The Impact of Family Planning Funding Cuts on Preventive Care

Princeton Center for Health and Wellbeing Working Paper

58 Pages Posted: 29 May 2014

See all articles by Yao Lu

Yao Lu

Analysis Group, Inc.

David Slusky

University of Kansas; IZA Institute of Labor Economics

Date Written: May 20, 2014

Abstract

Many women rely on family planning and women’s health organizations as their only recent source of care, including preventive care. Recently, several states have cut public funding for women’s health organizations that are associated with abortion services. This paper is the first to quantify the impact of these funding cuts and resulting clinic closures on the incidence of preventive care, focusing on Texas and Wisconsin during the 2007-2012 period. Using quarterly data on health center street addresses from a national network of women’s health centers and confidential respondent ZIP codes from the Behavioral Risk Factor Surveillance System (BRFSS), we calculate changes in distance to the nearest clinic over time. From a within-ZIP-code analysis, we conclude that an increase of 100 miles to the nearest clinic would result in a decrease in the annual utilization rate of a clinical breast exam by 6 percentage points (pp), a mammogram by 2 pp, and a Pap test by 9 pp. These estimates are generally larger for low-education women: 14 pp, 6 pp, and 8 pp respectively. Future analysis will incorporate 2014 survey data to cover a more recent round of cuts.

Keywords: Women’s health care, preventive health care, clinic closure, access to care, public finance, abortion, cancer screening

JEL Classification: H75, I18, J13

Suggested Citation

Lu, Yao and Slusky, David, The Impact of Family Planning Funding Cuts on Preventive Care (May 20, 2014). Princeton Center for Health and Wellbeing Working Paper, Available at SSRN: https://ssrn.com/abstract=2442148 or http://dx.doi.org/10.2139/ssrn.2442148

Yao Lu

Analysis Group, Inc.

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David Slusky (Contact Author)

University of Kansas ( email )

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IZA Institute of Labor Economics ( email )

P.O. Box 7240
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Germany

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