Sociodemographic variation in experiences with medication shortages among US adults

Abstract

Objective

To investigate sociodemographic factors associated with prescribed and over-the-counter medication shortage experiences.

Methods

We analyzed repeated cross-sectional data from the 2023 US Census Household Pulse Survey, a nationwide survey of US adults. Outcomes were based on the following question: “In the past month, have you or a member of your household been directly affected by the following?” We created binary indicators based on the following response options: (1) “Shortage of prescription medications, which includes any medicine required or provided by a healthcare provider, pharmacist, or hospital” and (2) “Shortage of over-the-counter medications, encompassing any medication available without a prescription.” Sociodemographic factors included age, gender identity, race/ethnicity, marital status, educational attainment, household income, number of children, employment status, health insurance coverage, at risk for depression/anxiety, disability status, and region. Weighted multivariable models accounted for the complex survey design and estimated adjusted odds ratios with 95 % confidence intervals.

Results

We found that more experiences with prescribed and over-the-counter medication shortages were associated with middle age, transgender/other gender identity, non-Hispanic Other race/ethnicity, higher educational attainment, having at least one child, at risk for depression or anxiety, and being disabled. In contrast, fewer experiences with prescribed and over-the-counter medication shortages were associated with higher household income.

Conclusions

Sociodemographic variation exist in experiences with medication shortages among US adults. These findings underscore the need to bolster the pharmaceutical supply chain to mitigate inequities in medication access.