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Evaluating the Effect of San Francisco’s Paid Parental Leave Ordinance on Birth Outcomes

Author

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  • Deborah Karasek

    (Department of Obstetrics, Gynecology & Reproductive Sciences, University of California, San Francisco, CA 94143, USA)

  • Sarah Raifman

    (Department of Epidemiology and Biostatistics, University of California, San Francisco, CA 94158, USA)

  • William H. Dow

    (School of Public Health, University of California, Berkeley, CA 94720, USA)

  • Rita Hamad

    (Department of Family and Community Medicine, University of California, San Francisco, CA 94143, USA)

  • Julia M. Goodman

    (Oregon Health & Science University—Portland State University School of Public Health, Portland, OR 97201, USA)

Abstract

Since 2017, San Francisco’s Paid Parental Leave Ordinance (PPLO) has allowed parents who work for private-sector employers to take 6 weeks of fully paid postnatal parental leave. Previous studies have linked paid parental leave with health improvements for birthing people and babies, although evidence for birth outcomes is limited. We hypothesized that the PPLO may have improved birth outcomes via reduced stress during pregnancy due to anticipation of increased financial security and postnatal leave. We used linked California birth certificate and hospital discharge records from January 2013 to December 2018 ( n = 1,420,781). We used quasi-experimental difference-in-difference (DD) models to compare outcomes among SF births before and after PPLO to outcomes among births in control counties. Births from January 2017 through December 2018 among working San Francisco (SF) people were considered “exposed” to PPLO; births during this time among working people outside of SF, as well as all births before 2017, served as controls. We conducted subgroup analyses by race/ethnicity, education and Medicaid coverage at delivery. Overall analyses adjusting for covariates and indicators for time and seasonality indicated no association between PPLO and birth outcomes. Our results indicate that PPLO may not have affected the birth outcomes we examined among marginalized groups who, due to structural racism, are at heightened risk of poor outcomes. We speculate that this result is due to the PPLO’s design and focus on postnatal leave. Future work should examine the policy’s effects on other outcomes.

Suggested Citation

  • Deborah Karasek & Sarah Raifman & William H. Dow & Rita Hamad & Julia M. Goodman, 2022. "Evaluating the Effect of San Francisco’s Paid Parental Leave Ordinance on Birth Outcomes," IJERPH, MDPI, vol. 19(19), pages 1-12, September.
    • Handle: RePEc:gam:jijerp:v:19:y:2022:i:19:p:11962-:d:921581
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    References listed on IDEAS

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    1. Wen-Jui Han & Christopher Ruhm & Jane Waldfogel, 2009. "Parental leave policies and parents' employment and leave-taking," Journal of Policy Analysis and Management, John Wiley & Sons, Ltd., vol. 28(1), pages 29-54.
    2. Arijit Nandi & Mohammad Hajizadeh & Sam Harper & Alissa Koski & Erin C Strumpf & Jody Heymann, 2016. "Increased Duration of Paid Maternity Leave Lowers Infant Mortality in Low- and Middle-Income Countries: A Quasi-Experimental Study," PLOS Medicine, Public Library of Science, vol. 13(3), pages 1-18, March.
    3. Stefano DellaVigna, 2009. "Psychology and Economics: Evidence from the Field," Journal of Economic Literature, American Economic Association, vol. 47(2), pages 315-372, June.
    4. Aitken, Zoe & Garrett, Cameryn C. & Hewitt, Belinda & Keogh, Louise & Hocking, Jane S. & Kavanagh, Anne M., 2015. "The maternal health outcomes of paid maternity leave: A systematic review," Social Science & Medicine, Elsevier, vol. 130(C), pages 32-41.
    5. Baker, Michael & Milligan, Kevin, 2008. "Maternal employment, breastfeeding, and health: Evidence from maternity leave mandates," Journal of Health Economics, Elsevier, vol. 27(4), pages 871-887, July.
    6. Stearns, Jenna, 2015. "The effects of paid maternity leave: Evidence from Temporary Disability Insurance," Journal of Health Economics, Elsevier, vol. 43(C), pages 85-102.
    7. Lee, Bethany C. & Modrek, Sepideh & White, Justin S. & Batra, Akansha & Collin, Daniel F. & Hamad, Rita, 2020. "The effect of California's paid family leave policy on parent health: A quasi-experimental study," Social Science & Medicine, Elsevier, vol. 251(C).
    8. Rossin, Maya, 2011. "The effects of maternity leave on children's birth and infant health outcomes in the United States," Journal of Health Economics, Elsevier, vol. 30(2), pages 221-239, March.
    9. Ahmed, Salma & Fielding, David, 2019. "Changes in maternity leave coverage: Implications for fertility, labour force participation and child mortality," Social Science & Medicine, Elsevier, vol. 241(C).
    10. 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.
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    Cited by:

    1. Emily Q. Ahonen & Megan R. Winkler & Anjum Hajat, 2022. "Work, Health, and the Ongoing Pursuit of Health Equity," IJERPH, MDPI, vol. 19(21), pages 1-4, October.

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