How people respond to illness in Mexico: self-care or medical care?
How people respond to illness in Mexico: self-care or medical care?
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DOI：
10.1016/s0168-8510(00)00136-6
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发表时间：
2001-07-01
期刊：
影响因子：
3.3
通讯作者：
Erviti-Erice, J
中科院分区：
文献类型：
--
作者：
Leyva-Flores, R;Kageyama, ML;Erviti-Erice, J
目的：分析与墨西哥用于解决健康问题的关注形式（自我护理或医疗护理）相关的疾病因素。方法：对1994年全国健康调查前2周内报告患病的5640人进行分析。进行了描述性分析，研究人口和社会经济特征，获得医疗服务，对疾病严重性的看法，接受的治疗，以及不寻求医疗护理的原因。通过Logistic回归确定与注意力形式（自我护理或医疗护理）相关的因素。结果：61%的样本是自我照顾。在那些认为自己的病情严重的人中，52%的人没有使用医疗服务，因为他们认为医疗服务太贵或没有钱支付。在多变量分析中，在5岁以上的男性中观察到更高的自我护理频率，他们无法获得社会保障医疗服务或私人保险系统，患有轻微疾病，生活在贫困的农村地区。讨论：在墨西哥，自我保健是对疾病最重要的反应。社会经济条件，无论对症状严重性的认识如何，都决定了主要在生活贫困的人中自我保健的频率较高。(C)2001爱思唯尔科学爱尔兰有限公司保留所有权利。
Objective: To analyse illness factors associated to the form of attention (self-care or medical care) used to resolve health problems in Mexico. Methods: A total of 5640 individuals who reported sickness within the 2 weeks before the application or the 1994 National Health Survey were analysed. A descriptive analysis was conducted to study demographic and socioeconomic characteristics, access to medical services, perception of seriousness of the illness, treatment received, and reasons why medical care was not sought. Factors associated with the form of attention (self-care or medical care) were identified through logistic regression. Results: Sixty-one percent of the sample was self-attended. Of those who perceived their illness as serious, 52% did not use medical services because they considered them too expensive or did not have the money to pay. In the multivariate analysis, a greater frequency of self-care was observed among males over 5 years old who lacked access to Social Security medical services, or system of private insurance, suffered a mild illness, and lived in poor, rural areas. Discussion: In Mexico, self-care represents the most important response to illness. Socioeconomic conditions, regardless of the perception of seriousness of the symptoms, determine the higher frequency of self-care mainly among those people living in poverty. (C) 2001 Elsevier Science Ireland Ltd. All rights reserved.