How Much Can Expanding Access to Long-Acting Reversible Contraceptives Reduce Teen Birth Rates?

• 成果类型: Article
• 署名作者: Lindo, Jason M.; Packham, Analisa
• 署名单位: Texas A&M University System; Texas A&M University College Station; National Bureau of Economic Research; IZA Institute Labor Economics; University System of Ohio; Miami University
• 刊物名称: AMERICAN ECONOMIC JOURNAL-ECONOMIC POLICY
• ISSN/ISSBN: 1945-7731
• DOI: 10.1257/pol.20160039
• 发表日期: 2017
• 页码: 348-376
• 关键词: UNITED-STATES; fertility; pill; Abortion; IMPACT; POWER

摘要

We estimate the degree to which expanding access to long-acting reversible contraceptives (LARCs) can reduce teen birth rates by analyzing Colorado's Family Planning Initiative, the first large-scale policy intervention to expand access to LARCs in the United States. Using a difference-in-differences approach, we find that the $23M program reduced the teen birth rate in counties with clinics receiving funding by 6.4 percent over 5 years. These effects were concentrated in the second through fifth years of the program and in counties with relatively high poverty rates. State-level synthetic control estimates offer supporting evidence but suffer from a lack of power.