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Acceso al seguro público de salud y opciones alimentarias de los hogares: el caso del Seguro Popular en el México rural

Author

Listed:
  • Agostina Porto

    (Universidad Panamericana)

  • Isai Guizar

    (Universidad de Guadalajara)

Abstract

Objective: To determine how the dietary choices of rural households in Mexico change once they gain access to medical care programs. Methods: SUR models and DiD estimations using the Mexican health insurance program Seguro Popular as a case of study. Results: Households in municipalities with high coverage of Seguro Popular significantly increased their expenditure on processed sugars, and oils and fats. Limitations: Classification of households was based on municipal-level coverage percentages, which may introduce some misclassification of the households in the treatment and control groups. Additionally, the short-term nature of our post-implementation data limits the generalizability of our findings to longer-term outcomes. Main findings: While the program improves access to medical care, it may inadvertently promote poorer dietary choices, which highlights the need for policymakers to consider the broader implications of health insurance programs on nutrition and diet quality.

Suggested Citation

  • Agostina Porto & Isai Guizar, 2026. "Acceso al seguro público de salud y opciones alimentarias de los hogares: el caso del Seguro Popular en el México rural," Ensayos Revista de Economía, Universidad Autónoma de Nuevo León, vol. 45(1), pages 29-100, January.
  • Handle: RePEc:ere:journl:v:45:y:2026:i:1:id:350
    DOI: 10.29105/ensayos45.1-2
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    References listed on IDEAS

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    1. Wagstaff, Adam & Lindelow, Magnus & Jun, Gao & Ling, Xu & Juncheng, Qian, 2009. "Extending health insurance to the rural population: An impact evaluation of China's new cooperative medical scheme," Journal of Health Economics, Elsevier, vol. 28(1), pages 1-19, January.
    2. repec:wbk:wbpubs:36724 is not listed on IDEAS
    3. Guindon, G. Emmanuel, 2014. "The impact of health insurance on health services utilization and health outcomes in Vietnam," Health Economics, Policy and Law, Cambridge University Press, vol. 9(4), pages 359-382, October.
    4. Omar Galárraga & Sandra Sosa-Rubí & Aarón Salinas-Rodríguez & Sergio Sesma-Vázquez, 2010. "Health insurance for the poor: impact on catastrophic and out-of-pocket health expenditures in Mexico," The European Journal of Health Economics, Springer;Deutsche Gesellschaft für Gesundheitsökonomie (DGGÖ), vol. 11(5), pages 437-447, October.
    5. Jonathan Gruber & Aaron Yelowitz, 1999. "Public Health Insurance and Private Savings," Journal of Political Economy, University of Chicago Press, vol. 107(6), pages 1249-1274, December.
    6. Hu, Luojia & Kaestner, Robert & Mazumder, Bhashkar & Miller, Sarah & Wong, Ashley, 2018. "The effect of the affordable care act Medicaid expansions on financial wellbeing," Journal of Public Economics, Elsevier, vol. 163(C), pages 99-112.
    7. Gabriella Conti & Rita Ginja, 2023. "Who Benefits from Free Health Insurance?: Evidence from Mexico," Journal of Human Resources, University of Wisconsin Press, vol. 58(1), pages 146-182.
    8. Kronebusch, Natalie & Damon, Amy, 2019. "The impact of conditional cash transfers on nutrition outcomes: Experimental evidence from Mexico," Economics & Human Biology, Elsevier, vol. 33(C), pages 169-180.
    9. Ausmita Ghosh & Kosali Simon & Benjamin D. Sommers, 2017. "The Effect of State Medicaid Expansions on Prescription Drug Use: Evidence from the Affordable Care Act," NBER Working Papers 23044, National Bureau of Economic Research, Inc.
    10. Chou, Y. J. & Staiger, Douglas, 2001. "Health insurance and female labor supply in Taiwan," Journal of Health Economics, Elsevier, vol. 20(2), pages 187-211, March.
    11. Amy Finkelstein & Sarah Taubman & Bill Wright & Mira Bernstein & Jonathan Gruber & Joseph P. Newhouse & Heidi Allen & Katherine Baicker, 2012. "The Oregon Health Insurance Experiment: Evidence from the First Year," The Quarterly Journal of Economics, President and Fellows of Harvard College, vol. 127(3), pages 1057-1106.
    12. Anders Fredriksson & Gustavo Magalhães de Oliveira, 2019. "Impact evaluation using Difference-in-Differences," RAUSP Management Journal, Emerald Group Publishing Limited, vol. 54(4), pages 519-532, October.
    13. Chou, Shin-Yi & Liu, Jin-Tan & Hammitt, James K., 2003. "National Health Insurance and precautionary saving: evidence from Taiwan," Journal of Public Economics, Elsevier, vol. 87(9-10), pages 1873-1894, September.
    14. Barbaresco, Silvia & Courtemanche, Charles J. & Qi, Yanling, 2015. "Impacts of the Affordable Care Act dependent coverage provision on health-related outcomes of young adults," Journal of Health Economics, Elsevier, vol. 40(C), pages 54-68.
    15. Helen Levy & Thomas Buchmueller & Sayeh Nikpay, 2019. "The Impact of Medicaid Expansion on Household Consumption," Eastern Economic Journal, Palgrave Macmillan;Eastern Economic Association, vol. 45(1), pages 34-57, January.
    16. Srivastava, V. K. & Dwivedi, T. D., 1979. "Estimation of seemingly unrelated regression equations : A brief survey," Journal of Econometrics, Elsevier, vol. 10(1), pages 15-32, April.
    17. Cheung, Diana & Padieu, Ysaline, 2015. "Heterogeneity of the Effects of Health Insurance on Household Savings: Evidence from Rural China," World Development, Elsevier, vol. 66(C), pages 84-103.
    18. Nyman, John A., 1999. "The value of health insurance: the access motive," Journal of Health Economics, Elsevier, vol. 18(2), pages 141-152, April.
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