TABLE 1.
Unadjusted Changes in Prescription Drug Use for Financial Reasons | Cancer Survivors, n = 8931 | Percentage | ||||||||
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Recently Diagnosed: <2 Years, n = 1496 | Previously Diagnosed: ≥2 Years, n = 8065 | |||||||||
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Ages 18–64, n = 715 | Aged ≥65 Years, n = 781 | Ages 18–64 Years, n = 3519 | Aged ≥65 Years, n = 4546 | Individuals Without a Cancer History, n = 126,287 | ||||||
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Percentage | Pb | Percentage | Pc | Percentage | Pb | Percentage | Pc | Ages 18–64 Years, n = 102,630 | Aged ≥65 Years, n = 23,657 | |
Summary measure | 35.1 | < .001 | 24.4 | .067 | 34.2 | < .001 | 22.1 | .056 | 21.1 | 20.3 |
1. Skipped medication doses | 9.6 | .008 | 2.4 | .634 | 11.7 | < .001 | 3.2 | .123 | 6 | 2.7 |
2. Took less medicine | 10.4 | .004 | 2.7 | .676 | 12.3 | < .001 | 3.3 | .242 | 6.3 | 2.9 |
3. Delayed filling a prescription | 13.8 | < .001 | 4.1 | .540 | 15.2 | < .001 | 4 | .234 | 7.9 | 3.5 |
4. Asked doctor for lower cost medication | 29.9 | < .001 | 21.9 | .040 | 28.1 | < .001 | 19.5 | .017 | 15.6 | 17.4 |
5. Bought prescription drugs from another country | 2.1 | .607 | 1.8 | .582 | 2 | .472 | 1.7 | .400 | 1.8 | 1.4 |
6. Used alternative therapies | 6.6 | .118 | 1.2 | .044 | 7.6 | < .001 | 1.2 | .005 | 4.8 | 2 |
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Individual-level characteristics | ||||||||||
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Survey year | ||||||||||
2011 | 25.2 | .934 | 24.6 | .551 | 23.7 | .591 | 23.7 | .582 | 24.8 | 23.1 |
2012 | 25.9 | 25.5 | 24.8 | 24.6 | 24.9 | 24.5 | ||||
2013 | 23.9 | 23 | 26.1 | 26.3 | 25.1 | 25.6 | ||||
2014 | 25 | 26.9 | 25.3 | 25.4 | 25.2 | 26.8 | ||||
Age, y | ||||||||||
18–49 | 40 | <.001 | 35.1 | < .001 | 70.4 | |||||
50–64 | 60 | 64.9 | 29.6 | |||||||
65–74 | 47.3 | < .001 | 50.1 | <.001 | 59.3 | |||||
≥75 | 52.7 | 49.9 | 40.7 | |||||||
Sex | ||||||||||
Men | 44.5 | <.001 | 51.3 | < .001 | 33.1 | < .001 | 47.7 | <.001 | 49.7 | 42.5 |
Women | 59.5 | 48.7 | 66.9 | 52.3 | 50.3 | 57.5 | ||||
Race/ethnicity | ||||||||||
Non-Hispanic white | 76.6 | <.001 | 83.8 | < .001 | 78.8 | < .001 | 84.9 | <.001 | 62.7 | 76.2 |
Non-Hispanic black | 9.3 | 7.7 | 8.1 | 7.6 | 12.5 | 9.3 | ||||
Hispanic | 8.9 | 5.8 | 8.1 | 4.2 | 17 | 8.7 | ||||
Other | 5.2 | 2.7 | 5 | 3.3 | 7.8 | 5.9 | ||||
Education | ||||||||||
≤High school | 37.8 | .775 | 53.6 | .409 | 37.1 | .193 | 47.9 | < .001 | 38.5 | 51.6 |
≥Some college | 62.2 | 46.4 | 62.9 | 52.1 | 61.5 | 48.4 | ||||
Marital status | ||||||||||
Not married | 38.6 | < .001 | 45.4 | .628 | 41.2 | < .001 | 43.6 | .484 | 48.3 | 44.4 |
Married | 61.4 | 54.6 | 58.8 | 56.4 | 51.7 | 55.6 | ||||
No. of chronic conditionsd | ||||||||||
0 | 30 | < .001 | 15.5 | .002 | 32.6 | < .001 | 11.6 | < .001 | 59.6 | 18.7 |
1 | 36.4 | 240 | 30.6 | 27.3 | 25.4 | 28.6 | ||||
2 | 16.8 | 26.6 | 19.1 | 29.3 | 9.7 | 26.5 | ||||
≥3 | 16.8 | 33.9 | 17.7 | 31.8 | 5.3 | 26.2 | ||||
Health insurance | ||||||||||
Aged ≤64 y | ||||||||||
Any privatee | 65.3 | < .001 | 65.5 | < .001 | 64.8 | |||||
Other coverage | 25 | 21.5 | 14.9 | |||||||
Uninsured | 9.7 | 13 | 20.3 | |||||||
Aged ≥65 y | ||||||||||
Medicare with any private | 52.9 | .002 | 51.5 | < .001 | 45.9 | |||||
Other coverage | 47.1 | 48.5 | 54.1 | |||||||
Family income level | ||||||||||
$0–$34,999 | 29.6 | .675 | 39.4 | .298 | 28.3 | .252 | 37.0 | .003 | 29.2 | 39.9 |
$35,000–$74,999 | 28.8 | 26.6 | 28.9 | 30.6 | 29.4 | 29.1 | ||||
≥$75,000 | 36.8 | 22.3 | 37.2 | 21.4 | 35 | 18.9 | ||||
Unknown | 4.8 | 11.8 | 5.7 | 11 | 6.4 | 12.1 | ||||
Region | ||||||||||
Northeast | 17.6 | .978 | 18.2 | .728 | 18.6 | .051 | 18.4 | .018 | 17.4 | 19.6 |
Midwest | 23.2 | 21.6 | 24.1 | 24.4 | 22.9 | 22 | ||||
South | 35.4 | 39.5 | 36.7 | 37.2 | 36.4 | 36.9 | ||||
West | 23.8 | 20.6 | 26.6 | 20 | 23.3 | 21.5 |
All statistical tests were 2-sided, and all P values were calculated using the Pearson chi-square test statistic, and all percentages were column percentages.
The comparison group consisted of nonelderly individuals without a cancer history.
The comparison group consisted of elderly individuals without a cancer history.
The number of chronic conditions was defined as the sum of the following conditions that a respondent was ever told by a physician or other health professional that s/he had: arthritis, asthma, diabetes, emphysema, coronary heart disease, hypertension, stroke, angina pectoris, and heart attack. High cholesterol was not included because of the inconsistency of the availability of this variable across years.
Among nonelderly cancer survivors who had any private health insurance during the survey year, 41% of those who were recently diagnosed and 64% of those who were previously diagnosed had high-deductible insurance plans.