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1. Abortion Legalization and Adolescent Fertility: New Evidence for Uruguay Based on the Synthetic Control Method

Author:
Rafael-Andrés Velázquez-Pérez
Publication Date:
11-2024
Content Type:
Working Paper
Institution:
Center for Distributive, Labor and Social Studies (CEDLAS)
Abstract:
Following abortion legalization in Uruguay in late 2012, adolescent fertility rate fell by more than half. This paper aims at establishing a causality relationship. To estimate the impact of the abortion reform on adolescent fertility I use the Synthetic Control Method by comparing trends of Uruguay with Latin America and the Caribbean countries with restrictive abortion laws. Results suggest adolescent fertility rate was reduced in the postreform period by an average of 8.3 births per 1,000 girls aged 15-19, a decline of almost 15% with respect to the synthetic control unit. In-space placebos indicate this effect is statistically significant at the 5% level. This conclusion holds after conducting an in-time placebo test and a leave-one-out test. To the present time, evidence on the impact of Uruguayan abortion legalization on adolescent fertility that has addressed endogeneity is mixed, and based entirely on identification strategies that exploit different sources of exogenous within-country variation that determines the exposure to the reform. My contribution here is to exploit between-country variation, bringing new evidence to the on-going debate.
Topic:
Adolescence, Fertility, Abortion, and Synthetic Control Method
Political Geography:
Uruguay and Latin America

2. Abortion Legalization in Uruguay: Effects on Adolescent Fertility

Author:
Wanda Cabella and Rafael-Andrés Velázquez-Pérez
Publication Date:
06-2022
Content Type:
Working Paper
Institution:
Center for Distributive, Labor and Social Studies (CEDLAS)
Abstract:
The Latin America and the Caribbean adolescent fertility rate is among the highest in the world: about 1.7 million children are born to teen mothers every year, and most of them are declared as being unintended pregnancies. The region also has the highest rate of unintended pregnancy of any world region, and nearly half of such pregnancies end in abortion. However, fewer than 18% of the region’s women live in countries where abortion is broadly legal. This paper estimates the causal effect of abortion legalization on adolescent fertility in Uruguay, using official data on legal abortions provided after the 2012 reform. We employed a difference-in-differences strategy, classifying states by whether they are responsive or unresponsive to the reform. The results suggest that abortion reform had a negative impact on the adolescent birth rate by 2.5 to 2.8 births per thousand adolescents aged 15–19 (4% decrease from the preintervention average). Additionally, we exploited variation in reform implementation intensity through the estimation of fixed-effect linear regression models and found consistent results. Our findings are robust to controlling for a concurrent large-scale program of contraceptive implants. We conclude that legislation aimed at enhancing rights and reducing avoidable deaths and complications from unsafe abortions may also have spillover effects that help reduce adolescent fertility.
Topic:
Public Health, Adolescence, Fertility, Abortion, and Gender
Political Geography:
South America and Uruguay