Religious Barriers to Birth Control Access

Abstract This paper presents new causal evidence on the “power” of oral contraceptives in shaping women's lives, leveraging the 1970 liberalization of the Pill for minors in the Netherlands and demand- and supply-side religious preferences that affected Pill take-up. We analyze administrative data to demonstrate that, after Pill liberalization, minors from less conservative areas were more likely to delay fertility/marriage and to accumulate human capital in the long run. We then show how these large effects were eliminated for women facing a higher share of gatekeepers—general practitioners and pharmacists—who were opposed to providing the Pill on religious grounds.

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Publication Details

Journal
The Review of Economics and Statistics
Published
2025-09-09
DOI
https://doi.org/10.1162/rest.a.281
Citations
1
Primary Topic
Reproductive Health and Technologies
Type
article
Field-Weighted Citation Impact
1.70
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article

Religious Barriers to Birth Control Access

Esmée Zwiers, Olivier Marie
1 citations
The Review of Economics and Statistics
Reproductive Health and Technologies
1.70
article

Religious Barriers to Birth Control Access

Esmée Zwiers, Olivier Marie
article en
1 citations

Abstract

Abstract This paper presents new causal evidence on the “power” of oral contraceptives in shaping women's lives, leveraging the 1970 liberalization of the Pill for minors in the Netherlands and demand- and supply-side religious preferences that affected Pill take-up. We analyze administrative data to demonstrate that, after Pill liberalization, minors from less conservative areas were more likely to delay fertility/marriage and to accumulate human capital in the long run. We then show how these large effects were eliminated for women facing a higher share of gatekeepers—general practitioners and pharmacists—who were opposed to providing the Pill on religious grounds.

The Review of Economics and Statistics
IZA - Institute of Labor Economics (DE), Tinbergen Institute (NL)
Openalex Percentile: Top 13%
Reproductive Health and Technologies
1.70
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