Health Insurance Coverage and Unplanned Births in Rotterdam, the Netherlands: A Natural Experiment in the Generation R Study
In our population of pregnant participants aged 21 years and older, we found tentative evidence that removal of contraception from the social health insurance may have led to a small increase in unplanned births with a time lag of 6 months. As this study only included pregnant people who gave birth, our results should be interpreted with caution and further research is needed for a definite conclusion on the effect of health insurance coverage on unplanned pregnancies.
Authors
- Hilmar H. Bijma (ORCID: https://orcid.org/0000-0002-5800-8051)
- Jeremy A. Labrecque (ORCID: https://orcid.org/0000-0002-1028-2158)
- Pauline W. Jansen (ORCID: https://orcid.org/0000-0001-7747-5803)
- Clair A. Enthoven (ORCID: https://orcid.org/0000-0003-0812-8765)
- Nicole Lucassen (ORCID: https://orcid.org/0000-0002-3432-0382)
- Marco Varkevisser (ORCID: https://orcid.org/0000-0001-6078-3586)
- Hanan El Marroun
Institutions
- University of Humanistic Studies (NL)
- Erasmus MC (NL)
- Erasmus MC - Sophia Children’s Hospital (NL)
- Erasmus University Rotterdam (NL)
Publication Details
- Journal
- Perspectives on Sexual and Reproductive Health
- Published
- 2025-06-21
- DOI
- https://doi.org/10.1111/psrh.70020
- Primary Topic
- Reproductive Health and Contraception
- Type
- article
- Field-Weighted Citation Impact
- 0.00
Funders
- Stichting Volksbond Rotterdam
- European Commission
- ZonMw
- Erasmus Universiteit Rotterdam
- Erasmus Medisch Centrum
- Nederlandse Organisatie voor Wetenschappelijk Onderzoek
- Erasmus Universitair Medisch Centrum Rotterdam