The gender gap in outpatient care for non-communicable diseases in Mexico between 2006 and 2022  

作　　者：Edson Serván‑Mori Ileana Heredia‑Pi Carlos M.Guerrero‑López Stephen Jan Laura Downey Rocío Garcia‑Díaz Gustavo Nigenda Emanuel Orozco‑Núñez María de la Cruz Muradás‑Troitiño Laura Flamand Robyn Norton Rafael Lozano 

机构地区：[1]Center for Health Systems Research,The National Institute of Public Health of Mexico,Universidad Av.655,62100 Cuernavaca,Morelos,Mexico [2]The George Institute for Global Health,UNSW,Sydney,NSW,Australia [3]The George Institute for Global Health,School of Public Health,Imperial College London,London,UK [4]Center for Health Economics and Policy Innovation,Business School,Imperial College London,London,UK [5]Department of Economics,Tecnologico de Monterrey,Monterrey,Nuevo Leon,Mexico [6]Faculty of Nursing and Midwifery,The National Autonomous University of Mexico,Mexico City,Mexico [7]Coordinator of Sociodemographic and Prospective Studies,The National Population Council of Mexico,Mexico City,Mexico [8]Center for International Studies,El Colegio de Mexico,Mexico City,Mexico [9]Institute for Health Metrics and Evaluation,University of Washington,Seattle,USA [10]School of Medicine,The National Autonomous University of Mexico,Mexico City,Mexico

出　　处：《Global Health Research and Policy》2024年第1期155-170,共16页全球健康研究与政策(英文)

基　　金：We are grateful to The Mexican Association of Pharmaceutical Research Indus-tries,A.C.(AMIIF),for their funding and steadfast support.

摘　　要：Background Equitable health service utilization is key to health systems’optimal performance and universal health coverage.The evidence shows that men and women use health services differently.However,current analyses have failed to explore these differences in depth and investigate how such gender disparities vary by service type.This study examined the gender gap in the use of outpatient health services by Mexican adults with non-communicable diseases(NCDs)from 2006 to 2022.Methods A cross-sectional population-based analysis of data drawn from National Health and Nutrition Surveys of 2006,2011–12,2020,2021,and 2022 was performed.Information was gathered from 300,878 Mexican adults aged 20 years and older who either had some form of public health insurance or were uninsured.We assessed the use of outpatient health services provided by qualified personnel for adults who reported having experienced an NCD and seeking outpatient care in the 2 weeks before the survey.Outpatient service utilization was disaggregated into four categories:non-use,use of public health services from providers not corresponding to the user’s health insurance,use of public health services from providers not corresponding to the user’s health insurance,and use of private services.This study reported the mean percentages(with 95%confidence intervals[95%CIs])for each sociodemographic covariate associated with service utilization,disaggregated by gender.The percentages were reported for each survey year,the entire study period,the types of service use,and the reasons for non-use,according to the type of health problem.The gender gap in health service utilization was calculated using predictive margins by gender,type of disease,and survey year,and adjusted through a multinomial logistic regression model.Results Overall,we found that women were less likely to fall within the“non-use”category than men dur-ing the entire study period(21.8%vs.27.8%,P<0.001).However,when taking into account the estimated gender gap measured by incrementa

关 键 词：Gender gap Health service utilization SEGMENTATION Outpatient health services Non-communicable diseases Universal health coverage Mexico 

分 类 号：O17[理学—数学]