Family Planning Waivers and Teen Fertility - Revised

计划生育豁免和青少年生育能力 - 修订

• 批准号: 7194014
• 负责人: PHILLIP B LEVINE
• 金额: $ 6.86万
• 依托单位: NATIONAL BUREAU OF ECONOMIC RESEARCH
• 依托单位国家: 美国
• 财政年份: 2007
• 资助国家: 美国
• 起止时间: 2007-05-01 至 2009-04-30
• 项目状态: 已结题
• 来源: https://reporter.nih.gov/project-details/7194014
• 关键词: Address; Adolescence; Age; Behavioral; Birth; Birth Rate; Centers for Disease Control and Prevention (U.S.); Child; Contraceptive Usage; Contraceptive methods; Control Groups; Counseling; Country; Data; Data Sources; Delayed Childbearing; Developed Countries; Developing Countries; Effectiveness; Eligibility Determination; Ethnic Origin; Family; Family Planning; Federal Government; Fertility; Goals; Grant; Growth; Hispanics; Improve Access; Income; Institutes; Life; Location; Low Income Population; Low income; Medicaid; Minority; Mothers; Nature; Not Hispanic or Latino; Outcome; Patient currently pregnant; Plant Roots; Play; Policies; Population; Poverty; Pregnancy; Pregnancy in Adolescence; Public Policy; Race; Rate; Reporting; Research; Role; Services; Sex Behavior; Sexually Transmitted Diseases; Social Welfare; Societies; Surveys; System; Techniques; Teenagers; Testing; Time; United States; Vital Statistics; Weight; Woman; abortion; college; geographic difference; girls; high school; insight; prevent; programs; research study; statistics; teen birth; teenage fertility; teenage mother

DESCRIPTION (provided by applicant): FAMILY PLANNING WAIVERS AND TEEN FERTILITY Teen pregnancy is widely acknowledged as a serious problem in the United States and finding ways to prevent teen pregnancy is an important public policy goal. One approach that is commonly suggested is to improve access to family planning services. Some states have been experimenting with a policy of precisely this nature under the auspices of their Medicaid programs. These states have recently been granted waivers from the federal government allowing them to extend the provision of Medicaid family planning services to more women. Those waivers that have been granted include policies to expand income eligibility to up to 200 percent of the poverty threshold and to extend the right to family planning services for up to 5 years post-partum. The research we propose will evaluate the role that family planning services may play in reducing teen pregnancies and births by estimating the impact of these Medicaid family planning waivers. The study we propose to conduct will employ an empirical strategy specifically targeted at identifying a causal connection between the additional services provided and fertility outcomes. We plan to use several sources of data in our analysis, including Vital Statistics Natality data, abortion data available from the Centers for Disease Control and Prevention and from the Alan Guttmacher Institute, and data on sexual behavior and contraceptive use from the National Survey of Family Growth. We will employ quasi- experimental techniques in our analysis, examining birth outcomes as well as its antecedents (sexual activity, contraception, pregnancy, and abortion). We will take advantage of the geographic variation over time in the introduction of the waivers, treating those locations in which no policy change took place as a pseudo-control group to help gauge the causal impact of the policy in those locations that offered additional family planning services. We will also compare outcomes across states and across years for those more likely to be eligible for the waiver programs and those who are less likely to be eligible due to their higher income. We plan to conduct this analysis for all teens and for teens separated by race/ethnicity to determine whether there is a differential impact across groups.

描述(申请人提供)：计划生育豁免和青少年生育青少年怀孕在美国被广泛认为是一个严重的问题，找到防止青少年怀孕的方法是一个重要的公共政策目标。人们普遍建议的一种方法是改善计划生育服务的可及性。一些州在他们的医疗补助计划的支持下，一直在试验这种性质的政策。这些州最近获得了联邦政府的豁免，允许它们将医疗补助计划生育服务的提供扩大到更多的妇女。已批准的豁免政策包括将收入资格扩大到贫困线的200%，并将获得计划生育服务的权利延长至产后最多5年。我们提出的研究将通过评估这些医疗补助计划生育豁免的影响来评估计划生育服务在减少青少年怀孕和生育方面可能发挥的作用。我们建议进行的研究将采用经验性策略，专门针对确定所提供的额外服务与生育结果之间的因果关系。我们计划在我们的分析中使用几个数据来源，包括生命统计出生数据，从疾病控制和预防中心和艾伦·古特马赫研究所获得的堕胎数据，以及来自全国家庭增长调查的性行为和避孕措施使用数据。我们将在我们的分析中使用准实验技术，检查出生结果及其之前的因素(性活动、避孕、怀孕和堕胎)。我们将利用地区差异在引入豁免时，将那些没有发生政策变化的地点作为一个伪对照组，以帮助评估政策在提供额外计划生育服务的地点的因果影响。我们还将比较各州和跨年那些更有资格获得豁免计划的人和那些由于收入较高而不太可能有资格的人的结果。我们计划对所有青少年和按种族/民族分开的青少年进行这项分析，以确定是否存在跨群体的不同影响。