Cost-Related Medication Nonadherence In U.S. Adults With Asthma: The National Health Interview Survey 2013–2020

医学 哮喘 全国健康访谈调查 药方 全国健康与营养检查调查 逻辑回归 人口 横断面研究 不利影响 家庭医学 环境卫生 人口学 儿科 内科学 社会学 病理 药理学
作者
Xia Tong,Hongbin Qiu,Bo Yu,Jinfeng Bi,Xia Gu,Shanjie Wang,Yiying Zhang
出处
期刊:Annals of Allergy Asthma & Immunology [Elsevier BV]
卷期号:131 (5): 606-613.e5 被引量:5
标识
DOI:10.1016/j.anai.2023.07.013
摘要

Asthma is a chronic disease that needs long-term control for secondary prevention. Health-related expenditures resulting from asthma are rising in the United States, and medication nonadherence is associated with adverse health outcomes in patients with asthma.To estimate the prevalence and risk factors of cost-related medication nonadherence (CRN) in individuals with asthma in the United States.We identified patients aged above or equal to 18 years with a history of asthma in nationally representative cross-sectional data, the National Health Interview Survey 2013 to 2020. Participants were considered to have experienced CRN if at any time in the 12 months they reported skipping doses, taking less medication, or delaying filling a prescription to save money. The weighted prevalence of CRN was estimated overall and by subgroups. Logistic regression was used to identify CRN-related characteristics.Of the 26,539 National Health Interview Survey participants with a history of asthma, 4360 (15.77%; representing 3.92 million of the US population) reported CRN, with 10.12% (weighted 2.51 million) of patients skipping doses to save money, 10.82% (weighted 2.69 million) taking less medication to save money, and 13.35% (weighted 3.31 million) delaying filling a prescription to save money. The subgroups young, women, low income, no health insurance, currently smoking, and with comorbidities had a higher prevalence of CRN. The results of this sensitivity analysis did not differ from the overall results.In the United States, 1 in 6 adults with a history of asthma is nonadherence with medications due to costs. Removing financial barriers to accessing medication can improve medication adherence in patients with asthma.
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