scholarly journals Cost-Related Medication Nonadherence in Adults With Diabetes in the United States: The National Health Interview Survey 2013–2018

2022 ◽  
Author(s):  
Mohamad B. Taha ◽  
Javier Valero-Elizondo ◽  
Tamer Yahya ◽  
César Caraballo ◽  
Rohan Khera ◽  
...  
Keyword(s):  
National Health ◽  
National Health Interview Survey ◽  
The United States ◽  
Medication Nonadherence ◽  
Financial Barriers ◽  
Health Interview Survey ◽  
Health Interview ◽  
Comorbidity Burden ◽  
The Us ◽  
Interview Survey

<b>Objective:</b> Health-related expenditures due to diabetes are rising in the US. Medication nonadherence is associated with worse health outcomes among adults with diabetes. <a>We sought to examine the extent of reported cost-related medication nonadherence (CRN) in individuals with diabetes in the US</a>. <p><b>Research Design and Methods: </b>We studied adults ≥18 with self-reported diabetes from the National Health Interview Survey (NHIS; 2013-18), a US nationally representative survey. Adults reporting skipping doses, taking less medication, or delaying filling a prescription to save money in the past year were considered to have experienced CRN. The weighted prevalence of CRN was estimated overall and by age subgroups (<65 and ≥65 years). Logistic regression was used to identify sociodemographic characteristics independently associated with CRN. </p> <p><b>Results: </b>Of the 20,326 NHIS participants with diabetes, 17.6% (weighted: 2.3 million) of those aged <65 reported CRN, compared with 6.9% (weighted: 0.7 million) among those aged ≥65. Financial hardship from medical bills, lack of insurance, low-income, high comorbidity burden and female sex were independently associated with CRN across age groups. Lack of insurance, duration of diabetes, current smoking, hypertension, and hypercholesterolemia were associated with higher odds of reporting CRN among the non-elderly, but not among the elderly. Among elderly, insulin use significantly increased the odds of reporting CRN (OR 1.51, 95% CI 1.18, 1.92).</p> <p><b>Conclusions: </b>In the US, 1 in 6 non-elderly and 1 in 14 elderly adults with diabetes reported CRN. Removing financial barriers to accessing medications may improve medication adherence among these patients, with the potential to improve their outcomes.</p>

scholarly journals Cost-Related Medication Nonadherence in Adults With Diabetes in the United States: The National Health Interview Survey 2013–2018

2022 ◽  
Author(s):  
Mohamad B. Taha ◽  
Javier Valero-Elizondo ◽  
Tamer Yahya ◽  
César Caraballo ◽  
Rohan Khera ◽  
...  
Keyword(s):  
National Health ◽  
National Health Interview Survey ◽  
The United States ◽  
Medication Nonadherence ◽  
Financial Barriers ◽  
Health Interview Survey ◽  
Health Interview ◽  
Comorbidity Burden ◽  
The Us ◽  
Interview Survey

<b>Objective:</b> Health-related expenditures due to diabetes are rising in the US. Medication nonadherence is associated with worse health outcomes among adults with diabetes. <a>We sought to examine the extent of reported cost-related medication nonadherence (CRN) in individuals with diabetes in the US</a>. <p><b>Research Design and Methods: </b>We studied adults ≥18 with self-reported diabetes from the National Health Interview Survey (NHIS; 2013-18), a US nationally representative survey. Adults reporting skipping doses, taking less medication, or delaying filling a prescription to save money in the past year were considered to have experienced CRN. The weighted prevalence of CRN was estimated overall and by age subgroups (<65 and ≥65 years). Logistic regression was used to identify sociodemographic characteristics independently associated with CRN. </p> <p><b>Results: </b>Of the 20,326 NHIS participants with diabetes, 17.6% (weighted: 2.3 million) of those aged <65 reported CRN, compared with 6.9% (weighted: 0.7 million) among those aged ≥65. Financial hardship from medical bills, lack of insurance, low-income, high comorbidity burden and female sex were independently associated with CRN across age groups. Lack of insurance, duration of diabetes, current smoking, hypertension, and hypercholesterolemia were associated with higher odds of reporting CRN among the non-elderly, but not among the elderly. Among elderly, insulin use significantly increased the odds of reporting CRN (OR 1.51, 95% CI 1.18, 1.92).</p> <p><b>Conclusions: </b>In the US, 1 in 6 non-elderly and 1 in 14 elderly adults with diabetes reported CRN. Removing financial barriers to accessing medications may improve medication adherence among these patients, with the potential to improve their outcomes.</p>

scholarly journals Cost-Related Medication Nonadherence in Adults With Diabetes in the United States: The National Health Interview Survey 2013–2018

Diabetes Care ◽  
2022 ◽  
Author(s):  
Mohamad B. Taha ◽  
Javier Valero-Elizondo ◽  
Tamer Yahya ◽  
César Caraballo ◽  
Rohan Khera ◽  
...  
Keyword(s):  
National Health ◽  
National Health Interview Survey ◽  
The Elderly ◽  
The United States ◽  
Medication Nonadherence ◽  
Financial Barriers ◽  
Health Interview Survey ◽  
Health Interview ◽  
Interview Survey ◽  
The U.S

OBJECTIVE Health-related expenditures resulting from diabetes are rising in the U.S. Medication nonadherence is associated with worse health outcomes among adults with diabetes. We sought to examine the extent of reported cost-related medication nonadherence (CRN) in individuals with diabetes in the U.S. RESEARCH DESIGN AND METHODS We studied adults age ≥18 years with self-reported diabetes from the National Health Interview Survey (NHIS) (2013–2018), a U.S. nationally representative survey. Adults reporting skipping doses, taking less medication, or delaying filling a prescription to save money in the past year were considered to have experienced CRN. The weighted prevalence of CRN was estimated overall and by age subgroups (&lt;65 and ≥65 years). Logistic regression was used to identify sociodemographic characteristics independently associated with CRN. RESULTS Of the 20,326 NHIS participants with diabetes, 17.6% (weighted 2.3 million) of those age &lt;65 years reported CRN, compared with 6.9% (weighted 0.7 million) among those age ≥65 years. Financial hardship from medical bills, lack of insurance, low income, high comorbidity burden, and female sex were independently associated with CRN across age groups. Lack of insurance, duration of diabetes, current smoking, hypertension, and hypercholesterolemia were associated with higher odds of reporting CRN among the nonelderly but not among the elderly. Among the elderly, insulin use significantly increased the odds of reporting CRN (odds ratio 1.51; 95% CI 1.18, 1.92). CONCLUSIONS In the U.S., one in six nonelderly and one in 14 elderly adults with diabetes reported CRN. Removing financial barriers to accessing medications may improve medication adherence among these patients, with the potential to improve their outcomes.

Ethanol in Over-the-Counter Drugs

1996 ◽  
Vol 17 (10) ◽  
pp. 342-343
Keyword(s):  
United States ◽  
National Health ◽  
Common Cold ◽  
National Health Interview Survey ◽  
The United States ◽  
Over The Counter ◽  
Health Interview Survey ◽  
Health Interview ◽  
Interview Survey ◽  
The Common

The use of over-the-counter (OTC) medications among children in the United States is extensive. More than 800 OTC medications are available for treatment of the common cold, with almost 2 billion dollars spent annually on cough and cold medications alone. In 1994, Kogan et al determined that more than 50% of 3-year-old children in the United States had been given OTC medications in the 30 days prior to the study survey. Cough and cold preparations and acetaminophen were reported to be the medications used most frequently (66.7%). The use of cough and cold medications has not decreased when compared with findings from a 1981 National Health Interview Survey, despite increasing evidence that these medications are not effective and, in some circumstances, even may be harmful to children.

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