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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