Self-medication and health insurance coverage in Mexico
Abstract
Self-medication is a common practice in many developing countries but little is known about its determinants. This study analyzes the factors that are associated with the use of self-medication in Mexico using the Mexican Health and Aging Study, a new nationally representative survey on adults aged 50 and over. We find that self-medication is related to socioeconomic status and the lack of access to professional healthcare. Our empirical results suggest that lack of government-sponsored health insurance coverage increases the propensity to self-medicate. A 10% increase in the proportion of adults with health insurance coverage could decrease the use of pharmacy consultations by .8% for public sector workers and by 1.7% for private sector workers. Increasing health insurance coverage could reduce the demand for self-medication by making healthcare more affordable and by changing the population perceptions about the benefits of modern medicine.
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High medical consultation fees and limited health insurance coverage further encourage self-treatment behaviors.
“Additionally, high medical consultation fees and limited health insurance coverage further encourage self-treatment behaviors.20”
From Prevalence and patterns of self-medication practices in India: A systematic review and meta-analysis (2025) · cites this paper as [20]
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Self-medication practice in Ethiopia: a systematic review
Ayalew, M. B. (2017) · Patient Preference and Adherence · doi:10.2147/ppa.s131496 · Cited by 182 · see citing works
“19 Furthermore, risks associated with self-medication also include potential delay in treating serious medical conditions, masking of symptoms of serious conditions through the use of nonprescription products, and increased polypharmacy and interaction with other regularly used medications.”
Prevalence and patterns of self-medication practices in India: A systematic review and meta-analysis
Chaudhary, V., Kumari, S., Sharma, B., Ahuja, C., Kishore, H., & Pal, B. (2025) · Medical Journal Armed Forces India · doi:10.1016/j.mjafi.2024.11.008 · Cited by 11 · see citing works
- Authors
- Pagán, J. A., Ross, S., Yau, J., & Polsky, D.
- Affiliations
- Leonard Davis Institute of Health Economics (US)
- New York City Department of Health and Mental Hygiene (US)
- University of Pennsylvania (US)
- Corresponding author
- Pagán, José A.
- Venue
- Health Policy
- Publisher
- Elsevier BV
- Published
- 2006-01
- Volume
- 75
- Issue
- 2
- Pages
- 170-177
- ISSN
- 0168-8510 (ISSN-L)
- OpenAlex
- W2104101984
- Cited by
- 111
- References
- 0
- Citations by year
- 2026: 3 · 2025: 6 · 2024: 6 · 2023: 9 · 2022: 12 · 2021: 6 · 2020: 3 · 2019: 9 · 2018: 9 · 2017: 10 · 2016: 6 · 2015: 1 · 2014: 5 · 2013: 4 · 2012: 3
- FWCI
- 4.50
- Type
- journal article
- Language
- en
- Open access
- closed
- Locations
- Health Policy (publishedVersion)
- PubMed (publishedVersion)
- RePEc: Research Papers in Economics (submittedVersion)
- DigitalGeorgetown (Georgetown University Library) (submittedVersion)
- Funders
- University of Pennsylvania
- National Institute on Aging (P30 AG12836, R01 AG18016)
- National Institutes of Health
- Topics
- Social Sciences › Economics, Econometrics and Finance › Finance › Healthcare Systems and Reforms
- Social Sciences › Economics, Econometrics and Finance › Economics and Econometrics › Pharmaceutical Economics and Policy
- Social Sciences › Economics, Econometrics and Finance › Economics and Econometrics › Healthcare Policy and Management
- Keywords
- self-medication, health insurance coverage, health care access, socioeconomic status, older adults, pharmacist counseling, health care affordability, Mexican Health and Aging Study, Mexico
- MeSH terms
- Aged, Aged, 80 and over, Female, Humans, Insurance, Health, Male, Mexico, Middle Aged, Self Medication, Insurance Coverage
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