Advanced Search
MyIDEAS: Login

Behind-the-counter, but Over-the-border? The Assessment of the Spillover Effect of Increased Availability of Emergency Contraception in Washington on Neighboring States

Contents:

Author Info

  • Inna Cintina

    ()
    (University of Hawaii at Manoa Economic Research Organization)

Abstract

Emergency contraception (EC), that gained FDA’s approval in the late 1990s as a prescription medicine, may effectively prevent unwanted pregnancy if taken promptly after an unprotected sexual intercourse. Because EC efficacy is inversely related to the duration between intercourse and the time it is taken, the prescription requirements can make it less effective. Washington was the first state to loosen up the prescription requirements making EC available behind-the-counter at pharmacies to women of any age in 1998. I hypothesize that the increased availability of EC affects fertility rates beyond the borders of the state that allows it. Using the difference-in-difference methodology and 1991-2005 county level data, I find that increased access to EC is associated with a substantial and statistically significant 5-7% decrease in abortion rates and 2% decrease in pregnancy rates in Washington counties that had access to EC without a prescription within 10 miles. As expected, the effect becomes numerically smaller and statistically weaker with an increase in travel distance. I find some evidence in support of the spillover effects in Idaho, but not Oregon. After accounting for changes in the availability of abortion services, the decrease in fertility rates in “treated†Idaho counties is rather small and models lack sufficient power to detect it.

Download Info

If you experience problems downloading a file, check if you have the proper application to view it first. In case of further problems read the IDEAS help page. Note that these files are not on the IDEAS site. Please be patient as the files may be large.
File URL: http://www.economics.hawaii.edu/research/workingpapers/WP_13-8.pdf
File Function: First version, 2013
Download Restriction: no

Bibliographic Info

Paper provided by University of Hawaii at Manoa, Department of Economics in its series Working Papers with number 201308.

as in new window
Length: 37 pages
Date of creation: May 2013
Date of revision:
Handle: RePEc:hai:wpaper:201308

Contact details of provider:
Postal: 2424 Maile Way, Honolulu, HI 96822
Phone: (808)956-8730
Fax: (808)956-4347
Email:
Web page: http://www.economics.hawaii.edu/
More information through EDIRC

Order Information:
Email:
Web: http://www.economics.hawaii.edu/research/working.html

Related research

Keywords: Emissions Emergency contraception; Plan B; Abortion; Pregnancy; Border-hopping; Travel distance;

Find related papers by JEL classification:

References

References listed on IDEAS
Please report citation or reference errors to , or , if you are the registered author of the cited work, log in to your RePEc Author Service profile, click on "citations" and make appropriate adjustments.:
as in new window
  1. Blank, Rebecca M. & George, Christine C. & London, Rebecca A., 1996. "State abortion rates the impact of policies, providers, politics, demographics, and economic environment," Journal of Health Economics, Elsevier, vol. 15(5), pages 513-553, October.
  2. Cook, Philip J. & Parnell, Allan M. & Moore, Michael J. & Pagnini, Deanna, 1999. "The effects of short-term variation in abortion funding on pregnancy outcomes," Journal of Health Economics, Elsevier, vol. 18(2), pages 241-257, April.
  3. Martha J Bailey, 2006. "More Power to the Pill: The Impact of Contraceptive Freedom on Women's Life Cycle Labor Supply," The Quarterly Journal of Economics, MIT Press, vol. 121(1), pages 289-320, 02.
  4. Bitler, Marianne & Zavodny, Madeline, 2001. "The effect of abortion restrictions on the timing of abortions," Journal of Health Economics, Elsevier, vol. 20(6), pages 1011-1032, November.
Full references (including those not matched with items on IDEAS)

Citations

Lists

This item is not listed on Wikipedia, on a reading list or among the top items on IDEAS.

Statistics

Access and download statistics

Corrections

When requesting a correction, please mention this item's handle: RePEc:hai:wpaper:201308. See general information about how to correct material in RePEc.

For technical questions regarding this item, or to correct its authors, title, abstract, bibliographic or download information, contact: (Web Technician).

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 references are entirely missing, you can add them using this form.

If the full references list an item that is present in RePEc, but the system did not link 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 profile, as there may be some citations waiting for confirmation.

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