{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,5,2]],"date-time":"2026-05-02T12:04:28Z","timestamp":1777723468101,"version":"3.51.4"},"reference-count":8,"publisher":"Oxford University Press (OUP)","issue":"1","license":[{"start":{"date-parts":[[2026,1,8]],"date-time":"2026-01-08T00:00:00Z","timestamp":1767830400000},"content-version":"vor","delay-in-days":7,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0\/"}],"funder":[{"DOI":"10.13039\/100011684","name":"Crohn\u2019s & Colitis Foundation","doi-asserted-by":"crossref","id":[{"id":"10.13039\/100011684","id-type":"DOI","asserted-by":"crossref"}]}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":[],"published-print":{"date-parts":[[2026,1,8]]},"abstract":"Abstract<\/jats:title>\n \n Background<\/jats:title>\n Young adults with chronic conditions are at increased risk for active disease and for poor adherence, resulting in increased emergency department utilization and hospitalizations. We aimed to evaluate whether young adults with inflammatory bowel disease (IBD) experienced more healthcare access challenges and financial distress compared to adults and pediatric patients.<\/jats:p>\n <\/jats:sec>\n \n Methods<\/jats:title>\n A survey developed by the Crohn\u2019s & Colitis Foundation was electronically disseminated to adults with IBD and caregivers across the United States to assess healthcare access and financial challenges. Analyses were completed to evaluate differences across patient age groups (caregivers on behalf of pediatric patients &lt;18\u2009years, young adults 18-25\u2009years, and adults 26-64\u2009years) using Chi square or Fisher\u2019s exact tests.<\/jats:p>\n <\/jats:sec>\n \n Results<\/jats:title>\n Of 1781 respondents (77% adult, 12.9% young adult, and 10.1% pediatric caregivers), there were no significant differences between groups in obtaining insurance approval and experiencing adverse health events due to treatment delays. However, young adults were more likely to experience step therapy mandates and less likely to know what questions to ask their insurer if experiencing coverage problems compared to adult and pediatric patients\u2019 caregivers. Additionally, young adult patients were more likely to take on an extra job or work more hours to afford their healthcare or insurance costs related to IBD.<\/jats:p>\n <\/jats:sec>\n \n Conclusion<\/jats:title>\n Additional analysis from the Crohn\u2019s & Colitis Foundation access assessment highlights the need for more resources and support in navigating healthcare access for young adult patients with IBD.<\/jats:p>\n <\/jats:sec>","DOI":"10.1093\/crocol\/otaf066","type":"journal-article","created":{"date-parts":[[2025,12,30]],"date-time":"2025-12-30T12:43:49Z","timestamp":1767098629000},"source":"Crossref","is-referenced-by-count":1,"title":["Young Adults with Inflammatory Bowel Disease in the US Experience Gaps in Healthcare Access and Financial Stress: Additional Findings from a Recent Survey by the Crohn\u2019s & Colitis Foundation"],"prefix":"10.1093","volume":"8","author":[{"ORCID":"https:\/\/orcid.org\/0000-0001-7850-7555","authenticated-orcid":false,"given":"Ross M","family":"Maltz","sequence":"first","affiliation":[{"name":"Division of Pediatric Gastroenterology, Hepatology and Nutrition, Nationwide Children\u2019s Hospital , Columbus, OH 43205,","place":["United States"]},{"name":"Department of Pediatrics, The Ohio State Wexner Medical Center , Columbus, OH 43210,","place":["United States"]}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Ariel A","family":"Jordan","sequence":"additional","affiliation":[{"name":"Department of Internal Medicine, University of Michigan , Ann Arbor, MI 48104,","place":["United States"]}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Shubha","family":"Bhat","sequence":"additional","affiliation":[{"name":"Departments of Pharmacy and Digestive Disease Institute, Cleveland Clinic Foundation , Cleveland, OH 44195,","place":["United States"]}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-4521-290X","authenticated-orcid":false,"given":"Mary","family":"Harkins-Schwarz","sequence":"additional","affiliation":[{"name":"Crohn\u2019s & Colitis Foundation , New York, NY,","place":["United States"]}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0009-0005-0841-7577","authenticated-orcid":false,"given":"Orna G","family":"Ehrlich","sequence":"additional","affiliation":[{"name":"Crohn\u2019s & Colitis Foundation , New York, NY,","place":["United States"]}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"286","published-online":{"date-parts":[[2026,1,8]]},"reference":[{"key":"2026030522065998300_otaf066-B1","doi-asserted-by":"publisher","first-page":"1819","DOI":"10.1093\/ibd\/izae237","article-title":"Healthcare access for patients with inflammatory bowel disease in the United States: a survey by the Crohn\u2019s & Colitis Foundation","volume":"31","author":"Jordan","year":"2025","journal-title":"Inflamm. Bowel Dis"},{"key":"2026030522065998300_otaf066-B2","doi-asserted-by":"crossref","first-page":"1545","DOI":"10.14309\/ajg.0000000000002345","article-title":"A narrative review of financial burden, distress, and toxicity of inflammatory bowel diseases in the United States","volume":"118","author":"Kahn-Boesel","year":"2023","journal-title":"Am J Gastroenterol"},{"key":"2026030522065998300_otaf066-B3","doi-asserted-by":"crossref","first-page":"212","DOI":"10.1016\/j.jadohealth.2015.04.012","article-title":"Evaluation of outcomes in adolescent inflammatory bowel disease patients following transfer from pediatric to adult health care services: Case for transition","volume":"57","author":"Cole","year":"2015","journal-title":"J Adolesc Health"},{"key":"2026030522065998300_otaf066-B4","doi-asserted-by":"crossref","first-page":"563","DOI":"10.1097\/MPG.0000000000003013","article-title":"Predicting suboptimal transitions in adolescents with inflammatory bowel disease","volume":"72","author":"Pearlstein","year":"2021","journal-title":"J Pediatr Gastroenterol Nutr"},{"key":"2026030522065998300_otaf066-B5","author":"National Center for Health Statistics","year":"2025"},{"key":"2026030522065998300_otaf066-B6","author":"National Center for Health Statistics","year":"2025"},{"key":"2026030522065998300_otaf066-B7"},{"key":"2026030522065998300_otaf066-B8","doi-asserted-by":"crossref","first-page":"224","DOI":"10.1097\/MIB.0000000000000994","article-title":"The Crohn\u2019s and Colitis Foundation of America survey of inflammatory bowel disease patient health care access","volume":"23","author":"Rubin","year":"2017","journal-title":"Inflamm. Bowel Dis"}],"container-title":["Crohn's & Colitis 360"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/academic.oup.com\/crohnscolitis360\/article-pdf\/8\/1\/otaf066\/66292917\/otaf066.pdf","content-type":"application\/pdf","content-version":"vor","intended-application":"syndication"},{"URL":"https:\/\/academic.oup.com\/crohnscolitis360\/article-pdf\/8\/1\/otaf066\/66292917\/otaf066.pdf","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2026,3,6]],"date-time":"2026-03-06T03:07:16Z","timestamp":1772766436000},"score":1,"resource":{"primary":{"URL":"https:\/\/academic.oup.com\/crohnscolitis360\/article\/doi\/10.1093\/crocol\/otaf066\/8416474"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2026,1]]},"references-count":8,"journal-issue":{"issue":"1","published-print":{"date-parts":[[2026,1,8]]}},"URL":"https:\/\/doi.org\/10.1093\/crocol\/otaf066","relation":{},"ISSN":["2631-827X"],"issn-type":[{"value":"2631-827X","type":"electronic"}],"subject":[],"published-other":{"date-parts":[[2026,1]]},"published":{"date-parts":[[2026,1]]},"article-number":"otaf066"}}