社会经济因素和医疗保健可及性对墨西哥老年成年人糖尿病和高血压认知与治疗的影响
Contribution of socioeconomic factors and health care access to the awareness and treatment of diabetes and hypertension among older Mexican adults.
作者信息
Beltrán-Sánchez Hiram, Drumond-Andrade Flávia Cristina, Riosmena Fernando
机构信息
Center for Demography and Ecology, University of Wisconsin-Madison, Madison, Wisconsin, Estados Unidos de América.
Department of Kinesiology and Community Health, University of Illinois at Urbana-Champaign, Champaigne, Illinois, Estados Unidos de América.
出版信息
Salud Publica Mex. 2015;57 Suppl 1(0 1):S6-14. doi: 10.21149/spm.v57s1.7584.
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.
目的
评估2001年至2012年间50至80岁墨西哥人群中糖尿病和高血压的自我报告及治疗情况的变化，同时评估教育程度和医疗保险覆盖范围的作用。
材料与方法
利用墨西哥健康与老龄化研究来评估2001年和2012年教育程度和保险与糖尿病及高血压患病率和治疗情况之间的关联。采用多变量分解法来评估协变量构成变化与其随时间推移对患病率和治疗情况变化的“影响”的作用。
结果
该时期患病率/诊断率和治疗率的上升很大程度上归因于医疗保险的扩大。其对诊断/患病率和治疗的影响也随时间增加。
结论
大众保险的扩大可能改善了筛查和治疗。需要更多研究来评估这些是否已转化为更好的控制和更低的疾病负担。
Zotero 插件