Balandrán-Duarte Dulce Alejandra, Mújica Óscar J, Narro-Robles José R, López-Cervantes Malaquías, Gutiérrez Juan Pablo, Durán-Arenas Juan Luis Gerardo, Fajardo-Dolci Germán Enrique
Universidad Nacional Autónoma de México. Ciudad de México, México.
Instituto Mexicano del Seguro Social. Ciudad de México, México.
Salud Publica Mex. 2020 Sep-Oct;62(5):511-520. doi: 10.21149/10413. Epub 2020 Jul 15.
To measure health inequality in the use of screen-ing services in adults from 20 to 59 years of age from the 2006 and 2012 national health and nutrition surveys.
dults (detection of diabetes, hypertension, breast cancer, cervical cancer and prostate cancer), the Kuznets index, the slope inequality index and the health concentration index were estimated. Considering as social indicators schooling, ethnicity, unemployment, socioeconomic level and type of health protection.
The coverage of the five tests increased, but the inequality observed only decreased in the interventions in women; and in the case of the detection of prostate cancer it was increased.
While it is important to monitor the performance of curative services, the challenge remains to ensure effective and equitable access to early diagnosis services.
通过2006年和2012年全国健康与营养调查，衡量20至59岁成年人在使用筛查服务方面的健康不平等情况。
对成年人（糖尿病、高血压、乳腺癌、宫颈癌和前列腺癌的检测）、库兹涅茨指数、斜率不平等指数和健康集中度指数进行了估算。将受教育程度、种族、失业情况、社会经济水平和健康保护类型视为社会指标。
五项检测的覆盖率有所提高，但观察到的不平等仅在针对女性的干预措施中有所下降；而在前列腺癌检测方面，不平等情况有所增加。
虽然监测治疗服务的绩效很重要，但确保有效且公平地获得早期诊断服务仍然是一项挑战。
