Volume 38 - Article 17 | Pages 401–428

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

By Joshua Wassink

Print this page  Facebook  Twitter

 

 
Date received:30 Aug 2017
Date published:30 Jan 2018
Word count:5635
Keywords:health care, immigration, migration, return migration
DOI:10.4054/DemRes.2018.38.17
 

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

Joshua Wassink - University of North Carolina at Chapel Hill, United States of America [Email]

Most recent similar articles in Demographic Research

» Migrant children and migrants' children: Nativity differences in school enrollment in Mexico and the United States
Volume 35 - Article 8    | Keywords: migration, return migration

» Not a zero-sum game: Migration and child well-being in contemporary China
Volume 38 - Article 26    | Keywords: migration

» Shocks and migration in Malawi
Volume 38 - Article 14    | Keywords: migration

» Aging, and separation from children: The health implications of adult migration for elderly parents in rural China
Volume 37 - Article 55    | Keywords: migration

» Decomposing American immobility: Compositional and rate components of interstate, intrastate, and intracounty migration and mobility decline
Volume 37 - Article 47    | Keywords: migration

Articles

 

Citations

 

 

Similar Articles

 

 

Jump to Article

Volume Page
Volume Article ID