Paid Family Leave and Breastfeeding: Evidence from California

Working Paper: NBER ID: w25784

Authors: Jessica E. Pac; Ann P. Bartel; Christopher J. Ruhm; Jane Waldfogel

Abstract: This paper evaluates the effect of Paid Family Leave (PFL) on breastfeeding, which we identify using California’s enactment of a 2004 PFL policy that ensured mothers up to six weeks of leave at a 55 percent wage replacement rate. We employ synthetic control models for a large, representative sample of over 270,000 children born between 2000 and 2012 drawn from the restricted-use versions of the 2003 – 2014 National Immunization Surveys. Our estimates indicate that PFL increases the overall duration of breastfeeding by nearly 18 days, and the likelihood of breastfeeding for at least six months by 5 percentage points. We find substantially larger effects of PFL on breastfeeding duration for some disadvantaged mothers.

Keywords: Paid Family Leave; Breastfeeding; Child Health

JEL Codes: I12; I18; J13; J18


Causal Claims Network Graph

Edges that are evidenced by causal inference methods are in orange, and the rest are in light blue.


Causal Claims

CauseEffect
California's paid family leave program (J22)overall duration of breastfeeding (C41)
California's paid family leave program (J22)likelihood of breastfeeding for at least six months (J13)
California's paid family leave program (J22)disparities in breastfeeding duration (J79)
PFL policy (G52)average duration of breastfeeding (C41)
PFL policy (G52)probability of initiating breastfeeding (J13)

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