medigraphic.com
SPANISH

Salud Pública de México

Instituto Nacional de Salud Pública
  • Contents
  • View Archive
  • Information
    • General Information        
    • Directory
  • Publish
    • Instructions for authors        
  • medigraphic.com
    • Home
    • Journals index            
    • Register / Login
  • Mi perfil

2021, Number 2

<< Back Next >>

salud publica mex 2021; 63 (2)

Gender inequalities in the use of health care services, Spain 2006-2017

Sánchez-Recio R, Alonso-Pérez de Ágreda JP, Gasch-Gallén Á, Aguilar-Palacio I
Full text How to cite this article

Language: Spanish
References: 39
Page: 190-200
PDF size: 349.56 Kb.


Key words:

gender inequality, use of health care, primary health care, emergency care, office nursing, health surveys.

ABSTRACT

Objective. To identify the existence of gender inequalities in the use of primary care (PA), emergency care and nursing consultation. Materials and methods. Repeated cross-sectional study using Spanish and European health surveys (2006-2017) to Spanish population aged 16 and over (n= 95 929). Results. The use of three care services was higher among women. Pensioners, as well as unpaid household labour women, with low education level and those of manual social class, were the most likely to use PC. In emergency care, the higher age, the lower probability of use, and living in a rural town was associated with a higher probability of use of emergency care. Unpaid household labour women were the most likely to use nursing care. Conclusions. Studies that analyse gender inequalities in different contexts such as the use of health services care are still necessary, as well as, new management strategies are needed to achieve care equity.


REFERENCES

  1. Saez M, Vidiella-Martin J, Casasnovas GL. Impact of the great recession on self-perceived health in Spain: A longitudinal study with individual data. BMJ Open. 2019;9(1):1-9. https://doi.org/10.1136/bmjopen-2018-023258

  2. Oksuzyan A, Dańko MJ, Caputo J, Jasilionis D, Shkolnikov VM. Is the story about sensitive women and stoical men true? Gender differences in health after adjustment for reporting behavior. Soc Sci Med. 2019;228:41- 50. https://doi.org/10.1016/j.socscimed.2019.03.002

  3. Comisión para reducir las Desigualdades Sociales en salud en España. Propuesta de políticas e intervenciones para reducir las desigualdades sociales en salud en España. Gac Sanit. 2012;26(2):182-9. https://doi. org/10.1016/j.gaceta.2011.07.024

  4. Gómez-Gómez E. Equidad, género y salud: retos para la acción. Rev Panam Salud Pública. 2002;11:454-61 [citado junio 1, 2019]. Disponible en: https://iris.paho.org/bitstream/handle/10665.2/8729/10734. pdf?sequence=1&isAllowed=y

  5. Batthyány K. Género, cuidados familiares y uso del tiempo. Proy Uso del tiempo y Trab no remunerado las mujeres en Uruguay. 2007:176-98 [citado junio 1, 2019]. Disponible en: http://biblioteca.clacso.edu.ar/Uruguay/ ds-unr/20160715012106/2010-27.pdf

  6. García-Calvente M, Mateo-Rodríguez I, Maroto-Navarro G. El impacto de cuidar en la salud y la calidad de vida de las mujeres. Gac Sanit. 2004;18:83-92. https://doi.org/10.1157/13061998

  7. Aguilar-Palacio I, Carrera-Lasfuentes P, Sánchez-Recio R, Alonso JP, Rabanaque MJ. Recession, employment and self-rated health: a study on the gender gap. Public Health. 2018;154:44-50. https://doi.org/10.1016/j. puhe.2017.10.013

  8. Arias-de la Torre J, Molina AJ, Fernández-Villa T, Artazcoz L, Martín V. Mental health, family roles and employment status inside and outside the household in Spain. Gac Sanit. 2019;33(3):235-41. https://doi.org/10.1016/j. gaceta.2017.11.005

  9. Estrada-Fernández ME, Gil-Lacruz AI, Gil-Lacruz M, Viñas-López A. Informal care. European situation and approximation of a reality. Health Policy (New York). 2019;123(12):1163-172. https://doi.org/10.1016/j. healthpol.2019.09.007

  10. Ministerio de Sanidad, Política Social e Igualdad. Violencia de género en los pequeños municipios del Estado Español [internet]. España: Centro de Publicaciones [citado junio 30, 2019]. Disponible en: http://www.violenciagenero. igualdad.mpr.gob.es/violenciaEnCifras/estudios/colecciones/pdf/ libro6_VG_municipios.pdf. 2010

  11. Abásolo I, Saez M, López-Casasnovas G. Financial crisis and incomerelated inequalities in the universal provision of a public service: The case of healthcare in Spain. Int J Equity Health. 2017;16:1-14. https://doi. org/10.1186/s12939-017-0630-y

  12. Artazcoz L, Chilet E, Escartín P, Fernández A. Incorporation of the gender perspective in community health. SESPAS Report. Gac Sanit. 2018;32(suppl 1):92-7. https://doi.org/10.1016/j.gaceta.2018.07.006

  13. García-Calvente M, Río-Lozano M, Marcos-Marcos J. Guía de indicadores para medir las desigualdades de genero en salud y sus determinantes. España: Escuela Andaluza de Salud Publica, 2015 [citado julio 20, 2019]. Disponible en: https://www.easp.es/project/guia-de-indicadores-paramedir- las-desigualdades-de-genero-en-salud-y-sus-determinantes/

  14. Ministerio de Sanidad, Consumo y Bienestar Social. Encuesta Nacional de Salud de España [internet]. España: Ministerio de Sanidad, Consumo y Bienestar social, 2016 [citado mayo 30, 2016]. Disponible en: https://www. mscbs.gob.es/estadEstudios/estadisticas/encuestaNacional/home.htm

  15. Boletín Oficial del Estado. Real Decreto 137/1984, de 11 de enero, sobre estructuras básicas de salud. España: BOE, 1984 [citado junio 10, 2019]. Disponible en: https://www.boe.es/buscar/pdf/1984/BOE-A- 1984-2574-consolidado.pdf

  16. Meininger JC. Sex differences in factors associated with use of medical care and alternative illness behaviors. Soc Sci Med. 1986;22(3):285-92. https://doi.org/10.1016/0277-9536(86)90124-3

  17. Grupo de Trabajo de la Sociedad Española de Epidemiología. Una propuesta de medida de la clase social. Atención Primaria. 2000;25:350-63. https://doi.org/10.1016/S0212-6567(00)78518-0

  18. Domingo-Salvany A, Bacigalupe A, Carrasco JM, Espelt A, Ferrando J, Borrell C. Propuestas de clase social neoweberiana y neomarxista a partir de la Clasificación Nacional de Ocupaciones 2011. Gac Sanit. 2013;27(3):263-72. https://doi.org/10.1016/j.gaceta.2012.12.009

  19. United Nations Educational Scientific and Cultural Organization. International Standard Classification of Education (Isced 2011). Canada: UNESCO, 2011:21 [citado octubre 30, 2019]. Disponible en: http://uis. unesco.org/sites/default/files/documents/international-standard-classification- of-education-isced-2011-en.pdf

  20. Comíns JS, Moreno DR. La delimitación del ámbito rural: una cuestión clave en los programas de desarrollo rural. Estud Geogr. 2012;73(273):599-624 [citado abril 20, 2019]. Disponible en:. http://estudiosgeograficos. revistas.csic.es/index.php/estudiosgeograficos/article/ view/384

  21. Andersen RM. National health surveys and the behavioral model of health services use. Med Care. 2008;46(7):647-53. https://doi.org/10.1097/ mlr.0b013e31817a835d

  22. Andersen RM. Revisiting the behavioral model and access to medical care: does it matter? J Health Soc Behav. 1995;36(1):1-10. https://doi. org/10.2307/2137284

  23. Sánchez-Recio R, Alonso JP, Gasch-Gallén A, Aguilar-Palacio I. Uso de atención primaria, urgencias y enfermería en mujeres y hombres en función de la edad, ocupación, nivel educativo, clase social, el cuidado de personas dependientes y municipio de residencia. España 2006-2017 [internet]. Figshare. 2021. https://doi.org/10.6084/m9.figshare.13326008

  24. Haeberer M, León-Gómez I, Pérez-Gómez B, Tellez-Plaza M, Rodríguez- Artalejo F, Galán I. Desigualdades sociales en la mortalidad car-diovascular en España desde una perspectiva interseccional. Rev Española Cardiol. 2020;73(4):282-9. https://doi.org/10.1016/j.recesp.2019.07.007

  25. García-Mochón L, Peña-Longobardo LM, Río-Lozano M Del, Oliva-Moreno J, Larrañaga-Padilla I, Del Mar García-Calvente M. Determinants of burden and satisfaction in informal caregivers: Two sides of the same coin? the CUIDAR-SE study. Int J Environ Res Public Health. 2019;16(22):4378. https://doi.org/10.3390/ijerph16224378

  26. Aguilar-Palacio I, Carrera-Lasfuentes P, Solsona S, Sartolo MT, Rabanaque MJ. Health-care utilization in elderly (Spain 2006-2012): Influence of health status and social class. Atención primaria. 2016;48(4):235-43. https:// doi.org/10.1016/j.aprim.2015.01.016

  27. Karttunen JP, Rautiainen RH, Lunner-Kolstrup C. Occupational health and safety of finnish dairy farmers using automatic milking systems. Front Public Heal. 2016;4:1-11. https://doi.org/10.3389/fpubh.2016.00147

  28. Barrech A, Baumert J, Emeny RT, Gündel H, Ladwig KH. Mid-life job insecurity associated with subjective well-being in old age: Results from the population-based MONICA/KORA study. Scand J Work Environ Heal. 2016;42(2):170-4. https://doi.org/10.5271/sjweh.3546

  29. Sarría-Santamera A, Prado-Galbarro J, Ramallo-Farina Y, Quintana-Díaz M, Martinez-Virto A, Serrano-Aguilar P. Utilización de los servicios de urgencias en zonas rurales y urbanas. Semergen. 2015;41(2):63-9. https:// doi.org/10.1016/j.semerg.2014.02.006

  30. Bremer P, Cabrera E, Leino-Kilpi H, Lethin C, Saks K, Sutcliffe C, et al. Informal dementia care: Consequences for caregivers’ health and health care use in 8 European countries. Health Policy. 2015;119(11):1459-71. https://doi.org/10.1016/j.healthpol.2015.09.014

  31. Del Pino JAR, Signes ES, Mas TS, Ruíz AEM, Traura SM. Informal male caregivers in the city of Valencia. An experience of reciprocity. Obets. 2018;13(2):645-70 [citado julio 20, 2019]. Disponible en: https://rua.ua.es/ dspace/bitstream/10045/85198/1/OBETS_13_2_8.pdf

  32. Artazcoz L, Cortès I, Benavides FG, Escribà-Agüir V, Bartoll X, Vargas H, et al. Long working hours and health in Europe: Gender and welfare state differences in a context of economic crisis. Health Place. 2016;40:161-8. https://doi.org/10.1016/j.healthplace.2016.06.004

  33. Martín-Fernández J, Rodríguez-Martínez G, Ariza-Cardiel G, Gutierrez MAVG, Escudero AVH, Conde-López JF. Variables Que condicionan la utilización de la consulta de enfermería en centros de salud de la comunidad de Madrid. Rev Esp Salud Publica. 2013;87(4):383-92. https://doi. org/10.4321/s1135-57272013000400008

  34. Arias-de la Torre J, Molina AJ, Fernández-Villa T, Artazcoz L, Martín V. Mental health, family roles and employment status inside and outside the household in Spain. Gac Sanit. 2019;33(3):235-41. https://doi.org/10.1016/j. gaceta.2017.11.005

  35. Ferran-Mercadé M. Crisis and primary care. An alternative management is possible. Aten Primaria. 2011;43(12):627-8. https://doi. org/10.1016/j.aprim.2011.09.006

  36. Lostao L, Geyer S, Albaladejo R, Moreno-Lostao A, Ronda E, Regidor E. Use of health services according to income before and after elimination of copayment in Germany and restriction of universal health coverage in Spain. Int J Equity Health. 2018;17:11. https://doi.org/10.1186/s12939-018-0725-0

  37. Legido-Quigley H, Otero L, la Parra D, Alvarez-Dardet C, Martin- Moreno JM, McKee M. Will austerity cuts dismantle the Spanish healthcare system? BMJ. 2013;346. https://doi.org/10.1136/bmj.f2363

  38. Henares-Montiel J, Ruiz-Perez I, Mendoza-Garcia O. Health inequalities between male and female immigrants in Spain after the beginning of the economic crisis. Heal Soc Care Community. 2018;26(6):891-7. https://doi. org/10.1111/hsc.12613

  39. Gil-Borrelli C, Velasco C, Martí-Pastor M, Latasa P. La identidad de género, factor de desigualdad olvidado en los sistemas de información de salud de España. Gac Sanit. 2018;32(2):184-6. https://doi.org/10.1016/j. gaceta.2017.10.004




2020     |     www.medigraphic.com

Mi perfil

C?MO CITAR (Vancouver)

salud publica mex. 2021;63