Birth rate decline in the later phase of the COVID-19 pandemic: the role of policy interventions, vaccination programmes and economic uncertainty
Human Reproduction Open,
Год журнала:
2024,
Номер
2024(3)
Опубликована: Янв. 1, 2024
Abstract
STUDY
QUESTION
What
are
the
factors
influencing
decline
in
birth
rates
observed
higher-income
countries
later
phase
of
COVID-19
pandemic?
SUMMARY
ANSWER
Our
results
suggest
that
economic
uncertainty,
non-pharmaceutical
policy
interventions,
and
first
wave
population-wide
vaccination
campaign
were
associated
with
during
2022.
WHAT
IS
KNOWN
ALREADY
During
pandemic,
most
briefly
declined
then
shortly
recovered,
showing
no
common
trends
afterwards
until
early
2022,
when
they
unexpectedly
dropped.
DESIGN,
SIZE,
DURATION
This
study
uses
data
on
monthly
total
fertility
(TFRs)
adjusted
for
seasonality
calendar
effects
provided
Human
Fertility
Database
(HFD).
Births
taking
place
between
November
2020
October
2022
correspond
to
conceptions
occurring
February
January
i.e.
after
onset
pandemic
but
prior
Russian
invasion
Ukraine.
The
cover
26
countries,
including
21
Europe,
USA,
Canada,
Israel,
Japan,
Republic
Korea.
PARTICIPANTS/MATERIALS,
SETTING,
METHODS
First,
we
a
descriptive
analysis
changes
TFR.
Second,
employed
linear
fixed
regression
models
estimate
association
explanatory
seasonally
TFRs.
considered
three
broader
sets
factors:
interventions
restricting
mobility
social
activities
outside
home,
progression
programmes.
MAIN
RESULTS
AND
THE
ROLE
OF
CHANCE
We
found
as
measured
by
increased
inflation
(P
<
0.001),
whereas
unemployment
did
not
show
any
link
births
=
0.677).
stringency
was
linked
postponement
births,
only
lower
institutional
trust
0.003).
In
higher
trust,
stricter
containment
measures
positively
rates,
both
year
0.019)
and,
albeit
weakly
significant,
0.057).
Furthermore,
negative
share
population
having
received
dose
TFRs
completed
primary
course
(usually
consisting
two
doses)
recovery
0.001).
LARGE
SCALE
DATA
N/A.
LIMITATIONS,
REASONS
FOR
CAUTION
research
is
restricted
relatively
strong
support
policies
government
well
wide
access
modern
contraception.
allow
analyses
key
characteristics,
such
age,
order,
status.
WIDER
IMPLICATIONS
FINDINGS
multi-country
drivers
pandemic.
past,
periods
following
epidemics
health
crises
typically
births.
contrast,
our
gradual
phasing
out
measures,
allowing
return
more
normal
work
life,
contributed
declining
some
countries.
addition,
indicates
women
avoided
pregnancy
completion
protocol.
FUNDING/COMPETING
INTEREST(S)
use
external
funding.
authors
acknowledge
funding
from
their
home
institution,
Vienna
Institute
Demography
Austrian
Academy
Sciences,
Open-Access
Fund
Sciences.
For
purpose
open
access,
have
applied
CC
BY
public
copyright
licence
Author
Accepted
Manuscript
versions
arising
this
submission.
All
declare
conflicts
interest.
Язык: Английский
Fertility decline in the later phase of the COVID-19 pandemic: The role of policy interventions, vaccination programmes, and economic uncertainty
medRxiv (Cold Spring Harbor Laboratory),
Год журнала:
2024,
Номер
unknown
Опубликована: Апрель 28, 2024
Abstract
BACKGROUND
During
the
COVID-19
pandemic,
birth
rates
in
most
higher-income
countries
first
briefly
declined
and
then
shortly
recovered,
showing
no
common
trends
afterwards
until
early
2022,
when
they
unexpectedly
dropped.
STUDY
FOCUS
We
analyse
monthly
changes
total
fertility
during
with
a
special
focus
on
countries.
consider
three
broader
sets
of
explanatory
factors:
economic
uncertainty,
policy
interventions
restricting
mobility
social
activities
outside
home,
role
vaccination
programmes.
DESIGN,
DATA
This
study
uses
population-wide
data
adjusted
for
seasonality
calendar
effects
provided
Human
Fertility
Database
(HFD,
2023).
Births
taking
place
between
November
2020
October
2022
correspond
to
conceptions
occurring
February
January
i.e.,
after
onset
pandemic
but
prior
Russian
invasion
Ukraine.
The
cover
26
countries,
including
21
Europe,
United
States,
Canada,
Israel,
Japan
Republic
Korea.
METHODS
First,
we
provide
descriptive
analysis
rate
(TFR).
Second,
estimate
factors
observed
swings
using
linear
fixed
(within)
regression
models.
MAIN
RESULTS
find
that
were
associated
as
measured
by
increased
inflation,
stringency
interventions,
progression
campaign,
whereas
unemployment
did
not
show
any
link
pandemic.
LIMITATIONS,
REASONS
FOR
CAUTION
Our
research
is
restricted
relatively
strong
support
policies
government
well
wide
access
modern
contraception.
do
allow
analysing
key
characteristics,
such
age,
order
status.
WIDER
IMPLICATIONS
OF
THE
FINDINGS
multi-country
drivers
later
phase
In
past,
periods
following
epidemics
health
crises
typically
recovery
fertility.
contrast,
our
results
gradual
phasing
out
containment
measures,
allowing
return
more
normal
work
life,
contributed
declining
addition,
indicates
some
women
avoided
pregnancy
initial
roll-out.
Язык: Английский
Fertility dynamics through historical pandemics and COVID-19 in Switzerland, 1871–2022
Population Studies,
Год журнала:
2025,
Номер
unknown, С. 1 - 16
Опубликована: Март 11, 2025
We
follow
general
fertility
rates
(GFRs)
in
Switzerland
up
to
2022,
with
a
focus
on
their
dynamics
during
and
after
pandemics.
Historical
influenza
pandemics
(1889–90,
1918–20,
1957)
have
consistently
led
temporary
declines
births
between
six
nine
months
the
pandemic
peak.
High
of
miscarriage
may
explain
these
findings.
After
1889–90
1918–20
pandemics,
short-term
baby
booms
occurred.
For
recent
Covid-19
pandemic,
appear
more
complex.
The
GFR
had
already
been
declining
since
2018,
before
hit
Switzerland.
During
shortly
first
two
waves
2020,
there
was
an
increase
conceptions,
leading
higher
2021:
shutdown
measures
brought
planned
pregnancies
forwards.
Subsequently,
declined
from
February
2022;
one
possible
explanation
is
that
were
intentionally
postponed
until
vaccination.
Following
population-level
observations,
in-depth
studies
are
needed
understand
better
why
affected
by
Язык: Английский
COVID-19 vaccination and birth outcomes of 186,990 women vaccinated before pregnancy: an England-wide cohort study
The Lancet Regional Health - Europe,
Год журнала:
2024,
Номер
45, С. 101025 - 101025
Опубликована: Авг. 13, 2024
COVID-19
vaccination
in
pregnancy
is
recommended
by
the
World
Health
Organisation
as
effective
and
safe.
However,
there
remains
a
lack
of
robust
evidence
to
inform
choices
for
women
childbearing
potential
relation
their
future
pregnancies.
Here
we
investigated
association
between
starting
course
before
birth
outcomes.
We
analysed
England-wide
linked
electronic
health
records
all
pregnancies
reaching
at
least
24
weeks
gestation
25th
May
2021
28th
October
2022.
estimated
incidence
rates
hazard
ratios
outcomes
pre-pregnancy
status.
Based
on
186,990
women,
compared
unvaccinated,
receiving
within
12
months
was
associated
with
lower
risks
very
extremely
preterm
small-for-gestational
age
term
babies
any
vaccine
type
(adjusted
ratio
95%
confidence
interval:
0.74
[0.63,
0.88]
0.94
[0.88,
1.00],
respectively),
stillbirth
risk
those
an
mRNA
(0.72
[0.52,
1.00]).
Incidence
venous
thromboembolism
during
higher
amongst
viral-vector,
but
not
(1.54
[1.10,
2.16]
1.02
[0.70,
1.50],
respectively).
Results
were
generally
consistent
different
dose
regimens
across
sensitivity
analyses.
found
that
from
first
vaccination,
unvaccinated
experienced
fewer
adverse
outcomes,
overall
or
selected
subgroups
general
population,
accounting
confounders.
An
should
be
preferred
viral-vector
vaccine,
minimise
safety
issues,
where
latter
only
choice,
it
still
unvaccinated.
The
substantially
attributable
SARS-CoV-2
infection
commonly
used
medications
such
hormone
replacement
therapy
oral
contraceptives
non-pregnant
population.
UK
National
Institute
Care
Research
(NIHR),
UKRIMedical
Council,
Innovation,
Alan
Turing
Institute,
Data
UK,
Department
Social
Care.
Язык: Английский
Oncofertility and Fertility Preservation for Women with Gynecological Malignancies: Where Do We Stand Today?
Biomolecules,
Год журнала:
2024,
Номер
14(8), С. 943 - 943
Опубликована: Авг. 3, 2024
Oncofertility
is
a
growing
medical
and
research
field
that
includes
two
main
areas:
oncology
reproductive
medicine.
Nowadays,
the
percentage
of
patients
surviving
cancer
has
exponentially
increased,
leading
to
need
for
intervention
fertility
preservation
in
both
men
women.
Specifically,
gynecological
malignancies
women
pose
an
additional
layer
complexity
due
organs
being
affected.
In
present
review,
we
report
options
with
cancer-
stage-specific
focus.
We
explore
drawbacks
necessity
planning
applications
during
emergency
statuses
(i.e.,
COVID-19
pandemic)
comment
on
importance
repro-counseling
multifaceted
their
oncological
journey.
Язык: Английский
Intention to vaccinate chronic disease children against COVID-19; a multicenter survey
Egyptian Pediatric Association Gazette,
Год журнала:
2023,
Номер
71(1)
Опубликована: Дек. 4, 2023
Abstract
Background
Vaccination
against
severe
acute
respiratory
distress
syndrome
coronavirus
2
(SARS-CoV-2)
has
gained
recognition
as
a
crucial
strategy
to
prevent
and
reduce
the
risk
of
infection,
including
emerging
variants,
due
its
proven
safety,
immunogenicity,
effectiveness.
This
study
aimed
evaluate
vaccination
hesitancy
(VH)
among
Egyptian
parents
towards
SARS-CoV-2
vaccination,
specifically
focusing
on
with
chronically
ill
children.
Method
A
multicentered
cross-sectional
survey
was
conducted
at
outpatient
clinics
El-Raml
Pediatric
Hospital,
Ministry
Health
Population
(MOHP)
in
Alexandria,
Alexandria
Main
University
Hospital
for
Maternity
Children
(AMUH),
Al-Galaa
Teaching
General
Organization
Hospitals
Institutes
(GOTHI)
Cairo,
Department,
Menoufia
from
May
1
st
till
December
15
th
,
2022.
Parents
children
chronic
diseases
were
recruited
using
simple
random
sampling
technique
respond
validated
Arabic
version
parental
attitudes
about
childhood
(PACV).
Results
In
this
study,
we
enrolled
527
caregivers,
55.4%
them
aged
30–39
years
old,
85.2%
females,
46.9%
had
diseases.
Commonly
mentioned
information
sources
included
television
radio
(69.8%),
social
media
(35.3%).
Among
studied,
59.6%
refused
vaccination.
The
predictors
PACV
score
governorate,
(β
=
11.30,
95%CI
[5.32,
17.27],
p
<
0.001),
setting,
-20.07,
[-25.40,
-14.75]
-10.74,
[-14.50,
-6.98],
income;
not
enough
loans
repaid
3.18,
[0.54,
5.82],
0.018)
3.57,95%CI
[0.08,
7.07],
0.045).
Conclusions
reveals
geographic
economic
factors
PACV,
emphasizes
need
region-specific
interventions
financial
barriers
improve
vaccine
acceptance
child
well-being.
Язык: Английский
The remarkable ups and downs of birth rate in Switzerland 2020 to 2023 in a historical context
medRxiv (Cold Spring Harbor Laboratory),
Год журнала:
2023,
Номер
unknown
Опубликована: Дек. 5, 2023
Abstract
We
follow
population
trends
in
the
monthly
birth
rate
Switzerland
almost
up
to
present
and
place
latest
developments
a
historical
context.
Birth
rates
2022
were
lowest
since
1870s,
trend
is
continuing
2023.
The
decline
had
already
begun
1-2
years
before
Covid-19.
Previous
pandemics
(1890,
1918,
1920,
1957)
led
temporary
births
∽9
months
after
epidemic
peaks.
With
Covid-19,
this
appears
more
complex.
During
shortly
first
two
waves
shutdowns
2020,
there
conceptions
thus
excess
2021,
all
available
subgroups
except
Italian-speaking
Switzerland,
somewhat
pronounced
among
>30-year-old
mothers
second
parities.
Possible
reasons
for
mini-boom
include:
increased
time
at
home
during
has
–
planned
or
not
which
brought
pregnancies
forward;
corona
virus
was
still
circulat-ing
too
infrequently
1st
phase
of
pandemic
have
negative
impact
on
fertility;
end
shutdowns,
perceived
threat
could
an
optimistic
mood
also
conceptions.
subsequent
from
January
stronger
than
in-crease
before.
part
most
likely
due
rebound
advance-ment
2020/2021
deliberately
postponed
start
vaccination
pro-gram.
associated
with
large
Omicron
wave
winter
2021/2022,
when
many
people
fell
ill.
In
addition,
prices
been
rising
real
wages
falling
global
political
situation
become
unstable,
general
change
values
regarding
willingness
children
may
be
underway.
Following
these
observations
level
(with
limited
depth
variables),
in-depth
studies
must
now
better
under-stand
dynamic
ups
downs
recent
years.
Язык: Английский
Influences of race, ethnicity, and other social factors on coronavirus disease 2019 vaccination uptake among patients undergoing in vitro fertilization
Fertility and Sterility,
Год журнала:
2024,
Номер
122(2), С. 376 - 378
Опубликована: Апрель 19, 2024
Язык: Английский
SARS‐CoV‐2 Vaccination is Not Associated With Involuntary Childlessness in Female Healthcare Workers: A Multicenter Cohort Study
Influenza and Other Respiratory Viruses,
Год журнала:
2024,
Номер
18(6)
Опубликована: Июнь 1, 2024
ABSTRACT
Background
There
is
debate
about
the
causes
of
recent
birth
rate
decline
in
high‐income
countries
worldwide.
During
pandemic,
concern
effects
on
reproductive
health
has
caused
vaccine
hesitancy.
We
investigated
association
SARS‐CoV‐2
vaccination
and
infection
with
involuntary
childlessness.
Methods
Females
fertility
age
within
a
prospective
multicenter
cohort
healthcare
workers
(HCW)
were
followed
since
August
2020.
Data
baseline
health,
SARS‐CoV‐2‐infection,
obtained
regularly
updated,
which
serum
samples
collected
repetitively
screened
for
anti‐nucleocapsid
anti‐spike
antibodies.
In
October
2023,
participants
indicated
presence
childlessness
onset
during
whereas
those
indicating
an
before
pandemic
excluded.
The
SARS‐CoV‐2‐vaccination
was
using
univariable
multivariable
analysis.
Sensitivity
analysis
performed
to
compare
reporting
birthing
child
Results
Of
798
participants,
26
(3.2%)
reported
starting
pandemic.
childless
women,
73.1%
(19/26)
vaccinated
compared
86.0%
(664/772)
without
(
p
=
0.73).
by
76.9%
(20/26)
72.4%
(559/772)
controls
0.64).
Neither
(aOR
0.91
per
dose,
95%CI
0.67–1.26)
nor
1.05,
0.62–1.71)
associated
confirmed
these
results.
Conclusions
Among
female
HCW
age,
3.2%
childlessness,
comparable
pre‐pandemic
data.
No
between
or
found.
Язык: Английский