Supplemental Nutrition Assistance Program Participation and Medication Adherence Among Medicaid-Insured Older Adults Living with Hypertension.
J Gen Intern Med
; 38(6): 1349-1356, 2023 05.
Article
em En
| MEDLINE
| ID: mdl-36707458
ABSTRACT
BACKGROUND:
Food insecurity has been associated with medication non-adherence among individuals living with chronic diseases like hypertension. The relationship between Supplemental Nutrition Assistance Program (SNAP)-a public program that addresses food insecurity-and Medication adherence among older Medicaid-insured adults living with hypertension is not clear.OBJECTIVE:
To analyze the association between patterns of SNAP participation and adherence to antihypertensive medications among older Medicaid-insured individuals.DESIGN:
Retrospective study using linked 2006-2014 state of Missouri's Medicaid claims and Supplemental Nutrition Assistance Program data.PARTICIPANTS:
Older adults (≥ 60 years) who were continuously enrolled in Medicaid for 12 months following their first observed claim for hypertension at or after age 60. MAINMEASURES:
The outcome measure was medication adherence assessed using the proportion of days covered (PDC). The exposure measures were as follows (1) receipt of SNAP benefits (no [0], yes [1]); (2) SNAP benefits receipt during the 12-month Medicaid continuous enrollment (no [0], yes [1]); (3) duration of SNAP participation during the 12-month continuous Medicaid enrollment; and (4) SNAP participation pattern. KEYRESULTS:
On multivariable analyses, there was a statistically significant association between ever participating in SNAP and medication adherence (ß = 0.32; S.E. = 0.011). Compared to those who participated in SNAP for 1-3 months during the 12-month continuous enrollment, there was an increased likelihood of medication adherence among those who were enrolled for 10-12 months (ß = 0.44, S.E. = 0.041).CONCLUSIONS:
Medicaid-insured older adults who are SNAP participants or enrolled in SNAP for 10-12 months of a 12-month Medicaid continuous enrollment period are more likely to be adherent to antihypertensive medication compared to non-SNAP participants or those enrolled for 1-3 months, respectively.
Texto completo:
1
Base de dados:
MEDLINE
Assunto principal:
Assistência Alimentar
/
Hipertensão
Tipo de estudo:
Observational_studies
/
Risk_factors_studies
Limite:
Aged
/
Humans
/
Middle aged
País como assunto:
America do norte
Idioma:
En
Ano de publicação:
2023
Tipo de documento:
Article