IDEAS home Printed from https://ideas.repec.org/a/wly/jpamgt/v37y2018i3p464-492.html

The Incidental Fertility Effects of School Condom Distribution Programs

Author

Listed:
  • Kasey S. Buckles
  • Daniel M. Hungerman

Abstract

While the fertility effects of improving teenagers’ access to contraception are theoretically ambiguous, most empirical work has shown that access decreases teen fertility. In this paper, we consider the fertility effects of access to condoms—a method of contraception not considered in prior work. We exploit variation across counties and across time in teenagers’ exposure to condom distribution programs in schools. We find that access to condoms in schools increases teen fertility by about 12 percent. The results suggest that the effects of condom access varied significantly across different programs; the positive fertility estimates are driven by communities where condoms are provided without mandated counseling. Programs that mandated counseling have zero or negative fertility effects, but estimates on these counties are less robust across specifications.

Suggested Citation

  • 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.
    • Handle: RePEc:wly:jpamgt:v:37:y:2018:i:3:p:464-492
    DOI: 10.1002/pam.22060
    as

    Download full text from publisher

    File URL: https://doi.org/10.1002/pam.22060
    Download Restriction: no
    File URL: https://libkey.io/10.1002/pam.22060?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
    ---><---

    Other versions of this item:

    Citations

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


    Cited by:

    1. Abrahamsen, Signe A. & Ginja, Rita & Riise, Julie, 2021. "School Health Programs: Education, Health, and Welfare Dependency of Young Adults," IZA Discussion Papers 14546, IZA Network @ LISER.
    2. Andrew Beauchamp & Catherine R. Pakaluk, 2019. "The Paradox Of The Pill: Heterogeneous Effects Of Oral Contraceptive Access," Economic Inquiry, Western Economic Association International, vol. 57(2), pages 813-831, April.
    3. Michael F. Lovenheim & Randall Reback & Leigh Wedenoja, 2016. "How Does Access to Health Care Affect Teen Fertility and High School Dropout Rates? Evidence from School-based Health Centers," NBER Working Papers 22030, National Bureau of Economic Research, Inc.
    4. Acton, Riley & Imberman, Scott & Lovenheim, Michael, 2021. "Do Health Insurance Mandates Spillover to Education? Evidence from Michigan’s Autism Insurance Mandate," Journal of Health Economics, Elsevier, vol. 80(C).
    5. Catalina Herrera-Almanza & Aine Seitz McCarthy, 2025. "Strategic responses to disparities in spousal desired fertility: experimental evidence from rural Tanzania," Journal of Population Economics, Springer;European Society for Population Economics, vol. 38(4), pages 1-37, December.
    6. Rau, Tomás & Sarzosa, Miguel & Urzúa, Sergio, 2021. "The children of the missed pill," Journal of Health Economics, Elsevier, vol. 79(C).
    7. Alice Dominici & Lisen Arnheim Dahlström, 2025. "Targeting Vaccine Information Framing to Recipients' Education: A Randomized Trial," Health Economics, John Wiley & Sons, Ltd., vol. 34(12), pages 2317-2337, December.
    8. Herrera-Almanza, Catalina & McCarthey, Aine Seitz, "undated". "Disparities in Spousal Desired Fertility and Land Tenure Expectations: Experimental Evidence from Rural Tanzania," 2024 Allied Social Sciences Association (ASSA) Annual Meeting, January 5-7, 2024, San Antonio, Texas 339077, Agricultural and Applied Economics Association.
    9. Bailey, Martha J., 2022. "Economic opportunity begins with contraception: Comment on “Intergenerational Mobility Begins Before Birth” by Ananth Seshadri, Anson Zhou," Journal of Monetary Economics, Elsevier, vol. 129(C), pages 21-23.
    10. 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).
    11. Pfeifer, Gregor & Stockburger, Mirjam, 2023. "The morning after: Prescription-free access to emergency contraceptive pills," Journal of Health Economics, Elsevier, vol. 91(C).
    12. Herrera Catalina & E. Sahn David, 2017. "Working Paper 281 - Early Childbearing, School Attainment and Cognitive Skills," Working Paper Series 2398, African Development Bank.
    13. 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.
    14. 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.
    15. McAndrews, James J., 2020. "The case for cash," Latin American Journal of Central Banking (previously Monetaria), Elsevier, vol. 1(1).
    16. Martha J. Bailey & Emilia Brito Rebolledo & Deniz Gorgulu & Kelsey Figone & Vanessa W. Lang & Alexa Prettyman & Vanessa Dalton, 2025. "Does Increasing Financial Access to Contraception in the U.S. Reduce Undesired Pregnancies? Evidence from the M-CARES Randomized Control Trial at Two Years," NBER Working Papers 34400, National Bureau of Economic Research, Inc.
    17. repec:jpe:journl:1715 is not listed on IDEAS
    18. Spencer, Melissa K., 2024. "Safer sex? The effect of AIDS risk on birth rates," Journal of Health Economics, Elsevier, vol. 95(C).
    19. Kylie L Anglin & Vivian C Wong & Coady Wing & Kate Miller-Bains & Kevin McConeghy, 2023. "The validity of causal claims with repeated measures designs: A within-study comparison evaluation of differences-in-differences and the comparative interrupted time series," Evaluation Review, , vol. 47(5), pages 895-931, October.
    20. 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.
    21. 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.

    More about this item

    JEL classification:

    • J13 - Labor and Demographic Economics - - Demographic Economics - - - Fertility; Family Planning; Child Care; Children; Youth

    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:jpamgt:v:37:y:2018:i:3:p:464-492. 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.

    We have no bibliographic references for this item. You can help adding them by using 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/journal/34787/home .

    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.