Type of Insurance and Use of Preventive Health Services Among Older Adults in Mexico

J Aging Health. 2015 Sep;27(6):962-82. doi: 10.1177/0898264315569457. Epub 2015 Mar 24.


Objective: The main purpose of this article was to assess the differences between Seguro Popular (SP) and employer-based health insurance in the use of preventive services, including screening tests for diabetes, cholesterol, hypertension, cervical cancer, and prostate cancer among older adults at more than a decade of health care reform in Mexico.

Method: Logistic regression models were used with data from the Mexican Health and Nutrition Survey, 2012.

Results: After adjusting for other factors influencing preventive service utilization, SP enrollees were more likely to use screening tests for diabetes, cholesterol, hypertension, and cervical cancer than the uninsured; however, those in employment-based and private insurances had higher odds of using preventive care for most of these services, except Pap smears.

Discussion: Despite all the evidence that suggests that SP has increased access to health insurance for the poor, inequalities in health care access and utilization still exist in Mexico.

Keywords: Mexico; Seguro Popular; health care access; health care inequality; preventive services; social health insurance.

Publication types

  • Research Support, U.S. Gov't, P.H.S.

MeSH terms

  • Aged
  • Cross-Sectional Studies
  • Diabetes Mellitus / diagnosis
  • Female
  • Health Benefit Plans, Employee / statistics & numerical data*
  • Health Care Reform
  • Health Care Surveys
  • Healthcare Disparities
  • Humans
  • Hypercholesterolemia / diagnosis
  • Hypertension / diagnosis
  • Insurance, Health / statistics & numerical data*
  • Logistic Models
  • Male
  • Mass Screening / statistics & numerical data*
  • Mexico
  • Middle Aged
  • National Health Programs / statistics & numerical data*
  • Preventive Health Services / statistics & numerical data*
  • Uterine Cervical Neoplasms / diagnosis