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Family planning funding cuts and teen childbearing

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  • Packham, Analisa

Abstract

Publicly funded family planning clinics provide low-cost and free contraception to nearly 1.5 million teens each year. In recent years, several states have considered legislation to defund family planning services, although little is known about how these cuts affect teen pregnancy. This paper fills this knowledge gap by exploiting a policy change in Texas that reduced funding for family planning services by 67% and resulted in over 80 clinic closures. I estimate the effects of the funding cuts on teen health outcomes using a difference-in-differences approach that compares the changes in teen birth rates in Texas counties that lost family planning funding to changes in counties outside of Texas with publicly funded clinics. I find that reducing funding for family planning services in Texas increased teen birth rates by approximately 3.4% over four years with effects concentrated 2–3 years after the initial cuts.

Suggested Citation

  • Packham, Analisa, 2017. "Family planning funding cuts and teen childbearing," Journal of Health Economics, Elsevier, vol. 55(C), pages 168-185.
    • Handle: RePEc:eee:jhecon:v:55:y:2017:i:c:p:168-185
    DOI: 10.1016/j.jhealeco.2017.07.002
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    1. James J. Heckman & Hidehiko Ichimura & Petra E. Todd, 1997. "Matching As An Econometric Evaluation Estimator: Evidence from Evaluating a Job Training Programme," The Review of Economic Studies, Review of Economic Studies Ltd, vol. 64(4), pages 605-654.
    2. 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.
    3. 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.
    4. Andrew Zuppann, 2011. "The Impact of Emergency Contraception on Dating and Marriage," Working Papers 201310815, Department of Economics, University of Houston.
    5. Marianne Bertrand & Esther Duflo & Sendhil Mullainathan, 2004. "How Much Should We Trust Differences-In-Differences Estimates?," The Quarterly Journal of Economics, President and Fellows of Harvard College, vol. 119(1), pages 249-275.
    6. 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.
    7. Bronars, Stephen G & Grogger, Jeff, 1994. "The Economic Consequences of Unwed Motherhood: Using Twin Births as a Natural Experiment," American Economic Review, American Economic Association, vol. 84(5), pages 1141-1156, December.
    8. Gary Solon & Steven J. Haider & Jeffrey M. Wooldridge, 2015. "What Are We Weighting For?," Journal of Human Resources, University of Wisconsin Press, vol. 50(2), pages 301-316.
    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. 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.
    11. 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.
    12. 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.
    13. 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.
    14. 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.
    15. Myers, Caitlin Knowles, 2012. "Power of the Pill or Power of Abortion? Re-Examining the Effects of Young Women's Access to Reproductive Control," IZA Discussion Papers 6661, Institute of Labor Economics (IZA).
    16. Arline T. Geronimus & Sanders Korenman, 1992. "The Socioeconomic Consequences of Teen Childbearing Reconsidered," The Quarterly Journal of Economics, President and Fellows of Harvard College, vol. 107(4), pages 1187-1214.
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    Cited by:

    1. Hill, Elaine L. & Slusky, David J.G. & Ginther, Donna K., 2019. "Reproductive health care in Catholic-owned hospitals," Journal of Health Economics, Elsevier, vol. 65(C), pages 48-62.
    2. Andersen, Martin & Bryan, Sylvia & Slusky, David, 2020. "COVID-19 Surgical Abortion Restriction Did Not Reduce Visits to Abortion Clinics," IZA Discussion Papers 13832, Institute of Labor Economics (IZA).
    3. 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.
    4. 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).
    5. Fischer, Stefanie & Royer, Heather & White, Corey, 2018. "The impacts of reduced access to abortion and family planning services on abortions, births, and contraceptive purchases," Journal of Public Economics, Elsevier, vol. 167(C), pages 43-68.
    6. Martha J. Bailey & Vanessa Wanner Lang & Alexa Prettyman & Iris Vrioni & Lea J. Bart & Daniel Eisenberg & Paula Fomby & Jennifer Barber & Vanessa Dalton, 2023. "How Costs Limit Contraceptive Use among Low-Income Women in the U.S.: A Randomized Control Trial," NBER Working Papers 31397, National Bureau of Economic Research, Inc.
    7. Zuleika Ferre & Patricia Triunfo & José‐Ignacio Antón, 2023. "Subdermal contraceptive implants and repeat teenage motherhood: Evidence from a major maternity hospital‐based program in Uruguay," Health Economics, John Wiley & Sons, Ltd., vol. 32(12), pages 2679-2693, December.
    8. Jones, Kelly M. & Pineda-Torres, Mayra, 2024. "TRAP’d Teens: Impacts of abortion provider regulations on fertility & education," Journal of Public Economics, Elsevier, vol. 234(C).
    9. Stefanie Fischer & Heather Royer & Corey White, 2017. "The Impacts of Reduced Access to Abortion and Family Planning Services: Evidence from Texas," Working Papers 1705, California Polytechnic State University, Department of Economics.
    10. Joanna Venator & Jason Fletcher, 2021. "Undue Burden Beyond Texas: An Analysis of Abortion Clinic Closures, Births, and Abortions in Wisconsin," Journal of Policy Analysis and Management, John Wiley & Sons, Ltd., vol. 40(3), pages 774-813, June.
    11. 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.
    12. 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.
    13. 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.
    14. Nina Brooks & Tom Zohar, 2021. "Out of Labor and Into the Labor Force? The Role of Abortion Access, Social Stigma, and Financial Constraints," Working Papers wp2021_2111, CEMFI.
    15. Martin Andersen & Sylvia Bryan & David Slusky, 2020. "COVID-19 Restrictions Reduced Abortion Clinic Visits, Even in Blue States," NBER Working Papers 28058, National Bureau of Economic Research, Inc.
    16. Anand, Priyanka & Kahn, Lisa B., 2024. "The effect of a peer’s teen pregnancy on sexual behavior," Journal of Health Economics, Elsevier, vol. 96(C).
    17. Omar Galárraga & Jeffrey E. Harris, 2019. "Effect of an Abrupt Change in Sexual and Reproductive Health Policy on Adolescent Birth Rates in Ecuador, 2008–2017," NBER Working Papers 26044, National Bureau of Economic Research, Inc.
    18. Lili Huang & Qingyi Gao & Jiachen Fan & Jingwen Zhu & Zhenmu Hong, 2024. "Export stability and adolescent fertility rate," Journal of International Development, John Wiley & Sons, Ltd., vol. 36(3), pages 1675-1706, April.
    19. Galárraga, Omar & Harris, Jeffrey E., 2021. "Effect of an abrupt change in sexual and reproductive health policy on teen birth rates in Ecuador, 2008–2017," Economics & Human Biology, Elsevier, vol. 41(C).

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