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After introducing guidelines for breast cancer screening in 2003, Mexico began to prioritize the implementation of mammography screening nationally. Since then, there have been no studies assessing changes in mammography in Mexico using the two-year prevalence interval that corresponds to national guidelines for screening frequency. The present study analyzes the Mexican Health and Aging Study (MHAS), a national population-based panel study of adults aged 50 and older, to evaluate changes in 2-year mammography prevalence among women aged 50 to 69 across five survey waves from 2001 to 2018 (n = 11,773). We calculated unadjusted and adjusted mammography prevalence by survey year and health insurance type. Overall prevalence increased substantially from 2003 to 2012 and leveled off in the period from 2012 to 2018 (2001: 20.2 % [95 % CI 18.3, 22.1]; 2003: 22.7 % [20.4, 25.0]; 2012: 56.5 % [53.2, 59.7]; 2015: 62.0 % [58.8, 65.2]; 2018: 59.4 % [56.7,62.1]; unadjusted prevalence). Prevalence was higher among respondents with social security insurance, who are more likely to work in the formal economy, than among respondents without social security, who are more likely to work in the informal economy or be unemployed. The overall prevalence estimates observed were higher than previously published estimates of mammography prevalence in Mexico. More research is needed to confirm findings regarding two-year mammography prevalence in Mexico and to better understand the causes of observed disparities.

Background: The Decade of Healthy Aging (2021–2030) emerges as a 10 years strategy to improve the lives of older adults, their families, and the communities in which they live. One of the actions defined in this framework is related to improving the measurement, monitoring, and understanding of characteristics, factors, and needs related to aging and health. The aim was to analyze and assess the process of construction and development of the Strategic Information System on Health, Funcional Dependence and Aging (SIESDE, for its acronym in Spanish). SIESDE will provide strategic information in Mexico at the municipal, state, and national levels that support the public policies on healthy aging. Methods: The system processes and analyzes the data sources of the Health Information Systems and the National System of Statistical and Geographical Information. SIESDE comprises three components: (1) Design, construction, and evaluation of the indicators; (2) storage, management, and visualization, and (3) diffusion and translation of information. Results: A total of 135 indicators were built on seven themes: (1) demographic, socioeconomic, and aging conditions, (2) health, (3) functional dependence, (4) healthy aging, (5) health services, (6) social and physical environments, and (7) complex indicators. Conclusions: SIESDE is an effective system for providing an overall view of health, aging, and functional dependence. [ABSTRACT FROM AUTHOR]

While the debate on the national care system is gaining momentum in the academic and political spheres, it's important to note that the issues of gender and child care often overshadow the component concerning the elderly, which needs a more thorough analysis. This article aims to support constructing a care agenda that prioritizes older people. It presents arguments in favor of care, understood as a right, and discusses the burden of disease as being responsible for dependency and a consequence of long periods of need for care. The concept of care is analyzed, along with its distinction between long-term care and palliative care. A different perspective is proposed to calculate dependency beyond the number of affected activities of daily living (ADL). In addition, the national and intergenerational situation of the care systems is presented, specifically long-term, which in Mexico is non-existent, and critical points to integrate the system are reviewed, such as legislation and regulations for residences, training and certification of older people, and incorporation of the community approach. Given the context of inequality, social backwardness, increasing health needs, and a rapidly aging population, it is imperative to reform the care system by integrating the health system with the social care system. [ABSTRACT FROM AUTHOR]

This research delves into the need to use granular analyses at the neighborhood level to study the preexisting conditions of vulnerability that best explain the waves of COVID-19 incidence and mortality. It seems most appropriate to use the comprehensive approach of the sustainable development with variables that analyze the economic, social, environmental, and governance dimensions, given the extensive literature that identifies each as a determining factor for the impact of disease. The work utilizes a composite vulnerability index that allows the city of Malaga to be divided into 434 census sections; waves of incidence and mortality for each section are constructed for the period of March 2020 to March 2021. Cluster analysis reveals that there are five different cluster incidence patterns, whereas the lethality waves are found to behave as a hot-spot phenomenon. The results reveal that neighborhoods that are the most vulnerable in terms of their demographic conditions (large proportion over 65 years of age and dependent) and socioeconomic conditions (severe material deprivation), have been the most affected by COVID-19 infection and mortality. [ABSTRACT FROM AUTHOR]

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Objective: To determine the association of frailty with out-of-pocket expenses (OOPEs) during the last year of life of Mexican older adults. Methods: Cross-sectional secondary analysis of the Mexican Health and Aging Study (MHAS), a representative population-based cohort study. Health care expenses were estimated, and a probit model was used to estimate the probability that older adults had OOPE. A general linear model was applied to explain OOPE magnitudes. Results: A total of 55.8% of individuals reported having OOPE with a mean of 3,261 USD. Average OOPE for hospitalization during the last year of life was 7,011.9 USD. Older adults taking their own medical decisions during the last year of life expended less than those who did not. Conclusion: No affiliation to health services, frailty, and health decision-making by others increased the probability of OOPE. The magnitude is determined by age, hospitalization, medical visits, affiliation, frailty, and health decision-making by others. [ABSTRACT FROM AUTHOR]

Objective: To validate AnthropoAge, a new metric of biological age (BA), for prediction of all-cause mortality and age-related outcomes and characterize population-specific aging patterns using multinational longitudinal cohorts., Methods: We analyzed harmonized multinational data from the Gateway to Global Aging, including studies from the US, England, Mexico, Costa Rica, and China. We used body mass index and waist-to-height ratio to estimate AnthropoAge and AnthropoAgeAccel in participants aged 50-90 years old as proxies of BA and age acceleration, respectively. We compared the predictive capacity for all-cause mortality of AnthropoAge and chronological age (CA) using Cox models, described aging trends in all countries and explored the utility of longitudinal assessments of AnthropoAgeAccel to predict new-onset functional decline and age-related diseases using generalized estimating equations (GEE)., Findings: Using data from 55,628 participants, we found AnthropoAge (c-statistic 0.772) outperformed CA (0.76) for prediction of mortality independently of comorbidities, sex, race/ethnicity, education, and lifestyle; this result was replicated in most countries individually except for Mexico. Individuals with accelerated aging had a ~39% higher risk of death, and AnthropoAge also identified trends of faster biological aging per year. In longitudinal analyses, higher AnthropoAgeAccel values were independently predictive of self-reported health deterioration and new-onset deficits in basic/instrumental activities of daily living (ADL/IADL), diabetes, hypertension, cancer, chronic lung disease, myocardial infarction, and stroke., Conclusions: AnthropoAge is a robust and reproducible BA metric associated with age-related outcomes. Its implementation could facilitate modeling trends of biological aging acceleration in different populations, although recalibration may enhance its utility in underrepresented populations such as individuals from Latin America., Competing Interests: CONFLICT OF INTEREST/FINANCIAL DISCLOSURE: Nothing to disclose. CONFLICT OF INTERESTS: The authors declare that they have no conflict of interests.

The Mexican Health and Aging Study (MHAS) is a longitudinal study using a national sample of approximately 15,000 community-dwelling adults aged 50 years old and older in Mexico. Spanning over 20 years (2001-2021), six waves of data collection establish the MHAS as the leading data platform for the study of aging in Latin America.