Large Numbers of People Do Not Trust the Institutions They
Identify as Most Responsible for Drug Safety
Many believe the FDA and pharmaceutical companies should
bear the most responsibility for drug safety, but are skeptical that they can
be trusted to do so
ROCHESTER, N.Y. – April 25, 2007— In a survey
conducted by Harris Interactive®, people were asked for their
opinions regarding institutions responsible for drug safety in the United
States. We found that institutions believed to have the greatest responsibility
in drug safety are often those that are least trusted to do so. Among a list of
four entities integral to drug safety –The Federal Drug Administration (FDA),
pharmaceutical companies, doctors and other healthcare providers, and Congress
– people identified the FDA and pharmaceutical companies as the entities that
should bear the most responsibility for drug safety in the United States today.
However, when asked about their corresponding levels of trust
in these entities, both faired poorly. Furthermore, people are skeptical that
pharmaceutical companies will release information, positive or negative, about
the safety of their products. Doctors and other healthcare providers, on the
other hand, were also seen as bearing a high amount of responsibility for drug
safety, but unlike the FDA and pharmaceutical companies, healthcare providers
received high trust ratings.
These are just some of the results of a nationwide survey of
1,726 adults interviewed online between October 20 and October 30, 2006. The
survey was conducted for the Pharmaceutical Safety Institute and was designed to
represent the general public, except that it excluded people who work in the
health care industry, for a regulatory agency or who are health care providers.
Entities Responsible for Drug Safety
Substantial majorities believe the FDA and U.S.
pharmaceutical companies should bear the most responsibility for regulating the
safety of prescription drugs in the United States. These two entities were
deemed to bear a greater responsibility for drug safety than healthcare
professionals and the Congress of the United States. However, large numbers of
people still feel both of them also share responsibility for drug safety:
- 60 percent of people believe the U.S. FDA has a great deal of
responsibility for prescription drug safety;
- 53 percent of people believe U.S. pharmaceutical companies have a great
deal of responsibility for prescription drug safety;
- 30 percent of people believe U.S. healthcare professionals have a great
deal of responsibility for prescription drug safety; and
- 22 percent of people believe the Congress of the United States has a great
deal of responsibility for prescription drug safety.
In addition, substantial numbers believe these four groups
have "quite of bit" of responsibility.
Levels of Trust with Regulating Entities
In light of recent reports of adverse reactions related to
some frequently used prescription drugs, large numbers of people report that
they do not trust the entities they identify as most responsible for ensuring
drug safety. Only 45 percent of people somewhat trust or very strongly trust the
U.S. FDA. Only 27 percent of people somewhat or very strongly trust
pharmaceutical companies. Only 20 percent of people somewhat or very strongly
trust Congress. However, many more people, a 58 percent majority, somewhat or
very strongly trust doctors or other professionals who prescribe drugs.
Confidence in Drug Companies to Release Information
Majorities of the public also do not have much confidence
that drug companies will release or disseminate information they have regarding
the safety of their drugs. Only 43 percent of people are fairly, very or
extremely confident that drug companies will release any information about
adverse reactions to their drugs. Only 44 percent of people are fairly, very or
extremely confident that drug companies will eventually disseminate all
information – positive or negative – they have regarding drug safety.
Conclusions
These Harris Interactive survey results show that substantial
numbers of the public do not have confidence that it is adequately protected
when it comes to drug safety. It is also evident that the entities people
identify as most responsible for ensuring drug safety have a long way to go to
win the public’s trust. People have little confidence that they will do all
they can to protect the public from adverse reactions to prescription
medications. This is particularly true for the two entities considered to be
most responsible for drug safety, the FDA and pharmaceutical companies.
TABLE 1
RESPONSIBILITY FOR DRUG SAFETY
"In your opinion, how much responsibility do you think
each of the following groups has in regulating the safety of prescription drugs
in the United States today?"
Base: All Adults*
|
|
A great deal |
Quite a bit |
A fair amount |
Some |
None |
|
% |
% |
% |
% |
% |
|
The U.S. Food and Drug Administration (FDA) |
60 |
15 |
13 |
6 |
2 |
|
U.S. pharmaceutical companies |
53 |
17 |
15 |
9 |
3 |
|
U.S. health care professionals |
30 |
25 |
21 |
15 |
5 |
|
Congress |
22 |
19 |
24 |
18 |
11 |
*Excludes people who work in the health care industry, for a
regulatory agency or who are health care providers.
TABLE 2
TRUST IN FDA, DOCTORS, DRUG COMPANIES AND CONGRESS
"There have been recent reports of potential adverse
reactions related to some frequently used prescription drugs, such as Vioxx,
Bextra, Celebrex, and Naproxen. Using the scale below, how would you describe
your current level of trust associated with the following entities?"
Base: All Adults*
|
|
Very strongly trust |
Somewhat trust |
Neither trust nor distrust |
Somewhat distrust |
Very strongly distrust |
|
% |
% |
% |
% |
% |
|
Doctors (or other health care providers) who prescribed the drugs |
14 |
44 |
30 |
9 |
3 |
|
The Food and Drug Administration (FDA) that approved the drugs |
9 |
36 |
29 |
18 |
9 |
|
Pharmaceutical companies that developed the drugs |
4 |
23 |
32 |
27 |
15 |
|
Congress that makes the laws to govern the process |
3 |
17 |
34 |
30 |
16 |
*Excludes people who work in the health care industry, for a
regulatory agency or who are health care providers.
TABLE 3
CONFIDENCE THAT DRUG COMPANIES RELEASE ALL RELEVANT
INFORMATION
"Using the scale below, please indicate your level of
confidence with each of the following statements."
Base: All Adults*
|
|
Extremely confident |
Very confident |
Fairly confident |
Somewhat confident |
Not at all confident |
|
% |
% |
% |
% |
% |
|
Drug companies will release any information they have about the adverse
reactions of any of their drugs as soon as they have such information. |
4 |
10 |
29 |
26 |
31 |
|
Drug companies will eventually disseminate all information – positive
or negative – that they have regarding the safety of their drugs. |
4 |
10 |
30 |
27 |
29 |
*Excludes people who work in the health care industry, for a
regulatory agency or who are health care providers.
Methodology
This Harris Poll® was conducted online within the
United States between October 20 and October 30, 2006 among a nationwide cross
section of 1,726 adults (aged 18 and over). The survey was designed to represent
the general public, except that it excluded people who work in the health care
industry, for a regulatory agency or who are health care providers. Figures for
age, sex, race/ethnicity, education, region and household income were weighted
where necessary to bring them into line with their actual proportions in the
population. Propensity score weighting was also used to adjust for respondents’
propensity to be online.
All surveys are subject to several sources of error. These
include: sampling error (because only a sample of a population is interviewed);
measurement error due to question wording and/or question order, deliberately or
unintentionally inaccurate responses, non-responses (including refusals),
interviewer effects (when live interviewers are used) and weighting.
With one exception (sampling error) the magnitude of the
errors that result cannot be estimated. There is, therefore, no way to calculate
a finite "margin of error" for any survey and the use of these words
should be avoided.
With pure probability samples, with 100 percent response
rates, it is possible to calculate the probability that the sampling error (but
not other sources of error) is not greater than some number. With a pure
probability sample of 1,726 adults one could say with a ninety-five percent
probability that the overall results have a sampling error of +/- two percentage
points. However that does not take other sources of error into account. This
online survey is not based on a probability sample and therefore no theoretical
sampling error can be calculated.
These statements conform to the principles of disclosure of
the National Council on Public Polls.
About Harris Interactive
Harris Interactive is the 12th largest and fastest-growing market research firm
in the world. The company provides innovative research, insights and strategic
advice to help its clients make more confident decisions which lead to
measurable and enduring improvements in performance. Harris Interactive is
widely known for The Harris Poll, one of the longest running, independent
opinion polls and for pioneering online market research methods. The company has
built what it believes to be the world’s largest panel of survey respondents,
the Harris Poll Online. Harris Interactive serves clients worldwide through its
United States, Europe and Asia offices, its wholly-owned subsidiaries Novatris
in France and MediaTransfer AG in Germany, and through a global network of
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be obtained at www.harrisinteractive.com.
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Press Contacts:
Tracey McNerney
Harris Interactive
585-214-7756
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