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AJPH First Look, published online ahead of print May 14, 2009
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July 2009, Vol 99, No. 7 | American Journal of Public Health 1227-1231
© 2009 American Public Health Association
DOI: 10.2105/AJPH.2008.144980

RESEARCH AND PRACTICE

The Relationship Between Remittances and Health Care Provision in Mexico

Reanne Frank, PhD, Oswaldo Palma-Coca, MSc, Juan Rauda-Esquivel, MD, Gustavo Olaiz-Fernández, MD, Claudia Díaz-Olavarrieta, PhD and Dolores Acevedo-García, PhD, MPA/URP

Reanne Frank is with Ohio State University, Columbus. Oswaldo Palma Coca, Juan Rauda-Esquivel, and Claudia Díaz-Olavarrieta are with the National Institute of Public Health, Mexico City, Mexico. Gustavo Olaiz-Fernández is with Federal Commision for the Protection of Health Risks, Ministry of Health, Mexico City. Dolores Acevedo-García is with the Department of Society, Human Development and Health, Harvard School of Public Health, Cambridge, MA.

Correspondence: Requests for reprints should be sent to Claudia Díaz-Olavarrieta, PhD, National Institute of Public Health, Mexico, Research Center on Surveys and Evaluation, 7a Cerrada Fray Pedro de Gante #50, Col. Seccion XVI, Tlalpan, Mexico City, 14000, Mexico (e-mail: colavarrieta{at}correo.insp.mx).

Objectives. We examined whether remittances sent from the United States to Mexico were used to access health care in Mexico.

Methods. Data were from a 2006 survey of 2 localities in the municipal city of Tepoztlán, Morelos, Mexico. We used logistic regression to determine whether household remittance expenditure on health care was associated with type of health insurance coverage.

Results. Individuals who lacked insurance coverage or who were covered by the Seguro Popular program were significantly more likely to reside in households that spend remittances on health care than were individuals covered by an employer-based insurance program.

Conclusions. Improving the coverage and quality of care within Mexico's health care system will help ensure that remittances serve as a complement, and not a substitute, to formal access to care.






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