Canadians support or somewhat support nurses providing education on antibiotic use; feel superbugs are a major problem in Canada

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Canadians support or somewhat support nurses providing education on antibiotic use; feel superbugs are a major problem in Canada CNA August Survey Summary submitted by Nanos to Canadian Nurses Association, September 2017 (Submission 2017-1066)

Summary Canadians support or somewhat support nurses providing education to Canadians on antibiotic use and the risks of recreational marijuana, while a majority of Canadians would also rate themselves as knowledgeable or somewhat knowledgeable about the effects of marijuana. A slight majority say antibiotic resistant infections are a major problem in Canada, and under half say they frequently or somewhat frequently repeat their health history to each health care provider they see. Over eight in ten Canadians would rate themselves as knowledgeable or somewhat knowledgeable about the effects of marijuana A majority of Canadians rate themselves as knowledgeable (31%) or somewhat knowledgeable (51%) about the effects of marijuana use on things such as brain development, pregnancy, mental health, and/or driving. Eleven per cent say they are somewhat not knowledgeable, while seven per cent say not knowledgeable. One per cent are unsure. The overwhelming majority of Canadians support or somewhat support nurses educating Canadians on antibiotic use More than nine in ten Canadians support (80%) or somewhat support (16%) nurses providing education to Canadians to help them better understand how and when to use antibiotics, while one per cent somewhat oppose and two per cent oppose this. One per cent are unsure. More than nine in ten Canadians support or somewhat support nurses educating Canadians on the risks of recreational marijuana A majority of Canadians support (70%) or somewhat support (21%) nurses providing education to Canadians to enhance their understanding of the risks and harms of recreational marijuana, while four per cent somewhat oppose this and another four per cent oppose it. One per cent are unsure. Nearly six in ten Canadians say antibiotic resistant superbugs are a major problem in Canada More than half of Canadians (58%) say superbugs or infections resistant to modern antibiotics are a major problem in Canada, while 35 per cent say they are a minor problem, and one per cent say no problem. Six per cent are unsure. 2

Almost half of Canadians repeat their health history to other health care providers frequently or somewhat frequently - Asked how frequently they repeat their health history to every health care provider they see (e.g., doctor, nurse practitioner, specialist), just under half of Canadians say they repeat it frequently (19%) or somewhat frequently (29%). Eighteen per cent say they repeat it somewhat infrequently, while 27 per cent say infrequently and six per cent say never. One per cent are unsure. Nanos conducted an RDD dual frame (land- and cell-lines) hybrid telephone and online random survey of 1,000 Canadians, 18 years of age or older, between August 30 th and September 1 st, 2017 as part of an omnibus survey. Participants were randomly recruited by telephone using live agents and administered a survey online. The margin of error for a random survey of 1,000 Canadians is ±3.1 percentage points, 19 times out of 20. This study was commissioned by the Canadian Nurses Association. 3

Knowledge of effects of marijuana Source: Nanos Research, RDD dual frame hybrid telephone and online random survey, August 30 th to September 1 st, 2017, n=1000, accurate 3.1 percentage points plus or minus, 19 times out of 20. Net Score +63.7 not knowledgeable 11% Not knowledgeable 7% Unsure 1% Knowledgeable 31% Subgroups Knowledgeable/ knowledgeable Atlantic (n=100) 83.8% Quebec (n=250) 80.1% Ontario (n=300) 78.1% Prairies (n=200) 80.9% British Columbia (n=150) 89.3% Male (n=478) 80.2% knowledgeable 51% Female (n=522) 82.6% 18 to 34 (n=242) 85.9% 35 to 54 (n=358) 85.5% 55 plus (n=400) 74.7% *Note: Charts may not add up to 100 due to rounding QUESTION The federal government is planning to make marijuana legal for recreational use in 2018. How would you rate your level of knowledge about the effects of marijuana use on things such as brain development, pregnancy, mental health, and/or driving? 4

Support for nurses educating Canadians Source: Nanos Research, RDD dual frame hybrid telephone and online random survey, August 30 th to September 1 st, 2017, n=1000, accurate 3.1 percentage points plus or minus, 19 times out of 20. Net Score Nurses providing education to Canadians to help them better understand how and when to use antibiotics? 80% 16% +93.0 Nurses providing education to Canadians to enhance their understanding of the risks and harms of recreational marijuana (cannabis)? 70% 21% 4% 4% +82.4 0% 20% 40% 60% 80% 100% Support support oppose Oppose Unsure *Note: Charts may not add up to 100 due to rounding QUESTION Do you support, somewhat support, somewhat oppose or oppose the following [ROTATE] 5

Support for education on antibiotic use Source: Nanos Research, RDD dual frame hybrid telephone and online random survey, August 30 th to September 1 st, 2017, n=1000, accurate 3.1 percentage points plus or minus, 19 times out of 20. Net Score +93.0 oppose 1% support 16% Oppose 2% Unsure 1% Support 80% Subgroups Support/ support Atlantic (n=100) 95.5% Quebec (n=250) 97.7% Ontario (n=300) 95.0% Prairies (n=200) 94.6% British Columbia (n=150) 98.0% Male (n=478) 96.2% Female (n=522) 96.1% 18 to 34 (n=242) 97.2% 35 to 54 (n=358) 94.7% 55 plus (n=400) 96.6% *Note: Charts may not add up to 100 due to rounding QUESTION Do you support, somewhat support, somewhat oppose or oppose the following [ROTATE] Nurses providing education to Canadians to help them better understand how and when to use antibiotics? 6

Support for education on marijuana risks Source: Nanos Research, RDD dual frame hybrid telephone and online random survey, August 30 th to September 1 st, 2017, n=1000, accurate 3.1 percentage points plus or minus, 19 times out of 20. Net Score +82.4 support 21% Oppose Unsure 4% 1% oppose 4% Support 70% Subgroups Support/ support Atlantic (n=100) 94.9% Quebec (n=250) 92.4% Ontario (n=300) 90.4% Prairies (n=200) 88.4% British Columbia (n=150) 87.5% Male (n=478) 90.0% Female (n=522) 91.0% 18 to 34 (n=242) 91.9% 35 to 54 (n=358) 89.4% 55 plus (n=400) 90.4% *Note: Charts may not add up to 100 due to rounding QUESTION Do you support, somewhat support, somewhat oppose or oppose the following [ROTATE] Nurses providing education to Canadians to enhance their understanding of the risks and harms of recreational marijuana (cannabis)? 7

Problem of superbugs and infections in Canada Source: Nanos Research, RDD dual frame hybrid telephone and online random survey, August 30 th to September 1 st, 2017, n=1000, accurate 3.1 percentage points plus or minus, 19 times out of 20. Minor problem 35% No problem 1% Unsure 6% Major problem 58% Subgroups Major problem Atlantic (n=100) 58.0% Quebec (n=250) 62.6% Ontario (n=300) 55.6% Prairies (n=200) 54.3% British Columbia (n=150) 57.6% Male (n=478) 54.8% Female (n=522) 60.4% 18 to 34 (n=242) 53.8% 35 to 54 (n=358) 61.0% 55 plus (n=400) 57.4% *Note: Charts may not add up to 100 due to rounding QUESTION More and more, there are reports about superbugs or infections that are resistant to modern antibiotics. Is this a major, minor, or no problem in Canada? 8

Repeating health care information to providers Source: Nanos Research, RDD dual frame hybrid telephone and online random survey, August 30 th to September 1 st, 2017, n=1000, accurate 3.1 percentage points plus or minus, 19 times out of 20. Never 6% Unsure 1% Frequently 19% Subgroups Frequently/ frequently Atlantic (n=100) 42.9% Quebec (n=250) 45.8% Infrequently 27% Ontario (n=300) 53.9% Prairies (n=200) 48.0% British Columbia (n=150) 45.2% infrequently 18% frequently 29% Male (n=478) 47.7% Female (n=522) 48.8% 18 to 34 (n=242) 45.0% 35 to 54 (n=358) 49.5% 55 plus (n=400) 49.5% *Note: Charts may not add up to 100 due to rounding QUESTION How frequently do you repeat your health history to every health care provider you see? (e.g., doctor, nurse practitioner, specialist) 9

Methodology 10

Methodology Nanos conducted an RDD dual frame (land- and cell-lines) hybrid telephone and online random survey of 1,000 Canadians, 18 years of age or older, between August 30 th and September 1 st, 2017 as part of an omnibus survey. Participants were randomly recruited by telephone using live agents and administered a survey online. The results were statistically checked and weighted by age and gender using the latest Census information and the sample is geographically stratified to be representative of Canada. Individuals were randomly called using random digit dialling with a maximum of five call backs. The margin of error for a random survey of 1,000 Canadians is ±3.1 percentage points, 19 times out of 20. The research was commissioned by the Canadian Nurses Association. Note: Charts may not add up to 100 due to rounding. 11

About Nanos Nanos is one of North America s most trusted research and strategy organizations. Our team of professionals is regularly called upon by senior executives to deliver superior intelligence and market advantage whether it be helping to chart a path forward, managing a reputation or brand risk or understanding the trends that drive success. Services range from traditional telephone surveys, through to elite in-depth interviews, online research and focus groups. Nanos clients range from Fortune 500 companies through to leading advocacy groups interested in understanding and shaping the public landscape. Whether it is understanding your brand or reputation, customer needs and satisfaction, engaging employees or testing new ads or products, Nanos provides insight you can trust. View our brochure Nanos Research North America Toll-free 1.888.737.5505 info@nanosresearch.com www.nanosresearch.com 12

Technical Note Element Description Element Description Organization who commissioned the research Canadian Nurses Association Weighting of Data The results were weighted by age and gender using the latest Census information (2014) and the sample is geographically stratified to ensure a distribution across all regions of Canada. See tables for full weighting disclosure Final Sample Size 1,000 Randomly selected individuals. Margin of Error ±3.1 percentage points, 19 times out of 20. Screening Screening ensured potential respondents did not work in the market research industry, in the advertising industry, in the media or a political party prior to administering the survey to ensure the integrity of the data. Mode of Survey RDD dual frame (land- and cell-lines) hybrid telephone and online omnibus survey Excluded Demographics Individuals younger than 18 years old; individuals without land or cell lines could not participate. Sampling Method Base The sample included both land- and cell-lines RDD (Random Digit Dialed) across Canada. Stratification By age and gender using the latest Census information (2014) and the sample is geographically stratified to be representative of Canada. Smaller areas such as Atlantic Canada were marginally oversampled to allow for a minimum regional sample. Demographics (Captured) Atlantic Canada, Quebec, Ontario, Prairies, British Columbia; Men and Women; 18 years and older. Six digit postal code was used to validate geography. Estimated Response Rate Question Order 13 percent, consistent with industry norms. Question order in the preceding report reflects the order in which they appeared in the original questionnaire. Fieldwork/Validation Number of Calls Time of Calls Live interviews with live supervision to validate work as per the MRIA Code of Conduct Maximum of five call backs. Individuals were called between 12-5:30 pm and 6:30-9:30pm local time for the respondent. Question Content Question Wording Survey Company This was module four of an omnibus survey. Previous modules related to unprompted national issues of concern, immigration, health, and foreign policy. The questions in the preceding report are written exactly as they were asked to individuals. Nanos Research Field Dates August 30 th to September 1 st, 2017. Language of Survey The survey was conducted in both English and French. Contact Contact Nanos Research for more information or with any concerns or questions. http://www.nanosresearch.com Telephone:(613) 234-4666 ext. Email: info@nanosresearch.com.