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The State-Level Association between Safe Haven Laws and Rates of Infant Mortality in the United States

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Title: The State-Level Association between Safe Haven Laws and Rates of Infant Mortality in the United States
Language: English
Authors: Kathryn A. Thomas (ORCID 0000-0002-8897-6037), Chloe J. Kaminsky
Source: Evaluation Review. 2026 50(4):754-765.
Availability: SAGE Publications. 2455 Teller Road, Thousand Oaks, CA 91320. Tel: 800-818-7243; Tel: 805-499-9774; Fax: 800-583-2665; e-mail: journals@sagepub.com; Web site: https://sagepub.com
Peer Reviewed: Y
Page Count: 12
Publication Date: 2026
Sponsoring Agency: National Center for Advancing Translational Sciences (NCATS) (DHHS/NIH)
Contract Number: UL1TR001863
Document Type: Journal Articles
Reports - Research
Descriptors: Infant Mortality, State Legislation, Child Rearing, Child Safety, Mortality Rate, Child Custody, Poverty, Neonates, Infant Care
DOI: 10.1177/0193841X261423287
ISSN: 0193-841X
1552-3926
Abstract: Although the United States has safe haven laws, which allow mothers to safely relinquish their babies to designated safety points, rates of infant mortality remain significantly higher in the United States than other similarly developed countries. The current study is seeking to explore the state-level association between safe haven laws and infant mortality in the United States utilizing a legal epidemiological approach. Several sources of publicly available data were combined to examine the state-level association between safe haven laws and rates of infant mortality. A backward stepwise regression was used to determine whether certain safe haven laws significantly predicted rates of infant mortality, while controlling for demographic variables. After controlling for demographic variables including rates of health insurance and poverty, safe haven laws stating that only the mother can relinquish a child, laws that protect parents from criminal liability, and laws requiring the provider to provide legal information and referrals were associated with infant mortality, with the total model accounting for 70.1% of variance in infant mortality. These results have important implications for policymakers considering the reform of the safe haven laws. It is especially important to evaluate the effectiveness and origins of safe haven laws in the wake of the overturn of "Roe v. Wade." Future studies should longitudinally examine how changes in safe haven laws lead to changes in rates of infant mortality.
Abstractor: As Provided
Entry Date: 2026
Accession Number: EJ1506159
Database: ERIC
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  Data: <searchLink fieldCode="AR" term="%22Kathryn+A%2E+Thomas%22">Kathryn A. Thomas</searchLink> (ORCID <externalLink term="https://orcid.org/0000-0002-8897-6037">0000-0002-8897-6037</externalLink>)<br /><searchLink fieldCode="AR" term="%22Chloe+J%2E+Kaminsky%22">Chloe J. Kaminsky</searchLink>
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  Data: <searchLink fieldCode="SO" term="%22Evaluation+Review%22"><i>Evaluation Review</i></searchLink>. 2026 50(4):754-765.
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  Data: SAGE Publications. 2455 Teller Road, Thousand Oaks, CA 91320. Tel: 800-818-7243; Tel: 805-499-9774; Fax: 800-583-2665; e-mail: journals@sagepub.com; Web site: https://sagepub.com
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  Data: Although the United States has safe haven laws, which allow mothers to safely relinquish their babies to designated safety points, rates of infant mortality remain significantly higher in the United States than other similarly developed countries. The current study is seeking to explore the state-level association between safe haven laws and infant mortality in the United States utilizing a legal epidemiological approach. Several sources of publicly available data were combined to examine the state-level association between safe haven laws and rates of infant mortality. A backward stepwise regression was used to determine whether certain safe haven laws significantly predicted rates of infant mortality, while controlling for demographic variables. After controlling for demographic variables including rates of health insurance and poverty, safe haven laws stating that only the mother can relinquish a child, laws that protect parents from criminal liability, and laws requiring the provider to provide legal information and referrals were associated with infant mortality, with the total model accounting for 70.1% of variance in infant mortality. These results have important implications for policymakers considering the reform of the safe haven laws. It is especially important to evaluate the effectiveness and origins of safe haven laws in the wake of the overturn of "Roe v. Wade." Future studies should longitudinally examine how changes in safe haven laws lead to changes in rates of infant mortality.
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  Data: 2026
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        Value: 10.1177/0193841X261423287
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      – Text: English
    PhysicalDescription:
      Pagination:
        PageCount: 12
        StartPage: 754
    Subjects:
      – SubjectFull: Infant Mortality
        Type: general
      – SubjectFull: State Legislation
        Type: general
      – SubjectFull: Child Rearing
        Type: general
      – SubjectFull: Child Safety
        Type: general
      – SubjectFull: Mortality Rate
        Type: general
      – SubjectFull: Child Custody
        Type: general
      – SubjectFull: Poverty
        Type: general
      – SubjectFull: Neonates
        Type: general
      – SubjectFull: Infant Care
        Type: general
    Titles:
      – TitleFull: The State-Level Association between Safe Haven Laws and Rates of Infant Mortality in the United States
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            NameFull: Chloe J. Kaminsky
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              Y: 2026
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