Chronic Disease and Future Perceptions of Financial Control

Results From the Midlife in the United States Cohort Study

Datos Bibliográficos

ID9102234
AutoresVictoria H Davis (0000-0002-7207-4629, Department of Health Behavior and Health Equity, University of Michigan School of Public Health, Ann Arbor, MI, autor de correspondencia), Guanghao Zhang (0000-0002-7615-4415, Department of Biostatistics, University of Michigan School of Public Health, Ann Arbor, MI), Minal R Patel (Department of Health Behavior and Health Equity, University of Michigan School of Public Health, Ann Arbor, MI), Minal Patel (0000-0002-1682-5440, University of Michigan, autor de correspondencia)
Año2025
Volumen63
Número5
Páginas353-357
Fecha de publicación2025-05-01
Peer ReviewedSí
Open AccessNo
TipoARTICLE
RevistaMedical Care (JOURNAL)
Identificadores de la revistaISSN: 0025-7079 • E-ISSN: 1537-1948
EditorialOvid Technologies (Wolters Kluwer Health) (PUBLISHER)
DOI10.1097/mlr.0000000000002126
PMID39898823
OpenAlexW4407086455
IdiomaEN
Referencias citadas14

OBJECTIVE: Rising health care costs and chronic disease prevalence have increased concerns about health-related financial burden. This study examined how baseline chronic disease burden was associated with subsequent perceptions of financial control ∼9 years later. METHODS: Data came from the Midlife in the United States (MIDUS) cohort, with MIDUS 1 and 2 used as baseline predictors for future perceived financial control outcomes at MIDUS 3. Adjusted mixed effect models examined the relationship between baseline chronic disease burden on 4 variables representing future perceptions of financial control. RESULTS: A total of 3297 participants [mean (SD) age: 54 (11.36) y] were included. Greater chronic disease burden and medication use at baseline were associated with a higher likelihood of inadequate resources [adjusted odds ratio (AOR) = 1.22; 95% CI: 1.07-1.38; P = 0.001 and AOR = 1.29; 95% CI: 1.13-1.46; P = 0.001, respectively]. Having more chronic conditions predicted reduced feelings of financial control (AOR=0.85; 95% CI, 0.78-0.93; P <0.001) and a more pessimistic financial outlook (AOR = 0.87; 95% CI: 0.79-0.97; P < 0.01). Higher baseline cholesterol levels showed mixed associations: better perception of current finances (AOR = 1.36; 95% CI: 1.22-1.51; P =0.001) but reduced sense of financial control (AOR = 0.86; 95% CI: 0.78-0.95; P < 0.001) and more negative financial outlook (AOR = 0.69; 95% CI: 0.62-0.77; P < 0.001). No baseline factors predicted bill payment capability. CONCLUSION: The findings suggest a need for additional strategies to reduce the financial burden of chronic diseases

Cohort · Disease · Disease burden · Odds ratio · Demography · Economic and Financial Impacts of Cancer · Finance · Healthcare Policy and Management · Healthcare Systems and Reforms · Internal Medicine · Medicine