Cost-related medication non-adherence among U.S. adults with diabetes
To examine factors that affect cost-related medication non-adherence (CRN), defined as taking medication less than as prescribed because of cost, among adults with diabetes and to determine their relative contribution in explaining CRN. Behavioral Risk Factor Surveillance System data for 2013–2014 w...
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| Veröffentlicht in: | Diabetes research and clinical practice 2018-09, Vol.143, p.24-33 |
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| container_title | Diabetes research and clinical practice |
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| creator | Kang, Hyojung Lobo, Jennifer Mason Kim, Soyoun Sohn, Min-Woong |
| description | To examine factors that affect cost-related medication non-adherence (CRN), defined as taking medication less than as prescribed because of cost, among adults with diabetes and to determine their relative contribution in explaining CRN.
Behavioral Risk Factor Surveillance System data for 2013–2014 were used to identify individuals with diabetes and their CRN. We modeled CRN as a function of financial factors, regimen complexity, and other contextual factors including diabetes care, lifestyle, and health factors. Dominance analysis was performed to rank these factors by relative importance.
CRN among U.S. adults with diabetes was 16.5%. Respondents with annual income |
| doi_str_mv | 10.1016/j.diabres.2018.06.016 |
| format | Article |
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Behavioral Risk Factor Surveillance System data for 2013–2014 were used to identify individuals with diabetes and their CRN. We modeled CRN as a function of financial factors, regimen complexity, and other contextual factors including diabetes care, lifestyle, and health factors. Dominance analysis was performed to rank these factors by relative importance.
CRN among U.S. adults with diabetes was 16.5%. Respondents with annual income <$50,000 and without health insurance were more likely to report CRN, compared to those with income ≥$50,000 and those with insurance, respectively. Insulin users had 1.24 times higher risk of CRN compared to those not on insulin. Contextual factors that significantly affected CRN included diabetes care factors, lifestyle factors, and comorbid depression, arthritis, and COPD/asthma. Dominance analysis showed health insurance was the most important factor for respondents <65 and depression was the most important factor for respondents ≥65.
In addition to traditional risk factors of CRN, compliance with annual recommendations for diabetes and healthy lifestyle were associated with lower CRN. Policies and social supports that address these contextual factors may help improve CRN.</description><identifier>ISSN: 0168-8227</identifier><identifier>EISSN: 1872-8227</identifier><identifier>DOI: 10.1016/j.diabres.2018.06.016</identifier><identifier>PMID: 29944967</identifier><language>eng</language><publisher>Ireland: Elsevier B.V</publisher><subject>Aged ; Diabetes ; Diabetes Mellitus - drug therapy ; Diabetes Mellitus - economics ; Female ; Humans ; Income ; Insurance ; Lifestyle ; Male ; Medication adherence ; Medication Adherence - statistics & numerical data ; Middle Aged ; United States</subject><ispartof>Diabetes research and clinical practice, 2018-09, Vol.143, p.24-33</ispartof><rights>2018 Elsevier B.V.</rights><rights>Copyright © 2018 Elsevier B.V. All rights reserved.</rights><lds50>peer_reviewed</lds50><oa>free_for_read</oa><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c467t-c6597d49641733535f0bccdec8377be2d5d79e8bf29f051f5ff6cc9c5d5db51d3</citedby><cites>FETCH-LOGICAL-c467t-c6597d49641733535f0bccdec8377be2d5d79e8bf29f051f5ff6cc9c5d5db51d3</cites><orcidid>0000-0001-8375-2475</orcidid></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktohtml>$$Uhttps://www.sciencedirect.com/science/article/pii/S0168822718305345$$EHTML$$P50$$Gelsevier$$H</linktohtml><link.rule.ids>230,314,776,780,881,3536,27903,27904,65309</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/29944967$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Kang, Hyojung</creatorcontrib><creatorcontrib>Lobo, Jennifer Mason</creatorcontrib><creatorcontrib>Kim, Soyoun</creatorcontrib><creatorcontrib>Sohn, Min-Woong</creatorcontrib><title>Cost-related medication non-adherence among U.S. adults with diabetes</title><title>Diabetes research and clinical practice</title><addtitle>Diabetes Res Clin Pract</addtitle><description>To examine factors that affect cost-related medication non-adherence (CRN), defined as taking medication less than as prescribed because of cost, among adults with diabetes and to determine their relative contribution in explaining CRN.
Behavioral Risk Factor Surveillance System data for 2013–2014 were used to identify individuals with diabetes and their CRN. We modeled CRN as a function of financial factors, regimen complexity, and other contextual factors including diabetes care, lifestyle, and health factors. Dominance analysis was performed to rank these factors by relative importance.
CRN among U.S. adults with diabetes was 16.5%. Respondents with annual income <$50,000 and without health insurance were more likely to report CRN, compared to those with income ≥$50,000 and those with insurance, respectively. Insulin users had 1.24 times higher risk of CRN compared to those not on insulin. Contextual factors that significantly affected CRN included diabetes care factors, lifestyle factors, and comorbid depression, arthritis, and COPD/asthma. Dominance analysis showed health insurance was the most important factor for respondents <65 and depression was the most important factor for respondents ≥65.
In addition to traditional risk factors of CRN, compliance with annual recommendations for diabetes and healthy lifestyle were associated with lower CRN. Policies and social supports that address these contextual factors may help improve CRN.</description><subject>Aged</subject><subject>Diabetes</subject><subject>Diabetes Mellitus - drug therapy</subject><subject>Diabetes Mellitus - economics</subject><subject>Female</subject><subject>Humans</subject><subject>Income</subject><subject>Insurance</subject><subject>Lifestyle</subject><subject>Male</subject><subject>Medication adherence</subject><subject>Medication Adherence - statistics & numerical data</subject><subject>Middle Aged</subject><subject>United States</subject><issn>0168-8227</issn><issn>1872-8227</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2018</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><recordid>eNqFUctOwzAQtBCIlscngHLkkmA7sZ1cQKjiJSFxAM6WY29aV2kMtlvE3-PSguDEydbs7M5oBqETgguCCT-fF8aq1kMoKCZ1gXmR0B00JrWgeU2p2EXjhNRf_xE6CGGOMeZlxfbRiDZNVTVcjNH1xIWYe-hVBJMtwFitonVDNrghV2YGHgYNmVq4YZq9FE9FpsyyjyF7t3GWrS1AhHCE9jrVBzjevofo5eb6eXKXPzze3k-uHnJdcRFzzVkjTBKuiChLVrIOt1ob0HUpRAvUMCMaqNuONh1mpGNdx7VuNEuDlhFTHqKLzd3XZZu8ahiiV7189Xah_Id0ysq_k8HO5NStJKe4oiVNB862B7x7W0KIcmGDhr5XA7hlkBRznAJkNU9UtqFq70Lw0P3IECzXFci53FYg1xVIzGVC097pb48_W9-ZJ8LlhgApqZUFL4O265SN9aCjNM7-I_EJ846bzQ</recordid><startdate>20180901</startdate><enddate>20180901</enddate><creator>Kang, Hyojung</creator><creator>Lobo, Jennifer Mason</creator><creator>Kim, Soyoun</creator><creator>Sohn, Min-Woong</creator><general>Elsevier B.V</general><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>7X8</scope><scope>5PM</scope><orcidid>https://orcid.org/0000-0001-8375-2475</orcidid></search><sort><creationdate>20180901</creationdate><title>Cost-related medication non-adherence among U.S. adults with diabetes</title><author>Kang, Hyojung ; Lobo, Jennifer Mason ; Kim, Soyoun ; Sohn, Min-Woong</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c467t-c6597d49641733535f0bccdec8377be2d5d79e8bf29f051f5ff6cc9c5d5db51d3</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2018</creationdate><topic>Aged</topic><topic>Diabetes</topic><topic>Diabetes Mellitus - drug therapy</topic><topic>Diabetes Mellitus - economics</topic><topic>Female</topic><topic>Humans</topic><topic>Income</topic><topic>Insurance</topic><topic>Lifestyle</topic><topic>Male</topic><topic>Medication adherence</topic><topic>Medication Adherence - statistics & numerical data</topic><topic>Middle Aged</topic><topic>United States</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Kang, Hyojung</creatorcontrib><creatorcontrib>Lobo, Jennifer Mason</creatorcontrib><creatorcontrib>Kim, Soyoun</creatorcontrib><creatorcontrib>Sohn, Min-Woong</creatorcontrib><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>MEDLINE - Academic</collection><collection>PubMed Central (Full Participant titles)</collection><jtitle>Diabetes research and clinical practice</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Kang, Hyojung</au><au>Lobo, Jennifer Mason</au><au>Kim, Soyoun</au><au>Sohn, Min-Woong</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Cost-related medication non-adherence among U.S. adults with diabetes</atitle><jtitle>Diabetes research and clinical practice</jtitle><addtitle>Diabetes Res Clin Pract</addtitle><date>2018-09-01</date><risdate>2018</risdate><volume>143</volume><spage>24</spage><epage>33</epage><pages>24-33</pages><issn>0168-8227</issn><eissn>1872-8227</eissn><abstract>To examine factors that affect cost-related medication non-adherence (CRN), defined as taking medication less than as prescribed because of cost, among adults with diabetes and to determine their relative contribution in explaining CRN.
Behavioral Risk Factor Surveillance System data for 2013–2014 were used to identify individuals with diabetes and their CRN. We modeled CRN as a function of financial factors, regimen complexity, and other contextual factors including diabetes care, lifestyle, and health factors. Dominance analysis was performed to rank these factors by relative importance.
CRN among U.S. adults with diabetes was 16.5%. Respondents with annual income <$50,000 and without health insurance were more likely to report CRN, compared to those with income ≥$50,000 and those with insurance, respectively. Insulin users had 1.24 times higher risk of CRN compared to those not on insulin. Contextual factors that significantly affected CRN included diabetes care factors, lifestyle factors, and comorbid depression, arthritis, and COPD/asthma. Dominance analysis showed health insurance was the most important factor for respondents <65 and depression was the most important factor for respondents ≥65.
In addition to traditional risk factors of CRN, compliance with annual recommendations for diabetes and healthy lifestyle were associated with lower CRN. Policies and social supports that address these contextual factors may help improve CRN.</abstract><cop>Ireland</cop><pub>Elsevier B.V</pub><pmid>29944967</pmid><doi>10.1016/j.diabres.2018.06.016</doi><tpages>10</tpages><orcidid>https://orcid.org/0000-0001-8375-2475</orcidid><oa>free_for_read</oa></addata></record> |
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| source | MEDLINE; Elsevier ScienceDirect Journals |
| subjects | Aged Diabetes Diabetes Mellitus - drug therapy Diabetes Mellitus - economics Female Humans Income Insurance Lifestyle Male Medication adherence Medication Adherence - statistics & numerical data Middle Aged United States |
| title | Cost-related medication non-adherence among U.S. adults with diabetes |
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