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Evaluating teen options for preventing pregnancy: Impacts and mechanisms

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  • Luca, Dara Lee
  • Stevens, Jack
  • Rotz, Dana
  • Goesling, Brian
  • Lutz, Robyn

Abstract

This paper presents findings from an experimental evaluation of the Teen Options to Prevent Pregnancy (TOPP) program, an 18-month intervention that consists of a unique combination of personalized contraceptive counseling, facilitated access to contraceptive services, and referrals to social services. We find that TOPP led to large and statistically significant increases in the use of long-acting reversible contraceptives (LARCs), accompanied by substantial reductions in repeat and unintended pregnancy among adolescent mothers. We provide an exploratory analysis of the channels through which TOPP achieved its impacts on contraceptive behavior and pregnancy outcomes. A back-of-the-envelope decomposition implies that the increase in LARC use can explain at most one-third of the reduction in repeat pregnancy. We provide suggestive evidence that direct access to contraceptive services was important for increasing LARC use and reducing repeat pregnancy. We did not find any spillover effects on non-targeted outcomes, such as educational attainment and benefit receipt.

Suggested Citation

  • Luca, Dara Lee & Stevens, Jack & Rotz, Dana & Goesling, Brian & Lutz, Robyn, 2021. "Evaluating teen options for preventing pregnancy: Impacts and mechanisms," Journal of Health Economics, Elsevier, vol. 77(C).
    • Handle: RePEc:eee:jhecon:v:77:y:2021:i:c:s0167629621000448
    DOI: 10.1016/j.jhealeco.2021.102459
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    References listed on IDEAS

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    7. Brian Goesling, "undated". "Making Sense of Replication Studies: Guidance for Teen Pregnancy Prevention Researchers," Mathematica Policy Research Reports 02bb275446464c37a4fddbcdf, Mathematica Policy Research.
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    Cited by:

    1. Zuleika Ferre & Patricia Triunfo & José‐Ignacio Antón, 2023. "Subdermal contraceptive implants and repeat teenage motherhood: Evidence from a major maternity hospital‐based program in Uruguay," Health Economics, John Wiley & Sons, Ltd., vol. 32(12), pages 2679-2693, December.
    2. Ojha, Manini & Babbar, Karan, 2023. "Power to choose? Examining the link between contraceptive use and domestic violence," GLO Discussion Paper Series 1336, Global Labor Organization (GLO).
    3. Mookerjee, Mehreen & Ojha, Manini & Roy, Sanket, 2023. "Family planning practices: Examining the link between contraception and child health," Economic Modelling, Elsevier, vol. 129(C).

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