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Research ArticleOriginal Research

Medication Adherence and Characteristics of Patients Who Spend Less on Basic Needs to Afford Medications

Karthik W. Rohatgi, Sarah Humble, Amy McQueen, Jean M. Hunleth, Su-Hsin Chang, Cynthia J. Herrick and Aimee S. James
The Journal of the American Board of Family Medicine May 2021, 34 (3) 561-570; DOI: https://doi.org/10.3122/jabfm.2021.03.200361
Karthik W. Rohatgi
From the Division of Public Health Sciences, Department of Surgery, Washington University School of Medicine, St. Louis, Missouri (KWR, SH, JMH, S-HC, CJH, ASJ); Division of General Medical Sciences, Department of Medicine, Washington University School of Medicine, St. Louis, Missouri (AM); Division of Endocrinology, Metabolism and Lipid Research, Department of Medicine, Washington University School of Medicine, St. Louis, Missouri (CJH).
BA
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Sarah Humble
From the Division of Public Health Sciences, Department of Surgery, Washington University School of Medicine, St. Louis, Missouri (KWR, SH, JMH, S-HC, CJH, ASJ); Division of General Medical Sciences, Department of Medicine, Washington University School of Medicine, St. Louis, Missouri (AM); Division of Endocrinology, Metabolism and Lipid Research, Department of Medicine, Washington University School of Medicine, St. Louis, Missouri (CJH).
MS
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Amy McQueen
From the Division of Public Health Sciences, Department of Surgery, Washington University School of Medicine, St. Louis, Missouri (KWR, SH, JMH, S-HC, CJH, ASJ); Division of General Medical Sciences, Department of Medicine, Washington University School of Medicine, St. Louis, Missouri (AM); Division of Endocrinology, Metabolism and Lipid Research, Department of Medicine, Washington University School of Medicine, St. Louis, Missouri (CJH).
PhD
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Jean M. Hunleth
From the Division of Public Health Sciences, Department of Surgery, Washington University School of Medicine, St. Louis, Missouri (KWR, SH, JMH, S-HC, CJH, ASJ); Division of General Medical Sciences, Department of Medicine, Washington University School of Medicine, St. Louis, Missouri (AM); Division of Endocrinology, Metabolism and Lipid Research, Department of Medicine, Washington University School of Medicine, St. Louis, Missouri (CJH).
PhD, MPH
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Su-Hsin Chang
From the Division of Public Health Sciences, Department of Surgery, Washington University School of Medicine, St. Louis, Missouri (KWR, SH, JMH, S-HC, CJH, ASJ); Division of General Medical Sciences, Department of Medicine, Washington University School of Medicine, St. Louis, Missouri (AM); Division of Endocrinology, Metabolism and Lipid Research, Department of Medicine, Washington University School of Medicine, St. Louis, Missouri (CJH).
PhD, SM
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Cynthia J. Herrick
From the Division of Public Health Sciences, Department of Surgery, Washington University School of Medicine, St. Louis, Missouri (KWR, SH, JMH, S-HC, CJH, ASJ); Division of General Medical Sciences, Department of Medicine, Washington University School of Medicine, St. Louis, Missouri (AM); Division of Endocrinology, Metabolism and Lipid Research, Department of Medicine, Washington University School of Medicine, St. Louis, Missouri (CJH).
MD, MPHS
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Aimee S. James
From the Division of Public Health Sciences, Department of Surgery, Washington University School of Medicine, St. Louis, Missouri (KWR, SH, JMH, S-HC, CJH, ASJ); Division of General Medical Sciences, Department of Medicine, Washington University School of Medicine, St. Louis, Missouri (AM); Division of Endocrinology, Metabolism and Lipid Research, Department of Medicine, Washington University School of Medicine, St. Louis, Missouri (CJH).
PhD, MPH
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References

  1. 1.↵
    1. Brown MT,
    2. Bussell JK
    . Medication adherence: WHO cares? Mayo Clin Proc 2011;86:304–14.
    OpenUrlCrossRefPubMedWeb of Science
  2. 2.↵
    1. Kennedy J,
    2. Tuleu I,
    3. Mackay K
    . Unfilled prescriptions of Medicare beneficiaries: prevalence, reasons, and types of medicines prescribed. JMCP 2008;14:553–60.
    OpenUrl
  3. 3.↵
    1. Osterberg L,
    2. Blaschke T
    . Adherence to medication. N Engl J Med 2005;353:487–97.
    OpenUrlCrossRefPubMedWeb of Science
  4. 4.↵
    1. Iuga AO,
    2. McGuire MJ
    . Adherence and health care costs. Risk Manag Healthc Policy 2014;7:35–44.
    OpenUrlPubMed
  5. 5.↵
    1. Gupta S,
    2. McColl MA,
    3. Guilcher SJ,
    4. Smith K
    . Cost-related nonadherence to prescription medications in Canada: a scoping review. Patient Prefer Adherence 2018;12:1699–715.
    OpenUrl
  6. 6.↵
    1. Surratt HL,
    2. O'Grady CL,
    3. Levi-Minzi MA,
    4. Kurtz SP
    . Medication adherence challenges among HIV positive substance abusers: the role of food and housing insecurity. AIDS Care 2015;27:307–14.
    OpenUrl
  7. 7.↵
    1. Cornelius T,
    2. Jones M,
    3. Merly C,
    4. Welles B,
    5. Kalichman MO,
    6. Kalichman SC
    . Impact of food, housing, and transportation insecurity on ART adherence: a hierarchical resources approach. AIDS Care 2017;29:449–57.
    OpenUrl
  8. 8.↵
    1. Singer AW,
    2. Weiser SD,
    3. McCoy SI
    . Does food insecurity undermine adherence to antiretroviral therapy? A systematic review. AIDS Behav 2015;19:1510–26.
    OpenUrl
  9. 9.↵
    1. Berkowitz SA,
    2. Seligman HK,
    3. Choudhry NK
    . Treat or eat: food insecurity, cost-related medication underuse, and unmet needs. Am J Med 2014;127:303–10.
    OpenUrlCrossRefPubMed
  10. 10.↵
    1. Pooler JA,
    2. Srinivasan M
    . Association between supplemental nutrition assistance program participation and cost-related medication nonadherence among older adults with diabetes. JAMA Intern Med 2019;179:63–70.
    OpenUrl
  11. 11.↵
    1. Patel MR,
    2. Piette JD,
    3. Resnicow K,
    4. Kowalski-Dobson T,
    5. Heisler M
    . Social determinants of health, cost-related nonadherence, and cost-reducing behaviors among adults with diabetes: findings from the National Health Interview Survey. Med Care 2016;54:796–803.
    OpenUrlCrossRefPubMed
  12. 12.↵
    1. Zullig LL,
    2. Peppercorn JM,
    3. Schrag D,
    4. Taylor DH Jr..,
    5. Lu Y,
    6. Samsa G,
    7. et al
    . Financial distress, use of cost-coping strategies, and adherence to prescription medication among patients with cancer. J Oncol Pract 2013;9:60s–3s.
    OpenUrlAbstract/FREE Full Text
  13. 13.↵
    1. Heisler M,
    2. Wagner TH,
    3. Piette JD
    . Patient strategies to cope with high prescription medication costs: who is cutting back on necessities, increasing debt, or underusing medications? J Behav Med 2005;28:43–51.
    OpenUrlCrossRefPubMed
  14. 14.↵
    1. Madden JM,
    2. Graves AJ,
    3. Zhang F,
    4. et al
    . Cost-related medication nonadherence and spending on basic needs following implementation of Medicare Part D. JAMA 2008;299:1922–8.
    OpenUrlCrossRefPubMedWeb of Science
  15. 15.↵
    1. Piette JD,
    2. Heisler M,
    3. Wagner TH
    . Problems paying out-of-pocket medication costs among older adults with diabetes. Diabetes Care 2004;27:384–91.
    OpenUrlAbstract/FREE Full Text
  16. 16.↵
    1. Cunningham P,
    2. Miller C,
    3. Cassil A
    . Living on the edge: health care expenses strain family budgets. Res Brief 2008;10:1–14.
    OpenUrl
  17. 17.↵
    1. Sharkey JR
    . Risk and presence of food insufficiency are associated with low nutrient intakes and multimorbidity among homebound older women who receive home-delivered meals. J Nutr 2003;133:3485–91.
    OpenUrlAbstract/FREE Full Text
  18. 18.↵
    1. Cunningham WE,
    2. Andersen RM,
    3. Katz MH,
    4. et al
    . The impact of competing subsistence needs and barriers on access to medical care for persons with human immunodeficiency virus receiving care in the United States. Med Care 1999;37:1270–81.
    OpenUrlCrossRefPubMedWeb of Science
  19. 19.↵
    1. Lee AA,
    2. James AS,
    3. Hunleth JM
    . Waiting for care: chronic illness and health system uncertainties in the United States. Soc Sci Med 2020;264:113296.
    OpenUrl
  20. 20.↵
    1. Herrick CJ,
    2. Humble S,
    3. Hollar L,
    4. et al
    . Cost-related medication non-adherence, cost coping behaviors, and cost conversations among individuals with and without diabetes. J Gen Intern Med 2020.
  21. 21.↵
    1. Tucker-Seeley RD,
    2. Harley AE,
    3. Stoddard AM,
    4. Sorensen GG
    . Financial hardship and self-rated health among low-income housing residents. Health Educ Behav 2013;40:442–8.
    OpenUrlCrossRefPubMedWeb of Science
  22. 22.↵
    1. McKenzie HJ,
    2. McKay FH
    . Food as a discretionary item: the impact of welfare payment changes on low-income single mother's food choices and strategies. J Poverty Soc Justice 2017;25:35–48.
    OpenUrl
  23. 23.↵
    1. Hunleth JM,
    2. Steinmetz EK,
    3. McQueen A,
    4. James AS
    . Beyond adherence: health care disparities and the struggle to get screened for colon cancer. Qual Health Res 2016;26:17–31.
    OpenUrlCrossRefPubMed
  24. 24.↵
    1. Fix GM,
    2. Hyde JK,
    3. Bolton RE,
    4. et al
    . The moral discourse of HIV providers within their organizational context: an ethnographic case study. Patient Educ Couns 2018;101:2226–32.
    OpenUrl
  25. 25.↵
    1. Gelberg L,
    2. Gallagher TC,
    3. Andersen RM,
    4. Koegel P
    . Competing priorities as a barrier to medical care among homeless adults in Los Angeles. Am J Public Health 1997;87:217–20.
    OpenUrlCrossRefPubMedWeb of Science
  26. 26.↵
    1. Dong KR,
    2. Must A,
    3. Tang AM,
    4. Beckwith CG,
    5. Stopka TJ
    . Competing priorities that rival health in adults on probation in Rhode Island: substance use recovery, employment, housing, and food intake. BMC Public Health 2018;18:289.
    OpenUrl
  27. 27.↵
    1. Kushel MB,
    2. Gupta R,
    3. Gee L,
    4. Haas JS
    . Housing instability and food insecurity as barriers to health care among low-income Americans. J Gen Intern Med 2006;21:71–7.
    OpenUrlCrossRefPubMedWeb of Science
  28. 28.↵
    1. Berkowitz SA,
    2. Hulberg AC,
    3. Standish S,
    4. Reznor G,
    5. Atlas SJ
    . Addressing unmet basic resource needs as part of chronic cardiometabolic disease management. JAMA Intern Med 2017;177:244–52.
    OpenUrl
  29. 29.↵
    1. Ridberg RA,
    2. Bell JF,
    3. Merritt KE,
    4. Harris DM,
    5. Young HM,
    6. Tancredi DJ
    . A pediatric fruit and vegetable prescription program increases food security in low-income households. J Nutr Educ Behav 2019;51:224–30.
    OpenUrl
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The Journal of the American Board of Family     Medicine: 34 (3)
The Journal of the American Board of Family Medicine
Vol. 34, Issue 3
May/June 2020
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Medication Adherence and Characteristics of Patients Who Spend Less on Basic Needs to Afford Medications
Karthik W. Rohatgi, Sarah Humble, Amy McQueen, Jean M. Hunleth, Su-Hsin Chang, Cynthia J. Herrick, Aimee S. James
The Journal of the American Board of Family Medicine May 2021, 34 (3) 561-570; DOI: 10.3122/jabfm.2021.03.200361

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Medication Adherence and Characteristics of Patients Who Spend Less on Basic Needs to Afford Medications
Karthik W. Rohatgi, Sarah Humble, Amy McQueen, Jean M. Hunleth, Su-Hsin Chang, Cynthia J. Herrick, Aimee S. James
The Journal of the American Board of Family Medicine May 2021, 34 (3) 561-570; DOI: 10.3122/jabfm.2021.03.200361
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