Preventive healthcare-seeking behavior among poor older adults in Mexico: the impact of Seguro Popular, 2000-2012

Rivera‐Hernandez, Maricruz; Rahman, Momotazur; Galárraga, Omar

doi:10.21149/9185

Cited by 8 publications

(6 citation statements)

References 20 publications

Supporting

Mentioning

Contrasting

Unclassified

Order By: Relevance

“…Among the newly diagnosed adolescents, about 50% had an affiliation with “Seguro Popular,” the public assistance health services, which reaches the most excluded localities offering basic services as “T1 units.” In one report, “Seguro Popular” had no effect on the use of preventive care, such as screening for chronic diseases of high prevalence in the adult population, which is not considered a public policy for adolescents ( 47 ). But in another report, the use of these preventive services was even lower among those affiliated with “Seguro Popular” compared to those affiliated with worker's services ( 48 ).…”

Section: Discussionmentioning

confidence: 99%

Undiagnosed prediabetes in Mexican adolescents under poverty in contexts affected by collective violence: A clinical comparison among health services users and hidden population

et al. 2022

View full text Add to dashboard Cite

IntroductionThe epidemiological pattern of prediabetes in adolescents is understudied. In Mexico, adolescents are exposed to social adversity conditions, including poverty and violence. Therefore, understanding their clinical profiles and how the social determinants of health impose barriers to access to health services is important to address detection, in those who, by their vulnerability, remain a hidden population.AimThis study aimed to describe undiagnosed prediabetes in Mexican adolescents under poverty in violent contexts and to compare the clinical features among health services users and hidden population.MethodsThis cross-sectional study included 371 adolescents from difficult access locations in violent contexts. Poverty, lack of health services access, and perceived vulnerability were determined in all samples. Endocrine markers (BMI, HOMA-IR, HbA1c, and cortisol) were measured in those with high violence perception.ResultsA total of 61.7% of the adolescents had a suburban grid and urban cluster residence, and 77.7–85.7% of them belonged to locations where 35–50% of their population lived below the poverty line. In total, 40–75% had a lack of 10–20% access to health services, and 18.8% had a high perceived vulnerability due to collective violence and were screened. Overall, 61.9% of respondents were newly diagnosed with prediabetes and showed the worst HbA1c (p = 0.001) compared to the health services subsample, which showed the highest BMI (p = 0.031) and insulin resistance (p = 0.025).ConclusionThere is a prediabetes hidden population living in violent contexts under poverty. These social determinants promote poor outcomes in perceived vulnerability and endocrine response and represent barriers to access to health services.

show abstract

Section: Discussionmentioning

confidence: 99%

Undiagnosed prediabetes in Mexican adolescents under poverty in contexts affected by collective violence: A clinical comparison among health services users and hidden population

et al. 2022

View full text Add to dashboard Cite

show abstract

“…However, several studies have shown different results: for example, in Mexico, lower CHE has been reported for diabetes treatment and control (Sosa-rubí and López-ridaura, 2009 ), and for cataract surgery (Navarrete-lópez et al ., 2013 ). Nevertheless, in a study of a population of elderly adults with chronic illnesses such as diabetes and cancer, no positive effect of the program ‘Popular Insurance’ (‘ Seguro Popular ’) was observed on CHE (Rivera-Hernández et al ., 2019 ).…”

Section: Discussionmentioning

confidence: 99%

Incidence of catastrophic healthcare expenditure and its main determinants in Mexican households caring for a person with a mental disorder

et al. 2021

View full text Add to dashboard Cite

Background There are few studies on the impact of out-of-pocket mental health care expenditures and sociodemographic factors on the probability of Mexican households to incur catastrophic healthcare expenditures (CHE). Objective The goal of the present study was to estimate the incidence of CHE and its main determinants among the households of persons with mental disorders (MD) in Mexico. Methods A cross-sectional survey was conducted, including 387 households of persons with MD. The estimation of the CHE was obtained by the health expenditure distribution method. A Logistic Regression (LR) was used to identify the determinants of probability variation of CHE occurrence. Since we expected a proportion of CHE between 20% and 80%, we assume linearity in the probability function, therefore we additionally used an Ordinary Least Squares (OLS) model. Results In our sample, the incidence of CHE was 34.8%. The two mental illnesses most frequently associated with CHE were schizophrenia and hyperactive disorder (35.5% and 32.6% of CHE cases, respectively). The regression coefficients showed that for each unit (US$53.77) increase in income, the probability of CHE was reduced by 8.6%, while for each unit increase in hospitalization or medication expenditures, the probability of CHE increased by 12.9% or 19%, respectively. For each additional household member, the probability of CHE increased by 3%, and households with a male patient had a 7% greater probability of CHE. Conclusion Household income, household size, hospitalization and medication expenses, and sex of the patient were significant predictors of CHE for households caring for a person with MD.

show abstract

“…In Mexico the incidence and mortality of CC have declined since the mid‐1980s 6,7 ; however, they continue to reflect the enormous social disparities with devastating consequences for the life and health of Mexican women. The patients included in the present study had access to a basic set of medical interventions, prevention, and screening program [23]; however, no significant effect of the use of preventive services and screening for CC has been reported, which may explain the advanced stages of a high proportion of patients seen in public institutions [24‐26].…”

Section: Discussionmentioning

confidence: 99%

Snapshot of symptoms of advanced cervical cancer patients referred to the palliative care service in a cancer center in Mexico

Allende-Pérez

Domínguez-Ocadio

Velez-Salas

et al. 2020

Intl J Gynecology & Obste

View full text Add to dashboard Cite

Objective To report the clinical and demographic characteristics of patients with advanced cervical cancer referred to the palliative care service (PC) at a major cancer center in Mexico. Methods This is a retrospective cohort study of patients with advanced cervical cancer referred to the PC of INCan, between January 2011 and December 2015. Demographic and clinical characteristics at the time of admission to the INCan, time to referral to PC, initial Edmonton Symptom Assessment System evaluation, and follow up were recorded. Results In all, 359 patients were included, median age 51 years, predominantly poor with low education. Most patients 322 (90%) received tumor‐specific treatment; presence of nephrostomies and other tumor‐related complication was frequent. Median time to referral was 335 days, more than 180 (50%) had five or more symptoms, pain and fatigue were the most prevalent. Conclusion Women with advanced cervical cancer have a high burden of symptoms; PC is only considered at the end of life. Efforts for an early referral to PC should be made.

show abstract

Preventive healthcare-seeking behavior among poor older adults in Mexico: the impact of Seguro Popular, 2000-2012

Cited by 8 publications

References 20 publications

Undiagnosed prediabetes in Mexican adolescents under poverty in contexts affected by collective violence: A clinical comparison among health services users and hidden population

Undiagnosed prediabetes in Mexican adolescents under poverty in contexts affected by collective violence: A clinical comparison among health services users and hidden population

Incidence of catastrophic healthcare expenditure and its main determinants in Mexican households caring for a person with a mental disorder

Snapshot of symptoms of advanced cervical cancer patients referred to the palliative care service in a cancer center in Mexico

Contact Info

Product

Resources

About