Elders who delay medication because of cost: health insurance, demographic, health, and financial correlates.

TitleElders who delay medication because of cost: health insurance, demographic, health, and financial correlates.
Publication TypeJournal Article
Year of Publication2004
AuthorsKlein, D, Turvey, CL, Wallace, RB
Date Published2004 Dec
ISSN Number0016-9013
Call Numberpubs_2004_Klein_etal.pdf
KeywordsAged, Aged, 80 and over, Cross-Sectional Studies, Drug Therapy, Fees, Pharmaceutical, Female, Health Status, Humans, Insurance, Pharmaceutical Services, Logistic Models, Male, Medicare, Multivariate Analysis, Patient Compliance, Self Administration, Socioeconomic factors, United States

PURPOSE: Prescription medication use is essential to the health and well-being of many elderly persons. However, the cost of medications may be prohibitive and contribute to noncompliance with medical recommendations. This study identifies community-dwelling elders who reported a delay in medication use because of prescription medication cost.

DESIGN AND METHODS: This was a cross-sectional study of a nationwide sample of 6,535 elders participating in the Asset and Health Dynamics Among the Oldest Old (AHEAD) study. Participants reported if they had taken less medication than prescribed or if they had not filled prescriptions because of cost in the past 2 years. This response was then compared with the self-report of multiple variables, including demographic, health status, health insurance coverage, and financial variables.

RESULTS: Elders who were most vulnerable to medication delay as a result of cost included those with Medicare coverage only, low income, high out-of-pocket prescription costs, and poor health as well as African American elders and those aged 65-80 years.

IMPLICATIONS: This study provides important information about community-dwelling elders that reported a delay in medication use because of cost. As a Medicare prescription benefit has been passed, it will be important to monitor how these changes affect the elders identified at risk for medication delay.

User Guide Notes


Endnote Keywords

Prescription Fees/Elderly/Medicine/COSTS

Endnote ID


Alternate JournalGerontologist
Citation Key6983
PubMed ID15611214
Grant ListU01 AG009740 / AG / NIA NIH HHS / United States
1 U01 AG12980 / AG / NIA NIH HHS / United States
K01-MH01964-01 / MH / NIMH NIH HHS / United States