Natl Health Stat Report. 2024 Sep 5(209). doi: 10.15620/cdc/160016.
This report provides a comprehensive look at prescription medication use, prescription drug coverage, and cost-related nonadherence among adults age 65 and older (older adults).
Data from the 2021-2022 National Health Interview Survey were used to report prescription medication use in the past 12 months, prescription drug coverage at the time of interview, and cost-related nonadherence in the past 12 months among older adults. Two types of cost-related nonadherence are reported: 1) not getting needed prescription medication due to cost; and 2) not taking medication as prescribed due to cost (skipping doses, delaying filling a prescription, and taking less medication than prescribed) in the past 12 months. All estimates are presented by sex, age group, race and Hispanic origin, family income, food insecurity, urbanization, education, marital status, health insurance coverage, health status, disability status, and number of chronic conditions.
In 2021-2022, 88.6% of older adults took prescription medication, 82.7% had prescription drug coverage, 3.6% did not get needed prescription medication due to cost, and 3.4% did not take medication as prescribed due to cost. Older adults with no prescription drug coverage were more likely to not get prescription medication and to not take needed medication as prescribed than older adults with private or public prescription drug coverage. For both measures, cost-related nonadherence was six times higher among older adults who were food insecure compared with those who were food secure, and more than twice as likely among older adults reporting fair or poor health or with disabilities compared with those in excellent, very good, or good health, or without disabilities.
本报告全面考察了 65 岁及以上老年人（老年人）的处方药使用、处方药覆盖范围和与费用相关的不依从情况。
使用 2021-2022 年全国健康访谈调查的数据，报告老年人过去 12 个月内的处方药使用情况、访谈时的处方药覆盖情况以及过去 12 个月内与费用相关的不依从情况。报告了两种与费用相关的不依从情况：1）由于费用而无法获得所需的处方药；2）由于费用而未按规定服药（过去 12 个月内漏服、延迟开处方、服用少于规定剂量的药物）。所有估计值均按性别、年龄组、种族和西班牙裔来源、家庭收入、粮食不安全状况、城市化程度、教育程度、婚姻状况、医疗保险覆盖范围、健康状况、残疾状况以及慢性疾病数量进行呈现。
2021-2022 年，88.6%的老年人服用处方药，82.7%的老年人有处方药覆盖，3.6%的老年人因费用原因无法获得所需的处方药，3.4%的老年人因费用原因未按规定服药。没有处方药覆盖的老年人比有私人或公共处方药覆盖的老年人更有可能无法获得处方药，也更有可能未按规定服用所需药物。对于这两个衡量标准，与粮食安全的老年人相比，粮食不安全的老年人与费用相关的不依从率高出六倍，与身体健康或有残疾的老年人相比，身体状况极好、非常好或良好或没有残疾的老年人的不依从率高出两倍多。
