Evidence map›Paper›PMID 29267062›Full record

ArticleAmerican journal of public health2018

Cost-Related Medication Nonadherence for Older Adults Participating in SNAP, 2013-2015.

Mithuna Srinivasan, Jennifer A Pooler

Abstract read
In one paragraph

Article in American journal of public health, 2018. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 29 papers.

0numbers the graph read from it
0cells of the map it votes in
29citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

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.

2 · The registry

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.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

29 citing papers in PubMed.

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  16. Hypertension, Diabetes and Medication Adherence among the Older Supplemental Nutritional Assistance Program Population.Journal of applied gerontology : the official journal of the Southern Gerontological Society · 2022
    Article
  17. Article
  18. Conceptualizing Food Insecurity Among Older Adults: Development of a Summary Indicator in the National Health and Aging Trends Study.The journals of gerontology. Series B, Psychological sciences and social sciences · 2021
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4 · The record

Corrections and comments

5 · Who and what money

Authors and funding

2 authors.

Mithuna SrinivasanAt the time of this study, the authors were with IMPAQ International, Washington, DC.
Jennifer A PoolerAt the time of this study, the authors were with IMPAQ International, Washington, DC.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

objectivesTo estimate the impact of Supplemental Nutrition Assistance Program (SNAP) participation on cost-related medication nonadherence (CRN) for older adults in the United States, with a particular focus on those who are food insecure and those threatened by hunger.

methodsWe used propensity score matching to create matched intervention and comparison groups of SNAP-eligible US adults aged 60 years and older with data from the 2013-2015 National Health Interview Survey. Intervention group participants were identified on the basis of self-reported SNAP participation in the past year.

resultsSNAP participants were 4.8 percentage points less likely to engage in CRN than eligible nonparticipants (P < .01). The effect of SNAP is about twice as large for older adults threatened by hunger (9.1 percentage points; P < .01), and considerable even for those who are food insecure (7.4 percentage points; P < .05).

conclusionsFindings point to a spillover "income effect" as SNAP may help older adults better afford their medications, conceivably by reducing out-of-pocket food expenditures. When prescribing treatment plans, health systems and payers have a vested interest in connecting older patients to SNAP and other resources that may help address barriers to care.

Indexed as

Drug MonitoringAgedCross-Sectional StudiesFood AssistanceFood SupplyHealth ExpendituresHealth SurveysHumansMiddle AgedPovertyUnited States

Identifiers

PMID29267062
PMCPMC5846586

What OpenQuestion holds

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Registered trials

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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.