粮食不安全和感知到的财务压力与中风中与成本相关的药物不遵守有关
Journal of health care for the poor and underserved
|July 19, 2023
概括
在中风幸存者中,粮食不安全和财务压力是常见的,并且与与成本相关的药物不遵守有关. 这些因素显著增加了中风患者因成本而不能服用处方药的风险.
科学领域:
- 公共卫生 公共卫生
- 医疗保健服务研究 医疗服务研究
- 老年学是一门学科.
背景情况:
- 与成本相关的药物不服药 (CRN) 是中风幸存者面临的一个重大挑战.
- 了解粮食不安全和财务压力等社会经济因素对CRN的影响对于改善患者的治疗结果至关重要.
研究的目的:
- 调查粮食不安全,感知到的财务压力和成年中风幸存者的CRN之间的联系.
- 确定影响这些关系的人口和临床因素.
主要方法:
- 从2014-2018年国家健康访谈调查中对成年中风幸存者的回顾性分析.
- 在不同年龄组中计算粮食不安全,财务压力和CRN的加权流行率.
- 后勤回归模型评估粮食不安全/金融压力与CRN之间的关联,调整为共变量.
主要成果:
- 在各个年龄组中观察到粮食不安全 (17-38%),财务压力 (43-76%) 和CRN (6-26%) 的高患病率.
- 粮食不安全和财务压力在45-64岁和≥65.65岁的中风幸存者中显著与CRN相关.
- 几率比率表明,在那些经历粮食不安全和财务压力的老年人群中,CRN风险显著增加.
结论:
- 在中风幸存者中,粮食不安全和感知到的财务压力是普遍存在的.
- 这些社会经济因素是该人口中与成本相关的药物不服药的重要预测因素.
- 解决粮食不安全和经济压力的干预措施可能有助于减少CRN,并改善中风幸存者的药物坚持.
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