@article{c26039adba8141678597f5ddf3499617,
title = "Hypertension, Diabetes and Medication Adherence among the Older Supplemental Nutritional Assistance Program Population",
abstract = "The burdens of chronic diseases such as hypertension and diabetes for older Americans are profound. Yet, data on the population-level prevalence of hypertension and diabetes among the older adult Supplemental Nutritional Assistance Program (SNAP) population and the associated level of medication adherence is lacking despite evidence of the “treat or eat” trade-off in the general population. We used linked administrative data from SNAP and Medicaid between 2006 and 2014 in the state of Missouri to document rates of hypertension or diabetes diagnoses and medication adherence. About 69% of the study sample were found to be diagnosed with a hypertension and 40% with diabetes. Approximately 1 in 4 of those living with hypertension and 1 and 3 of those living with diabetes were nonadherent to antihypertensive or antidiabetic medications each year, on average. Furthermore, medication non-adherence increases with age and is more common among non-White and urban residents.",
keywords = "chronic conditions, diabetes, medication, poverty",
author = "Colleen Heflin and Leslie Hodges and Ojinnaka, {Chinedum O.} and Irma Arteaga",
note = "Funding Information: The authors disclosed receipt of the following financial support for the research, authorship, and/or publication of this article: This work was supported by the U.S. Department of Agriculture, Food and Nutrition Service through the University of Kentucky Center for Poverty Research [3200002889-20-245]. The funding organizations had no role in the design and conduct of the study; collection, management, analysis, and interpretation of the data; preparation or approval of the manuscript; and decision to submit the manuscript for publication. The findings and conclusions in this publication are those of the authors and should not be construed to represent any official USDA or U.S. government determination or policy or views of the sponsoring institutions. Funding Information: We are grateful to Lauryn Quick for her research assistance on this study. The authors gratefully acknowledge the services and support of the Center for Aging and Policy Studies at Syracuse University, funded by the National Institutes of Health NIA Center Grant P30AG066583. Funding Information: We are grateful to Lauryn Quick for her research assistance on this study. The authors gratefully acknowledge the services and support of the Center for Aging and Policy Studies at Syracuse University, funded by the National Institutes of Health NIA Center Grant P30AG066583. The authors disclosed receipt of the following financial support for the research, authorship, and/or publication of this article: This work was supported by the U.S. Department of Agriculture, Food and Nutrition Service through the University of Kentucky Center for Poverty Research [3200002889-20-245]. The funding organizations had no role in the design and conduct of the study; collection, management, analysis, and interpretation of the data; preparation or approval of the manuscript; and decision to submit the manuscript for publication. The findings and conclusions in this publication are those of the authors and should not be construed to represent any official USDA or U.S. government determination or policy or views of the sponsoring institutions. Publisher Copyright: {\textcopyright} The Author(s) 2021.",
year = "2022",
month = mar,
doi = "10.1177/07334648211022493",
language = "English (US)",
volume = "41",
pages = "780--787",
journal = "Journal of Applied Gerontology",
issn = "0733-4648",
publisher = "SAGE Publications Inc.",
number = "3",
}