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This research aims to compare the financial hardships experienced by nonelderly adults with and without diabetes.

January 23, 2026Diabetes Obesity and Cardiometabolic CARE

Health Care Financial Hardship Among Nonelderly U.S. Adults by Diabetes Status

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This research aims to compare the financial hardships experienced by nonelderly adults with and without diabetes.
Cross-sectional analysis using 2018–2022 Medical Expenditure Panel Survey data.
Included 67,782 nonelderly adults aged 18–64 years.
Diabetes status was self-reported, with financial hardship assessed through out-of-pocket costs, medical debt, and unaffordability of care.
Prevalence calculations were made for single and concurrent indicators of financial hardship.
40.3% of individuals with diabetes reported financial hardship versus 28.1% without diabetes (P < 0.01).
13.0% of those with diabetes experienced multiple concurrent financial hardships compared to 5.6% without diabetes (P < 0.01).
Financial hardship was observed across various income and insurance levels, not just among disadvantaged groups.

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Cross-sectional analysis reveals higher health care financial hardships in nonelderly adults with diabetes, implying a need for policy intervention.

Zhou et al. (2026) studied this question.

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Cross-sectional analysis reveals higher health care financial hardships in nonelderly adults with diabetes, implying a need for policy intervention.