Pelcastre-Villafuerte Blanca Estela, Meneses-Navarro Sergio, Sánchez-Domínguez Mario, Meléndez-Navarro David, Freyermuth-Encis Graciela
Centro de Investigación en Sistemas de Salud, Instituto Nacional de Salud Pública. Cuernavaca, Morelos, México.
Comité Promotor por una Maternidad Segura. San Cristóbal de Las Casas, Chiapas, México.
Salud Publica Mex. 2020 Nov-Dec;62(6):810-819. doi: 10.21149/11861.
To identify differences in socioeconomic indi-cators, health conditions and use of services between the indigenous (IP) and non-indigenous population (NIP) of the country.
Descriptive cross-sectional study carried out with information obtained by the 2018-19 National Health and Nutrition Survey.
Most IP are in the lowest socioeconomic quintile and they use less health services. Indigenous women reported a higher number of children, as well as childbirth care with midwives. IP go for medical care to institutions for the population without social security as the first option but expressed less desire to return to the same place.
IPs use less health services. An epidemiological panorama of double burden and inequity in access indicators that affect IP is configured. Reproductive health is the area where the greatest inequali-ties are observed.
确定该国土著居民（IP）和非土著居民（NIP）在社会经济指标、健康状况及服务利用方面的差异。
采用描述性横断面研究，数据来源于2018 - 19年全国健康与营养调查。
大多数土著居民处于社会经济最底层五分之一，且使用的医疗服务较少。土著妇女报告的子女数量较多，且由助产士提供分娩护理。土著居民首选前往无社会保障人群的医疗机构就医，但再次前往同一机构的意愿较低。
土著居民使用的医疗服务较少。形成了影响土著居民的双重负担和获取指标不平等的流行病学态势。生殖健康是观察到最大不平等的领域。
