Hypertension-Associated Expenditures for Medication Among US Adults

Details

• Alternative Title:
  Am J Hypertens
• Personal Author:
  Wang, Guijing ; Yan, Lili ; Ayala, Carma ; George, Mary G. ; Fang, Jing
• Description:
  BACKGROUND ; We sought to estimate how much the presence of hypertension adds to annual per capita and total expenditures for medication among US adults. ; METHODS ; The sample included 21,782 civilian noninstitutionalized adults aged ≥18 years who participated in the 2007 Medical Expenditure Panel Survey. Hypertension was defined as having a diagnosis of high blood pressure (except during pregnancy) or taking a blood pressure medication. We used a 2-part model to examine all-cause medication expenditure associated with hypertension. ; RESULTS ; The prevalence of hypertension was 32.2%. Overall, 66.7% of adults purchased prescribed medications, with this proportion higher among hypertensive (93.0%) than normotensive (54.4%) adults (P < 0.001). Hypertensive adults were more likely to have medication expenditures than were normotensive adults (odds ratio (OR) = 6.42; P < 0.001). Among hypertensive adults, those aged ≥45 years were more likely to incur medication expenditure than those aged 18–44 years (OR = 3.00, P < 0.001 for those aged 45–64 years; OR = 5.95, P < 0.001 for those aged ≥65 years), whereas women were 2.91 times as likely as men to have medication spending (P < 0.001). Hispanics were less likely than non-Hispanic whites to have such spending (OR = 0.51; P < 0.001). Among those purchasing medications, the average cost was $1,510 higher among hypertensive persons ($2,337) than normotensive persons ($827). Hypertension-associated expenditures for medication were estimated at $68 billion in the US civilian non-institutionalized population in 2007. ; CONCLUSIONS ; The presence of hypertension among US adults is associated with an increase of all-cause expenditures for medication, with this increase varying across groups by age and sex.
• Keywords:
  • blood pressure
  • drug cost
  • economics
  • high blood pressure
  • hypertension
  • Adult
  • Aged
  • Antihypertensive Agents
  • Female
  • Health Expenditures
  More +
• Source:
  Am J Hypertens. 26(11):1295-1302
• Pubmed ID:
  23727748
• Pubmed Central ID:
  PMC4544731
• Document Type:
  Journal Article
• Funding:
  CC999999/Intramural CDC HHSUnited States/
• Volume:
  26
• Issue:
  11
• Download URL:
  https://stacks.cdc.gov/view/cdc/33012/cdc_33012_DS1.pdf
• File Type:
  [PDF - 258.42 KB]
• Collection(s):
  CDC Public Access
• Main Document Checksum:
  urn:sha256:8665b707d4b5b4a3a358ddf1631767d1b0aacf79f403b7c0382dbd612b579287