Effect of Financial Stress and Positive Financial Behaviors on Cost-Related Nonadherence to Health Regimens Among Adults in a Community-Based Setting

Details

• Journal Article:
  Preventing Chronic Disease (PCD)
• Personal Author:
  Patel, Minal R. ; Kruger, Daniel J. ; Cupal, Suzanne ; Zimmerman, Marc A.
• Description:
  Introduction
  
  Little is known about the role of positive financial behaviors (behaviors that allow maintenance of financial stability with financial resources) in mitigating cost-related nonadherence (CRN) to health regimens. This study examined the relationships between positive financial behaviors, financial stress, and CRN.
  
  Methods
  
  Data came from the 2011 Speak to Your Health! Community Survey (n = 1,234). Descriptive statistics were computed to examine financial stress and CRN, by chronic condition and health insurance status. We used multivariate logistic regression models to examine the relationship between positive financial behaviors and financial stress and their interaction on a composite score of CRN, controlling for health insurance status, educational level, age, marital status, number of chronic conditions, and employment status.
  
  Results
  
  Thirty percent of the sample engaged in CRN. Participants reported moderate financial stress (mean, 13.85; standard deviation [SD] = 6.97), and moderate positive financial behavior (mean, 8.84; SD = 3.24). Participants with employer-sponsored insurance, Medicaid, Medicare, the Genesee Health Plan, high blood pressure, asthma, and diabetes had the highest proportion of CRN. The relationship between financial stress and CRN was not significantly different between those who reported lower versus higher levels of positive financial behavior (P = .32). Greater financial stress was associated with a greater likelihood of CRN (odds ratio [OR] = 2.49; 95% confidence interval [CI], 2.08–2.99). Higher level of positive financial behavior was associated with a lower likelihood of CRN (OR = 0.80; 95% CI, 0.67–0.94).
  
  Conclusion
  
  Financial literacy as a means of promoting positive financial behavior may help reduce CRN. An intervention strategy focused on improving financial literacy may be relevant for high-risk groups who report high levels of financial stress.
  
  
• Subjects:
  Adult Aged Chronic Disease Costs And Cost Analysis Female Humans Insurance, Health Insurance Coverage Logistic Models Male Medication Adherence Middle Aged Multivariate Analysis Original Research Socioeconomic Factors Stress, Psychological Surveys And Questionnaires

  More +
• Source:
  Prev Chronic Dis. 13.
• DOI:
  http://dx.doi.org/10.5888/pcd13.160005
• ISSN:
  1545-1151
• Pubmed ID:
  27055263
• Pubmed Central ID:
  PMC4830259
• Document Type:
  Journal Article
• Funding:
  U01 CE001957/CE/NCIPC CDC HHS/United States ; U48 DP001901/DP/NCCDPHP CDC HHS/United States ; 1-U48-DP-001901/DP/NCCDPHP CDC HHS/United States ; 5U01CE001957-02/CE/NCIPC CDC HHS/United States
• Place as Subject:
  United States
• Location:
  North America
• Volume:
  13
• Collection(s):
  Preventing Chronic Disease
• Main Document Checksum:
  urn:sha-512:44e73cd107283ab0d93d66d3bacc51303f07df4d349bd2f75bf18c729ec4fee94b28e332e63a2934ad7811ee270f416ff9ec7c453c4916f0c60597a78538eaf8
• Download URL:
  https://stacks.cdc.gov/view/cdc/39473/cdc_39473_DS1.pdf
• File Type:
  [PDF - 326.78 KB ]