Back to Search
Start Over
The association of income with health behavior change and disease monitoring among patients with chronic disease.
- Source :
-
PloS one [PLoS One] 2014 Apr 10; Vol. 9 (4), pp. e94007. Date of Electronic Publication: 2014 Apr 10 (Print Publication: 2014). - Publication Year :
- 2014
-
Abstract
- Background: Management of chronic diseases requires patients to adhere to recommended health behavior change and complete tests for monitoring. While studies have shown an association between low income and lack of adherence, the reasons why people with low income may be less likely to adhere are unclear. We sought to determine the association between household income and receipt of health behavior change advice, adherence to advice, receipt of recommended monitoring tests, and self-reported reasons for non-adherence/non-receipt.<br />Methods: We conducted a population-weighted survey, with 1849 respondents with cardiovascular-related chronic diseases (heart disease, hypertension, diabetes, stroke) from Western Canada (nā=ā1849). We used log-binomial regression to examine the association between household income and the outcome variables of interest: receipt of advice for and adherence to health behavior change (sodium reduction, dietary improvement, increased physical activity, smoking cessation, weight loss), reasons for non-adherence, receipt of recommended monitoring tests (cholesterol, blood glucose, blood pressure), and reasons for non-receipt of tests.<br />Results: Behavior change advice was received equally by both low and high income respondents. Low income respondents were more likely than those with high income to not adhere to recommendations regarding smoking cessation (adjusted prevalence rate ratio (PRR): 1.55, 95%CI: 1.09-2.20), and more likely to not receive measurements of blood cholesterol (PRR: 1.72, 95%CI 1.24-2.40) or glucose (PRR: 1.80, 95%CI: 1.26-2.58). Those with low income were less likely to state that non-adherence/non-receipt was due to personal choice, and more likely to state that it was due to an extrinsic factor, such as cost or lack of accessibility.<br />Conclusions: There are important income-related differences in the patterns of health behavior change and disease monitoring, as well as reasons for non-adherence or non-receipt. Among those with low income, adherence to health behavior change and monitoring may be improved by addressing modifiable barriers such as cost and access.
- Subjects :
- Adult
Aged
Canada epidemiology
Cardiovascular Diseases epidemiology
Choice Behavior
Cholesterol blood
Chronic Disease
Female
Health Care Costs
Health Promotion methods
Health Services Accessibility
Humans
Male
Middle Aged
Prevalence
Regression Analysis
Surveys and Questionnaires
Health Behavior
Patient Compliance
Poverty
Subjects
Details
- Language :
- English
- ISSN :
- 1932-6203
- Volume :
- 9
- Issue :
- 4
- Database :
- MEDLINE
- Journal :
- PloS one
- Publication Type :
- Academic Journal
- Accession number :
- 24722618
- Full Text :
- https://doi.org/10.1371/journal.pone.0094007