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首页> 外文期刊>International journal of older people nursing >Personal and social determinants of health services utilization by Mexican older people.
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Personal and social determinants of health services utilization by Mexican older people.

机译：墨西哥老年人利用卫生服务的个人和社会决定因素。

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摘要

BACKGROUND: Increased healthcare needs among older individuals around the world demands a better understanding of factors influencing healthcare service utilization patterns. OBJECTIVE: To examine personal and social correlates to health services utilization among Mexican older persons. DESIGN AND METHODS: This was a cross-sectional study conducted between 2004 and 2006 with 2030 Mexican adults 60 years and older and based on a health services utilization framework. A two-stage cluster sampling with probability proportionate to size was used. Participants were randomly selected and recruited in four metropolitan areas in Northeastern Mexico. Chi-square and Pearson's chi-squared tests and logistic regression were used for data analyses. RESULTS: Significantly more women than men had lost a spouse and were illiterate. Also, females reported significantly poorer health, higher nutritional risk and lower ability to perform activities of daily and instrumental living than males. Predictors of healthcare utilization were: Having a caregiver during an illness; perceiving to have a health problem; being able to afford food, and having children. CONCLUSIONS: Predisposing, enabling and need factors are strong predictors of health services utilization among Mexican older persons. In addition, gender differences exist among this population in relation to health status, but not to health services demands.
机译：背景：世界各地老年人口中医疗保健需求的增长要求更好地了解影响医疗保健服务使用模式的因素。目的：研究与墨西哥老年人健康服务利用相关的个人和社会关联。设计与方法：这是一项横断面研究，于2004年至2006年之间，基于2030岁及60岁以上的墨西哥成年人，并基于卫生服务利用框架。使用概率与大小成比例的两阶段聚类抽样。参与者是在墨西哥东北部的四个大城市中随机选择并招募的。卡方检验和皮尔逊卡方检验以及逻辑回归用于数据分析。结果：失去配偶和文盲的妇女人数明显多于男性。此外，女性报告的健康状况明显差于男性，营养风险更高，并且从事日常活动和工具性生活的能力也较男性差。医疗保健利用率的预测指标是：生病时有看护者;感觉有健康问题;能够负担食物并生孩子。结论：易感性，促成因素和需求因素是墨西哥老年人健康服务利用的有力预测指标。此外，该人群中存在与健康状况有关的性别差异，但与卫生服务需求无关。

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