allergies in american kids: comparisons of children aged 4 to 17 with and without allergies...

Allergies in American Kids: Comparisons of Children aged 4 to 17

with and without Allergies

Conducted bySchulman, Ronca & Bucuvalas, Inc.

April, 2007


April, 2007

Supported by:

2

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

3

19%18%

22%

25%

16%

27%

18%

20%

18% 18%

0%

10%

20%

30%

40%

4 to 6 7 to 9 10 to 12 13 to 15 16 to 17

Per

cen

t o

f ch

ild

ren

Allergy N=351 Not Allergy N=501

Age of Designated Child

Age (years)

4

52%48%50% 50%

0%

20%

40%

60%

80%

100%

Male Female

Ch

ild

ren

(%

)


Gender of Designated Child

5

46%

30%

17%

6%1%

59%

26%

11%

4%1%

0%

20%

40%

60%

80%

100%

Excellent Very good Good Only fair Poor/VeryPoor

Per

cen

t o

f re

spo

nd

ents

Allergy N=351 Not allergy N=501

Q1. In general, would you say that your (AGE)’s health is excellent, very good, good, only fair, poor or very poor?

General Health Rating

6

21%24% 22% 24%

11% 10% 10% 10%

0%

20%

40%

60%

80%

100%

Been limited inkind of work

Difficulty inperforming

Cut down onamount

Accomplishedless

Per

cen

t o

f re

spo

nd

ents


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….?

Activity Limitation in Past 4 Weeks

7

2%

51%

38%

5% 4%1% 0% 1%1%1%

7%8%

48%

33%

0%

20%

40%

60%

80%

100%

All thetime

Most ofthe time

Good Bit 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?

Felt Full of Life in Past 4 WeeksP

erce

nt

of

resp

on

den

ts

8

2% 3% 3%

17%

23%

50%

1%1% 1% 2%

11%

27%

58%

1%

0%

20%

40%

60%

80%

100%

All thetime

Most ofthe time


Per

cen

t o

f re

spo

nd

ents


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?

Been Nervous in Past 4 Weeks

9

19%

45%

9%

15%

6%4% 2%

29%

47%

8% 9%

2% 2% 3%

0%

20%

40%

60%

80%

100%

All thetime

Most ofthe time


Per

cen

t o

f re

spo

nd

ents


N3c. 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?

Felt Calm and Peaceful in Past 4 Weeks

10

38% 38%

9% 11%

4% 1% 1%

51%

36%

6% 5%1% 1% 1%

0%

20%

40%

60%

80%

100%

All thetime

Most ofthe time


Per

cen

t o

f re

spo

nd

ents


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?

Had a Lot of Energy in Past 4 Weeks

11

1% 3% 3%

13%

29%

50%

1%1% 0% 0%

7%

31%

59%

2%

0%

20%

40%

60%

80%

100%

All thetime

Most ofthe time


Per

cen

t o

f re

spo

nd

ents


N3e. During the past 4 weeks how often has your (AGE) been downhearted and blue --- 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?

Been Downhearted or Blue in Past 4 Weeks

12

3% 5% 6%

25%

32%29%

0%1% 1% 2%

18%

34%

43%

1%

0%

20%

40%

60%

80%

100%

All thetime

Most ofthe time


Per

cen

t o

f re

spo

nd

ents Allergy N=351 Not allergy N=501

N3f. 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?

Felt Worn Out in Past 4 Weeks

13

30%

54%

7% 6%2% 1% 0%

32%

58%

6%3%

0% 0% 0%0%

20%

40%

60%

80%

100%

All thetime

Most ofthe time


Per

cen

t o

f re

spo

nd

ents


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?

Been Happy in Past 4 Weeks

14

4% 6% 7%

36%30%

17%

0%1% 2% 3%

30%

40%

23%

1%0%

20%

40%

60%

80%

100%

All thetime

Most ofthe time


Per

cen

t o

f re

spo

nd


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?

Felt Tired in Past 4 Weeks

15

40%

60%

1%

12%

88%

0%0%

20%

40%

60%

80%

100%

Yes No Not sure

Per

cen

t o

f re

spo

nd

ents

Allergy N=351Not Allergy N=501

Q3c. Has your (AGE) ever been diagnosed with asthma?

Ever Diagnosed with Asthma

16

6% 5%

88%

0%1%

60%

12%

28%

0%

20%

40%

60%

80%

100%

Yes Not Past 12months

Never Not sure

Per

cen

t o

f re

spn

den

ts

Allergy N=351

Not Allergy N=501

Q3c. Has your (AGE) ever been diagnosed with asthma? Q3d. Has your (AGE) had asthma in the past 12 months?

Asthma in the Past 12 Months

17

11%

89%

1%

8%

92%

1%

0%

20%

40%

60%

80%

100%

Yes No Not sure

Per

cen

t o

f re

spo

nd

ents

Allergy N=351

Not Allergy N=501

Q3a. Does your (AGE) have any other chronic or serious health conditions?

Any Other Serious Health Condition

18

11% 11%

3%0%

11%

62%

3%8%

0% 0%

5% 5%

82%

0%0%

20%

40%

60%

80%

100%

ADHD Allergies Asthma Diabetes Eczema Other Refused

Per

cen

t o

f re

spo

nd


Q3b. What are these other chronic or serious health conditions? Base: Reported other health conditions

Other Chronic or Serious Health Conditions

19

11%

4%

5%

37%

4%

2%

3%

3%

4%

1%

1%

75%

12%

12%

11%

22%

6%

43%

3%

13%

0% 20% 40% 60% 80% 100%

Sinus problems

Heartburn or GERD

Cold or flu

Earaches

Migraines

Skin rashes

Fever

Pink eye

Resp. infections

None of these

Not Allergy N=501

Allergy N=351

Q37. During the last week has your (AGE) had ………….?

Other Conditions in the Past Week

20

2% 3%

13%

82%

0%3% 2%

6%

88%

1%

0%

20%

40%

60%

80%

100%

Tonsils Adenoids Both No Not sure

Per

cen

t o

f re

spo

nd

ents


N5. Has your (AGE) had his/her tonsils or adenoids removed?

Tonsils or Adenoids Removed

21

15%

85%

1%

9%

91%

0%0%

20%

40%

60%

80%

100%

Yes No Not sure

Per

cen

t o

f re

spo

nd

ents


N6a. Has your (AGE) had tubes put in his/her ears?

Tubes in Ears

22

3%

97%

0%1%

98%

0%0%

20%

40%

60%

80%

100%

Yes No Not sure

Per

cen

t o

f re

spo

nd

ents


N6b. Has your (AGE) ever had nasal or sinus surgery?

Nasal or Sinus Surgery

23

25%

5%

7%

36%

33%

19%

4%

2%

6%

1%

2%

1%

0%

5%

2%

4%

11%

13%

52%

29%

34%

45%

2%

1%

0% 20% 40% 60% 80% 100%

Repeated Sneezing

Watering Eyes

Red Itching Eyes

Stuffed up nose

Itching

Awakened or unable to sleep

Headache

Ear Pain

Facial Pain

Runny Nose

Post-nasal drip

Dry cough

Not Allergy N=501Allergy N=351

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?

Every/Most Days During Worst Month

24

82%

64%

66%

82%

88%

78%

52%

66%

74%

63%

82%

42%

80%

63%

73%

43%

0% 20% 40% 60% 80% 100%

Playing organized sports or exercising

Doing well in school

School activities

Doing things with family

Going out/playing with friends

Having pets

Outdoor activities

Indoor activitiesNot Allergy N=501

Allergy N=351

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?

Extremely or Very Important to Child

25

54%

15%

1% 3% 3% 3%

17%

3% 2%

58%

11%

1%5% 3% 2%

18%

2% 1%

0%

20%

40%

60%

80%

100%

Per

cen

t o

f re

spo

nd

ents

Allergies N=351Not Allergies N=501

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?

Employment Status of Parents

26Q15a. 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

62%

4%7% 6% 7% 5%

9%

2%

66%

8% 9%5% 3%

0%

9%

1%0%

20%

40%

60%

80%

100%

None 1 2 3 4 5 6 ormore

Not sure

Per

cen

t o

f re

spo

nd

ents Allergies N=247

Not Allergies N=344

Mean work days lost for allergy: 8.4Mean work days lost non-allergy: 3.6

Work Days Missed by Parents in Past 12 Months due to Child’s Health

27

92%

3% 1%4%

0%

86%

4% 3%7%

0%

0%

20%

40%

60%

80%

100%

School Daycare Homeschooled

No Refused

Per

cen

t o

f re

spo

nd

ents


N8. Is your (AGE) currently enrolled in a school or daycare facility?

Educational Status of Children

28Q22a. Has you (AGE) missed (school/daycare) in the past 12 months due to his nasal allergies/health? Base: In school or daycare

61%

39%

0%

64%

35%

0%0%

20%

40%

60%

80%

100%

Yes No Not sure

Per

cen

t o

f re

spo

nd

ents


Missed School or Daycare in the Past 12 Months due to Allergies/Health

29Q23a. Aside from actually missing (school/daycare), has his/her allergies/health interfered with his/her performance at school? Base: In school or daycare

39%

59%

0%

11%

89%

0%0%

20%

40%

60%

80%

100%

Yes No Not sure

Per

cen

t o

f re

spo

nd

ents

Allergy N=333

Not Allergy N=501

Allergies/Health Interfered with School or Daycare in the Past 12 Months

30

28%

71%

1%4%

96%

0%

0%

20%

40%

60%

80%

100%

Yes No Not sure

Per

cen

t o

f re

spo

nd

ents

Allergy N=351

Not Allergy N=501

Q27a. Does your (AGE) avoid any activities because of his/her nasal allergies/health?

Avoid Activities

31

30%

10%

38%

10%

9%

5%

7%

4%

5%

8%

31%

29%

22%

16%

26%

31%

8%

5%

0% 20% 40% 60% 80% 100%

Organized sports or exercising


School activities



Having pets

Outdoor activities

Indoor activities

Sleeping

Not Allergy N=429

Allergy N=344

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?

Allergies/Health Interferes a Lot or Some

32

12%

8%

28%

25%

32%

12%

0% 20% 40% 60% 80% 100%

Difficulty in gettingto sleep

Waking up duringthe night

Lack of a goodnight's sleep

Not Allergy N=501

Allergy N=351

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?

At Least Somewhat Troubled by Symptoms

33

24%

4 %

29%

19%

10%14%

0%

20%

40%

60%

80%

100%

Everynight

Mostnights

Somenights

Rarely Never Not sure

Per

cen

t o

f re

spo

nd

ents Allergy N=351

Not allergy N=501

N10. How often does your (AGE) snore while sleeping? Would you say he/she snores --- every night, most nights, some nights, rarely or never?

How Often Snores While Sleeping

34

3%

91%

3%

1%

2%

1%

0%

3%

0%

1%

4%

90%

1%

1%

0% 20% 40% 60% 80% 100%

Doctor's office

Hospital outpatient clinic

Hospital ER

Company or Union clinic

Public Health clinic

Other

Not sure

Not allergy N=501

Allergy N=351

Q41. Is the place that you usually go for your overall medical care, medical advice or treatment a……?

Usual Source of Medical Care

35

86%

5% 6%3%

1%

90%

5% 3% 2% 1%0%

20%

40%

60%

80%

100%

Doctor NursePractitioner

PhysicianAsst

Other Not sure

Per

cen

t o

f re

spo

nd

ents

Allergy N=351 Non-allergy N=501

Q41b. Who does your (AGE) see most often for his/her health care, medical advice or treatment ……?

Primary Health Care Provider

36Q42a. Has your (AGE) seen a doctor or other health practitioner about his/her health in the past 12 months?

77%

23%

1%

73%

26%

1%

0%

20%

40%

60%

80%

100%

Yes, seen doctor No, not seen doctor Not Sure

Per

cen

t o

f re

spo

nd

ents


Seen Health Practitioner in Past 12 Months

37

72%

75%

67%

62%

75%

77%

27%

82%

59%

32%

68%

90%

44%

25%

0% 20% 40% 60% 80% 100%

Nasal allergies are serious health problemin US

Nasal allergies usually cause some lifestylelimitations

There are no truly effective treatments fornasal allergies

Frequent nasal allergy symptoms can beprevented

Nasal allergies can make asthma worse

Nasal allegies can cause sinus infections

Rx nasal sprays are not safe for children

Not allergy N=501

Allergy N=351

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.

Attitudes about Nasal Allergies: Agree

38Q111a. Do you have any sort of health insurance or health plan to cover your (AGE)’s health care costs?

96%

3%1%

95%

4%1%

0%

20%

40%

60%

80%

100%

Yes, have healthinsurance

No, do not have healthinsurance

Not sure/Refused

Per

cen

t o

f re

spo

nd

ents


Patient Has Health Insurance

39Q111c. Is your (AGE)’s coverage under that/those plan(s) from….? Base: Has health insurance for child

69%

9%5%

13%

2%0% 2% 1%

69%

9%

2%

15%

3%0%

4% 1%

0%

20%

40%

60%

80%

100%

Work orunion

Boughtby you

Medicare Medicaid Militaryor VA

COBRA Other Not sure

Per

cen

t o

f re

spo

nd


Source of Health Insurance

40Q111d. How much of the costs of your (AGE)’s prescription drugs is covered by your health plan?

Base: Has health insurance for child

26%

50%

19%

3% 1% 1%

27%

53%

12%

2% 2%4%

0%

20%

40%

60%

80%

100%

All Most Some Little None Not sure

Per

cen

t o

f re

spo

nd

ents


Amount of Prescription Drug Costs Covered by Health Plan

41Q113. How much need do you think there is for better education of parents of children with nasal allergies about their condition and its treatment?

50%

39%

8%

1% 3%

43% 43%

7%

1%

6%

0%

20%

40%

60%

80%

100%

Strong need Moderateneed

Not much ofa need

No need at all Not sure

Per

cen

t o

f re

spo

nd

ents


Need for Parent Education

42

11%

19%

23%

23%

48%

1%

1%

49%

45%

56%

46%

18%

0% 20% 40% 60% 80% 100%

Father

Mother

Brothers or sisters

Grandparents

None of these

Not sure

Not allergy N=501

Allergy N=351

Q116. Do any of the following relatives of yours have nasal allergies?

Family History of Nasal Allergies

43Q117a. Do you have pets living in your house?

64%

36%

1%

63%

37%

0%0%

20%

40%

60%

80%

100%

Yes No Not sure

Per

cen

t o

f re

spo

nd

ents


Pets in Household

44Q65b. What kind of pet or pets? Base: Has pets in household

13%

70%

51%

6%

18%

5%

4%

51%

74%

4%

0% 20% 40% 60% 80% 100%

Dog

Cat

Bird

Hamster/Gerbil

Other

Not allergy N=501

Allergy N=351

Type of Pet

45Q118a. Does anyone in your household smoke?

26%

74%

1%

27%

73%

0%0%

20%

40%

60%

80%

100%

Yes, someone smokes No, no one smokes Not sure

Per

cen

t o

f re

spo

nd

ents

Allergy N=351Not allergy N=501

Smokers in Household

46N119. Do you live within a quarter of a mile of a highway?

48% 50%

2%

45%

54%

1%0%

20%

40%

60%

80%

100%

Yes No Not sure

Per

cen

t o

f re

spo

nd


Lives Near a Highway

47N120. How often do heavy trucks pass your home? Would you say ……….?

16%

6%

17%

31% 30%

2%

12%

5%

15%

36%31%

1%

0%

20%

40%

60%

80%

100%

Continuously Several timesan hour

Several timesa day

Infrequently Never Not sure

Per

cen

t o

f re

spo

nd


Heavy Trucks Pass Your Home

48D3. How old are you?

2%3%

22%

40%

34%

1%

33%

43%

21%

1%

0%

20%

40%

60%

80%

100%

Under 25 25 to 34 35 to 44 45 or older Notsure/refused

Per

cen

t o

f re

spo

nd

ers Allergy N=351

Not allergy N=501

Age of Parent or Caregiver

49D4. What is the last year or grade of school you completed?

26%

1%

6%

24%

28%

14%

2%

15%

28%

23%

6%

1%

1%

27%

0% 20% 40% 60% 80% 100%

8th grade or less

Some high school

High school graduate

Some college

Four-year college graduate

Graduate degree

Not sure/refused

Not allergy N=501

Allergy N=351

Education of Parent or Caregiver

50D7. Are you of Hispanic origin or decent?

8%

90%

2%

9%

91%

0%0%

20%

40%

60%

80%

100%

Yes, Hispanic No, not Hispanic Not sure/refused

Per

cen

t o

f re

spo

nd

ents

Allergy N=351

Not allergy N=501

Hispanic Descent

51D8. In which of the following categories do you feel you belong?

75%

1%

2%

1%

1%

9%

76%

3%

1%

1%

4%

7%

8%

1%

1%

1%

7%

2%

0% 20% 40% 60% 80% 100%

Pacific Islander

American Indian or Alaskan Native

Asian

Black/African American

White

Mixed

Hispanic (vol)

Other

Refused

Not allergy N=501

Allergy N=351

Race of Patient or Caregiver

52D9. Which of the following categories best describes your 2006 household income before taxes?

17%

18%

10%

6%

3%

10%

16%

17%

19%

11%

14%

17%

9%

7%

5%

4%

13%

6%

0% 20% 40% 60% 80% 100%

$10,000 or less

$10,001 to $15,000

$15,001 to $25,000

$25,001 to $35,000

$35,001 to $50,000

$50,001 to $75,001

$75,001 to $100,000

Over $100,000

Not sure/refused

Not allergy N=501

Allergy N=351

Household Income

53D10. 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?

34%

62%

4%

33%

63%

4%

0%

20%

40%

60%

80%

100%

Exclusively breast fed Not exclusively breastfed

Not sure/refused

Per

cen

t o

f re

spo

nd

ents


Breast Fed for First Four Months

Pediatric Allergies in America: Comparisons of Children aged 10 to 17 with Allergies

and their Parents


April, 2007


April, 2007

Supported by:

55

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

56QCS1. Could we interview the child now, or at some better time? N=260 parents of children aged 10-17 with current nasal allergies

Child callback, 14%

Child refused, 1%Parent refused, 24%

Child complete, 61%

Interviews with Children 10-17

57

48%

27%

20%

4%1%

13%

38%

32%

14%

2% 1%

0%

20%

40%

60%

80%

100%

Excellent Very good Good Only fair Poor/VeryPoor

Not sure

Per

cen

t o

f re

spo

nd

ents

Parents Children

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

General Health Rating

58

2%1 %1%

7%7%

54%

29%

0%

20%

40%

60%

80%

100%

All thetime

Most ofthe time


Perc

en

t o

f

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

Felt Full of Life in Past 4 Weeks

59

1% 2% 3%

18%

27%

49%

1%1%4%

8%

25%

44%

18%

0%0%

20%

40%

60%

80%

100%

All thetime

Most ofthe time


Per

cen

t o

f re

spo

nd

ents Parents Kids

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? N=158

Been Nervous in Past 4 Weeks

60

4%1 %

2%

17%

10%

52%

15%

0%

20%

40%

60%

80%

100%

All thetime

Most ofthe time


Per

cen

t o

f re

spo

nd

ents

N3c. 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

Felt Calm and Peaceful in Past 4 Weeks

61

Had a Lot of Energy in Past 4 Weeks

29%

43%

8%13%

5%2% 1%

27%

39%

15% 15%

4%1% 1%

0%

20%

40%

60%

80%

100%

All thetime

Most ofthe time


Per

cen

t o

f re

spo

nd

ents Parents Kids

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

62

1%4% 3%

10%

35%

47%

1%1% 3% 4%9%

44%

37%

1%

0%

20%

40%

60%

80%

100%

All thetime

Most ofthe time


Per

cen

t o

f re

spo

nd

ents

Parents Kids

N3e. During the past 4 weeks how often has your (AGE) been downhearted and blue --- 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

Been Downhearted or Blue in Past 4 Weeks

63

4%8% 8%

24%

36%

20%

4%10%

13%

25%

32%

14%

2%

0%

20%

40%

60%

80%

100%

All thetime

Most ofthe time


Per

cen

t o

f re

spo

nd

ents

Parents Kids

N3f. 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

Felt Worn Out in Past 4 Weeks

64

20%

66%

6% 5%3% 1%

22%

53%

16%

6%3%

0% 1%

0%

20%

40%

60%

80%

100%

All thetime

Most ofthe time


Per

cen

t o

f re

spo

nd

ents

Parents Kids

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

Been Happy in Past 4 Weeks

65

4%10%

8%

34% 34%

10%

0%4%

19%15%

31%26%

4%1%

0%

20%

40%

60%

80%

100%

All thetime

Most ofthe time


Per

cen

t o

f re

spo

nd

ents

Parents Kids

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

Felt Tired in Past 4 Weeks

66

39%

61%

37%

61%

2%

0%

20%

40%

60%

80%

100%

Yes No Not sure

Per

cen

t o

f re

spo

nd

ents Parents Kids

Q3c. Has your (AGE) ever been diagnosed with asthma? N=158

Ever Diagnosed with Asthma

67

30%

8%

61%

24%

12%

63%

1%

0%

20%

40%

60%

80%

100%

Yes Not Past 12months

Never Not sure

Per

cen

t o

f re

spo

nd

ents

Parents Kids

Q3c. Has your (AGE) ever been diagnosed with asthma? Q3d. Has your (AGE) had asthma in the past 12 months?

N=158

Asthma in the Past 12 Months

68

12%

87%

1%6%

91%

4%

0%

20%

40%

60%

80%

100%

Yes No Not sure

Per

cen

t o

f re

spo

nd

ents

Parents Kids

Q3a. Does your (AGE) have any other chronic or serious health conditions? N=158

Any Other Serious Health Condition

69

15%

4%

3%

41%

51%

10%

14%

28%

10%

3%

3%

27%

11%

10%

11%

21%

8%

40%

8%

18%

0% 20% 40% 60% 80% 100%

Sinus problems

Heartburn or GERD

Cold or flu

Earaches

Migraines

Skin rashes

Fever

Pink eye

Resp. infections

None of these

Parents Kids

Q37. During the last week has your (AGE) had ………….? N=158

Conditions in the Past Week

70

62%

36%

2%

67%

32%

1%

0%

20%

40%

60%

80%

100%

Seasonal Persistent Not sure

Per

cen

t o

f re

spo

nd

ents

Parents Kids

Q12. Would you describe your nasal allergies as seasonal or do they occur throughout the year? N=158

Seasonal or Persistent Allergies

71

46%

4%

50%

1%

27%

10%

63%

1%

0%

20%

40%

60%

80%

100%

Outdoors Inside About the same Not sure

Per

cen

t o

f re

spo

nd

ents

Parents Kids

Q13c. Are your nasal allergies symptoms worse when you are outdoors or inside, or is it about the same? N=158

Allergies Worse Inside or Out

72

25%

4%

10%

37%

34%

20%

35%

20%

39%

15%

13%

3%

3%

34%

19%

12%

13%

15%

53%

30%

33%

46%

13%

15%

0% 20% 40% 60% 80% 100%

Repeated Sneezing

Red Itching Eyes

Itching

Headache

Facial Pain

Post-nasal drip

Parents Kids

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

Every/Most Days During Worst Month

73

60%

60%

65%

69%

51%

54%

50%

67%

47%

63%

53%

58%

63%

52%

60%

62%

74%

54%

52%

50%

45%

57%

0% 20% 40% 60% 80% 100%

Repeated Sneezing

Watering Eyes

Red, itching eyes

Stuffed up nose

Itching

Headache

Ear Pain

Facial Pain

Runny Nose

Post-nasal drip

Dry Cough

Parent Kids

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

Extremely or Moderately Bothersome

74

14%

5%

4%

4%

7%

2%

25%

15%

10%

12%

12%

6%

2%

2%

7%

3%

1%

6%

10%

7%

14%

26%

2%

7%

0% 20% 40% 60% 80% 100%

Stuffed up nose

Headache

Post-nasal drip

Red, itching eyes

Runny Nose

Repeated Sneezing

Facial Pain

Watering Eyes

Ear Pain

Itching

Dry Cough

Not sure

Parents Kids

Q16. Which of these symptoms was the most bothersome to you? Base: Had bothersome symptoms.

Most Bothersome Symptom

75Q22a. Has you (AGE) missed (school/daycare) in the past 12 months due to his nasal allergies/health? Base: In school or daycare

34%

65%

1%3%

39%

58%

0%

20%

40%

60%

80%

100%

Yes No Not sure

Perc

en

t o

f Missed School due to Allergies

76Q23a. Aside from actually missing (school/daycare), has his/her allergies/health interfered with

his/her performance at school? Base: In school or daycare

32%

65%

3%5%

54%

41%

0%

20%

40%

60%

80%

100%

Yes No Not sure

Per

cen

t o

f re

spo

nd

ents

Allergies Interfered with School

77

96%

69%

92%

63%

0%

20%

40%

60%

80%

100%

No Symptoms Symptoms at worst

Per

cen

t o

f re

spo

nd

ents

Parents Kids

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?

Productivity and Allergies

78

30%

69%

1%

31%

69%

0%

0%

20%

40%

60%

80%

100%

Yes No Not sure

Per

cen

t o

f re

spo

nd

ents

Parents Kids

Q27a. Does your (AGE) avoid any activities because of his/her nasal allergies/health? N=158

Avoid Activities

79

29%

11%

36%

30%

28%

18%

33%

34%

10%

36%

31%

30%

24%

17%

27%

32%

33%

16%

0% 20% 40% 60% 80% 100%

Organized sports or exercising


School activities



Having pets

Outdoor activities

Indoor activities

Sleeping

Parents Kids

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?

Allergies Interferes a Lot or Some

80

28%

34%

44% 43%

66%

32%35%

5 0%

72%

63%

23%23%

0%

20%

40%

60%

80%

100%

Depressedor blue

Hyperactive Irritable Tired Anxious Miserable

Per

cen

t o

f re

spo

nd

ents

Q30. During allergy season, how often do you feel (ITEM) – frequently, sometimes, rarely or never? N=158

Frequently or Sometimes Felt During Allergy Season

81

8%

25%19%

25% 23%

7%

13%

23%

30%25%

2%

0%

20%

40%

60%

80%

100%

A lot Moderate Some Little Didn'treally

impact

Not sure

Per

cen

t o

f re

spo

nd

ents

Parents Kids

Q31. During allergy season, would you say the condition impacted your daily life …..? N=158

Impact of Allergies on Daily Life

82

3% 3%

26%29%

39%

1%4%

6%

27%

39%

23%

0%

20%

40%

60%

80%

100%

Notcontrolled

Poorlycontrolled

Somewhatcontrolled

Wellcontrolled

Completely Not sure

Per

cen

t o

f re

spo

nd

ents Parents Kids

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

Nasal Allergy Control in Past Week

83

6%

23%

36%33%

2%3%

27%

48%

22%

1%

0%

20%

40%

60%

80%

100%

Severe Moderatesymptoms

Mildsymptoms

No symptoms Not sure

Per

cen

t o

f re

spo

nd

ents

Parents Kids

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

Allergy Symptom Severity in Past Week

84

39%

30%

29%

24%

29%

35%

0% 20% 40% 60% 80% 100%

Difficulty in gettingto sleep

Waking up duringthe night

Lack of a goodnight's sleep

Parents Kids

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?

At Least Somewhat Troubled by Symptoms

85Q64a. 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

35%

64%

1%

30%

69%

1%0%

20%

40%

60%

80%

100%

Yes No Not Sure

Per

cen

t o

f re

spo

nd

ents

Parents Kids

Prescription Nasal Spray for Allergies in Past 4 Weeks

86Q65. 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

16%

46%

25%

7% 5%

13%

50%

29%

8%

0%

20%

40%

60%

80%

100%

All Most Some None Not sure

Per

cen

t o

f re

spo

nd

ents

Parents Kids

How Many Symptoms Relieved by Nasal Spray

87Q68. How long does it take for your current prescription nasal spray to begin giving you symptom relief? Base: Use prescription nasal spray

13%

29%

13%

5%0% 2% 4%

9% 7%

20%

46%

27%

0%2%

0%2% 4% 2%

10%

0%

20%

40%

60%

80%

100%

Within1 hour

1 hour 2hours

3-4hours

5-6hours

7-10hours

11-23hours

1-6days

1+week

NotSure

Per

cen

t o

f re

spo

nd

ents

Parents Kids

How Quickly Does it Relieve

88Q69a. 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

46%

36%

18%

56%

38%

6%

0%

20%

40%

60%

80%

100%

Loses effectiveness Does not Not sure

Per

cen

t o

f re

spo

nd

ents Parents Kids

Does Effectiveness Wear Off

89Q69b. How long after taking your current nasal allergy medicine does it begin losing effectiveness? Base: Nasal spray loses effectiveness.

4%

26%

41%

7%

0%

0%

4%

4%

19%

19%

31%

19%

11%

15%

0% 20% 40% 60% 80% 100%

Less than 4 hours

4-7 hours

8-11 hours

12-15 hours

16-23 hours

24 hours or longer

Not sure

Parents Kids

When Begins Losing Effectiveness

90Q70a. 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.

46%

30%

11% 11%

2%

42%40%

10%8%

0%0%

20%

40%

60%

80%

100%

Very Satisfied SomewhatSatisfied

Somewhatdissatisfied

Verydissatisfied

Not sure

Per

cen

t o

f re

spo

nd

ents Parents Kids

Satisfaction with Recent Rx Nasal Spray for Nasal Allergies

91Q85. How quickly are prescription medicines supposed to begin providing symptom relief for nasal allergies? N=158

1%

17%

42%

22%

2%

3%

1%

24%

11%

6%

1%

3%

11%

49%

2%

4%

0% 20% 40% 60% 80% 100%

Within 1 hour

1-3 hours

4-6 hours

7-9 hours

10-12 hours

13-24 hours

25 hours or longer

Not sure

Parents Kids

How Quickly Supposed to Relieve

92Q87a. Have you ever found that the effectiveness of a product that promised 24 hour relief began wearing off earlier? N=158

46%

34%

21%

27%

35%38%

0%

20%

40%

60%

80%

100%

Yes No Not sure

Perc

en

t o

f Effectiveness Ever Wore Off

before 24 Hours

93Q87c. 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.

2% 2%

13% 15%

23%

12%

33%

3% 4% 4%

18%21%

15%11%

24%

0%

20%

40%

60%

80%

100%

Within 1hour

1 hour 2 hours 3-4hours

5-6hours

7-10hours

11 ormore

Not sure

Per

cen

t o

f re

spo

nd

ents

Parents Kids

When Does Effectiveness Wear Off

94Q88a. 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

28%

46%

26%

38%

43%

19%

0%

20%

40%

60%

80%

100%

Yes No Not sure

Per

cen

t o

f re

spo

nd

ents

Parents Kids

Effectiveness Wears Off Over Time

95Q88c. 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.

14%

36%

2 %2%

7%11%14%14%

0%

20%

40%

60%

80%

100%

Within 1month

1 month 2months

3-4months

5-6months

7-10months

11 +months

Not sure

Per

cen

t o

f re

spo

nd

ents

Parents Kids


96Q89a. Have any of the medicines that you have taken for your nasal allergy ever caused nosebleeds?

11%

75%

14%

9%

81%

9%

0%

20%

40%

60%

80%

100%

Yes No Not sure

Per

cen

t o

f re

spo

nd

ents Parents Kids

Nasal Allergy Meds Cause Nosebleeds

97Q89b. How bothersome were those nosebleeds? Base: Medicine caused nosebleeds.

28% 28%

39%

6%

36%

14%

43%

7%

0%

20%

40%

60%

80%

100%

Extremelybothersome

Moderatelybothersome

Slightlybothersome

Not bothersome

Per

cen

t o

f re

spo

nd

ents

Parents Kids

How Bothersome were Nosebleeds

98Q98. In choosing a nasal allergy medicine, which would be the most important to you …? N=158

8%

21%

35%

7%

4%

2%

3%

1%

3%

40%

25%

20%

4%

27%

0% 20% 40% 60% 80% 100%

Fast symptom relief

Long lasting relief

Complete symptomrelief

Easy to take

Few side effects

Low cost

Not sure

Parents Kids

Most Important for Nasal Allergy Medicine

99Q117a. Do you have pets living in your house? N=158

61%

39%

61%

39%

0%

20%

40%

60%

80%

100%

Yes No Not sure

Per

cen

t o

f re

spo

nd

ents

Parents Kids

Pets in Household

100Q118a. Does anyone in your household smoke? N=158

26%

74%

33%

67%

1%

0%

20%

40%

60%

80%

100%

Yes, someone smokes No, no one smokes Not sure

Per

cen

t o

f re

spo

nd

ents

Parents Kids

Smokers in Household

Allergies in American Kids: Treatment Survey of Nasal Allergy Sufferers


April, 2007


April, 2007

Supported by:

102

Children Diagnosed with Nasal Allergies: Household Screening

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

Not diagnosed, 86%

Diagnosed, 14%

103

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

Medication only, 2%Symtoms only , 14%

Symptoms and Medication, 80% Neither, 3%

Current Nasal Allergies:Household Screening

104

Children with Current Nasal Allergies aged 4 to 17

6%

74%

16%

4%1%

0%

20%

40%

60%

80%

100%

None 1 2 3 4 or more

Per

cen

t o

f re

spo

nd

ents

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

105

33%

26%

74%

5%

0%

20%

40%

60%

80%

100%

Hay Fever Allergic Rhinitis Nasal allergies None of these

Per

cen

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f re

spo

nd

ents

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

Individual Screening for Diagnosis

106

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

Medication only, 4%

Symptoms only , 28%

Symptoms and Medication, 67%

Neither, 2%

Current Nasal Allergies: Individual Screening

107

When Diagnosed With Nasal Allergies

18%

11%

14%

8%8%

6%

8%

7%

13%

4%

3%

0%

10%

20%

Under3

3 4 5 6 7 8 9 10-12 13+ NotSure

Per

cen

t o

f re

spo

nd

ents

Q4. At what age were you first diagnosed with nasal allergies, rhinitis or hay fever? N=407

Age (years)

108

Who Diagnosed Nasal Allergies

42%

2%

3%

1%

11%

15%

19%

8%

0% 20% 40% 60% 80% 100%

General Practice

Family Practice

Allergist

ENT/OTO

Pediatrician

Internal Medicine

Other

Not sure

Q5. What was the medical specialty of the doctor who diagnosed your (AGE) with nasal allergies? N=407

109

Skin and Blood Tests for Allergies

Blood test only 11%

Not sure1%

Neither50%

Skin test only24%

Both13%

Q6a. Were you given a skin test to see what you were allergic to? Q6b. Were you given a blood test to see what you were allergic to? Unweighted N=407

110

Seasonal or Persistent Allergies

Not sure, 1%

Seasonal, 62%

Throughout the year, 37%

Q12. Would you describe your nasal allergies as seasonal or do they occur throughout the year? Unweighted N=407

111

Allergy Symptoms Worse During a Particular Season or Time of Year

64%

78%

72%

0%

20%

40%

60%

80%

100%

All Seasonal Persistent

Per

cen

t o

f re

spo

nd

ents

Q12. 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 particular

season or time of year? Unweighted N=407

112

Season Allergies Are the Worse

75%

17%

33%

13%

2%

0%

20%

40%

60%

80%

100%

Spring Summer Fall Winter Not Sure

Per

cen

t o

f re

spo

nd

ents

Q13b. During what times of the year are your nasal allergies the worse? Base: Worse at certain times Unweighted N=350

113

Allergies Worse Outdoors or Inside

Not sure1%

Same50%

Outside46%

Inside3%

Q13c. Are your nasal allergies worse when you are outdoors or inside, or is it about the same? Unweighted N=407

114

Symptoms During Worst Month

6%

2%

3%

19%

17%

9%

20%

19%

26%

9%

13%

3%

5%

16%

16%

10%

3 %

1 2 %

27%

12%

16%

25%

7 %

17%

0% 20% 40% 60% 80% 100%

Repeated Sneezing

Red, itching eyes

Awakened / Unable to Sleep

Headache

Facial Pain

Post-nasal drip

Respondent report frequency (%)

Every day Most days

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

115

How Bothersome are Symptoms

22%

18%

25%

23%

15%

37%

32%

42%

35%

39%

33%

39%

47%

38%

19%

19%

32%

21%

16%

13%

41%

35%

0% 20% 40% 60% 80% 100%

Repeated Sneezing

Red, itching eyes

Itching

Ear Pain

Runny Nose

Dry Cough

Rrespondent reported frequency (%)

ExtremelyModerately

Q15. When you have nasal allergy attacks, how bothersome are the following symptoms usually --- extremely bothersome, moderately bothersome, slightly bothersome, or not bothersome ?

116

Most Bothersome Symptom

12%

5%

3%

4%

10%

2%

2%

6%

8%

8%

13%

28%

0% 10% 20% 30% 40% 50%

Stuffed up nose

Headache

Post-nasal drip

Red, itching eyes

Runny Nose

Repeated Sneezing

Facial Pain

Watering Eyes

Ear Pain

Itching

Dry Cough

Not Sure

Rrespondent reported frequency (%)

Q16. Which of these symptoms was the most bothersome to you? Base: Had bothersome symptoms. Unweighted N=356

117

Degree of Discomfort from Allergies

Not sure1%

Can't Tolerate34%

Can Ignore9%

Can Tolerate56%

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

118

What Triggers Allergy Symptoms

17%

6%

7%

3%

5%

4%

17%

27%

31%

57%

0% 20% 40% 60%

Pollen

Dust

Grass

Weather

Animals

Perfume

Tobacco Smoke

Exercise

Fumes, odors

Chemicals

Respondent reported frequency (%)

Q19. What things usually trigger or make your nasal allergy symptoms worse? Unweighted N=407

119

What Triggers Allergy Symptoms (cont.)

2%

6%

13%

1%

6%

4%

2%

8%

0% 5% 10% 15% 20%

Pollution

Insects

Stress

Virus or Cold

Emotions

Nothing

Other

Not Sure

Respondents reported frequency

Q19. What things usually trigger or make your nasal allergy symptoms worse? Unweighted N=407

120

Productivity and Allergies

97%

68%

0%

20%

40%

60%

80%

100%

No Symptoms N=395 Symptoms at worst N=397

Res

po

nd

ents

mea

n r

epo

rted

p

rod

uct

ivit

y (%

)

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? Base: Employed full time Unweighted N=1,315

121

Symptoms During Worst Month

9%

19%

18%

48%

22%

31%15%

22%

20%

15%

7%

45%

0% 20% 40% 60% 80% 100%

Depressed or blue

Hyperactive

Irritable

Tired

Anxious

Miserable

Respondent reported frequency (%)

FrequentlySometimes

Q30. During allergy season, how often do you feel (ITEM) – frequently, sometimes, rarely or never? Unweighted N=407

122


Didn't really impact, 23%

Little, 27%

Some, 24%

A lot, 8%

Moderate, 17%

Q31. During allergy season, would you say the condition impacted your daily life …..? Unweighted N=407

123

Nasal Allergy Control in Past Week

Not sure0%Completely

34%

Well controlled32%

Somewhat controlled27%

Not controlled3%Poorly controlled

4%

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

124

Allergy Symptom Severity in Past Week

Not sure1%

No symptoms28%

Mild symptoms43%

Severe6%

Moderate symptoms22%

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

125

Specialty of Doctor Treating Nasal Allergies

2%

1%

37%

13%

3%

31%

14%

0% 10% 20% 30% 40% 50%

General practice

Family practice

Internal medicine

Allergist

ENT

Other

Not sure

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

126

Seen Doctor for Nasal Allergies in Past 12 Months

No, not seen doctor, 38%

Yes, seen doctor, 62%

Not Sure, 1%

Q42a. Have you seen a health practitioner about your nasal allergies in the past 12 months? Unweighted N =407

127

Shots for Nasal Allergies

Past year, 8%

1-2 years, 2%

3-4 years, 1%

5 years ago or longer, 1%

Never, 89%

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

128

Drops or Extracts for Nasal Allergies

Past year, 12%

1-2 years, 2%

3-4 years, 1%


Never, 86%

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

129

Shown How to Use Nasal Spray

Not sure when if ever, 2%

Past year, 25%

1-2 years, 14%

3-4 years, 7%


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

130

Follow Health Practitioner’s Advice

Not sure , 1%

All of the time, 39%

Most of the time, 42%

Some of the time, 13%

Rarely, 3%

Never, 3%

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

131

Satisfaction with Health Practitioner’s Management of Your Allergies

Very satisfied, 70%

Somewhat satisfied, 23%

Not sure, 1%

Somewhat dissatisfied, 4%

Very dissatisfied, 2%

Q51. Overall, how satisfied are you with your health practitioner’s management and treatment of your nasal allergies? Unweighted N=407

132

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

133

Seen Specialist for Nasal Allergies

Primary doctor is specialist, 13%

Seen other specialist, 14%

Not seen specialist, 87%

Q54a. Have you seen a specialist about your nasal allergies in the past 12 months? Unweighted N=407

134

Satisfaction with Specialist’s Management of Your Allergies

Very dissatisfied, 4%Somewhat dissatisfied, 4%


Very satisfied, 65%

Not Sure , 12%

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=57

135

Types of Medications Used for Allergies

32%

26%

39%

3%

0%

20%

40%

60%

80%

100%

Prescription only Non-prescriptiononly

Both Neither

Per

cen

t o

f re

spo

nd

ents

Q62. 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

136

Non-Prescription Medicine for Allergies in Past 4 Weeks

49% 51%

0%

20%

40%

60%

80%

100%

Yes No

Per

cen

t o

f re

spo

nd

ents

Q63a. 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

137

Non-Prescription Medicine for Allergies: Recency of Use

Past 4 weeks, 54%

Past 6 months, 16%

Past year, 10%

Not sure, 9%

More than a year, 11%

Q63a. In the past 4 weeks, have you used any over-the-counter, non-prescription medicine to give you relief from nasal allergy symptoms?

Q63b. 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

138

Which OTC Medicine Used

3%

3%

1%

1%

1%

1%

21%

4%

1%

2%

11%

11%

37%

30%

0% 10% 20% 30% 40%

Claratin

Benadryl

Sudafed

Tylenol Allergy

Cold medicines

Afrin

Actifed

Alavert

Chlortrimeton

Tavist

Nasalcrom

Neo-Synephrine

Other

Not Sure

Reported frequency (%)

Q63c. What is the name of the over-the-counter medicines you take/took for nasal allergies? Base: Used in past 4 weeks. Unweighted N=220

139

Satisfaction with Recent OTC Medicine for Nasal Allergies

Not sure, 4%

Very satisfied, 37%




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

140

Prescription Nasal Spray for Allergies in Past 4 Weeks

31%

69%

1%

0%

20%

40%

60%

80%

100%

Yes No Not Sure

Per

cen

t o

f re

spo

nd

ents

Q64a. In the past 4 weeks, have you used any prescription nasal spray for your nasal allergies? Unweighted N=407

141

Prescription Nasal Spray for Allergies: Recency of Use

Past 4 weeks, 33%

Past year, 8%

Past 6 months, 13%

More than a year, 15%

Never, 31%Not sure, 1%

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

142

Which Prescription Nasal Spray Used

3%

8%

11%

1%

6%

11%

37%

28%

0% 10% 20% 30% 40% 50%

Flonase

Nasonex

Nasacort

Rhinocort

Astelin

Nasarel

Other

Not Sure


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

143


Not sure, 5%

None, 4%Some, 26%

Most, 44%

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

144


16%

33%

10%

4%0% 1% 2%

5%1%

4%

0%

20%

40%

60%

80%

100%

Within1 hour

1 hour 2hours

3-4hours

5-6hours

7-10hours

11-23hours

1-6days

1+week

NotSure

Per

cen

t o

f re

spo

nd

ents

Q68. How long does it take for your current prescription nasal spray to begin giving you symptom relief? Unweighted N=132

145


Not sure, 12%

Does not, 38%

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

146


3%

2%

11%

18%

15%

38%

14%

0% 20% 40% 60% 80% 100%

Less than 4 hours

4-7 hours

8-11 hours

12-15 hours

16-23 hours

24 hours or longer

Not sure

Q69b. How long after taking your current nasal allergy medicine does it begin losing effectiveness? Base: Nasal spray loses effectiveness. Unweighted N=66

147

Satisfaction with Recent Rx Nasal Spray for Nasal Allergies

Not sure, 2%

Very satisfied, 43%




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

148

Satisfaction with Rx Nasal Sprays for Nasal Allergies

Not sure, 7%

Very satisfied, 35%




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

149

Reason for Not Using Rx Nasal Spray Recently

12%

25%

3%

3%

1%

5%

7%

13%

37%

0% 20% 40% 60% 80% 100%

No symptoms

Not bad enough

Not effective

Side effects

Don't like sprays

Don't tolerate

Hard to use

Other

Not Sure

Q71. 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

150

Other Prescriptions for Allergies in Past 4 Weeks

28%

71%

1%

0%

20%

40%

60%

80%

100%

Yes No Not Sure

Per

cen

t o

f re

spo

nd

ents

Q72a. Have you taken any other prescription medications for your nasal allergies in the past 4 weeks? Unweighted N=407

151

Other Prescription Medicine Used

4%

21%

5%

2%

1%

5%

35%

33%

14%

0% 20% 40% 60% 80% 100%

Allegra

Zyrtec

Singulair

Claritin Rx

Clarinex

Prednisone/Medrol dose pack

Fexofenadine

Other

Not sure

Q72b. What is the name of the other prescription medicine you take/took for nasal allergies? Base: Used in past 4 weeks. Unweighted N=112

152


All, 27%

Most, 48%

Some, 23%

Not Sure, 1%

None, 1%

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

153


18%23%

12%

4%1% 1%

4%

12%

5%

21%

0%

20%

40%

60%

80%

100%

Within1 hour

1 hour 2hours

3-4hours

5-6hours

7-10hours

11-23hours

1-6days

1+week

NotSure

Per

cen

t o

f re

spo

nd

ents

Q76. How long does it take for this prescription medicine to begin giving you symptom relief? Base: Use other prescription medicine. Unweighted N=112

154


Not sure, 8%

Does not, 54%

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

155


2%

14%

9%

19%

16%

26%

14%

0% 20% 40% 60% 80% 100%

Less than 4 hours

4-7 hours

8-11 hours

12-15 hours

16-23 hours

24 hours or longer

Not sure

Q77b. How long after taking this nasal allergy medicine does it begin losing effectiveness? Base: Other prescription medicine loses effectiveness. Unweighted N=43

156

Satisfaction with Other Prescription Medicine for Nasal Allergies

Not sure, 3%

Very satisfied, 57%




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

157

Medicine for Allergies in Past 4 Weeks

71%

2 9 %

44%

22%

34%

49%

0%

20%

40%

60%

80%

100%

OTC Rx NasalSpray

Other Rx Any Rx AnyMedication

NoMedication

Resp

on

den

ts r

ep

ort

ed

fre

qu

en

cy (

%)

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

158

Use of Prescription Meds for Nasal Allergies

2%

14%

61%

23%

0% 20% 40% 60% 80% 100%

All year

Only Part Year

Never take

Not sure


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

159

Change Prescription Medicines for Nasal Allergies

Several times a year, 8%

Not sure, 3%

Once a year, 9%

Every few years, 10%Only rarely, 32%

Never, 38%

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

160

Why Changed Medicine for Nasal Allergies

3%

1%

4%

3%

1%

6%

11%

4%

7%

4%

7%

23%

41%

0% 20% 40% 60% 80% 100%

Not effective enough

Doctor wanted to try other

Patient wanted to try other

Bothersome side effects

Cost/co-pay

Didn't treat symptoms

Not covered

Safety concerns

Not long lasting enough

Hard to take

Not fast enough

Not sure

Other

Q81b. Why have you changed nasal allergy medicines? Anything else? Base: Have changed nasal allergy medicines. Unweighted N=241

161

Asked Doctor to Change Medication

Not Sure, 1%

No, 73%

Yes, 26%

Q82a. Have you ever asked your doctor to change your nasal allergy medication because you were dissatisfied with it? Unweighted N=407

162

Why Dissatisfied with Nasal Allergy Medicine

1%

1%

3%

2%

9%

9%

12%

64%

0% 20% 40% 60% 80% 100%

Wasn't effective


Effectiveness wore off

Didn't provide 24 hour relief

Cost/co-pay

Hard to administer

Other

Not sure


Q82c. Why were you dissatisfied with that medicine? Base: Have asked doctor to change nasal allergy medicines. Unweighted N=106

163

How Quickly Supposed to Relieve

2%

20%

11%

7%

1%

4%

14%

42%

0% 20% 40% 60% 80% 100%

Within 1 hour

1-3 hours

4-6 hours

7-9 hours

10-12 hours

13-24 hours

25 hours or longer

Not sure


Q85. How quickly are prescription medicines supposed to begin providing symptom relief for nasal allergies? Unweighted N=407

164

How Long Supposed to Relieve

31%

21%

3%

16%

20%

10%

0% 20% 40% 60% 80% 100%

Less than 6 hours

6-11 hours

12-17 hours

18-23 hours

24 hours or longer

Not sure


Q86. How long are prescription medicines supposed to provide symptom relief for nasal allergies? Unweighted N=407

165

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? Unweighted N=407

166

Effectiveness Wore Off: Multiple Products

Not sure, 25%No, 38%

Yes, not sure if 1 or more, 3%

Yes, one, 16%

Yes, more than one, 18%

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

167


1% 3% 3%

17% 16% 17%13%

31%

0%

20%

40%

60%

80%

100%

Within 1hour

1 hour 2 hours 3-4hours

5-6hours

7-10hours

11 ormore

Not sure

Per

cen

t o

f re

spo

nd

ents

Q87c. 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

168

Stopped Taking Because Effectiveness Wore Off

15%

40%

0%

20%

40%

60%

80%

100%

All Patients - UnweightedN=407

Experienced Wear-offUnweighted N=152

Res

po

nd

ents

per

cen

t

Q87d. Have you ever stopped taking a product for your nasal allergies because its effectiveness had worn off?

169

Effectiveness Wears Off Over Time

Not sure, 23%No, 46%

Yes, not sure how many, 1%

Yes, one, 15%

Yes, more than one, 15%

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

170


10%

33%

3%

2%

13%

11%

13%

15%

0% 20% 40% 60% 80% 100%

Within 1 month

1 month

2 months

3-4 months

5-6 months

7-10 months

11 or more months

Not sure


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

171

Stopped Taking Because Effectiveness Wore Off

14%

46%

0%

20%

40%

60%

80%

100%

All Patients UnweightedN=407

Experienced Wear-offUnweighted N=124

Res

po

nd

ents

rep

ort

ed f

reg

uen

cy (

%)

Q88d. Have you ever stopped taking a product for your nasal allergies because its effectiveness had worn off?

172

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

173

How Bothersome Were Nosebleeds

Not sure , 2%Not bothersome, 6%

Slightly bothersome, 23%

Moderately bothersome, 30%

Extremely bothersome, 38%

Q89b. How bothersome were those nosebleeds? Base: Medicine caused nosebleeds. Unweighted N=47

174

Side Effects of Allergy Medicines

19%

6%

24%

6%3% 2%

10%

3%

8%

5%

11%

7%

14%

11%

10%

1%1%

6%

0%

10%

20%

30%

40%

50%

Bad taste Burning Drippingdown throat

Dryingfeeling

Headaches Drowsiness

Resp

on

den

ts r

ep

ort

ed

fre

qu

en

cy (

%)

Some

Most

All

Q90. 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

175

How Bothersome are Side Effects

13%

7%11%

5% 5% 4%

15%

9%

20%

9% 7%8%

0%

10%

20%

30%

40%

50%

Bad taste Burning Drippingdown throat

Dryingfeeling

Headaches Drowsiness

Resp

on

den

ts r

ep

ort

ed

fre

qu

en

cy (

%)

Moderately

Extremely

Q91. How bothersome are the following side effects of nasal allergy medicines --- extremely, moderately, slightly or not bothersome? Unweighted N=407

176

Try to Avoid Certain Medicines

Not sure, 16%

No, 70%

Yes, 15%

Q100a. Are there any nasal allergy medications that you try to avoid using? Unweighted N=407

177

Reason Stopped Taking Nasal Allergy Prescription

5%

7%

5%

51%

2%

4%

14%

13%

15%

16%

0% 20% 40% 60% 80% 100%

Didn't find it effective

Effectiveness began wearing off

Didn't provide 24 hour relief


Not covered

Co-pay was too high

Dosing schedule was difficult

Hard to administer

Concern about safety

None of these


Q94. Have you ever stopped taking a nasal allergy medicine prescribed by your doctor because…. Unweighted N=407

178

Tell Doctor When Stop Taking Rx Meds

Not sure, 1%

Yes, 55%

No, 43%

Q95. When you have stopped taking a nasal allergy medicine for one of these reasons, do you always tell your doctor right away?

Base: Have stopped taking nasal allergy medicine prescribed by doctor. Unweighted: N=264

179

Get Money’s Worth From Rx Meds

Not sure, 6%

Yes, 62%

No, 32%

Q97. Overall, do you feel that patients get their money’s worth out of prescription medicines for nasal allergies? Unweighted N=407

180

Most Important for Nasal Allergy Medicine

8%

3%

2%

4%

38%

27%

18%

0% 20% 40% 60% 80% 100%

Fast symptom relief

Long lasting relief

Complete symptom relief

Easy to take

Few side effects

Low cost

Not sure


Q98. In choosing a nasal allergy medicine, which would be the most important to you …? Unweighted N=407

181

Important for Nasal Allergy Medicine

8%

22%

25%

10%

16%

8%

3 %

2 %

4%

38%

27%

18%

0%

17%

0% 20% 40% 60% 80% 100%

Fast symptom relief

Long lasting relief

Complete symptom relief

Easy to take

Few side effects

Low cost

Not sure

Respondants reported frequency (%)

Most Next

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

182

How Many Symptoms Relieved for Success

Not sure, 3%

None, 1%

Few, 2%

Some, 6%Most, 56%

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

183

Percent Relief for Success

87% 88% 87% 87% 86%

0%

20%

40%

60%

80%

100%

All PatientsN=2,500

No symtoms Mildsymptoms

Moderatesymptoms

Severesymptoms

Per

cen

t o

f re

spo

nd

ents

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?

184

How Quickly Must Relieve

2%

7%

10%

2%

4%

9%

37%

30%

0% 20% 40% 60% 80% 100%

Within 1 hour

1 hour

2 hours

3-4 hours

5-6 hours

7-10 hours

11 hours or longer

Not sure


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

185

How Long Must Last

4%

6%

28%

18%

17%

19%

7%

0% 20% 40% 60% 80% 100%

Less than 4 hours

4-7 hours

8-11 hours

12-15 hours

16-23 hours

24 hours or longer

Not sure


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

186

Failed to Follow Physician Instructions

19%

18%

14%

17%

12%

21%

41%

25%

27%

0% 20% 40% 60% 80% 100%

Lack of symptom relief

Loss of effectiveness over time

Lack of symptoms

Troublesome side effects

Worry about side effects

Cost of drugs

Concern about long term use

Poor toleration

Concern about safety


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

187

Insurance Restricts Type Of Medicine

Not sure, 7%

Doesn't restrict, 60%

Yes, does, 28%

Not covered, 5%

Q111f. Does your insurance restrict your doctor from prescribing specific nasal allergy medications for you? Unweighted N=407

Pediatric Allergies in America: Survey of Health Professionals


April, 2007


April, 2007

Supported by:

189

Population Sampling FrameInterview

LengthCompleted

Sample

Population Aged 4-17• with allergies• without allergies

National RDD 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

Study Design

190

Health Provider Type

20% 20% 20% 20%

10% 10%

0%

5%

10%

15%

20%

25%

30%

35%

ENT Allergist Pediatrician FamilyPractice

NursePractitioner

PhysicianAsst

Resp

on

den

t re

po

rted

fre

qu

en

cy (

%)

Base: Total completed interviews N=501

191

Primary Ambulatory Care Setting

3%

41%

34%

0%

1%

1%

21%

48%

18%

9%

4%

0%

0%

23%

26%

33%

11%

1%

2%

3%

13%

27%

13%

34%

3%

3%

7%

43%

31%

20%

1%

1%

1%

23%

1%

0% 20% 40% 60% 80% 100%

Solo practice

Single-specialtygroup

Multi-specialty group

Clinic

HMO

Hospital Outpatient

Other

Responder frequency (%)

Nurse Prac./Physician Asst.

Family Practice

Pediatrician

Allergist

ENT

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

192

Patients Seen on Outpatient Basis

44%

38%

95%

51%

43%

0%

20%

40%

60%

80%

100%

ENT Allergist Pediatrican Family Practice NursePrac./Physician

Asst

Resp

on

der

freq

uen

cy (

%)

Q4. In an average week, about how many patients aged 4 to 17 do you see on an outpatient basis? N=501

193

Percent of Patients with Rhinitis

25%29%

23%

67%

43%

0%

20%

40%

60%

80%

100%

ENT Allergist Pediatrician Family Practice NursePrac./Physician

Asst

Pat

ien

ts s

een

wit

h a

llerg

ic r

hin

itis

(%

)

Q5. About what percent of the patients aged 4 to 17 you see each week have allergic rhinitis? N=501

194

How Bothersome are Symptoms

9%

79%

75%

77%

73%

7%

5%

24%

14%

67%

0% 20% 40% 60% 80% 100%

ENT

Allergist

Pediatrician

Family Practice

Nurse Prac./ PhysicianAsst.

Respondants reported frequency (%)Extremely

Moderately

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

195

Most Bothersome Symptoms

96%

53%

50%

69%

98%

50%

51%

67%

74%

92%

45%

57%

78%

74%

90%

46%

51%

72%

63%

90%

10%

5%

14%

10%

22%

68%

75%

45%

37%

73%

0% 20% 40% 60% 80% 100%

Red/Itching eyes

Watery eyes

Post-nasal drip

Runny nose

Nasal congestion


Patients (single choice)Nurse Prac./Physician Asst.Primary carePediatrician

AllergistENT

Q7. Which of the following nasal allergy symptoms are most bothersome to your patients? N=501PQ16. Which of these symptoms was the most bothersome to you? Base: Had bothersome symptoms.

Unweighted N=2,362

196

Most Bothersome Symptoms (Cont.)

34%

22%

35%

41%

43%

27%

39%

29%

36%

44%

32%

29%

41%

39%

39%

23%

26%

37%

30%

29%

7%

14%

4%

9%

4%

40%

43%

28%

36%

20%

0% 20% 40% 60% 80% 100%

Facial pain

Headache

Ear pain

Repeated sneezing

Itching


Patients (single choice)Nurse Prac./Physician Asst.Primary carePediatrician

AllergistENT

Q7. Which of the following nasal allergy symptoms are most bothersome to your patients? N=501PQ16. Which of these symptoms was the most bothersome to you? Base: Had bothersome symptoms.

Unweighted N=2,362

197

Discomfort During Allergy Attack

28%

71%

41%

70%

64%

55%38%

27%

38%

55%

26%

56%

0% 20% 40% 60% 80% 100%

ENT

Allergist

Pediatrician

Family Practice


Patients

Respondants reported frequency (%)

Can't tolerate

Can't ignore

Q8. 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

198

Patients Missing Work Due to Rhinitis

7%

23%

25%

17%

15%

30%

5%

2%

4%

3%

11%

33%

40%

42%

35%

0% 20% 40% 60% 80% 100%

ENT

Allergist

Pediatrician

Family Practice


Patients (yes)


All (91% to 100%)

Most (51% to 90%)

Some (11% to 50%)

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

199

Productivity When Nasal Allergies are at Their Worst

59%

7 2 %

61%66%

54%55%

0%

20%

40%

60%

80%

100%


NP/PA Patients

Rep

ort

ed p

atie

nt

pro

du

ctiv

ity

(%)

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 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?

200


23%

59%

41%

51%

52%

25%15%

17%

19%

49%

24%

51%

0% 20% 40% 60% 80% 100%

ENT

Allergist

Pediatrician

Family Practice

NursePrac./Physician Asst.

Patients


A lot Moderate

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

201

Classification of Nasal Allergies

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

51%52%55%

72%

64%

0%

20%

40%

60%

80%

100%

ENT Allergist Pediatrician Family Practice NursePrac./Physician

Asst

Yes r

esp

on

se (

%)

202

Percent of Patients with Perennial Allergies

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

39%4 3 %

40%37%

64%

52%

0%

20%

40%

60%

80%

100%


NP/PA Patients

Rep

ort

ed p

eren

nia

l al

lerg

ies

(%)

203

Proportion of Patients Classified by Symptom Severity

20%

44%

47%

41%

41%

23%

20%

32%

29%

38%

36%

35%

42%

27%

0% 20% 40% 60% 80% 100%

ENT

Allergist

Pediatrician

Family Practice


4 to 17 year-olds respondents

Severe

Moderate

Mild

Q13b. What proportion of your patients aged 4 to 17 with nasal allergies would you classify as having…? N=501

204

Skin Test to Confirm Diagnosis

4%

21%

50%

4%

8%

49%

3%

3%

49%

7%

4%

32%

36%

48%

39%

1.0%

0% 20% 40% 60% 80% 100%

ENT

Allergist

Pediatrician

Family Practice


Patients (yes)

Respondents (%)

AlwaysMost of the timeSometimes

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

205

Blood Test to Confirm Diagnosis

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

2%

23%

1%

1%

1%

3%

2%

14%

10%

6%

10%

26%

26%

38%

33%

32%

0% 20% 40% 60% 80% 100%

ENT

Allergist

Pediatrician

Family Practice

Nurse Prac./PhysicianAsst.

Patients (yes)

Response (%)

Always

Most of the time

Sometimes

206

Allergy Shots to Treat Nasal Allergies

2%

17%

20%

7%

8%

25%

3%

4%

5%

8%

3%

30%

40%

30%

49%

0% 20% 40% 60% 80% 100%

ENT

Allergist

Pediatrician

Family Practice


Patients (ever)

Received allergy shots (%)

AllMostSome

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

207

Allergy Drops to Treat Nasal Allergies

6%

3%

7%

9%

17%

3%

1%

1%

4%

12%

9%

14%

6%

21%

2%

0% 10% 20% 30% 40% 50%

ENT

Allergist

Pediatrician

Family Practice


Patients (ever)

Refer patiens for oral or nasal therapy (%)

AllMostSome

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

208

How Often Show How to Use Nasal Spray

29% 5%

22% 15%31%

13%

31%

47%

18% 1%

1%

6%

2%

53%

76%

56%

67%

45%

0% 20% 40% 60% 80% 100%

ENT

Allergist

Pediatrician

Family Practice


Patients

Show patients how to use nasal spray (%)

1+ times/yr

Every few years

When prescribed/5 years or more

Q18. How often do you show patients aged 4 to 17 how to use a nasal spray for their nasal allergies? N=501PQ48a. 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

209

Difficulty in Using Spray Dispensers

3% 3% 5%

57%

15% 17% 12% 11%

37%39%

26%37%

2%1%

10%

32%

0%

20%

40%

60%

80%

100%


NP/PA Patients

Resp

on

den

ts r

ep

ort

ed

fre

qu

en

cy (

%)

Some

Moderate amount

A lot of difficulty

Q18b. 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

210

How Often Patients Follow Advice

36%

56% 55%49%

43%

2%1%1%1%0%

41%

37%

0%

20%

40%

60%

80%

100%


NP/PA Patients

Resp

on

den

ts r

ep

ort

ed

fre

qu

en

cy (

%)

Most of the time

All of the time

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

211

Percent of Patients Very Satisfied With Disease Management

3% 4% 4%

57%

73%77% 75%

68%

2% 1%

58%

0%

20%

40%

60%

80%

100%


NP/PA Patients

Resp

on

den

ts r

ep

ort

ed

fre

qu

en

cy (

%)

Most (51% to 90%)

All (91% to 100%)

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

212

Effect of Medical Treatment on Quality of Life

43%

43%

38%

43%

43%

42%

46%

57%

53%

44%

0% 20% 40% 60% 80% 100%

ENT

Allergist

Pediatrician

Family Practice

NP/PA

Effect of treatment on QOL (%)

A lot

Moderate

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

213

How Often Patients Change Allergy Medications

7%

38%

35%

16%

28%

8% 12%

10%

12%

21%

15%

16%

38%10%

10%

8%

18%

19%

35%

43%

55%

32%

32%

0% 20% 40% 60% 80% 100%

ENT

Allergist

Pediatrician

Family Practice

NP/PA

Patients

Percent chaning allergy medicaiton

Several times a year Once a year Every few years Rarely or never

Q22. 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

214

Patients Ask to Change Allergy Medicine

14%

11%

8%

11%

3%

1%

3%

3%

11%

41%

58%

58%

50%

0% 20% 40% 60% 80% 100%

ENT

Allergist

Pediatrician

Family Practice

NP/PA

Dissastified with allergy medi (%)

All (91% to 100%)

Most (51% to 90%)

Some (11% to 50%)

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=501PQ82a. Have you ever asked your doctor to change your nasal allergy medication because you were dissatisfied with it? Unweighted N=2,500

215

Reasons for Dissatisfaction with Medicine

73%

13%

6%

45%

75%

17%

8%

13%

22%

79%

12%

12%

22%

28%

77%

14%

9%

10%

17%

76%

29%

8%

6%

16%

10%

0% 20% 40% 60% 80% 100%

Other

Co-pay too high

Not covered by ins

Side effects

Not effective

Dissastified with medicaiton (%)


Primary care

Pediatrician

Allergist

ENT

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

216

Reasons for Dissatisfaction with Medicine (cont.)

8%

1%

1%

3%

7%

1%

1%

4%

6%

12%

1%

4%

4%

6%

8%

1%

2%

2%

7%

1%

6%

3%

0%

0%

6%

0% 10% 20%

Safety Concerns

Dosing schedule

No relief throughday/night

Hard to administer

Effectiveness woreoff

Dissatisfied (%)


Primary care

Pediatrician

Allergist

ENT

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

217

Most Important Attribute of Allergy Medicine

9%

25%

21%

10%

6%

4%

21%

26%

35%

8%

7%

3%

20%

25%

27%

17%

4%

6%

23%

24%

22%

11%

9%

11%

17.0%

32.0%

37.0%

2.0%

6.0%

5.0%

4%

14%

25%

22%

23%

35%

0% 20% 40% 60%

Fast symptom relief

Long lastingsymptom relief

Complete symptomrelief

Easy to take

Few side effects

Low cost

Most important feature (%)

PatientsNP/PAFamily PracticePediatricianAllergistENT

Q38. In choosing a medicine for nasal allergies, which would be most important to your patients aged 4 to 17? N=501PQ98. In choosing a nasal allergy medicine, which would be the most important to you …? Unweighted N=2,500

218

Preferred Medicines for Moderate to Severe Persistent Allergy Symptoms

45%

8%

7%

2%

31%

75%

14%

5%

11%

17%

33%

62%

7%

5%

11%

12%

48%

55%

16%

4%

9%

11%

52%

50%

66%

13%

9%

10%

8%

2%

0% 20% 40% 60% 80% 100%

Other

Antihist/Decon - Rx

Leukotriene

Antihistimines - OTC

Antihistimines

ICS

Preferred medication (%)


Primary care

Pediatrician

Allergist

ENT

Q31. What class or classes of medication is your preferred choice for adults with moderate to severe persistent allergy symptoms? [Unaided response] N=501

219

Preferred Medicines for Moderate to Severe Persistent Allergy Symptoms (cont.)

1%

0%

0%

1%

3%

7%

0%

0%

4%

0%

1%

6%

1%

0%

0%

1%

1%

7%

0%

4%

1%

3%

7%

4%

5%

3%

1%

1%

0%

0%

0% 3% 5% 8% 10%

Cromolyn

Decongestants -OTC

Decong Nasal Sprays- OTC

Antihist/Decon - OTC

Anticholinergic nasalspray

Internasal Anstihist

Preferred medication class (%)


Primary care

Pediatrician

Allergist

ENT

Q31. What class or classes of medication is your preferred choice for adults with moderate to severe persistent allergy symptoms? [Unaided response] N=501

220

Patients Using Intra-Nasal Corticosteroids for Allergies

64% 67%

54%47% 45%

36%

7%

14%

0%

20%

40%

60%

80%

100%


NP/PA Patients

Resp

on

den

ts r

ep

ort

ed

fre

qu

en

cy (

%)

Past year

Past 6 months

Past 4 weeks

Q32. 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 the most recent time that you used a prescription nasal spray for your nasal allergies? Unweighted N=2,500

221

Symptoms Relieved by Intra-nasal Corticosteroids

3%

16%

64%71%

77% 75%

34%

28%21%

22%

34%

1% 1%

46%69%

23%

0%

20%

40%

60%

80%

100%


NP/PA Patients

Resp

on

den

ts r

ep

ort

ed

fre

qu

en

cy (

%)

All Most Some

Q33. 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

222

Time for Intra-nasal Corticosteroids Relief

9%

48%

72%

52%

42%

12% 4%7 1%

6%

4%

5%

12%

45%

38%

40%

51%

39%

21%

0% 20% 40% 60% 80% 100%

ENT

Allergist

Pediatrician

Family Practice

NP/PA

Patients

Respondents (%)

HoursDays

Weeks

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

223

How Long Intra-nasals Provide Relief

77%

81%

69% 69%

59%

0%

20%

40%

60%

80%

100%

ENT Allergist Pediatrician Family Practice NP/PA

Res

po

nd

ents

Q25. For patients aged 4 to 17, how long are intra-nasal corticosteroids supposed to provide symptoms relief for nasal allergies? N=501

224

Do Intra-nasals Lose Effectiveness

34%

48%

33%

39%

33%

60%

0%

20%

40%

60%

80%

100%


NP/PA Patients

Res

po

nd

ents

Q35a. 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

PQ69a. 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

225

Time Until Intra-nasals Lose Effectiveness

6%5%

12%

8%

12%

7%

0%

5%

10%

15%

20%


NP/PA Patients

Res

po

nd

ents

Q35b. How long after taking an intra-nasal corticosteroid does it begin losing effectiveness allergies? Base: Lose effectiveness over day and night N=183PQ69b. How long after taking your current nasal allergy medicine does it begin losing effectiveness? Base: Nasal spray loses effectiveness. Unweighted N=440

226

Intra-Nasal Corticosteroids Wear Off Over Time

61%

49%46%

58% 58%

0%

20%

40%

60%

80%

100%


NP/FP

Res

po

nd

ents

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

227

Time Until Intra-nasal Corticosteroids Wear Off

26%

3%

6%

5%

5%

19%

17%

16%

15%

2%

43%

66%

67%

71%

0% 20% 40% 60% 80% 100%

ENT

Allergist

Pedatrician

Family Practice

NP/PA

Respondents (%)

Hours

Days

Weeks

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

228Q28. 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

Side Effects of Intranasal Corticosteroids

2%

11%

9%

13%

5%

1%

30%

9%

39%

13%

2%

1%

22%

15%

36%

15%

5%

7%

26%

11%

50%

21%

0%

7%

3%

17%

44%

9%

12%

43%

0% 20% 40% 60%

Bad taste

Burning

Dripping down throat

Drying feeling

Headaches

Drowsiness

Respondents (%)

NP/PA

Family Practice

Pediatrician

Allergist

ENT

229

Patients Avoid Any Intra-Nasal Corticosteroids

34%38%

28%

21% 19%

0%

20%

40%

60%

80%

100%


NP/PA

Per

cen

t o

f re

spo

nd

ents

Q29a. Are there any intranasal corticosteroid medications for nasal allergies that your patients aged 4 to 17 try to avoid using? N=501

230

Satisfaction of Patients with Intra-nasal Corticosteroids

18%

72%

69%

61%

70%

38%3 4 %

31%

37%

26%

22%

57%

0% 20% 40% 60% 80% 100%

ENT

Allergist

Pediatrician

Family Practice

NP/PA

Patients

Very satisfied 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

231

Patients Avoid Using Intra-Nasal Corticosteroids for Nasal Allergies

52%

70%

60%

53%57%

0%

20%

40%

60%

80%

100%


NP/PA

Per

cen

t o

f re

spo

nd

ents

Q37a. Do patients aged 4 to 17 avoid using intra-nasal corticosteroids for their nasal allergies? N=501

232

Reasons Avoid Intra-nasal Corticosteroids

10%

3%

13%

6%

14%

45%

5%

7%

3%

6%

17%

28%

4%

4%

1%

3%

11%

25%

2%

6%

5%

4%

12%

29%

11%

1%

9%

8%

29%

1%

5%

5%

3%

3%

0% 20% 40% 60%

Not effective

Other side effects

Nosebleeds

Safety

Side effects

Don't like sprays

PatientsNurse Prac./Physician Asst.Primary carePediatricianAllergistENT

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

233

Reasons Avoid Intra-nasal Corticosteroids (cont.)

1%

14%

0%

2%

0%

2%

8%

2%

0%

2%

0%

2%

10%

6%

2%

3%

1%

2%

11%

2%

0%

1%

1%

2%

1%

1%

30%

2%

11%

2%

1%

0%

3%

11%

0%

0% 10% 20% 30% 40% 50%

Other

Hard to use

Dependence worries

Don't tolerate well

Symptoms aren't badenough

No symptoms

PatientsNurse Prac./Physician Asst.Primary carePediatricianAllergistENT

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

234

Number of Symptoms Relieved for Success

4%

80%

77%

74%

73%

53%33%

3%

5%

5%

3%

85%

0% 20% 40% 60% 80% 100%

ENT

Allergist

Pediatrician

Family Practice

NP/PA

Patients

All 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

235

Percent Symptom Relief for Success

74%

85%

73%78%

71%71%

0%

20%

40%

60%

80%

100%


NP/PA Patients

Q41. 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

PQ102. 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

236

How Quick Symptom Relief for Success

0.677 0.663

0.761

0.647 0.652

0%

20%

40%

60%

80%

100%


Per

cen

t o

f re

spo

nd

ents

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

237

Time Intra-nasals Last for Success

50%

67%

53%49%

45%

0%

20%

40%

60%

80%

100%


Per

cen

t o

f re

spo

nd

ents

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

238

Opinions About Nasal Allergies

Q44. 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=501PQ110. 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

80%

73%

31%

55%

83%

71%

48%

29%

3%

43%

79%

61%

2%

41%

35%

2%

45%

76%

55%

2%

46%

24%

2%

48%

78%

55%

4%

55%

28%

15%

22%

56%

64%3%

70%

41%

3%

36%

65%

3%

2%

0% 20% 40% 60% 80% 100%

Nasal allergies are a serious health problem in theUS

Even with proper treatment nasal allergies usuallycause some lifestyle limitations

There are no truly effective treatments for nasalallergies

Frequent nasal allergy symptoms can beprevented in most cases

Nasal allergies can make asthma worse

Nasal allergies can cause sinus infections

Rx nasal sprays not safe for kids

Patients

Nurse Prac./Physician Asst.Primary care

Pediatrician

Allergist

ENT

239

Patients Get Monies Worth From Rx Medicines

80%

55%

84%88%

82%

74%

0%

20%

40%

60%

80%

100%


NP/PA Patients

Res

po

nd

ents

Q30. 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

240

Need for Better Education of Patients

60%

45%

42%

45%

38%

40%49%

51%

55%

56%

54%

40%

0% 20% 40% 60% 80% 100%

ENT

Allergist

Pediatrician

Family Practice

NP/PA

Patients

Strong need 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

241

Aware of Professional Guidelines

74%

88%

44%

53%

60%

0%

20%

40%

60%

80%

100%


Per

cen

t o

f re

spo

nd

ents

Q46a. Are you aware of any professional guidelines for the diagnosis and management of allergic rhinitis? N=501

242

Publisher of Guidelines

7%

10%

3%

3%

26%

49%

10%

0%

2%

3%

0%

18%

16%

0%

2%

3%

3%

11%

13%

1%

1%

11%

4%

13%

35%

14%

6%

0%

14%

14%

0% 10% 20% 30% 40% 50%

Other

WHO

Joint AAAAI/ACAAI

Other Med Society

ACAAI

AAAAI


Primary care

Pediatrician

Allergist

ENT

Q46b. Who publishes those guidelines? Base: Aware of Guidelines N=260

243

Publisher of Guidelines (cont.)

1%

5%

1%

0%

0%

1%

13%

0%

1%

0%

0%

0%

19%

0%

0%

0%

0%

1%

22%

0%

0%

1%

2%

1%

0%

1%

0%

0%

11%

0%

0% 10% 20% 30%

Don't Know

ERS

ATS

ALA

AMA

NHLBI Nurse Prac./Physician Asst.

Primary carePediatrician

AllergistENT

Q46b. Who publishes those guidelines? Base: Aware of Guidelines N=260

244

Graduation Year

23%

37%

25%

26%

14%

12%

23%

35%

46%2%

17%

29%

29%

33%

22%

26%

23%

26%

29%

0% 20% 40% 60% 80% 100%

ENT

Allergist

Pediatrician

Primary care


1950 to 19751976 to 19851986 to 19951996 or later

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

245

Continuing Medical Education

93%99%

78%80%

93%

0%

20%

40%

60%

80%

100%


Per

cen

t o

f re

spo

nd

ents

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

246

Primary Practice Location

22%

41%

54%

33%

23%

8%

5%

8%

13%

6%

4%

9%

14%

22%

22%

23%

22%

31%

41%

27%

18%

19%

14%

19% 1%

0% 20% 40% 60% 80% 100%

ENT

Allergist

Pediatrician

Family Practice

NP/PA

Central city Suburb Small city Town Rural

D3. Is your primary practice located in a central city, a suburb, a small city, a town or a rural area? N=501

247

Gender

28%

14%

23%

29%

72%

71%

54%

77%

86%

46%

0% 20% 40% 60% 80% 100%

ENT

Allergist

Pediatrician

Family Practice

NP/PA

Male Female

D4. Gender N=501

allergies in american kids: comparisons of children aged 4 to 17 with and without allergies...

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