TABLE 2—
Cross-Tabulation of Selected Independent Variables by Cost-Related Medication Underuse Measures Among US Adults Aged 18–64 Years (n = 44 574): National Health Interview Survey, 2011 and 2012
| Dependent Variables, Weighted Proportions |
|||||
| Variables | Skipped Medications (n = 3814) | Took Less Medication (n = 4031) | Delayed Filling Prescription (n = 4962) | Lower-Cost Medication (n = 8753) | Could Not Afford Medication (n = 4990) |
| Independent variables | |||||
| Food security | |||||
| High | 0.047 | 0.051 | 0.064 | 0.169 | 0.055 |
| Marginal | 0.113 | 0.114 | 0.153 | 0.251 | 0.166 |
| Low | 0.189 | 0.199 | 0.239 | 0.297 | 0.271 |
| Very low | 0.303 | 0.319 | 0.375 | 0.386 | 0.407 |
| Control variables | |||||
| Gender | |||||
| Female | 0.101 | 0.107 | 0.136 | 0.241 | 0.128 |
| Male | 0.063 | 0.066 | 0.079 | 0.159 | 0.085 |
| Age, y | |||||
| 18–24 | 0.042 | 0.043 | 0.060 | 0.116 | 0.075 |
| 25–44 | 0.080 | 0.085 | 0.111 | 0.194 | 0.110 |
| 45–64 | 0.099 | 0.104 | 0.121 | 0.237 | 0.115 |
| Marital status | |||||
| Separated | 0.153 | 0.160 | 0.195 | 0.252 | 0.209 |
| Divorced | 0.134 | 0.139 | 0.166 | 0.265 | 0.164 |
| Married | 0.067 | 0.070 | 0.089 | 0.207 | 0.078 |
| Single or never married | 0.069 | 0.073 | 0.094 | 0.155 | 0.103 |
| Widowed | 0.129 | 0.147 | 0.166 | 0.274 | 0.170 |
| Family type | |||||
| 1 adult, no children | 0.091 | 0.097 | 0.117 | 0.195 | 0.119 |
| Multiple adults, no children | 0.077 | 0.081 | 0.096 | 0.217 | 0.099 |
| 1 adult, ≥ 1 children | 0.121 | 0.126 | 0.163 | 0.229 | 0.154 |
| Multiple adults, ≥ 1 children | 0.070 | 0.075 | 0.098 | 0.187 | 0.092 |
| Race/ethnicity | |||||
| Hispanic | 0.091 | 0.095 | 0.112 | 0.167 | 0.133 |
| Non-Hispanic White | 0.080 | 0.084 | 0.105 | 0.215 | 0.098 |
| Non-Hispanic Black | 0.096 | 0.107 | 0.137 | 0.197 | 0.145 |
| Non-Hispanic Asian | 0.048 | 0.047 | 0.053 | 0.126 | 0.046 |
| Non-Hispanic other | 0.119 | 0.122 | 0.145 | 0.216 | 0.148 |
| US citizenship | |||||
| US citizen | 0.084 | 0.088 | 0.111 | 0.209 | 0.107 |
| Non-US citizen | 0.073 | 0.077 | 0.082 | 0.122 | 0.107 |
| Income-to-poverty ratio | |||||
| < 1.00 | 0.126 | 0.134 | 0.157 | 0.205 | 0.194 |
| 1.00–1.99 | 0.135 | 0.136 | 0.169 | 0.244 | 0.183 |
| 2.00–2.99 | 0.098 | 0.102 | 0.128 | 0.228 | 0.114 |
| 3.00–3.99 | 0.065 | 0.071 | 0.099 | 0.212 | 0.075 |
| ≥ 4.00 | 0.033 | 0.037 | 0.047 | 0.163 | 0.031 |
| Highest family education | |||||
| < high school | 0.113 | 0.119 | 0.136 | 0.185 | 0.168 |
| High-school graduate or GED | 0.110 | 0.115 | 0.135 | 0.215 | 0.145 |
| Some college or associate’s degree | 0.098 | 0.104 | 0.132 | 0.221 | 0.130 |
| ≥ college grad | 0.049 | 0.052 | 0.068 | 0.181 | 0.055 |
| Home tenure status | |||||
| Owned/being bought | 0.068 | 0.073 | 0.087 | 0.206 | 0.078 |
| Rented | 0.101 | 0.105 | 0.135 | 0.196 | 0.144 |
| Other arrangement | 0.101 | 0.104 | 0.127 | 0.199 | 0.150 |
| Health insurance coverage | |||||
| No coverage | 0.167 | 0.174 | 0.204 | 0.252 | 0.251 |
| Partial coverage | 0.147 | 0.162 | 0.214 | 0.284 | 0.222 |
| Full coverage | 0.055 | 0.058 | 0.074 | 0.182 | 0.059 |
| Diagnosed chronic condition | |||||
| No | 0.045 | 0.048 | 0.062 | 0.136 | 0.066 |
| Yes | 0.129 | 0.136 | 0.165 | 0.282 | 0.158 |
| Functional limitation | |||||
| Not limited in any way | 0.048 | 0.050 | 0.065 | 0.149 | 0.065 |
| Has a functional limitation | 0.162 | 0.173 | 0.207 | 0.321 | 0.202 |
| Severe mental illness | |||||
| No | 0.072 | 0.076 | 0.097 | 0.192 | 0.095 |
| Yes | 0.334 | 0.355 | 0.394 | 0.443 | 0.417 |
| BMI category (kg/m2) | |||||
| Underweight (< 18.5) | 0.083 | 0.089 | 0.090 | 0.187 | 0.098 |
| Normal weight (18.5–24.99) | 0.066 | 0.069 | 0.088 | 0.170 | 0.086 |
| Overweight (25–29.99) | 0.075 | 0.081 | 0.096 | 0.192 | 0.098 |
| Obese (30–39.99) | 0.102 | 0.108 | 0.136 | 0.239 | 0.133 |
| Severely obese (≥ 40) | 0.162 | 0.163 | 0.205 | 0.317 | 0.199 |
| Smoking | |||||
| Current | 0.132 | 0.135 | 0.166 | 0.243 | 0.183 |
| Former | 0.085 | 0.092 | 0.115 | 0.236 | 0.108 |
| Never | 0.063 | 0.068 | 0.084 | 0.175 | 0.078 |
| Alcohol use | |||||
| Lifetime abstainer | 0.079 | 0.081 | 0.097 | 0.162 | 0.097 |
| Former drinker | 0.126 | 0.135 | 0.158 | 0.266 | 0.158 |
| Infrequent, light, or moderate | 0.076 | 0.080 | 0.102 | 0.200 | 0.100 |
| Current heavy | 0.081 | 0.082 | 0.106 | 0.190 | 0.112 |
| US region of residence | |||||
| Northeast | 0.066 | 0.066 | 0.081 | 0.145 | 0.081 |
| Midwest | 0.081 | 0.081 | 0.105 | 0.215 | 0.101 |
| South | 0.093 | 0.100 | 0.126 | 0.235 | 0.124 |
| West | 0.081 | 0.089 | 0.103 | 0.176 | 0.106 |
| Year of survey | |||||
| 2011 | 0.089 | 0.093 | 0.116 | 0.208 | 0.114 |
| 2012 | 0.077 | 0.082 | 0.100 | 0.195 | 0.100 |
| Total | 0.083 | 0.087 | 0.108 | 0.202 | 0.107 |
Note. BMI = body mass index; GED = general equivalency diploma. All differences were significant at P < .001 except that for citizenship status, which was significant at P < .05 for skipping medications (P = .03) and less medications (P = 02); year of survey, which was significant at P < .01 for lower-cost medication (P = .009); citizenship status, which was not significant for cannot afford medications (P = .94); and home tenure, which was not significant for lower-cost medication (P = .12).