
Shots for Nasal Allergies
Never, 89%
5 years ago or longer,
1%
3-4 years, 1%
Past year, 8%
1-2 years, 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 =407
126
Drops or Extracts for Nasal Allergies
5 years ago or longer,
0%
3-4 years, 1%
Never, 86%
1-2 years, 2%
Past year, 12%
QN47c.
Has your doctor or health practitioner ever given you nasal allergy drops or extracts by mouth or under
the tongue to treat your nasal allergies? QN47d. When was the most recent time you had nasal
allergy drops or extracts by mouth or under the tongue? Unweighted N =407
127
Shown How to Use Nasal Spray
1-2 years, 14%
Past year, 25%
Not sure when if ever,
2%
3-4 years, 7%
5 years ago or longer,
3%
Never, 39%
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 your
nasal allergies? Unweighted N=407
128
Follow Health Practitioner’s Advice
Not sure , 1%
All of the time, 39%
Never, 3%
Rarely, 3%
Some of the time, 13%
Most of the time, 42%
Q49.
Would you say that you follow your health practitioner’s advice on the management and treatment of your
nasal allergies – all of the time, most of the time, some of the time, rarely or never? Unweighted N=407
129
Satisfaction with Health Practitioner’s
Management of Your Allergies
Very dissatisfied, 2%
Somewhat
dissatisfied, 4%
Very satisfied, 70%
Not sure, 1%
Somewhat satisfied,
23%
Q51.
Overall, how satisfied are you with your health practitioner’s management and treatment of your nasal
allergies? Unweighted N=407
130
Changed Doctors due to Dissatisfaction
No, 86%
Yes, 14%
Q52a. Have you ever changed doctors because you were dissatisfied with their management of your
nasal allergies? Unweighted N=407
131
Seen Specialist for Nasal Allergies
Primary doctor is
specialist, 13%
Seen other specialist,
14%
Not seen specialist,
87%
132
Q54a. Have you seen a specialist about your nasal allergies in the past 12 months? Unweighted N=407
Satisfaction with Specialist’s
Management of Your Allergies
Not Sure , 12%
Very satisfied, 65%
Somewhat
dissatisfied, 4%
Very dissatisfied, 4%
Somewhat satisfied,
16%
Q54c.
Base:
Overall, how satisfied are you with your specialist’s management and treatment of your nasal allergies?
Seen specialist other than primary doctor in the past year. Unweighted N=57
133
Types of Medications Used for Allergies
Percent of respondents
100%
80%
60%
40%
39%
32%
26%
20%
3%
0%
Prescription only Non-prescription
only
Q62.
Both
Neither
For the current management and treatment of your nasal allergy symptoms do you use prescription
medications only, non-prescription medications only, or both? Unweighted N=407
134
Non-Prescription Medicine
for Allergies in Past 4 Weeks
Percent of respondents
100%
80%
60%
49%
51%
40%
20%
0%
Yes
Q63a.
No
In the past 4 weeks, have you used any over-the-counter, non-prescription medicine to give you relief from
nasal allergy symptoms? Unweighted N=407
135
Non-Prescription Medicine for Allergies:
Recency of Use
Past year, 10%
Past 6 months, 16%
Not sure, 9%
Past 4 weeks, 54%
More than a year,
11%
Q63a.
Q63b.
In the past 4 weeks, have you used any over-the-counter, non-prescription medicine to give you relief from
nasal allergy symptoms?
When was the most recent time that you used an over the counter, non- prescription medicine for relief from
nasal allergy symptoms? Unweighted N=407
136
Which OTC Medicine Used
Not Sure
4%
Other
21%
Neo-Synephrine
1%
Nasalcrom
1%
Tavist
1%
Chlortrimeton
1%
Alavert
3%
1%
Actifed
2%
Afrin
3%
Cold medicines
Tylenol Allergy
11%
Sudafed
11%
37%
Benadryl
30%
Claratin
0%
10%
20%
30%
40%
Reported frequency (%)
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=220
137
Satisfaction with Recent OTC Medicine
for Nasal Allergies
Not sure, 4%
Very satisfied, 37%
Very dissatisfied, 5%
Somewhat
dissatisfied, 7%
Somewhat satisfied,
47%
Q63f. How satisfied are you with the over-the-counter medicine you used for your nasal allergies in the past 4
weeks? Base: Used OTC for nasal allergies in the past 4 weeks. Unweighted N=220
138
Prescription Nasal Spray for
Allergies in Past 4 Weeks
Percent of respondents
100%
80%
69%
60%
40%
31%
20%
1%
0%
Yes
No
Not Sure
139
Q64a. In the past 4 weeks, have you used any prescription nasal spray for your nasal allergies? Unweighted N=407
Prescription Nasal Spray for Allergies:
Recency of Use
Not sure, 1%
Never, 31%
More than a year,
15%
Past year, 8%
Past 6 months, 13%
Past 4 weeks, 33%
Q64a.
In the past 4 weeks, have you used any prescription nasal sprays for your nasal allergies? Q64b. When was
the most recent time that you used a prescription nasal spray for your nasal allergies? Unweighted N=407
140
Which Prescription Nasal Spray Used
Not Sure
8%
Other
Nasarel
11%
1%
Astelin
3%
Rhinocort
6%
Nasacort
11%
Nasonex
37%
Flonase
28%
0%
10%
20%
30%
40%
50%
Reported frequency (%)
Q64c. What is the name of the prescription nasal spray you take/took for nasal allergies?
Base: Used in past 4 weeks. Unweighted N=132
141
How Many Symptoms Relieved
by Nasal Spray
None, 4%
Some, 26%
Most, 44%
Not sure, 5%
All, 22%
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=132
142
How Quickly Does it Relieve
Percent of respondents
100%
80%
60%
40%
20%
33%
16%
10%
4%
0%
0%
1%
2%
Within 1 hour
2
3-4
5-6
7-10 11-23
1 hour
hours hours hours hours hours
5%
1%
1-6
days
Q68. How long does it take for your current prescription nasal spray to begin giving you symptom relief?
Unweighted N=132
1+
week
4%
Not
Sure
143
Does Effectiveness Wear Off
Does not, 38%
Not sure, 12%
Loses effectiveness,
50%
Q69a. Does your current prescription nasal spray lose effectiveness over the course of the day or night, or does it
remain as effective as when you first took it?
Base: Used prescription nasal spray Unweighted N=132
144
When Begins Losing Effectiveness
Not sure
2%
24 hours or longer
11%
16-23 hours
3%
12-15 hours
18%
8-11 hours
15%
4-7 hours
38%
Less than 4 hours
14%
0%
Q69b.
Base:
20%
40%
60%
How long after taking your current nasal allergy medicine does it begin losing effectiveness?
Nasal spray loses effectiveness. Unweighted N=66
80%
100%
145
Satisfaction with Recent Rx Nasal Spray
for Nasal Allergies
Not sure, 2%
Very satisfied, 43%
Very dissatisfied, 5%
Somewhat dissatisfied,
6%
Somewhat satisfied,
44%
Q70a. How satisfied are you with the prescription nasal spray you used for your nasal allergies in the past 4
weeks? Base: Used Rx nasal spray for nasal allergies in the past 4 weeks. Unweighted N=132
146
Satisfaction with Rx Nasal Sprays for
Nasal Allergies
Very satisfied, 35%
Not sure, 7%
Somewhat satisfied,
42%
Very dissatisfied, 6%
Somewhat dissatisfied,
11%
Q70b. In general, how satisfied have you been with the prescription nasal spray you have used for your nasal
allergies in the past?
Base: Ever used Rx nasal spray for nasal allergies. Unweighted N=275
147
Reason for Not Using Rx Nasal Spray
Recently
Not Sure
3%
Other
25%
Hard to use
Don't tolerate
3%
1%
Don't like sprays
12%
Side effects
5%
Not effective
7%
Not bad enough
13%
No symptoms
37%
0%
Q71.
20%
40%
60%
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=151
80%
100%
148
Other Prescriptions for Allergies
in Past 4 Weeks
Percent of respondents
100%
80%
71%
60%
40%
28%
20%
1%
0%
Yes
Q72a.
No
Not Sure
Have you taken any other prescription medications for your nasal allergies in the past 4 weeks?
Unweighted N=407
149
Other Prescription Medicine Used
Not sure
5%
Other
21%
Fexofenadine
2%
Prednisone/Medrol dose pack
1%
Clarinex
4%
Claritin Rx
5%
Singulair
35%
Zyrtec
33%
Allegra
14%
0%
Q72b.
Base:
20%
40%
60%
What is the name of the other prescription medicine you take/took for nasal allergies?
Used in past 4 weeks. Unweighted N=112
80%
100%
150
How Many Symptoms Relieved by
Nasal Spray
Some, 23%
Not Sure, 1%
Most, 48%
None, 1%
All, 27%
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=576
151
How Quickly Does it Relieve
Percent of respondents
100%
80%
60%
40%
23%
20%
21%
18%
12%
12%
4%
1%
1%
5%
4%
0%
Within 1 hour
2
3-4
5-6
7-10 11-23
1 hour
hours hours hours hours hours
Q76. How long does it take for this prescription medicine to begin giving you symptom relief?
Base: Use other prescription medicine. Unweighted N=112
1-6
days
1+
week
Not
Sure
152
Does Effectiveness Wear Off
Does not, 54%
Not sure, 8%
Loses effectiveness, 38%
Q77a. Does this prescription medicine lose effectiveness over the course of the day or night, or does it
remain as effective as when you first took it?
Base: Use other prescription medicine. Unweighted N=112
153
When Begins Losing Effectiveness
Not sure
14%
24 hours or longer
9%
16-23 hours
2%
12-15 hours
19%
8-11 hours
16%
4-7 hours
26%
Less than 4 hours
14%
0%
Q77b.
Base:
20%
40%
60%
How long after taking this nasal allergy medicine does it begin losing effectiveness?
Other prescription medicine loses effectiveness. Unweighted N=43
80%
100%
154
Satisfaction with Other Prescription
Medicine for Nasal Allergies
Not sure, 3%
Very dissatisfied, 4%
Very satisfied, 57%
Somewhat
dissatisfied, 4%
Somewhat satisfied,
33%
Q78.
How satisfied are you with the other prescription medicine you used for your nasal allergies in the past 4
weeks? Base: Used other prescription medicine for nasal allergies in the past 4 weeks. Unweighted N=112
155
Respondents reported frequency (%)
Medicine for Allergies in Past 4 Weeks
100%
80%
71%
60%
49%
44%
40%
34%
22%
20%
0%
OTC
Rx Nasal
Spray
Other Rx
Any Rx
Any
No
Medication Medication
Q63a. In the past 4 weeks, have you used any over-the-counter, non-prescription medicine to give you relief from
nasal allergy Symptoms?
Q64a. In the past 4 weeks, have you used any prescription nasal spray for your nasal allergies?
Q72a. Have you taken any other prescription medications for your nasal allergies in the past 4 weeks?
Unweighted N=407
156
Use of Prescription Meds
for Nasal Allergies
Not sure
2%
Never take
14%
Only Part Year
61%
All year
23%
0%
20%
40%
60%
80%
100%
Respondents reported frequency (%)
Q79. Do you take prescription medicines for your nasal allergies all through the year or only during the
times of the year that your nasal allergies are the worst? Unweighted N=407
157
Change Prescription Medicines
for Nasal Allergies
Not sure, 3%
Never, 38%
Several times a year,
8%
Once a year, 9%
Only rarely, 32%
Every few years, 10%
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=407
158
Why Changed Medicine
for Nasal Allergies
Other
11%
Not sure
Not fast enough
6%
1%
Hard to take
3%
Not long lasting enough
Safety concerns
4%
1%
Not covered
4%
Didn't treat symptoms
7%
Cost/co-pay
3%
Bothersome side effects
4%
7%
Patient wanted to try other
Doctor wanted to try other
23%
Not effective enough
41%
0%
20%
Q81b. Why have you changed nasal allergy medicines? Anything else?
Base: Have changed nasal allergy medicines. Unweighted N=241
40%
60%
80%
100%
159
Asked Doctor to Change Medication
No, 73%
Not Sure, 1%
Yes, 26%
Q82a. Have you ever asked your doctor to change your nasal allergy medication because you were dissatisfied with it? 160
Unweighted N=407
Why Dissatisfied with
Nasal Allergy Medicine
Not sure
1%
Other
3%
Hard to administer
2%
Cost/co-pay
1%
Didn't provide 24 hour relief
9%
Effectiveness wore off
9%
Bothersome side effects
12%
Wasn't effective
64%
0%
20%
40%
60%
80%
100%
Respondents reported frequency (%)
Q82c. Why were you dissatisfied with that medicine?
Base: Have asked doctor to change nasal allergy medicines. Unweighted N=106
161
How Quickly Supposed to Relieve
Not sure
20%
25 hours or longer
11%
13-24 hours
7%
10-12 hours
2%
7-9 hours
1%
4-6 hours
4%
1-3 hours
14%
Within 1 hour
42%
0%
20%
40%
60%
80%
100%
Respondents reported frequency (%)
Q85. How quickly are prescription medicines supposed to begin providing symptom relief for nasal allergies?
Unweighted N=407
162
How Long Supposed to Relieve
Not sure
21%
24 hours or longer
31%
18-23 hours
3%
12-17 hours
16%
6-11 hours
20%
Less than 6 hours
10%
0%
20%
40%
60%
80%
100%
Respondents reported frequency (%)
163
Q86. How long are prescription medicines supposed to provide symptom relief for nasal allergies? Unweighted N=407
Effectiveness Ever Wore Off
before 24 Hours
Not sure, 25%
No, 38%
Yes, 37%
Q87a. Have you ever found that the effectiveness of a product that promised 24 hour relief began wearing off earlier? 164
Unweighted N=407
Effectiveness Wore Off:
Multiple Products
No, 38%
Yes, one, 16%
Not sure, 25%
Yes, more than one,
18%
Yes, not sure if 1 or
more, 3%
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=407
165
When Does Effectiveness Wear Off
Percent of respondents
100%
80%
60%
40%
31%
20%
17%
1%
3%
3%
Within 1
hour
1 hour
2 hours
16%
17%
5-6
hours
7-10
hours
13%
0%
Q87c.
3-4
hours
11 or
more
Not sure
About how long after you started taking it does a nasal allergy medicine’s effectiveness begin wearing
off? Base: Found nasal allergy medicine offering 24 hour relief wearing off. Unweighted N=152
166
Stopped Taking Because
Effectiveness Wore Off
Respondents percent
100%
80%
60%
40%
40%
20%
15%
0%
All Patients - Unweighted
N=407
Experienced Wear-off
Unweighted N=152
167
Q87d. Have you ever stopped taking a product for your nasal allergies because its effectiveness had worn off?
Effectiveness Wears Off Over Time
No, 46%
Not sure, 23%
Yes, more than one,
15%
Yes, one, 15%
Yes, not sure how
many, 1%
Q88a. Have you ever found that a product’s effectiveness in treating your nasal allergy symptoms wears off over
time even when you are taking the medicine as prescribed?
Q88b. Has this happened to you with more than one nasal allergy product? Unweighted N=407
168
When Does Effectiveness Wear Off
Not sure
33%
11 or more months
7-10 months
3%
2%
5-6 months
10%
3-4 months
13%
2 months
11%
1 month
13%
Within 1 month
15%
0%
20%
40%
60%
80%
100%
Respondents reported frequency (%)
Q88c. About how long after you started taking it does a nasal allergy medicine’s effectiveness begin wearing off
even when taken as prescribed?
Base: Found nasal allergy medicine wearing off. Unweighted N=124
169
Respondents reported freguency (%)
Stopped Taking Because
Effectiveness Wore Off
100%
80%
60%
46%
40%
20%
14%
0%
All Patients Unweighted
N=407
Experienced Wear-off
Unweighted N=124
170
Q88d. Have you ever stopped taking a product for your nasal allergies because its effectiveness had worn off?
Nasal Allergy Meds Cause Nosebleeds
Not sure, 15%
No, 72%
Yes, 12%
Q89a. Have any of the medicines that you have taken for your nasal allergy ever caused nosebleeds?
Unweighted N=407
171
How Bothersome Were Nosebleeds
Slightly bothersome,
23%
Moderately
bothersome, 30%
Not bothersome, 6%
Not sure , 2%
Extremely
bothersome, 38%
Q89b. How bothersome were those nosebleeds?
Base: Medicine caused nosebleeds. Unweighted N=47
172
Respondents reported frequency (%)
Side Effects of Allergy Medicines
50%
Some
Most
40%
14%
All
11%
30%
8%
10%
20%
11%
7%
10%
24%
19%
5%
3%
1%
6%
6%
0%
Bad taste
Q90.
6%
Burning
Dripping
down throat
Drying
feeling
3%
10%
1%
2%
Headaches Drowsiness
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=407
173
Respondents reported frequency (%)
How Bothersome are Side Effects
50%
Moderately
40%
Extremely
30%
20%
20%
15%
9%
10%
13%
9%
8%
5%
5%
4%
Drying
feeling
Headaches
Drowsiness
7%
11%
7%
0%
Bad taste
Q91.
Burning
Dripping
down throat
How bothersome are the following side effects of nasal allergy medicines --- extremely, moderately,
slightly or not bothersome? Unweighted N=407
174
Try to Avoid Certain Medicines
Not sure, 16%
No, 70%
Yes, 15%
175
Q100a. Are there any nasal allergy medications that you try to avoid using? Unweighted N=407
Reason Stopped Taking
Nasal Allergy Prescription
None of these
51%
Concern about safety
5%
Hard to administer
Dosing schedule was difficult
7%
2%
Co-pay was too high
4%
Not covered
5%
Bothersome side effects
14%
Didn't provide 24 hour relief
13%
Effectiveness began wearing off
15%
Didn't find it effective
16%
0%
20%
40%
60%
80%
100%
Respondents reported frequency (%)
Q94. Have you ever stopped taking a nasal allergy medicine prescribed by your doctor because….
Unweighted N=407
176
Tell Doctor When Stop Taking Rx Meds
Yes, 55%
Not sure, 1%
No, 43%
Q95.
Base:
When you have stopped taking a nasal allergy medicine for one of these reasons, do you always tell your
doctor right away?
Have stopped taking nasal allergy medicine prescribed by doctor. Unweighted: N=264
177
Get Money’s Worth From Rx Meds
Yes, 62%
Not sure, 6%
No, 32%
Q97. Overall, do you feel that patients get their money’s worth out of prescription medicines for nasal allergies?
Unweighted N=407
178
Most Important for Nasal Allergy
Medicine
Not sure
Low cost
3%
2%
Few side effects
8%
Easy to take
4%
Complete symptom relief
38%
Long lasting relief
27%
Fast symptom relief
18%
0%
20%
40%
60%
80%
100%
Respondents reported frequency (%)
Q98. In choosing a nasal allergy medicine, which would be the most important to you …?
Unweighted N=407
179
Important for Nasal Allergy Medicine
Not sure
Most
Low cost
Few side effects
Easy to take
Next
8%
16%
8%
4% 10%
Complete symptom relief
17%
38%
Long lasting relief
25%
27%
Fast symptom relief
22%
18%
0%
20%
40%
60%
80%
100%
Respondants reported frequency (%)
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=407
180
How Many Symptoms
Relieved for Success
Most, 56%
Some, 6%
None, 1%
Few, 2%
Not sure, 3%
All, 33%
Q101.
How many symptoms would a nasal allergy medicine have to relieve for you to consider it a successful
treatment --- all, most, some, a few or none? Unweighted N=407
181
Percent Relief for Success
Percent of respondents
100%
87%
88%
87%
All Patients
N=2,500
No symtoms
Mild
symptoms
87%
86%
80%
60%
40%
20%
0%
Moderate
symptoms
Q102. On a scale of 0 to 100 percent, what percent symptom relief would you expect from a nasal allergy
medicine for it to be considered a successful treatment?
Q33. How would you describe your nasal allergy symptoms in the past week?
Severe
symptoms
182
How Quickly Must Relieve
Not sure
7%
11 hours or longer
10%
7-10 hours
2%
5-6 hours
2%
3-4 hours
4%
2 hours
9%
1 hour
37%
Within 1 hour
30%
0%
20%
40%
60%
80%
100%
Respondents reported frequency (%)
Q103.
How quickly after taking would a nasal allergy medicine have to begin relieving symptoms for you to
consider it a successful treatment? Unweighted N=407
183
How Long Must Last
Not sure
6%
24 hours or longer
28%
16-23 hours
4%
12-15 hours
18%
8-11 hours
17%
4-7 hours
19%
Less than 4 hours
7%
0%
20%
40%
60%
80%
100%
Respondents reported frequency (%)
Q104.
How long after you take a dose of nasal allergy medicine should symptom relief last for you to consider it a
successful treatment? Unweighted N=407
184
Failed to Follow Physician Instructions
Concern about safety
14%
Poor toleration
18%
Concern about long term use
17%
Cost of drugs
12%
Worry about side effects
19%
Troublesome side effects
21%
Lack of symptoms
41%
Loss of effectiveness over time
25%
Lack of symptom relief
27%
0%
20%
40%
60%
80%
100%
Respondents reported frequency (%)
Q108.
People with nasal allergies sometimes fail to follow their physician’s instructions about their medicines
for allergies. Have you ever failed to take an allergy medicine as prescribed because of ……
Unweighted N=407
185
Insurance Restricts Type Of Medicine
Doesn't restrict, 60%
Not sure, 7%
Not covered, 5%
Yes, does, 28%
Q111f. Does your insurance restrict your doctor from prescribing specific nasal allergy medications for you?
Unweighted N=407
186
Pediatric Allergies in America:
Survey of Health Professionals
Conducted by
Schulman, Ronca & Bucuvalas, Inc.
April, 2007
Supported by:
Study Design
Population
Sampling Frame
Population Aged 4-17
• with allergies
• without allergies
National RDD
Interview
Length
Completed
Sample
minutes
500
500
Cross-section: 1/5/06-1/31/07
Health Professional Survey
-- Pediatrics
-- Family Practice
-- Allergy
-- Otolaryngology
-- Nurse practitioner
-- Physician assistant
AMA/AOA Master List
minutes
100
100
101
100
50
50
Physician Survey: 1/17/06-2/14/07
188
Health Provider Type
Respondent reported frequency (%)
35%
30%
25%
20%
20%
20%
20%
20%
15%
10%
10%
Nurse
Practitioner
Physician
Asst
10%
5%
0%
ENT
Allergist
Pediatrician
Family
Practice
189
Base: Total completed interviews N=501
Primary Ambulatory Care Setting
Other
Hospital Outpatient
HMO
Clinic
3%
7%
0%
1%
1%
Nurse Prac./Physician Asst.
3%
2%
0%
1%
1%
Family Practice
Pediatrician
Allergist
3%
1%
4%
1%
3%
0%
1%
ENT
34%
11%
9%
13%
Multi-specialty group
33%
18%
23%
20%
27%
26%
Single-specialty
group
48%
34%
31%
13%
Solo practice
0%
23%
21%
20%
41%
43%
40%
60%
80%
100%
Responder frequency (%)
Q3. In what type of ambulatory care setting do you spend MOST of your (out-patient) patient care time during a
usual work week? Is it… N=501
190
Patients Seen on Outpatient Basis
Responder frequency (%)
100%
95%
80%
60%
51%
44%
43%
38%
40%
20%
0%
ENT
Allergist
Pediatrican
Family Practice
Nurse
Prac./Physician
Asst
191
Q4.
In an average week, about how many patients aged 4 to 17 do you see on an outpatient basis? N=501
Patients seen with allergic rhinitis (%)
Percent of Patients with Rhinitis
100%
80%
67%
60%
43%
40%
29%
25%
23%
20%
0%
ENT
Allergist
Pediatrician
Family Practice
Nurse
Prac./Physician
Asst
192
Q5.
About what percent of the patients aged 4 to 17 you see each week have allergic rhinitis? N=501
How Bothersome are Symptoms
Nurse Prac./ Physician
Asst.
Family Practice
Pediatrician
9%
7%
77%
5%
67%
Allergist
24%
ENT
75%
14%
0%
Extremely
Moderately
73%
79%
20%
40%
60%
80%
100%
Respondants reported frequency (%)
Q6. For most patients 4 to 17 that you see with allergic rhinitis, how bothersome are their nasal allergy
symptoms? Would you say they are extremely bothersome, moderately bothersome, slightly
bothersome or not bothersome? N=501
193
Most Bothersome Symptoms
22%
90%
90%
92%
Nasal congestion
98%
96%
10%
63%
74%
74%
Runny nose
69%
68%
14%
72%
Post-nasal drip
78%
67%
73%
75%
5%
51%
Watery eyes
57%
51%
50%
45%
10%
46%
45%
Red/Itching eyes
50%
53%
Patients (single choice)
Nurse Prac./Physician Asst.
Primary care
Pediatrician
Allergist
ENT
37%
0%
20%
40%
60%
80%
100%
Respondents reported frequency (%)
Q7.
Which of the following nasal allergy symptoms are most bothersome to your patients? N=501
PQ16. Which of these symptoms was the most bothersome to you? Base: Had bothersome symptoms.
Unweighted N=2,362
194
Most Bothersome Symptoms (Cont.)
4%
29%
39%
Itching
34%
44%
43%
9%
30%
39%
36%
41%
40%
Repeated sneezing
4%
37%
Ear pain
29%
41%
20%
43%
14%
26%
29%
Headache
28%
35%
39%
7%
23%
Facial pain
22%
0%
20%
27%
32%
Patients (single choice)
Nurse Prac./Physician Asst.
Primary care
Pediatrician
Allergist
ENT
36%
40%
60%
80%
100%
Respondents reported frequency (%)
Q7.
PQ16.
Which of the following nasal allergy symptoms are most bothersome to your patients? N=501
Which of these symptoms was the most bothersome to you? Base: Had bothersome symptoms.
Unweighted N=2,362
195
Discomfort During Allergy Attack
Patients
Nurse Prac./Physician Asst.
28%
Family Practice
27%
Pediatrician
38%
56%
55%
ENT
Can't ignore
64%
70%
Allergist
Can't tolerate
55%
38%
41%
26%
0%
71%
20%
40%
60%
80%
100%
Respondants reported frequency (%)
In general, would you say that patients’ discomfort during a nasal allergy attack is usually something they can
ignore, they can’t ignore it, but they can tolerate it, or they can’t tolerate it without relief? N=501
PQ17. In general, when you have a nasal allergy attack would you say that your discomfort is usually something
you can ignore, you can’t ignore it, but you can tolerate it, or you can’t tolerate it without relief? Unweighted
N=2,501
Q8.
196
Patients Missing Work Due to Rhinitis
Patients (yes)
30%
All (91% to 100% )
Most (51% to 90% )
Nurse Prac./Physician Asst.
Family Practice
Pediatrician
7%
5%
15%
17%
40%
2% 11%
Allergist
4%
ENT
3%
0%
Some (11% to 50% )
33%
42%
25%
23%
20%
35%
40%
60%
80%
100%
Respondents reported frequency (%)
Q9.
Among your patients 4 to 17 with allergic rhinitis who are in school, how many would you estimate have
missed school in the past 12 months due to their nasal allergies? N=501
PQ22a. Have you missed work in the past 12 months due to your nasal allergies? Base: Employed full time
Unweighted N=1,315
197
Reported patient productivity (%)
Productivity When Nasal Allergies
are at Their Worst
100%
80%
66%
61%
60%
55%
54%
ENT
Allergist
59%
40%
20%
0%
Pediatrician
Family
Practice
NP/PA
Patients
Q10. Thinking about productivity at school on a scale from 0 to 100, where 100 means 100% productivity, where would you
rank the productivity of patients 4 to 17 with allergic rhinitis, when their nasal allergies are at their worst? N=501
PQ24. Thinking about your productivity on a scale of 0 to 100, where 100 means 100% productivity, where would you rank
198
your productivity on days when you don’t have nasal allergy symptoms?
PQ25. Where would you rank your productivity on the same scale of 0 to 100 … when your nasal allergies are at their worst?
Impact of Allergies on Daily Life
Q11. For the average patient aged 4 to 17 with allergic rhinitis, during allergy season, would you say the condition
impacted 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=501
PQ31. During allergy season, would you say the condition impacted your daily life …..? Unweighted N=2,500
199
Classification of Nasal Allergies
100%
Yes response (%)
80%
72%
64%
60%
55%
52%
51%
Family Practice
Nurse
Prac./Physician
Asst
40%
20%
0%
ENT
Allergist
Pediatrician
Q12. Do you classify the severity of nasal allergies in patients aged 4 to 17 [DOCTOR VERSION: when you make
the diagnosis] [PA/NP VERSION: when you initially see them]? N=501
200
Percent of Patients with Perennial Allergies
Reported perennial allergies (%)
100%
80%
64%
60%
52%
40%
37%
40%
39%
Family
Practice
NP/PA
20%
0%
ENT
Allergist
Pediatrician
Q13a. What proportion of your patients aged 4 to 17 with nasal allergies would you classify as
having perennial allergies? N=501
PQ12. Would you describe your nasal allergies as seasonal or do they occur throughout the
year? Unweighted N=2,500
Patients
201
Proportion of Patients Classified by
Symptom Severity
Nurse
Prac./Physician Asst.
20%
Family Practice
41%
23%
Pediatrician
41%
20%
Allergist
36%
35%
38%
42%
32%
ENT
47%
29%
44%
27%
Severe
Moderate
Mild
0%
20%
40%
60%
80%
100%
4 to 17 year-olds respondents
202
Q13b. What proportion of your patients aged 4 to 17 with nasal allergies would you classify as having…? N=501
Skin Test to Confirm Diagnosis
Patients (yes)
Nurse
Prac./Physician Asst.
49%
4%
8%
Family Practice
3% 4%
Pediatrician
3% 4%
32%
36%
48%
Allergist
ENT
Always
Most of the time
Sometimes
49%
7%
0%
50%
21%
20%
1.0%
39%
40%
60%
80%
100%
Respondents (%)
Q14.
How often do you conduct a skin test, either in your office or by referral, when making or confirming a
diagnosis of allergic rhinitis in patients aged 4 to 17…? N=501
PQ6a. Were you given a skin test to see what you were allergic to? Unweighted N=2,500
203
Blood Test to Confirm Diagnosis
Patients (yes)
23%
Always
Nurse Prac./Physician
Asst.
Family Practice
Pediatrician
Allergist
ENT
Most of the time
2% 10%
26%
1% 6%
26%
1% 10%
1% 2%
3%
0%
Sometimes
38%
32%
14%
33%
20%
40%
60%
80%
100%
Response (%)
Q15.
How often do you conduct a blood test, either in your office or by referral, when making or confirming a
diagnosis of allergic rhinitis in patients aged 4 to 17…? N=501
PQ6b. Were you given a blood test to see what you were allergic to? Unweighted N=2,500
204
Allergy Shots to Treat Nasal Allergies
Patients (ever)
Nurse Prac./Physician
Asst.
2% 8%
Family Practice
3% 7%
Pediatrician
Allergist
ENT
All
Most
Some
25%
30%
40%
4% 3%
5%
8%
0%
30%
20%
17%
20%
49%
40%
60%
80%
100%
Received allergy shots (%)
Q16.
Among your patients aged 4 to 17 with allergic rhinitis, do you give allergy shots to or refer patients to get
allergy shots to treat nasal allergies to all, most, some, a few or none? N=501
PQN47a. Has your doctor or health practitioner ever given you nasal allergy shots? Unweighted N =2,500
205
Allergy Drops to Treat Nasal Allergies
Patients (ever)
17%
Nurse Prac./Physician
Asst.
Family Practice
Pediatrician
6%
3%
1%
Allergist
1%2%
ENT
4%
0%
9%
7%
9%
All
Most
Some
14%
6%
12%
3%
21%
10%
20%
30%
40%
50%
Refer patiens for oral or nasal therapy (%)
Q17.
Among your patients aged 4 to 17 with allergic rhinitis, do you give or refer patients to get allergy drops or
extracts by mouth or under the tongue to treat nasal allergies to all, most, some, a few or none? N=501
PQN47c. Has your doctor or health practitioner ever given you nasal allergy drops or extracts by mouth or under
the tongue to treat your nasal allergies? Unweighted N =2,500
206
How Often Show How
to Use Nasal Spray
Patients
31%
Nurse
Prac./Physician Asst.
29%
Family Practice
13%
Pediatrician
Every few years
When prescribed/
5 years or more
53%
1%
76%
56%
2%
47%
ENT
18%
0%
15%
5%
31%
Allergist
1+ times/yr
22%
6%
1%
20%
45%
67%
40%
60%
80%
100%
Show patients how to use nasal spray (%)
Q18.
How often do you show patients aged 4 to 17 how to use a nasal spray for their nasal allergies? N=501
PQ48a. 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 your
nasal allergies? Unweighted N=2,500
207
Respondents reported frequency (%)
Difficulty in Using Spray Dispensers
100%
Some
Moderate amount
80%
A lot of difficulty
60%
40%
39%
37%
37%
32%
57%
26%
20%
0%
10%
17%
12%
11%
1%
2%
3%
3%
5%
ENT
Allergist
Pediatrician
Family
Practice
NP/PA
15%
How much difficulty do your patients aged 4 to 17 have in using nasal spray dispensers for their allergy
medicine? In general would you say they have a…N=501
PQ51. Overall, how satisfied are you with your health practitioner’s management and treatment of your nasal
allergies? Unweighted N=2,500
Patients
Q18b.
208
Respondents reported frequency (%)
How Often Patients Follow Advice
100%
Most of the time
80%
All of the time
60%
41%
40%
56%
55%
49%
20%
0%
43%
37%
36%
0%
1%
1%
1%
2%
ENT
Allergist
Pediatrician
Family
Practice
NP/PA
Patients
Q19.
Would you say that most of your patients aged 4 to 17 with allergic rhinitis follow your advice on the
management and treatment of nasal allergies…? N=501
PQ49. Would you say that you follow your health practitioner’s advice on the management and treatment of your
nasal allergies – all of the time, most of the time, some of the time, rarely or never? Unweighted N=2,500
209
Respondents reported frequency (%)
Percent of Patients Very Satisfied With
Disease Management
100%
Most (51% to 90%)
All (91% to 100%)
80%
60%
40%
73%
77%
75%
68%
58%
57%
20%
0%
3%
4%
4%
2%
1%
ENT
Allergist
Pediatrician
Family
Practice
NP/PA
Patients
Q20.
Approximately, what proportion of your patients aged 4 to 17 with nasal allergies would you say are VERY
satisfied with the management of their disease? Would you say… N=501
PQ51. Overall, how satisfied are you with your health practitioner’s management and treatment of your nasal
allergies? Unweighted N=2,500
210
Effect of Medical Treatment
on Quality of Life
NP/PA
43%
Family Practice
42%
Pediatrician
44%
57%
ENT
Moderate
43%
46%
Allergist
A lot
43%
38%
53%
0%
20%
43%
40%
60%
80%
100%
Effect of treatment on QOL (%)
Q21. How much effect does medical treatment have on the quality of life for a patient
aged 4 to 17 with allergic rhinitis? N=501
211
How Often Patients Change Allergy
Medications
Patients
NP/PA
10%
8%
7%
Family Practice
43%
16%
35%
Allergist
18%
ENT
19%
16%
55%
8%
0%
38%
28%
10%
Pediatrician
12%
15%
32%
21%
35%
12%
38%
20%
40%
32%
60%
10%
80%
100%
Percent chaning allergy medicaiton
Several times a year
Once a year
Every few years
Rarely or never
How often do your patients aged 4 to 17 with allergic rhinitis change allergy medicines – several times each
year, once a year, once every few years, only rarely or never? N=501
PQ81a. How often do you change nasal allergy medicines ---several times each year, once a year, every few years,
only rarely or never? Unweighted N=2,500
Q22.
212
Patients Ask to Change
Allergy Medicine
NP/PA
11%
All (91% to 100%)
41%
Most (51% to 90%)
Some (11% to 50%)
Family Practice
Pediatrician
3%
8%
58%
1% 11%
Allergist
3%
ENT
3%
0%
58%
11%
14%
50%
20%
40%
60%
80%
100%
Dissastified with allergy medi (%)
Q23a.
What proportion of your patients aged 4 to 17 with allergic rhinitis or their parents have asked you to change
their allergy medication because they were dissatisfied with it – all, most , some, only a few or none? N=501
PQ82a. Have you ever asked your doctor to change your nasal allergy medication because you were dissatisfied
with it? Unweighted N=2,500
213
Reasons for Dissatisfaction
with Medicine
76%
77%
79%
75%
73%
Not effective
17%
28%
Side effects
22%
45%
29%
10%
22%
Not covered by ins
13%
10%
8%
9%
12%
Co-pay too high
Nurse Prac./Physician Asst.
8%
6%
6%
Primary care
Pediatrician
14%
12%
17%
13%
16%
Other
0%
20%
Allergist
ENT
40%
60%
80%
100%
Dissastified with medicaiton (%)
Q23b.
Why are patients dissatisfied with their allergy medicine? [Unaided question] Base: Have asked to change
medicine because dissatisfied N=395
PQ82c. Why were you dissatisfied with that medicine? Base: Have asked doctor to change nasal allergy medicines.
Unweighted N=860
214
Reasons for Dissatisfaction with
Medicine (cont.)
1%
Effectiveness wore
off
8%
7%
12%
8%
7%
6%
6%
Hard to administer
3%
6%
2%
No relief through
day/night
4%
4%
6%
3%
2%
Dosing schedule
0%
Safety Concerns
0%
0%
1%
1%
Nurse Prac./Physician Asst.
4%
Primary care
Pediatrician
1%
1%
1%
1%
Allergist
ENT
10%
20%
Dissatisfied (%)
Q23b.
Why are patients dissatisfied with their allergy medicine? [Unaided question] Base: Have asked to change
medicine because dissatisfied N=395
PQ82c. Why were you dissatisfied with that medicine? Base: Have asked doctor to change nasal allergy medicines.
Unweighted N=860
215
Most Important Attribute
of Allergy Medicine
5.0%
Low cost
3%
4%
4%
11%
6%
6.0%
4%
Few side effects
7%
6%
9%
9%
2.0%
Easy to take
Patients
NP/PA
Family Practice
Pediatrician
Allergist
ENT
11%
8%
10%
17%
14%
22%
Complete symptom
relief
37.0%
27%
25%
24%
25%
26%
Long lasting
symptom relief
35%
35%
32.0%
21%
22%
17.0%
23%
20%
21%
25%
23%
Fast symptom relief
0%
20%
40%
60%
Most important feature (%)
Q38. In choosing a medicine for nasal allergies, which would be most important to your patients aged 4 to 17? N=501 216
PQ98. In choosing a nasal allergy medicine, which would be the most important to you …? Unweighted N=2,500
Preferred Medicines for Moderate to
Severe Persistent Allergy Symptoms
50%
55%
ICS
62%
75%
66%
52%
48%
Antihistimines
33%
31%
45%
11%
12%
Antihistimines - OTC
17%
2%
13%
9%
11%
11%
Leukotriene
2%
9%
4%
5%
5%
7%
Antihist/Decon - Rx
Nurse Prac./Physician Asst.
Primary care
Pediatrician
Allergist
ENT
10%
16%
7%
Other
14%
8%
8%
0%
20%
40%
60%
80%
100%
Preferred medication (%)
Q31. What class or classes of medication is your preferred choice for adults with moderate to severe persistent
allergy symptoms? [Unaided response] N=501
217
Preferred Medicines for Moderate to Severe
Persistent Allergy Symptoms (cont.)
4%
7%
Internasal Anstihist
6%
7%
5%
7%
Anticholinergic nasal
spray
1%
1%
3%
1%
3%
Antihist/Decon - OTC
1%
0%
1%
3%
1%
Decong Nasal Sprays
- OTC
0%
Decongestants OTC
0%
0%
0%
4%
0%
1%
4%
Nurse Prac./Physician Asst.
Primary care
1%
Pediatrician
0%
Cromolyn
1%
Allergist
0%
0%
0%
0%
ENT
3%
5%
8%
10%
Preferred medication class (%)
Q31. What class or classes of medication is your preferred choice for adults with moderate to severe persistent
allergy symptoms? [Unaided response] N=501
218
Respondents reported frequency (%)
Patients Using Intra-Nasal
Corticosteroids for Allergies
100%
Past year
Past 6 months
Past 4 weeks
80%
60%
7%
14%
40%
64%
67%
54%
47%
20%
45%
36%
0%
ENT
Q32.
Allergist
Pediatrician
Family
Practice
NP/PA
Patients
What proportion of your patients aged 4 to 17 with allergic rhinitis are currently using an intra-nasal
corticosteroid for their condition? N=501
PQ64a. In the past 4 weeks, have you used any prescription nasal sprays for your nasal allergies? PQ64b. When was 219
the most recent time that you used a prescription nasal spray for your nasal allergies? Unweighted N=2,500
Respondents reported frequency (%)
Symptoms Relieved by Intra-nasal
Corticosteroids
All
Most
Some
100%
28%
80%
21%
22%
23%
34%
34%
60%
40%
71%
77%
75%
69%
46%
64%
20%
16%
1%
1%
Allergist
Pediatrician
0%
ENT
3%
Family
Practice
NP/PA
Do intra-nasal corticosteroids give most patients aged 4 to 17 relief from all of their symptoms, most
symptoms, some symptoms, few symptoms, or no symptoms? N=501
PQ65. 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=919
Patients
Q33.
220
Time for Intra-nasal
Corticosteroids Relief
Patients
12%
NP/PA
Family Practice
9%
6%
Pediatrician
4%
Allergist
5%
ENT
Hours
Days
Weeks
42%
38%
52%
40%
45%
51%
72%
12%
0%
4%
21%
48%
20%
40%
39%
60%
80%
100%
Respondents (%)
Q34.
For patients aged 4 to 17, how long does it take an intra-nasal corticosteroid to begin giving
symptoms relief? N=501
PQ68. How long does it take for your current prescription nasal spray to begin giving you symptom relief?
Unweighted N=919
221
How Long Intra-nasals Provide Relief
100%
81%
Respondents
80%
77%
69%
69%
59%
60%
40%
20%
0%
ENT
Allergist
Pediatrician
Family Practice
Q25. For patients aged 4 to 17, how long are intra-nasal corticosteroids supposed to provide
symptoms relief for nasal allergies? N=501
NP/PA
222
Do Intra-nasals Lose Effectiveness
100%
Respondents
80%
60%
60%
48%
39%
40%
33%
33%
34%
Family
Practice
NP/PA
20%
0%
ENT
Q35a.
PQ69a.
Allergist
Pediatrician
Patients
For patients aged 4 to 17 do intra-nasal corticosteroids lose effectiveness over the course of the day or
night, or do they remain as effective as when the patient first took it? N=501
Does your current prescription nasal spray lose effectiveness over the course of the day or night, or does it
remain as effective as when you first took it? Base: Used prescription nasal spray Unweighted N=919
223
Time Until Intra-nasals Lose
Effectiveness
Respondents
20%
15%
12%
12%
10%
8%
7%
6%
5%
5%
0%
ENT
Q35b.
Base:
PQ69b.
Base:
Allergist
Pediatrician
Family
Practice
NP/PA
How long after taking an intra-nasal corticosteroid does it begin losing effectiveness allergies?
Lose effectiveness over day and night N=183
How long after taking your current nasal allergy medicine does it begin losing effectiveness?
Nasal spray loses effectiveness. Unweighted N=440
Patients
224
Intra-Nasal Corticosteroids
Wear Off Over Time
100%
Respondents
80%
61%
60%
49%
58%
58%
Family
Practice
NP/FP
46%
40%
20%
0%
ENT
Allergist
Pediatrician
Q27a. For patients aged 4 to 17, have you ever found that the effectiveness of intra-nasal corticosteroid products in
treating nasal allergy symptoms wears off over time, even when taking the medicine as prescribed? N=501
225
Time Until Intra-nasal
Corticosteroids Wear Off
NP/PA
Family Practice
17%
Allergist
16%
ENT
Hours
15%
0%
66%
5%
19%
Pedatrician
43%
5%
26%
67%
2%
6%
3%
20%
71%
40%
60%
80%
100%
Days
Weeks
Respondents (%)
Q27b. About how long after the patient starts taking an intra-nasal corticosteroid does its effectiveness for allergy
symptoms begin wearing off, even when being taken as prescribed? Base: Effectiveness wears off N=246
226
Side Effects of Intranasal Corticosteroids
Drowsiness
7%
7%
NP/PA
1%
1%
Family Practice
3%
Pediatrician
0%
5%
Headaches
Allergist
2%
5%
ENT
2%
21%
15%
13%
13%
17%
Drying feeling
50%
36%
Dripping down throat
39%
43%
44%
11%
15%
Burning
9%
9%
9%
26%
22%
Bad taste
30%
11%
12%
0%
20%
40%
60%
Respondents (%)
Q28. How many of the intranasal corticosteroids for nasal allergies have the following types of
side effects in patients aged 4 to 17 -- all, most, some, few or none? N=501
227
Patients Avoid Any Intra-Nasal
Corticosteroids
Percent of respondents
100%
80%
60%
40%
38%
34%
28%
21%
20%
19%
0%
ENT
Allergist
Pediatrician
Q29a. Are there any intranasal corticosteroid medications for nasal allergies
that your patients aged 4 to 17 try to avoid using? N=501
Family
Practice
NP/PA
228
Satisfaction of Patients with
Intra-nasal Corticosteroids
Patients
38%
NP/PA
18%
Family Practice
70%
31%
Pediatrician
61%
37%
Allergist
57%
26%
ENT
69%
22%
0%
72%
20%
40%
Very satisfied
60%
80%
100%
Somewhat satisfied
Q36.
In general, how satisfied are your patients aged 4 to 17 with allergic rhinitis patients with their intra-nasal
corticosteroids? Would you say that they are very satisfied, somewhat satisfied, somewhat dissatisfied, or
very dissatisfied? N=501
PQ70b. In general, how satisfied have you been with the prescription nasal spray you have used for your nasal
allergies in the past? Base: Ever used Rx nasal spray for nasal allergies. Unweighted N=2,033
229
Patients Avoid Using Intra-Nasal
Corticosteroids for Nasal Allergies
Percent of respondents
100%
80%
70%
60%
60%
57%
53%
52%
40%
20%
0%
ENT
Allergist
Pediatrician
Family
Practice
NP/PA
230
Q37a. Do patients aged 4 to 17 avoid using intra-nasal corticosteroids for their nasal allergies?
N=501
Reasons Avoid Intra-nasal
Corticosteroids
8%
29%
25%
Don't like sprays
28%
45%
29%
9%
12%
11%
Side effects
17%
14%
10%
4%
3%
Safety
6%
6%
1%
1%
5%
1%
Nosebleeds
3%
3%
5%
6%
Patients
Nurse Prac./Physician Asst.
Primary care
Pediatrician
Allergist
ENT
4%
Other side effects
7%
13%
5%
11%
2%
4%
5%
Not effective
3%
3%
0%
20%
40%
Why do they avoid using intra-nasal corticosteroids for their nasal allergies? Base: Avoid using intra-nasal
corticosteroids for nasal allergies N=178
PQ71. 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=1,156
60%
Q37b.
231
Reasons Avoid Intra-nasal
Corticosteroids (cont.)
2%
2%
2%
2%
2%
No symptoms
11%
Symptoms aren't bad
enough
1%
1%
0%
0%
1%
2%
1%
3%
2%
2%
Don't tolerate well
1%
30%
0%
Dependence worries
2%
0%
0%
0%
1%
2%
Patients
Nurse Prac./Physician Asst.
Primary care
Pediatrician
Allergist
ENT
6%
Hard to use
2%
0%
3%
1%
11%
10%
Other
8%
14%
11%
0%
10%
20%
30%
40%
Q37b. Why do they avoid using intra-nasal corticosteroids for their nasal allergies? Base: Avoid using intra-nasal
corticosteroids for nasal allergies N=178
PQ71. 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=1,156
50%
232
Number of Symptoms
Relieved for Success
Patients
33%
53%
NP/PA
4%
73%
Family Practice
3%
74%
Pediatrician
5%
Allergist
5%
ENT
85%
77%
3%
0%
80%
20%
40%
All
60%
80%
100%
Most
Q40.
How many symptoms would an intranasal corticosteroid have to relieve in patients aged 4 to 17 for you to
consider it a successful treatment – all, most, some, a few or none? N=501
PQ101. How many symptoms would a nasal allergy medicine have to relieve for you to consider it a successful
treatment --- all, most, some, a few or none? Unweighted N=2,500
233
Percent Symptom Relief for Success
100%
85%
78%
80%
71%
71%
ENT
Allergist
73%
74%
Family
Practice
NP/PA
60%
40%
20%
0%
Q41.
PQ102.
Pediatrician
On a scale of 0 to 100 percent, what percent symptom relief would you expect from an intra-nasal
corticosteroid for a patient aged 4 to 17 for it to be considered a successful treatment? N=501
On a scale of 0 to 100 percent, what percent symptom relief would you expect from a nasal allergy
medicine for it to be considered a successful treatment? Unweighted N=2,500
Patients
234
How Quick Symptom Relief for Success
Percent of respondents
100%
80%
0.761
0.677
0.663
0.647
0.652
Family Practice
NP/PA
60%
40%
20%
0%
ENT
Allergist
Pediatrician
Q42. How quickly after taking would an intra-nasal corticosteroid have to begin relieving symptoms in a patient aged
4 to 17 for you to consider it a successful treatment? N=501
235
Time Intra-nasals Last for Success
Percent of respondents
100%
80%
67%
60%
53%
50%
49%
45%
40%
20%
0%
ENT
Allergist
Pediatrician
Family Practice
NP/PA
Q43. How long after taking a dose of intra-nasal corticosteroid should symptom relief last in a patient aged 4 to 17
for you to consider it a successful treatment? N=501
236
Opinions About Nasal Allergies
Rx nasal sprays not safe for kids
4%
2%
2%
3%
3%
55%
55%
Nasal allergies can cause sinus infections
64%
61%
71%
70%
56%
78%
76%
79%
83%
80%
Nasal allergies can make asthma worse
22%
Frequent nasal allergy symptoms can be
prevented in most cases
There are no truly effective treatments for nasal
allergies
41%
2%
2%
3%
2%
3%
Patients
55%
Nurse Prac./
Physician Asst.
Primary care
15%
Pediatrician
28%
24%
Even with proper treatment nasal allergies usually
cause some lifestyle limitations
35%
29%
31%
36%
Nasal allergies are a serious health problem in the
US
46%
41%
48%
Allergist
ENT
55%
65%
0%
Q44.
48%
45%
43%
20%
40%
60%
73%
80%
100%
Now I am going to read you a series of statements. As I read each statement, please tell me whether you agree
strongly, agree somewhat, disagree somewhat or disagree strongly with the statement. N=501
237
PQ110. Now I am going to read you a series of statements. As I read each statement , please tell me whether you
agree strongly, agree somewhat, disagree somewhat or disagree strongly with the statement. Unweighted N=2,500
Patients Get Monies Worth
From Rx Medicines
100%
88%
84%
82%
Respondents
80%
80%
74%
60%
55%
40%
20%
0%
ENT
Allergist
Pediatrician
Family
Practice
NP/PA
Patients
Overall, do your patients aged 4 to 17 feel they get their money’s worth out of prescription medicines for
nasal allergies? N=501
PQ97. Overall, do you feel that patients get their money’s worth out of prescription medicines for nasal allergies?
Unweighted N=2,500
Q30.
238
Need for Better Education of Patients
Patients
49%
NP/PA
40%
60%
Family Practice
38%
51%
Pediatrician
45%
55%
Allergist
40%
56%
ENT
42%
54%
0%
20%
45%
40%
Strong need
60%
80%
100%
Moderate need
Q45.
How much need do you think there is for better education of PARENTS OF CHILDREN WITH NASAL
ALLERGIES about their condition and its treatment? Do you think there is a… N=501
PQ113. How much need do you think there is for better education of people with nasal allergies about their condition
and its treatment? Unweighted N=2,500
239
Aware of Professional Guidelines
100%
Percent of respondents
88%
80%
74%
60%
60%
53%
44%
40%
20%
0%
ENT
Allergist
Pediatrician
Family Practice
NP/PA
240
Q46a. Are you aware of any professional guidelines for the diagnosis and management of allergic rhinitis?
N=501
Publisher of Guidelines
13%
11%
AAAAI
18%
49%
35%
4%
3%
ACAAI
0%
26%
7%
11%
3%
3%
3%
Other Med Society
14%
1%
2%
2%
Joint AAAAI/ACAAI
14%
6%
WHO
1%
0%
0%
Nurse Prac./Physician Asst.
3%
Primary care
Pediatrician
0%
13%
Allergist
ENT
16%
Other
10%
10%
14%
0%
10%
20%
30%
40%
50%
241
Q46b. Who publishes those guidelines? Base: Aware of Guidelines N=260
Publisher of Guidelines (cont.)
1%
1%
NHLBI
0%
Nurse Prac./Physician Asst.
Primary care
Pediatrician
Allergist
ENT
1%
0%
2%
0%
0%
0%
AMA
1%
1%
0%
0%
0%
ALA
1%
0%
0%
ATS
1%
0%
0%
0%
0%
0%
ERS
1%
0%
22%
19%
Don't Know
13%
5%
11%
0%
10%
20%
30%
242
Q46b. Who publishes those guidelines? Base: Aware of Guidelines N=260
Graduation Year
Nurse Prac./Physician
Asst.
2%
Primary care
26%
17%
29%
Allergist
29%
1950 to 1975
1976 to 1985
1986 to 1995
1996 or later
23%
22%
35%
26%
23%
37%
33%
0%
46%
25%
Pediatrician
ENT
26%
20%
12%
23%
40%
29%
60%
14%
80%
D1. In what year did you [DOCTOR VER: graduate from Medical or Osteopathic school] [NP/PH VER: receive
your license as a physician assistant]? N=501
100%
243
Continuing Medical Education
Percent of respondents
100%
99%
93%
93%
78%
80%
80%
60%
40%
20%
0%
ENT
Allergist
Pediatrician
Family Practice
NP/PA
D2. Have you taken any continuing medical education (CME) courses related to the management and treatment of
allergic rhinitis [DOCTOR VER: since medical school] [PA/NP VER: since receiving your license]? N=501
244
Primary Practice Location
NP/PA
22%
Family Practice
22%
Pediatrician
23%
Allergist
22%
ENT
23%
27%
33%
18%
41%
22%
13%
14%
19%
8%
54%
31%
0%
6%
19%
41%
20%
40%
Central city
Suburb
9%
14%
60%
Small city
8%
80%
Town
5%
1%
4%
100%
Rural
245
D3.
Is your primary practice located in a central city, a suburb, a small city, a town or a rural area? N=501
Gender
NP/PA
28%
72%
Family Practice
71%
Pediatrician
29%
54%
46%
Allergist
77%
ENT
23%
86%
0%
20%
40%
Male
14%
60%
80%
100%
Female
246
D4. Gender N=501