Cost-Related Medication Nonadherence Among Adolescent and Young Adult Cancer Survivors
Cost-Related Medication Nonadherence Among Adolescent and Young Adult Cancer Survivors
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DOI：
10.1002/cncr.30648
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发表时间：
2017-07-15
期刊：
影响因子：
6.2
通讯作者：
Kirchhoff, Anne C.
中科院分区：
文献类型：
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作者：
Kaul, Sapna;Avila, Jaqueline C.;Kirchhoff, Anne C.
背景：本研究调查了美国青少年和青年癌症幸存者和对照组中与费用相关的药物依从性。方法：对2013 - 2015年全国健康访谈调查进行横断面分析。N = 953名年龄在15岁至39岁之间被诊断患有癌症的患者被确定，并使用倾向评分创建了一个比较组。与费用相关的药物依从性是由个人报告在前一年跳过药物治疗、减少药物治疗或延迟填写药物以节省资金决定的。协变量包括人口统计、保险状况、财务因素（如自费医疗支出）和健康相关因素（如合并症和精神困扰）。卡方检验用于比较幸存者和对照组之间的不依从性。逻辑回归确定了与不依从相关的协变量。结果：幸存者比对照组更有可能报告不依从(23.8% vs 14.3%； P
BACKGROUND: This study investigated cost-related medication nonadherence among survivors of adolescent and young adult cancer and a comparison group in the United States. METHODS: A cross-sectional analysis of the 2013 to 2015 National Health Interview Survey was performed. N = 953 patients who were diagnosed with cancer between the ages of 15 and 39 years were identified, and a comparison group was created using propensity scores. Cost-related medication nonadherence was determined by individuals' report of skipping medication, taking less medication, or delaying filling medication to save money in the previous year. Covariates included demographics, insurance status, financial factors (eg, out-of-pocket health care expenditures), and health-related factors (eg, comorbidity and mental distress). Chi-square tests were used to compare nonadherence between survivors and the comparison group. Logistic regressions identified covariates associated with nonadherence. RESULTS: Survivors were more likely to report nonadherence than the comparison group (23.8% vs 14.3%; P