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The Impact of Margaret Sanger’s Birth Control Clinics on Early 20th Century U.S. Fertility and Mortality

Author

Listed:
  • Stefan Bauernschuster
  • Michael Grimm
  • Cathy M. Hajo
Abstract
Margaret Sanger established the first birth control clinic in New York in 1916. From the mid-1920s, “Sanger clinics” spread over the entire U.S. Combining newly digitized data on the roll-out of these clinics, full-count Census data, and administrative vital statistics, we find that birth control clinics accounted for 5.0–7.8% of the overall fertility decline until 1940. Moreover, birth control clinics had a significant and meaningful negative effect on the incidence of stillbirths and infant mortality. The effect of birth control clinics on puerperal deaths is consistently negative, yet insignificant. Further suggestive evidence points towards positive effects on female employment.

Suggested Citation

  • Stefan Bauernschuster & Michael Grimm & Cathy M. Hajo, 2023. "The Impact of Margaret Sanger’s Birth Control Clinics on Early 20th Century U.S. Fertility and Mortality," CESifo Working Paper Series 10421, CESifo.
    • Handle: RePEc:ces:ceswps:_10421
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    1. Martha J. Bailey & William J. Collins, 2011. "Did Improvements in Household Technology Cause the Baby Boom? Evidence from Electrification, Appliance Diffusion, and the Amish," American Economic Journal: Macroeconomics, American Economic Association, vol. 3(2), pages 189-217, April.
    2. Jennifer M. Mellor, 1998. "The Effect of Family Planning Programs on the Fertility of Welfare Recipients: Evidence from Medicaid Claims," Journal of Human Resources, University of Wisconsin Press, vol. 33(4), pages 866-895.
    3. Daniel Aaronson & Fabian Lange & Bhashkar Mazumder, 2014. "Fertility Transitions along the Extensive and Intensive Margins," American Economic Review, American Economic Association, vol. 104(11), pages 3701-3724, November.
    4. Philipp Ager & Benedikt Herz & Markus Brueckner, 2020. "Structural Change and the Fertility Transition," The Review of Economics and Statistics, MIT Press, vol. 102(4), pages 806-822, October.
    5. Joseph G. Altonji & Todd E. Elder & Christopher R. Taber, 2005. "Selection on Observed and Unobserved Variables: Assessing the Effectiveness of Catholic Schools," Journal of Political Economy, University of Chicago Press, vol. 113(1), pages 151-184, February.
    6. Clément de Chaisemartin & Xavier D'Haultfœuille, 2020. "Two-Way Fixed Effects Estimators with Heterogeneous Treatment Effects," American Economic Review, American Economic Association, vol. 110(9), pages 2964-2996, September.
    7. Gary S. Becker, 1981. "A Treatise on the Family," NBER Books, National Bureau of Economic Research, Inc, number beck81-1.
    8. James J. Feigenbaum & Christopher Muller & Elizabeth Wrigley-Field, 2019. "Regional and Racial Inequality in Infectious Disease Mortality in U.S. Cities, 1900–1948," Demography, Springer;Population Association of America (PAA), vol. 56(4), pages 1371-1388, August.
    9. Claudia Goldin & Lawrence F. Katz, 2002. "The Power of the Pill: Oral Contraceptives and Women's Career and Marriage Decisions," Journal of Political Economy, University of Chicago Press, vol. 110(4), pages 730-770, August.
    10. Robert Weisbord, 1973. "Birth control and the black American: A matter of genocide?," Demography, Springer;Population Association of America (PAA), vol. 10(4), pages 571-590, November.
    11. Hoyt Bleakley & Fabian Lange, 2009. "Chronic Disease Burden and the Interaction of Education, Fertility, and Growth," The Review of Economics and Statistics, MIT Press, vol. 91(1), pages 52-65, February.
    12. Jessica Cohen & Pascaline Dupas, 2010. "Free Distribution or Cost-Sharing? Evidence from a Randomized Malaria Prevention Experiment," The Quarterly Journal of Economics, President and Fellows of Harvard College, vol. 125(1), pages 1-45.
    13. Emily Oster, 2019. "Unobservable Selection and Coefficient Stability: Theory and Evidence," Journal of Business & Economic Statistics, Taylor & Francis Journals, vol. 37(2), pages 187-204, April.
    14. Sun, Liyang & Abraham, Sarah, 2021. "Estimating dynamic treatment effects in event studies with heterogeneous treatment effects," Journal of Econometrics, Elsevier, vol. 225(2), pages 175-199.
    15. Wanamaker, Marianne H., 2012. "Industrialization and Fertility in the Nineteenth Century: Evidence from South Carolina," The Journal of Economic History, Cambridge University Press, vol. 72(1), pages 168-196, March.
    16. Goodman-Bacon, Andrew, 2021. "Difference-in-differences with variation in treatment timing," Journal of Econometrics, Elsevier, vol. 225(2), pages 254-277.
    17. Michael Grimm, 2021. "Rainfall risk, fertility and development: evidence from farm settlements during the American demographic transition," Journal of Economic Geography, Oxford University Press, vol. 21(4), pages 593-618.
    18. Callaway, Brantly & Sant’Anna, Pedro H.C., 2021. "Difference-in-Differences with multiple time periods," Journal of Econometrics, Elsevier, vol. 225(2), pages 200-230.
    19. Timothy W. Guinnane, 2011. "The Historical Fertility Transition: A Guide for Economists," Journal of Economic Literature, American Economic Association, vol. 49(3), pages 589-614, September.
    20. Martha J. Bailey, 2006. "More Power to the Pill: The Impact of Contraceptive Freedom on Women's Life Cycle Labor Supply," The Quarterly Journal of Economics, President and Fellows of Harvard College, vol. 121(1), pages 289-320.
    21. Katherine Curtis White, 2008. "Population change and farm dependence: Temporal and spatial variation in the U.S. great plains, 1900–2000," Demography, Springer;Population Association of America (PAA), vol. 45(2), pages 363-386, May.
    22. J. Udry & Karl Bauman & Naomi Morris, 1976. "The effect of subsidized family planning services on reproductive behavior in the United States, 1969–1974," Demography, Springer;Population Association of America (PAA), vol. 13(4), pages 463-478, November.
    23. J. Hacker, 2003. "Rethinking the “early” decline of marital fertility in the united states," Demography, Springer;Population Association of America (PAA), vol. 40(4), pages 605-620, November.
    24. Hansen, Casper Worm & Jensen, Peter Sandholt & Lønstrup, Lars, 2018. "The Fertility Decline In The United States: Schooling And Income," Macroeconomic Dynamics, Cambridge University Press, vol. 22(6), pages 1584-1612, September.
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    Cited by:

    1. Daniela Vidart, 2024. "Revisiting the Link Between Electrification and Fertility: Evidence from the Early 20th Century United States," Working papers 2024-03, University of Connecticut, Department of Economics.

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    More about this item

    Keywords

    birth control; fertility; mortality; Margaret Sanger; demographic transition;
    All these keywords.

    JEL classification:

    • D10 - Microeconomics - - Household Behavior - - - General
    • J13 - Labor and Demographic Economics - - Demographic Economics - - - Fertility; Family Planning; Child Care; Children; Youth
    • J23 - Labor and Demographic Economics - - Demand and Supply of Labor - - - Labor Demand
    • N32 - Economic History - - Labor and Consumers, Demography, Education, Health, Welfare, Income, Wealth, Religion, and Philanthropy - - - U.S.; Canada: 1913-
    • O12 - Economic Development, Innovation, Technological Change, and Growth - - Economic Development - - - Microeconomic Analyses of Economic Development

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