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来源类型Working Paper
规范类型报告
DOI10.3386/w26044
来源IDWorking Paper 26044
Effect of an Abrupt Change in Sexual and Reproductive Health Policy on Adolescent Birth Rates in Ecuador, 2008\u20132017
Omar Galárraga; Jeffrey E. Harris
发表日期2019-07-08
出版年2019
语种英语
摘要Several countries have implemented “family-centered” abstinence-only policies for teenagers, as opposed to encouraging utilization and expansion of reproductive health services and education. Little is known, however, about the effects of these more restrictive policies on adolescent birth rates at the national level or their differential effects by race and ethnicity. The extant literature is even scarcer in low- and middle-income countries. We analyze an unexpected policy change in Ecuador that abruptly reversed course and restricted reproductive health services for teenage women in 2014. We use a canton- and time-fixed effects difference-in-differences analysis of Ecuador’s 221 cantons with time-varying controls to analyze the impact of the abrupt policy change on the difference of teen (15-19 years) minus young adult (20-24 years) birth rates. In a difference-in-difference-in-differences analysis, the policy change increases birth rates by 8.5 births per 1000 women in cantons with higher indigenous concentration. Results are robust to changes in the comparison population (young adults vs. women in their late 20s or in their early 30s), pre-intervention control periods, population weighting, serial correlation, logarithmic model specification, adjustments for intervention year, definition of indigenous concentration, and potential delays in policy implementation.
主题Health, Education, and Welfare ; Health ; Labor Economics ; Demography and Aging
URLhttps://www.nber.org/papers/w26044
来源智库National Bureau of Economic Research (United States)
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条目标识符http://119.78.100.153/handle/2XGU8XDN/583718
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Omar Galárraga,Jeffrey E. Harris. Effect of an Abrupt Change in Sexual and Reproductive Health Policy on Adolescent Birth Rates in Ecuador, 2008\u20132017. 2019.
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