Abstract

This paper evaluates the impact of federally subsidized family planning programs in the United States, from 1969 to 1974, on the reproductive behavior of ever-married women, 15–44 years old. The study began with an experimental design and the random assigment of areas to treatment and control but was completed as a multivariate analysis, treating program input as an interval-scaled independent variable. Using “before” and “after” area sample surveys and patient service data from operating programs, the demographic impact of the program was estimated. The impact detected was nonsignificant; according to our analysis, overall use of physician-administered contraception was not affected by the subsidized programs. The only program-induced change of activity related to reproduction that we recorded was increased use of subsidized services in study areas with high program input and increased use of private physician services where program input was low. These findings need to be interpreted with the caution usually exercised in evaluating imperfect field experiments.

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References

Beasley, J. D., & Parrish, V. W. (
1969
).
Family Planning and the Reduction of Fertility and Illegitimacy: A Preliminary Report on a Rural Southern Program
.
Social Biology
,
16
,
167
178
.
Blake, J. (
1969
).
Population Policy for Americans: Is the Government Being Misled?
.
Science
,
164
,
522
529
. 10.1126/science.164.3879.522
Bogue, D. J. (
1966
).
United States: The Chicago Fertility Control Studies
.
Studies in Family Planning
,
15
,
1
8
.
Cutright, Phillips, and F. S. Jaffe. 1976. Family Planning Program Effects on Fertility of Low Income U.S. Women. Paper presented at the annual meeting of the Population Association of America, April 1976, Montreal, Canada.
Darney, P. D. (
1975
).
A Statewide Family Planning Program’s Effect on Fertility
. In J. Richard Udry, & E. E. Huyck (Eds.),
The Demographic Evaluation of Domestic Family Planning Programs
(pp.
85
89
).
Cambridge, Mass.
:
Ballinger Books
.
Okada, L. M. (
1969
).
Use of Matched Pairs in Evaluation of a Birth Control Program
.
Public Health Reports
,
84
,
445
450
.
Rochat, R. W., Tyler, C. W., & Schoenbucher, A. K. (
1971
).
The Effect of Family Planning in Georgia on Fertility in Selected Rural Counties
.
Advances in Planned Parenthood
,
6
,
6
14
.
Udry, J. R., Bauman, K. E., & Chase, C. L. (
1973
).
Population Growth Rates in Perfect Contraceptive Populations
.
Population Studies
,
27
,
365
371
. 10.2307/2173403
Udry, J. R., & Bauman, K. E. (
1973
).
Unwanted Fertility and the Use of Contraception
.
Health Services Reports
,
88
,
730
732
. 10.2307/4594896
United States Congress. 1968. Social Security Amendments of 1967.
United States Congress. 1970. Family Planning Services and Population Research Act of 1970.
United States Congress. 1972. Social Security Amendment of 1972.