ArticleCMAJ open
Prescription medication nonadherence associated with food insecurity: a population-based cross-sectional study.
Article in CMAJ open. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 24 papers, 1 of them a synthesis that pooled it.
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Who cites it
24 citing papers in PubMed, 1 synthesis or guideline pooled it.
- Cost-related medication nonadherence in Canada: a systematic review of prevalence, predictors, and clinical impact.Systematic reviews · 2021Pooled it
- Food Insecurity and Mortality From Digestive Tract Diseases in the United States.Gastro hep advances · 2026Article
- Health insurance participation may mitigate the health impact of food insecurity among Chinese working-age adults.Frontiers in public health · 2026Article
- Providers' Perspectives and Experiences with Cost-Related Nonadherence to Medications: A Thematic Analysis.Risk management and healthcare policy · 2026Article
- "We treat the symptom, not the system": a qualitative study exploring connections between food insecurity and disease-related malnutrition in Canada.BMJ nutrition, prevention & health · 2026Article
- Food insecurity impacts healthy lifestyle practices and medication adherence among persons with hypertension in Colombia and Jamaica: Findings from a cross-sectional study.Research square · 2025Article
- Social and Legal Needs in Patients and Families With Cancer: Interaction With Patient-Level Financial Toxicity.JCO oncology practice · 2025Review
- Assessing essential needs expressed by breast and gynecological cancer patients with food insecurity.Journal of hunger & environmental nutrition · 2025Article
- Food Environment Quality and Cardiovascular Disease Mortality in the United States: a County-Level Analysis from 2017 to 2019.Journal of general internal medicine · 2024Article
- Household food insecurity and health service use for mental and substance use disorders among children and adolescents in Ontario, Canada.CMAJ : Canadian Medical Association journal = journal de l'Association medicale canadienne · 2023Article
- Patients' experiences with a community fruit and vegetable box program prescribed by their health provider.BMC public health · 2023Article
- Food insecurity and atherosclerotic cardiovascular disease risk in adults with diabetes.Nutrition (Burbank, Los Angeles County, Calif.) · 2023Article
- Food Insecurity and Delayed or Forgone Medical Care During the COVID-19 Pandemic.American journal of public health · 2022Article
- Classification Differences in Food Insecurity Measures between the United States and Canada: Practical Implications for Trend Monitoring and Health Research.The Journal of nutrition · 2022Article
- The relationship between diet quality and the severity of household food insecurity in Canada.Public health nutrition · 2022Article
- Examining the relationship between food insecurity and causes of injury in Canadian adults and adolescents.BMC public health · 2021Article
- Food insecurity, chronic pain, and use of prescription opioids.SSM - population health · 2021Article
- Food Insecurity amid the COVID-19 Pandemic: Food Charity, Government Assistance, and Employment.Canadian public policy. Analyse de politiques · 2021Article
- Maternal Food Insecurity is Positively Associated with Postpartum Mental Disorders in Ontario, Canada.The Journal of nutrition · 2020Article
- The Impact of Prescription Medication Cost Coverage on Oral Medication Use for Hypertension and Type 2 Diabetes Mellitus.Healthcare policy = Politiques de sante · 2020Article
Corrections and comments
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Authors and funding
4 authors.
Funding
No grant is acknowledged in the PubMed record.
Abstract
backgroundFood insecurity, defined as inadequate access to food owing to financial constraints, has been associated with poor disease management. Because cost-related nonadherence to prescription drugs is a possible explanation for such association, we examined the link between food insecurity and cost-related medication nonadherence in Canada.
methodsDrawing on data for adult respondents (age ≥ 18 yr) who participated in the Canadian Community Health Survey 2016 Rapid Response module on prescription medication use, we assessed the association between household food insecurity and cost-related nonadherence to prescription drugs in the previous 12 months. We further examined the self-perceived health consequences of cost-related nonadherence among nonadherents. We applied Poisson models with bootstrap weights adjusting for sociodemographic characteristics.
resultsOf the 11 172 respondents in our sample, 930 (8.3%) reported cost-related nonadherence. Food insecurity affected 10.5% (95% confidence interval [CI] 9.1% to 11.8%) of adherents and 47.9% (95% CI 38.1% to 57.7%) of nonadherents. After adjustment for confounders, moderate and severe food insecurity were associated with 3.83 (95% CI 2.44 to 6.03) and 5.05 (95% CI 3.27 to 7.81) times higher prevalence of cost-related nonadherence, respectively, relative to food security. Despite being associated with lower probability of cost-related nonadherence, having drug insurance did not change the relation between food insecurity and cost-related nonadherence (
interpretationFood-insecure adults in Canada have a higher likelihood of cost-related nonadherence to prescription medications than their food-secure counterparts, which may constitute a burden on their health and lead to greater use of health care services.
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Registered trials
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