Table 4.
Cost-related non-adherence (%) | Didn’t fill Rx 1+ times (%) | Skipping doses of Rx to make Rx last longer (%) | Taking smaller doses of Rx to make Rx last longer (%) | |||||||||||||
---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
2003 | 2006 | Unadj Chg | Adj ORa | 2003 | 2006 | Unadj Chg | Adj ORa | 2003 | 2006 | Unadj Chg | Adj ORa | 2003 | 2006 | Unadj Chg | Adj ORa | |
Total (n = 9573) | 26.0 | 19.4 | −6.6*** | 0.6*** | 17.9 | 11.0 | −6.9*** | 0.5*** | 15.2 | 11.1 | −4.1*** | 0.7*** | 12.0 | 9.9 | −2.1** | 0.8** |
Current Part D (2006), Previous Rx Coverage was: | ||||||||||||||||
None (n = 1619) | 39.8 | 23.2 | −16.6*** | 0.4*** | 29.2 | 13.7 | −15.5*** | 0.3*** | 25.4 | 13.3 | −12.1*** | 0.4*** | 18.3 | 12.1 | −6.2*** | 0.6*** |
Medicaid (n = 1125) | 29.3 | 25.5 | −3.8 | 0.9 | 14.4 | 13.5 | −0.9 | 0.9 | 20.8 | 13.0 | −7.8* | 0.6* | 14.4 | 12.6 | −1.8 | 0.8 |
HMO (n = 712) | 41.0 | 27.5 | −13.5*** | 0.4*** | 29.9 | 17.5 | −12.4*** | 0.4*** | 22.0 | 12.9 | −9.1** | 0.4** | 15.6 | 12.6 | −3.0 | 0.7 |
Medigap/ Private (n = 827) | 31.3 | 22.8 | −8.5** | 0.6** | 22.3 | 14.0 | −8.3** | 0.5** | 18.3 | 13.2 | −5.1* | 0.6* | 13.4 | 10.9 | −2.5 | 0.7 |
Employer (n = 649) | 17.4 | 25.0 | 7.6** | 1.7** | 12.3 | 14.7 | 2.4 | 1.2 | 10.0 | 15.2 | 5.2* | 1.7* | 9.7 | 12.1 | 2.4 | 1.3 |
Other Rx coverage 2003–2006 | ||||||||||||||||
Employer (n = 1882) | 13.1 | 9.8 | −3.3* | 0.7* | 6.9 | 5.4 | −1.5 | 0.8 | 6.9 | 5.4 | −1.5 | 0.8 | 5.8 | 5.0 | −0.8 | 0.8 |
VA (n = 150) | 22.5 | 11.8 | −10.7 | 0.5 | 16.9 | 7.0 | −9.9 | 0.4 | 8.7 | 8.6 | −0.1 | 1.1 | 14.5 | 4.8 | −9.7 | 0.3 |
No Rx coverage, 2003–2006 | ||||||||||||||||
None (n = 476) | 30.2 | 24.4 | −5.8 | 0.7 | 22.8 | 18.7 | −4.1 | 0.7 | 18.9 | 12.0 | −6.9 | 0.5 | 12.2 | 11.6 | −0.6 | 0.9 |
*p ≤ 0.05 **p ≤ 0.01 ***p ≤ 0.001
aAdjusted odds ratio. Results are adjusted for the following: Age in 2003, race, poverty status in 2003, change in poverty status, number of Rx medicines in 2003, change in number of Rx medicines, acquisition of specific chronic condition, change in Rx coverage