Effect of Financial Stress and Positive Financial Behaviors on Cost-Related Nonadherence to Health Regimens Among Adults in a Community-Based Setting
ORIGINAL RESEARCH — Volume 13 — March 16, 2016
PEER REVIEWED
Variable | Mean Financial Stress | |
---|---|---|
No. of Survey Respondents | Value (Standard Deviation) | |
Chronic condition | ||
0 Conditions | 443 | 12.79 (6.64) |
1 Condition | 373 | 14.09 (7.1) |
≥2 Conditions | 355 | 14.87 (7.08) |
High blood pressure | 525 | 14.38 (7.12) |
Heart disease | 165 | 14.06 (7.35) |
Cancer | 136 | 13.16 (6.57) |
Diabetes | 227 | 15.16 (7.27) |
Asthma | 193 | 16.34 (7.14) |
Sarcoidosis | 16 | 16.87 (6.38) |
Sickle cell anemia | 14 | 18.00 (8.06) |
Lupus | 16 | 18.00 (6.96) |
Health insurance status | ||
Employer-sponsored | 595 | 11.26 (5.85) |
Nonemployer/private | 83 | 13.25 (6.67) |
Medicaid | 183 | 16.13 (6.95) |
Medicare | 344 | 13.13 (6.47) |
Genesee Health Plan | 124 | 20.41 (6.56) |
Other | 109 | 14.05 (6.87) |
No insurance coverage | 71 | 19.23 (6.11) |
Figure 1. Mean level of financial stress, by chronic condition and health insurance status. Mean level of financial stress is a composite score based on 6 items; scores ranged from 1 to 30, with 1 indicating low levels of stress and 30 indicating levels of high stress. Speak to Your Health! Community Survey, 2011.
Variable | Cost-Related Nonadherence, % |
---|---|
Chronic condition | |
High blood pressure | 50 |
Heart disease | 14 |
Cancer | 11 |
Diabetes | 26 |
Asthma | 26 |
Sarcoidosis | 3 |
Sickle cell anemia | 3 |
Lupus | 3 |
Health insurance status | |
Employer-sponsored | 31 |
Nonemployer/private | 6 |
Medicaid | 19 |
Medicare | 22 |
Genesee Health Plan | 20 |
Other | 10 |
No insurance coverage | 13 |
Figure 2. Cost-related nonadherence behaviors, by chronic condition and health insurance status. Cost-related nonadherence is a composite binary measure of a positive response to 1 of 2 cost-cutting behaviors with the treatment regimen. Speak to Your Health! Community Survey, Michigan, 2011.
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