In recent years, the government of Texas has enacted multiple restrictions and funding limitations on women's health organizations affiliated with the provision of abortion services. These policies have caused numerous clinic closures throughout the state, drastically reducing access to reproductive health care. We study the impact of these clinic closures on fertility rates by combining quarterly snapshots of health center addresses from a network of women's health centers with restricted geotagged data of all Texas birth certificates for 2008–13. We calculate the driving distance to the nearest clinic for each zip code and quarter, and find that an increase of 100 miles to the nearest clinic results in a 1.2 percent increase in the fertility rate. This increase is driven by a 2.4 percent increase in the fertility rate for unmarried women, while there is no statistically significant change for married women.

中文翻译：

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妇女诊所关闭对生育的影响

近年来，得克萨斯州政府对与提供堕胎服务有关的妇女保健组织制定了多项限制和资金限制。这些政策已导致全州关闭许多诊所，大大减少了获得生殖健康护理的机会。我们通过将妇女健康中心网络的健康中心地址季度快照与所有得克萨斯州2008-13年出生地证明的受限地理标记数据相结合，研究了这些诊所关闭对生育率的影响。我们计算每个邮政编码和每个季度到最近诊所的行驶距离，发现到最近诊所增加100英里可导致生育率提高1.2％。增长的原因是未婚妇女的生育率提高了2.4％，