Trends in delaying and forgoing medical care due to cost and the association with insurance status among US adults with diabetes, 2009–2023
Authors' conclusion
There was a decreasing trend for delaying or forgoing medical care across all subpopulations, but adults with lower education and income and who were uninsured more often reported delays in medical care due to cost. The expansion of Medicaid may have reduced the likelihood of delaying or forgoing medical care due to cost among adults aged 18-64 years with Medicaid coverage.
Study context
- Population
- US adults aged ≥18 years with self-reported physician-diagnosed diabetes, National Health Interview Survey
- Exposure
- Insurance status
- Outcome
- Delaying or forgoing medical care due to cost: prevalence, trends and association with insurance status
Methodological detailsrepeated cross-sectional survey, National Health Interview Survey 2009-2010, 2014-2015 and 2022-2023
- Repeated cross-sectional survey
- National Health Interview Survey 2009-2010, 2014-2015 and 2022-2023
Main finding
As reported in the abstract
Delaying medical care due to cost decreased between 2009 and 2023
18.1% to 10.6%
Forgoing medical care due to cost decreased between 2009 and 2023
14.6% to 10.2%
Observational data: associations, not effects.
Further findings
| Outcome | aOR (CI) | |
|---|---|---|
| Delaying medical care, uninsuredvs insured · 2022-2023 | 7.5 (4.8–11.8) | |
| 0.050.21520Adjusted odds ratio (log scale) |
| Outcome | aOR (CI) |
|---|---|
| Delaying medical care, Medicaid vs private insurance, adults aged 18-64 years | 0.2 (0. 1-0.4) |
- Delaying medical care, uninsured vs insured: age 18-64 years; adjusted for sociodemographic and clinical characteristics
Delaying medical care due to cost by subgroup, adults aged 18-64 years · 2022-2023
- Highest prevalence: non-Hispanic black adults
- 13.3%
- High school education or less and poverty income ratio <4.0
- 12%-13%
Original publication
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