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The Impact of Women's Health Clinic Closures on Preventive Care


  • Yao Lu
  • David J. G. Slusky


We examine the impact of women's health clinic closures on women's preventive care use in Texas and Wisconsin using a unique policy context, data on clinic street addresses, and confidential respondent ZIP codes from the Behavioral Risk Factor Surveillance System. From a within-ZIP-code analysis, we conclude that an increase of 100 miles to the nearest clinic results in a decrease in the annual utilization rate of a clinical breast exam by 11 percent, a mammogram by 18 percent, and a Pap test by 14 percent. These estimates are generally larger for women of lower educational attainment.

Suggested Citation

  • Yao Lu & David J. G. Slusky, 2016. "The Impact of Women's Health Clinic Closures on Preventive Care," American Economic Journal: Applied Economics, American Economic Association, vol. 8(3), pages 100-124, July.
  • Handle: RePEc:aea:aejapp:v:8:y:2016:i:3:p:100-124
    Note: DOI: 10.1257/app.20140405

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    Blog mentions

    As found by, the blog aggregator for Economics research:
    1. Chris Sampson’s journal round-up for 25th July 2016
      by Chris Sampson in The Academic Health Economists' Blog on 2016-07-25 16:00:26


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

    Cited by:

    1. Slusky, David J.G., 2017. "Defunding women’s health clinics exacerbates Hispanic disparity in preventive care," Economics Letters, Elsevier, vol. 156(C), pages 61-64.
    2. Martin Andersen & Sylvia Bryan & David Slusky, 2020. "COVID-19 Surgical Abortion Restriction Did Not Reduce Visits to Abortion Clinics," NBER Working Papers 28058, National Bureau of Economic Research, Inc.
    3. Tamara Bischof & Boris Kaiser, 2019. "Who Cares When You Close Down? The Effects of Primary Care Practice Closures on Patients," Diskussionsschriften dp1907, Universitaet Bern, Departement Volkswirtschaft.
    4. Liran Einav & Amy Finkelstein & Tamar Oostrom & Abigail Ostriker & Heidi Williams, 2020. "Screening and Selection: The Case of Mammograms," American Economic Review, American Economic Association, vol. 110(12), pages 3836-3870, December.
    5. S. Balia & R. Brau & D. Moro, 2018. "Hospital choice with high long-distance mobility," Working Paper CRENoS 201810, Centre for North South Economic Research, University of Cagliari and Sassari, Sardinia.
    6. Jason M. Lindo & Caitlin Knowles Myers & Andrea Schlosser & Scott Cunningham, 2020. "How Far Is Too Far? New Evidence on Abortion Clinic Closures, Access, and Abortions," Journal of Human Resources, University of Wisconsin Press, vol. 55(4), pages 1137-1160.
    7. Bruna Morais Guidetti & Paula Carvalho Pereda, Edson Roberto Severnini, 2021. "Health Shocks under Hospital Capacity Constraints: Evidence from Air Pollution in São Paulo, Brazil," Working Papers, Department of Economics 2021_05, University of São Paulo (FEA-USP).
    8. 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.
    9. Balia, Silvia & Brau, Rinaldo & Moro, Daniela, 2020. "Choice of hospital and long-distances: Evidence from Italy," Regional Science and Urban Economics, Elsevier, vol. 81(C).
    10. Guidetti, Bruna & Pereda, Paula & Severnini, Edson R., 2020. "Health Shocks under Hospital Capacity Constraint: Evidence from Air Pollution in Sao Paulo, Brazil," IZA Discussion Papers 13211, Institute of Labor Economics (IZA).

    More about this item

    JEL classification:

    • H75 - Public Economics - - State and Local Government; Intergovernmental Relations - - - State and Local Government: Health, Education, and Welfare
    • I11 - Health, Education, and Welfare - - Health - - - Analysis of Health Care Markets
    • 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
    • J16 - Labor and Demographic Economics - - Demographic Economics - - - Economics of Gender; Non-labor Discrimination


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