Prescription Noncompliance due to Cost Among Adults With Disabilities in the United States
Jae Kennedy, PhD and
Christopher Erb, BA
At the time of this study, Jae Kennedy was with the Department of Community Health, University of Illinois at UrbanaChampaign. Christopher Erb is with the Medical Scholars Program, University of Illinois at UrbanaChampaign.
Correspondence: Jae Kennedy, PhD, Department of Health Policy and Administration, Washington State University at Spokane, 310 N Riverpoint Blvd, Box H, Spokane, WA 99202-1675 (e-mail: jjkenned{at}mail.wsu.edu).
Objectives. This study estimated national prevalence rates ofmedication noncompliance due to cost and resulting health problemsamong adults with disabilities.
Methods. Analyses involved 25 805 respondents to the DisabilityFollow-Back Survey, a supplement to the 1994 and 1995 NationalHealth Interview Surveys.
Results. Findings showed that about 1.3 million adults withdisabilities did not take their medications as prescribed becauseof cost, and more than half reported health problems as a result.Severe disability, poor health, low income, lack of insurance,and a high number of prescriptions increased the odds of beingnoncompliant as a result of cost.
Conclusions. Prescription noncompliance due to cost is a seriousproblem for many adults with chronic disease or disability.Most would not be helped by any of the current proposals toexpand Medicare drug coverage.
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