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Effects on pregnancy outcomes of changes in the North Carolina State Abortion Fund

Abstract

Extending work of Cook et al. (1999, 1996), this paper examines abortion funding cutoffs for poor women in North Carolina, a unique setting allowing for a strong quasi-experimental design. Using vital registration data and additional administrative data from North Carolina, we decompose program effects on the abortion/birth ratio into two components: coverage (i.e., the proportion of all abortions that are state funded) and substitutability (the proportion of state funded abortions that would have been births in the absence of the state program). We show that both components are crucial for understanding the effects of fund cutoffs and that both components vary by age and by race. We offer explanations for these differences. Overall, we conclude that: the North Carolina State Abortion Fund (SAF) had powerful and pervasive effects: i.e., the SAF cutoffs reduced abortions and increased births.

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References

  • Blank, R., George, C. & London, R. (1996), State abortion rates: The impact of policies, providers, politics, demographics, and economic environment, Journal of Health Economics 15(5): 513-553.

    Google Scholar 

  • Brewster, Karin L. (1994), Race differences in sexual activity among adolescent women: The role of neighborhood characteristics, American Sociological Review 59(3): 408-424.

    Google Scholar 

  • Campbell, D.T. (1969), Reforms as experiments, American Psychologist 24: 409-424

    Google Scholar 

  • Cherlin, Andrew J. (1992), Marriage, Divorce, Remarriage (revised edition). Cambridge,MA: Harvard University Press.

    Google Scholar 

  • Cook, T.D. & Campbell, D.T. (1979), Quasi-Experimentation: Design and Analysis Issues for Field Settings. Boston: Houghton Mifflin.

    Google Scholar 

  • Cook, P.J., Parnell, A.M., Moore, M.J., & Pagnini, D. (1996), The effects of short-term variation in abortion funding on pregnancy outcomes, NBER Working Paper 5843.

  • Cook, P.J., Parnell, A.M., Moore, M.J. & Pagnini, D. (1999), The effects of short-term variation in abortion funding on pregnancy outcomes, Journal of Health Economics.

  • Currie, J., Nixon, L. & Cole, N. (1996), Restrictions on Medicaid funding of abortion: Effects on birth weight and pregnancy resolutions, The Journal of Human Resources 31(1): 159-188.

    Google Scholar 

  • Ellsworth, E.S. (1995), Contested space. Illegal abortion in North Carolina, M.A. Paper. Department of History, Duke University.

  • Furstenberg, Frank F., Jr. (1987), Race differences in teenage sexuality, pregnancy, and adolescent childbearing, Milbank Quarterly 65(Suppl. 2): 381-403.

    Google Scholar 

  • Gober, P. (1997), The role of access in explaining state abortion rates, Social Science and Medicine 44(7): 1003-1016.

    Google Scholar 

  • Gober, P. (1994), Why abortion rates vary: A geographical examination of the supply of and demand for abortion services in the United States in 1988, Annals of the Association of American Geographers 84(2): 230-250.

    Google Scholar 

  • Gordon, L. & McLanahan, S. (1992), Single parenthood in 1900, Journal of Family History 16(2): 97-116

    Google Scholar 

  • Haas-Wilson, D. (1996), The impact of state abortion restrictions on minors' demand for abortions, The Journal of Human Resources 31(1): 140-159.

    Google Scholar 

  • Haas-Wilson, D. (1993), The economic impact of state restrictions on abortion: Parental consent and notification laws and Medicaid funding restrictions, Journal of Policy Analysis and Management 12(3): 498-511.

    Google Scholar 

  • Hayes, Cheryl D. (1987), Risking the Future: Adolescent Sexuality, Pregnancy, and Childbearing, Vol. 1. Washington, DC: National Academy Press.

    Google Scholar 

  • Henshaw, S.K. (1998), Abortion incidence and services in the United States, 1995-1996, Family Planning Perspectives 30: 263-270.

    Google Scholar 

  • Henshaw, S.K. & Van Vort, J. (1994), Abortion services in the U.S., 1991 and 1992, Family Planning Perspectives 26: 100-106.

    Google Scholar 

  • Henshaw, S.K. & Van Vort, J. (1992), Abortion Factbook, 1992 Edition: Readings, Trends, and State and Local Data to 1988. New York: The Alan Guttmacher Institute.

    Google Scholar 

  • Jackson, C.A. & Klerman, J.A. (1993), Fixed effects, public policy and teenage fertility, RAND Labor and Population Program Working Paper 93-24.

  • Joyce, T., Henshaw, S.K. & Skatrud, J.D. (1997), The impact of Mississippi's mandatory delay law on abortions and births, JAMA 278(8): 653-659.

    Google Scholar 

  • Joyce, T., Henshaw, S.K., Skatrud, J.D. & Kaestner, R. (1995), State reproductive policies and adolescent pregnancy resolution: the case of parental involvement laws, NBER Working Paper, No. 5354.

  • Joyce, T., Henshaw, S.K., Skatrud, J.D. & Kaestner, R. (1996), The effect of expansions in Medicaid income eligibility on abortion, Demography 33(2): 181-192.

    Google Scholar 

  • Joyce, T., Henshaw, S.K., Skatrud, J.D. & Kaestner, R. (2000), The impact of Mississippi's mandatory delay law on the timing of abortion, Family Planning Perspectives 32(1): 4-13.

    Google Scholar 

  • Joyce, T., Henshaw, S.K., Skatrud, J.D. & Kaestner, R. (1998), Is Medicaid pronatalist? The effect of eligibility expansions on abortions and births, Family Planning Perspectives 30(3): 108-113.

    Google Scholar 

  • Kane, T.J. & Staiger, D. (1996), Teen motherhood and abortion access, Quarterly Journal of Economics 111(2): 467-507.

    Google Scholar 

  • Levine, P.B., Trainor, A.B. & Zimmerman, D.J. (1995), The effect of Medicaid abortion funding restrictions on abortions, pregnancies, and births, NBERWorking Paper No. 5066.

  • Levine, P.B., Staiger, D., Kane, T.J. & Zimmerman, D.J. (1996), Roe v. Wade and American fertility, NBER Working Paper, No. 5615.

  • Lichter, Daniel T., McLaughlin, Diane K. & Ribar, David C. (1998), State abortion policy, geographic access to abortion providers, and changing family formation, Population Research Institute Working Paper, No. 98-03, Febuary 24 pp. Pennsylvania State University, Population Research Institute, University Park, Pennsylvania.

    Google Scholar 

  • Matthews, S., Ribar, D. & Wilhelm, M. (1995), The effects of economic conditions and access to reproductive health services on state abortion and birth rates, Family Planning Perspectives 29: 52-60.

    Google Scholar 

  • Meier, K.J., Haider-Markel, D.P., Stanislawski, A.J. & McFarlane, D.R. (1996), The impact of state-level restrictions on abortion, Demography 33(3): 307-312.

    Google Scholar 

  • Meier, K.J., Haider-Markel, D.P., Stanislawski, A.J. & McFarlane, D.R. (1994), State family planning and abortion expenditures: Their effect on public health, American Journal of Public Health 84(9): 1468-1472.

    Google Scholar 

  • Merz, J. (1996), A chronicle of abortion legality, Medicaid funding, and parental involvement laws, 1967-1994, RAND Labor and Population Working Paper 96-08.

  • Merz, J., Klerman, J.A. & Jackson, C.A. (1996), A chronicle of abortion legality, Medicaid funding, and parental involvement laws, 1967-1994, RAND Working Paper Series 96-08.

  • Morgan, S. Philip (1996), Characteristic features of modern American fertility. pp. 19-63 in John B. Casterline, Ronald D. Lee, & Karen A. Foote (eds.), Fertility in the United States: New Patterns, New Theories. Population and Development Review, Vol. 22 (Supplement).

  • Morgan, S. Philip, McDaniel, Antonio, Miller, Andrew T. & Preston, Samuel H. (1993) Racial differences in household and family structure at the turn of the century, American Journal of Sociology 98(4): 799-828

    Google Scholar 

  • North Carolina Center for Health Statistics (1993), North Carolina Reported Pregnancies 1991. State of North Carolina, Raleigh.

    Google Scholar 

  • Pagnini, D.L. & Morgan, S. Philip (1996), Racial differences in marriage and childbearing: oral history evidence from the South in the early twentieth century, American Journal of Sociology 101(6): 694-718.

    Google Scholar 

  • Parnell, A.M., Pagnini, D.L. & Moore, M.L. (2001) Racial differences in induced abortions in North Carolina (manuscript).

  • Preston, Samuel H., Lim, Suet, Morgan, S. Philip (1992), African-American marriage in 1910: beneath the surface of census data, Demography 29(1): 1-15.

    Google Scholar 

  • Ruggles, Steven (1994), The origins of African-American family structure, American Sociological Review 59(1): 136-51.

    Google Scholar 

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Morgan, S.P., Parnell, A.M. Effects on pregnancy outcomes of changes in the North Carolina State Abortion Fund. Population Research and Policy Review 21, 319–338 (2002). https://doi.org/10.1023/A:1020078406216

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  • DOI: https://doi.org/10.1023/A:1020078406216

  • abortion
  • fertility
  • population policy