2026-06-14T05:06:30Zhttps://repisalud.isciii.es/rest/oai/request

oai:repisalud.isciii.es:20.500.12105/232472024-11-28T23:07:41Zcom_20.500.12105_15322com_20.500.12105_2051col_20.500.12105_16967

00925njm 22002777a 4500 dc Ortiz-Rodriguez, Maria Araceli author Aldaz-Rodriguez, Maria Vanessa author Gonzalez-Robledo, Luz Maria author Villa, Antonio author Bouzas, Cristina author Pastor, Rosario author Tur, Josep A author 2021-05 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 chi(2) 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. Ortiz-Rodriguez MA, Aldaz-Rodriguez MV, Gonzalez-Robledo LM, Villa A, Bouzas C, Pastor R, et al. Association between the Use of Health Services, Cardiovascular Risk Factors and Metabolic Syndrome in Mexican Adults. Int J Environ Res Public Health. 2021 May;18(10):5336. 10.3390/ijerph18105336 1660-4601 International Journal of Environmental Research and Public Health https://hdl.handle.net/20.500.13003/19456 34067845 L2007169439 2-s2.0-85105809756 https://hdl.handle.net/20.500.12105/23247 654832500001 Health services Metabolic syndrome Cardiovascular risk factors Mexico Association between the Use of Health Services, Cardiovascular Risk Factors and Metabolic Syndrome in Mexican Adults