Romero-Gomora Adriana, Becerril-Díaz Laura, Yesenia-Ávila Michelle, Díaz-Medina Adriana, Berumen-Lechuga María Guadalupe, Jiménez-Armenta Francisco Abraham, Camacho-Ruíz Jessica, Vázquez-Vega Salvador, Sánchez-Arenas Rosalinda
Instituto Mexicano del Seguro Social, Centro Médico Siglo XXI, Módulo Central, Unidad de Investigación Epidemiológica y en Servicios de Salud. Ciudad de México, México.
Universidad Autónoma del Estado de México, Facultad de Enfermería, Coordinación de Extensión y Vinculación. Toluca, Estado de México, México.
Rev Med Inst Mex Seguro Soc. 2024 Jan 8;62(1):1-10. doi: 10.5281/zenodo.10278092.
Non-pharmacological interventions (NFI) or preventive actions (PA) are the best alternatives to control future pandemics, especially in vulnerable populations, such as semi-urban areas.
To describe the predominant health behavior groups (HBG) and associated factors during the third wave of COVID-19 in a semi-urban area.
A survey which included characteristics, factors related to COVID-19, perceptions of health behavior and PA was applied in a probabilistic sample in a first-level hospital in the State of Mexico. People of both sexes over 18 years of age were included. Using a hierarchical cluster analysis, HBGs were obtained and characterized with a descriptive and multivariate statistical analysis.
In a probabilistic sample (n = 260), 4 HBGs were identified: 2 of high-risk (HRG) and 2 of low-risk (LRG), and the proportions were 43.5% y 56.5%, respectively. The sociodemographic characteristics of both groups were similar. Perceptions of severity and COVID-19-related barriers significantly influenced health behaviors in LRG. In HRG, low security played a significant role, highlighting the importance of comorbidities as a clinical factor.
In a semi-urban area, 2 crucial health behaviors were identified: one associated with low risk and the other with high risk. In the HRG, the perception of insecurity was particularly relevant, emphasizing the importance of comorbidities as a clinical factor.
非药物干预（NFI）或预防行动（PA）是控制未来大流行的最佳选择，尤其是在半城市地区等弱势群体中。
描述半城市地区在新冠疫情第三波期间的主要健康行为群体（HBG）及相关因素。
在墨西哥州的一家一级医院对一个概率样本进行了一项调查，该调查包括特征、与新冠疫情相关的因素、健康行为认知和预防行动。纳入了18岁以上的男女。通过分层聚类分析获得健康行为群体，并采用描述性和多变量统计分析对其进行特征描述。
在一个概率样本（n = 260）中，识别出4个健康行为群体：2个高风险群体（HRG）和2个低风险群体（LRG），比例分别为43.5%和56.5%。两组的社会人口学特征相似。低风险群体中对严重性的认知和与新冠疫情相关的障碍显著影响健康行为。在高风险群体中，安全感低起到了重要作用，突出了合并症作为临床因素的重要性。
在半城市地区，识别出两种关键的健康行为：一种与低风险相关，另一种与高风险相关。在高风险群体中，对不安全感的认知尤为重要，强调了合并症作为临床因素的重要性。
