第二天早上:免处方可获得紧急避孕药
Gregor Pfeifer1, Mirjam Stockburger2
1University of Sydney, School of Economics, Social Sciences Building, NSW 2006, Australia; CESifo, Germany; IZA, Germany.
Journal of health economics
|July 14, 2023
概括
增加获得紧急避孕药 (早晨后药) 的机会,增加了90%以上的销售额,但由于减少避孕药的使用,生育率意外上升了4%.
科学领域:
- 生殖健康 生殖健康
- 卫生经济学 卫生经济学
- 公共政策 公共政策
背景情况:
- 紧急避孕药 (早晨后药) 对于防止意外怀孕至关重要.
- 获得紧急避孕措施的情况各不相同,处方要求会影响可用性.
- 了解政策变化对避孕药使用和结果的现实影响至关重要.
研究的目的:
- 评估在欧洲取消对隔日药的处方要求的影响.
- 分析政策变化后的销售,收入,堕胎率和生育率的变化.
- 调查驱动生育能力观察到的任何变化的机制,特别是其他避孕方法的转变.
主要方法:
- 在欧洲国家采用分阶段差异差异方法.
- 使用随机推断推断来加强因果关系的说法.
- 分析了销售数据,制造商收入和生育率趋势,重点关注特定年龄人口统计数据.
主要成果:
- 在政策变化之后,第二天药丸的销售额和制造商收入增加了90%以上.
- 没有观察到堕胎率显著下降.
- 检测到生育率增加了4%,特别是在25-34岁的女性中.
- 有证据表明,这种生育率的增加与常规避孕药的使用减少有关.
结论:
- 消除处方药的处方障碍显著增加了其吸收和相关收入.
- 这项政策并没有大幅降低堕胎率.
- 更容易获得紧急避孕措施可能会无意中导致更有效,更常规的避孕方法的使用减少,从而提高整体生育能力.
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