Does public health insurance improve health care? The case of prenatal care for adolescents in Mexico

被引：8

作者：

Saavedra-Avendano, Biani ^{[1
]}

Darney, Blair G. ^{[1
,2
]}

Reyes-Morales, Hortensia ^{[3
]}

Servan-Mori, Edson ^{[1
]}

机构：

[1] Inst Nacl Salud Publ, Ave Univ 655, Cuernavaca 62100, Morelos, Mexico

[2] Oregon Hlth & Sci Univ, Portland, OR 97201 USA

[3] Hosp Infantil Mexico Dr Federico Gomez, Direcc Invest, Mexico City, DF, Mexico

来源：

SALUD PUBLICA DE MEXICO | 2016年 / 58卷 / 05期

关键词：

prenatal care; adolescents; public health insurance; Mexico; NATIONAL-HEALTH; ANTENATAL CARE; COVERAGE; PROTECTION; DESIGN;

D O I：

10.21149/spm.v58i5.8246

中图分类号：

R1 [预防医学、卫生学];

学科分类号：

1004 ; 120402 ;

摘要：

Objective. To test the association between public health insurance and adequate prenatal care among female adolescents in Mexico. Materials and methods. Cross-sectional study, using the National Health and Nutrition Survey 2000, 2006, and 2012. We included 3 978 (N=4522296) adolescent (12-19) women who reported a live birth. We used logistic regression models to test the association of insurance and adequate (timeliness, frequency and content) prenatal care. Results. The multivariable predicted probability of timely and frequent prenatal care improved over time, from 0.60 (IC95%:0.56;0.64) in 2000 to 0.71 (IC95%:0.66;0.76) in 2012. In 2012, the probability of adequate prenatal care was 0.54 (IC95%:0.49;0.58); women with Social Security had higher probability than women with Seguro Popular and without health insurance. Conclusion. Having Social Security is associated with receipt of adequate prenatal care among adolescents in Mexico.

引用

页码：561 / 568

页数：8

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