IDEAS home Printed from https://ideas.repec.org/p/iza/izadps/dp15657.html
   My bibliography  Save this paper

The Impact of Legal Abortion on Maternal Mortality

Author

Listed:
  • Farin, Sherajum Monira

    (Georgia State University)

  • Hoehn-Velasco, Lauren

    (Georgia State University)

  • Pesko, Michael

    (University of Missouri)

Abstract

Legal abortion has recently been suggested as an essential healthcare service. In this study, we consider whether abortion legalization over 1969-1973 improved women's health, measured by maternal mortality. Our event-study results indicate that legal abortion substantially lowered non-white maternal mortality by 30-40%, with 113 non-white maternal deaths averted nationally in the first year abortion became legal. We also find that early state-level legalizations were crucial, and more influential than the Roe v. Wade decision itself.

Suggested Citation

  • Farin, Sherajum Monira & Hoehn-Velasco, Lauren & Pesko, Michael, 2022. "The Impact of Legal Abortion on Maternal Mortality," IZA Discussion Papers 15657, Institute of Labor Economics (IZA).
    • Handle: RePEc:iza:izadps:dp15657
    as

    Download full text from publisher

    File URL: https://docs.iza.org/dp15657.pdf
    Download Restriction: no
    ---><---

    References listed on IDEAS

    as
    1. Joseph G. Altonji & Todd E. Elder & Christopher R. Taber, 2005. "Selection on Observed and Unobserved Variables: Assessing the Effectiveness of Catholic Schools," Journal of Political Economy, University of Chicago Press, vol. 113(1), pages 151-184, February.
    2. David Card & Thomas Lemieux, 2001. "Can Falling Supply Explain the Rising Return to College for Younger Men? A Cohort-Based Analysis," The Quarterly Journal of Economics, President and Fellows of Harvard College, vol. 116(2), pages 705-746.
    3. Kirill Borusyak & Peter Hull & Xavier Jaravel, 2022. "Quasi-Experimental Shift-Share Research Designs [Sampling-based vs. Design-based Uncertainty in Regression Analysis]," The Review of Economic Studies, Review of Economic Studies Ltd, vol. 89(1), pages 181-213.
    4. Ravallion, Martin, 2017. "A concave log-like transformation allowing non-positive values," Economics Letters, Elsevier, vol. 161(C), pages 130-132.
    5. Alberto Abadie & Susan Athey & Guido W Imbens & Jeffrey M Wooldridge, 2023. "When Should You Adjust Standard Errors for Clustering?," The Quarterly Journal of Economics, President and Fellows of Harvard College, vol. 138(1), pages 1-35.
    6. Claudia Goldin & Lawrence F. Katz, 2002. "The Power of the Pill: Oral Contraceptives and Women's Career and Marriage Decisions," Journal of Political Economy, University of Chicago Press, vol. 110(4), pages 730-770, August.
    7. Michael Grossman & Steven Jacobowitz, 1981. "Variations in infant mortality rates among counties of the United States: The roles of public policies and programs," Demography, Springer;Population Association of America (PAA), vol. 18(4), pages 695-713, November.
    8. Heinrich Hock, 2007. "The Pill and the College Attainment of American Women and Men," Working Papers wp2007_10_01, Department of Economics, Florida State University.
    9. Michael Grossman & Steven Jacobowitz, 1981. "Variations in Infant Mortality Rates among Counties in the United States: The Roles of Social Policies and Programs," NBER Working Papers 0615, National Bureau of Economic Research, Inc.
    10. Michael Miller & C. Stokes & Rex Warland, 1988. "The effect of legalization and public funding of abortion on neonatal mortality: An intervention analysis," Population Research and Policy Review, Springer;Southern Demographic Association (SDA), vol. 7(1), pages 79-92, January.
    11. Raj Chetty & Adam Looney & Kory Kroft, 2009. "Salience and Taxation: Theory and Evidence," American Economic Review, American Economic Association, vol. 99(4), pages 1145-1177, September.
    12. Leora Friedberg, 1998. "Did Unilateral Divorce Raise Divorce Rates? Evidence from Panel Data," NBER Working Papers 6398, National Bureau of Economic Research, Inc.
    13. Martha J. Bailey & Brad Hershbein & Amalia R. Miller, 2012. "The Opt-In Revolution? Contraception and the Gender Gap in Wages," American Economic Journal: Applied Economics, American Economic Association, vol. 4(3), pages 225-254, July.
    14. Seema Jayachandran & Adriana Lleras-Muney & Kimberly V. Smith, 2010. "Modern Medicine and the Twentieth Century Decline in Mortality: Evidence on the Impact of Sulfa Drugs," American Economic Journal: Applied Economics, American Economic Association, vol. 2(2), pages 118-146, April.
    15. Levine, Phillip B., 2003. "Parental involvement laws and fertility behavior," Journal of Health Economics, Elsevier, vol. 22(5), pages 861-878, September.
    16. Fischer, Stefanie & Royer, Heather & White, Corey, 2018. "The impacts of reduced access to abortion and family planning services on abortions, births, and contraceptive purchases," Journal of Public Economics, Elsevier, vol. 167(C), pages 43-68.
    17. Anne E. Winkler, 1995. "Does AFDC-up encourage two-parent families?," Journal of Policy Analysis and Management, John Wiley & Sons, Ltd., vol. 14(1), pages 4-24.
    18. Thomas Stratmann, 2008. "Abortion Access and Risky Sex Among Teens: Parental Involvement Laws and Sexually Transmitted Diseases," The Journal of Law, Economics, and Organization, Oxford University Press, vol. 24(1), pages 2-21, May.
    19. Christopher L. Foote & Christopher F. Goetz, 2008. "The Impact of Legalized Abortion on Crime: Comment," The Quarterly Journal of Economics, President and Fellows of Harvard College, vol. 123(1), pages 407-423.
    20. Steingrimsdottir, Herdis, 2016. "Reproductive rights and the career plans of U.S. college freshmen," Labour Economics, Elsevier, vol. 43(C), pages 29-41.
    21. Merz, J-F & Klerman, J-A & Jackson, C-A, 1996. "A Chronicle of Abortion Legality, Medicaid Funding, and Parental Involvement Laws, 1967-1994," Papers 96-08, RAND - Labor and Population Program.
    22. Elizabeth Oltmans Ananat & Jonathan Gruber & Phillip Levine, 2007. "Abortion Legalization and Life-Cycle Fertility," Journal of Human Resources, University of Wisconsin Press, vol. 42(2).
    23. Bruno Ferman & Cristine Pinto, 2019. "Inference in Differences-in-Differences with Few Treated Groups and Heteroskedasticity," The Review of Economics and Statistics, MIT Press, vol. 101(3), pages 452-467, July.
    24. Smith, J.C. & Hughes, J.M. & Pekow, P.S. & Rochat, R.W., 1984. "An assessment of the incidence of maternal mortality in the United States," American Journal of Public Health, American Public Health Association, vol. 74(8), pages 780-783.
    25. Marc F. Bellemare & Casey J. Wichman, 2020. "Elasticities and the Inverse Hyperbolic Sine Transformation," Oxford Bulletin of Economics and Statistics, Department of Economics, University of Oxford, vol. 82(1), pages 50-61, February.
    26. Sun, Liyang & Abraham, Sarah, 2021. "Estimating dynamic treatment effects in event studies with heterogeneous treatment effects," Journal of Econometrics, Elsevier, vol. 225(2), pages 175-199.
    27. Thomas C. Buchmueller & John DiNardo & Robert G. Valletta, 2011. "The Effect of an Employer Health Insurance Mandate on Health Insurance Coverage and the Demand for Labor: Evidence from Hawaii," American Economic Journal: Economic Policy, American Economic Association, vol. 3(4), pages 25-51, November.
    28. Roemer, R., 1971. "Abortion law reform and repeal: legislative and judicial developments," American Journal of Public Health, American Public Health Association, vol. 61(3), pages 500-509.
    29. Justin Wolfers, 2006. "Did Unilateral Divorce Laws Raise Divorce Rates? A Reconciliation and New Results," American Economic Review, American Economic Association, vol. 96(5), pages 1802-1820, December.
    30. Thomasson, Melissa A. & Treber, Jaret, 2008. "From home to hospital: The evolution of childbirth in the United States, 1928-1940," Explorations in Economic History, Elsevier, vol. 45(1), pages 76-99, January.
    31. Cutler David M. & Meara Ellen, 2000. "The Technology of Birth: Is It Worth It?," Forum for Health Economics & Policy, De Gruyter, vol. 3(1), pages 1-37, January.
    32. Thomas J. Kane & Douglas Staiger, 1996. "Teen Motherhood and Abortion Access," The Quarterly Journal of Economics, President and Fellows of Harvard College, vol. 111(2), pages 467-506.
    33. Melanie Guldi, 2008. "Fertility effects of abortion and birth control pill access for minors," Demography, Springer;Population Association of America (PAA), vol. 45(4), pages 817-827, November.
    34. John J. Donohue & Jeffrey Grogger & Steven D. Levitt, 2009. "The Impact of Legalized Abortion on Teen Childbearing," American Law and Economics Review, American Law and Economics Association, vol. 11(1), pages 24-46.
    35. David E. Kalist, 2004. "Abortion and Female Labor Force Participation: Evidence Prior to Roe v. Wade," Journal of Labor Research, Transaction Publishers, vol. 25(3), pages 503-514, July.
    36. Jonathan Roth, 2022. "Pretest with Caution: Event-Study Estimates after Testing for Parallel Trends," American Economic Review: Insights, American Economic Association, vol. 4(3), pages 305-322, September.
    37. Jonathan Gruber, 2004. "Is Making Divorce Easier Bad for Children? The Long-Run Implications of Unilateral Divorce," Journal of Labor Economics, University of Chicago Press, vol. 22(4), pages 799-834, October.
    Full references (including those not matched with items on IDEAS)

    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. Martha J. Bailey & Jason M. Lindo, 2017. "Access and Use of Contraception and Its Effects on Women’s Outcomes in the U.S," NBER Working Papers 23465, National Bureau of Economic Research, Inc.
    2. Gábor Hajdu & Tamás Hajdu, 2021. "The long-term impact of restricted access to abortion on children’s socioeconomic outcomes," PLOS ONE, Public Library of Science, vol. 16(3), pages 1-14, March.
    3. Martha J. Bailey, 2013. "Fifty Years of Family Planning: New Evidence on the Long-Run Effects of Increasing Access to Contraception," Brookings Papers on Economic Activity, Economic Studies Program, The Brookings Institution, vol. 44(1 (Spring), pages 341-409.
    4. Clarke, Damian, 2023. "The Economics of Abortion Policy," IZA Discussion Papers 16395, Institute of Labor Economics (IZA).
    5. Caitlin Knowles Myers, 2022. "Confidential and legal access to abortion and contraception in the USA, 1960–2020," Journal of Population Economics, Springer;European Society for Population Economics, vol. 35(4), pages 1385-1441, October.
    6. Nina Brooks & Tom Zohar, 2021. "Out of Labor and Into the Labor Force? The Role of Abortion Access, Social Stigma, and Financial Constraints," Working Papers wp2021_2111, CEMFI.
    7. Clarke, Damian & Mühlrad, Hanna, 2021. "Abortion laws and women’s health," Journal of Health Economics, Elsevier, vol. 76(C).
    8. Mølland, Eirin, 2016. "Benefits from delay? The effect of abortion availability on young women and their children," Labour Economics, Elsevier, vol. 43(C), pages 6-28.
    9. Bellido, Héctor & Marcén, Miriam, 2014. "Divorce laws and fertility," Labour Economics, Elsevier, vol. 27(C), pages 56-70.
    10. Sen, Bisakha & Wingate, Martha Slay & Kirby, Russell, 2012. "The relationship between state abortion-restrictions and homicide deaths among children under 5 years of age: A longitudinal study," Social Science & Medicine, Elsevier, vol. 75(1), pages 156-164.
    11. Angelini, Viola & Bertoni, Marco & Stella, Luca & Weiss, Christoph T., 2019. "The ant or the grasshopper? The long-term consequences of Unilateral Divorce Laws on savings of European households," European Economic Review, Elsevier, vol. 119(C), pages 97-113.
    12. Myers, Caitlin Knowles, 2022. "Confidential and legal access to abortion and contraception in the United States, 1960-2020," GLO Discussion Paper Series 1073, Global Labor Organization (GLO).
    13. Sarah Miller & Laura R. Wherry & Diana Greene Foster, 2023. "The Economic Consequences of Being Denied an Abortion," American Economic Journal: Economic Policy, American Economic Association, vol. 15(1), pages 394-437, February.
    14. 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.
    15. Yang Chen & Trevon D. Logan, 2020. "Is the Best Interest of the Child Best for Children? Educational Attainment and Child Custody Assignment," Southern Economic Journal, John Wiley & Sons, vol. 86(3), pages 1041-1080, January.
    16. 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.
    17. Steingrimsdottir, Herdis, 2020. "The decreased popularity of the teaching sector in the 1970s," Economics of Education Review, Elsevier, vol. 74(C).
    18. Edlund, Lena & Machado, Cecilia, 2011. "Pill Power: The Prequel," IZA Discussion Papers 5468, Institute of Labor Economics (IZA).
    19. Fischer, Stefanie & Royer, Heather & White, Corey, 2018. "The impacts of reduced access to abortion and family planning services on abortions, births, and contraceptive purchases," Journal of Public Economics, Elsevier, vol. 167(C), pages 43-68.

    More about this item

    Keywords

    abortion; legal abortion; maternal mortality; Roe v. Wade; maternal health;
    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
    • K38 - Law and Economics - - Other Substantive Areas of Law - - - Human Rights Law; Gender Law; Animal Rights Law
    • H75 - Public Economics - - State and Local Government; Intergovernmental Relations - - - State and Local Government: Health, Education, and Welfare

    NEP fields

    This paper has been announced in the following NEP Reports:

    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:iza:izadps:dp15657. 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: Holger Hinte (email available below). General contact details of provider: https://edirc.repec.org/data/izaaade.html .

    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.