Holian J
Cuyahoga Community College, Cleveland, OH 44130-5199.
Soc Sci Med. 1989;29(5):677-9. doi: 10.1016/0277-9536(89)90188-3.
Data from the 1976-77 Mexican Fertility Survey show a high degree of correlation among community background characteristics, access to medical services and utilization of health care in a sample of 125 localities. All of these factors are related to infant mortality at the bivariate level. Use of prenatal and infant health care, but not proximity to medical personnel and facilities, is found to affect infant survival independently of the community's degree of socio-economic development. The findings point to the need to employ separate measures of medical access and health utilization.
1976 - 1977年墨西哥生育调查的数据显示，在125个地区的样本中，社区背景特征、获得医疗服务的机会和医疗保健的利用之间存在高度相关性。在双变量层面上，所有这些因素都与婴儿死亡率相关。研究发现，产前和婴儿保健的使用，而非与医务人员和设施的接近程度，会独立于社区的社会经济发展程度影响婴儿存活。研究结果表明需要采用单独的医疗服务可及性和医疗利用措施。
