dc.contributor.author | Berkowitz, Seth Aloisi | |
dc.contributor.author | Seligman, Hilary K. | |
dc.contributor.author | Choudhry, Niteesh K | |
dc.date.accessioned | 2018-05-14T14:51:06Z | |
dc.date.issued | 2014 | |
dc.identifier.citation | Berkowitz, Seth Aloisi, Hilary K. Seligman, and Niteesh K. Choudhry. 2014. “Treat or Eat: Food Insecurity, Cost-Related Medication Underuse and Unmet Needs.” American Journal of Medicine 127 (4): 303-310. doi:10.1016/j.amjmed.2014.01.002. | en_US |
dc.identifier.issn | 0002-9343 | en_US |
dc.identifier.uri | http://nrs.harvard.edu/urn-3:HUL.InstRepos:36878927 | |
dc.description.abstract | Background: Adults with chronic disease are often unable to meet medication and/or food needs, but no study has examined the relationship between cost-related medication underuse and food insecurity in a nationally representative sample. We examined which groups most commonly face unmet food and medication needs. Methods: Cross-sectional analysis of data from chronically ill participants (self report of arthritis, diabetes mellitus, cancer, asthma, chronic obstructive pulmonary disease, stroke, hypertension, coronary heart disease, or presence of a "psychiatric problem"), age >/=20 years, of the 2011 National Health Interview Survey. We fit logistic regression models to identify factors associated with food insecurity, cost-related medication underuse, or both. Results: 9,696 adult NHIS participants reported chronic illness; 23.4% reported cost-related medication underuse; 18.8% reported food insecurity; and 11% reported both. Adults who reported food insecurity were significantly more likely to report cost-related medication underuse (adjusted odds ratio [aOR] 4.03). Participants with both cost-related medication underuse and food insecurity were more likely to be Hispanic (aOR 1.58) non-Hispanic Black (aOR 1.58), and have more chronic conditions (aOR per additional chronic condition 1.56) than patients reporting neither. They were also less likely to have Public, non-Medicare insurance (aOR 0.70) and report to WIC participation (aOR 0.39). Conclusions: Approximately 1 in 3 chronically-ill NHIS participants are unable to afford food, medications, or both. WIC and public health insurance participation are associated with less food insecurity and cost-related medication underuse. | en_US |
dc.description.sponsorship | Other Research Unit | en_US |
dc.language.iso | en_US | en_US |
dc.publisher | Elsevier | en_US |
dc.relation.isversionof | doi:10.1016/j.amjmed.2014.01.002 | en_US |
dc.relation.hasversion | http://www.ncbi.nlm.nih.gov/pubmed/24440543 | en_US |
dash.license | LAA | |
dc.subject | chronic disease | en_US |
dc.subject | medication adherence | en_US |
dc.subject | socioeconomic factors | en_US |
dc.subject | population health | en_US |
dc.subject | underserved populations | en_US |
dc.title | Treat or Eat: Food Insecurity, Cost-related Medication Underuse and Unmet Needs | en_US |
dc.type | Journal Article | en_US |
dc.date.updated | 2014-02-04T03:23:13Z | |
dc.description.version | Accepted Manuscript | en_US |
dc.relation.journal | American Journal of Medicine | en_US |
dash.depositing.author | Choudhry, Niteesh K | |
dc.date.available | 2018-05-14T14:51:06Z | |
dc.identifier.doi | 10.1016/j.amjmed.2014.01.002 | * |
dash.contributor.affiliated | Berkowitz, Seth A. | |
dash.contributor.affiliated | Choudhry, Niteesh | |