ArticlePreventing chronic disease2016
Effect of Financial Stress and Positive Financial Behaviors on Cost-Related Nonadherence to Health Regimens Among Adults in a Community-Based Setting.
Article in Preventing chronic disease, 2016. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 18 papers.
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Who cites it
18 citing papers in PubMed.
- Exploring the Relationship Between Sending Remittances and Food Security in a Multi-State Survey of Dominicans in the U.S. During the Covid-19 Pandemic.Journal of immigrant and minority health · 2026Article
- Article
- Exploring the Link Between Social and Economic Instability and COPD: A Cross-Sectional Analysis of the 2022 BRFSS.International journal of environmental research and public health · 2025Article
- Exploring the role of discretionary income as a social determinant of health.Health services research · 2023Article
- Food Insecurity and Perceived Financial Stress are Associated with Cost-related Medication Non-adherence in Stroke.Journal of health care for the poor and underserved · 2023Article
- Factors associated with food insecurity among the chronically ill population during the COVID-19 pandemic in the United States.Frontiers in public health · 2023Article
- Barriers and Facilitating Factors of Adherence to Antidepressant Treatments: An Exploratory Qualitative Study with Patients and Psychiatrists.International journal of environmental research and public health · 2022Article
- Understanding the role of financial health literacy in midlife and old age: A scoping review.Health & social care in the community · 2022Article
- The role of integrated medical and prescription drug plans in addressing racial and ethnic disparities in medication adherence.Journal of managed care & specialty pharmacy · 2022Article
- Medication Adherence in a Community Population with Uncontrolled Asthma.Pharmacy (Basel, Switzerland) · 2020Article
- Perspectives on Finances and Mental Health Among Low-Income Latinas.Journal of financial therapy · 2020Article
- Cost-related delay in filling prescriptions and health care ratings among medicare advantage recipients.Medicine · 2019Observational
- Associations of literacy with diabetes indicators in older adults.Journal of epidemiology and community health · 2019Article
- Adherence to surveillance endoscopy following hospitalization for index esophageal variceal hemorrhage.World journal of gastrointestinal surgery · 2018Article
- The cost of asthma medicines.Australian prescriber · 2018Review
- Article
- Food Insecurity: A Public Health Issue.Public health reports (Washington, D.C. : 1974) · 2016Review
- Patient-reported financial barriers to adherence to treatment in neurology.ClinicoEconomics and outcomes research : CEOR · 2016Article
Corrections and comments
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Authors and funding
4 authors.
Funding
Abstract
introductionLittle is known about the role of positive financial behaviors (behaviors that allow maintenance of financial stability with financial resources) in mitigating cost-related nonadherence (CRN) to health regimens. This study examined the relationships between positive financial behaviors, financial stress, and CRN.
methodsData came from the 2011 Speak to Your Health! Community Survey (n = 1,234). Descriptive statistics were computed to examine financial stress and CRN, by chronic condition and health insurance status. We used multivariate logistic regression models to examine the relationship between positive financial behaviors and financial stress and their interaction on a composite score of CRN, controlling for health insurance status, educational level, age, marital status, number of chronic conditions, and employment status.
resultsThirty percent of the sample engaged in CRN. Participants reported moderate financial stress (mean, 13.85; standard deviation [SD] = 6.97), and moderate positive financial behavior (mean, 8.84; SD = 3.24). Participants with employer-sponsored insurance, Medicaid, Medicare, the Genesee Health Plan, high blood pressure, asthma, and diabetes had the highest proportion of CRN. The relationship between financial stress and CRN was not significantly different between those who reported lower versus higher levels of positive financial behavior (P = .32). Greater financial stress was associated with a greater likelihood of CRN (odds ratio [OR] = 2.49; 95% confidence interval [CI], 2.08-2.99). Higher level of positive financial behavior was associated with a lower likelihood of CRN (OR = 0.80; 95% CI, 0.67-0.94).
conclusionFinancial literacy as a means of promoting positive financial behavior may help reduce CRN. An intervention strategy focused on improving financial literacy may be relevant for high-risk groups who report high levels of financial stress.
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