Effects on pregnancy outcomes of changes in the North Carolina state abortion fund

Journal Article (Journal Article)

Extending work of Cook et al. (1999, 1996), this paper examines abortion funding cutoffs for poor women in North Carolina, a unique setting allowing for a strong quasi-experimental design. Using vital registration data and additional administrative data from North Carolina, we decompose program effects on the abortion/birth ratio into two components: coverage (i.e., the proportion of all abortions that are state funded) and substitutability (the proportion of state funded abortions that would have been births in the absence of the state program). We show that both components are crucial for understanding the effects of fund cutoffs and that both components vary by age and by race. We offer explanations for these differences. Overall, we conclude that: the North Carolina State Abortion Fund (SAF) had powerful and pervasive effects: i.e., the SAF cutoffs reduced abortions and increased births.

Full Text

Duke Authors

Cited Authors

  • Morgan, SP; Parnell, AM

Published Date

  • August 1, 2002

Published In

Volume / Issue

  • 21 / 4

Start / End Page

  • 319 - 338

International Standard Serial Number (ISSN)

  • 0167-5923

Digital Object Identifier (DOI)

  • 10.1023/A:1020078406216

Citation Source

  • Scopus