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The Impacts of Reduced Access to Abortion and Family Planning Services on Abortion, Births, and Contraceptive Purchases

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  • Stefanie Fischer
  • Heather Royer
  • Corey White

Abstract

Between 2011 and 2014, Texas enacted three pieces of legislation that significantly reduced funding for family planning services and increased restrictions on abortion clinic operations. Together this legislation creates cross-county variation in access to abortion and family planning services, which we leverage to understand the impact of family planning and abortion clinic access on abortions, births, and contraceptive purchases. In response to these policies, abortions to Texas residents fell 20.5% and births rose 2.6% in counties that no longer had an abortion provider within 50 miles. Changes in the family planning market induced a 1.5% increase in births for counties that no longer had a publicly funded family planning clinic within 25 miles. Meanwhile, responses of retail purchases of condoms and emergency contraceptives to both abortion and family planning service changes were minimal.

Suggested Citation

  • Stefanie Fischer & Heather Royer & Corey White, 2017. "The Impacts of Reduced Access to Abortion and Family Planning Services on Abortion, Births, and Contraceptive Purchases," NBER Working Papers 23634, National Bureau of Economic Research, Inc.
    • Handle: RePEc:nbr:nberwo:23634
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    1. Cameron,A. Colin & Trivedi,Pravin K., 2013. "Regression Analysis of Count Data," Cambridge Books, Cambridge University Press, number 9781107667273, September.
    2. Packham, Analisa, 2017. "Family planning funding cuts and teen childbearing," Journal of Health Economics, Elsevier, vol. 55(C), pages 168-185.
    3. Colman, Silvie & Dee, Thomas S. & Joyce, Ted, 2013. "Do parental involvement laws deter risky teen sex?," Journal of Health Economics, Elsevier, vol. 32(5), pages 873-880.
    4. Lahey, Joanna N., 2014. "Birthing a Nation: The Effect of Fertility Control Access on the Nineteenth-Century Demographic Transition," The Journal of Economic History, Cambridge University Press, vol. 74(2), pages 482-508, June.
    5. 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.
    6. White, K. & Hopkins, K. & Aiken, A.R.A. & Stevenson, A. & Hubert, C. & Grossman, D. & Potter, J.E., 2015. "The impact of reproductive health legislation on family planning clinic services in Texas," American Journal of Public Health, American Public Health Association, vol. 105(5), pages 851-858.
    7. Stephen G. Donald & Kevin Lang, 2007. "Inference with Difference-in-Differences and Other Panel Data," The Review of Economics and Statistics, MIT Press, vol. 89(2), pages 221-233, May.
    8. Tal Gross & Jeanne Lafortune & Corinne Low, 2014. "What Happens the Morning After? The Costs and Benefits of Expanding Access to Emergency Contraception," Journal of Policy Analysis and Management, John Wiley & Sons, Ltd., vol. 33(1), pages 70-93, January.
    9. Melissa S. Kearney & Phillip B. Levine, 2009. "Subsidized Contraception, Fertility, and Sexual Behavior," The Review of Economics and Statistics, MIT Press, vol. 91(1), pages 137-151, February.
    10. Mireille Jacobson & Heather Royer, 2011. "Aftershocks: The Impact of Clinic Violence on Abortion Services," American Economic Journal: Applied Economics, American Economic Association, vol. 3(1), pages 189-223, January.
    11. Levine, Phillip B., 2003. "Parental involvement laws and fertility behavior," Journal of Health Economics, Elsevier, vol. 22(5), pages 861-878, September.
    12. Joyce, Theodore & Kaestner, Robert, 1996. "State reproductive policies and adolescent pregnancy resolution: The case of parental involvement laws," Journal of Health Economics, Elsevier, vol. 15(5), pages 579-607, October.
    13. Elizabeth Oltmans Ananat & Daniel M. Hungerman, 2012. "The Power of the Pill for the Next Generation: Oral Contraception's Effects on Fertility, Abortion, and Maternal and Child Characteristics," The Review of Economics and Statistics, MIT Press, vol. 94(1), pages 37-51, February.
    14. 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.
    15. Martha J. Bailey, 2012. "Reexamining the Impact of Family Planning Programs on US Fertility: Evidence from the War on Poverty and the Early Years of Title X," American Economic Journal: Applied Economics, American Economic Association, vol. 4(2), pages 62-97, April.
    16. John A. List & Azeem M. Shaikh & Yang Xu, 2019. "Multiple hypothesis testing in experimental economics," Experimental Economics, Springer;Economic Science Association, vol. 22(4), pages 773-793, December.
    17. Wooldridge, Jeffrey M., 1999. "Distribution-free estimation of some nonlinear panel data models," Journal of Econometrics, Elsevier, vol. 90(1), pages 77-97, May.
    18. Yao Lu & David J. G. Slusky, 2019. "The Impact of Women's Health Clinic Closures on Fertility," American Journal of Health Economics, University of Chicago Press, vol. 5(3), pages 334-359, Summer.
    19. Abadie, Alberto & Diamond, Alexis & Hainmueller, Jens, 2010. "Synthetic Control Methods for Comparative Case Studies: Estimating the Effect of California’s Tobacco Control Program," Journal of the American Statistical Association, American Statistical Association, vol. 105(490), pages 493-505.
    20. Sabia, Joseph J. & Anderson, D. Mark, 2016. "The effect of parental involvement laws on teen birth control use," Journal of Health Economics, Elsevier, vol. 45(C), pages 55-62.
    21. 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.
    22. Jason M. Lindo & Analisa Packham, 2017. "How Much Can Expanding Access to Long-Acting Reversible Contraceptives Reduce Teen Birth Rates?," American Economic Journal: Economic Policy, American Economic Association, vol. 9(3), pages 348-376, August.
    23. Buchmueller, Thomas C. & Jacobson, Mireille & Wold, Cheryl, 2006. "How far to the hospital?: The effect of hospital closures on access to care," Journal of Health Economics, Elsevier, vol. 25(4), pages 740-761, July.
    24. Sylvain Weber & Martin Péclat, 2016. "GEOROUTE: Stata module to calculate travel distance and travel time between two addresses or two geographical points," Statistical Software Components S458264, Boston College Department of Economics, revised 21 Jun 2024.
    25. Phillip B. Levine, 2001. "The Sexual Activity and Birth-Control Use of American Teenagers," NBER Chapters, in: Risky Behavior among Youths: An Economic Analysis, pages 167-218, National Bureau of Economic Research, Inc.
    26. Caitlin Knowles Myers, 2017. "The Power of Abortion Policy: Reexamining the Effects of Young Women’s Access to Reproductive Control," Journal of Political Economy, University of Chicago Press, vol. 125(6), pages 2178-2224.
    27. Soohyung Lee & Azeem M. Shaikh, 2014. "Multiple Testing And Heterogeneous Treatment Effects: Re‐Evaluating The Effect Of Progresa On School Enrollment," Journal of Applied Econometrics, John Wiley & Sons, Ltd., vol. 29(4), pages 612-626, June.
    28. Averett, S.L. & Rees, D.I. & Argys, L.M., 2002. "The impact of government policies and neighborhood characteristics on teenage sexual activity and contraceptive use," American Journal of Public Health, American Public Health Association, vol. 92(11), pages 1773-1778.
    29. 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.
    30. Martha J. Bailey, 2010. ""Momma's Got the Pill": How Anthony Comstock and Griswold v. Connecticut Shaped US Childbearing," American Economic Review, American Economic Association, vol. 100(1), pages 98-129, March.
    31. George A. Akerlof & Janet L. Yellen & Michael L. Katz, 1996. "An Analysis of Out-of-Wedlock Childbearing in the United States," The Quarterly Journal of Economics, President and Fellows of Harvard College, vol. 111(2), pages 277-317.
    32. 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.
    33. 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.
    34. 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.
    35. 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, President and Fellows of Harvard College, vol. 121(1), pages 289-320.
    36. John Cawley & David Frisvold, 2015. "The Incidence of Taxes on Sugar-Sweetened Beverages: The Case of Berkeley, California," NBER Working Papers 21465, National Bureau of Economic Research, Inc.
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    More about this item

    JEL classification:

    • I18 - Health, Education, and Welfare - - Health - - - Government Policy; Regulation; Public Health
    • I38 - Health, Education, and Welfare - - Welfare, Well-Being, and Poverty - - - Government Programs; Provision and Effects of Welfare Programs
    • J08 - Labor and Demographic Economics - - General - - - Labor Economics Policies
    • J13 - Labor and Demographic Economics - - Demographic Economics - - - Fertility; Family Planning; Child Care; Children; Youth
    • J18 - Labor and Demographic Economics - - Demographic Economics - - - Public Policy

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