ArticleHealth services research2016
Financial Strain and Medication Adherence among Diabetes Patients in an Integrated Health Care Delivery System: The Diabetes Study of Northern California (DISTANCE).
Article in Health services research, 2016. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 16 papers, 1 of them a synthesis that pooled it.
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The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.
The trial behind it
Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.
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Who cites it
16 citing papers in PubMed, 1 synthesis or guideline pooled it.
- Financial strain measures and associations with adult health: A systematic literature review.Social science & medicine (1982) · 2025Pooled it
- Relationship Between Social Vulnerability Indicators and Trial Participant Attrition: Findings From the HYVALUE Trial.Circulation. Cardiovascular quality and outcomes · 2022Trial
- Knowledge of Interpreter Rights and Medication Delays in Diabetes Care.Journal of immigrant and minority health · 2026Article
- Food Insecurity and Hypoglycemia among Older Patients with Type 2 Diabetes Treated with Insulin or Sulfonylureas: The Diabetes & Aging Study.Journal of general internal medicine · 2024Article
- Not obtaining a medication the first time it is prescribed: primary non-adherence to cardiovascular pharmacotherapy.Clinical research in cardiology : official journal of the German Cardiac Society · 2024Review
- Article
- Telephone-based social health screening by pharmacists in the nonadherent Medicare population.Journal of managed care & specialty pharmacy · 2023Article
- Impact of prescription length supply policy on patient medication adherence in Thailand.BMC health services research · 2023Article
- Differential impacts of economic and demographic variables on substance use patterns during the COVID-19 pandemic.The American journal of drug and alcohol abuse · 2022Article
- Barriers and Facilitators in Access to Diabetes, Hypertension, and Dyslipidemia Medicines: A Scoping Review.Public health reviews · 2022Article
- The impacts of health insurance on financial strain for people with chronic diseases.BMC public health · 2021Article
- Social Risk Factors for Medication Nonadherence: Findings from the CARDIA Study.American journal of health behavior · 2020Article
- Food Insecurity Among Veterans: Resources to Screen and Intervene.Federal practitioner : for the health care professionals of the VA, DoD, and PHS · 2020Article
- Physician Perceptions of Step Therapy Prescribing Requirements.Journal of managed care & specialty pharmacy · 2019Article
- Adherence to Newly Prescribed Diabetes Medications Among Insured Latino and White Patients With Diabetes.JAMA internal medicine · 2017Observational
- Food Insecurity and Diabetes in Developed Societies.Current diabetes reports · 2016Review
Corrections and comments
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Authors and funding
8 authors.
Funding
Abstract
objectiveTo examine self-reported financial strain in relation to pharmacy utilization adherence data. DATA SOURCES/STUDY
settingSurvey, administrative, and electronic medical data from Kaiser Permanente Northern California. STUDY
designRetrospective cohort design (2006, n = 7,773). DATA COLLECTION/EXTRACTION
methodsWe compared survey self-reports of general and medication-specific financial strain to three adherence outcomes from pharmacy records, specifying adjusted generalized linear regression models. PRINCIPAL
findingsEight percent and 9 percent reported general and medication-specific financial strain. In adjusted models, general strain was significantly associated with primary nonadherence (RR = 1.37; 95 percent CI: 1.04-1.81) and refilling late (RR = 1.34; 95 percent CI: 1.07-1.66); and medication-specific strain was associated with primary nonadherence (RR = 1.42, 95 percent CI: 1.09-1.84).
conclusionsSimple, minimally intrusive questions could be used to identify patients at risk of poor adherence due to financial barriers.
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