Medicaid Expansion and Contraceptive Use Among Female High-School Students

Kilmer, Greta; Leon‐Nguyen, Michelle; Smith-Grant, Jennifer; Brittain, Anna W.; Rico, Adriana; Adkins, Susan Hocevar; Lim, Connie; Szucs, Leigh E.

doi:10.1016/j.amepre.2022.04.020

Cited by 2 publications

(2 citation statements)

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“…(2015) find that the mandate mainly affected the use of long-acting reversible contraceptives, with little to no impact on refillable methods. The ACA Medicaid expansions did seem to have a positive impact on the use of contraceptives among some low-income women (Kilmer et al ., 2022; Eliason et al ., 2022 a ), and the generosity of Medicaid has been associated with a decrease in unintended pregnancies among those with less than a high-school degree (Geiger et al ., 2021). 7…”

Section: Background and Literaturementioning

confidence: 99%

“…Vlahiotis et al (2015) find that the mandate mainly affected the use of longacting reversible contraceptives, with little to no impact on refillable methods. The ACA Medicaid expansions did seem to have a positive impact on the use of contraceptives among some lowincome women (Kilmer et al, 2022;Eliason et al, 2022a), and the generosity of Medicaid has been associated with a decrease in unintended pregnancies among those with less than a highschool degree (Geiger et al, 2021). 7 As mentioned in the introduction, a few studies using different datasets have found mixed results on the impact of the ACA expansions on birth rates (Palmer, 2020;Gartner et al, 2022;Eliason et al, 2022b).…”

mentioning

confidence: 99%

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Health insurance and fertility among low-income, childless, single women: evidence from the ACA Medicaid expansions

Leguizamon

2023

HEPL

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Expansions of Medicaid family planning services have been associated with decreases in pregnancy rates. Access to a broader range of medical, non-family planning services may influence pregnancy rates as well if the increased exposure to medical services spills over to other kinds of behaviour. Using a difference-in-difference approach, I examine the impact of the Affordable Care Act (ACA) Medicaid expansions on the propensity of low-income, single women to become single mothers. Previous expansions of Medicaid family planning services allow us to also investigate the influence of access to other medical services (i.e. non-family planning). I find that although access to contraceptives is associated with a reduction in the propensity of becoming a single mother among adult, low-income women, medical services beyond access to contraceptives can provide additional impacts.

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