Health care utilization among older Mexicans: health and socioeconomic inequalities.
OBJECTIVE
To examine the determinants of the utilization of health care services among the population of older adults in Mexico. Three types of health care services are analyzed: preventive care, visits to the doctor, and hospitalizations.


METHODS
Data was used from the 2001 Mexican Health and Aging Study (MHAS/ENASEM) and estimates were made using multivariate probit regression methods.


RESULTS
Socioeconomic factors, health conditions reported by the individuals, and the availability of health insurance are significant determinants of the differential use of services by older adults.


CONCLUSIONS
Specific health conditions are important determinants of use of the various types of health care services. For all three types, however, the availability of health insurance is an enabling factor of health care use. Older age is associated with greater propensity to use health care services but its effect is small when controlling for health conditions.
Wong
Rebeca
R
Maryland Population Research Center, University of Maryland, College Park, MD 20742, USA. wongr@umd.edu
Díaz
Juan José
JJ
D000367:Age Factors; D000368:Aged; D005260:Female; D006296:Health Services / Q000706:statistics & numerical data*; D006306:Health Surveys; D006760:Hospitalization / Q000706:statistics & numerical data; D006801:Humans; D007348:Insurance, Health; D008297:Male; D008800:Mexico; D008875:Middle Aged; D011314:Preventive Health Services / Q000706:statistics & numerical data; D012044:Regression Analysis; D012424:Rural Population; D012737:Sex Factors; D012959:Socioeconomic Factors; D014505:Urban Population