Department of Economics
2301 Vanderbilt Place
Nashville, TN 37235
NBER Program Affiliations:
NBER Affiliation: Faculty Research Fellow
Institutional Affiliation: Vanderbilt University
NBER Working Papers and Publications
|July 2019||Are Syringe Exchange Programs Helpful or Harmful? New Evidence in the Wake of the Opioid Epidemic|
In light of the recent opioid crisis, many public health entities have called for an expansion in syringe exchange programs (SEPs), which provide access to sterile syringes and facilitate safe needle disposal for injection drug users. This paper investigates the effects of recent SEP openings on HIV diagnoses and drug-related overdoses in the wake of the opioid crisis. I find that SEP openings decrease HIV diagnoses by up to 18.2 percent. However, I present new evidence that SEPs increase rates of opioid-related mortality and hospitalizations, suggesting that needle exchanges alone may be less effective than other interventions at stimulating recovery.
|March 2019||The Power of the IUD: Effects of Expanding Access to Contraception Through Title X Clinics|
with Andrea M. Kelly, Jason M. Lindo: w25656
We estimate the effect of Colorado's Family Planning Initiative, the largest program to have focused on long-acting-reversible contraceptives in the United States, which provided funds to Title X clinics so that they could make these contraceptives available to low-income women. We find substantial effects on birth rates, concentrated among women in zip codes within 7 miles of clinics: the initiative reduced births by approximately 20 percent for 15-17 year olds and 18-19 year olds living in such zip codes. We also examine how extensive media coverage of the initiative in 2014 and 2015 altered its reach. After information spread about the availability and benefits of LARCs, we find a substantial increase in LARC insertions, extended effects on births among 15-17 year olds living greater th...
|June 2015||How Much Can Expanding Access to Long-Acting Reversible Contraceptives Reduce Teen Birth Rates?|
with Jason M. Lindo: w21275
Despite a near-continuous decline over the past 20 years, the teen birth rate in the United States continues to be higher than that of other developed countries. Given that over three- quarters of teen births are unintended at conception and that over a third of unplanned births are to women using contraception, many have advocated for promoting the use of long-acting reversible contraceptives (LARCs), which are more effective at preventing pregnancy than more commonly used contraceptives. In order to speak to the degree to which increasing access to LARCs can reduce teen birth rates, this paper analyzes the first large-scale policy intervention to promote and improve access to LARCs in the United States: Colorado’s Family Planning Initiative. We estimate its effects using a difference-in-...
Published: Jason M. Lindo & Analisa Packham, 2017. "How Much Can Expanding Access to Long-Acting Reversible Contraceptives Reduce Teen Birth Rates?," American Economic Journal: Economic Policy, vol 9(3), pages 348-376. citation courtesy of