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Predictors of Health Self-Management Program Preference among Lower-to-Middle Wage Employed Adults with Chronic Conditions
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January 06 2019
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Source: Am J Health Promot. 33(2):172-182
Details:
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Alternative Title:Am J Health Promot
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Personal Author:
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Description:Purpose
We examined the extent to which demographic, chronic disease burden, and financial strain characteristics were associated with a preference for engaging in the CDSMP (presented as a ‘health self-management program’ [HSMP]) over a financial self-management program (FSMP) and a no program preference (NPP) group among employed adults.
Design
Cross-sectional, correlation design using baseline data from a randomized clinical trial (RCT).
Subjects
The analytic sample included 324 workers aged 40–64 years with one or more chronic disease conditions recruited into the RCT from 2015 to 2017.
Measures
Chronic disease burden measures included the number of chronic conditions, BMI, the PHQ-8, and PHQ-15. Financial strain was measured as the inability to purchase essentials and food assistance receipt. Both individual and household measures of income were assessed.
Analysis
Multinomial logistic regression and post-hoc marginal effects models.
Results
Moderate-to-severe depressive symptoms increased the likelihood of having a HSMP preference compared to those preferring the FSMP (RR = 4.2, p<.05) but not those having NPP; while higher BMI marginally increased HSMP preference over FSMP preference, but not NPP groups (RR = 1.04, p<.05). Financial strain differentially, but significantly, reduces the likelihood of HSMP preference at varying levels of household poverty, depressive symptom severity, and financial strain.
Conclusion
Middle-aged, lower-to-middle income workers with moderate-to-severe depressive symptoms opt for HSMPs over FSMPs, but preference for HSMPs is significantly diminished when they are experiencing financial strain.
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Subjects:
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Source:
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Pubmed ID:30614267
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Pubmed Central ID:PMC7161073
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Document Type:
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Funding:
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Volume:33
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Issue:2
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Main Document Checksum:
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Download URL:
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File Type:
[PDF-588.17 KB]
