The garment is found mostly in central Mexico among indigenous women such as the Huastecs, Nahuas, Tepehuas, Otomis, Totonacs, Mazahuas, Pames and Huichols in states such as Nayarit, Jalisco, Querétaro, the State of Mexico, Hidalgo, Puebla and Veracruz. It has also been seen in some other areas such as the Uruapan area in Michoacán, and parts of Morelos, Guerrero and Oaxaca. While it used to be worn as the only upper garment, this practice has almost entirely disappeared, and today it is usually worn over a blouse for decoration or warmth. However, the popularity of highly decorated blouses has led to a diminishing of the quechquemitl. Only among the Totonacs, Otomis and Nahuas is the garment widely used, but even with these it is mostly found on older women. Younger women from the same communities prefer commercial blouses and shirts, reserving the quechquemitl for market days and festivals.