PILL, PATCH, OR SHOT? SUBJECTIVE EXPECTATIONS AND BIRTH CONTROL CHOICE*

Adeline Delavande

International Economic Review · 2008 · 177 citations · 48 references

Concepts

TL;DR

Women choose contraception based on subjective expectations of outcomes such as pregnancy and sexually transmitted infections. I combine innovative data on probabilistic expectations with observed contraceptive choices to estimate a random utility model of birth control choice. The model uses elicited expectations and inferred preference parameters to simulate how different policies would affect contraceptive choice. Effectiveness, protection against STDs, and partner’s disapproval are found to be the most important factors in the decision process.

Abstract

When choosing a contraception method, women base their decisions on their subjective expectations about the realizations of method‐related outcomes. Examples of outcomes include getting pregnant and contracting a sexually transmitted disease (STD). I combine innovative data on probabilistic expectations with observed contraceptive choices to estimate a random utility model of birth control choice. The availability of expectations data is essential to identify preferences from beliefs. Effectiveness, protection against STDs, and partner's disapproval are found to be the most important factors in the decision process. The elicited expectations and inferred preference parameters are used to simulate the impact of various policies.

References

48