[Accessibility unmet needs for preventive actions seen from the population's perspective in Monterrey, México, during 2005].
BACKGROUND
Integrated programs make the task of concentrating preventive actions for specific groups easier. However, health services must firstly be accessible, an essential condition for the population to use them. Hence, the objective of this study was to identify municipalities with the highest needs of accessibility of preventive actions through information synthesized in an accessibility index.


METHODS
This cross-sectional study considered eight metropolitan municipalities of Monterrey, Mexico and 323 individuals sampled at random. We measured attendance for at least one preventive action the year before the survey, including vaccination, diabetes or hypertension diagnosis, and cervical or breast cancer among women. The accessibility index consisted of use and access barriers, quality and resource indicators standardized using Z-scores.


RESULTS
Ninety-nine percent had attended health services for some preventive action. The municipality with the highest unmet need was Santa Catarina (Z -6.9) followed by Apodaca (Z -1.5) and Benito Juárez (Z -1.2). San Pedro registered the highest unmet need concerning economical access barriers (Z -3.5), whereas Apodaca was not good enough with quality perception (Z -4.7) and Santa Catarina with perception of sufficient physical, human and material resources (Z -4.9).


CONCLUSIONS
Three of the eight studied metropolitan municipalities registered the highest unmet need.
Garza-Elizondo
María Eugenia
ME
Unidad de Investigación Epidemiológica y en Servicios de Salud, Instituto Mexicano del Seguro Social, Guadalupe NL, México. mariagarzae@intercable.net
Salinas-Martínez
Ana María
AM
Núñez-Rocha
Georgina
G
Villarreal-Ríos
Enrique
E
Moreno-Monsiváis
María Guadalupe
MG
D000328:Adult; D003430:Cross-Sectional Studies; D005260:Female; D006297:Health Services Accessibility / Q000706:statistics & numerical data*; D006801:Humans; D008297:Male; D008800:Mexico; D020380:Needs Assessment / Q000706:statistics & numerical data*; D011314:Preventive Health Services / Q000706:statistics & numerical data*; D014505:Urban Population