Leyva-Flores R, Kageyama M L, Erviti-Erice J
Health Systems Research Centre, National Institute of Public Health (CISS-INSP). Av. Universidad 655, C.P. 62508, Morelos, Cuernavaca, Mexico.
Health Policy. 2001 Jul;57(1):15-26. doi: 10.1016/s0168-8510(00)00136-6.
To analyse illness factors associated to the form of attention (self-care or medical care) used to resolve health problems in Mexico.
A total of 5640 individuals who reported sickness within the 2 weeks before the application of the 1994 National Health Survey were analysed. A descriptive analysis was conducted to study demographic and socioeconomic characteristics, access to medical services, perception of seriousness of the illness, treatment received, and reasons why medical care was not sought. Factors associated with the form of attention (self-care or medical care) were identified through logistic regression.
Sixty-one percent of the sample was self-attended. Of those who perceived their illness as serious, 52% did not use medical services because they considered them too expensive or did not have the money to pay. In the multivariate analysis, a greater frequency of self-care was observed among males over 5 years old who lacked access to Social Security medical services, or system of private insurance, suffered a mild illness, and lived in poor, rural areas.
In Mexico, self-care represents the most important response to illness. Socioeconomic conditions, regardless of the perception of seriousness of the symptoms, determine the higher frequency of self-care mainly among those people living in poverty.
分析与墨西哥用于解决健康问题的关注形式（自我护理或医疗护理）相关的疾病因素。
对1994年全国健康调查实施前两周内报告患病的5640人进行分析。进行描述性分析以研究人口统计学和社会经济特征、获得医疗服务的情况、对疾病严重程度的认知、接受的治疗以及未寻求医疗护理的原因。通过逻辑回归确定与关注形式（自我护理或医疗护理）相关的因素。
61%的样本采用自我护理。在那些认为自己病情严重的人中，52%没有使用医疗服务，因为他们认为费用太高或没钱支付。在多变量分析中，5岁以上、无法获得社会保障医疗服务或私人保险体系、患轻症且生活在贫困农村地区的男性中，自我护理的频率更高。
在墨西哥，自我护理是对疾病最重要的应对方式。社会经济状况，无论对症状严重程度的认知如何，主要在贫困人口中决定了更高的自我护理频率。
