TABLE 3.
The association between health care systems access and accessing medical diagnosis of infertility in the Mexican teacher’s cohort among women reporting a history of infertility.
| Healthcare system access | Did not access care for infertility 7,110 (36.3%) |
Accessed medical care for infertility 12,470 (63.7%) |
Prevalence ratio (95% CI) accessing care for infertility | Multivariable adjusted prevalence ratio a (95% CI) |
|---|---|---|---|---|
| Health care service used (regular care) | ||||
| Private | 1,177 (29.5) | 2,811 (70.5) | 1.00 (Ref) | 1.00 (Ref) |
| IMSS | 4,262 (38.9) | 6,701 (61.1) | 0.87 (0.85–0.89) | 0.88 (0.86–0.91) |
| ISSSTE | 627 (38.3) | 1,011 (61.7) | 0.88 (0.84–0.91) | 0.88 (0.84–0.92) |
| Other Public | 69 (44.0) | 88 (56.1) | 0.80 (0.69–0.91) | 0.83 (0.72–0.95) |
| Other | 657 (33.5) | 1307 (66.6) | 0.94 (0.91–0.98) | 0.94 (0.91–0.97) |
| Health care service used (illness) | ||||
| Private | 1,123 (32.8) | 2,304 (67.2) | 1.00 (Ref) | 1.00 (Ref) |
| IMSS | 4,363 (37.6) | 7,228 (62.4) | 0.93 (0.90– 0.95) | 0.94 (0.92–0.97) |
| ISSSTE | 742 (36.1) | 1,311 (63.9) | 0.95 (0.91–0.99) | 0.95 (0.92–0.99) |
| Other Public | 67 (36.2) | 118 (63.8) | 0.95 (0.85–1.06) | 0.97 (0.87–1.09) |
| Other | 577 (34.3) | 1105 (65.7) | 0.98 (0.94–1.02) | 0.98 (0.94–1.02) |
| Mammogram | ||||
| Never | 3,584 (37.0) | 6,096 (63.0) | 1.00 (Ref) | 1.00 (Ref) |
| Ever | 3,204 (34.8) | 6,015 (65.3) | 1.04 (1.01–1.06) | 1.07 (1.05–1.10) |
| Pap smear in the past y | ||||
| No | 3,438 (38.9) | 5,391 (61.1) | 1.00 (Ref) | 1.00 (Ref) |
| Yes | 3,672 (34.2) | 7,079 (65.9) | 1.08 (1.06–1.10) | 1.8 (1.06–1.10) |
a
Multivariable models adjusted for age (continuous), history of hormonal contraceptive use, teaching in a rural school, and speaking an indigenous language