The Role of Gender in Cost-Related Medication Nonadherence Among Patients with Diabetes.

J Am Board Fam Med

From School of Public Health, The University of Memphis, Memphis, TN (SSB, OOI, SK); School of Pharmacy, University of Wisconsin, Madison, WI (OS); Department of Nursing, University of South Dakota, Sioux Falls, SD (PD); Analytica Laser, New York, NY (AC); Department of Health Systems Administration, Georgetown University, Washington D.C. (SH); Joseph J. Zilber School of Public Health, University of Wisconsin-Milwaukee, WI (YW); Health Research and Educational Trust, Chicago, IL (JB); Department of Health Administration, Governor State University, IL (LN); Department of Clinical Pharmacy, University of Tennessee Health Sciences Center, TN (WJL); Jack C. Massey College of Business, Belmont University, TN (DW); Fogelman College of Business and Economics, The University of Memphis, Memphis, TN (CFC).

Published: October 2019

Objective: Under 50% of type 2 diabetic patients achieve the recommended glycemic control. One barrier to glycemic control is patients' cost-related nonadherence to medications. We hypothesize gender differences in medication nonadherence due to costs among diabetic patients.

Methods: US National Health Interview Survey (2011 to 2014) data yielded 5260 males and 6188 females with diabetes for over a year. We applied 2 analytic methods (A and B below) across multiple outcome measures (1 to 4) of medication nonadherence due to cost. The key independent variable was participant's gender.

Results: Across methods and measure, females consistently report significantly higher rates of medication nonadherence due to costs. Pearson's χ showed that female patients were more likely to (1) skip medication (13.5%-10.2%; < .001), take less than prescribed medication (13.9%-10.5%; < .001), delay filling prescriptions (16.8%-12.5%; < .001), and ask doctors to prescribe lower-cost alternative medications (31.8%-28.0%; < .001). Controlling for covariates, logistic regression models found females more likely to skip medication (OR, 1.30; 95% CI, 1.09-1.55), take less than prescribed medication (OR, 1.26; 95%, CI, 1.06-1.50), delay filling prescriptions, (OR, 1.29; 95% CI, 1.11-1.50), and request lower-cost medication (OR, 1.17; 95% CI, 1.04-1.32). Our results report other factors that influence medication adherence, including socioeconomic and health status variables.

Conclusions: A significant gender-based disparity exists on cost-related nonadherence of medication among diabetic patients. Health care providers and policy-makers should pay close attention to find ways to address cost-related nonadherence of medication among patients with chronic illness, especially among female patients.

Download full-text PDF

Source
http://dx.doi.org/10.3122/jabfm.2018.05.180039DOI Listing

Publication Analysis

Top Keywords

medication nonadherence
16
medication
12
cost-related nonadherence
12
diabetic patients
8
glycemic control
8
nonadherence costs
8
female patients
8
skip medication
8
prescribed medication
8
delay filling
8

Similar Publications

Background: Depressive symptom is the most common type of psychiatric co-morbidity among persons with epilepsy. Epilepsy patients are identified as at higher risk of suffering depressive symptom explicitly in low- and middle-income countries due to poor mental health care systems and financial burdens. The co-occurrence of depressive symptom among epilepsy patients deteriorates the prognosis of the disease and diminishes the quality of life of both the patients and their families.

View Article and Find Full Text PDF

Purpose: The increase of oral tumor therapies (OTT) poses new challenges in patient care. Within CAMPA (Care improvement for advanced or metastatic breast and ovarian cancer patients treated with PARP-inhibitors), additional nursing support for patients treated with PARP-inhibitors was developed.

Methods: Additional nursing support (1 year) was evaluated in breast and gynecooncological cancer patients at an academic and a non-academic outreach center.

View Article and Find Full Text PDF

Functional constipation is a common disorder of the gastrointestinal tract in children without specific treatment. Ziziphus jujuba has been used in traditional medicine for various diseases such as constipation. A safe and inexpensive treatment with few side effects can be used as an effective alternative to current medications.

View Article and Find Full Text PDF

Influence of Ageing on the Pharmacodynamics and Pharmacokinetics of Chronically Administered Medicines in Geriatric Patients: A Review.

Clin Pharmacokinet

January 2025

Discipline of Pharmaceutical Sciences, School of Health Sciences, University of KwaZulu-Natal, Durban, South Africa.

As people age, the efficiency of various regulatory processes that ensure proper communication between cells and organs tends to decline. This deterioration can lead to difficulties in maintaining homeostasis during physiological stress. This includes but is not limited to cognitive impairments, functional difficulties, and issues related to caregivers which contribute significantly to medication errors and non-adherence.

View Article and Find Full Text PDF

Background: Most veterinary literature examining medication compliance has described the phenomenon in dogs. The evidence available regarding factors affecting cat owner medication compliance is limited.

Objectives: Identify and describe factors associated with cat owners' noncompliance with veterinary recommendations for pet medications, as well as client-reported barriers and aids to administering medications prescribed by primary care veterinarians.

View Article and Find Full Text PDF

Want AI Summaries of new PubMed Abstracts delivered to your In-box?

Enter search terms and have AI summaries delivered each week - change queries or unsubscribe any time!