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Marginalization and health service coverage among indigenous, rural, and urban populations: a public health problem in Mexico.
Roldán, José; Álvarez, Marsela; Carrasco, María; Guarneros, Noé; Ledesma, José; Cuchillo-Hilario, Mario; Chávez, Adolfo.
Afiliação
  • Roldán J; National Institute of Medical Science and Nutrition, Tlalpan, Mexico City roldanamaroj@gmail.com.
  • Álvarez M; National Institute of Medical Science and Nutrition, Tlalpan, Mexico City marselalejandra@yahoo.com.
  • Carrasco M; National Institute of Medical Science and Nutrition, Tlalpan, Mexico City carrascoquin@hotmail.com.
  • Guarneros N; National Institute of Medical Science and Nutrition, Tlalpan, Mexico City noeguarneros@hotmail.com.
  • Ledesma J; National Institute of Medical Science and Nutrition, Tlalpan, Mexico City angel@ledesma.com.mx.
  • Cuchillo-Hilario M; National Institute of Medical Science and Nutrition, Tlalpan, Mexico City mario.cuchilloh@incmnsz.mx.
  • Chávez A; National Institute of Medical Science and Nutrition, Tlalpan, Mexico City adolfo.chavezv@incmnsz.mx.
Rural Remote Health ; 17(4): 3948, 2017 12.
Article em En | MEDLINE | ID: mdl-29246080
INTRODUCTION:   Marginalization is a significant issue in Mexico, involving a lack of access to health services with differential impacts on Indigenous, rural and urban populations. The objective of this study was to understand Mexico’s public health problem across three population areas, Indigenous, rural and urban, in relation to degree of marginalization and health service coverage. METHODS:   The sampling universe of the study consisted of 107 458 geographic locations in the country. The study was retrospective, comparative and confirmatory. The study applied analysis of variance, parametric and non-parametric, correlation and correspondence analyses. RESULTS:   Significant differences were identified between the Indigenous, rural and urban populations with respect to their level of marginalization and access to health services. The most affected area was Indigenous, followed by rural areas. The sector that was least affected was urban. CONCLUSIONS:   Although health coverage is highly concentrated in urban areas in Mexico, shortages are mostly concentrated in rural areas where Indigenous groups represent the extreme end of marginalization and access to medical coverage. Inadequate access to health services in the Indigenous and rural populations throws the gravity of the public health problem into relief.
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Texto completo: 1 Coleções: 01-internacional Base de dados: MEDLINE Assunto principal: Serviços Urbanos de Saúde / Serviços de Saúde Rural / Atenção à Saúde / Marginalização Social / Serviços de Saúde do Indígena Tipo de estudo: Observational_studies / Prognostic_studies Aspecto: Determinantes_sociais_saude Limite: Humans País/Região como assunto: Mexico Idioma: En Revista: Rural Remote Health Assunto da revista: SAUDE PUBLICA / SERVICOS DE SAUDE Ano de publicação: 2017 Tipo de documento: Article País de publicação: Austrália

Texto completo: 1 Coleções: 01-internacional Base de dados: MEDLINE Assunto principal: Serviços Urbanos de Saúde / Serviços de Saúde Rural / Atenção à Saúde / Marginalização Social / Serviços de Saúde do Indígena Tipo de estudo: Observational_studies / Prognostic_studies Aspecto: Determinantes_sociais_saude Limite: Humans País/Região como assunto: Mexico Idioma: En Revista: Rural Remote Health Assunto da revista: SAUDE PUBLICA / SERVICOS DE SAUDE Ano de publicação: 2017 Tipo de documento: Article País de publicação: Austrália