The Impact of Women's Health Clinic Closures on Preventive Care

• 成果类型: Article
• 署名作者: Lu, Yao; Slusky, David J. G.
• 署名单位: Analysis Group Inc.; University of Kansas
• 刊物名称: AMERICAN ECONOMIC JOURNAL-APPLIED ECONOMICS
• ISSN/ISSBN: 1945-7782
• DOI: 10.1257/app.20140405
• 发表日期: 2016
• 页码: 100-124
• 关键词: breast-cancer-treatment; socioeconomic disparities; medical-care; Abortion; recommendation; Race/ethnicity; coverage; outcomes; access

摘要

We examine the impact of women's health clinic closures on women's preventive care use in Texas and Wisconsin using a unique policy context, data on clinic street addresses, and confidential respondent ZIP codes from the Behavioral Risk Factor Surveillance System. From a within-ZIP-code analysis, we conclude that an increase of 100 miles to the nearest clinic results in a decrease in the annual utilization rate of a clinical breast exam by 11 percent, a mammogram by 18 percent, and a Pap test by 14 percent. These estimates are generally larger for women of lower educational attainment.