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The Impact of Abortion Legalization on Fertility and Maternal Mortality: New Evidence from Mexico

Author

Listed:
  • Damian Clarke

    (Department of Economics, Universidad de Santiago de Chile)

  • Hanna Muehlrad

    (Department of Economics, University of Gothenburg)

Abstract

We examine the effect of a large-scale, free, elective abortion program implemented in Mexico City in 2007. Prior to this program, all states and districts in Mexico had very limited, or no, access to elective abortion. A localized reform in Mexico City resulted in a sharp increase in the request and use of early term elective abortions: approximately 90,000 abortions were administered by public health providers in the four years following the reform, versus only 62 in the five years preceding the reform. We provide evidence using national vital statistics data from Mexico covering over 23 million births and over 11,000 cases of maternal deaths. Our difference-in-difference estimates suggest that this program resulted in a reduction in births by 2.3 to 3.8% among women aged 15-44 and by 5.1 to 7.1% among teenage women (15-19 year-olds). Similar results are found for maternal mortality, for which we find a sharp fall in the rate of maternal deaths, by 8.8 to 16.2% for women aged 15-44 and by 14.9 to as much as 30.3% among teenagers. All told, the reform appears to increase the average age of women at first birth, and reduce the number of mothers giving birth at higher parities.

Suggested Citation

  • Damian Clarke & Hanna Muehlrad, 2016. "The Impact of Abortion Legalization on Fertility and Maternal Mortality: New Evidence from Mexico," CINCH Working Paper Series 1602, Universitaet Duisburg-Essen, Competent in Competition and Health, revised Feb 2016.
  • Handle: RePEc:duh:wpaper:1602
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    as
    1. Ivan Zilic, 2018. "Effect of forced displacement on health," Journal of the Royal Statistical Society Series A, Royal Statistical Society, vol. 181(3), pages 889-906, June.
    2. Joshua J. Robinson, 2014. "Sound Body, Sound Mind?," CINCH Working Paper Series 1403, Universitaet Duisburg-Essen, Competent in Competition and Health.
    3. Bhalotra, Sonia & Karlsson, Martin & Nilsson, Therese, 2014. "Life Expectancy and Mother-Baby Interventions. Evidence from A Historical Trial," Ruhr Economic Papers 504, RWI - Leibniz-Institut für Wirtschaftsforschung, Ruhr-University Bochum, TU Dortmund University, University of Duisburg-Essen.
    4. Yu Aoki & Lualhati Santiago, 2015. "Fertility, Health and Education of UK Immigrants: The Role of English Language Skills," CINCH Working Paper Series 1510, Universitaet Duisburg-Essen, Competent in Competition and Health, revised Aug 2015.
    5. Rodrigo Barros, 2008. "Wealthier But Not Much Healthier: Effects of a Health Insurance Program for the Poor in Mexico," Discussion Papers 09-002, Stanford Institute for Economic Policy Research.
    6. Pauline Rossi, 2019. "Strategic Choices in Polygamous Households: Theory and Evidence from Senegal," Review of Economic Studies, Oxford University Press, vol. 86(3), pages 1332-1370.
    7. Carbone, Jared C. & Kverndokk, Snorre, 2014. "Individual investments in education and health," HERO Online Working Paper Series 2014:1, University of Oslo, Health Economics Research Programme.
    8. Ainhoa Aparicio & Libertad González Luna, 2013. "Newborn health and the business cycle: Is it good to be born in bad times?," Economics Working Papers 1374, Department of Economics and Business, Universitat Pompeu Fabra, revised Mar 2014.
    9. Halla, Martin & Zweimüller, Martina, 2014. "Parental Response to Early Human Capital Shocks: Evidence from the Chernobyl Accident," IZA Discussion Papers 7968, Institute of Labor Economics (IZA).
    10. Miron Tequame & Nyasha Tirivayi, 2015. "Higher education and fertility: Evidence from a natural experiment in Ethiopia," CINCH Working Paper Series 1509, Universitaet Duisburg-Essen, Competent in Competition and Health, revised Aug 2015.
    11. Titus J. Galama & Hans van Kippersluis, 2015. "A Theory of Education and Health," CINCH Working Paper Series 1503, Universitaet Duisburg-Essen, Competent in Competition and Health, revised Mar 2015.
    12. Daniel A Kamhöfer & Hendrik Schmitz & Matthias Westphal, 2019. "Heterogeneity in Marginal Non-Monetary Returns to Higher Education," Journal of the European Economic Association, European Economic Association, vol. 17(1), pages 205-244.
    13. repec:zbw:rwirep:0504 is not listed on IDEAS
    14. Joan Costa-Font & Martin Karlsson & Henning Øien, 2015. "Informal Care and the Great Recession," CINCH Working Paper Series 1502, Universitaet Duisburg-Essen, Competent in Competition and Health, revised Feb 2015.
    15. de la Mata, Dolores & Gaviria, Carlos Felipe, 2015. "Losing health insurance when young: Impacts on usage of medical services and health," Research Department working papers 766, CAF Development Bank Of Latinamerica.
    16. Aoki, Yu & Santiago, Lualhati, 2015. "Education, Health and Fertility of UK Immigrants: The Role of English Language Skills," IZA Discussion Papers 9498, Institute of Labor Economics (IZA).
    17. Avdic, Danie, 2015. "A matter of life and death? Hospital distance and quality of care: evidence from emergency hospital closures and myocardial infarctions," Working Paper Series 2015:1, IFAU - Institute for Evaluation of Labour Market and Education Policy.
    18. Dahmann, Sarah C., 2017. "How does education improve cognitive skills? Instructional time versus timing of instruction," Labour Economics, Elsevier, vol. 47(C), pages 35-47.
    19. Damian Clarke & Hanna Muehlrad, 2016. "The Impact of Abortion Legalization on Fertility and Maternal Mortality: New Evidence from Mexico," CINCH Working Paper Series 1602, Universitaet Duisburg-Essen, Competent in Competition and Health, revised Feb 2016.
    20. Sosa-Rubí, Sandra G. & Galárraga, Omar & Harris, Jeffrey E., 2009. "Heterogeneous impact of the "Seguro Popular" program on the utilization of obstetrical services in Mexico, 2001-2006: A multinomial probit model with a discrete endogenous variable," Journal of Health Economics, Elsevier, vol. 28(1), pages 20-34, January.
    21. repec:jku:cdlwps:2015_08 is not listed on IDEAS
    22. Samantha B. Rawlings, 2015. "Parental education and child health: Evidence from an education reform in China," CINCH Working Paper Series 1511, Universitaet Duisburg-Essen, Competent in Competition and Health, revised Aug 2015.
    23. Jan Goebel & Christian Krekel & Tim Tiefenbach & Nicholas R. Ziebarth, 2014. "Natural Disaster, Environmental Concerns, Well-Being and Policy Action," CINCH Working Paper Series 1405, Universitaet Duisburg-Essen, Competent in Competition and Health.
    24. Pauline Rossi, 2016. "Strategic Choices in Polygamous Households: Theory and Evidence from Senegal," CINCH Working Paper Series 1601, Universitaet Duisburg-Essen, Competent in Competition and Health, revised Jan 2016.
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    Cited by:

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    2. Clarke, Damian & Mühlrad, Hanna, 2016. "The Impact of Abortion Legalization on Fertility and Maternal Mortality: New Evidence from Mexico," Working Papers in Economics 661, University of Gothenburg, Department of Economics.
    3. Elizabeth Lemmon, 2018. "Utilisation of personal care services in Scotland: the influence of unpaid carers," CINCH Working Paper Series 1802, Universitaet Duisburg-Essen, Competent in Competition and Health.
    4. Fischer, Martin & Karlsson, Martin & Prodromidis, Nikolaos, 2021. "Long‐term Effects of Hospital Deliveries," CINCH Working Paper Series (since 2020) 74712, Duisburg-Essen University Library, DuEPublico.

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    More about this item

    JEL classification:

    • J13 - Labor and Demographic Economics - - Demographic Economics - - - Fertility; Family Planning; Child Care; Children; Youth
    • I15 - Health, Education, and Welfare - - Health - - - Health and Economic Development
    • I18 - Health, Education, and Welfare - - Health - - - Government Policy; Regulation; Public Health
    • O15 - Economic Development, Innovation, Technological Change, and Growth - - Economic Development - - - Economic Development: Human Resources; Human Development; Income Distribution; Migration

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