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Primary Health Care Utilization by the Mexican Indigenous Population: The Role of the Seguro Popular in Socially Inequitable Contexts

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Listed:
  • Rene Leyva-Flores
  • Edson Servan-Mori
  • Cesar Infante-Xibille
  • Blanca Estela Pelcastre-Villafuerte
  • Tonatiuh Gonzalez

Abstract

Objective: To analyze the relationship between primary health care utilization and extended health insurance coverage under the Seguro Popular (SP) among Mexican indigenous people. Methodology: A cross-sectional analysis was conducted using data from the Mexican National Nutrition Survey 2012 (n = 194,758). Quasi-experimental matching methods and nonlinear regression probit models were used to estimate the influence of SP on primary health care utilization. Results: 25% of the Mexican population reported having no health insurance coverage, while 59% of indigenous versus 35% of non-indigenous reported having SP coverage. Health problems were reported by 13.9% of indigenous vs. 10.5% of non-indigenous; of these, 52.8% and 57.7% respectively, received primary health care (p

Suggested Citation

  • Rene Leyva-Flores & Edson Servan-Mori & Cesar Infante-Xibille & Blanca Estela Pelcastre-Villafuerte & Tonatiuh Gonzalez, 2014. "Primary Health Care Utilization by the Mexican Indigenous Population: The Role of the Seguro Popular in Socially Inequitable Contexts," PLOS ONE, Public Library of Science, vol. 9(8), pages 1-6, August.
    • Handle: RePEc:plo:pone00:0102781
    DOI: 10.1371/journal.pone.0102781
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    References listed on IDEAS

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    3. Sosa-Rubí, Sandra G. & Galárraga, Omar & Harris, Jeffrey E., 2009. "Heterogeneous impact of the "Seguro Popular" program on the utilization of obstetrical services in Mexico, 2001-2006: A multinomial probit model with a discrete endogenous variable," Journal of Health Economics, Elsevier, vol. 28(1), pages 20-34, January.
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    6. Gillette Hall & Harry Anthony Patrinos (ed.), 2006. "Indigenous Peoples, Poverty and Human Development in Latin America," Palgrave Macmillan Books, Palgrave Macmillan, number 978-0-230-37722-6, December.
    7. David E. Sahn & Stephen D. Younger & Garance Genicot, 2003. "The Demand for Health Care Services in Rural Tanzania," Oxford Bulletin of Economics and Statistics, Department of Economics, University of Oxford, vol. 65(2), pages 241-260, May.
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    Cited by:

    1. Diaz, Christina J. & Samayoa, Erick & Chavez, Sergio & Bejarano, Victoria, 2024. "Away from home, into the fields: Assessing the health of undocumented and indigenous farmworkers," Social Science & Medicine, Elsevier, vol. 360(C).
    2. Salas-Ortiz, A., 2021. "Explaining the ethnic gaps in COVID-19 outcomes in Mexico," Health, Econometrics and Data Group (HEDG) Working Papers 21/20, HEDG, c/o Department of Economics, University of York.
    3. Blanca Estela Pelcastre-Villafuerte & Leticia Avila-Burgos & Sergio Meneses-Navarro & Nadia Cerecer-Ortiz & Julio César Montañez-Hernández, 2023. "Use of Outpatient Health Services by Mexicans Aged 15 Years and Older, According to Ethnicity," IJERPH, MDPI, vol. 20(4), pages 1-18, February.

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