Review of Economics and Statistics

Religious Barriers to Birth Control Access

2025-09-09

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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DOI https://doi.org/10.1162/rest.a.281