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首页> 外文期刊>Journal of health care for the poor and underserved >Financial strain is associated with medication nonadherence and worse self-rated health among cardiovascular patients
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Financial strain is associated with medication nonadherence and worse self-rated health among cardiovascular patients

机译：金融菌株与药物不正常和心血管患者中的自我评价的健康状况有关

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摘要

Non-traditional indicators of socioeconomic status (SES; e.g., home ownership) may be just as or even more predictive of health outcomes as traditional indicators of SES (e.g., income). This study tested whether financial strain (i.e., difficulty paying monthly bills) predicted medication non-adherence and worse self-rated health. Research assistants administered surveys to 1,527 patients with acute coronary syndromes or acute decompensated heart failure. In adjusted models, having a higher income was associated with being more adherent (p <.001), but was non-significant when adjusted for financial strain. Education, income, less financial strain, and being employed were each associated with better self-rated health (p <.001). Financial strain was associated with less adherence ((3 =.17, p <.001) and worse self-rated health (f3 =.23, p <.001), and mediated the effect of income on adherence (coeff =.078 [BCa 95% CI:.051 to.1081). Future research should further explore the nuanced link between SES and health behaviors and outcomes.
机译：非传统的社会经济地位指标（SES;例如，家庭所有权）可能与SES（例如收入）的传统指标（例如，收入）的卫生成果更为预测。本研究检测了金融应变（即，支付月度票据难以支付月度票据）是否预先遵守和更糟糕的自我评价的健康。研究助剂给急性冠状动脉综合征或急性失代偿性心力衰竭进行1,527名患者的调查。在调整后的模型中，具有更高的收入与更粘附（P <.001）相关，但在金融应变时是非显着的。教育，收入，较少的财务紧张和正在雇用的都与更好的自我评价的健康有关（P <.001）。金融菌株与较少的粘附相关（（3 = .17，P <.001）和更差的自我评级健康（F3 = .23，P <.001），并介导收入对遵守的影响（COEFF = .078 [BCA 95％CI：.051至1081）。未来的研究应该进一步探索SES和健康行为与结果之间的细致细微联系。

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