In 2000, the United States declared that measles had been officially eliminated as a contagious disease, as there had been no person-to-person transmissions in the previous twelve months. That feat was achieved due to the effectiveness of the MMR vaccine and high vaccination rates. However, as of May 16, 2025, there were over 718 reported cases of measles, including two deaths in West Texas and another 50 cases in New Mexico. Most measles cases in this recent outbreak are occurring in unvaccinated children between the ages of 5 and 17. This troubling trend prompted ThinkNow to conduct a nationally representative quantitative survey of 1,500 U.S. adults on attitudes and behaviors surrounding vaccination, and the results are concerning.
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Herd immunity against infectious diseases requires a 95% vaccination rate. Back in 2000, the vaccination rate was 90.5%, demonstrating that disease elimination is possible with slightly lower coverage. Our recent study, conducted in March and April of this year, found that 86% of parents have vaccinated or plan to vaccinate their children against illnesses like measles, polio, and chicken pox. That percentage may increase as more children enroll in school. Still, the widening gap between current levels and the herd-immunity threshold contributes to the size and scope of today’s outbreak.
Further complicating prevention efforts is the variability in vaccination rates, from 79.6% to 98.3%, across states and within communities. Gaines County, the epicenter of the current Texas outbreak, has an 82% vaccination rate, largely attributed to many Mennonite families in the area who opt out of childhood vaccinations. At a national level, our study found that aside from religious exemptions, parental age and race significantly influence vaccination decisions. While 12% of parents overall say they don’t plan to vaccinate their children, that number rises to 29% among African American parents and 17% among Gen Z parents.
The most cited reason for vaccine hesitancy is the belief that immunization is unnecessary. This perception is especially prevalent among Gen Z parents who opt out of vaccinations. Concerns about adverse reactions and misinformation about vaccine ingredients also play a significant role.
Key findings from vaccine-hesitant parents include:
These attitudes point to a clear need for better education and communication, particularly among younger parents and communities of color, about the role vaccines play in preventing serious illness.
While 61% of parents overall report confidence in the safety of childhood vaccines, only 39% of Gen Z parents say the same. Nearly one-third of Gen Z respondents say they’re neutral on the issue. In contrast, confidence among older generations is much higher, 70% among Gen X and 72% among Baby Boomers. These generational differences suggest a broader erosion of trust in public institutions and medical guidance among younger adults, an emerging challenge for public health leaders.
Physicians remain the most trusted source of information about vaccines, cited by 76% of respondents. However, social media and online influencers are increasingly shaping the views of younger and minority parents. Among African Americans who support vaccination, 30% say online sources have influenced them. Among Gen Z, while most still cite doctors as a top source, many also report being swayed by peers, influencers, and online content.
To improve vaccine uptake, public awareness campaigns must reach younger parents where they are—on social platforms—and reinforce science-based messages through trusted, culturally relevant voices.
One-third of parents who oppose childhood vaccination say nothing could change their minds. But not all are immovable:
These findings point to the potential power of community storytelling and consistent, transparent communication in shifting attitudes.
Seventy-one percent of parents believe vaccines should be required for public school attendance, regardless of exemptions. However, among Gen Z parents, support for mandates drops. Fifty-two percent believe vaccination should be entirely optional, compared to just 15% of Boomers. Still, many parents acknowledge the broader social benefit of vaccines. The idea that immunization protects not just one child but the entire community continues to resonate, even among those with reservations.
Our recent findings reveal a shifting landscape. While most U.S. parents continue to support childhood vaccinations, confidence is slipping, particularly among Gen Z and African American parents. Addressing this decline in trust will require more than data points. Listening, cultural understanding, and amplifying trusted voices within communities will be necessary to shift the conversation.
As we confront the re-emergence of preventable diseases, rebuilding vaccine confidence must be a top priority. Because when trust breaks down, the consequences ripple far beyond the individual and put us all at risk.
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Agencies like the CDC and USDA rely on government insights solutions. Discover what ThinkNow Government offers the public sector.
As we navigate a year of economic uncertainty and shifting consumer shopping preferences, ThinkNow’s latest Clicks vs. Carts: 2025 Shoppers Report reveals a nuanced picture of how Americans are shopping in 2025, and what that means for retailers, marketers, and brands looking to stay competitive. The quantitative research report is based on a nationally representative sample of 1,500 consumers from ThinkNow’s market research panels and breaks out the findings by age and ethnicity. Some highlights include:
While two out of five Americans believe their finances will improve this year, the country remains split on the broader economic outlook. Inflation remains the top concern across all demographics, especially among older consumers. Millennials and Gen Z are more hopeful about their personal financial future, which is an encouraging sign for brands targeting younger buyers.
In 2025, consumers are prioritizing practical purchases such as smartphones, travel, electronics, and home upgrades. Big-ticket items like homes and luxury goods are on the back burner. More than ever, brands must now focus their messaging on value, durability, and emotional connection.
Online shopping continues to grow, with nearly half of Americans making online purchases at least once a week. Gen Z and Millennials lead the charge here, with Gen Z showing the highest daily online shopping rates. Still, in-store shopping remains vital—especially for groceries, alcohol, and home goods—proving that omnichannel strategies are essential.
Clothing and fashion purchases increasingly straddle online and in-store channels, as consumers seek convenience and tactile experience. Millennials are expanding their online habits into groceries and appliances, while Gen Z is driving new growth in beauty and electronics online.
Across categories, price and quality are the two biggest decision drivers. Brand reputation, customer reviews, and the ability to touch or try products also play a role, especially for big purchases. Speed of delivery and easier returns are crucial levers for increasing online conversion.
Amazon is the top online retailer, but Walmart and Target are strong contenders, especially among African American and Hispanic consumers. Younger shoppers are also exploring platforms like Shein, Nike, and Instacart, reflecting a broadening of the digital marketplace.
More than half of Hispanic consumers say they sometimes or always look for Spanish-language shopping options. Millennials and Gen X Hispanics also place greater importance on culturally relevant marketing, from language to holiday promotions. For brands, marketing to the nation’s growing Hispanic population isn't a trend—it's a necessity.
Consumers see faster delivery, mobile-first shopping, and sustainable options as key trends shaping the future. Gen Z and Millennials are driving interest in social media shopping, while Gen X shows the greatest enthusiasm for immersive retail experiences like AR and VR.
To boost online sales, consumers are calling for better discounts, faster shipping, and simpler return processes. This points to a continued expectation for convenience, transparency, and value delivered with cultural fluency and digital agility.
As consumer shopping expectations evolve, brands must adapt strategies that blend price sensitivity, omnichannel experiences, and cultural resonance. Whether online, in-store, or in-between, the shopping journey of 2025 is dynamic and deeply human.
Download the report here.
Despite the U.S. being home to the second-largest Spanish-speaking population in the world, investment in multicultural marketing, particularly Hispanic marketing, remains disproportionately low, representing just 6–7% of total ad spend. This is a missed opportunity and a risk for brands looking to stay relevant in an increasingly diverse marketplace. Ignoring this reality isn’t just shortsighted, it’s bad business.
To stay competitive, brands must reflect the communities they serve. Today’s consumers, especially Millennials and Gen Z, more than half of whom are multicultural, demand more than generic messaging. They value authenticity, cultural relevance, and purpose. These digital natives engage with brands across social media, streaming, and other digital platforms. For them, it's not just about what brands sell but the stories they tell on these platforms.
Telling those stores, however, has become increasingly difficult. Some brands may revert to “total market” approaches for short-term gains amid political tension and economic uncertainty. But playing it safe often results in diluted messaging that fails to connect meaningfully with any audience. Multicultural marketing isn’t going away. It is central to business strategy and, perhaps more importantly, business longevity. And here’s why.
Demographic shifts aren’t coming; they’re already here. The U.S. is on the fast track to becoming a multicultural majority. Even as some companies quietly rebrand or downplay DEI efforts, multiculturalism is moving forward. “Inclusive growth,” which links diversity to tangible business outcomes, is emerging as a competitive advantage for forward-thinking brands.
Others, however, treat multicultural marketing as an add-on rather than a strategic priority, often due to a lack of leadership, education, or long-term vision. Change must start at the top. Executives need to empower their teams, invest in insights, and reimagine how they engage because doing so pays off.
In this episode of The New Mainstream podcast, Hernan Tagliani, President and Founder of Tagliani Multicultural, explores how shifting demographics are redefining marketing and explains why brands that fail to invest in multicultural marketing risk being left behind.
Mental health awareness has seen significant shifts in recent years, but cross-cultural and regional differences still play a role in how individuals perceive and address their mental well-being. A recent ThinkNow study comparing mental health attitudes and behaviors in the U.S. and Mexico offers valuable insights into how people in both countries navigate their mental health journeys.
Download the report here.
ThinkNow surveyed 1,550 Americans and 560 Mexicans ages 18+ from late 2024 to early 2025. The survey was conducted online, using sample from ThinkNow’s DigayGane panel. Quotas were set to ensure balanced participation by age, gender, geographic region and socio-economic status in both countries. We broke out the results by Total Americans, Hispanics, Mexicans and generationally in both countries.
One of the key findings of the report is that approximately three-quarters of adults in both the U.S. and Mexico rate their mental health as "excellent" or "good." However, age plays a crucial role in these self-assessments. Younger generations—Gen Z and Millennials—are more likely to report lower mental health ratings compared to older generations. This trend is consistent across both countries, suggesting that younger individuals may be facing unique stressors that impact their well-being.
Interestingly, U.S. Hispanics rate their mental health slightly higher (79% excellent/good) than the general U.S. population. Gender differences also emerge. In the U.S., men are more likely to rate their mental health as "excellent," whereas in Mexico, women are more likely to do so.
One of the most notable contrasts in this cross-cultural study is mental health diagnosis rates. Nearly 30% of U.S. respondents reported having been diagnosed with a mental health condition by a healthcare professional, compared to fewer than 20% of U.S. Hispanics and Mexican respondents. The lower diagnosis rate in Mexico may stem from limited access to mental health resources and stronger social stigma surrounding mental health discussions.
When it comes to discussing mental health with professionals, U.S. respondents—both in the general population and among Hispanics—have become more comfortable doing so compared to previous years. In contrast, Mexican adults report lower levels of comfort, potentially due to stigma and reduced accessibility to mental health services.
Mental health challenges can profoundly affect various aspects of life, particularly work and personal relationships. Around 30% of respondents in both countries report that their mental health has impacted their professional and personal lives to some degree. However, Gen Z workers in the U.S. are twice as likely as their Mexican counterparts to state that their mental health has significantly affected their work performance.
Amid growing mental health awareness, self-care practices have become a common coping strategy. About half of respondents in both countries report engaging in self-care activities, with exercise being the most popular choice. However, other practices such as meditation, journaling, and using mental health apps are notably more common in the U.S. than in Mexico. This cross-cultural difference may reflect variations in cultural approaches to mental well-being and the availability of digital mental health tools.
The search for mental health resources differs between the two countries. Surprisingly, Mexicans are more likely than Americans to seek out mental health information, with about half reporting that they have done so in the past 12 months. Social media is a particularly important source of mental health information for Mexicans, whereas Americans rely more on websites, personal doctors, and family and friends.
Access to mental health services remains a challenge in both the U.S. and Mexico, though the availability of resources varies. The most widely available resources in both countries include counseling centers or therapists, online information, and community support groups. However, crisis intervention services and hotlines are less common in Mexico, potentially limiting urgent support options for those in need. Mexicans are also half as likely to seek information from friends and family about mental health than Americans.
The ThinkNow report highlights critical cross-cultural and structural differences in mental health perceptions and accessibility between the U.S. and Mexico. While both countries recognize the importance of mental well-being, younger generations, in particular, are struggling with their mental health. Of particular interest is the difference in how mental health is experienced by generation and gender in the two countries. Why are American women less likely to say their mental health is good compared to American men or women in Mexico? Regardless, the key challenge moving forward is increasing accessibility to mental health resources, reducing stigma, and encouraging open conversations—especially in regions where discussing mental health remains taboo.
By understanding these cross-cultural differences, policymakers, mental health professionals, and community leaders can work toward creating more inclusive and effective mental health support systems. Whether through expanding digital resources, increasing the affordability of services, or promoting workplace mental health initiatives, there is much each country can learn from the other to ensure that mental health care is accessible to everyone.
Download the report here.
Breast cancer is the second most common cancer in women in the United States. It is also the second deadliest, but it doesn’t have to be. Awareness, early detection, and treatment are key factors in significantly reducing breast cancer mortality rates.
In recognition of Breast Cancer Awareness Month, ThinkNow conducted a nationally representative quantitative survey among U.S. women to assess their awareness, beliefs, and behaviors around breast cancer. Conducted in September and October 2024, the survey encompassed a diverse sample of 806 women, aged 18 and older, from across the country. Below are the study’s key findings and their implications for healthcare companies, government agencies and nonprofits.
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ThinkNow’s 2024 Breast Cancer Awareness Report underscores both progress and opportunities in breast cancer awareness, revealing that while American women are generally informed, significant disparities and concerns persist. By tailoring outreach to specific demographic needs, healthcare organizations and advocacy groups can promote early detection, preventive actions, and support networks. This report reaffirms the importance of both personal connection and accessible information in fostering a proactive approach to breast cancer awareness and prevention.
Download the full report here.
Awareness of artificial intelligence (AI) has rapidly grown since the launch of ChatGPT in November 2022. Since then, a flurry of similar AI tools, such as Google Gemini and Microsoft Copilot, have emerged, each aimed at familiarizing consumers with the benefits of this technology. Although AI is not a new concept, its current applications are reshaping creative industries, communication, and the economy through automation and enhanced decision-making, influencing how we work, create and connect. While many are excited by these changes, they raise concerns for others.
To better understand public opinion on AI, ThinkNow conducted a quantitative survey of a nationally representative sample of U.S. adults. Our findings revealed both expected and unexpected attitudes toward AI. While widely seen as a useful tool, its adoption varies significantly across age, cultural, and racial/ethnic groups. Let’s dive in!
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Our research shows that AI technology is widely recognized and utilized across generations, except for Boomers. Gen Z is found to be the most familiar with AI, with 49% being very familiar and 38% being familiar. Interestingly, only 13% of Gen Z report being unfamiliar or very unfamiliar with the technology. On the opposite end of the spectrum, only 6% of Boomers report being very familiar with AI, with an overall understanding at 62%. They therefore lag significantly behind Gen Z, Millennials and Gen X.
However, the extent to which AI is used isn’t equal among generational groups. Cultural/racial background seems to play a role. Our findings show that African Americans report the most familiarity, with 35% feeling “very familiar.” Asians are the next most familiar with the technology, with 33% total reporting strong familiarity. Hispanics (22%) and non-Hispanic whites (22%) report they are “very familiar” with AI.
These findings highlight the generational and cultural disparities in AI familiarity, suggesting that while AI technology is increasingly recognized, its adoption and understanding vary significantly across different demographic groups.
Our findings also find that most respondents perceive that AI is currently being used in three primary areas: scientific research and analysis, daily life applications, and business productivity tools. Twenty-five percent of respondents report that the best use of AI would be in scientific research and analysis. This usage of AI is followed by daily tasks (customer service, scheduling, navigation, etc.) at 24%. Twenty-two percent report that AI should be used in business and productivity, followed by entertainment recommendations or games (18%), and a total of 11% of respondents suggest that they aren’t sure how the technology should be used (5%) or that the presented options do not apply (6%).
Overall, our findings show that the public's understanding of AI is largely centered on its potential as a valuable tool and supportive resource. Sixty percent of respondents in the total market describe AI as a helpful tool or assistant. This is followed by 39% of respondents describing it as something essential for the future and 36% as an ethical tool for the use of information. A total of 36% of respondents report that AI is a machine that surpasses human intelligence, while 34% report that it’s complex data. Interestingly, only 34% of respondents perceive the integration of AI into daily life as a threat to privacy and only 22% report feeling that AI would threaten their employment prospects.
Thus, while overall perceptions are generally positive, many respondents report concerns about the technology. When compared to other generational cohorts, Boomers are most concerned about the ethical use of AI and the protection of personal information in the face of data collection. This finding is not surprising given this generation’s overall skepticism toward the technology, as we further demonstrate below.
Approximately half of respondents report comfort with AI integration into daily life. Asians and African Americans report the most comfort with daily use of virtual assistants, while non-Hispanic Whites and Gen Z are the least likely to report feeling ‘very comfortable’ interacting with virtual assistants. Generationally, comfort with usage of AI-powered virtual assistants is most prevalent among Millennials (70%), followed by Gen X (52%), Gen Z (51%), and Boomers (39%).
As AI becomes more ubiquitous, respondents report concerns with education about AI and call for increased government regulation of the powerful technology. Nearly 9-out-of-10 respondents emphasize the importance of AI education. African Americans report the most concern with education, with 62% saying education is “very important,” followed by Asians, with 61% of this demographic reporting the same. Sixty percent of Hispanics and 54% of non-Hispanic Whites say that education about AI is “very important.” The perceived importance of educating the public about AI increases with age. Seventy percent of Boomers think that education on AI is “very important,” followed by Gen X and Millennials. Gen Zers show lower levels of concern about AI education compared to other age groups, likely driven by their self-reported level of familiarity with AI.
These numbers largely track with interest in regulation of AI. While 57% of Boomers believe AI regulation is very important, this figure drops to 48% among Gen X, followed by Millennials (43%) and Gen Z (39%). Asians are the least likely to consider regulation on AI development as very important, while African Americans are the most. Of all respondents, most identify tech companies (32%) and the government (30%) as the primary entities responsible for AI regulation. These entities are followed by independent bodies (14%) and international organizations, like the UN (9%).
However, 14% of respondents report being uncertain about how to allocate responsibility for regulation. When asked about the future of the technology, responses are almost evenly split. While the majority respond that they are optimistic (54%) or neutral (26%), 20% report feeling pessimistic. Overall, non-Hispanic Whites and Boomers report the most pessimistic outlook, while Hispanics report feeling the most optimistic.
Our research reveals a complex landscape of AI recognition, familiarity and comfort, shaped by generational and cultural factors. While AI continues to grow in influence, the varying levels of adoption highlight the need for targeted education and thoughtful regulation to dispel detractors like conspiracy theories and prevent abuse. Moving forward, addressing these disparities will be essential to ensure that AI becomes an inclusive and beneficial tool for everyone.
Download the report here.
The U.S. Hispanic market has evolved into one of the most significant and dynamic consumer segments for American businesses. With over 63.5 million Hispanics comprising 19.1% of the U.S. population, the demographic is both large and influential. Beyond sheer numbers, the unique cultural values, preferences, and trends within this group offer businesses immense growth potential. ThinkNow's "Hispanic Market Today" report explores how the Hispanic community is reshaping the demographic landscape and creating new opportunities for companies across industries.
Download the report here.
One of the defining characteristics of the Hispanic population is its youth. The median age of Hispanics in the U.S. is 30, considerably younger than the 44.5 median age of the non-Hispanic white population. This makes them one of the youngest ethnic groups in the U.S. and positions them as a critical audience for brands targeting long-term consumer loyalty.
In addition to its youthfulness, the Hispanic population is growing at an extraordinary rate. Approximately one million Hispanics are added to the population annually, driven by both immigration and higher-than-average birth rates. In contrast, the non-Hispanic white population is shrinking by around 500,000 individuals each year. As the white population declines, businesses must pivot toward multicultural audiences like the Hispanic market, which represents nearly one-fifth of the U.S. population and is growing.
The substantial size of the Hispanic population in the U.S. correlates with its growing economic influence. In 2024, Hispanic buying power is expected to reach $2.3 trillion, up from $1.95 trillion in 2020. By 2026, this figure is projected to grow to $2.76 trillion, accounting for 12.1% of total U.S. buying power. Hispanic spending growth is outpacing the U.S. market, with an annual growth rate of 8.6% compared to the national average of 5.5%.
This increasing economic clout presents a wealth of opportunities for businesses looking to tap into a consumer base that is larger than the entire Canadian economy. Hispanic consumers are highly optimistic about their financial future, with nearly half expecting their financial situation to improve in the coming year. This optimism translates into greater consumer confidence, driving demand across various sectors, including housing, education, technology, and entertainment.
To successfully engage Hispanic consumers, businesses must understand the cultural drivers influencing their behavior. Family, community, and education are deeply rooted values that guide decision-making for many Hispanics. For instance, the emphasis on family unity can be seen in larger household sizes—an average of 3.8 people per Hispanic household, compared to the U.S. average of 3.2.
Education is another key value that resonates with Hispanic consumers. Although only 18.8% of Hispanics hold a college degree, pursuing education is highly prioritized. For marketers, messaging around educational opportunities and products that support learning and personal development can resonate deeply with this audience.
A blend of traditional values and contemporary aspirations also influences Hispanic identity. The report highlights that Hispanic Millennials, particularly, embrace themes commonly associated with American pop culture, such as freedom and equality. This generation is more likely to value the ability to pursue their dreams and believe they have control over their futures, reflecting a strong alignment with broader American values while maintaining a distinct cultural identity.
Language plays a central role in shaping the Hispanic identity in the U.S. While 75% of Hispanics report being able to hold conversations in Spanish, 84% are also fluent in English. This bilingualism within the Hispanic market reflects the unique bicultural experience of many Hispanics, who seamlessly navigate between two cultural worlds. Many identify more with their country of origin (e.g., Cuban, Mexican) when interacting with other Hispanics rather than broad terms like Hispanic or Latino.
For marketers, this biculturalism presents both challenges and opportunities. Brands that can authentically communicate in English and Spanish while respecting the cultural nuances of the Hispanic community are more likely to be viewed favorably. Catering to both Spanish-dominant and English-dominant consumers will help businesses capture the diverse segments within this market.
As the U.S. population becomes more multicultural, businesses should be adjusting their strategies to reflect this new reality. ThinkNow’s report reveals that 41% of the U.S. population is now multicultural, and among those under age 20, this figure jumps to 50%. Hispanics make up a significant portion of this younger, diverse population.
This demographic shift is leading to increased investment in multicultural marketing. Two-thirds of companies plan to maintain or increase their multicultural marketing budgets in 2024, with 40% of those increasing their spend citing the economic power of multicultural consumers as a key factor. While the Hispanic market has historically been a priority for marketers, many companies are expanding their focus to include other multicultural segments, such as African Americans and Asian Americans.
The report also notes that 1 in 4 marketers have changed their approach to multicultural marketing in response to shifting demographics, revised advertising campaigns, and updates to diversity, equity, and inclusion (DEI) initiatives. As the Hispanic community grows in size and influence, businesses prioritizing culturally relevant marketing strategies will be better positioned to connect with this important audience.
The Hispanic market in the U.S. is not only large and growing but also increasingly influential in shaping the U.S. economic and cultural landscape. Businesses must invest in the knowledge to understand this demographic in order to tap into the market’s potential. By investing in multicultural insights, marketers can create culturally resonant strategies that help companies build lasting relationships with Hispanic consumers and thrive in an increasingly diverse marketplace.
Download the report here.