Revista Biomédica Revisada Por Pares
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Palabras clave: renal insufficiency, health equity
Introduction
Kidney chronic disease patients are being increasingly identified. The disability generated by this disease must consider physical and social effects given the lack of attention and the socioeconomic conditions that generate it. Therefore, access to services to treat kidney chronic disease is determined by social and biological factors.
Objective
To analyze the effect of the social components on kidney chronic disease in a sector of the Mexican population that suffers from the disease, particularly in the case of women.
Methods
The Poisson generalized linear model was applied, selecting the variables related to equity in the administration of health services. Statistical data reported by the National Institute of Statistics and Geography of Mexico in the period 2009-2015 in women was taken. The variables considered were the level of schooling, occupation, access to health, geographical region and habitable zone, as well as stage of life.
Results
The highest incidence rate for kidney chronic disease is attributed to the intermediate adult woman, who works in informal services legally excluded from institutional health coverage, has low schooling and lives in a rural area of the Center zone, while the young adult woman that lives in an urban metropolis in the North zone presents lowest incidence profile.
Conclusions
The economic determinants derived from people’s activities, as well as their age, the educational level and the environment in which they live influence both the acquisition of the disease and the possibilities of managing it successfully.
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Introduction
Kidney chronic disease patients are being increasingly identified. The disability generated by this disease must consider physical and social effects given the lack of attention and the socioeconomic conditions that generate it. Therefore, access to services to treat kidney chronic disease is determined by social and biological factors.
Objective
To analyze the effect of the social components on kidney chronic disease in a sector of the Mexican population that suffers from the disease, particularly in the case of women.
Methods
The Poisson generalized linear model was applied, selecting the variables related to equity in the administration of health services. Statistical data reported by the National Institute of Statistics and Geography of Mexico in the period 2009-2015 in women was taken. The variables considered were the level of schooling, occupation, access to health, geographical region and habitable zone, as well as stage of life.
Results
The highest incidence rate for kidney chronic disease is attributed to the intermediate adult woman, who works in informal services legally excluded from institutional health coverage, has low schooling and lives in a rural area of the Center zone, while the young adult woman that lives in an urban metropolis in the North zone presents lowest incidence profile.
Conclusions
The economic determinants derived from people’s activities, as well as their age, the educational level and the environment in which they live influence both the acquisition of the disease and the possibilities of managing it successfully.
Autores:
Francisco Aguilar Bustamante[1], Raúl Enrique Molina Salazar[2], José Antonio Amozurrutia Jiménez[3], Fabiola M. Martínez Licona[4]
Citación: Aguilar Bustamante F, Molina Salazar RE, Amozurrutia Jiménez JA, Martínez Licona FM. Healthcare equity and chronic renal failure in Mexico: an analysis for the case of women. Medwave 2019;19(3):7619 doi: 10.5867/medwave.2019.03.7619
Fecha de envío: 7/11/2018
Fecha de aceptación: 15/4/2019
Fecha de publicación: 29/4/2019
Origen: no solicitado
Tipo de revisión: con revisión por seis pares revisores externos, a doble ciego
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