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Effect of Financial Stress and Positive Financial Behaviors on Cost-Related Nonadherence to Health Regimens Among Adults in a Community-Based Setting

ORIGINAL RESEARCH — Volume 13 — March 16, 2016

PEER REVIEWED

Variable Mean Financial Stress
No. of Survey Respondents Value (Standard Deviation)
Chronic condition
0 Conditions 443 12.79 (6.64)
1 Condition 373 14.09 (7.1)
≥2 Conditions 355 14.87 (7.08)
High blood pressure 525 14.38 (7.12)
Heart disease 165 14.06 (7.35)
Cancer 136 13.16 (6.57)
Diabetes 227 15.16 (7.27)
Asthma 193 16.34 (7.14)
Sarcoidosis 16 16.87 (6.38)
Sickle cell anemia 14 18.00 (8.06)
Lupus 16 18.00 (6.96)
Health insurance status
Employer-sponsored 595 11.26 (5.85)
Nonemployer/private 83 13.25 (6.67)
Medicaid 183 16.13 (6.95)
Medicare 344 13.13 (6.47)
Genesee Health Plan 124 20.41 (6.56)
Other 109 14.05 (6.87)
No insurance coverage 71 19.23 (6.11)

Figure 1. Mean level of financial stress, by chronic condition and health insurance status. Mean level of financial stress is a composite score based on 6 items; scores ranged from 1 to 30, with 1 indicating low levels of stress and 30 indicating levels of high stress. Speak to Your Health! Community Survey, 2011. 

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Variable Cost-Related Nonadherence, %
Chronic condition
High blood pressure 50
Heart disease 14
Cancer 11
Diabetes 26
Asthma 26
Sarcoidosis 3
Sickle cell anemia 3
Lupus 3
Health insurance status
Employer-sponsored 31
Nonemployer/private 6
Medicaid 19
Medicare 22
Genesee Health Plan 20
Other 10
No insurance coverage 13

Figure 2. Cost-related nonadherence behaviors, by chronic condition and health insurance status. Cost-related nonadherence is a composite binary measure of a positive response to 1 of 2 cost-cutting behaviors with the treatment regimen. Speak to Your Health! Community Survey, Michigan, 2011.

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The opinions expressed by authors contributing to this journal do not necessarily reflect the opinions of the U.S. Department of Health and Human Services, the Public Health Service, the Centers for Disease Control and Prevention, or the authors' affiliated institutions.
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