TABLE 2.
Changes in Cost-Related Nonadherence and Spending Less on Basic Needs Following Part D Implementation
| Group | Depressive Symptoms | No Depressive Symptoms | Depressive Symptoms / No Depressive Symptoms (Part D effect) | |||||
|---|---|---|---|---|---|---|---|---|
| Outcome measure | Test | 2005 vs. 2004 | 2006 vs. 2005 | 2006-2005 vs. 2005-2004 | 2005 vs. 2004 | 2006 vs. 2005 | 2006-2005 vs. 2005-2004 | 2006-2005 vs. 2005-2004 |
| Cost-related nonadherence | OR (95% CI) | 1.01 (0.84, 1.21) | 0.86 (0.75, 0.98) | 0.85 (0.65, 1.12) p=0.244 | 0.89 (0.82, 0.96) | 0.74 (0.65, 0.84) | 0.83 (0.71, 0.97) p=0.022† | 0.98‡ (0.73, 1.32) p=0.896 |
| Wald t-test (df) | 0.09 (99) | −2.23 (99) | −1.17 (82) | −3.06 (99) | −4.62 (99) | −2.32 (82) | −0.13 (82) | |
| Spent less on basic needs | OR (95% CI) | 1.08 (0.88, 1.32) | 0.77 (0.65, 0.92) | 0.72 (0.52, 0.99) p=0.044† | 1.09 (0.95, 1.24) | 0.55 (0.46, 0.65) | 0.50 (0.40, 0.63) p<0.001† | 0.70‡ (0.49, 1.01) p=0.055 |
| Wald t-test (df) | 0.73 (99) | −2.92 (99) | −2.04 (82) | 1.20 (99) | −7.02 (99) | −5.95 (82) | −1.94 (82) | |
* Models adjusted for sex, age group, income level, race, general health status, number of physical morbidities, and number of years’ participation in MCBS
Significant at p<0.05
Ratios <1 suggest the decline in CRN among those with depressive symptoms is less than the decline among those without depressive symptoms