Strouse Carly, Perez-Cuevas Ricardo, Lahiff Maureen, Walsh Julia, Guendelman Sylvia
Carly Strouse is a doctoral candidate in the School of Public Health at the University of California, Berkeley.
Ricardo Perez-Cuevas is a social protection and health senior specialist in the Division of Social Protection and Health at the Inter-American Development Bank, in Mexico City, Mexico.
Health Aff (Millwood). 2016 Jan;35(1):80-7. doi: 10.1377/hlthaff.2015.0594.
Beginning in 2001 Mexico established Seguro Popular, a health insurance scheme aimed at providing coverage to its large population of uninsured people. While recent studies have evaluated the health benefits of Seguro Popular, evidence on perinatal health outcomes is lacking. We conducted a population-based study using Mexican birth certificate data for 2010 to assess the relationship between enrollment in Seguro Popular and preterm delivery among first-time mothers with singleton births in Mexico. Seguro Popular enrollees with no formal education had a far greater reduction in risk of preterm delivery, while enrollees with any formal education experienced only slight reduction in risk, after maternal age, marital status, education level, mode of delivery, and trimester in which prenatal care was initiated were controlled for. Seguro Popular appears to facilitate access to health services among mothers with low levels of education, reducing their risk for preterm delivery. Providing broad-scale health insurance coverage may help improve perinatal health outcomes in this vulnerable population.
从2001年开始，墨西哥设立了大众健康保险计划，旨在为大量未参保人群提供保险覆盖。虽然近期研究评估了大众健康保险计划的健康益处，但缺乏围产期健康结局方面的证据。我们利用2010年墨西哥出生证明数据开展了一项基于人群的研究，以评估墨西哥首次单胎分娩母亲的大众健康保险参保情况与早产之间的关系。在对母亲年龄、婚姻状况、教育水平、分娩方式以及开始产前护理的孕周进行控制后，未接受过正规教育的大众健康保险参保者早产风险的降低幅度要大得多，而接受过任何正规教育的参保者风险仅略有降低。大众健康保险计划似乎有助于教育水平较低的母亲获得医疗服务，降低她们的早产风险。提供大规模的健康保险覆盖可能有助于改善这一弱势群体的围产期健康结局。
