Bibliographic citations
Millones, B., Paredes, V. (2022). Determinantes sociales de la salud del no uso de servicios de salud formales pediátricos y gineco-obstétricos en el Perú [Tesis, Universidad Peruana de Ciencias Aplicadas (UPC)]. http://hdl.handle.net/10757/659438
Millones, B., Paredes, V. Determinantes sociales de la salud del no uso de servicios de salud formales pediátricos y gineco-obstétricos en el Perú [Tesis]. PE: Universidad Peruana de Ciencias Aplicadas (UPC); 2022. http://hdl.handle.net/10757/659438
@misc{renati/398906,
title = "Determinantes sociales de la salud del no uso de servicios de salud formales pediátricos y gineco-obstétricos en el Perú",
author = "Paredes Goicoechea, Valeria Stephany",
publisher = "Universidad Peruana de Ciencias Aplicadas (UPC)",
year = "2022"
}
Introduction: The non-use of formal health services (NUFHS) is a priority for society, since it highlights the weaknesses in the capacity of the health system and urges its improvement, even more so in the gynecological-obstetric and pediatric populations. The influence of the social determinants of health on this behavior in the populations studied is not exactly known. Objectives: To evaluate the association and distribution of the non-use of formal health services in the gynecological-obstetric and pediatric population and the social determinants of health. Materials and methods: This study is a cross-sectional analysis, based on data from the ENDES (NHS) 2019 population study. The outcome variables were the NUFHS for prenatal care and delivery in women of childbearing age. Likewise, this behavior was evaluated in seeking care for children under 5 years of age who had diarrhea and fever and/or cough within 14 days. The exposure variables were the social determinants of health, both structural and intermediate. Crude and adjusted prevalence ratios were reported, taking into account the complex structure of the sample. Results: Association of the NUFHS was found for prenatal care with cohabiting marital status (aPR=5.23 CI95%=1.34-20.39), being affiliated with SIS (aPR=4.09 CI95%=1.08-15.41) and receiving income (aPR=3.33 CI95 %=1.16-9.56). The NUFHS for delivery care was associated with the age of the mother between 35 and 49 years (aPR=0.62 CI95%=0.44-0.87), that the woman is self-recognized as “Mestiza“ (aPR=0.53 CI95%= 0.35 -0.80), resides in rural areas (aPR=1.92 CI95%=1.48-2.48) and has 4 or more children born (“4 children” aPR=1.53 CI95%=1.08-2.16). The NUFHS for diarrhea in children under 5 years of age is associated with the age of the head of the household between 30 and 39 years (aPR=0.71 CI95%=0.54-0.93), that the mother speaks an Amazonian language (aPR=1.97 CI95%=1.01- 4.30) and lives in the jungle (aPR=1.55 CI95%=1.02-2.35). Finally, the NUFHS for fever/cough care was associated with the mothers age (“25 to 34 years old” aPR=0.79 CI95%=0.68-0.93, “35 to 49 years” aPR=0.63 CI95%=0.51 -0.77), belonging to the “Poor” quintile (aPR=1.27 95% CI= 1.07-1.50) and residing in a rural area (aPR=0.73 95% CI=0.62-0.86). Conclusions: There is an association between the non-use of formal health services in the gynecological-obstetric and pediatric populations and the social determinants of health.
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