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STATE REPRODUCTIVE POLICIES AND PREGNANCY RESOLUTION

国家生育政策和怀孕解决方案

基本信息

批准号：
2332290
负责人：
THEODORE J JOYCE
金额：
$ 10.78万
依托单位：
NATIONAL BUREAU OF ECONOMIC RESEARCH
依托单位国家：
美国
项目类别：
财政年份：
1996
资助国家：
美国
起止时间：
1996-02-01 至 1999-01-31
项目状态：
已结题

项目摘要

DESCRIPTION: The proposed research will use individual vital records on births and induced abortions to estimate the effect of parental involvement laws and Medicaid eligibility expansions on the likelihood that a pregnancy is carried to birth. Variation across states in the timing and extent of these legislative changes provides a set of natural experiments from which to assess the impact of these policies on reproductive decisions. A distinguishing feature of the proposed study is the use of vital records on individual pregnancies from 1986 through 1992 in eight states that report induced terminations to the National Center for Health Statistics. It avoids the severe under reporting of induced terminations characteristic of national surveys by including only individuals from states in which the total number of abortions as reported to the National Center for Health Statistics is within plus or minus ten percent of totals reported by the Alan Guttmacher Institute. The proposed study will also analyze the effect of abortion provider availability on pregnancy resolution. Provider availability is measured by actual travel time and travel distance to the nearest in-state and out-of-state providers. Specific questions the research will address are as follows: 1) How much does the probability that a minor terminates a pregnancy change after parental involvement laws are enacted? Does the effect of the law vary with the restrictiveness? Does the probability that a minor will obtain an abortion outside her state-of-residence increase with the passage of parental involvement laws? 2) Do expansions in Medicaid eligibility increase the likelihood that a pregnancy results in a live birth? Do changes in the probability of carrying to term vary with the magnitude of the Medicaid expansion? 3) How important is the availability of abortion providers to the individual s decision to terminate a pregnancy? More specifically, does greater travel time and travel distance to an abortion provider increase the likelihood that a pregnancy is carried to term? Does the effect of distance to a provider on pregnancy resolution differ by age and educational attainment?

描述：这项拟议的研究将使用个人生命记录出生和人工流产对父母影响的评估涉及法和医疗补助资格扩展的可能性怀孕是孕育到分娩的。不同州之间的差异这些立法变化的时机和程度提供了一套自然的评估这些政策的影响的实验生殖决定。这项拟议研究的一个显著特点是使用了VITAL 从1986年到1992年在8个州的个人怀孕记录这份报告导致了国家健康中心的终止统计数字。它避免了严重的漏报诱导国家调查特有的终止性，仅包括来自堕胎总数为向国家卫生统计中心报告的数据在正数或减去艾伦·古特马赫研究所报告的总数的10%。这项拟议的研究还将分析堕胎提供者的影响关于妊娠解决方案的可用性。衡量提供商的可用性根据实际旅行时间和到最近本州的旅行距离州外的供应商。研究将解决的具体问题如下：1)多少未成年人终止妊娠的概率在制定了父母参与法吗？这项法律的效力是否有所不同？有这样的限制吗？未成年人是否会有这样的可能性在她居住的州以外的地方堕胎随着通过父母参与法？2)扩大医疗补助合格性增加了怀孕导致存活的可能性出生？携带TO期限的概率的变化是否随医疗补助计划扩大的规模？3)这项计划有多重要堕胎提供者的可用性由S个人决定终止妊娠？更具体地说，更长的旅行时间和与堕胎提供者的旅行距离增加了堕胎的可能性怀孕是到足月的吗？与供应商的距离是否会影响年龄和受教育程度不同的怀孕解决方案？