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Open Access

Effects of Noncontributory Pensions on Older Adult Mortality in Rural Mexico

View ORCID ProfileFelipe Menares, View ORCID ProfileWilliam H. Dow, View ORCID ProfileSusan W. Parker, View ORCID ProfileEmma Aguila, View ORCID ProfileSoomin Ryu and Jorge Peniche
Journal of Human Resources, June 2026, 61 (Supplement) S131-S161; DOI: https://doi.org/10.3368/jhr.0225-14128R1
Felipe Menares
Felipe Menares is an Economic/Impact Evaluation Consultant at the Inter-American Development Bank .
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  • For correspondence: felipeme{at}iadb.org
William H. Dow
William H. Dow is a Professor of Health Policy and Management in the School of Public Health, as well as Professor in the Department of Demography at the University of California, Berkeley.
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Susan W. Parker
Susan W. Parker is Professor of Public Policy in the School of Public Policy at the University of Maryland.
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Emma Aguila
Emma Aguila is an Associate Professor in the Sol Price School of Public Policy at the University of Southern California.
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Soomin Ryu
Soomin Ryu is an Assistant Professor in the Department of Public Health at the University of Missouri.
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Jorge Peniche
Jorge Peniche is a Researcher in the Sol Price School of Public Policy at the University of Southern California.
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  • The figure contains four subplots presenting event-study estimates by gender and disease categories. For females, the results show no pre-program effect on mortality rates, followed by a downward trend after implementation.
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    Figure 1

    70 y Más Effects on Mortality Rates

    Notes: This figure shows the results obtained from estimating the dynamic difference-in-difference-in-differences using the count of deaths as the dependent variable in a Poisson regression including the logarithm of population as an offset. Age corresponds to two age groups: 60–69 and 70–79. It includes locality, age, and year fixed effects, as well as locality–age eligibility, year–locality eligibility, and year–age eligibility fixed effects. Standard errors are clustered at the level of treatment: locality and age. The mortality rate in the y-axis corresponds to percent changes by subtracting one from the rate ratio; that is, Embedded Image. The 95 percent confidence intervals for Embedded Image are computed using the delta method for univariate transformations on the coefficient estimated from the Poisson regression. The period of analysis is 2002–2011. All regressions are weighted using the population aged 60–79 in 2005. The population offset is interpolated from the 2000, 2005, and 2010 census data at the locality–age-year level.

  • The figure consists of two subplots. The first shows a clear discontinuity in the amount transferred by the program at the age-70 threshold for eligible localities after the intervention. The second shows no discontinuity in the amount transferred for ineligible localities in either period.
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    Figure 2

    Regression Discontinuity Scatterplot for Amount of 70 y Más Transfer Received

    Notes: This figure visually shows the discontinuity for the amount of the 70 y Más cash transfer reported received, disaggregated by eligible and ineligible localities, as well as by periods before and after the program’s implementation. Eligibility is defined for individuals residing in localities with fewer than 2,500 inhabitants that expanded in 2007, while ineligible localities include those with populations between 30,000 and 100,000 that did not fully expand during the study period. Survey waves from 2005 and 2006 were pooled to represent the pre-program period, while waves 2008 and 2010 were pooled for the post-program period. All linear fittings are estimated at the individual level, controlling for year-of-survey fixed effects and including survey weights.

  • The figure consists of two subplots. The first shows a non-negligible discontinuity in employment at the age-70 threshold for eligible localities after the intervention. The second shows no such discontinuity for ineligible localities before and after the implementation.
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    Figure 3

    Regression Discontinuity Scatterplot for Employment

    Notes: This figure visually shows the discontinuity for labor force participation, disaggregated by eligible and ineligible localities, as well as by periods before and after the program’s implementation. Eligibility is defined for individuals residing in localities with fewer than 2,500 inhabitants that expanded in 2007, while ineligible localities include those with populations between 30,000 and 100,000 that did not fully expand during the study period. Survey waves from 2005 and 2006 were pooled to represent the pre-program period, while waves 2008 and 2010 were pooled for the post-program period. All linear fittings are estimated at the individual level, controlling for year-of-survey fixed effects and including survey weights.

Tables

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    Table 1

    70 y Más Difference-in-Difference-in-Differences Effect on Mortality Rates

    By Disease Status
    By SexCVDNon-CVD
    PooledFemalesMalesFemalesMalesFemalesMales
    (1)(2)(3)(4)(5)(6)(7)
    After 70 y Más−0.0233***−0.0549***0.0111−0.02290.0545**−0.0641***−0.0058
    (0.0037)(0.0090)(0.0095)(0.0194)(0.0229)(0.0086)(0.0100)
    No. deaths412,266187,767224,49950,91359,671136,854164,828
    No. deaths eligibles148,56567,68680,87920,88623,12746,80057,752
    No. deaths ineligibles263,701120,081143,62030,02736,54490,054107,076
    No. deaths eligibles (year before coverage)13,7556,3417,4141,9722,0754,3695,339
    No. localities18,79718,79718,79712,87313,31817,49517,860
    No. locality–age cells (obs.)375,940375,940375,940257,460266,360349,900357,200
    No. locality–age eligible cells (obs.)186,340186,340186,340127,110131,550173,320176,970
    No. locality–age ineligible cells (obs.)189,600189,600189,600130,350134,810176,580180,230
    No. locality–age nonzero cells (obs.)80,36849,28356,13618,67620,47137,09843,925
    Locality controlsYYYYYYY
    Year FEYYYYYYY
    Locality FEYYYYYYY
    Age FEYYYYYYY
    Year × Age eligible FEYYYYYYY
    Year × Locality eligible FEYYYYYYY
    Age × Locality eligible FEYYYYYYY
    • Notes: This table shows the results obtained from estimating the difference-in-difference-in-differences using the count of deaths as the dependent variable in a Poisson regression including the logarithm of population as an offset. Age corresponds to two age groups: 60–69 and 70–79. It includes locality, age, and year fixed effects, as well as locality–age eligibility, year–locality eligibility, and year–age eligibility fixed effects. Standard errors are clustered at the level of treatment: locality and age. The reported coefficient corresponds to percent changes by subtracting one from the rate ratio, that is, Embedded Image. Each estimate captures the effect post-treatment for those groups in eligible localities above 70 years of age relative to deaths in noneligible localities. The period of analysis is 2002–2011. All regressions are weighted using the population aged 60–79 in 2005, and control for locality-level time-varying covariates: marginality index, progresa penetration, percentage of deaths medically certified, and lag of death registration. The population offset is interpolated from the 2000, 2005, and 2010 census data at the locality–age–year level. Number of deaths eligible corresponds to those deaths reported as residing in eligible localities above or equal to age 70, a year before the coverage. *p < 0.1, **p < 0.05, ***p < 0.01.

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    Table 2

    Difference-in-Differences-in-Discontinuities Results for Individual Outcomes

    70 y MasEarningsIncomeEmploymentHours WorkedHours Worked (if >0)Seguro Popular
    (1)(2)(3)(4)(5)(6)(7)
    Panel A: Pooled
    1(Age ≥ 70) * Eligible * Post26.163***−20.4835.639−0.218**-6.351*−0.9000.173***
    (3.129)(18.687)(42.024)(0.086)(3.343)(4.765)(0.065)
    R-W p-value0.0100.5250.9700.0500.0990.9700.050
    R-squared0.2700.0510.0500.0630.0550.0200.171
    Mean dep. var.4.9054.41255.050.3917.5441.290.22
    Observations15,86015,86015,86715,86016,0176,80412,457
    Panel B: Male
    1(Age ≥ 70) * Eligible * Post25.901***−31.93622.865−0.240**−7.0681.2430.215***
    (4.371)(40.058)(76.151)(0.099)(5.720)(6.339)(0.069)
    R-W p-value0.0100.5540.6930.0690.5150.5540.010
    R-squared0.2140.0720.0940.1210.1030.0310.169
    Mean dep. var.5.6289.33353.290.5827.1944.490.22
    Observations7,7197,7197,7287,7197,8534,7996,068
    Panel C: Female
    1(Age ≥ 70) * Eligible * Post26.593***−6.9100.729−0.247**−7.598*−5.2930.156
    (3.888)(6.183)(37.592)(0.122)(4.263)(7.820)(0.133)
    R-W p-value0.0100.5450.9600.1490.2080.7130.545
    R-squared0.3890.0450.0290.0380.0300.0230.177
    Mean dep. var.4.2221.29161.780.228.2633.630.22
    Observations8,1418,1418,1398,1418,1642,0056,389
    WeightsYYYYYYY
    Year-of-survey FEYYYYYYY
    • Notes: This table shows the results obtained from estimating a difference-in-difference-in-discontinuities regression (RD-DD) using individual-level outcomes as the dependent variable. The 1(Age ≥ 70) ∗ Eligible ∗ Post estimates show results after the 70 y Más program started between eligible and ineligible localities and before and after for those above the cutoff. 70 y Más is the self-reported amount of cash transfer received. Hours Worked (if >0) only includes non-zero hours worked. Income includes wages from job, wages from business, and secondary jobs, wages from previous months, all transfers (private and government, including 70 y Más), income from business and property, and other income not from work. Means are weighted using survey weights. Standard errors are clustered at the household level. The period of analysis before the program started is 2005 and 2006 surveys and after the program started is the 2008 and 2010 surveys. All regressions use survey weights and year-of-survey fixed effects. Observations across columns differ because we drop the upper 1 percent outliers for each outcome of interest. *p < 0.1, **p < 0.05, ***p < 0.01.

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    Table 3

    Difference-in-Differences-in-Discontinuities Results for Household Outcomes

    70 y MásEarningsIncomeSpendingFood SpendingHealth ExpenditureNo. Members
    (1)(2)(3)(4)(5)(6)(7)
    Panel A: Pooled
    1(Age ≥ 70) * Eligible * Post27.526***4.282−21.452103.633−10.008−9.0780.042
    (4.129)(79.623)(94.842)(67.363)(18.109)(6.829)(0.330)
    R-W p-value0.0100.9800.9800.3660.8610.5640.980
    R-squared0.2750.1080.1160.1270.1000.0190.011
    Mean dep. var.6.84404.22762.66567.82192.9117.293.63
    Observations11,96411,96411,97511,96411,97411,97211,923
    Panel B: Male
    1(Age ≥ 70) * Eligible * Post26.919***−8.52238.53280.617−5.534−6.397−0.518
    (5.492)(102.484)(139.017)(98.610)(24.261)(12.698)(0.447)
    R-W p-value0.0100.9500.9500.7130.9500.9110.554
    R-squared0.2670.1240.1430.1520.1270.0230.014
    Mean dep. var.7.95391.31781.00573.18197.0217.353.74
    Observations7,4937,4937,4957,4997,4937,5097,437
    Panel C: Female
    1(Age ≥ 70) * Eligible * Post27.440***13.726−119.728123.017−12.373−11.6121.154**
    (5.574)(112.876)(142.511)(103.084)(31.509)(16.406)(0.511)
    R-W p-value0.0100.9310.7820.4550.8320.7820.059
    R-squared0.2750.0880.0850.0980.0680.0220.011
    Mean dep. var.4.97425.84731.99558.82186.0417.173.45
    Observations4,4714,4714,4804,4654,4814,4634,486
    WeightsYYYYYYY
    Year-of-survey FEYYYYYYY
    • Notes: This table shows the results obtained from estimating a difference-in-difference-in-discontinuities regression (RD-DD) using household-level outcomes as the dependent variable. The 1(Age ≥ 70) ∗ Eligible ∗ Post estimates show results after the 70 y Más program started between eligible and ineligible localities and before and after for those above the cutoff. 70 y Más is the self-reported amount of cash transfer received. Hours Worked (if >0) only includes non-zero hours worked. Income includes wages from job, wages from business, and secondary jobs, wages from previous months, all transfers (private and government, including 70 y Más), income from business and property, and other income not from work. Means are weighted using survey weights. Standard errors are clustered at the household level. The period of analysis before the program started is 2005 and 2006 surveys, and after the program started is the 2008 and 2010 surveys. All regressions use survey weights and year-of-survey fixed effects. Observations across columns differ because we drop the upper 1 percent outliers for each outcome of interest. *p < 0.1, **p < 0.05, ***p < 0.01.

Additional Files

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    • 0225-14128R1_supp.pdf
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Journal of Human Resources: 61 (Supplement)
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Effects of Noncontributory Pensions on Older Adult Mortality in Rural Mexico
Felipe Menares, William H. Dow, Susan W. Parker, Emma Aguila, Soomin Ryu, Jorge Peniche
Journal of Human Resources Jun 2026, 61 (Supplement) S131-S161; DOI: 10.3368/jhr.0225-14128R1

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Effects of Noncontributory Pensions on Older Adult Mortality in Rural Mexico
Felipe Menares, William H. Dow, Susan W. Parker, Emma Aguila, Soomin Ryu, Jorge Peniche
Journal of Human Resources Jun 2026, 61 (Supplement) S131-S161; DOI: 10.3368/jhr.0225-14128R1
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  • Article
    • Abstract
    • I. Introduction
    • II. Mexico’s 70 y Más Noncontributory Pension Program
    • III. Data and Sample Construction
    • IV. Mortality Impact of the 70 y Más Pension Program
    • V. Mechanisms
    • VI. Conclusion
    • Acknowledgments
    • Footnotes
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