Volume 38 - Article 17 | Pages 401–428  

Uninsured migrants: Health insurance coverage and access to care among Mexican return migrants

By Joshua Wassink

Abstract

Background: Despite an expansive body of research on health and access to medical care among Mexican immigrants in the United States, research on return migrants focuses primarily on their labor market mobility and contributions to local development.

Objective: Motivated by recent scholarship that documents poor mental and physical health among Mexican return migrants, this study investigates return migrants’ health insurance coverage and access to medical care.

Methods: I use descriptive and multivariate techniques to analyze data from the 2009 and 2014 rounds of Mexico’s National Survey of Demographic Dynamics (ENADID, combined n = 632,678).

Results: Analyses reveal a large and persistent gap between recent return migrants and nonmigrants, despite rising overall health coverage in Mexico. Multivariate analyses suggest that unemployment among recent arrivals contributes to their lack of insurance. Relative to nonmigrants, recently returned migrants rely disproportionately on private clinics, pharmacies, self-medication, or have no regular source of care. Mediation analysis suggests that returnees’ high rate of uninsurance contributes to their inadequate access to care.

Contribution: This study reveals limited access to medical care among the growing population of Mexican return migrants, highlighting the need for targeted policies to facilitate successful reintegration and ensure access to vital resources, such as health care.

Author's Affiliation

Most recent similar articles in Demographic Research

Cohort fertility of immigrants to Israel from the former Soviet Union
Volume 50 - Article 13    | Keywords: age at first birth, assimilation, cohort analysis, fertility, immigration, parity, religiosity

Fertility decline, changes in age structure, and the potential for demographic dividends: A global analysis
Volume 50 - Article 9    | Keywords: age structure, demographic dividend, demographic transition, fertility, migration, population momentum, working-age population

War and mobility: Using Yandex web searches to characterize intentions to leave Russia after its invasion of Ukraine
Volume 50 - Article 8    | Keywords: Brain drain, migration, Russia, search trends, Ukraine, Yandex

How do environmental stressors influence migration? A meta-regression analysis of environmental migration literature
Volume 50 - Article 2    | Keywords: environmental, instrumental variables, meta analysis, migration, partial correlation coefficient, weighted regression

Reducing uncertainty in Delphi surveys: A case study on immigration to the EU
Volume 49 - Article 36    | Keywords: European Union, immigration, international migration, migration flows

Cited References: 54

Download to Citation Manager

PubMed

Google Scholar

Volume
Page
Volume
Article ID