Prescription medication cost-related non-adherence among Medicare CAHPS respondents: disparity by Hispanic ethnicity.
J Health Care Poor Underserved
; 21(2): 518-43, 2010 May.
Article
em En
| MEDLINE
| ID: mdl-20453354
ABSTRACT
PURPOSE:
We examined whether there was disparity in prescription medication cost-related non-adherence (CRN) by Hispanic ethnicity among Medicare enrollees.METHODS:
Multivariate logistic regression, adjusting for race, other socio-demographic variables, health status, health care utilization, and patient rating of their personal physician, was used to examine association of Hispanic ethnicity with CRN using cross-sectional data from Medicare's Consumer Assessment of Healthcare Providers and Systems (CAHPS) survey (data collected in Spring 2007).RESULTS:
Hispanic respondents constituted 6.9% (unweighted n=22,304) of the analytic sample (unweighted n=272,701; response rate 5 48%). Overall, 13.4% of respondents reported CRN; among Hispanics and non-Hispanics, 20.3% and 12.9% reported CRN, respectively, p<.0001. Adjusted odds ratio (95% CI) of reporting CRN in the past six months was 1.18 (1.08, 1.29) for Hispanic compared with non-Hispanic respondents.CONCLUSIONS:
Hispanic ethnicity was significantly associated with CRN. More research is needed to understand interventions to eliminate the disparity for this minority group.
Texto completo:
1
Base de dados:
MEDLINE
Assunto principal:
Hispânico ou Latino
/
Disparidades nos Níveis de Saúde
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Medicamentos sob Prescrição
/
Adesão à Medicação
Tipo de estudo:
Health_economic_evaluation
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Observational_studies
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Prevalence_studies
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Prognostic_studies
/
Risk_factors_studies
Limite:
Adolescent
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Adult
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Aged
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Aged80
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Female
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Humans
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Male
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Middle aged
País como assunto:
America do norte
Idioma:
En
Ano de publicação:
2010
Tipo de documento:
Article