www.healthywomen.org
About HealthyWomen HealthyWomen is the nation's leading independent, nonprofit, comprehensive health information source for women. Our mission is to educate women to make informed health choices for themselves and for their families so that they can live and age well. Since 1988, HealthyWomen has been the most trusted go-to resource for women, especially for our target audience—women age 35+ who seek health and wellness information across a broad range of topics as they enter midlife. Women connect with us because they trust our 30+ years of experience, our easy-to-navigate programming, our conversational tone and our keen use of data and technology that informs our offerings. 2
Our Sponsors HealthyWomen would like to thank its sponsors for supporting this project: • Astellas Pharma • The Pfizer Foundation
Preview • Survey purpose and methodology • Key findings • Pre-pandemic behaviors • Behaviors during the pandemic • Predicted behaviors post-pandemic • Menopause report • Panel discussion • Audience Q&A
Survey Purpose and Methodology Two Survey Reports • Socioeconomic • Geographic • Women and COVID-19: Understanding the Emotional and Physical Impact on Women’s • Race/ethnicity Behaviors and Health Decision Making • To understand how experiences influence During and After the Pandemic current and future health care behavior and • Women, Menopause, and COVID-19: choices Understanding the Emotional and Physical • To raise awareness and promote dialogue Impacts on Women's Behaviors and Health about impact of COVID-19 on women Decision-Making During and After the Methodology Pandemic • 15-minute online survey was conducted in Purpose June • To understand how the pandemic has • 3,004 women responded affected the physical and emotional health of adult women in the U.S., including among certain demographics
Key Findings: Pre-Pandemic Behaviors – Routine Medical Appointments Pre-COVID Routine Appointments for Self Routine medical appointments – Self • Important for early diagnosis and 13% 13% 14% 14% 14% treatment • 86% attended their own appointments 87% 87% 86% 86% 86% pre-pandemic Total White Hispanic Black/AA Asian Routine medical appointments – Family Yes No Member Pre-COVID Routine Appointments for Family • Aid with emotional support, logical assistance, transportation, and 43% 53% 56% 59% 69% communication • 44% attended appointments with a 57% 47% family member 44% 41% 31% Total White Hispanic Black/AA Asian
Key Findings: Pre-Pandemic Behaviors – Telehealth Benefits: Help treat patients who are Use of Telehealth Pre-Pandemic for Self or unable to attend in-person appointments Family Pre-pandemic hurdles: legal barriers, lack of reimbursement, implementation 58% 67% 77% 83% 85% Survey findings: • 23% reported using telehealth for 42% 33% themselves or family members 23% 17% 15% • Usage significantly higher among Total White Hispanic Black/AA Asian Hispanic/Latino and Black/AA women Yes No
Key Findings: Behaviors During COVID-19 By March, national emergency, public health emergency, and state of emergency declarations issued By June, social distancing measures for 75% of Americans implemented Requirements created unique hurdles for American women • Childcare • Homeschooling • Maintaining jobs • Serving as essential workers
Key Findings: Behaviors During Pandemic – Missed Appointments and Social Distancing • 64% had scheduled appointments when pandemic hit • 13% cancelled (e.g., checkup, dental exam, mental health appointment) • 24% rescheduled • 32% kept in-person appointment • 75% decided whether to keep or cancel based on advice • 32% booked a telehealth appointment from provider Outcome of Appointments Scheduled During Pandemic 38% Total White/Caucasian Hispanic/Latino Black/AA Asian 34% 34% 33% 32% 32% 32% 32% 30% 29% 25% 24% 24% 21% 21% 14% 13% 12% 9% 8% 2% 2% 1% 1% 0% Keep the appointment in person Keep the appointment via telehealth Reschedule the appointment Cancel the appointment Not show up to the appointment.
Key Findings: Behaviors During Pandemic – New Appointments, COVID-19 Symptoms, Immunizations New health appointments • Consistent with reported health disparities • 93% who needed care ultimately received it Immunizations • But, only 53% said it was easy to • CDC has noted a significant decrease receive care or advice, and 26% in routine childhood vaccinations reported difficulties finding care • Survey results • Hispanic/Latino women were less • 19% of women needed to schedule likely to make appointments, in a vaccination during the pandemic general • 71% (34% on their own and 37% after Seeking care for COVID-19 symptoms speaking with their health care provider) actually scheduled the • 11% said they needed to seek care for appointment potential COVID-19 symptoms • Percentages higher for Black/AA (19%) and Hispanic/Latino (21%) women
Key Findings: Behaviors During Pandemic – Prescriptions Centers for Medicare and Medicaid Services Survey results (CMS) and states have improved access to • 73% needed a prescription fill or refill prescriptions during the pandemic (e.g., • 43% enter the pharmacy to pick it up waived prior authorization or step therapy • 30% went through the drive-thru requirements; allowed for 90-day refills and • 21% had it delivered early refills) 51% 45% Actions Taken for Prescription Fill/Refill 43% Total White/Caucasian Hispanic/Latino Black/AA Asian 40% 33% 32% 30% 23% 29% 28% 19% 23% 23% 21% 11% 10% 6% 5% 5% 4% 3% 2% 2% 1% 0 Go into the pharmacy to Go through the pharmacy Have the prescription Not refill it because you Not refill it because it was pick up drive thru to pick it up delivered could not afford to pay for it not available
Key Findings: Behaviors During Pandemic – Mental Health, Worries, and Concerns Pandemic had general negative impact on mental health Survey results and wellbeing • 31% experienced stress, worry, general anxiety, or boredom more so than pre-pandemic Contributing factors: fear of the uncertain, job loss, • Hispanic/Latino women noted greater need to seek economic hardships, quarantining in close quarters with mental health services during pandemic than White and others, lack of childcare Asian Women • Asian women were least likely to seek mental health services Emotions Regularly Experienced During Quarantine Total White/Caucasian Hispanic/Latino Black/AA Asian 33% 30% 31% 31% 31% 29% 26% 28% 21% 27% 27% 27% 27% 26% 26% 19% 18% 24% 24% 18% 19% 23% 23% 22% 21% 21% 21% 21% 20% 20% 19% 19% 19% 19% 19% 17% 18% 18% 17% 15% 15% 15% 14% 14% 11% 10% 10% 10% 9% 8% Stress Worry General anxiety Boredom Frustration Tiredness Loneliness Depression Sadness Nervousness
Key Findings: Behaviors During Pandemic – Specific Worries Accessing outdoor spaces Asian women (8%) Affording prescriptions • Hispanic/Latino women (17%) worry more than White (11%) & Asian (9%) women • Hispanic/Latino (11%) & Black/AA (10%) women worry more than White (6%) & Asian Having a place to stay (e.g., home, (4%) women apartment, room) Accessing prescriptions (ability to go to the • Hispanic/Latino women (9%) worry more pharmacy) than White women (5%) • Hispanic/Latino (14%) women worry more • Black/AA women (14%) worry more than than White (9%) & Black/AA (9%) women White & Asian (6%) women Physical safety Affording health care • Hispanic/Latino (20%) & Black/AA (19%) • Hispanic/Latino (16%) & Black/AA (14%) women worry more than White (15%) women worry more than White (9%) women women Mental health • White (19%), Hispanic/Latino (22%), & Black/AA (17%) women worry more than
Key Findings: Behaviors During Pandemic – Daily & Physical Behaviors Maintaining health and wellness through new Survey results routines and practices can support healthy • 48% reported staying connected living during the pandemic • 38% were physically active • 32% reported following healthy eating habits and routines • 30% reported relaxing • 24% reported “good” sleep Activities Performed During Quarantine 51% Total White/Caucasian Hispanic/Latino Black/AA Asian 45% 48% 46% 45% 44% 39% 37% 32% 38% 38% 38% 30% 31% 33% 35% 31% 34% 32% 32% 31% 24% 30% 29% 29% 28% 26% 24% 22% 20% Staying connected with Physical activity Healthy eating habits Create/maintain routines Relaxation Good sleep habits family and/or friends
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