Association between the Use of Health Services, Cardiovascular Risk Factors and Metabolic Syndrome in Mexican Adults.
Int J Environ Res Public Health
; 18(10)2021 05 17.
Article
en En
| MEDLINE
| ID: mdl-34067845
ABSTRACT
Background:
The use of health services is a complex behavioral phenomenon affected by multiple factors (availability, distance, cost, quality, attitudes, cultural beliefs, socioeconomic characteristics, and individuals' self-perception of health). Mexico has a segmented health system, and the access to it depends on the labor insertion and the population's ability to pay.Objective:
To assess association between use of health services and cardiovascular and metabolic syndrome risk factors among Mexican adults.Methods:
Analytical cross-sectional nationally representative study carried out on Mexican adults (≥20-year-old adults of both sexes; n = 4595). Socioeconomic factors, geographic area, health care coverage, information about the use of health services, previous medical diagnoses of diabetes and hypertension, and smoking were assessed. Anthropometrics, triglyceride, total cholesterol, HDL-cholesterol, and glucose plasma levels were measured. Metabolic syndrome (MetS) and cardiovascular risk factors were assessed. Prevalences were expressed in terms of percentages, and significant differences were calculated using χ2 test. Univariate and multivariate analysis was performed to evaluate the association between the use of health services and cardiovascular risk factors and sociodemographic variables.Results:
The probability of using health services is higher and more significant in subjects with obesity, diabetes (OR (95% CI) 1.73 (1.49-2.00; p < 0.001), hypertension (OR (95% CI) 1.29 (1.14-1.45; p < 0.001), hypertriglyceridemia (OR (95% CI) 1.30 (1.15-1.46; p < 0.001), and in those with hypercholesterolemia (OR (95% CI) 1.23 (1.03-1.39; p = 0.001).Conclusions:
Among health service users, there is a positive significant association between the use of health services and the presence of metabolic syndrome, obesity, diabetes, hypertension, hypertriglyceridemia, and hypercholesterolemia.Palabras clave
Texto completo:
1
Colección:
01-internacional
Banco de datos:
MEDLINE
Asunto principal:
Enfermedades Cardiovasculares
/
Síndrome Metabólico
/
Hipertensión
Tipo de estudio:
Etiology_studies
/
Observational_studies
/
Prevalence_studies
/
Risk_factors_studies
Límite:
Adult
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Female
/
Humans
/
Male
País/Región como asunto:
Mexico
Idioma:
En
Revista:
Int J Environ Res Public Health
Año:
2021
Tipo del documento:
Article
País de afiliación:
México