Annals of Behavioral Medicine

, Volume 44, Issue 2, pp 236–247

Coping with Prescription Medication Costs: a Cross-sectional Look at Strategies Used and Associations with the Physical and Psychosocial Health of Individuals with Arthritis

  • Kathryn Remmes Martin
  • Jack Shreffler
  • Britta Schoster
  • Leigh F. Callahan
Original Article

DOI: 10.1007/s12160-012-9380-7

Cite this article as:
Martin, K.R., Shreffler, J., Schoster, B. et al. ann. behav. med. (2012) 44: 236. doi:10.1007/s12160-012-9380-7

Abstract

Background

Prescription medication costs increase financial burden, often leading individuals to engage in intentional nonadherence. Little is known about what specific medication cost-coping strategies individuals with arthritis employ.

Purpose

The purposes of this study are (1) to identify characteristics of individuals with arthritis who self-report prescription medication cost-coping strategies and (2) to examine the association between medication cost-coping strategies and health status.

Methods

Seven hundred twenty-nine people self-reporting arthritis and prescription medication use completed a telephone survey. Adjusted regression models examined medication cost-coping strategies and five health status outcomes.

Results

Participants reported engaging in cost-coping strategies due to medication costs. Those borrowing money had worse psychosocial health and greater disability; those with increasing credit card debt reported worse physical functioning, self-rated health, and greater helplessness. Medication underuse was associated with worse psychosocial health, greater disability, and depressive symptoms.

Conclusion

Individuals with arthritis use multiple strategies to cope with medication costs, and these strategies are associated with adverse physical and psychosocial health status.

Keywords

Medication costMedication underuseCoping strategiesHealth status outcomesArthritis

Copyright information

© The Society of Behavioral Medicine (outside the USA) 2012

Authors and Affiliations

  • Kathryn Remmes Martin
    • 1
    • 2
  • Jack Shreffler
    • 2
  • Britta Schoster
    • 2
  • Leigh F. Callahan
    • 2
  1. 1.Laboratory of Epidemiology, Demography, and BiometryNational Institute on AgingBethesdaUSA
  2. 2.Thurston Arthritis Research CenterThe University of North Carolina at Chapel HillChapel HillUSA