食物不安全和感知到的经济压力与卒中患者的药物费用相关不依从相关。
Food Insecurity and Perceived Financial Stress are Associated with Cost-related Medication Non-adherence in Stroke.
出版信息
J Health Care Poor Underserved. 2023;34(2):625-639. doi: 10.1353/hpu.2023.0054.
OBJECTIVE
To determine whether food insecurity and perceived financial stress contribute to cost-related medication non-adherence (CRN) in stroke.
METHODS
We conducted a retrospective study of adult stroke survivors in the National Health Interview Survey (2014-2018). Weighted prevalence of food insecurity, perceived financial stress, and CRN by age was calculated. Multiple logistic regression was conducted between food insecurity or perceived financial stress and CRN, adjusting for demographic and clinical variables.
RESULTS
Prevalence of food insecurity, perceived financial stress, and CRN respectively were 38%, 75%, and 26% (age 18-44), 38%, 76%, and 21% (age 45-64) and 17%, 43%, and 6% (age≥ 65). Food insecurity and perceived financial stress respectively were associated with CRN in stroke survivors aged 45-64 [odds ratio (95% CI) 1.35 (1.18-1.54) and 1.44 (1.29-1.61)] and age ≥ 65 [1.77 (1.52-2.06) and 1.51 (1.37-1.67)].
CONCLUSION
Food insecurity and perceived financial stress are prevalent in stroke survivors and associated with CRN.
目的
确定食物不安全和感知经济压力是否导致中风患者的药物费用相关不依从。
方法
我们对国家健康访谈调查（2014-2018 年）中的成年中风幸存者进行了回顾性研究。按年龄计算食物不安全、感知经济压力和药物费用相关不依从的加权患病率。对食物不安全或感知经济压力与药物费用相关不依从之间进行多因素逻辑回归分析，调整人口统计学和临床变量。
结果
食物不安全、感知经济压力和药物费用相关不依从的患病率分别为 38%、75%和 26%（18-44 岁）、38%、76%和 21%（45-64 岁）和 17%、43%和 6%（≥65 岁）。食物不安全和感知经济压力分别与 45-64 岁的中风幸存者的药物费用相关不依从相关[比值比（95%可信区间）为 1.35（1.18-1.54）和 1.44（1.29-1.61）]和≥65 岁的中风幸存者的药物费用相关不依从相关[1.77（1.52-2.06）和 1.51（1.37-1.67）]。
结论
食物不安全和感知经济压力在中风幸存者中很常见，与药物费用相关不依从有关。
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