The Incidental Fertility Effects of School Condom Distribution Programs

While the fertility effects of improving teenagers' access to contraception are theoretically ambiguous, most empirical work has shown that access decreases teen fertility. In this paper, we consider the fertility effects of access to condoms—a method of contraception not considered in prior wo...

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Veröffentlicht in:Journal of policy analysis and management 2018, Vol.37 (3), p.464-492
Hauptverfasser: Buckles, Kasey S., Hungerman, Daniel M.
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Hungerman, Daniel M.
description While the fertility effects of improving teenagers' access to contraception are theoretically ambiguous, most empirical work has shown that access decreases teen fertility. In this paper, we consider the fertility effects of access to condoms—a method of contraception not considered in prior work. We exploit variation across counties and across time in teenagers' exposure to condom distribution programs in schools. We find that access to condoms in schools increases teen fertility by about 12 percent. The results suggest that the effects of condom access varied significantly across different programs; the positive fertility estimates are driven by communities where condoms are provided without mandated counseling. Programs that mandated counseling have zero or negative fertility effects, but estimates on these counties are less robust across specifications.
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source PAIS Index; EBSCOhost Business Source Complete; JSTOR Archive Collection A-Z Listing; Wiley Online Library All Journals
subjects Access
Adolescents
Ambiguity
Birth control
Condoms
Contraception
Counseling
Counties
Educational Environment
Fertility
Health technology assessment
Pregnancy
Program Effectiveness
Schools
Sex Education
Sexuality
title The Incidental Fertility Effects of School Condom Distribution Programs
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