title: Type of Insurance and Use of Preventive Health Services Among Older Adults in Mexico.
abstract: 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.
  
  
  METHODS
  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.
  
  
  CONCLUSIONS
  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.
authors: Bio Med Gerontology Health, Brown University, Providence, RI, USA Maricruz_Rivera-Hernandez@Brown.edu.
authors: Maricruz
authors: M
authors: Rivera-Hernandez
authors: Department of Health Services, Policy and Practice Brown University, Providence, RI, USA.
authors: Omar
authors: O
authors: Galarraga
mesh_terms: D000368:Aged; D003430:Cross-Sectional Studies; D003920:Diabetes Mellitus / Q000175:diagnosis; D005260:Female; D006264:Health Benefit Plans, Employee / Q000706:statistics & numerical data*; D018166:Health Care Reform; D019538:Health Care Surveys; D054625:Healthcare Disparities; D006801:Humans; D006937:Hypercholesterolemia / Q000175:diagnosis; D006973:Hypertension / Q000175:diagnosis; D007348:Insurance, Health / Q000706:statistics & numerical data*; D016015:Logistic Models; D008297:Male; D008403:Mass Screening / Q000706:statistics & numerical data*; D008800:Mexico; D008875:Middle Aged; D009313:National Health Programs / Q000706:statistics & numerical data*; D011314:Preventive Health Services / Q000706:statistics & numerical data*; D002583:Uterine Cervical Neoplasms / Q000175:diagnosis
keywords: Mexico; Seguro Popular; health care access; health care inequality; preventive services; social health insurance