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墨西哥成年人社会人口因素与就医原因之间的关联。

Association between socio-demographic factors and reasons for medical care in Mexican adults.

作者信息

Cureño-Díaz Mónica Alethia, Hernández-Mariano José Ángel, Gómez Zamora Erika, González Zavala Viridiana Judith

机构信息

Department of Medical Research and Teaching, Hospital Juárez of Mexico, Mexico.

Department of Research, Hospital Juarez of Mexico, Mexico.

出版信息

J Family Med Prim Care. 2025 Apr;14(4):1279-1287. doi: 10.4103/jfmpc.jfmpc_1427_24. Epub 2025 Apr 25.

Abstract

BACKGROUND

The occurrence and distribution of diseases result from the interaction between biological, environmental, economic, and social factors. Although Mexico has made significant progress in the health sector, there are several problems associated with the social determinants of health, which are linked to social factors such as gender, age, income, and schooling, among others. Therefore, the purpose of this study was to evaluate the relationship between socio-demographic factors with the main reasons for medical care among patients seen at a public healthcare institution in Mexico City.

MATERIALS AND METHODS

A cross-sectional analytical study in which the clinical records of 1,018 adult patients who attended any of the services provided by a public healthcare institution in Mexico City between August and December 2023 were examined.

RESULTS

The odds of seeking medical care for neoplastic diseases were lower in men, among patients with their own home, with balanced economic status and surplus, but higher in people aged 40 years and older, in those with fewer intra-household and public services in their homes.

CONCLUSIONS

Strategies for prevention, management, and control of chronic and infectious diseases need to consider social inequalities, addressing the determinants of health to generate a significant impact on the health of the population.

摘要

背景

疾病的发生和分布是生物、环境、经济和社会因素相互作用的结果。尽管墨西哥在卫生领域取得了重大进展,但仍存在一些与健康的社会决定因素相关的问题,这些问题与性别、年龄、收入和教育程度等社会因素有关。因此,本研究的目的是评估墨西哥城一家公共医疗机构就诊患者的社会人口学因素与就医主要原因之间的关系。

材料与方法

一项横断面分析研究,检查了2023年8月至12月期间在墨西哥城一家公共医疗机构接受任何服务的1018名成年患者的临床记录。

结果

男性、拥有自有住房、经济状况平衡且有盈余的患者因肿瘤疾病就医的几率较低,但40岁及以上人群、家中家庭内部和公共服务较少的人群就医几率较高。

结论

慢性和传染病的预防、管理和控制策略需要考虑社会不平等,解决健康的决定因素,以对人群健康产生重大影响。

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