Contribution of socioeconomic factors and health care access to the awareness and treatment of diabetes and hypertension among older Mexican adults
Document title: Contribution of socioeconomic factors and health care access to the awareness and treatment of diabetes and hypertension among older Mexican adults
Journal: Salud pública de México
Database: PERIÓDICA
System number: 000384900
ISSN: 0036-3634
Authors: 1
2
3
Institutions: 1University of Wisconsin-Madison, Center for Demography and Ecology, Madison, Wisconsin. Estados Unidos de América
2University of Illinois at Urbana-Champaign, Department of Kinesiology and Community Health, Champaigne, Illinois. Estados Unidos de América
3University of Colorado at Boulder, Department of Geography, Boulder, Colorado. Estados Unidos de América
Year:
Volumen: 57
Pages: 1-14
Country: México
Language: Inglés
Document type: Artículo
Approach: Analítico
Spanish abstract Objetivo. Estimar cambios en el autorreporte y en el tratamiento de diabetes e hipertensión en adultos de entre 50 y 80 años en México, en 2001 y 2012, y explicarlos en función de los sufridos en cuanto a composición educativa y de cobertura/derechohabiencia en servicios de salud. Material y métodos. Se utilizó la Encuesta Nacional de Salud y Envejecimiento en México y técnicas de descomposición multivariada. Resultados. El incremento en la prevalencia/ diagnóstico y tratamiento durante el periodo se debe en gran medida al aumento en la cobertura de servicios de salud. Los “efectos” de la cobertura también se incrementaron de forma importante. Conclusiones. La expansión del Seguro Popular probablemente tuvo un papel importante en la detección y tratamiento de la diabetes e hipertensión. Investigaciones futuras discernirán si dicha expansión se ha traducido en un mejor control y una menor carga de morbilidad
English abstract Objective. To estimate changes in self-report and treatment of diabetes and hypertension between 2001 and 2012 among Mexican aged 50-80, assessing the contribution of education and health insurance coverage. Materials and methods. The Mexican Health and Aging Study was used to estimate associations of education and insurance on prevalence and treatment of diabetes and hypertension in 2001 and 2012. Multivariate decomposition was used to assess the contribution of changes in the composition of covariates vs. their “effects” on changes in prevalence and treatment over time. Results. Increases in the prevalence/diagnosis and treatment during the period are largely attributable to the expansion of health insurance. Its effects on diagnosis/prevalence and treatment have also increased over time. Conclusions. The expansion of Seguro Popular likely improved screening and treatment. More research is needed to assess if these have translated into better control and a lower burden of disease
Disciplines: Medicina,
Demografía
Keyword: Geriatría,
Salud pública,
Características de la población,
Censos y estadísticas,
Envejecimiento,
Adultos,
México,
Servicios de salud
Keyword: Medicine,
Demography,
Geriatrics,
Public health,
Census and statistics,
Demographics,
Aging,
Adults,
Mexico,
Health services
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