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Abortion laws and women’s health

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  • Clarke, Damian
  • Mühlrad, Hanna

Abstract

We examine the impact of progressive and regressive abortion legislation on women's health in Mexico. Following a 2007 reform in the Federal District of Mexico which decriminalised and subsidised early-term elective abortion, multiple other Mexican states increased sanctions on illegal abortion. We observe that the original legalisation resulted in a sharp decline in maternal morbidity, particularly morbidity due to haemorrhage early in pregnancy. We observe small or null impacts on women's health from increasing sanctions on illegal abortion. These results quantify the considerable improvements in non-mortal health outcomes flowing from legal access to abortion.

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  • Clarke, Damian & Mühlrad, Hanna, 2021. "Abortion laws and women’s health," Journal of Health Economics, Elsevier, vol. 76(C).
  • Handle: RePEc:eee:jhecon:v:76:y:2021:i:c:s0167629620310596
    DOI: 10.1016/j.jhealeco.2020.102413
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    1. Theodore Joyce & Robert Kaestner, 1996. "The effect of expansions in medicaid income eligibility on abortion," Demography, Springer;Population Association of America (PAA), vol. 33(2), pages 181-192, May.
    2. 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.
    3. Elizabeth Oltmans Ananat & Jonathan Gruber & Phillip Levine, 2007. "Abortion Legalization and Life-Cycle Fertility," Journal of Human Resources, University of Wisconsin Press, vol. 42(2).
    4. Simon Freyaldenhoven & Christian Hansen & Jesse M. Shapiro, 2019. "Pre-event Trends in the Panel Event-Study Design," American Economic Review, American Economic Association, vol. 109(9), pages 3307-3338, September.
    5. Clarke, Damian & Mühlrad, Hanna, 2021. "Abortion laws and women’s health," Journal of Health Economics, Elsevier, vol. 76(C).
    6. Jonathan Gruber & Phillip Levine & Douglas Staiger, 1999. "Abortion Legalization and Child Living Circumstances: Who is the "Marginal Child"?," The Quarterly Journal of Economics, President and Fellows of Harvard College, vol. 114(1), pages 263-291.
    7. Valente, Christine, 2014. "Access to abortion, investments in neonatal health, and sex-selection: Evidence from Nepal," Journal of Development Economics, Elsevier, vol. 107(C), pages 225-243.
    8. Elizabeth Oltmans Ananat & Jonathan Gruber & Phillip B. Levine & Douglas Staiger, 2009. "Abortion and Selection," The Review of Economics and Statistics, MIT Press, vol. 91(1), pages 124-136, February.
    9. Damian Clarke & Kathya Tapia-Schythe, 2021. "Implementing the panel event study," Stata Journal, StataCorp LP, vol. 21(4), pages 853-884, December.
    10. 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.
    11. 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.
    12. Justin Wolfers, 2006. "Did Unilateral Divorce Laws Raise Divorce Rates? A Reconciliation and New Results," American Economic Review, American Economic Association, vol. 96(5), pages 1802-1820, December.
    13. Joanna Lahey, 2014. "The Effect of Anti-Abortion Legislation on Nineteenth Century Fertility," Demography, Springer;Population Association of America (PAA), vol. 51(3), pages 939-948, June.
    14. Cook, Philip J. & Parnell, Allan M. & Moore, Michael J. & Pagnini, Deanna, 1999. "The effects of short-term variation in abortion funding on pregnancy outcomes," Journal of Health Economics, Elsevier, vol. 18(2), pages 241-257, April.
    15. Goldstein, P. & Stewart, G., 1972. "Trends in therapeutic abortion in San Francisco," American Journal of Public Health, American Public Health Association, vol. 62(5), pages 695-699.
    16. 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.
    17. 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.
    18. Becker, D. & Olavarrieta, C.D., 2013. "Decriminalization of abortion in Mexico City: The effects on women's reproductive rights," American Journal of Public Health, American Public Health Association, vol. 103(4), pages 590-593.
    19. Mitrut, Andreea & Wolff, François-Charles, 2011. "The impact of legalized abortion on child health outcomes and abandonment. Evidence from Romania," Journal of Health Economics, Elsevier, vol. 30(6), pages 1219-1231.
    20. Bracken, M.B. & Freeman Jr., D.H. & Hellenbrand, K., 1982. "Hospitalization for medical-legal and other abortions in the United States 1970-1977," American Journal of Public Health, American Public Health Association, vol. 72(1), pages 30-36.
    21. Andrew Goodman-Bacon, 2018. "Difference-in-Differences with Variation in Treatment Timing," NBER Working Papers 25018, National Bureau of Economic Research, Inc.
    22. Sonia Oreffice, 2007. "Did the legalization of abortion increase women’s household bargaining power? Evidence from labor supply," Review of Economics of the Household, Springer, vol. 5(2), pages 181-207, June.
    23. Joseph P. Romano & Michael Wolf, 2005. "Exact and Approximate Stepdown Methods for Multiple Hypothesis Testing," Journal of the American Statistical Association, American Statistical Association, vol. 100, pages 94-108, March.
    24. Yao Lu & David J. G. Slusky, 2019. "The Impact of Women's Health Clinic Closures on Fertility," American Journal of Health Economics, MIT Press, vol. 5(3), pages 334-359, Summer.
    25. 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.
    26. Suh, Siri, 2014. "Rewriting abortion: Deploying medical records in jurisdictional negotiation over a forbidden practice in Senegal," Social Science & Medicine, Elsevier, vol. 108(C), pages 20-33.
    27. 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.
    28. Eduardo Pérez‐Pérez & Edson Serván‐Mori & Gustavo Nigenda & Leticia Ávila‐Burgos & David Mayer‐Foulkes, 2019. "Government expenditure on health and maternal mortality in México: A spatial‐econometric analysis," International Journal of Health Planning and Management, Wiley Blackwell, vol. 34(2), pages 619-635, April.
    29. 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.
    30. Stephenson, P. & Wagner, M. & Badea, M. & Serbanescu, F., 1992. "Commentary: The public health consequences of restricted induced abortion - Lessons from Romania," American Journal of Public Health, American Public Health Association, vol. 82(10), pages 1328-1331.
    31. 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.
    32. 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.
    33. Levine, Phillip B. & Trainor, Amy B. & Zimmerman, David J., 1996. "The effect of Medicaid abortion funding restrictions on abortions, pregnancies and births," Journal of Health Economics, Elsevier, vol. 15(5), pages 555-578, October.
    34. 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.
    35. Román Rodríguez-Aguilar, 2018. "Maternal mortality in Mexico, beyond millennial development objectives: An age-period-cohort model," PLOS ONE, Public Library of Science, vol. 13(3), pages 1-17, March.
    36. John Bongaarts, 2016. "WHO , UNICEF , UNFPA , World Bank Group , and United Nations Population Division Trends in Maternal Mortality: 1990 to 2015 Geneva : World Health Organization , 2015 ," Population and Development Review, The Population Council, Inc., vol. 42(4), pages 726-726, December.
    37. Joshua D. Angrist & William N. Evans, 1996. "Schooling and Labor Market Consequences of the 1970 State Abortion Reforms," NBER Working Papers 5406, National Bureau of Economic Research, Inc.
    38. Cristian Pop-Eleches, 2010. "The Supply of Birth Control Methods, Education, and Fertility: Evidence from Romania," Journal of Human Resources, University of Wisconsin Press, vol. 45(4), pages 971-997.
    39. Pierre-André Chiappori & Sonia Oreffice, 2008. "Birth Control and Female Empowerment: An Equilibrium Analysis," Journal of Political Economy, University of Chicago Press, vol. 116(1), pages 113-140, February.
    40. Cristian Pop-Eleches, 2006. "The Impact of an Abortion Ban on Socioeconomic Outcomes of Children: Evidence from Romania," Journal of Political Economy, University of Chicago Press, vol. 114(4), pages 744-773, August.
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    Citations

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    Cited by:

    1. Clarke, Damian & Salinas, Viviana, 2020. "Access to The Emergency Contraceptive Pill Improves Women's Health: Evidence from Chile," IZA Discussion Papers 13134, Institute of Labor Economics (IZA).
    2. Ramm, Alejandra & Casas, Lidia & Correa, Sara & Baba, C. Finley & Biggs, M. Antonia, 2020. "“Obviously there is a conflict between confidentiality and what you are required to do by law”: Chilean university faculty and student perspectives on reporting unlawful abortions," Social Science & Medicine, Elsevier, vol. 261(C).
    3. Fernanda Marquez-Padilla & Biani Saavedra, 2022. "The unintended effects of the COVID-19 pandemic and stay-at-home orders on abortions," Journal of Population Economics, Springer;European Society for Population Economics, vol. 35(1), pages 269-305, January.
    4. Lena Janys & Bettina Siflinger, 2021. "Mental Health and Abortions among Young Women: Time-Varying Unobserved Heterogeneity, Health Behaviors, and Risky Decisions," ECONtribute Discussion Papers Series 083, University of Bonn and University of Cologne, Germany.
    5. Clarke, Damian & Mühlrad, Hanna, 2021. "Abortion laws and women’s health," Journal of Health Economics, Elsevier, vol. 76(C).
    6. Catia Nicodemo & Sonia Oreffice & Climent Quintana-Domeque, 2022. "Correlates of repeat abortions and their spacing: Evidence from registry data in Spain," Papers 2208.05567, arXiv.org, revised May 2023.
    7. Lena Janys & Bettina Siflinger, 2021. "Mental Health and Abortions among Young Women: Time-varying Unobserved Heterogeneity, Health Behaviors, and Risky Decisions," Papers 2103.12159, arXiv.org, revised May 2022.

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    More about this item

    Keywords

    Abortion; Maternal morbidity; Maternal mortality; Health care provision; Political economy; Legislative reform;
    All these keywords.

    JEL classification:

    • 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
    • K38 - Law and Economics - - Other Substantive Areas of Law - - - Human Rights Law; Gender Law; Animal Rights Law
    • H75 - Public Economics - - State and Local Government; Intergovernmental Relations - - - State and Local Government: Health, Education, and Welfare

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