Food Insecurity and Perceived Financial Stress are Associated with Cost-related Medication Non-adherence in Stroke.
Food Insecurity and Perceived Financial Stress are Associated with Cost-related Medication Non-adherence in Stroke.
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DOI：
10.1353/hpu.2023.0054
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发表时间：
2023
影响因子：
1.4
通讯作者：
Patel, Minal
中科院分区：
文献类型：
--
作者：
Springer, Mellanie, V;Skolarus, Lesli E.;Patel, Minal
关键词：
确定食物不安全和感知的经济压力是否会导致卒中患者的费用相关药物治疗不依从性（CRN）。我们对全国健康访谈调查（2014-2018）中的成年卒中幸存者进行了回顾性研究。计算了食物不安全、感知经济压力和CRN的年龄加权患病率。在食物不安全或感知到的经济压力与CRN之间进行了多元Logistic回归，调整了人口统计学和临床变量。食物不安全、自觉财务压力和CRN的患病率分别为38%、75%和26%（18-44岁），38%、76%和21%（45-64岁）和17%、43%和6%（年龄≥ 65岁）。在45-64岁[比值比（95%CI）1.35（1.18-1.54）和1.44（1.29-1.61）]和≥ 65岁[比值比（95%CI）1.77（1.52-2.06）和1.51（1.37-1.67）]的卒中幸存者中，食物不安全和感知的经济压力分别与CRN相关。食物不安全和感知的经济压力在中风幸存者中普遍存在，并与CRN相关。
To determine whether food insecurity and perceived financial stress contribute to cost-related medication non-adherence (CRN) in stroke. We conducted a retrospective study of adult stroke survivors in the National Health Interview Survey (2014–2018). Weighted prevalence of food insecurity, perceived financial stress, and CRN by age was calculated. Multiple logistic regression was conducted between food insecurity or perceived financial stress and CRN, adjusting for demographic and clinical variables. Prevalence of food insecurity, perceived financial stress, and CRN respectively were 38%, 75%, and 26% (age 18–44), 38%, 76%, and 21% (age 45–64) and 17%, 43%, and 6% (age≥ 65). Food insecurity and perceived financial stress respectively were associated with CRN in stroke survivors aged 45–64 [odds ratio (95% CI) 1.35 (1.18–1.54) and 1.44 (1.29–1.61)] and age ≥ 65 [1.77 (1.52–2.06) and 1.51 (1.37–1.67)]. Food insecurity and perceived financial stress are prevalent in stroke survivors and associated with CRN.
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