Abortion laws and women’s health

Clarke, Damian; Mühlrad, Hanna

doi:10.1016/j.jhealeco.2020.102413

Cited by 39 publications

(33 citation statements)

References 47 publications

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“…In this paper, we analyze the effects of the SAHO time period in the Mexico City Metropolitan Area (MCMA) on the number of legal abortions performed at CDMX's public abortion program called Interrupcion Legal del Embarazo (ILE). The program has been found to be associated with improvements in maternal health and aggregate fertility rates (Clarke and Mühlrad 2020). We present evidence that the start of SAHO coincided with a sharp reduction in the number of abortions compared with week-to-week trends observed in previous years (2016)(2017)(2018)(2019).…”

Section: Introductionmentioning

confidence: 71%

“…Approximately 70% of ILE users reside in CDMX and 25% in the State of Mexico (Mexico City's Ministry of Health 2020a). Previous research has found a relationship between abortion legislation and fertility results in CDMX: Clarke and Mühlrad (2020) show that public abortion services availability reduces births in CDMX by between 2.3 and 3.8%, with a more substantial impact on adolescent women (Clarke and Mühlrad 2020).…”

Section: Abortion In Cdmxmentioning

confidence: 98%

“…Additionally, we use an event study approach to analyze the dynamic effects of the beginning of SAHO on the decline in abortions. We complement our strategy by analyzing the effects of COVID-19 and SAHO on abortion-related morbidity (ARM) using hospital discharge data (as in Clarke and Mühlrad (2020)) in order to explore potential effects on maternal health and unsafe abortions. Furthermore, we use detailed call-level administrative data for reproductive health-related calls from a government "helpline" that assists women with legal, medical, and psychological issues in order to explore the mechanisms that may be driving the observed changes in abortions.…”

Section: Introductionmentioning

confidence: 99%

“…A decline in safe, legal, and free abortions is likely to have a broad range of consequences for women's health, well-being, and overall fertility (Clarke and Mühlrad 2020). In particular, fewer ILE abortions may translate to either an increase in abortions performed in the private sector (although these tend to be more expensive and of lower quality, Becker and Diaz Olavarrieta (2013)), an increase in unsafe abortions, self-managed abortions or emergency contraception, or an increase in unwanted fertility-or it may reflect a change in preferences over terminating a pregnancy.…”

Section: Introductionmentioning

confidence: 99%

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The unintended effects of the COVID-19 pandemic and stay-at-home orders on abortions

Márquez‐Padilla

Saavedra

2021

J Popul Econ

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We study the effect of the COVID-19 pandemic and of government mandated mitigation policies on the number of abortions performed by Mexico City’s public abortion program. We find that the COVID-19 pandemic and stay-at-home orders (SAHO) implemented in Mexico led to unintended consequences for women’s sexual and reproductive health. Using difference-in-differences and event study analyses, we show that SAHO and the pandemic led to a fall in abortions of around 25% and find no evidence that unsafe abortions increased. We find a decrease in the share of single and teenage women getting abortions, arguably due to fewer unwanted pregnancies from decreased sexual activity, and estimate that at most 9.8% of the total fall in abortions can be attributed to this. We complement our analysis using call data from a government helpline and show that the SAHO time period led to fewer abortion- and contraception-related calls but to an increase in pregnancy-related calls.

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Section: Introductionmentioning

confidence: 71%

Section: Abortion In Cdmxmentioning

confidence: 98%

Section: Introductionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

See 2 more Smart Citations

The unintended effects of the COVID-19 pandemic and stay-at-home orders on abortions

Márquez‐Padilla

Saavedra

2021

J Popul Econ

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“…This out come is of inter est (1) given its impor tance as one of the major com pli ca tions of unsafe abor tions (Gerdts et al 2013; World Health Organization 2018 and (2) given that it may plau si bly be related to the arrival of the EC pill, because of the wide spread use of misoprostol in clan des tine abor tions prior to the avail abil ity of the EC pill in Chile. Discussions of the rela tion ship between misoprostol use, clan des tine abor tion, and hem or rhage are pro vided in Clarke and Mühlrad (2020), Grimes et al (2006), andPourette et al (2018). The key poten tial mech a nism of action is that safe EC pill usage may crowd out unsu per vised and poten tially unsafe use of misoprostol, which can result in severe bleed ing.…”

Section: Measures Of Maternal Healthmentioning

confidence: 99%

Access to the Emergency Contraceptive Pill and Women's Reproductive Health: Evidence From Public Reform in Chile

Clarke

Salinas

2021

Demography

Self Cite

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We examine the sharp expansion in availability of the emergency contraceptive pill in Chile following legalized access through municipal public health care centers. We study the period 2002–2016 and a broad rollout of the emergency contraceptive pill occurring between 2008 and 2011. By combining a number of administrative data sets on health outcomes and pharmaceutical use, and using event-study and difference-in-differences methods, we document that this expansion improved certain classes of women's reproductive health outcomes, notably reducing rates of abortion-related morbidity. These improvements were greater in areas of the country where the rollout of the emergency contraceptive pill was more extensive. We also document some evidence that refusal to provide the emergency contraceptive pill upon a women's request was linked with a worsening in reproductive health outcomes. These results point to the importance of contraceptive access as a determinant of women's reproductive health and well-being and relates to a growing body of work documenting the importance of women's autonomy as a determinant of health.

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Subdermal contraceptive implants and repeat teenage motherhood: Evidence from a major maternity hospital‐based program in Uruguay

Ferre,

Triunfo,

Antón

2023

Health Economics

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Teenage fertility is a social problem because of its private and public costs in countries of different development levels. Reductions in adolescent birth rates do not necessarily follow drops in overall fertility due to the demographic transition model. This paper analyses the impact of a subdermal contraceptive program on repeat teenage motherhood. Using a regression discontinuity design, we find that the intervention reduced mothers' likelihood of having another child in the next 48 months by 10 percentage points. This reduction is not random, and we also identify small positive selection in subsequent births.

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Abortion laws and women’s health

Cited by 39 publications

References 47 publications

The unintended effects of the COVID-19 pandemic and stay-at-home orders on abortions

The unintended effects of the COVID-19 pandemic and stay-at-home orders on abortions

Access to the Emergency Contraceptive Pill and Women's Reproductive Health: Evidence From Public Reform in Chile

Subdermal contraceptive implants and repeat teenage motherhood: Evidence from a major maternity hospital‐based program in Uruguay

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