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The effect of spending cuts on teen pregnancy

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  • Paton, David
  • Wright, Liam

Abstract

In recent years, English local authorities have been forced to make significant cuts to devolved expenditure. In this paper, we examine the impact of reductions in local expenditure on one particular public health target: reducing rates of teen pregnancy. Contrary to predictions made at the time of the cuts, panel data estimates provide no evidence that areas which reduced expenditure the most have experienced relative increases in teenage pregnancy rates. Rather, expenditure cuts are associated with small reductions in teen pregnancy rates, a result which is robust to a number of alternative specifications and tests for causality. Underlying socio-economic factors such as education outcomes and alcohol consumption are found to be significant predictors of teen pregnancy.

Suggested Citation

  • Paton, David & Wright, Liam, 2017. "The effect of spending cuts on teen pregnancy," Journal of Health Economics, Elsevier, vol. 54(C), pages 135-146.
    • Handle: RePEc:eee:jhecon:v:54:y:2017:i:c:p:135-146
    DOI: 10.1016/j.jhealeco.2017.05.002
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    References listed on IDEAS

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    5. Akers, Aletha Y. & Muhammad, Melvin R. & Corbie-Smith, Giselle, 2011. ""When you got nothing to do, you do somebody": A community's perceptions of neighborhood effects on adolescent sexual behaviors," Social Science & Medicine, Elsevier, vol. 72(1), pages 91-99, January.
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    7. Girma, Sourafel & Paton, David, 2011. "The impact of emergency birth control on teen pregnancy and STIs," Journal of Health Economics, Elsevier, vol. 30(2), pages 373-380, March.
    8. Karen Mulligan, 2016. "Access to Emergency Contraception and its Impact on Fertility and Sexual Behavior," Health Economics, John Wiley & Sons, Ltd., vol. 25(4), pages 455-469, April.
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    Cited by:

    1. Sandner, Malte, 2019. "Effects of early childhood intervention on fertility and maternal employment: Evidence from a randomized controlled trial," Journal of Health Economics, Elsevier, vol. 63(C), pages 159-181.
    2. Andrew J Baxter, Mr & Dundas, Ms Ruth & Popham, Dr Frank & Craig, Dr Peter, 2021. "How effective was England's teenage pregnancy strategy? A comparative analysis of high-income countries," Social Science & Medicine, Elsevier, vol. 270(C).

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    More about this item

    Keywords

    Spending cuts; Teen pregnancy; Conceptions; Abortion;
    All these keywords.

    JEL classification:

    • H72 - Public Economics - - State and Local Government; Intergovernmental Relations - - - State and Local Budget and Expenditures
    • 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

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