ArticleJournal of health & medical economics2018
Change in Insurance Status and Cost-related Medication Non-adherence among Older U.S. Adults with Diabetes from 2010 to 2014.
Article in Journal of health & medical economics, 2018. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 12 papers, 1 of them a synthesis that pooled it.
What it found
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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.
Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.
Who cites it
12 citing papers in PubMed, 1 synthesis or guideline pooled it.
- The Impact of Social Determinants of Health on Medication Adherence: a Systematic Review and Meta-analysis.Journal of general internal medicine · 2021Pooled it
- Article
- 13. Older Adults: Standards of Care in Diabetes-2025.Diabetes care · 2025Review
- 13. Older Adults: Standards of Care in Diabetes-2024.Diabetes care · 2024Review
- Racial and Ethnic Disparities in Glycemic Control Among Insured US Adults.JAMA network open · 2023Article
- The Association Between Cost-Related Non-Adherence Behaviors and Diabetes Outcomes.Journal of the American Board of Family Medicine : JABFM · 2023Article
- 13. Older Adults: Standards of Care in Diabetes-2023.Diabetes care · 2023Review
- 13. Older Adults: Standards of Medical Care in Diabetes-2022.Diabetes care · 2022Review
- Association Between Area-Level Socioeconomic Deprivation and Diabetes Care Quality in US Primary Care Practices.JAMA network open · 2021Article
- The Influence of Health Insurance Stability on Racial/Ethnic Differences in Diabetes Control and Management.Ethnicity & disease · 2021Article
- Social Determinants of Poor Management of Type 2 Diabetes Among the Insured.Current diabetes reports · 2020Review
- Social Determinants of Health and Diabetes: A Scientific Review.Diabetes care · 2020Review
Corrections and comments
PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.
Authors and funding
4 authors.
Funding
Abstract
objectiveCost-related medication non-adherence (CRN) is a persistent challenge in health care in the U.S. Insurance coverage is a key determinant of access to medical care. We seek to examine the CRN rates among the older diabetes adult population in the U.S. from 2010 to 2014 when the major provisions of the Affordable Care Act came into force. RESEARCH DESIGN AND
methodData from the 2010 and 2014 Health and Retirement Study (HRS) were used for this study. CRN is identified if a respondent indicated taking less medication than was prescribed because of the cost, while diabetes is self-reported. We assessed the change in CRN rates by insurance status using multivariable logistic regression analysis.
resultsA total of 4,741 and 4,505 diabetes adults aged 50 or older in 2010 and 2014 were included in the analyses, representing 18.8 million and 19.1 million older adults with diabetes respectively. Overall, the percentage of dual-eligible diabetes patients increased from 8% to 10% and the uninsured decreased from 6% to 4% based on weighted population estimates. The CRN rates decreased from 27% to 21% and from 12% to 10% for those between 50 and 64, and 65 or older, respectively from 2010 to 2014. Race (African American) became a less significant factor for variations in CRN rates in 2014 (p=0.24).
conclusionsThere is an encouraging reduction in CRN rates after implementation of the ACA. However, CRN rates among diabetes patients between 50 and 65 of age remained high.
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