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August 20, 2026Public Health ChallengesOpen Access

Financial Barriers, Mental Health, and Medication Nonadherence Among Individuals With Chronic Pain

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Authors

ZSZoe Sirotiak

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Overview

Cross-sectional survey links cost-related medication nonadherence to depression and anxiety in adults with chronic pain, highlighting the critical need for affordable drug access programs.

Key Points

  • To evaluate the associations between psychological symptoms (depression and anxiety) and cost-related prescription medication nonadherence among adults living with chronic pain.
  • Cross-sectional study analyzing data from the 2023 National Health Interview Survey (NHIS).
  • Included N = 7,736 adults with self-reported chronic pain.
  • Assessed psychological symptoms (depression and anxiety) and four cost-related medication nonadherence behaviors: skipping doses, taking less medication, delaying refills, and not obtaining prescriptions.
  • A total of 87.2% of individuals with chronic pain reported taking prescription medication during the preceding year.
  • Skipping medication doses, taking smaller doses, delaying prescription refills, and avoiding prescriptions entirely due to cost were each significantly associated with both depression and anxiety (all p < 0.001).

Cite This Study

Zoe Sirotiak (2026) studied this question.

synapsesocial.com/papers/6a86b5318a91293e6a1cc7efhttps://doi.org/10.1002/puh2.70345
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