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Factors Associated With Cost Barriers to Asthma Management by Insurance Coverage Status Among US Adults
Luyu Xie1, Yixin Tang2, Rebecca I Felix-George3
1Quantitative Biomedical Research Center, Department of Health Data Science and Biostatistics, Peter O'Donnell Jr. School of Public Health, The University of Texas Southwestern Medical Center, Dallas, Texas.
The Journal of Allergy and Clinical Immunology. in Practice
|March 27, 2025
Summary
Cost barriers in asthma care affect many, even those with full insurance. Interventions are needed to ensure affordable asthma treatment for all patients, regardless of coverage.
Area of Science:
- Health Services Research
- Public Health
- Chronic Disease Management
Background:
- Asthma is a prevalent chronic condition in the U.S.
- Despite insurance, cost barriers can limit access to essential asthma care.
- Understanding these barriers is crucial for equitable healthcare access.
Purpose of the Study:
- To identify factors predicting cost barriers in asthma care.
- To examine how insurance coverage status influences these barriers.
- To inform targeted interventions for improved asthma management.
Main Methods:
- Utilized 2019-2021 Behavioral Risk Factor Surveillance System data.
- Employed multivariable logistic regression analysis.
- Examined relationships between insurance coverage and self-reported cost barriers to primary care, specialist visits, and medications.
Main Results:
- 13.7% of patients had partial/no insurance; nearly half reported cost barriers.
- Fully insured patients also faced significant barriers (10.6%), especially for medications.
- Non-Hispanic Black individuals with full insurance faced higher primary care cost barriers; males had fewer medication cost barriers.
Conclusions:
- Cost barriers in asthma care disproportionately affect uninsured/underinsured individuals.
- Significant cost challenges persist even for fully insured populations, particularly certain demographic groups.
- Targeted strategies are essential to reduce disparities and enhance access to affordable asthma care for everyone.
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