IDEAS home Printed from https://ideas.repec.org/a/wly/hlthec/v29y2020i7p790-807.html
   My bibliography  Save this article

The impact of sex education mandates on teenage pregnancy: International evidence

Author

Listed:
  • David Paton
  • Stephen Bullivant
  • Juan Soto

Abstract

To date most studies of the impact of school‐based sex education have focused either on specific, local interventions or experiences at a national level. In this paper, we use a new cross‐country dataset to explore the extent to which laws on sex education affect teenage pregnancy rates in developed countries. We find some evidence that laws mandating sex education in schools are associated with higher rates of teenage fertility. Parental opt out laws may minimise adverse effects of sex education mandates for younger teens. The estimated effects of mandatory sex education are robust to some but not all of our specifications designed to tease out causality. Taken together, changes in national laws relating to sexual health are unable to explain the significant declines in teenage pregnancy rates, which have been observed in many developed countries in recent years.

Suggested Citation

  • David Paton & Stephen Bullivant & Juan Soto, 2020. "The impact of sex education mandates on teenage pregnancy: International evidence," Health Economics, John Wiley & Sons, Ltd., vol. 29(7), pages 790-807, July.
  • Handle: RePEc:wly:hlthec:v:29:y:2020:i:7:p:790-807
    DOI: 10.1002/hec.4021
    as

    Download full text from publisher

    File URL: https://doi.org/10.1002/hec.4021
    Download Restriction: no

    File URL: https://libkey.io/10.1002/hec.4021?utm_source=ideas
    LibKey link: if access is restricted and if your library uses this service, LibKey will redirect you to where you can use your library subscription to access this item
    ---><---

    References listed on IDEAS

    as
    1. Joseph J. Sabia, 2006. "Does sex education affect adolescent sexual behaviors and health?," Journal of Policy Analysis and Management, John Wiley & Sons, Ltd., vol. 25(4), pages 783-802.
    2. Christine Piette Durrance, 2013. "The Effects Of Increased Access To Emergency Contraception On Sexually Transmitted Disease And Abortion Rates," Economic Inquiry, Western Economic Association International, vol. 51(3), pages 1682-1695, July.
    3. Bellou, Andriana & Bhatt, Rachana, 2013. "Reducing underage alcohol and tobacco use: Evidence from the introduction of vertical identification cards," Journal of Health Economics, Elsevier, vol. 32(2), pages 353-366.
    4. Kearney, Melissa S. & Levine, Phillip B., 2015. "Investigating recent trends in the U.S. teen birth rate," Journal of Health Economics, Elsevier, vol. 41(C), pages 15-29.
    5. A. Colin Cameron & Jonah B. Gelbach & Douglas L. Miller, 2011. "Robust Inference With Multiway Clustering," Journal of Business & Economic Statistics, Taylor & Francis Journals, vol. 29(2), pages 238-249, April.
    6. Kasey S. Buckles & Daniel M. Hungerman, 2018. "The Incidental Fertility Effects of School Condom Distribution Programs," Journal of Policy Analysis and Management, John Wiley & Sons, Ltd., vol. 37(3), pages 464-492, June.
    7. Girma, Sourafel & Paton, David, 2011. "The impact of emergency birth control on teen pregnancy and STIs," Journal of Health Economics, Elsevier, vol. 30(2), pages 373-380, March.
    8. de la Croix, David & Perrin, Faustine, 2018. "How far can economic incentives explain the French fertility and education transition?," European Economic Review, Elsevier, vol. 108(C), pages 221-245.
    9. Edlund, Lena & Machado, Cecilia, 2015. "How the other half lived: Marriage and emancipation in the age of the Pill," European Economic Review, Elsevier, vol. 80(C), pages 295-309.
    10. Jason M. Fletcher & Barbara L. Wolfe, 2012. "The Effects Of Teenage Fatherhood On Young Adult Outcomes," Economic Inquiry, Western Economic Association International, vol. 50(1), pages 182-201, January.
    11. repec:taf:jnlbes:v:30:y:2012:i:2:p:312-325 is not listed on IDEAS
    12. Christina J. Diaz & Jeremy E. Fiel, 2016. "The Effect(s) of Teen Pregnancy: Reconciling Theory, Methods, and Findings," Demography, Springer;Population Association of America (PAA), vol. 53(1), pages 85-116, February.
    13. Jillian B. Carr & Analisa Packham, 2017. "The Effects of State‐Mandated Abstinence‐Based Sex Education on Teen Health Outcomes," Health Economics, John Wiley & Sons, Ltd., vol. 26(4), pages 403-420, April.
    14. Jason M. Fletcher & Barbara L. Wolfe, 2009. "Education and Labor Market Consequences of Teenage Childbearing: Evidence Using the Timing of Pregnancy Outcomes and Community Fixed Effects," Journal of Human Resources, University of Wisconsin Press, vol. 44(2).
    15. Paton, David, 2002. "The economics of family planning and underage conceptions," Journal of Health Economics, Elsevier, vol. 21(2), pages 207-225, March.
    16. Melanie Guldi & Chris M. Herbst, 2017. "Offline effects of online connecting: the impact of broadband diffusion on teen fertility decisions," Journal of Population Economics, Springer;European Society for Population Economics, vol. 30(1), pages 69-91, January.
    17. Sourafel Girma & David Paton, 2006. "Matching estimates of the impact of over‐the‐counter emergency birth control on teenage pregnancy," Health Economics, John Wiley & Sons, Ltd., vol. 15(9), pages 1021-1032, September.
    18. Gerald S. Oettinger, 1999. "The Effects of Sex Education on Teen Sexual Activity and Teen Pregnancy," Journal of Political Economy, University of Chicago Press, vol. 107(3), pages 606-635, June.
    Full references (including those not matched with items on IDEAS)

    Citations

    Blog mentions

    As found by EconAcademics.org, the blog aggregator for Economics research:
    1. Chris Sampson’s journal round-up for 15th June 2020
      by Chris Sampson in The Academic Health Economists' Blog on 2020-06-15 11:00:19

    Citations

    Citations are extracted by the CitEc Project, subscribe to its RSS feed for this item.
    as


    Cited by:

    1. Lazuka, Volha & Elwert, Annika, 2023. "Life-Cycle Effects of Comprehensive Sex Education," IZA Discussion Papers 16622, Institute of Labor Economics (IZA).
    2. Volha Lazuka & Annika Elwert, 2023. "Life-Cycle Effects of Comprehensive Sex Education," Papers 2310.11151, arXiv.org, revised Dec 2023.
    3. Andrew J Baxter, Mr & Dundas, Ms Ruth & Popham, Dr Frank & Craig, Dr Peter, 2021. "How effective was England's teenage pregnancy strategy? A comparative analysis of high-income countries," Social Science & Medicine, Elsevier, vol. 270(C).

    Most related items

    These are the items that most often cite the same works as this one and are cited by the same works as this one.
    1. Girma, Sourafel & Paton, David, 2015. "Is education the best contraception: The case of teenage pregnancy in England?," Social Science & Medicine, Elsevier, vol. 131(C), pages 1-9.
    2. Herrera Catalina & E. Sahn David, 2017. "Working Paper 281 - Early Childbearing, School Attainment and Cognitive Skills," Working Paper Series 2398, African Development Bank.
    3. Sourafel Girma & David Paton, 2013. "Does Parental Consent for Birth Control Affect Underage Pregnancy Rates? The Case of Texas," Demography, Springer;Population Association of America (PAA), vol. 50(6), pages 2105-2128, December.
    4. Catalina Herrera Almanza & David E. Sahn, 2018. "Early Childbearing, School Attainment, and Cognitive Skills: Evidence From Madagascar," Demography, Springer;Population Association of America (PAA), vol. 55(2), pages 643-668, April.
    5. Basu, Shubhashrita & Gorry, Devon, 2021. "Consequences of teenage childbearing on child health," Economics & Human Biology, Elsevier, vol. 42(C).
    6. 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).
    7. Fletcher, Jason M. & Polos, Jessica, 2017. "Nonmarital and Teen Fertility," IZA Discussion Papers 10833, Institute of Labor Economics (IZA).
    8. Kearney, Melissa S. & Levine, Phillip B., 2015. "Investigating recent trends in the U.S. teen birth rate," Journal of Health Economics, Elsevier, vol. 41(C), pages 15-29.
    9. Eva Rye Johansen & Helena Skyt Nielsen & Mette Verner, 2018. "Long-term Consequences of Early Parenthood," Economics Working Papers 2018-01-, Department of Economics and Business Economics, Aarhus University.
    10. Jessica Harding & Jean Knab & Susan Zief & Kevin Kelly & Diana McCallum, "undated". "A Systematic Review of Programs to Promote Aspects of Teen Parents’ Self-Sufficiency: Supporting Educational Outcomes and Healthy Birth Spacing," Mathematica Policy Research Reports 05e656f1b4a54dae83654795b, Mathematica Policy Research.
    11. Galárraga, Omar & Harris, Jeffrey E., 2021. "Effect of an abrupt change in sexual and reproductive health policy on teen birth rates in Ecuador, 2008–2017," Economics & Human Biology, Elsevier, vol. 41(C).
    12. Alice Dominici and Lisen Arnheim Dahlström, 2023. "Targeting vaccine information framing to recipients’ education: a randomized trial," Economics Working Papers EUI ECO 2023/02, European University Institute.
    13. Damian Clarke, 2018. "Children And Their Parents: A Review Of Fertility And Causality," Journal of Economic Surveys, Wiley Blackwell, vol. 32(2), pages 518-540, April.
    14. Karen Mulligan, 2016. "Access to Emergency Contraception and its Impact on Fertility and Sexual Behavior," Health Economics, John Wiley & Sons, Ltd., vol. 25(4), pages 455-469, April.
    15. 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.
    16. Devon Gorry, 2023. "Consequences of Teenage Childbearing on Child Outcomes in the United States," Journal of Policy Analysis and Management, John Wiley & Sons, Ltd., vol. 42(1), pages 225-254, January.
    17. Colin Cannonier, 2012. "State abstinence education programs and teen birth rates in the US," Review of Economics of the Household, Springer, vol. 10(1), pages 53-75, March.
    18. Melissa Schettini Kearney & Phillip B. Levine, 2012. "Explaining Recent Trends in the U.S. Teen Birth Rate," NBER Working Papers 17964, National Bureau of Economic Research, Inc.
    19. Paton, David & Wright, Liam, 2017. "The effect of spending cuts on teen pregnancy," Journal of Health Economics, Elsevier, vol. 54(C), pages 135-146.
    20. Eva Rye Johansen & Helena Skyt Nielsen & Mette Verner, 2018. "Long-term Consequences of Early Parenthood," Economics Working Papers 2018-01, Department of Economics and Business Economics, Aarhus University.

    More about this item

    Statistics

    Access and download statistics

    Corrections

    All material on this site has been provided by the respective publishers and authors. You can help correct errors and omissions. When requesting a correction, please mention this item's handle: RePEc:wly:hlthec:v:29:y:2020:i:7:p:790-807. See general information about how to correct material in RePEc.

    If you have authored this item and are not yet registered with RePEc, we encourage you to do it here. This allows to link your profile to this item. It also allows you to accept potential citations to this item that we are uncertain about.

    If CitEc recognized a bibliographic reference but did not link an item in RePEc to it, you can help with this form .

    If you know of missing items citing this one, you can help us creating those links by adding the relevant references in the same way as above, for each refering item. If you are a registered author of this item, you may also want to check the "citations" tab in your RePEc Author Service profile, as there may be some citations waiting for confirmation.

    For technical questions regarding this item, or to correct its authors, title, abstract, bibliographic or download information, contact: Wiley Content Delivery (email available below). General contact details of provider: http://www3.interscience.wiley.com/cgi-bin/jhome/5749 .

    Please note that corrections may take a couple of weeks to filter through the various RePEc services.

    IDEAS is a RePEc service. RePEc uses bibliographic data supplied by the respective publishers.