The Power of the Iud: Effects of Expanding Access to Contraception Through Title X Clinics

57 Pages Posted: 19 Mar 2019 Last revised: 7 Feb 2021

See all articles by Andrea Kelly

Andrea Kelly

Texas A&M University

Jason Lindo

Texas A&M University

Analisa Packham

Texas A&M University - Department of Economics

Date Written: March 2019

Abstract

We estimate the effect of Colorado's Family Planning Initiative, the largest program to have focused on long-acting-reversible contraceptives in the United States, which provided funds to Title X clinics so that they could make these contraceptives available to low-income women. We find substantial effects on birth rates, concentrated among women in zip codes within 7 miles of clinics: the initiative reduced births by approximately 20 percent for 15-17 year olds and 18-19 year olds living in such zip codes. We also examine how extensive media coverage of the initiative in 2014 and 2015 altered its reach. After information spread about the availability and benefits of LARCs, we find a substantial increase in LARC insertions, extended effects on births among 15-17 year olds living greater than 7 miles from clinics, and significant reductions in births among 20–24 and 25–29 year olds.

Suggested Citation

Kelly, Andrea and Lindo, Jason and Packham, Analisa, The Power of the Iud: Effects of Expanding Access to Contraception Through Title X Clinics (March 2019). NBER Working Paper No. w25656, Available at SSRN: https://ssrn.com/abstract=3354310

Andrea Kelly (Contact Author)

Texas A&M University ( email )

Langford Building A
798 Ross St.
College Station, TX 77843-3137
United States

Jason Lindo

Texas A&M University

7101 University Avenue
STEM 318 H
Texarkana, TX 75503
United States

Analisa Packham

Texas A&M University - Department of Economics ( email )

5201 University Blvd.
College Station, TX 77843-4228
United States

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