We surveyed 1,548 U.S. adults about how they use AI for health decisions, with oversamples of Hispanic, Black, and Asian consumers. Forty-three percent have asked an AI chatbot a health question in the past year. Among Hispanic consumers it's 57%. Among Asian consumers, 54%.
Doctors are already feeling this. Sixty percent of people who've used AI for a health question said it sent them to an appointment they wouldn't have booked otherwise. Sixty-five percent said it gave them a specific drug or treatment name to bring up once they were in the room.
That second number surprised us more than the adoption figure did. Forty-three percent using a chatbot sounds like a curiosity stat but patients showing up already able to name a treatment changes the actual conversation happening in the exam room.
Download the full report here.
Trust hasn't caught up to usage, though. Forty percent of people trust AI chatbots for health information. Trust in Doctors sits at 81%, pharmacists at 70%.
We expected that gap to be about quality. It isn't, at least not according to the people who've actually used these tools: 85% or more of AI health users, across every group we measured, rate the information they got as accurate. So the 40% trust number isn't a verdict on whether AI gets things right. It's a judgement on who's saying it.
We tested that directly. Would you trust an AI health tool built by a big tech company? Thirty-four percent said yes. Would you trust one provided by your own doctor or hospital? Sixty percent said yes.
A 26-point swing on branding alone is a bigger lever than most product features a health system could build this year. If you're a hospital or a pharma brand hesitant to touch AI because it feels like Silicon Valley's territory, this data says the opposite: your name is worth more here than theirs is.
Hispanic and Asian respondents lead nearly every measure in this study: usage, trust, optimism about where AI is headed, interest in new features. Fifty-six percent of Hispanic consumers are optimistic about AI's future, against 47% for the total market. Fifty-seven percent of Asian consumers trust AI chatbots for health info, against 36% of White consumers.
Some of that comes down to language. Fifty-three percent of Hispanic consumers have used AI to get health information in Spanish or another preferred language, and 38% said it worked well. Forty-one percent of Asian consumers have used AI in a heritage language, and 47% said it gave them information they couldn't easily find elsewhere.
We want to flag something in that number, “Worked well” and “worked” aren't the same claim, and we're relying on self-report here, not a clinical accuracy check. Still, for a household that's been stuck translating a pamphlet by hand or waiting weeks for a bilingual appointment slot, “worked well enough to help” is a real result, and it's one users are reporting without much prompting from us. A brand that shows up early with genuine language support in this space is solving a problem that's been difficult to address for a long time.
Black consumers show lower AI usage for health questions (35%, against 43% market-wide), but the reason isn't distrust of the technology. The top answer non-users gave was “I prefer a real doctor.” The second was simply not using AI much at all. Black non-users were also more than twice as likely as Asian or White non-users to say they didn't know AI could help with this kind of question in the first place.
Women lag men on almost everything we asked: usage, trust, comfort, optimism. Only 23% of women who've used AI for health questions have told their doctor about it, compared with 37% of men. Whatever's driving that gap, it isn't education or income, since we controlled for those. It looks more like confidence, and confidence gaps close differently than awareness gaps do.
Boomers are the strangest case in the dataset. Once they try AI for a health question, 90% rate the information as accurate, the highest of any generation. But general trust in AI chatbots among Boomers sits at 27%, the lowest of any generation. They rate it best and trust it least.
One more thing worth noting on the doctor side of this: trust in providers themselves is high and fairly even across the market, with one exception. Black consumers report comfort discussing health concerns with a provider at 82%, ten points below every other group we measured. That gap predates AI and probably says more about the health system than about any chatbot.
AI will continue to shape how consumers find health information and prepare for medical decisions. Thirty-nine percent expect their use of AI for health to increase. The figure reaches 51% among Asian consumers and 44% among Hispanic consumers.
Healthcare organizations should begin with several priorities:
Build AI tools around established relationships with doctors, health systems and trusted health brands. Develop practical features tied to clear consumer needs. Invest in multilingual and culturally informed experiences. Explain privacy protections and information sources. Give consumers clear guidance about the appropriate role of AI in health decisions.
The adoption data shows that consumers have already incorporated AI into their healthcare routines. Their questions, expectations and behaviors will continue to evolve as the technology becomes more familiar.
Healthcare brands now have an opportunity to shape that experience with accuracy, transparency and cultural relevance.
Download the full report here.
This analysis is drawn from ThinkNow's national study of 1,548 U.S. adults, fielded with oversamples of Hispanic, Black, and Asian consumers. Full topline data and methodology available on request.
For years, many organizations have approached multicultural marketing by asking who their audience is. Increasingly, however, the more important question is how people define themselves, experience representation, influence culture, and make decisions.
ThinkNow's latest Diversity OS report demonstrates that diversity is no longer simply a demographic characteristic to account for during campaign execution. Instead, it functions as the operating system shaping consumer behavior, brand perception, and purchasing decisions, particularly in markets like Los Angeles that often foreshadow broader national trends.
One of the clearest findings from the report is that consumers do not think about diversity the same way many marketers still do. Nearly seven in ten Los Angeles residents (69%) say everyday diversity best represents the city, while 67% believe brands should reflect that diversity in their advertising. These findings suggest that multiculturalism is no longer viewed as a niche audience strategy but as a baseline expectation for brands operating in diverse markets.
The report further shows that traditional marketing models often treat diversity as a downstream campaign decision through casting, language adaptation, or audience segmentation. ThinkNow’s diversity OS model, a market research framework designed to help businesses understand how modern consumers make choices based on consumer cultural background, identity, personal values and spending habits, positions diversity as market infrastructure that should inform consumer outreach strategies from research and creative development through media planning and customer.
The report also shows that while consumers expect brands to reflect diverse communities, they do not believe current advertising meets those expectations. Although 67% of respondents say diversity in advertising is important, only 37% feel Los Angeles is accurately represented in advertising and media. In what we document as a ‘representation gap,” we find that consumers are not simply asking to see more diverse faces. They want authentic portrayals of neighborhoods, families, languages, values, and everyday experiences. For organizations, accurate cultural representation means measuring cultural accuracy and credibility in advertising, not just diversity in visible representation.
Our report also further reinforces Los Angeles' role as a leading indicator for national consumer behavior. Sixty-five percent of Los Angeles residents agree that the city sets trends for the rest of the country. Respondents point to entertainment, food, fashion, sports, and neighborhood culture as major areas of influence. The implications of our findings point to more targeted efforts to connect with the communities where trends first emerge. Understanding local cultural signals can help brands anticipate broader shifts in consumer expectations before they spread nationally.
Perhaps the most practical finding in our report is that cultural relevance directly influences purchasing behavior. More than half of respondents (58%) say local authenticity matters when it comes to purchases and experiences. These trends are even higher among Black and Hispanic consumers. In this context, authenticity cannot be added at the end of a campaign. Instead, the data shows that it should shape research, messaging, partnerships, media strategy, and customer experience from the beginning, because consumers increasingly evaluate brands based on whether they demonstrate a genuine understanding of the communities they serve, not simply whether they acknowledge diversity.
Our diversity OS framework encourages organizations to rethink multicultural marketing as an ongoing strategic discipline rather than a campaign-level tactic. Overall, our findings highlight four interconnected drivers of consumer behavior: identity, representation, influence, and decision-making. Together, these dimensions provide a more comprehensive way to understand how consumers connect with brands in increasingly multicultural markets. As consumer expectations continue to evolve, organizations that build cultural intelligence into research, creative development, media planning, and customer experience will be better positioned to create messaging that feels relevant, credible, and authentic across the communities they hope to reach.
Download full report here.
Brands have spent years investing in segmentation, personalization, and multicultural marketing strategies. Today, consumer decisions are shaped by more than age, income, or geography. Identity, representation, cultural influence, and a sense of belonging all play a growing role in how people discover brands, interpret messages, and decide what to buy.
This is the foundation of Diversity OS, ThinkNow's new framework designed to help organizations better understand consumer behavior in multicultural markets.
Los Angeles is one of the most culturally diverse markets in the United States and has long served as an early indicator of trends that later spread across the country.
The research behind Diversity OS found that 69% of Los Angeles residents say the city's everyday diversity, expressed through its languages, culture, and food, best represents what Los Angeles stands for. This makes the city a valuable environment for understanding how consumer behavior continues to evolve.
The study also found that 65% believe Los Angeles sets trends for the rest of the country, reinforcing its role as a leading indicator for brands looking to anticipate cultural and market shifts.
Demographic segmentation remains valuable, but it provides only part of the picture.
Diversity OS introduces four interconnected dimensions that shape every consumer decision:
Identity: How people define themselves and how that identity influences their preferences.
Representation: How consumers perceive the way brands and media reflect their communities and lived experiences.
Influence: How ideas, behaviors, and cultural trends spread across different communities.
Decision: How authenticity and cultural relevance shape brand preference and purchasing decisions.
Together, these dimensions help explain why consumers with similar demographic profiles can respond very differently to the same campaign.
One of the study's most important findings is the gap between consumer expectations and their experiences with brands.
Sixty-seven percent of Los Angeles residents say it is important for brands to reflect the city's diversity in their advertising. Yet only 37% believe Los Angeles is accurately represented in advertising and media.
For brands, this gap represents an opportunity to build greater relevance, trust, and stronger connections with their audiences.
Understanding how identity, representation, and cultural influence interact enables organizations to develop more relevant strategies for increasingly diverse consumers.
More than a segmentation model, Diversity OS provides a practical framework for understanding the forces that drive consumer behavior and turning those insights into smarter business decisions.
Download the full framework and discover how Identity, Representation, Influence, and Decision are reshaping the future of consumer behavior.
For decades, brands have treated diversity as just another category within their marketing strategies. A segment to target, a specific audience to reach, or an additional variable within the broader market.
Today, that way of thinking is becoming outdated.
In Los Angeles, diversity influences how people build their identities, how cultural trends spread, and how consumers make decisions. It is not simply a characteristic of the market. It is the environment in which everything happens.
This is the central idea behind ThinkNow’s latest report, The Diversity OS: How Los Angeles Runs the Future of Consumer Behavior.
Los Angeles is one of the most diverse cities in the world and often serves as an early indicator of cultural shifts that later spread across the country.
ThinkNow’s research found that everyday diversity is the defining characteristic of the city. Elements such as language, food, communities, and shared cultural experiences carry more weight than many of the traditional associations people have with Los Angeles.
This makes the city more than just a local market.
To help brands better understand this reality, ThinkNow developed the Diversity OS framework.
The model explains how four key dimensions of consumer behavior interact:
Identity: How people define themselves across different cultural and social contexts.
Interaction: How communities connect, share experiences, and exchange cultural influence.
Influence: How ideas, behaviors, and trends spread across different groups.
Decision: How cultural relevance, representation, and belonging influence consumer choices.
Together, these four layers provide a more complete understanding of how multicultural markets operate today.
Today’s audiences are increasingly complex. People participate simultaneously in multiple communities, identities, and cultural spaces.
Brands that better understand these dynamics will be better positioned to create relevant messaging, build trust, and develop stronger connections with their audiences.
For organizations looking to understand where consumer behavior in the United States is headed next, Los Angeles offers a unique window into the future.
Explore the complete findings from The Diversity OS: How Los Angeles Runs the Future of Consumer Behavior and discover how identity, culture, and representation are transforming the way people connect with brands.
Download the report here.
For years, many brands have operated under a quiet assumption:
The more culturally specific you are, the greater the risk.
Traditional logic suggests that neutrality protects mass reach and that leaning into specific cultural identity may create controversy or alienate audiences.
But new data from ThinkNow challenges that belief directly.
We conducted an online survey among residents of the Los Angeles DMA, exploring perceptions of Bad Bunny’s selection as the Super Bowl Halftime performer. The findings do not reveal hesitation. They reveal validation.
The myth of cultural risk does not hold up under data scrutiny.
Download the full report here.
Overall sentiment toward Bad Bunny’s participation is clearly favorable among all Los Angelenos.
Consumers are not reacting defensively to representation. They are recognizing it as culturally meaningful and aligned with broader shifts in American culture.
The assumption that cultural specificity shrinks reach is not reflected in audience perception in one of the country’s most culturally influential markets.
Sports engagement among LA DMA residents is widespread:
Rather than fragmenting audiences, cultural relevance drives additional engagement.
If representativeness were truly a brand risk, perception metrics would reflect hesitation or backlash. The data shows the opposite.
When asked how a brand using Bad Bunny in a Super Bowl commercial would affect perception:
On perceived risk:
In other words, perceived controversy is limited.
The commercial upside, however, is measurable:
Brands using Bad Bunny are most commonly associated with being inclusive, youth-oriented, and trend-forward.
This is not reputational erosion. It is brand strengthening.
Los Angeles is widely viewed as a cultural hub.
Among LA County residents:
LA is not a peripheral market. It is a leading indicator of where culture is moving nationally.
The data does not support the belief that cultural representation creates brand danger.
It shows the opposite:
The myth of cultural risk appears to exist more in corporate caution than in consumer behavior.
For brands planning national campaigns, especially in high-visibility moments like the Super Bowl, the question is no longer whether representation is risky.
The question is whether ignoring cultural reality is the greater risk.
Because for consumers, representation is not a gamble. It is a need.
If you are planning national or multicultural campaigns, this study provides concrete evidence of how consumers actually respond to cultural representation.
Download the full report to explore the complete findings, data, and analysis from the LA DMA study.
The 2026 World Cup in the United States will bring together the most diverse, multicultural, and digitally connected sports audience of the decade. A national quantitative study by ThinkNow identifies three core business levers that will define brand success during the tournament: multicultural excitement, second-screen consumption, and concentrated spending on food, beverages, and merchandise.
Download the full report here.
When activated with a mobile-first strategy, authentic cultural representation, and hyperlocal execution, these levers can drive measurable brand and sales impact. Interest in CONCACAF, CONMEBOL, and UEFA also shows that the World Cup is only the entry point to a much larger opportunity: the continued growth of soccer in the U.S.
When these findings are connected to “The World in One City” framework, which positions Los Angeles as the cultural epicenter from 2026 to 2028, a clear playbook emerges to win the 2026 World Cup and build long-term advantage heading into the 2027 Super Bowl and the 2028 Olympic Games.
Nearly 73% of fans in the United States say they are “very” or “extremely” excited about the 2026 World Cup. Excitement is even higher among Hispanics, Asians, Gen Z, and Millennials, who experience the tournament as a global celebration that reinforces identity, pride, and community connection.
For brands, this makes the World Cup a powerful catalyst for social conversation, emotional resonance, and advertising effectiveness, especially when messaging reflects real experiences rooted in family, neighborhood, and cultural heritage.
What brands should activate:
During the 2026 World Cup, attention will not live on a single screen. 59% of fans plan to use a second screen while watching matches, and that number rises to 78% among Millennials and Gen Z.
Television remains important, but the full World Cup experience plays out across digital platforms, where fans consume highlights, stats, chats, memes, and real-time reactions. Campaign performance will depend on designing mobile-first journeys that activate fans during key match moments.
What brands should activate:
Consumer spending during the World Cup is highly concentrated in food, beverages, and merchandise, categories tied directly to watch-party rituals and fandom behavior:
The World Cup does not just attract attention. It creates predictable, high-intent purchase moments.
What brands should activate:
Fan interest does not end with the final match. The study shows sustained enthusiasm for teams and competitions from CONCACAF, CONMEBOL, and UEFA, extending engagement across international leagues, qualifiers, and regional tournaments.
Business implication:
The World Cup is the entry point. The real value lies in building always-on soccer strategies, supported by editorial and commerce calendars that keep audiences engaged year-round.
The ThinkNow L.A. – The World in One City initiative shows that Los Angeles concentrates the forces shaping the future American consumer: multidimensional identity, everyday diversity, and outsized cultural influence.
Only one-third of Angelenos feel advertising represents them accurately, while two-thirds say representation matters in how they evaluate brands. L.A. also leads in entertainment, food, music, fandom, and streetwear, categories that export cultural influence nationwide.
With the 2026 World Cup, 2027 Super Bowl, and 2028 Olympic Games, Los Angeles will be the stage where the next era of multicultural marketing is defined.
The data is clear: multicultural excitement (73%), second-screen behavior (59% overall, 78% among younger fans), and spending on food, beverages, and merchandise form the core opportunity triangle of the 2026 World Cup. Sustained interest in global leagues confirms soccer’s long-term growth in the U.S.
Brands that activate these levers in Los Angeles, using a 360-degree identity framework and authentic representation, will not only win the 2026 World Cup. They will build competitive advantage for the next three years.
Explore the complete insights, data, and frameworks from and prepare your brand for 2026.
Download the full report here.
Bad Bunny’s selection as the Super Bowl halftime performer raises practical questions for brands. Does his presence drive awareness and help sales? Does featuring an outspoken Latino performer during the nation’s largest sporting event, at a time when Latinos are at the center of immigration raids, inject politics into brand marketing? Can a joyful, dance-driven reggaeton performance help change the narrative and connect with the broader market?
To answer that, ThinkNow conducted a nationally representative survey of 1,500 U.S. adults examining awareness, reaction, cultural meaning, and brand implications surrounding Bad Bunny’s Super Bowl appearance.
Download the full report here.
Awareness of Bad Bunny is solid but not universal. Just over 60% of U.S. adults say they know who he is, with awareness concentrated among Hispanics and Gen Z. Awareness that he is performing at the Super Bowl halftime show is highest among Hispanics, followed by non-Hispanic Whites, with only modest variation by age.
This establishes the baseline reality. Bad Bunny is mainstream, though not evenly so, and his strongest recognition remains rooted in Latino and younger audiences.
Initial reactions to Bad Bunny as the halftime performer are strongly positive among Hispanics and younger generations. Interest in watching the halftime show because of Bad Bunny follows the same pattern.
This Super Bowl lands at a tense cultural moment. Latinos are at the center of the current immigration raids, facing heightened enforcement, fear, and public scrutiny. Visibility has increased at the same time political rhetoric has hardened. Bad Bunny’s reggaeton-forward, dance-focused, joyful energy matters here. While Bad Bunny is skipping the U.S. on his current World Tour schedule because of concerns that ICE would be present outside shows, his music isn’t overtly political. It celebrates Hispanic, specifically Puerto Rican, culture.
The data reflects this reality. Younger audiences and Hispanics overwhelmingly see Bad Bunny’s performance as affirming and forward-looking. Older and non-Hispanic White audiences show more ambivalence. This divide mirrors broader debates about whether multiculturalism continues to expand or whether a narrower vision of American identity reasserts itself.
Sixty percent of respondents say Bad Bunny performing at the Super Bowl is good for Latino cultural representation in mainstream media. Agreement is strongest among Hispanics and younger generations and weaker among older and non-Hispanic White audiences. Nearly two-thirds of respondents agree that his performance reflects the growing influence of Latino culture in the United States.
Using Bad Bunny in a Super Bowl ad generates positive brand perceptions across most demographic groups. The effect is strongest among Gen Z, Millennials, and Hispanics. Non-Hispanic Whites show a more muted response.
Spanish-language music or reggaeton significantly increases brand recall among Hispanics and younger audiences. Recall gains decline among Gen X and Boomers, reinforcing that cultural specificity drives impact within aligned segments.
Bad Bunny also drives word-of-mouth intent among Hispanics and younger consumers, though overall lift at the total market level is limited.
When asked what values a brand signals by featuring Bad Bunny, respondents most often select youth-oriented, trend-forward, and inclusive. These associations are especially strong among Hispanics, Gen Z, and Millennials.
In terms of Bad Bunny’s appeal in advertising, English-language ads featuring Bad Bunny are preferred. Hispanics stand out as the only group that shows a stronger preference for Spanish-language or bilingual advertising.
Elements that make Bad Bunny feel most authentic include Latino cultural references, reggaeton or dance-driven music, and Puerto Rican cultural cues. These resonate most strongly with Hispanics, Black audiences, and younger consumers.
A fun, party-focused creative centered on cultural pride emerges as the most appealing ad concept overall. Cross-cultural collaborations resonate more with Black and Asian audiences.
Only about one-third of respondents believe featuring Bad Bunny in Super Bowl advertising carries risk for brands. Concern is highest among non-Hispanic Whites, but remains a minority view even within that group.
Purchase consideration follows familiar lines. About one-third of adults say Bad Bunny in a Super Bowl ad would make them more likely to consider buying from the brand. The lift is significantly stronger among Hispanics, African Americans, Gen Z, and Millennials and much lower among Boomers and non-Hispanic Whites.
Most respondents were unaware that Turning Point USA plans to run an alternative “All American Halftime Show.” When given the choice, the official halftime show is preferred by a ratio of 5 to 1 by Latinos, 2 to 1 by Asian and African Americans, and by a plurality of non-Hispanic Whites.
Bad Bunny delivers real brand value, though his strongest impact lies with Hispanics and younger consumers, particularly when cultural authenticity is embraced directly.
This moment is a test. It asks whether brands believe cultural progress pauses during periods of backlash or whether it continues through celebration, visibility, and confidence.
The data points to an answer. Latino culture continues to advance. Joy continues to travel. Music continues to move people forward. Bad Bunny’s Super Bowl performance reflects that reality. Latinos are here to stay. The darkness will pass. Celebration remains.
Download the full report here.