Alcohol consumption and risky sexual behavior among young adults: Evidence from minimum legal drinking age laws∗ Ceren Ertan Yörük† Barış K. Yörük‡ February 12, 2013 Abstract This paper exploits the discrete jump in alcohol consumption at the minimum legal drinking age (MLDA) in the United States and uses a regression discontinuity design to investigate the relationship between drinking and risky sexual behavior among young adults. Using confidential data from the National Longitudinal Survey of Youth (1997 Cohort), we document that young adults tend to drink up to 2.1 days more once they are granted legal access to alcohol at age 21. Under certain model specifications, we find that the discrete jump in alcohol consumption at the MLDA is associated with an increase in the probability of having sex by up to 8.3 percentage points. However, we also find that young adults, who gain legal access to alcohol at age 21, do not have a tendency to engage in risky sexual behaviors. Furthermore, we document that the effect of the MLDA on the probability of using several different birth control methods is not significant for those who had sex in the past four weeks. Our results are robust to alternative sample and model selections and imply that although the MLDA law is quite effective in reducing alcohol consumption among young adults, spillover effects of this law on risky sexual behaviors are relatively limited. Keywords: alcohol consumption, minimum legal drinking age, risky sexual behavior JEL classification: I10, I18 ∗ This paper uses confidential data provided by Bureau of Labor Statistics (BLS). The views expressed in this paper are those of the authors and do not necessarily reflect those of the BLS. † Corresponding author. School of Management, The Sage Colleges, 140 New Scotland Ave., Albany, NY 12208. E-mail: [email protected]. ‡ Department of Economics, University at Albany, SUNY, 1400 Washington Ave., Albany, NY 12222. E-mail: [email protected]. 1 1 Introduction One of the most direct forms of regulation on alcohol availability and consumption in the United States is imposing a minimum legal drinking age (hereafter, MLDA) of 21.1 Understanding the direct and indirect effects of the MLDA is particularly important not only because alcohol consumption is related to several undesirable health and economic outcomes, but also lowering the MLDA from 21 is a current policy debate in many states. Opponents of the MLDA of 21 suggest that imposing a MLDA encourages a majority of young adults under age 21 to consume alcohol in an irresponsible manner and that lowering the drinking age would help young adults to learn how to drink gradually and in moderation. On the other hand, proponents of the MLDA of 21 argue that states that previously lowered the drinking age to 18, such as Massachusetts and Maine, experienced an increase in alcoholrelated traffic accidents among the 18 to 20 age group and that allowing teens to drink at an early age can make them more vulnerable to drug and substance abuse, depression or other mental health problems, and violence. Several studies investigate the effect of the MLDA laws on alcohol consumption and alcohol consumption related outcomes.2 The consensus in the existing literature is that once young adults gain legal access to alcohol at age 21, their alcohol consumption increases significantly.3 Most of the studies that investigate the direct and indirect effects of the MLDA laws use the state level variation in the MLDA laws before 1988. However, states that originally imposed a lower MLDA might be different in unobserved ways than those states that enforced the MLDA of 21. This is plausible since states that observe relatively lower alcohol consumption rates among young adults may choose to lower the MLDA, which makes the policy choice endogenous. If this is the case, then one cannot directly estimate a consistent effect of the MLDA on alcohol consumption or alcohol consumption related outcomes using the simple variation of the MLDA law at the state level. In order to address 1 By 1988, all states had set 21 as the MLDA. Since then, it has been illegal for youths under age 21 to purchase or consume alcohol in the United States. In some states, alcohol consumption under 21 may be allowed under certain circumstances. These include religious or educational purposes and the presence of a parent. We do not address these exceptions directly because their impact is likely to be minor in the context of our study. 2 Wagenaar and Toomey (2002) and Carpenter and Dobkin (2011) provide an extensive review of the literature on the effects the MLDA laws. The main focus of most of the existing studies is the impact of the MLDA laws on alcohol related traffic accidents. See, for example, Dee (1999), Lovenheim and Slemrod (2010), Carpenter and Dobkin (2009), and Kreft and Epling (2007). 3 The exception is Miron and Tetelbaum (2009) who use state level panel data to show that any nationwide impact of the MLDA is driven by states that increased their MLDA prior to any inducement from the federal government. 2 this shortcoming, several recent papers exploit the discontinuity in drinking habits at age 21 and use a regression discontinuity (hereafter, RD) design to estimate the causal effect of the MLDA on alcohol consumption and alcohol consumption related outcomes. These studies include Carpenter and Dobkin (2009), Carrell, Hoekstra, and West (2011), Ertan Yörük and Yörük (2012) and Yörük and Ertan Yörük (2011).4 Carpenter and Dobkin (2009) investigate the effect of the MLDA on alcohol consumption and alcohol consumption related mortalities. They argue that the MLDA of 21 is associated with discrete increases in several measures of alcohol consumption, including a 21 percent increase in the number of days on which people drink. This increase in alcohol consumption leads to a discrete 9 percent increase in the mortality rate at age 21. Carrell, Hoekstra, and West (2011) exploit the discontinuity in drinking at age 21 at a college in which the minimum legal drinking age is strictly enforced. They find that alcohol consumption is associated with significant reductions in academic performance, particularly for the highest-performing students. Using data from National Longitudinal Survey of Youth, 1997 Cohort (NLSY97), Yörük and Ertan Yörük (2011) show that MLDA of 21 is associated with significant increases in several measures of alcohol consumption. However, they also argue that the spillover effects of the MLDA law on smoking and marijuana use among young adults are often insignificant. Using data from NLSY97, Ertan Yörük and Yörük (2012) find that the MLDA is not a significant determinant of psychological well-being among young adults. In this paper, we use a RD design to investigate the spillover effects of the MLDA law on sexual activity and risky sexual behavior among young adults. Although several studies have investigated the relationship between alcohol consumption and risky sexual behavior before, they mostly rely on instrumental variables to control for potential endogeneity of alcohol consumption. Recently, several researchers have raised concerns regarding the validity of the instruments used in these studies. For instance, Rashad and Kaestner (2004) argue that instruments that rely on state level variation in alcohol policies such as state beer taxes and police expenditures are statistically weak. It is plausible that states’ decision to adopt a particular alcohol control policy is based on direct and indirect effects of alcohol consumption. For instance, a state may want to increase the tax on alcohol not only to 4 The main identifying assumption in these studies is that the observable and unobservable determinants of alcohol consumption and alcohol consumption related outcomes are likely to be distributed smoothly across the age-21 cutoff. Hence, the changes in alcohol consumption and alcohol consumption related outcomes at age 21 can solely be attributed to the MLDA law itself. This assumption is partially testable. We discuss this identification problem in section four in detail. 3 control alcohol consumption but also to curb the undesirable spillover effects of heavy drinking such as violence or risky sexual behavior. If this is the case, then one cannot estimate a consistent effect of alcohol consumption on risky sexual behavior using the simple variation of the alcohol control policies at the state level. The RD approach used in this paper alleviates this shortcoming by removing the bias from unobserved policy preferences. We use the same data that Yörük and Ertan Yörük (2011) have used in their study but extend their analysis by investigating the impact of increased alcohol consumption at the MLDA on sexual activity and risky sexual behavior among young adults. To our best knowledge, this is the first paper which uses a RD design to investigate the relationship between alcohol consumption and risky sexual behavior among young adults. We use a confidential version of the NLSY97, which contains information on the exact birth dates of the respondents, to investigate the impact of the MLDA law on alcohol consumption and risky sexual behavior among young adults. In the context of a RD design, the information on exact birth dates is particularly important since one can clearly identify the treatment and control groups and compare the alcohol consumption related outcomes of young adults who are just about to turn 21 with those who recently turned 21.5 Using several parametric models, we find that granting legal access to alcohol at age 21 leads to an increase in several measures of alcohol consumption. In particular, our estimates indicate that the MLDA of 21 is associated with up to a 2.1 day increase in the number of days that young adults consume alcohol and up to a 1 day increase in the number of days that they engage in binge drinking per month. Under certain model specifications, we also show that the increased alcohol consumption at the MLDA is associated with up to a 8.3 percentage point increase in the probability of having sex in the past four weeks. However, we find that the impact of the MLDA law on risky sexual behaviors, that can result in unintended outcomes such as a sexually transmitted disease (STD) or pregnancy, is not significant. Moreover, we document that for those who had sex at least once in the past four weeks, the effect of the MLDA law on using several different birth control methods is statistically insignificant. Hence, we find no evidence of the effect of the MLDA on various 5 As discussed in Yörük and Ertan Yörük (2011), without information on exact birth dates, it is not possible to identify the treament and control groups around the MLDA cutoff. Suppose that one has information only on the month and year of the birth date of each respondent and her interview date. A respondent who was born on January 30, 1980 and interviewed on January 1, 2001 will be mistakenly coded as a 21 year old and placed in a treatment group (those who are 21 and older). But, this respondent is actually in the control group since she is 29 days younger than 21 at the time of the interview. Furthermore, by definition, the RD approach estimates the local treatment effect, which calls for a very detailed information around the age-21 cutoff. 4 indicators of risky sexual behaviors among young adults. This finding is also robust to selection of alternative samples and models. The rest of this paper is organized as follows. The next section summarizes the findings from previous studies that have investigated the relationship between alcohol consumption and risky sexual activity. Section three presents the data and summary statistics. Section four presents a discussion of RD models. Section five presents the results and discusses the sensitivity of results to selection of alternative specifications. Section six provides a discussion of policy implications and concludes. 2 Alcohol consumption and risky sexual behavior There are several reasons why alcohol consumption might be associated with risky sexual behavior among young adults. Alcohol consumption may increase sexual aggression, lower inhibitions, or significantly affect the ability to assess potential risks. Heavy drinking could also serve as an excuse to engage in behavior that otherwise would be considered socially unacceptable such as not using a condom in a sexual intercourse (Rees, Argys, and Averett, 2001). A large body of earlier studies in the existing literature find a strong and positive link between alcohol consumption and sexual activity.6 However, identifying the causal effect of alcohol consumption on sexual activity is difficult since individuals are likely to select into drinking based on their unobserved characteristics such as individual’s propensity for risk-taking that may also be correlated with their sexual activity. In order to address this problem, Rees, Argys, and Averett (2001) use whether the state of residence required schools to offer alcohol and drug prevention education, per capita local and state expenditures on police protection, the number of arrests per violent crime in the county of residence, and the number of total arrests per crime in the county of residence as instrumental variables that influence substance use but not sexual activity. Compared with the findings of the previous studies which treated alcohol consumption an exogenous variable, their results indicate that treating substance use as an endogenous variable produce much smaller and often insignificant estimates of the effect substance use on sexual behavior. Grossman and Markowitz (2005) use data from the Youth Risk Behavior Survey to investigate the causal relationship between substance use and risky sexual behavior. Their instruments for substance use include taxes on beer, the monetary price of mari6 These studies include Butcher et al. (1991), Cooper et al. (1994), Bentler and Newcomb (1986), Mott and Haurin (1988), and Staton et al. (1999). 5 juana, the number of outlets licensed to sell alcohol, and statutory fines and jail terms for possession of small amounts of marijuana. They find that alcohol consumption does not increase the likelihood of having sex or of having multiple partners but it lowers the probability of using birth control and condoms among sexually active teens. Sen (2002) uses data from NLSY97 and instruments alcohol consumption with state level policies such as per gallon beer tax in state of residence, the year in which the state of residence increased the legal drinking age to 21, arrest rates for juvenile drunk driving in country of residence, and per capita alcohol consumption by adults in state of residence. She finds that moderate alcohol consumption increases the probability of sexual intercourse, even after accounting for the potential endogeneity. However, consistent with Rees, Argys, and Averett (2001), she concludes that there is less evidence that heavy drinking has a significant effect on sexual intercourse. Carpenter (2005) finds evidence that the adoption of age-targeted "Zero Tolerance" drunk driving laws were associated with lower gonorrhea rates among white males in the relevant age group. His reduced form estimates, which include controls for other alcohol control policies, macroeconomic variables, demographic characteristics, unrestricted state and year fixed effects, and state specific time trends, indicate that age-targeted drunk driving laws cause a 14% reduction in the gonorrhea rate among 15—19-year-old white males. He also find that the "Zero Tolerance" laws do not have a significant effect on the gonorrhea rate among 20—24-year-old white males. On the other hand, Rashad and Kaestner (2004) call into question the instruments that are used in the literature. They argue that, in most cases, instruments are not strongly correlated with substance use and tests of exclusion restrictions indicate that in many cases they are not valid. There are also a handful of papers in the literature that have investigated the spillover effects of the MLDA laws on risky sexual behavior among young adults. Dee (2001) estimates reduced-form childbearing models that are based on state-level panel data. He finds that alcohol availability and use have large, independent, and statistically significant effects on childbearing among black teens but not necessarily among white teens. Similarly, using state level data, Chesson, Harrison, and Kassler (2000) show that higher alcohol taxes and MLDAs lead to lower sexually transmitted disease rates in the United States. In contrast to these studies, we use individual level survey data that contain detailed information on sexual activity and risky sexual behavior among young adults. Our study also contributes to the existing literature by estimating the spillover effects of the MLDA law on risky sexual behavior among young adults using a RD design. This methodology improves over the 6 previous studies since it does not require any instrumental variables that are correlated with alcohol consumption for identification. 3 Data We have obtained access to a confidential version of the NLSY97 with information on respondents’ exact date of birth and interview date for each survey year. For each respondent, we use this information to calculate the exact age in days at the time of the interview. We restrict our sample to those respondents who were surveyed over the period 2000-2006 and were between ages 19 to 22, inclusive.7 The respondents of the NLSY97 were asked whether they have consumed alcohol since the date of their last interview (DLI). Those who reported to have consumed alcohol since the DLI were asked about their alcohol consumption habits over the past month.8 We focus on the answers from these two questions to generate alcohol consumption outcomes. The relatively short reference period of one month is desirable since our empirical strategy compares those who are slightly older than 21 with those who are slightly younger than this cutoff age. In particular, we consider two different alcohol consumption outcomes. These are the number of days that the respondent consumed alcohol over the past month and the number of days that she had five or more drinks on the same occasion during the past month as a measure of binge drinking. The sample statistics for these variables are presented in Table 1.9 On average, young adults consume alcohol 4.6 days per month and engage in binge drinking 2 days per month. The estimates from the existing literature that document the relationship between drinking and sexual activity and risky sexual behavior are mixed and often suffer from potential omitted variable 7 This corresponds to a bandwidth of 732 days on either side of the age cutoff of 21. We follow Carpenter and Dobkin (2009) and Yörük and Ertan Yörük (2011) in order to choose the age bandwidth. 8 Since the empirical results are based on self-reported survey data, young adults under 21 may also be more likely to underreport their alcohol consumption since alcohol consumption is illegal for those who are under this cutoff age. This could generate a discrete jump in reported level of alcohol consumption at age 21 even if there is no true change in actual behavior. However, Yörük and Ertan Yörük (2011) argue that in the NLSY97, the alcohol consumption patterns of 21-year-olds are quite similar compared with 20 and 22-year-olds, which suggests that the empirical results documented in this paper are not subject to a underreporting bias. 9 Yörük and Ertan Yörük (2011) use the same alcohol consumption outcomes in their analysis. Our results are similar but slightly different than their results because their estimation sample includes only those who have consumed alcohol at least once since the DLI. In our analysis, we also include those who did not consume alcohol since the DLI. Naturally, for these respondents number of days that they consumed alcohol or engaged in binge drinking over the past month is zero. 7 bias. Hence, understanding the impact of increased alcohol consumption at the MLDA on risky sexual behavior is quite important. The respondents of the NLSY97 were asked whether they ever had sex and whether they had sex since the DLI. Those who had sex since the DLI were also asked the number of times they had sex in the past four weeks.10 We use the answers from these questions to generate two outcome variables. These are the number times that the respondent had sex over the past four weeks and whether the respondent had sex at least once over the past four weeks. Table 1 shows that on average, 52.5% of the respondents had sex at least once over a four week period. The average number of sexual intercourse among young adults during the same period is approximately 5. For 2000-2005 survey years, the respondents of the NLSY97 who had sex at least once since the DLI were also asked whether they used a birth control method in their most recent sexual intercourse. Using information from these questions, we consider risky sexual behaviors that can result in pregnancy or an STD. We assume that a young adult engaged in a risky sexual behavior that can result in pregnancy if he or she had sex at least once over the past four weeks and did not use any form of birth control method in his or her last sexual intercourse. Similarly, we assume that a respondent was at risk of contracting an STD if he or she had sex at least once over the past four weeks and did not use condom in his or her most recent sexual intercourse. The sample statistics reported in Table 1 shows that 19.7% of the respondents engaged in a risky sexual behavior that can lead to an STD and 9.5% of the respondents engaged in a risky sexual behavior that may result in pregnancy. Since RD analysis requires a short reference period, we also consider the outcomes for those respondents who had sex at least once in the past four weeks. For this restricted sample, in order to investigate the relationship between MLDA and risky sexual behavior, we consider four different birth control variables. These are whether the respondent or her partner used any birth control method in the most recent sexual intercourse, whether the respondent or her partner used condom in the most recent sexual intercourse, whether the respondent or her partner used birth control pill in the most recent sexual intercourse, and whether the respondent or her partner used any other birth control method excluding condom or birth control pill in the most recent sexual intercourse. The raw numbers reported in Table 1 show that on average 74% of the respondents who has sex at least 10 The wording of the question is as follows: "About how many times have you had sexual intercourse in the past four weeks?". We exclude those who reported to have had sex more than 50 times in the past month (505 observations). 8 once over the past four weeks used a birth control method, 46% used condom, 36% used birth control pill, and 30% used some other birth control method excluding condom or birth control pill.11 These raw numbers are similar compared with other surveys that contain information on sexual activity. For instance, in National Survey of Sexual Health and Behavior (NSSHB), 45% of males and 39% of females in the 18-24 age group reported to have used condom in their past ten sexual intercourse. As mentioned before, alcohol consumption, sexual activity, and risky sexual behavior outcomes in the NLSY97 refer to a relatively short time period of either one month or four weeks. Although these short reference periods are desirable in the context of RD design, there is also a potential problem associated with the outcome variables. Suppose that a respondent who is 10 days older than 21 reported to have consumed alcohol only a single day over the past month. One cannot possibly identify the exact day of alcohol consumption. Therefore, it is impossible to know whether this respondent consumed alcohol before or after turning 21. However, this potential problem applies only those who were interviewed during the first month or first four weeks after turning 21. In order to address this problem, following Carpenter and Dobkin (2009) and Yörük and Ertan Yörük (2011), we include a dummy variable, which is equal to 1 if the respondent was interviewed during the first month after turning 21, to our alcohol consumption models. Similarly, we include a dummy variable, which is equal to 1 if the respondent was interviewed during the first four weeks after turning 21, to our sexual activity and risky sexual behavior models.12 4 Methodology We use a RD design to estimate effect of the MLDA laws on alcohol consumption and risky sexual behavior among young adults.13 MLDA law in the United States guarantees that alcohol consumption 11 In the 2000 survey year, there was a single question about the birth control method used in the most recent sexual intercourse. Hence, respondents were allowed to choose only one of the birth control methods listed. However, in the 2001 to 2005 survey years, respondents were first asked whether they used condom in their most recent sexual intercourse. If the answer is a yes, then they were asked whether they used any other birth control method in their most recent sexual intercourse. Therefore, in the 2001 to 2005 survey years, respondents were allowed to choose two birth control methods instead of one. Hence, the percent of respondents who reported to have used condom, pill, or any other birth control method exceeds 100% for the full sample. 12 Young adults may also tend to drink more in their birthdays. Therefore, it is hard to distinguish the birthday celebration effect in the 21st birthday from the effect of the MLDA law. Carpenter and Dobkin (2009) argue that a dummy variable, which is equal to 1 if the respondent was interviewed during the first month after turning 21, also controls for the potential impact of the birthday celebration at the MLDA. 13 Imbens and Lemieux (2008) and Lee and Lemieux (2009) provide a detailed discussion of the RD design. 9 is legally allowed according to a simple age cutoff of 21. Therefore, one can compare outcomes across young adults with similar income, educational attainment, and other observable characteristics, but very different levels of alcohol consumption around this cutoff age. The main RD regression model used through our empirical analysis is as follows: Yi = β ′ Xi + ηTi + f(agei ) + εi (1) where Yi represents a particular outcome such as different measures of alcohol consumption, sexual activity or risky sexual behavior for individual i. The set of observable characteristics for individual i are denoted by Xi . Following Yörük and Ertan Yörük (2011), control variables include household income, educational attainment, marital status, gender, and race of the respondent, binary controls for student and employment status, and a binary variable which equals to 1 if the respondent was interviewed during the first month (or the first four weeks) after turning 21.14 As documented in Yörük and Ertan Yörük (2011), these control variables vary smoothly over the MLDA and therefore, have very little impact on our results.15 A flexible function of age profile, f (agei ), is the forcing variable in the context of RD design.16 Since the confidential version of the NLSY97 contains information on the exact birth and interview date for each respondent, it is possible to calculate the difference between the interview date and the respondent’s 21st birthday in days. Therefore, for each respondent, the variable agei denotes the number of days before or after the 21st birthday. The treatment variable is represented by Ti and is equal to 1 if the respondent is at least 21 years old at the interview date and 0 otherwise. The main coefficient of interest, η, denotes the effect of the MLDA law on the relevant outcome variable. Correctly modelling the age profile is one the main obstacles in implementing a RD design. We estimate several parametric specifications and consider linear, quadratic, cubic, quartic models, al14 Following Yörük and Ertan Yörük (2011), we first calculate household income in 2006 prices. Next, we create dummy variables for different income ranges (less than 20000, 20000 to 40000, 40000 to 60000, 60000 to 80000, 80000 to 100000, more than 100000, and a dummy for missing observations) and include these dummies to our regressions as controls for income. 15 Our selection control variables follows Yörük and Ertan Yörük (2011), who use NLSY97 to investigate the spillover effects of the MLDA law on smoking and marijuana use among young adults. Yörük and Ertan Yörük (2011) also test the possibility that these control variables exhibit a discrete change at the MLDA. They show that there is no evidence of a significant change in any of the control variables at the MLDA. Since we employ the same data set and consider the same age bandwidth, this finding also applies to our analysis. This result also reduces the concerns about omitted variable bias and suggests that parametric models estimated with or without controls should yield similar results. 16 In order to implement the RD design, the respondents should not have any control over the forcing variable. Since the forcing variable is age, this condition is naturally satisfied. 10 lowing the slope of these functions to vary on each side of the age cutoff (i.e. linear, quadratic, cubic, and quartic splines). Hence, our parametric models with different degrees of polynomials that are fully interacted with the treatment variable contain the following age profile: p p δ j ageji f (agei ) = j=1 λj (Ti × ageji ) for p = {1, 2, 3, 4}. + (2) j=1 It is also possible to estimate the age profile non-parametrically. Carpenter and Dobkin (2009) and Yörük and Ertan Yörük (2011) show that the effect of the MLDA on alcohol consumption is quite similar under parametric or non-parametric RD models. Furthermore, non-parametric approach has two main shortcomings. First, in contrast to parametric models, it is relatively hard to control for observable characteristics in non-parametric models due to the well-known dimensionality problem. Second, one has to balance the goals of staying as local to the cutoff point at the MLDA as possible while ensuring to have enough data to yield informative estimates. This requires the selection of optimal bandwidths for each outcome variable. However, there is currently no widely agreed-upon method for selection of optimal bandwidths in the nonparametric RD context (Carpenter and Dobkin, 2009). Therefore, throughout the paper, we report results from parametric models only.17 5 Results 5.1 Alcohol consumption In the first four columns of Table 2, we report the estimates from parametric regressions of the effect of the MLDA on the number of days that young adults consumed alcohol or engaged in binge drinking per month. These regressions contain linear, quadratic, cubic, and quartic polynomials of age that are fully interacted with a dummy variable indicating an age over 21 and are estimated using sample weights. As expected, models estimated with or without any control variables yield similar results. We find that once they gain legal access to alcohol at the MLDA, young adults tend to increase the number of days that they consume alcohol by 1.6 to 2.1 days per month. This effect is highly 17 Although not reported here, we also estimate non-parametric models following Hahn, Todd, and van der Klaauw (2001). In these models, following Malamud and Pop-Eleches (2011), we use triangular kernel which has been shown to be boundary optimal by putting more weight on observations closer to the cutoff point (Cheng, Fan, Marron, 1997) and employ the bandwidth selection procedure suggested by Imbens and Kalyanamaran (2009). In general, similar to parametric models, non-parametric models also suggest that the effect of the MLDA on risky sexual behaviors among young adults is statistically insignificant. 11 significant. The MLDA is also associated with an increase in the number of days that young adults engage in binge drinking per month. The third and fourth columns in Table 2 show that the increase in the number of binge drinking days at the MLDA is around 0.5 to 1 days per month. This effect is highly significant under all model specifications. We also estimate the same models for those who had sex in the past four weeks. For this sample, the effect of the MLDA on alcohol consumption is more pronounced and remains highly significant. In particular, we find that those who had sex at least once in the past four weeks tend to increase the number of days that they consume alcohol by up to 2.8 days per month and the number of days that they engage in binge drinking by up to 1.6 days per month. In Figure 1, we superimpose the quadratic fitted lines from the parametric model estimated without any controls over the mean value of the outcome variables calculated for each 30-day age block. This figure confirms the estimation results and shows that, consistent with the findings from the earlier studies that have used a RD design to investigate the impact of the MLDA on alcohol consumption, the MLDA is associated with a considerable increase in alcohol consumption and binge drinking among young adults. 5.2 Sexual activity In Table 3, we report the estimates from parametric regressions of the effect of the MLDA on sexual activity among young adults. The results presented in the first two columns suggest that the MLDA is associated with up to a 8.3 percentage point increase in the probability of having sex at least once in the past four weeks. This effect is significant at conventional significance levels in models that contain cubic and quartic polynomial of age and in a model that contains a quadratic polynomial of age and is estimated without any control variables. The last two columns of Table 3 show the estimated effect of gaining legal access to alcohol at the MLDA on the number of times that the respondent had sex over a four week period. Under most specifications, the estimated effect is positive which suggests that increased alcohol consumption at the MLDA may also be associated with increased sexual activity among young adults. However, under all models specifications, the estimated coefficient of the treatment variable is statistically insignificant, which implies that the MLDA does not have a significant effect on the number of times that the respondent had sex in the past four weeks. In Figure 2, we plot the results from models that are estimated using a quadratic polynomial of 12 age and without any control variables. Consistent with our findings, the probability of having sex among young adults exhibits a discrete jump at the cutoff age of 21. On the other hand, the second panel of Figure 2 shows a small increase in the number of times that the respondent had sex over the past four weeks. However, this effect is insignificant. Following Carpenter and Dobkin (2009), one can also estimate the direct relationship between alcohol consumption and sexual activity. This is the ratio of the change in sexual activity to the change in alcohol consumption at the MLDA. For instance, the results from the models estimated using a cubic polynomial of age and without any control variables suggest that young adults tend to increase their alcohol consumption by 1.71 days per month (1.6 days per four weeks). They are also 6.6 percentage points more likely to have sex during a four week period once they gain legal access to alcohol at the MLDA. Therefore, a one day increase in alcohol consumption is associated with 0.066/1.6 = 0.041 (4.1 percentage points) increase in the probability of having sex at least once over the past four weeks. 5.3 Risky sexual behavior In Table 4, we investigate whether the increased alcohol consumption at the MLDA has a significant impact on risky sexual behaviors among young adults. Results from the parametric models estimated using cubic or quartic polynomial of age and from the model estimated with quadratic polynomial of age and without any control variables show that the effect of the MLDA on a risky sexual behavior that may lead to an STD is insignificant. Under remaining model specifications, the MLDA is associated with up to a 3.1 percentage point decrease in the probability of engaging in a risky behavior that may lead to an STD. On the other hand, the last two columns of Table 4 show that under all parametric model specifications, the estimated impact of the MLDA on a risky sexual behavior that can result in pregnancy is very small and statistically insignificant. In Figure 3, we plot the results from models that are estimated using a quadratic polynomial of age and without any control variables. Consistent with our findings, we observe small and insignificant changes in both variables at the MLDA. In the first two columns of Table 5, we investigate whether the increased alcohol consumption at the MLDA has a significant impact on the probability of using a birth control method in the most recent sexual intercourse for those who had sex at least once over the past four weeks. Under all parametric model specifications, the estimated impact of the MLDA on this outcome is very small 13 and statistically insignificant, which suggests that the probability of using some form of birth control among those who had sex at least once over the past four weeks does not exhibit a significant change at the MLDA. The third and fourth columns of Table 5 report the effect of the MLDA on the probability of using condom in the most recent sexual intercourse for those who had sex at least once over the past four weeks. Results from the most flexible models, i.e., parametric models estimated using the fourth order polynomial of age that is fully interacted with the treatment variable, imply that the increased alcohol consumption at the MLDA does not have a significant impact on condom use among young adults who had sex in the past four weeks. However, under remaining model specifications, we find that the MLDA is associated with up to a 11 percentage point increase in the probability of using condom in the most recent sexual intercourse. The results reported in the fifth and sixth columns of Table 5 show that the increased alcohol consumption at the MLDA decreases the probability of using birth control pill in the most recent sexual intercourse among those who had sex at least once over the past four weeks. However, under all specifications, this effect is not significant at conventional significance levels. In the last two columns of Table 5, we investigate whether the increased alcohol consumption at the MLDA has a significant impact on the probability of using any other birth control method (excluding condom or birth control pill) in the most recent sexual intercourse for those who had sex at least once over the past four weeks.18 Results from the parametric models estimated using cubic or quartic polynomial of age suggest that the MLDA is not significantly associated with this outcome. However, under the remaining model specifications, we find that the MLDA is associated with up to a 7.4 percent increase in the probability of using any other birth control method in the most recent sexual intercourse. As in other outcomes, in Figure 4, we plot the results from risky sexual behavior models that are estimated using a quadratic polynomial of age and without any control variables. Consistent with our findings, the probability of using condom in the most recent sexual intercourse exhibits a sudden increase at the MLDA. On the other hand, Figure 4 shows that the probabilities of using some form of birth control method, birth control pill, or any other birth control method excluding condom and birth control pill are distributed smoothly around the age-21 cutoff. 18 Other birth control methods include foam, jelly, creme, sponge, or suppositories, withdrawal, diaphragm, safe time, intrauterine device, norplant, depo-provera or injectables, and any other method. 14 5.4 Robustness checks In the 2000 wave of the NLSY97, the respondents were asked a single question about the birth control method that they or their partner used in their most recent sexual intercourse. Among several answer choices including condom and birth control pill, they were allowed to choose only one. However, in the 2001-2005 waves of the survey, the respondents were first asked whether they or their partner used condom in their most recent sexual intercourse. If the answer was a yes, then the respondents were asked whether they or their partner used any other birth control method in the most recent sexual intercourse. Therefore, in the 2001-2005 survey years, the respondents were allowed to report up to two birth control methods that they used in their most recent sexual activity. In order to test whether the change in the survey methodology starting from the 2001 survey year has any impact on our results, we exclude the 2000 survey year from our sample and reestimate the sexual activity and risky sexual behavior models that contain quadratic or cubic polynomial of age.19 The results reported in Table 6 show that the estimated impact of the MLDA on sexual activity among young adults is robust to the exclusion of the 2000 survey year from the sample. This is expected since the change in the survey methodology was not related to the questions about the sexual activity. We find that under the parametric model estimated using a cubic polynomial of age, the MLDA is associated with a 6.4 percentage point increase in the probability of having sex at least once in the past four weeks. Furthermore, similar to the main results reported in Table 3, the effect of the MLDA on the number of times that the respondent had sex in the past four weeks remains insignificant. However, in contrast with our main findings, the results reported in Table 7 suggest that the effect of the MLDA on a risky sexual behavior that may lead to an STD becomes insignificant once the 2000 survey year is excluded from the sample. On the other hand, the effect of the MLDA on a risky sexual behavior that may result in pregnancy is robust to the exclusion of the 2000 survey year and remains insignificant under alternative parametric models. The results reported in Table 8 imply that for those who had sex at least once in the past four weeks, the exclusion of the 2000 survey year from the sample has a considerable impact on the estimated effect of the MLDA on risky sexual behaviors. In particular, once the 2000 survey year is excluded from the sample, the effect of the MLDA on 19 We use the full set of control variables in all regressions. Although not reported in this paper, the results from models that contain linear or quartic polynomial of age yield similar results and are available from the authors upon request. 15 all risky sexual behavior outcomes becomes insignificant under all model specifications. This finding contradicts with the results reported in Table 5, which suggest that the MLDA is associated with an increased probability of using condom or any other birth control method (excluding condom or birth control pill) in the most recent sexual intercourse. In our sample, more than 9 percent of the respondents are married. It is plausible to think that the sexual activity of the married young adults are less likely to be affected by the increased alcohol consumption at the MLDA. If this is the case, our results may underestimate the true effect of the MLDA law on sexual activity among single young adults. In order to test this possibility, we exclude the married respondents from the sample and reestimate the sexual activity and risky sexual behavior models. Results reported in Tables 6, 7, and 8 show that our main results are robust to the exclusion of married respondents from the sample. In particular, excluding the married respondents increases the effect of the MLDA on the probability of having sex by only 0.2 percentage points, the probability of using condom in the most recent sexual activity by only 0.3 to 0.5 percentage points, and the probability of using a birth control method excluding condom or birth control pill by 1.3 percentage points. The effect of the MLDA on other sexual activity and risky sexual behavior outcomes remains either the same or statistically insignificant. We also run separate regressions for males and females to test whether the effect of the MLDA on sexual activity and risky sexual behavior among young adults differs by gender. Table 6 shows that the increased alcohol consumption at the MLDA is associated with a 12 percentage point increase in the probability of having sex for males. However, the relationship between the MLDA and sexual activity is not significant for females. Results reported in Table 7 suggest that the MLDA is not a significant determinant of risky sexual behaviors for male or female young adults. On the other hand, results presented in Table 8 document that under certain model specifications, the MLDA is positively associated with the condom use and propensity to use a some form of birth control method other than condom or birth control pill for males. For females, results from the parametric model estimated using a cubic polynomial of age suggest that the increased alcohol consumption at the MLDA decreases the probability of using birth control pill by 12.5 percentage points. The effect of the MLDA on other risky sexual behavior outcomes remains insignificant for both males and females. We have documented that for the full sample, the relationship between the MLDA and risky sexual behavior outcomes are not robust to the exclusion of the 2000 survey year from the sample. 16 In the last three specifications of Table 7 and 8, we investigate whether the results for single, male, and female respondents are robust to the exclusion of this survey year from the sample. As for the full sample, results for subsample of singles, males, and females are very sensitive to the exclusion of the 2000 survey year from the empirical analysis. In particular, Table 7 shows that for singles, males, or females, when this particular survey year is excluded from the sample, the effect of the MLDA on risky sexual behavior outcomes becomes insignificant. Similarly, Table 8 shows that for those who had sex at least once in the past four weeks, the effect of the MLDA on the probability of using some form of birth control, condom, birth control pill, or any other birth control method excluding condom or birth control pill becomes insignificant under all specifications once the 2000 survey year is excluded. Therefore, we conclude that although there is some evidence that the increased alcohol consumption at the MLDA is associated with an increased probability of having sex especially for males, the MLDA is not significantly associated with risky sexual behaviors among young adults. 6 Conclusion In this paper, we investigate the effect of the MLDA on alcohol consumption and various measures of sexual activity and risky sexual behavior among young adults using a confidential version of the NLSY97 which contains information on the exact birth date of the respondents. While there has been a considerable amount of research on the spillover effects of the MLDA laws on several alcohol consumption related outcomes, existing studies have two major limitations. First, although the decision to adopt a lower MLDA might be endogenous at the state level, most of the existing studies have made use of the state level variation in the MLDA laws that existed in the 1970s and 1980s. Second, to our best knowledge, none of the existing studies explore the spillover effects of the MLDA laws on risky sexual behavior among young adults using a RD design. We exploit the discrete jump in alcohol consumption at the MLDA and estimate the causal effect of alcohol consumption on several measures of sexual activity and risky sexual behavior among young adults. In line with the findings from earlier literature, we document that the MLDA of 21 is associated with an increase in the number of days that young adults consume alcohol or engage in binge drinking per month. In particular, we show that once they gain legal access to alcohol at the MLDA, young adults tend to increase the number of days that they consume alcohol by 1.6 to 2.1 17 days and the number of days that they engage in binge drinking days by around 0.5 to 1 days per month. For those who had sex in the past four weeks, the effect of the MLDA on alcohol consumption is larger. Those who had sex at least once in the past four weeks tend to increase the number of days that they consume alcohol by up to 2.8 days per month and the number of days that they engage in binge drinking by up to 1.6 days per month at the MLDA. These results are robust under several parametric model specifications. Although under certain model specifications, we document that the discrete jump in alcohol consumption at the MLDA is associated with an increase in the probability of having sex by up to 8.3 percentage points among young adults, the increase in alcohol consumption at the MLDA is not a significant determinant of the number of times that young adults had sex in the past four weeks. Furthermore, we find no evidence that the increased alcohol consumption at the MLDA is significantly associated with risky sexual behaviors among young adults. In particular, we document that the MLDA does not have a significant impact on risky sexual behaviors that may result in pregnancy or an STD. Moreover, for those who had sex in the past four weeks, the probabilities of using any form of birth control, condom, birth control pill, or any other birth control method excluding condom or birth control pill in their most recent sexual intercourse are not significantly associated with increased alcohol consumption at the MLDA. Our findings imply that the MLDA law is quite effective in reducing alcohol consumption among young adults, but also show that the spillover effects of the MLDA law on risky sexual behaviors are relatively limited. Although our results have important policy implications, they should also be interpreted with caution. By definition, the RD approach used in this paper has a very good internal but limited external validity. Hence, our results hold for those who are around the MLDA (age-21) cutoff, but cannot be generalized to whole population of young adults. Therefore, further research is needed to investigate the effects of alcohol consumption on risky sexual behavior among youths. This calls for detailed survey data on alcohol consumption and alcohol consumption related outcomes. References [1] Bentler, P.M. and M.D. Newcomb, 1986, Personality, sexual behavior and drug use revealed through latent variable methods, Clinical Psychology Review, 6, 363-385. 18 [2] Butcher, A.H., T. Thompson, and E. O’Neal, 1991, HIV-related sexual behavior of college students, Journal of American College Health, 40, 115-118. [3] Carrell, S.E., M. Hoekstra, and J.E. West, 2011, Does drinking impair college performance? Evidence from a regression discontinuity approach, Journal of Public Economics, 95, 54-62. [4] Carpenter, C., 2005, Youth alcohol use and risky sexual behavior: Evidence from underage drunk driving laws, Journal of Health Economics, 24, 613-628. [5] Carpenter, C. and C. 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Epling, 2007, Do border crossings contribute to underage motor-vehicle fatalities? An analysis of Michigan border crossings, Canadian Journal of Economics, 40, 765781. [18] Lee, D.S. and T. Lemieux, 2009, Regression discontinuity designs in economics, NBER Working Paper No. 02138. [19] Lovenheim, M.F. and J. Slemrod, 2010, The fatal toll of driving to drink: The effect of minimum legal drinking age evasion on traffic fatalities, Journal of Health Economics, 29, 62-77. [20] Malamud, O. and C. Pop-Eleches, 2011, Home computer use and the development of human capital, Quarterly Journal of Economics, 126, 987-1027. [21] Miron, J.A. and E. Tetelbaum, 2009, Does the minimum drinking age save lives?, Economic Inquiry, 47, 317-336. [22] Mott, F.L. and Haurin, R.J., 1988, Linkages between sexual activity and alcohol and drug use among American adolescents, Family Planning Perspectives, 20, 15-30. [23] Rashad, I. and R. Kaestner, 2004, Teenage sex, drugs and alcohol use: problems identifying the cause of risky behaviors, Journal of Health Economics, 23, 493—503. [24] Rees, D., L. Argys, and S. Averett, 2001, New evidence on the relationship between substance use and adolescent sexual behavior, Journal of Health Economics, 20, 835—845. 20 [25] Sen, B., 2002, Does alcohol-use increase the risk of sexual intercourse among adolescents? Evidence from the NLSY97, Journal of Health Economics, 21, 1085—1093. [26] Staton, M. et al., 1999, Gender differences in substance use and initiation of sexual intercourse, Population Research and Policy Review, 18, 89-100.. [27] Wagenaar, A.C. and T.L. Toomey, 2002, Effects of minimum drinking age laws: Review and analyses of the literature from 1960 to 2000, Journal of Studies on Alcohol, 14, 206-225. [28] Yörük, B.K. and Ertan Yörük, C., 2011, The impact of minimum legal drinking age laws on alcohol consumption, smoking, and marijuana use: Evidence from a regression discontinuity design using exact date of birth, Journal of Health Economics, 30, 740-752. 21 Table 1. Definition of outcome variables and summary statistics Outcome variable Definition No. of Obs. Mean S.D. Alcohol Number of days that the respondent consumed alcohol in the past month. 29111 4.590 6.339 Binge Number of days that the respondent engaged in binge drinking in the past month. 28971 2.038 4.206 Sex =1 if the respondent had sex at least once in the past four weeks. 27989 0.525 0.499 No. of times had sex Number of times that the respondent had sex in the past four weeks. Those who reported more than 50 are excluded from the sample. 27989 4.999 8.131 STD =1 if the respondent had sex in the past four weeks and did not use condom in the most recent sexual intercourse. 20209 0.197 0.397 Pregnancy =1 if the respondent had sex in the past four weeks and did not use any form of birth control method in the most recent sexual intercourse. 20217 0.095 0.293 Birth control =1 if the respondent or his/her partner used a birth control method in the most recent sexual intercourse. The sample is restricted to those who had sex in the past 4 weeks. 7402 0.739 0.439 Condom =1 if the respondent or his/her partner used condom in the most recent sexual intercourse. The sample is restricted to those who had sex in the past 4 weeks. 7394 0.459 0.498 Pill =1 if the respondent or his/her partner used birth control pill in the most recent sexual intercourse. The sample is restricted to those who had sex in the past 4 weeks. 7402 0.356 0.479 Other method =1 if the respondent or his/her partner used some other birth control method (excluding condom and birth control pill) in the most recent sexual intercourse. The sample is restricted to those who had sex in the past 4 weeks. 7402 0.299 0.458 Notes: Sample weighted means and standard deviations are reported for outcome variables. NLSY97 does not contain information on birth control methods for the 2006 wave. Data for the first four outcomes come from 2000-2006 waves of the NLSY97. Data for the last six outcomes come from 2000-2005 waves of the NLSY97. 22 Table 2. The effect of the MLDA on alcohol consumption among young adults Full sample Had sex in the past 4 weeks Alcohol Binge Alcohol Binge (1) (2) (3) (4) (5) (6) (7) (8) Linear 1.622 (0.139)*** 1.700 (0.143)*** 0.535 (0.095)*** 0.563 (0.097)*** 2.110 (0.212)*** 2.201 (0.215)*** 0.699 (0.147)*** 0.734 (0.150)*** Quadratic 1.659 (0.221)*** 1.740 (0.241)*** 0.603 (0.150)*** 0.644 (0.163)*** 2.077 (0.337)*** 2.128 (0.364)*** 0.722 (0.233)*** 0.753 (0.252)*** Cubic 1.710 (0.326)*** 1.936 (0.401)*** 0.558 (0.227)** 0.578 (0.277)** 2.319 (0.477)*** 2.696 (0.567)*** 0.869 (0.334)*** 1.008 (0.400)** Quartic 1.703 (0.405)*** 2.139 (0.579)*** 0.812 (0.280)*** 1.049 (0.388)*** 2.353 (0.598)*** 2.815 (0.825)*** 1.183 (0.423)*** 1.570 (0.578)*** Controls No Yes No Yes No Yes No Yes 29111 28838 28971 28699 14497 14356 14440 14300 No. of Obs. Notes: All regressions are estimated using sample weights. Standard errors are clustered at the individual level and reported in parenthesis. The signs *** and ** represent statistical significance at 1 and 5 percent, respectively. 23 Table 3. The effect of the MLDA on sexual activity among young adults Sex No. of times had sex (1) (2) (3) (4) Linear 0.015 (0.011) 0.012 (0.012) -0.039 (0.191) -0.105 (0.194) Quadratic 0.029 (0.017)* 0.024 (0.018) 0.195 (0.280) 0.052 (0.295) Cubic 0.066 (0.026)** 0.064 (0.031)** 0.526 (0.414) 0.346 (0.481) Quartic 0.068 (0.032)** 0.083 (0.043)* 0.472 (0.516) 0.070 (0.670) Controls No Yes No Yes 27989 27725 27989 27725 No. of Obs. Notes: All regressions are estimated using sample weights. Standard errors are clustered at the individual level and reported in parenthesis. The signs ** and * represent statistical significance at 5 and 10 percent, respectively. 24 Table 4. The effect of the MLDA on risky sexual behaviors among young adults STD Pregnancy (1) (2) (3) (4) -0.022 (0.011)** -0.022 (0.012)* -0.006 (0.008) -0.006 (0.009) Quadratic -0.026 (0.017) -0.031 (0.019)* -0.003 (0.012) -0.006 (0.013) Cubic -0.018 (0.024) -0.032 (0.029) 0.012 (0.017) 0.010 (0.020) Quartic -0.001 (0.029) -0.004 (0.039) 0.013 (0.021) 0.006 (0.028) Controls No Yes No Yes 20209 20021 20217 20029 Linear No. of Obs. Notes: All regressions are estimated using sample weights. Standard errors are clustered at the individual level and reported in parenthesis. The signs ** and * represent statistical significance at 5 and 10 percent, respectively. 25 Table 5. The effect of the MLDA on the probability of using a birth control method Birth conrol Condom Pill Other method (1) (2) (3) (4) (5) (6) (7) (8) Linear 0.017 (0.020) 0.019 (0.021) 0.060 (0.024)** 0.066 (0.025)*** 0.019 (0.023) 0.016 (0.024) 0.064 (0.022)*** 0.074 (0.023)*** Quadratic 0.007 (0.030) 0.009 (0.033) 0.066 (0.035)* 0.085 (0.039)** -0.008 (0.035) -0.025 (0.037) 0.048 (0.032) 0.066 (0.035)* Cubic -0.025 (0.041) -0.029 (0.048) 0.066 (0.048) 0.108 (0.057)* -0.009 (0.047) -0.038 (0.056) 0.009 (0.043) 0.025 (0.052) Quartic -0.022 (0.051) 0.004 (0.066) 0.029 (0.059) 0.075 (0.079) -0.046 (0.059) -0.077 (0.078) 0.016 (0.052) 0.055 (0.071) Controls No Yes No Yes No Yes No Yes 7402 7332 7394 7324 7402 7332 7402 7332 No. of Obs. Notes: All regressions are estimated using sample weights. Standard errors are clustered at the individual level and reported in parenthesis. The signs ***, **, and * represent statistical significance at 1, 5 and 10 percent, respectively. 26 Table 6. The effect of the MLDA on sexual activity among young adults: Robustness checks Quadratic Cubic No. of Obs. Sex No. of times had sex Sex No. of times had sex Exclude 2000 24699 0.027 (0.019) 0.224 (0.308) 0.064 (0.032)** 0.538 (0.505) Exclude married 25342 0.022 (0.020) -0.031 (0.294) 0.066 (0.033)** 0.355 (0.479) Female 13747 0.002 (0.026) -0.087 (0.400) -0.001 (0.044) -0.572 (0.649) Male 13978 0.041 (0.026) 0.162 (0.429) 0.117 (0.042)*** 1.127 (0.706) Notes: Results from models that contain a quadratic or cubic polynomial of age that is fully interacted with a dummy variable indicating being 21 or older are reported. All regressions include a set of control variables as discussed in the text and are estimated using sample weights. Standard errors are clustered at the individual level and reported in parenthesis. The signs *** and ** represent statistical significance at 1 and 5 percent, respectively. 27 Table 7. The effect of the MLDA on risky sexual behaviors among young adults: Robustness checks Quadratic Cubic STD Pregnancy STD Pregnancy Exclude 2000 -0.003 (0.019) [16997] -0.002 (0.014) [17003] -0.016 (0.030) [16997] 0.012 (0.021) [17003] Exclude married -0.032 (0.019)* [19212] -0.007 (0.013) [19220] -0.029 (0.029) [19212] 0.007 (0.020) [19220] Female -0.042 (0.029) [9419] 0.005 (0.021) [9420] -0.051 (0.046) [9419] 0.036 (0.031) [9420] Male -0.023 (0.024) [10602] -0.015 (0.018) [10609] -0.022 (0.036) [10602] -0.014 (0.027) [10609] -0.008 (0.020) [16359] -0.002 (0.014) [16365] -0.014 (0.030) [16359] 0.011 (0.021) [16365] Female / Exclude 2000 0.006 (0.030) [7924] 0.009 (0.022) [7925] -0.015 (0.047) [7924] 0.037 (0.033) [7925] Male / Exclude 2000 -0.013 (0.025) [9073] -0.013 (0.019) [9078] -0.022 (0.038) [9073] -0.010 (0.028) [9078] Exclude married / Exclude 2000 Notes: Results from models that contain a quadratic or cubic polynomial of age that is fully interacted with a dummy variable indicating being 21 or older are reported. All regressions include a set of control variables as discussed in the text and are estimated using sample weights. Standard errors are clustered at the individual level and reported in parenthesis. The number of observations is reported in brackets. The sign * represents statistical significance at 10 percent. 28 Table 8. The effect of the MLDA on the probability of using a birth control method: Robustness checks Quadratic Birth control Condom Exclude 2000 0.023 (0.036) [5914] Exclude married Cubic Pill Other method Birth control Condom Pill Other method 0.054 (0.042) [5908] -0.041 (0.041) [5914] 0.046 (0.039) [5914] -0.024 (0.052) [5914] 0.085 (0.062) [5908] -0.056 (0.060) [5914] 0.022 (0.057) [5914] 0.011 (0.033) [6938] 0.088 (0.040)** [6930] -0.034 (0.039) [6938] 0.079 (0.037)** [6938] -0.017 (0.049) [6938] 0.113 (0.060)* [6930] -0.043 (0.057) [6938] 0.037 (0.055) [6938] Female -0.036 (0.048) [3588] 0.080 (0.055) [3587] -0.067 (0.054) [3588] 0.051 (0.051) [3588] -0.125 (0.070)* [3588] 0.068 (0.083) [3587] -0.033 (0.081) [3588] -0.083 (0.074) [3588] Male 0.051 (0.046) [3744] 0.088 (0.054)* [3737] 0.013 (0.053) [3744] 0.085 (0.049)* [3744] 0.060 (0.067) [3744] 0.143 (0.079) [3737] -0.042 (0.077) [3744] 0.124 (0.072)* [3744] 0.015 (0.037) [5643] 0.055 (0.043) [5637] -0.064 (0.042) [5643] 0.060 (0.040) [5643] -0.021 (0.053) [5643] 0.086 (0.064) [5637] -0.072 (0.061) [5643] 0.039 (0.059) [5643] Female / Exclude 2000 -0.017 (0.052) [2850] 0.029 (0.060) [2849] -0.073 (0.058) [2850] 0.041 (0.056) [2850] -0.111 (0.075) [2850] 0.037 (0.090) [2849] -0.054 (0.085) [2850] -0.086 (0.081) [2850] Male / Exclude 2000 0.061 (0.051) [3064] 0.080 (0.059) [3059] -0.014 (0.058) [3064] 0.054 (0.054) [3064] 0.053 (0.073) [3064] 0.130 (0.085) [3059] -0.056 (0.083) [3064] 0.115 (0.078) [3064] Exclude married / Exclude 2000 Notes: Results from models that contain a quadratic or cubic polynomial of age that is fully interacted with a dummy variable indicating being 21 or older are reported. All regressions include a set of control variables as discussed in the text and are estimated using sample weights. Standard errors are clustered at the individual level and reported in parenthesis. The number of observations is reported in brackets. The signs ** and * represent statistical significance at 5 and 10 percent, respectively. 29 Figure 1. The effect of the MLDA on alcohol consumption A. Full Sample 2. Binge No. of days that the respondent consumed alcohol 2 3 4 5 6 No. of days that the respondent engaged in binge drinking 1 1.5 2 2.5 1. Alcohol -732 -366 0 366 Number of days before or after the MLDA 732 -732 -366 0 366 Number of days before or after the MLDA 732 B. Had sex in the past 4 weeks 4. Binge No. of days that the respondent consumed alcohol 3 4 5 6 7 No. of days that the respondent engaged in binge drinking 1 1.5 2 2.5 3 3. Alcohol -732 -366 0 366 Number of days before or after the MLDA 732 -732 -366 0 366 Number of days before or after the MLDA Notes: Means of the outcome variables for each 30 day interval are plotted. The solid lines are a quadratic polynomial fitted on individual observations on either side of the age 21 cutoff without any control variables as reported in Table 2. 30 732 Figure 2. The effect of the MLDA on sexual activity 2. No. of times had sex 3 .4 .45 Prob. of having sex .5 .55 No. of times that the respondent had sex 4 5 6 .6 1. Sex -732 -366 0 366 Number of days before or after the MLDA 732 -732 -366 0 366 Number of days before or after the MLDA Notes: Means of the outcome variables for each 30 day interval are plotted. The solid lines are a quadratic polynomial fitted on individual observations on either side of the age 21 cutoff without any control variables as reported in Table 3. 31 732 Figure 3. The effect of the MLDA on risky sexual behaviors 2. Pregnancy .1 .06 Prob. of STD risk .15 .2 Prob. of pregnancy risk .08 .1 .12 .14 .25 1. STD -732 -366 0 366 Number of days before or after the MLDA 732 -732 -366 0 366 Number of days before or after the MLDA Notes: Means of the outcome variables for each 30 day interval are plotted. The solid lines are a quadratic polynomial fitted on individual observations on either side of the age 21 cutoff without any control variables as reported in Table 4. 32 732 Figure 4. The effect of the MLDA on the probability of using birth control 2. Condom .6 .4 Prob. of using birth control .65 .7 .75 Prob. of using condom .45 .5 .55 .6 .8 1. Birth control -732 -366 0 366 Number of days before or after the MLDA 732 -732 732 4. Other method .2 .2 Prob. of using birth control pill .25 .3 .35 Prob. of using other birth control method .25 .3 .35 .4 .45 .4 3. Pill -366 0 366 Number of days before or after the MLDA -732 -366 0 366 Number of days before or after the MLDA 732 -732 -366 0 366 Number of days before or after the MLDA Notes: Means of the outcome variables for each 30 day interval are plotted. The solid lines are a quadratic polynomial fitted on individual observations on either side of the age 21 cutoff without any control variables as reported in Table 5. 33 732
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