IDEAS home Printed from https://ideas.repec.org/a/wly/hlthec/v12y2003i6p453-464.html
   My bibliography  Save this article

A preliminary investigation of the effects of restrictions on Medicaid funding for abortions on female STD rates

Author

Listed:
  • Bisakha Sen

Abstract

There is evidence in the economics literature that restrictions on Medicaid funding for abortion reduces the demand for abortion. The unresolved question is whether such restrictions also increase safe sex (that is, pregnancy avoidance) behavior among women. This study explores that issue using state‐level gonorrhea rates among women for 1975–1995. The rationale is that sexual behavior that leads to greater risk of accidental pregnancies is likely to be highly correlated with sexual behavior leading to greater risk of STD infection. Since gonorrhea has an incubation period of about a week, and is transmitted almost exclusively through sexual intercourse, a change in sexual behavior should soon be followed by a change in gonorrhea rates. The study used a partial adjustment model with lagged‐dependent variables estimated using Arellano‐Bond's GMM method. Results fail to find any statistically significant evidence that Medicaid funding restrictions are effective in reducing gonorrhea rates. This finding is robust to a variety of alternate specifications and tests. This suggests that restrictions on Medicaid funding for abortion fail to promote safe sex behavior among women. Copyright © 2002 John Wiley & Sons, Ltd.

Suggested Citation

  • Bisakha Sen, 2003. "A preliminary investigation of the effects of restrictions on Medicaid funding for abortions on female STD rates," Health Economics, John Wiley & Sons, Ltd., vol. 12(6), pages 453-464, June.
    • Handle: RePEc:wly:hlthec:v:12:y:2003:i:6:p:453-464
    DOI: 10.1002/hec.740
    as

    Download full text from publisher

    File URL: https://doi.org/10.1002/hec.740
    Download Restriction: no
    File URL: https://libkey.io/10.1002/hec.740?utm_source=ideas
    LibKey link: if access is restricted and if your library uses this service, LibKey will redirect you to where you can use your library subscription to access this item
    ---><---

    Other versions of this item:

    References listed on IDEAS

    as
    1. 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.
    2. Deborah Haas-Wilson, 1996. "The Impact of State Abortion Restrictions on Minors' Demand for Abortions," Journal of Human Resources, University of Wisconsin Press, vol. 31(1), pages 140-158.
    3. Lundberg, Shelly & Plotnick, Robert D, 1995. "Adolescent Premarital Childbearing: Do Economic Incentives Matter?," Journal of Labor Economics, University of Chicago Press, vol. 13(2), pages 177-200, April.
    4. 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.
    5. Matthews, S. & Ribar, D. & Wilhelm, M., 1995. "The Effects of Economic Conditions and Access to Reproductive Health Services on State Abortion and Birth Rates," Papers 7-95-4, Pennsylvania State - Department of Economics.
    6. Janet Currie & Lucia Nixon & Nancy Cole, 1993. "Restrictions on Medicaid Funding of Abortion: Effects on Pregnancy Resolutions and Birth Weight," NBER Working Papers 4432, National Bureau of Economic Research, Inc.
    7. Janet Currie & Lucia Nixon & Nancy Cole, 1996. "Restrictions on Medicaid Funding of Abortion: Effects on Birth Weight and Pregnancy Resolutions," Journal of Human Resources, University of Wisconsin Press, vol. 31(1), pages 159-188.
    8. Kiviet, Jan F., 1995. "On bias, inconsistency, and efficiency of various estimators in dynamic panel data models," Journal of Econometrics, Elsevier, vol. 68(1), pages 53-78, July.
    9. 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.
    10. Nickell, Stephen J, 1981. "Biases in Dynamic Models with Fixed Effects," Econometrica, Econometric Society, vol. 49(6), pages 1417-1426, November.
    11. Chesson, Harrell & Harrison, Paul & Kassler, William J, 2000. "Sex Under the Influence: The Effect of Alcohol Policy on Sexually Transmitted Disease Rates in the United States," Journal of Law and Economics, University of Chicago Press, vol. 43(1), pages 215-238, April.
    12. 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.
    13. van Der Ploeg, Frederick (ed.), 1990. "Advanced Lectures in Quantitative Economics," Elsevier Monographs, Elsevier, edition 1, number 9780127117034.
    14. 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.
    15. Manuel Arellano & Stephen Bond, 1991. "Some Tests of Specification for Panel Data: Monte Carlo Evidence and an Application to Employment Equations," The Review of Economic Studies, Review of Economic Studies Ltd, vol. 58(2), pages 277-297.
    Full references (including those not matched with items on IDEAS)

    Citations

    Citations are extracted by the CitEc Project, subscribe to its RSS feed for this item.
    as


    Cited by:

    1. 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.
    2. 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.
    3. J. Bradford Rice & Judith D. Kasper & Liliana E. Pezzin, 2009. "A comparative analysis of Medicaid long‐term care policies and their effects on elderly dual enrollees," Health Economics, John Wiley & Sons, Ltd., vol. 18(3), pages 275-290, March.
    4. Madeline Zavodny & David Paton, 2006. "Teenage Pregnancy Risk: the impact of parental involvement for contraception," Occasional Papers 18, Industrial Economics Division.
    5. Thomas Buchmueller & John C. Ham & Lara D. Shore-Sheppard, 2015. "The Medicaid Program," NBER Chapters, in: Economics of Means-Tested Transfer Programs in the United States, Volume 1, pages 21-136, National Bureau of Economic Research, Inc.
    6. Sen, Bisakha & Wingate, Martha Slay & Kirby, Russell, 2012. "The relationship between state abortion-restrictions and homicide deaths among children under 5 years of age: A longitudinal study," Social Science & Medicine, Elsevier, vol. 75(1), pages 156-164.
    7. Spencer, Melissa K., 2024. "Safer sex? The effect of AIDS risk on birth rates," Journal of Health Economics, Elsevier, vol. 95(C).
    8. Bisakha Sen, 2007. "State Abortion Restrictions and Child Fatal‐Injury: An Exploratory Study," Southern Economic Journal, John Wiley & Sons, vol. 73(3), pages 553-574, January.

    Most related items

    These are the items that most often cite the same works as this one and are cited by the same works as this one.
    1. Sen, Bisakha, 2003. "An indirect test for whether restricting Medicaid funding for abortion increases pregnancy-avoidance behavior," Economics Letters, Elsevier, vol. 81(2), pages 155-163, November.
    2. Phillip B. Levine & Douglas Staiger, 2002. "Abortion as Insurance," NBER Working Papers 8813, National Bureau of Economic Research, Inc.
    3. Phillip B. Levine, 2002. "The Impact of Social Policy and Economic Activity Throughout the Fertility Decision Tree," NBER Working Papers 9021, National Bureau of Economic Research, Inc.
    4. Clarke, Damian, 2023. "The Economics of Abortion Policy," IZA Discussion Papers 16395, Institute of Labor Economics (IZA).
    5. Levine, P.B. & Staiger, D. & Kane, T.J. & Zimmerman, D.J., 1999. "Roe v Wade and American fertility," American Journal of Public Health, American Public Health Association, vol. 89(2), pages 199-203.
    6. 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.
    7. Bisakha Sen, 2007. "State Abortion Restrictions and Child Fatal‐Injury: An Exploratory Study," Southern Economic Journal, John Wiley & Sons, vol. 73(3), pages 553-574, January.
    8. 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.
    9. 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.
    10. 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.
    11. repec:mpr:mprres:6548 is not listed on IDEAS
    12. Levine, Phillip B & Staiger, Douglas, 2004. "Abortion Policy and Fertility Outcomes: The Eastern European Experience," Journal of Law and Economics, University of Chicago Press, vol. 47(1), pages 223-243, April.
    13. 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.
    14. Paton, David, 2002. "The economics of family planning and underage conceptions," Journal of Health Economics, Elsevier, vol. 21(2), pages 207-225, March.
    15. Thomas Buchmueller & John C. Ham & Lara D. Shore-Sheppard, 2015. "The Medicaid Program," NBER Chapters, in: Economics of Means-Tested Transfer Programs in the United States, Volume 1, pages 21-136, National Bureau of Economic Research, Inc.
    16. May Luong & Anindya Sen, 2006. "Sex, Teen Pregnancies, STDs, and Beer Prices: Empirical Evidence from Canada," Working Papers 06001, University of Waterloo, Department of Economics, revised Jan 2006.
    17. 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.
    18. Levine, Phillip B., 2003. "Parental involvement laws and fertility behavior," Journal of Health Economics, Elsevier, vol. 22(5), pages 861-878, September.
    19. Bisakha Sen, 2006. "Frequency Of Sexual Activity Among Unmarried Adolescent Girls: Do State Policies Pertaining To Abortion Access Matter?," Eastern Economic Journal, Eastern Economic Association, vol. 32(2), pages 313-330, Spring.
    20. Marshall Medoff, 2007. "Price, Restrictions and Abortion Demand," Journal of Family and Economic Issues, Springer, vol. 28(4), pages 583-599, December.
    21. Marshall Medoff, 2008. "The Response of Abortion Demand to Changes in Abortion Costs," Social Indicators Research: An International and Interdisciplinary Journal for Quality-of-Life Measurement, Springer, vol. 87(2), pages 329-346, June.

    More about this item

    JEL classification:

    • I10 - Health, Education, and Welfare - - Health - - - General

    Statistics

    Access and download statistics

    Corrections

    All material on this site has been provided by the respective publishers and authors. You can help correct errors and omissions. When requesting a correction, please mention this item's handle: RePEc:wly:hlthec:v:12:y:2003:i:6:p:453-464. See general information about how to correct material in RePEc.

    If you have authored this item and are not yet registered with RePEc, we encourage you to do it here. This allows to link your profile to this item. It also allows you to accept potential citations to this item that we are uncertain about.

    If CitEc recognized a bibliographic reference but did not link an item in RePEc to it, you can help with this form .

    If you know of missing items citing this one, you can help us creating those links by adding the relevant references in the same way as above, for each refering item. If you are a registered author of this item, you may also want to check the "citations" tab in your RePEc Author Service profile, as there may be some citations waiting for confirmation.

    For technical questions regarding this item, or to correct its authors, title, abstract, bibliographic or download information, contact: Wiley Content Delivery (email available below). General contact details of provider: http://www3.interscience.wiley.com/cgi-bin/jhome/5749 .

    Please note that corrections may take a couple of weeks to filter through the various RePEc services.

    IDEAS is a RePEc service. RePEc uses bibliographic data supplied by the respective publishers.