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The effects of teenage childbearing on education, physical health, and mental distress: evidence from Mexico

  • Pinar Mine Gunes (a1) and Magda Tsaneva (a2)


This paper estimates the effects of teenage childbearing on education, working, physical and mental health, and physical activity of young girls in Mexico using two waves of the nationally representative Mexican Family Life Survey. We employ a propensity score matching model that accounts for a rich set of baseline covariates that predict teenage childbearing to attempt to reduce the bias due to confounding variables associated with teenage childbearing. The results demonstrate that teenage childbearing is associated with an increase in the probability of being overweight, and reductions in physical activity and the probability of high school completion. Moreover, the results are consistent when we employ sibling fixed effects to account for unobservable family background.


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Allen, C. D., McNeely, C. and Orme, J. (2016) Self-rated health across race, ethnicity, and immigration status for US adolescents and young adults. Journal of Adolescent Health 58(1), 4756.
Altonji, J. G., Elder, T. E. and Taber, C. R. (2005) Selection on observed and unobserved variables: assessing the effectiveness of catholic schools. Journal of Political Economy 113(1), 151184.
Ardington, C., Menendez, A. and Mutevedzi, T. (2015) Early childbearing, human capital attainment and mortality risk: evidence from a longitudinal demographic surveillance area in rural-KwaZulu-Natal, South Africa. Economic Development and Cultural Change 63(2), 281317. doi: 10.1086/678983.
Ashcraft, A., Fernandez-Va, I. and Lang, K. (2013) The consequences of teenage childbearing: consistent estimates when abortion makes miscarriage non-random. The Economic Journal 123, 875905. doi: 10.1111/ecoj.12005.
Ashcraft, A. and Lang, K. (2006) The consequences of teenage childbearing. NBER Working Paper 12485.
Averett, S. L., Corman, H. and Reichman, N. (2013) Effects of overweight on risky sexual behavior of adolescent girls. Economic Inquiry 51(1), 605619. doi: 10.1111/j.1465-7295.2011.00396.x.
Branson, N. and Byker, T. (2018) Causes and consequences of teen childbearing: evidence from a reproductive health intervention in South Africa. Journal of Health Economics 57, 221235. doi: 10.1016/j.jhealeco.2017.11.006.Causes.
Bronars, S. G. and Grogger, J. (1994) The economic consequences of unwed motherhood: using twin births as a natural experiment. American Economic Review 84(5), 11411156.
Calderon, G. N. (1997) Un cuestionario para simplificar el diagnostico del sindrome depresivo. Revista de Neuro-Psiquiatria del Peru 60(2).
Caliendo, M. and Kopeinig, S. (2008) Some practical guidance for the implementation of propensity score matching. Journal of Economic Surveys 22(1), 3172.
Challenges (2007) Teenage motherhood in Latin America and the Caribbean, trends, problems and challenges. Challenges Newsletter, January (4), ISSN .
Chang, T., Choi, H., Richardson, C. R., and Davis, M. M. (2013) Implications of teen birth for overweight and obesity in adulthood. American Journal of Obstetrics and Gynecology 209(2), 110.e1110.e7. doi: 10.1016/j.ajog.2013.04.023
Chevalier, A. and Viitanen, T. K. (2003) The long-run labour market consequences of teenage motherhood in Britain. Journal of Population Economics 16(2), 323343. doi: 10.1007/s001480200125.
Conway, K. S. and Kennedy, L. D. (2004) Maternal depression and the production of infant health. Southern Economic Journal 71(2), 260286.
Cornaglia, F., Crivellaro, E. and McNally, S. (2015) Mental health and education decisions. Labour Economics 33, 112. doi: 10.1016/j.labeco.2015.01.005.
Cutler, D. M. and Lleras-Muney, A. (2010) Understanding differences in health behaviors by education. Journal of Health Economics 29(1), 128. doi: 10.1016/j.jhealeco.2009.10.003.
del Martinez, M. P. R., K. I. Galaviz, E. J. Ulloa, I. Gonzalez-Casanova and J. R. Lopez y Taylor (2014) Results from Mexico's 2014 report card on physical activity for children and youth. Journal of Physical Activity & Health 11(Supp 1), 7478. doi: 10.1123/jpah.2014-0185.
Fletcher, J. (2012) The effects of teenage childbearing on the short and long-term health behaviors of mothers. Journal of Population Economics 25, 201218.
Fletcher, J. M. and Wolfe, B. L. (2009) Education and labor market consequences of teenage childbearing evidence using the timing of pregnancy outcomes and community fixed effects. The Journal of Human Resources 44(2), 303325.
Fosse, N. E. and Haas, S. A. (2009) Validity and stability of self-reported health among adolescents in a longitudinal, nationally representative survey. Pediatrics 123(3), e496e501.
Garrido, M. M., A. S. Kelley, J. Paris, K. Roza, D. E. Meier, R. S. Morrison and M. D. Aldridge (2014) Methods for constructing and assessing propensity scores. Health Services Research 49(5), 17011720. doi: 10.1111/1475-6773.12182.
Geronimus, A. and Korenman, S. (1992) The socioeconomic consequences of teen childbearing reconsidered. Quarterly Journal of Economics 107(4), 11871214.
Grossman, M. (2003) Household production and health. Review of Economics of the Household 1(4), 331342.
Grossman, M. (2006) Education and nonmarket outcomes. In Handbook of the Economics of Education, vol. 1. Amsterdam: North Holland, pp. 577633. doi: 10.1016/S1574-0692(06)01010-5.
Gunes, P. M. (2016) The effects of teenage childbearing on long-term health in the US: a twin-fixed-effects approach. Review of the Economics of the Household 14(4), 891920. doi: 10.1007/s11150-016-9326-0.
Hainmueller, J. (2012) Entropy balancing for causal effects: a multivariate reweighting method to produce balanced samples in observational studies. Political Analysis 20, 2546. doi: 10.1093/pan/mpr025.
Haushofer, J. and Fehr, E. (2014) On the psychology of poverty. Science (New York, N.Y.) 344(6186), 862867.
Henretta, J. C., Grundy, E., Okell, L. C. and Wadsworth, M. E. (2008) Europe PMC funders group early motherhood and mental health in midlife: a study of British and American cohorts. Aging & Mental Health 12(5), 605614. doi: 10.1080/13607860802343084.Early.
Hernández, B., de Haene, J., Barquera, S., Monterrubio, E., Rivera, J., Shamah, T., Sepúlveda, J., Haas, J. and Campirano, F. (2003) Factors associated with physical activity among Mexican women of childbearing age. Revista Panamericana de Salud Publica 14(4), 235245.
Holmlund, H. (2005) Estimating the long-term consequences of teenage childbearing: an examination of the siblings approach. Journal of Human Resources 40(3), 716743.
Hotz, V. J., McElroy, S. W. and Sanders, S. G. (2005) Teenage childbearing and its life cycle consequences: exploiting a natural experiment. Journal of Human Resources 40(3), 683715.
Huber, M., Lechner, M. and Wunsch, C. (2013) The performance of estimators based on the propensity score. Journal of Econometrics 175(1), 121. doi: 10.1016/j.jeconom.2012.11.006.
Idler, E. L. and Benyamini, Y. (1997) Self-rated health and mortality: a review of twenty-seven community studies. Journal of Health and Social Behavior 38(1), 2137.
Juarez, F., S. Singh, I. Maddow-Zimet and D. Wulf (2013) Unintended Pregnancy and Induced Abortion in Mexico: Causes and Consequences. New York: Guttmacher Institute.
Kane, J. B., S. P. Morgan, K. M. Harris and D. K. Guilkey (2013) The educational consequences of teen childbearing. Demography 50(6), 21292150. doi: 10.1007/s13524-013-0238-9.
Kearney, M. S. and Levine, P. B. (2012) Why is the teen birth rate in the United States so high and why does It matter? The Journal of Economic Perspectives 26(2), 141166. doi: 10.1257/jep.26.2.141
Klepinger, D., Lundberg, S. and Plotnick, R. (1999) How does adolescent fertility affect the human capital and wages of young women? Journal of Human Resources 34(3), 421448. doi: 10.1257/aer.20121637.
Lee, I. M., E. J. Shiroma, F. Lobelo, P. Puska, S. N. Blair, P. T. Katzmarzyk and Lancet Physical Activity Series Working Group (2012) Effect of physical inactivity on major non-communicable diseases worldwide: an analysis of burden of disease and life expectancy. The Lancet 380(9838), 219229. doi: 10.1016/S0140-6736(12)61031-9.
Levine, D. I. and Painter, G. (2003) The schooling costs of teenage out-of-wedlock childbearing: analysis with a within-school propensity score matching estimator. The Review of Economics and Statistics 85(4), 884900.
Liao, T. (2003) Mental health, teenage motherhood, and age at first birth among British women in the 1990s. ISER Working Paper Series 2003-33, Institute for Social and Economic Research.
Lichter, D. and Graefe, D. (2011) Finding a mate? The marital and cohabitation histories of unwed mothers. In L. L. Wu and B. Wolfe (eds.), Out of Wedlock: Causes and Consequences of Nonmarital Fertility, pp. 317343. New York: Russell Sage Foundation.
Lybbert, T. J. and Wydick, B. (2015) Poverty, aspirations, and the economics of hope, University of California, Davis Working Paper.
Oster, E. (2019) Unobservable selection and coefficient stability: theory and evidence. Journal of Business & Economic Statistics 37(2), 187204.
PAHO/WHO (2008) Anemia among Adolescent and Young Adult Women in Latin America and the Caribbean: A Cause for Concern. Washington, DC: Pan American Health Organization.
Potter, J. E. (1999) The persistence of outmoded contraceptive regimes: the cases of Mexico and Brazil. Population and Development Review 25(4), 703739.
Ranchhod, V., D. Lam, M. Leibbrandt and L. Marteleto (2011) Estimating the effect of adolescent fertility on educational attainment in Cape Town using a propensity score weighted regression, Southern Africa Labour and Development Research Unit Working Paper Series 59.
Ribar, D. (1994) Teenage fertility and high school completion. Review of Economics and Statistics 76(3), 413424.
Ribar, D. (1999) The socioeconomic consequences of young women's childbearing: reconciling disparate evidence. Journal of Population Economics 12(4), 547565.
Smith, J. and Todd, P. (2005) Rejoinder. Journal of Econometrics 125, 365375.
Soares, R. (2015) Gary Becker's contributions in health economics. Journal of Demographic Economics 81, 5157. doi: 10.1017/dem.2014.10.
Stern, C. (2007) Estereotipos de género, relaciones sexuales y embarazo adolescente en las vidas de jóvenes de diferentes contextos socioculturales en México. Estudios Sociologicos 35(73), 105129.
UN (2013) Adolescent fertility since the International Conference on Population and Development (ICPD) in Cairo. United Nations publication.
Viteri, F. E. (1994) The consequences of iron deficiency and anaemia in pregnancy on maternal health, the foetus and the infant. Scn News/United Nations, Administrative Committee on Coordination, Subcommittee on Nutrition 11.
WDI (2017) World Development Indicators. Available at:
Webbink, D., Martin, N. G. and Visscher, P. M. (2008) Does teenage childbearing increase smoking, drinking and body size? Journal of Health Economics 27, 888903. doi: 10.1016/j.jhealeco.2008.02.005.
Woode, M. E., Bousmah, M.-Q. and Boucekkine, R. (2017) Parental morbidity, child work and health insurance in Rwanda. Journal of Demographic Economics 83, 111127. doi: 10.1017/dem.2016.28.


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The effects of teenage childbearing on education, physical health, and mental distress: evidence from Mexico

  • Pinar Mine Gunes (a1) and Magda Tsaneva (a2)


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