Citizenship status and cost-related nonadherence in the United States, 2017-2021.

ABSTRACT:

Objective

To assess inequities in prescription medication use and subsequent cost-related nonadherence (CRN) and cost-saving strategies by citizenship status in the United States.

Data sources/study setting

National Health Interview Survey (2017-2021).

Study design

This cross-sectional study examined noncitizen (n = 8596), naturalized citizen (n = 12,800), and US-born citizen (n = 120,195) adults. We also examined older adults (≥65 years) separately, including noncitizens without Medicare (a group of importance given their immigration-related barriers to health care access). Multiple mediation analysis was used to examine differences in CRN and determine whether economic, health care, and immigration factors explain observed inequities.

Principal findings

Nonci

SUBMITTER: Guadamuz JS 

PROVIDER: S-EPMC10339171 | biostudies-literature | 2023 Aug

REPOSITORIES: biostudies-literature