Medication Nonadherence: The Role of Cost, Community, and Individual Factors.

ABSTRACT:

Objective

To explain the association of out-of-pocket (OOP) cost, community-level factors, and individual characteristics on statin therapy nonadherence.

Data sources

BlueCross BlueShield of Texas claims data for the period of 2008-2011.

Study design

A retrospective cohort of 49,176 insured patients, aged 18-64 years, with at least one statin refill during 2008-2011 was analyzed. Using a weighted proportion of days covered ratio, differences between adherent and nonadherent groups are assessed using chi-squared tests, t-tests, and a clustered generalized linear model with logit link function.

Principal findings

Statin therapy adherence, measured at 48 percent, is associated with neighborhood-level socioeconomic factors, including race/ethnicity, educational att

SUBMITTER: Abbass I 

PROVIDER: S-EPMC5517674 | biostudies-literature | 2017 Aug

REPOSITORIES: biostudies-literature