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The power of the IUD: Effects of expanding access to contraception through Title X clinics

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  • Kelly, Andrea
  • Lindo, Jason M.
  • Packham, Analisa

Abstract

We estimate the effect of Colorado's Family Planning Initiative, which provided funds to Title X clinics to offer long-acting reversible contraceptives to low-income women. We find substantial effects on childbearing, concentrated among women in zip codes within 7 miles of clinics: the initiative reduced births by approximately 20% for 15–19 year olds. We also estimate effects of extensive media coverage in 2014 and 2015, and find a substantial increase in LARC insertions, extended effects on births among 15–17 year olds living greater than 7 miles from clinics, and significant reductions in births among 20–24 and 25–29 year olds.

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  • Kelly, Andrea & Lindo, Jason M. & Packham, Analisa, 2020. "The power of the IUD: Effects of expanding access to contraception through Title X clinics," Journal of Public Economics, Elsevier, vol. 192(C).
    • Handle: RePEc:eee:pubeco:v:192:y:2020:i:c:s0047272720301523
    DOI: 10.1016/j.jpubeco.2020.104288
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    Cited by:

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    2. 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.
    3. Lindo, Jason M. & Pineda-Torres, Mayra, 2021. "New Evidence on the Effects of Mandatory Waiting Periods for Abortion," Journal of Health Economics, Elsevier, vol. 80(C).
    4. 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).
    5. Mookerjee, Mehreen & Ojha, Manini & Roy, Sanket, 2023. "Family planning practices: Examining the link between contraception and child health," Economic Modelling, Elsevier, vol. 129(C).
    6. Dench, Daniel & Pineda-Torres, Mayra & Myers, Caitlin Knowles, 2023. "The Effects of the Dobbs Decision on Fertility," IZA Discussion Papers 16608, Institute of Labor Economics (IZA).

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    More about this item

    Keywords

    Contraception; IUDs; Implants; LARCs; Childbearing; Family planning; Title X;
    All these keywords.

    JEL classification:

    • I18 - Health, Education, and Welfare - - Health - - - Government Policy; Regulation; Public Health
    • J13 - Labor and Demographic Economics - - Demographic Economics - - - Fertility; Family Planning; Child Care; Children; Youth
    • J18 - Labor and Demographic Economics - - Demographic Economics - - - Public Policy

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