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Salud Pública de México

Print version ISSN 0036-3634

Abstract

SAAVEDRA-AVENDANO, Biani; DARNEY, Blair G; REYES-MORALES, Hortensia  and  SERVAN-MORI, Edson. Does public health insurance improve health care? The case of prenatal care for adolescents in Mexico. Salud pública Méx [online]. 2016, vol.58, n.5, pp.561-568. ISSN 0036-3634.  https://doi.org/10.21149/spm.v58i5.8246.

Objective:

To test the association between public health insurance and adequate prenatal care among female adolescents in Mexico.

Materials and methods:

Cross-sectional study, using the National Health and Nutrition Survey 2000, 2006, and 2012.We included 3 978 (N=4 522 296) adolescent (12-19) women who reported a live birth.We used logistic regression models to test the association of insurance and adequate (timeliness, frequency and content) prenatal care.

Results:

The multivariable predicted probability of timely and frequent prenatal care improved over time, from 0.60 (IC95%:0.56;0.64) in 2000 to 0.71 (IC95%:0.66;0.76) in 2012. In 2012, the probability of adequate prenatal care was 0.54 (IC95%:0.49;0.58); women with Social Security had higher probability than women with Seguro Popular and without health insurance.

Conclusion:

Having Social Security is associated with receipt of adequate prenatal care among adolescents in Mexico.

Keywords : prenatal care; adolescents; public health insurance; Mexico.

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