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November 2002, Vol 92, No. 11 | American Journal of Public Health 1773-1778
© 2002 American Public Health Association


RESEARCH AND PRACTICE

The Impact of Government Policies and Neighborhood Characteristics on Teenage Sexual Activity and Contraceptive Use

Susan L. Averett, PhD, Daniel I. Rees, PhD and Laura M. Argys, PhD

Susan L. Averett is with the Department of Economics and Business, Lafayette College, Easton, Pa. Daniel I. Rees and Laura M. Argys are with the Department of Economics, University of Colorado at Denver.

Correspondence: Requests for reprints should be sent to Susan L. Averett, Lafayette College, Department of Economics and Business, Easton, PA 18042–1776 (e-mail: averetts{at}lafayette.edu)

Objectives. This study sought to examine the effects of government policies and neighborhood characteristics on adolescent female sexual behavior to better inform future public policy decisions.

Methods. Using a bivariate probit model and National Survey of Family Growth data on women aged 15 through 19 years, we estimated the probabilities of their being sexually active and, if sexually active, of their using contraceptives.

Results. Variables measuring the cost of obtaining an abortion are not good predictors of sexual activity or contraceptive use. However, the relationship between family planning availability and contraceptive use is statistically significant at conventional levels.

Conclusions. Policymakers seem to have little leverage with regard to influencing the decision to become sexually active, although increased access to family planning services may encourage responsible contraceptive behavior. Neighborhood context is an important determinant of adolescent female sexual behavior.




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