Sánchez-García Sergio, de la Fuente-Hernández Javier, Juárez-Cedillo Teresa, Mendoza José Manuel Ortega, Reyes-Morales Hortensia, Solórzano-Santos Fortino, García-Peña Carmen
Unidad de Investigación Epidemiológica y en Servicios de Salud, Area de Envejecimiento, Centro Médico Nacional Siglo XXI México, D.F., México.
BMC Health Serv Res. 2007 Dec 21;7:211. doi: 10.1186/1472-6963-7-211.
The aging population poses a challenge to Mexican health services. The aim of this study is to describe recent oral health services utilization and its association with socio-demographic characteristics and co-morbidity in Mexican Social Security beneficiaries 60 years and older.
A sample of 700 individuals aged 60+ years was randomly chosen from the databases of the Mexican Institute of Social Security (IMSS). These participants resided in the southwest of Mexico City and made up the final sample of a cohort study for identifying risk factors for root caries in elderly patients. Sociodemographic variables, presence of cognitive decline, depression, morbidity, medication consumption, and utilization of as well as reasons for seeking oral health services within the past 12 months were collected through a questionnaire. Clinical oral assessments were carried out to determine coronal and root caries experience.
The sample consisted of 698 individuals aged 71.6 years on average, of whom 68.3% were women. 374 participants (53.6%) had made use of oral health services within the past 12 months. 81% of those who used oral health services sought private medical care, 12.8% sought social security services, and 6.2% public health services. 99.7% had experienced coronal caries and 44.0% root caries. Female sex (OR = 2.0), 6 years' schooling or less (OR = 1.4), and caries experience in more than 22 teeth (OR = 0.6) are factors associated with the utilization of these services.
About half the elderly beneficiaries of social security have made use of oral health services within the past 12 months, and many of them have to use private services. Being a woman, having little schooling, and low caries experience are factors associated with the use of these services.
人口老龄化给墨西哥的医疗服务带来了挑战。本研究的目的是描述墨西哥社会保障体系中60岁及以上受益人群近期口腔健康服务的利用情况，及其与社会人口学特征和合并症的关系。
从墨西哥社会保障局（IMSS）的数据库中随机抽取700名60岁及以上的个体作为样本。这些参与者居住在墨西哥城西南部，构成了一项队列研究的最终样本，该研究旨在确定老年患者根龋的危险因素。通过问卷调查收集社会人口学变量、认知功能下降、抑郁、发病率、药物使用情况，以及过去12个月内口腔健康服务的利用情况和寻求服务的原因。进行临床口腔检查以确定冠龋和根龋情况。
样本包括698名个体，平均年龄71.6岁，其中68.3%为女性。374名参与者（53.6%）在过去12个月内使用过口腔健康服务。使用口腔健康服务的人群中，81%寻求私人医疗服务，12.8%寻求社会保障服务，6.2%寻求公共卫生服务。99.7%的人有冠龋经历，44.0%的人有根龋经历。女性（比值比=2.0）、受教育年限6年及以下（比值比=1.4）以及龋患牙齿超过22颗（比值比=0.6）是与这些服务利用相关的因素。
约一半的老年社会保障受益人在过去12个月内使用过口腔健康服务，其中许多人不得不使用私人服务。女性、受教育程度低和龋患经历少是与使用这些服务相关的因素。
