SciELO - Scientific Electronic Library Online

vol.82 issue5Validity of smoking measurements during pregnancy: specificity, sensitivity and cut-off pointsGrammatical readability of the package leaflets of the medicinal products most widely consumed and generating the highest expense in Spain during 2005 author indexsubject indexarticles search
Home Pagealphabetic serial listing  

Services on Demand




Related links

  • On index processCited by Google
  • Have no similar articlesSimilars in SciELO
  • On index processSimilars in Google


Revista Española de Salud Pública

On-line version ISSN 2173-9110Print version ISSN 1135-5727


GARZA-ELIZONDO, María Eugenia et al. Accessibility unmet needs for preventive actions seen from the population’s perspective in Monterrey, México, during 2005. Rev. Esp. Salud Publica [online]. 2008, vol.82, n.5, pp.547-557. ISSN 2173-9110.

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.

Keywords : Health Services Accessibility; Preventive medicine; Needs Assessment.

        · abstract in Spanish     · text in Spanish     · Spanish ( pdf )


Creative Commons License All the contents of this journal, except where otherwise noted, is licensed under a Creative Commons Attribution License