Mental health care needs and use of services in Mexican population with serious mental disorders

被引:9
作者
Diaz-Castro, Lina [1 ]
Cabello-Rangel, Hector [2 ]
Elena Medina-Mora, Maria [3 ]
Berenzon-Gorn, Shoshana [3 ]
Robles-Garcia, Rebeca [3 ]
Angel Madrigal-de Leon, Eduardo [3 ]
机构
[1] Inst Nacl Psiquiatria Ramon de la Fuente Muniz, Direcc Invest Epidemiol & Psicosociales, Area Concentrac Sistemas Salud, Mexico City, DF, Mexico
[2] Hosp Psiquiatr Fray Bernardino Alvarez, Mexico City, DF, Mexico
[3] Inst Nacl Psiquiatria Ramon de la Fuente Muniz, Mexico City, DF, Mexico
来源
SALUD PUBLICA DE MEXICO | 2020年 / 62卷 / 01期
关键词
mental disorders; schizophrenia; population characteristic; health infrastructure; health services;
D O I
10.21149/10323
中图分类号
R1 [预防医学、卫生学];
学科分类号
1004 ; 120402 ;
摘要
Objective. To analyze the mental health care needs of the serious mental disorders (SMD) and factors associated with the use of services in Mexico. Materials and methods.A cross-sectional analytical study was conducted in two phases, the first with a national database of available services and its utilization; the second, a sample of medical records of a psychiatric hospital. Results. Schizophrenia is the most prevalent MDS; more than 50% of those hospitalized were male, with an average age of 37 years.The use of services was associated with age (beta=1.062, p=.000), family income (beta=1.000, p=.000) and no laboral occupation (beta=3.407,p=.000).The population with schizophrenia is four times more likely to require to be exempt from payment (beta=4.158, p=.000). Conclusions.The population with SMD as schizophrenia is more vulnerable due to the associated functional and social disability and it requires specific heath interventions and a financial protection policy adapted to their mental health care needs.
引用
收藏
页码:72 / 79
页数:8
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