Skip to main content

ORIGINAL RESEARCH article

Front. Public Health, 30 August 2022
Sec. Health Economics
This article is part of the Research Topic Economic and Financial Issues in the Post-COVID-19 World: Implications and Role of Public Health View all 46 articles

Effects of pandemics uncertainty on fertility

  • 1Research Centre of Modern Economic and Management, Zhejiang Yuexiu Univerisity of Foreign Languages, Shaoxing, China
  • 2School of Management, University of Bradford, Bradford, United Kingdom
  • 3Faculty of Political Sciences, Istanbul Medeniyet University, Istanbul, Turkey
  • 4Adnan Kassar School of Business, Lebanese American University, Beirut, Lebanon
  • 5Department of Economics and Finance, The Hang Seng University of Hong Kong, Shatin, Hong Kong SAR, China

The COVID-19 pandemic has affected various dimensions of the economies and societies. At this juncture, this paper examines the effects of pandemics-related uncertainty on fertility in the panel dataset of 126 countries from 1996 to 2019. For this purpose, the World Pandemics Uncertainty Indices are used to measure the pandemics-related uncertainty. The novel empirical evidence is that pandemics-related uncertainty decreases fertility rates. These results are robust to estimate different models and include various controls. We also try to explain why the rise in uncertainty during the COVID-19 pandemic has resulted in the fertility decline.

Introduction

The COVID-19 pandemic has affected various aspects of the economy and society. It has led to different fiscal and monetary policy implications (1, 2), which also caused higher price volatility in assets, commodities and financial markets [see, e.g., (3, 4)]. It is shown that the uncertainty shocks related to the pandemic can distort the current capitalist economic system. For instance, pandemics and household consumption have decreased global economic activity (58). The pandemics have also increased income inequality (9) and conflicts (10).

Fertility is also affected by cultural, economic, political, and social factors (11). Previous papers have observed that fertility negatively correlates with economic development in the long run [see, e.g., (1214)]. The demographic change can also affect the demand side of the economy and thus the economic performance. It can also provide implications for population aging, retirement, and social welfare. In this paper, we aim to examine the effects of pandemic-related uncertainty on the fertility rate.

It is also important to note that uncertainty shocks can also be essential in fertility behavior. Expectations related to business cycles can affect the change in fertility rates. For instance, in a recent empirical study on more than 100 million births in the United States from 1988 to 2014, Buckles et al. (15) observed that fertility decision is forward-looking. It is related to the short-run expectations about employment and income changes. Therefore, individuals can react to uncertainty shocks and change short-run expectations. These uncertainty shocks can come from the news, stock markets and other macroeconomic indicators. In this paper, we also suggest that pandemics-related information can also change the short-run expectations of households, and this issue can affect their fertility decisions. A higher level of “bad news” related to the pandemics can create pessimistic expectations of future incomes (wages) and the stability of the current jobs or finding new jobs. The expectations during pandemics can lead to declining consumer confidence and reduced household consumption. This effect is known as the precautionary savings motivation in the literature (16). There are other concepts of uncertainty in social sciences [see, e.g., (17)]. For instance, social distancing and the fear of contagion also changed people's behavior during the pandemic (1820). Similarly, staying indoors during the pandemic can also affect pregnancy plans.

All in all, families can postpone having a child during periods of higher uncertainty (21). We suggest that precautionary savings explain countries' cross-country fertility levels and changes. Several theoretical models link precautionary savings to fertility decisions [e.g., (22)]. However, it is essential to note that empirical studies on testing the validity of precautionary savings motivation have provided mixed findings.

In this paper, we assume that pandemic-related uncertainty by a decline in consumer confidence and reduced or delayed household consumption–suggesting that “precautionary saving motivation” is the primary mechanism affecting fertility plans during the pandemic. However, we can also indicate that becoming pregnant does not have to immediately increase or affect consumption; instead, having a child influences family consumption and spending over a very long period when the child is growing up and in education. In addition, our precautionary saving perspective is reducing the potentially wide-ranging impact of uncertainty just to one specific factor, ignoring many other relevant motivations and potential drivers of fertility decisions, including the actual experiences of economic hardship (unemployment, loss of income, unstable employment), health consequences of infection or limitations due to lockdowns and government measures intended to limit the spread of the COVID-19. For instance, women in some Latin American countries were advised not to get pregnant during the Zika Epidemic as the disease could damage the fetus's brain during pregnancy. Thus, precautionary saving should be seen as one of many possible factors affecting fertility due to pandemic-related uncertainty.

This paper aims to contribute to the empirical literature by examining the effects of pandemics-related uncertainty on fertility behavior. We focus on precautionary savings motivation to explain the level of fertility rate and changes. At this point, we use a novel measure of pandemics-related uncertainty, so-called the World Pandemics Uncertainty Index (WPUI), proposed by Ahir et al. (23). The WPUI was created by focusing on country reports of the Economist Intelligence Unit. The country reports trackback to economic agenda, policy implications, and political aspects to model uncertainty shock about the pandemics conditions in a given country. Indeed, events and policies related to pandemics can be defined as exogenous shocks. In other words, pandemic-related uncertainty should affect fertility behavior (24). The empirical results from the panel dataset of 126 countries from 1996 to 2019 show that pandemics-related uncertainty decreases the fertility rate. These results are robust to estimating different models. We suggest that this evidence may also explain why the rise in anticipation during COVID-19 has resulted in fertility decline in various countries.

The rest of the paper is organized as follows. Section Literature review on fertility decisions reviews the previous articles in the literature. Section Empirical model and data sets the empirical model and provides the features of the data. Section Empirical results discusses the empirical findings for the countries at different stages of economic development. Section Robustness checks provides the results of the robustness analyses based on other empirical models. Section Conclusion and recommendations concludes.

Literature review on fertility decisions

The fertility theory documents a negative association between fertility and economic development in the long run. Specifically, fertility rates decline as a country develops (11, 13, 25). However, the direction of the relationship between fertility and economic growth is positive in the short run (26). Therefore, fertility decisions are sensitive to business cycles, making fertility a pro-cyclical indicator (15). Therefore, we need to separate fertility rates' long-run and short-run drivers. For this purpose, we use the level of fertility rates and the differences in the fertility rates for modeling long-run and short-run effects, respectively.

In microeconomics, the marginal utility of consumption is convex (27, 28). This issue explains the validity of the “precautionary” savings. According to this view, uncertainty increases precautionary savings by reducing current consumption and lowering fertility (16, 21). Therefore, a higher uncertainty (such as pandemics) will increase the motivation for precautionary savings and cause lower fertility in a country. Pandemics may not fully explain the cross-country differences between fertility rates. Still, this issue should be valid in the short run as the pandemics should affect business cycles.

Determinants of fertility rates

Many studies have provided evidence of the negative impact of human capital on fertility rates in the long run (2932). Early studies, such as Becker (33, 34) and Becker and Lewis (35), show the significant impact of human capital on fertility behavior. According to these models, the increasing education level (human capital) leads to higher costs. The rationale behind the effect is that as education increases, children will elderly join the labor market, decreasing the income of their parents' families due to their higher expenditures for their children's education. Another reason is that parents with higher education will spend their time on full-time work. Therefore, they will decide to have fewer children. Thus, in a higher level of human capital, the quality of the child, rather than quantity, will be prefered (14). Women's employment and roles, changing values and aspirations also have crucial impacts on fertility postponement due to the incompatibility of education enrolment and parenthood (13).

There is also a negative theoretical relationship between the fertility rate and per capita income. According to Greenwood and Seshadri (36), the negative relationship between fertility and per capita income comes from the structural transformation from agriculture to manufacturing and services. Other theoretical approaches, provided by Barro and Becker (37), Boldrin and Jones (38), Ehrlich and Kim (39), Kalemli-Ozcan (40), and Sah (41), indicate that as the country develops then, infant and child mortality reduces. Therefore, fertility will decline as the country reaches a higher per capita income [e.g., (4244)].

In addition, Ehrlich and Kim (39), Alhassan et al. (45), Evans et al. (46), Finlay (47), Nandi et al. (48), and Nobles et al. (49) find that life expectancy affects fertility rates. According to most of these studies, health developments can increase life expectancy and boost economic growth and fertility rates. However, improved life expectancy can also suppress fertility rather than improve it. Women need to give birth to fewer children. It is important to note that Hoem (50) criticized a strong mechanistic focus on reporting and discussing significance in fertility modeling.

Following these discussed papers, we should include economic development, human capital, and life expectancy as the main controls in the empirical models for the long run.

Effects of uncertainty shocks on fertility rates

There are also several determinants of the changes in the fertility rates, which are mainly related to short-run business fluctuations. Uncertainty is one of the leading determinants of fertility changes, given that consumption and income uncertainty decrease fertility rates. According to the precautionary motivation approach, uncertainty in income leads to pessimist expectations. It decreases “consumer confidence” during recessions (15). Consumer confidence is negatively associated with fertility, given a higher level of economic uncertainty (51). Shocks related to natural disasters or pandemics can increase health concerns over having children. For instance, Gozgor et al. (51), Alderotti et al. (52), Chabe-Ferret and Gobbi (53), Comolli and Vignoli (54), Hanappi et al. (55), Hondroyiannis (56), Matysiak et al. (57), and Sobotka et al. (58) find that a higher uncertainty decreases fertility rates. However, Kohler and Kohler (59) and Kreyenfeld (60) indicate no significant relationship between uncertainty and fertility rates during the period following the breakdown of the Soviet Union and the state-socialist political system in Central and Eastern Europe. De la Croix and Pommeret (22) theoretically explain the clashing evidence in the empirical literature. The authors indicate that there could be a reverse causality: fertility decisions affect uncertainty, i.e., employed women (or parents) face more substantial labor market uncertainty (61, 62).

Previous empirical papers suggest finding a “purely exogenous” measure of uncertainty to investigate the relationship between uncertainty and fertility. We offer that the WPUI is a purely exogenous indicator to measure uncertainty.

Epidemics, pandemics, and fertility rates

Several papers have focused on the effects of the COVID-19 pandemic on fertility rates. However, previous articles focus on the impact of the earlier pandemics before COVID-19. For instance, Boberg-Fazlic et al. (63) document that the 1918–9 Spanish Flu pandemic decreases the fertility rate in Sweden in the long run. Similar evidence is obtained by Chandra et al. (64) for the states level data in the United States. Marteleto et al. (65) observed that the Zika Epidemic significantly reduced Brazil's fertility rate in 2016.

Regarding the COVID-19 studies, Aassve et al. (66) discuss that the impact of the COVID-19 pandemic on fertility depends on the countries' income levels. Economic uncertainty related to COVID-19 should decrease the fertility rate in high-income economies. Still, the relationship can be mixed in the low-income and middle-income economies due to the role of informal economies. In a further study, Aassve et al. (67) found that the COVID-19 pandemics decrease fertility rates. The most significant declines are observed in Italy, Spain, and Portugal.

On the other hand, Ullah et al. (68) discuss how COVID-19 affects future birth rates, which are expected to be negative. Voicu and Bădoi (69) theoretically show that the COVID-19 pandemic significantly affects fertility decisions due to economic uncertainty, health emergency, and social distancing measures. Fostik (70) also reviews the previous papers and indicates that COVID-19 is expected to decrease the fertility rate in Canada. Berrington et al. (71) document that the COVID-19 pandemic is negatively associated with the fertility rate in the United Kingdom. Luppi et al. (72) observe that COVID-19 reduces fertility plans in young people (18-34 years old) in Germany, France, Spain, and the United Kingdom. Ghosh (73) also finds that the COVID-19 pandemic decreases the fertility rate in Hong Kong and South Korea.

Furthermore, Rovetta (74) demonstrates that the Google Trends data accurately captures the anomalies related to the COVID-19 pandemic in Italy's regions. Similarly, Wilde et al. (24) consider the Google Trends data and predict that the fertility decline due to the COVID-19-related uncertainty in the United States would be 50% higher than the fertility decline due to the Global Financial Crisis 2008-9. However, Berger et al. (75) also use the Google Trends data and find that the COVID-19-related economic uncertainty has little impact on fertility changes in the United States.

Following the precautionary motivation hypothesis, we focus on the uncertainty related to pandemics, which can affect fiscal, monetary, and other policy changes. Indeed, pandemics have significantly affected the world economy via declining trade volumes and portfolio flows. Pandemics also have created uncertainty over future income, affecting the expectations similar to business cycles. We aim to contribute to the empirical literature by connecting pandemics-related uncertainty and the fertility rate. Following De la Croix and Pommeret (22), we define the pandemics-related uncertainty as exogenous to fertility rates.

Empirical model and data

Empirical models

We focus on the panel dataset of 126 countries from 1996 to 2019. The list of countries is provided in Appendix Table A1. The data capture the countries at the different stages of economic development. Therefore, we also split the countries into the Organization for Economic Co-operation and Development (OECD) and non-OECD countries. Following previous papers, we aim to explain cross-country differences in the level and the change in fertility rate over the period under concern. We, therefore, use the level and the changes (first differences) in the WPUI across 126 countries. We also control for the lagged fertility, the lagged per capita GDP, the lagged human capital, the lagged life expectancy, and the measures of the WPUI. At this stage, we estimate the following equations:

ΔFertilityi,t=α0+α1 WPUIi,t-k+α2 Xi,t-1+ ϑi,t + εi,t    (1)
ΔFertilityi,t=β0+β1 ΔWPUIi,t-k+β2 Xi,t-1+ ϑi,t + εi,t    (2)
ΔFertilityi,t=γ0+γ1 Fertilityi,t-1+γ2 WPUIi,t-k+γ3 Xi,t-1+ ϑi,t + εi,t    (3)
ΔFertilityi,t=δ0+δ1 Fertilityi,t-1+δ2 ΔWPUIi,t-k +δ3 Xi,t-1+ ϑi,t + εi,t    (4)

In Equations from (1) to (4), ΔFertilityi,t, Fertilityi,t, and Fertilityi,t−1 are the first difference, the level of current and the level of lagged fertility rate in country i and time t. WPUIi,tk and ΔWPUIi,tk are the World Pandemics Uncertainty Index in country i at time t-k. Xi,t−1 represents the vector for control variables. Finally, ϑi,t, and εi,t represent the “time and cross-section fixed-effects” and “error terms”. We estimate these models using the fixed-effects estimations, the standard estimator in the empirical papers.

The dependent variables are the level and the change in total fertility rate (births per woman), downloaded from World Bank (76). Some models have also included lagged fertility, which can model unobservable determinants, such as culture and religion, to affect fertility behavior. The income effect and economic development level are captured by the lagged log of per capita GDP (constant 2010$ prices) in terms of control variables. The data are obtained from World Bank (76). Total life expectancy at birth (years) is also included in the models. Life expectancy captures the public health conditions, which are also correlated with child mortality (77) and parents' health conditions (78). The data are also downloaded from World Bank (76). Finally, the index of human capital, based on the stock measure of years of schooling, is also used. The human capital index is based on the educational attainment data of Barro and Lee (79) and the quality of education. Human capital has captured the knowledge on the cost of children, and the related data are accessed from the Penn World Table (PWT) (version 10) in Feenstra et al. (80).

Table 1 provides a summary of the descriptive statistics of all these variables.

TABLE 1
www.frontiersin.org

Table 1. Descriptive statistics.

The primary variable of interest is the level and the change of the WPUI in the lagged and the current forms. The related data have been accessed on the Ahir et al. (23) introduced by their website. The index is constructed by text mining from the country reports of the Economist Intelligence Unit. The index is based on counting words related to “pandemics”, the total words in articles and country reports. The WPUI significantly changes across countries, and the variations are determined by unpredictable pandemics-related shocks (23). The WPUI properly reflects the threat of pandemics since it aims to systematically assess the local pandemic conditions. The main advantage of the WPUI is that it is a comparable measure across countries, but it is limited to 142 countries. Several studies also use this indicator [e.g., (8)]. During the period between 1996 and 2019, most of the world regions had been free from pandemics; however, the WPUI has increased during the periods of several pandemics, such as the Avian Flu, Bird Flu, Ebola, Influenza, the Middle East Respiratory Syndrome (MERS), the Severe Acute Respiratory Syndrome (SARS), and Swine Flu. The WPUI is used for 126 countries in the empirical analyses. The frequency of the data is annual, which is the average of the quarterly data. The starting date is 1996, which is related to the data availability. Furthermore, Figure 1 provides a graph of the WPUI, the average values of countries, according to their GDPs from 1996 to 2021.

FIGURE 1
www.frontiersin.org

Figure 1. World pandemics uncertainty index (WPUI) (1996–2021). Data Source: https://worlduncertaintyindex.com/data/, provided by Ahir et al. (23).

Empirical results

Level of pandemics-related uncertainty shocks

Table 2 provides the results of the fixed-effects estimations for Model (1), which focus on the difference between the fertility rate and the level of the WPUI.

TABLE 2
www.frontiersin.org

Table 2. Fixed-effects estimations for Model I (1996–2019).

Columns 1 and 2 report the results for all (126) countries from 1996 to 2019. The first column provides the findings of the current WPUI, and the second column provides the results of the lagged WPUI. In addition, the findings of 92 non-OECD economies are provided in Columns 3 and 4. The results of 34 OECD economies are reported in Columns 5 and 6.

In all countries, the coefficient of the current WPUI is −0.195, and it is significant at the 1% level. Similarly, the coefficient of the current WPUI is −0.166 for the non-OECD economies, and it is significant at the 1% level. However, the current WPUI is −0.566 for the OECD economies, statistically insignificant. Note that the coefficients of the lagged WPUI are positive, but they are statistically insignificant. These results indicate that the pandemics-related uncertainty has an adverse and temporary effect on fertility behavior in developing countries. This evidence may be explained that the non-OECD economies have less human capital than the OECD economies. The evidence can also be related to the issue of economic resources and welfare state policy implications in the OECD economies, and these countries are not significantly affected by uncertainty shocks related to pandemics.

Furthermore, the control variables' significant effects on the fertility rates. For instance, the lagged per capita GDP is positively associated with the fertility rate. The related coefficients are statistically significant at the 5% level at least. The lagged life expectancy decreases the fertility rate, and their coefficients are also statistically significant at the 1% level. The lagged human capital is positively related to the fertility rate. The coefficients are statistically significant at the 1% level for all countries and non-OECD economies; however, the coefficients are statistically insignificant in OECD economies. This evidence suggests that the effects of pandemics shocks on fertility are essential even though various controls are included.

Our findings are based on the coefficients of the level of WPUI, and the lagged WPUI shows no significant effect on fertility. This evidence related to the issue that the impact of the uncertainty shock on fertility behavior is mainly valid in the short run, as previous papers [e.g., (24, 66)] suggested.

Change of pandemics-related uncertainty shocks

Table 3 reports the findings of the fixed-effects estimations for Model (2), which focus on the difference between the fertility rate and the first difference in the WPUI.

TABLE 3
www.frontiersin.org

Table 3. Fixed-effects estimations for Model II (1996–2019).

Again, Columns 1 and 2 provide the findings for all (126) countries from 1996 to 2019. The first column reports the results of the current WPUI, and the second column provides the findings of the lagged WPUI. In addition, the results of 92 non-OECD economies are reported in Columns 3 and 4. The results of 34 OECD economies are compared in Columns 5 and 6.

In all countries, the coefficient of the current WPUI is −0.285, and it is significant at the 1% level. Similarly, the coefficient of the current WPUI is −0.243 for the non-OECD economies, and it is significant at the 1% level. Also, the current WPUI is −0.82 for the OECD economies and is statistically significant at the 1% level. In addition, the coefficients of the lagged WPU are negative, but they are statistically insignificant. These findings show that pandemics-related uncertainty has an adverse and temporary effect on the fertility rate in all countries.

On the other hand, the significant effects of the controls on the fertility rates are observed. Specifically, the lagged per capita GDP is positively related to the fertility rate. Their coefficients are statistically significant at the 1% level. The lagged life expectancy reduces the fertility rate, and the related coefficients are also statistically significant at the 1% level. The lagged human capital increases the fertility rate. The corresponding coefficients are statistically significant at the 1% level for all countries and the non-OECD economies; however, the coefficients are statistically insignificant in the OECD economies. These results show that pandemics hurt fertility, mostly in poor or developing economies. These findings indicate that the effects of pandemics shocks on fertility are crucial when various controls are included. According to most papers in the empirical literature, the negative impact of COVID-19 is mainly valid in developed economies. However, according to Aassve et al. (66), the COVID pandemic also increased economic losses and uncertainty in the Low- and Middle-income economies. This negative impact occurs in transition economies and urban areas of developing economies and causes the decline of the population size in developing economies.

Robustness checks

Persistent fertility rates and level of pandemics-related uncertainty shocks

Table 4 provides the results of the fixed-effects estimations for Model (3), which focus on the fertility rate and the level of the WPUI.

TABLE 4
www.frontiersin.org

Table 4. Persistent fertility rates: fixed-effects estimations for Model I (1996–2019).

Again, Columns 1 and 2 report the results for 126 countries from 1996 to 2019. The first column provides the findings of the current WPUI. The second column reports the results of the lagged WPUI. In addition, the results of 92 non-OECD economies are provided in Columns 3 and 4. In comparison, the findings of 34 OECD economies are reported in Columns 5 and 6.

In all countries, the coefficient of the current WPUI is −0.356, and it is significant at the 1% level. Similarly, the coefficient of the current WPUI is −0.316 for the non-OECD economies, and it is significant at the 1% level. However, the current WPUI is −0.787 for the OECD economies, which is statistically insignificant. Moreover, the coefficients of the lagged WPU are positive, but they are statistically insignificant. These results indicate that the pandemics-related uncertainty has an adverse and temporary effect on fertility behavior in developing economies.

It is also noteworthy that the controls statistically affect the fertility rate. Specifically, the lagged fertility rate is statistically significant at 1%, indicating a substantial persistency in fertility decisions. The lagged per capita GDP is positively related to the fertility rate. The related coefficients are statistically significant at the 1% level. The lagged life expectancy decreases the fertility rate, and the associated coefficients are also statistically significant at the 1% level. The lagged human capital spurs the fertility rate. The related coefficients are statistically significant at the 1% level for all countries and the non-OECD economies; however, the coefficients are statistically insignificant in the OECD economies. These results show that the effects of pandemics shocks on fertility are essential when various controls are included.

Persistent fertility rates and change of pandemics-related uncertainty shocks

Table 5 reports the findings of the fixed-effects estimations for Model (4), which focus on the level of the fertility rate and the difference in the WPUI.

TABLE 5
www.frontiersin.org

Table 5. Persistent fertility rates: fixed-effects estimations for Model II (1996–2019).

Again, Columns 1 and 2 provide the findings for 126 countries from 1996 to 2019. The first column provides the results of the current WPUI. The second column reports the findings of the lagged WPUI. In addition, the findings of 92 non-OECD economies are reported in Columns 3 and 4. The results of 34 OECD economies are compared in Columns 5 and 6.

In all countries, the coefficient of the current WPUI is −0.26. The current WPUI is −0.223 for non-OECD and −0.765 for OECD economies. All of these coefficients are statistically significant at the 1% level. Furthermore, the coefficients of the lagged WPU are positive, but they are statistically insignificant. These findings show that the pandemics-related uncertainty has an adverse and temporary effect on fertility decisions in all countries.

It is also noteworthy to note that the significant effects of the controls on the fertility rates are found. For instance, the lagged fertility rate is statistically significant at 1%, meaning a considerable persistency in fertility behavior. The lagged per capita GDP is positively related to the fertility rate. The related coefficients are statistically significant at the 5% level at least. The lagged life expectancy reduces the fertility rate, and the associated coefficients are also statistically significant at the 1% level. The lagged human capital increases the fertility rate. The related coefficients are statistically significant at the 1% level for all countries and the non-OECD economies; however, the coefficients are statistically insignificant in the OECD economies. These findings again indicate that the effects of pandemics shocks on fertility are essential even though various controls are included.

In short, various empirical model estimations indicate that pandemics-related uncertainty decreases the fertility rate, and the effect is temporary. Per capita GDP and human capital increase fertility, but life expectancy is negatively associated with fertility. These results are statistically significant for developing economies in all models.

The results in Tables 3, 5 indicate that the effect size of difference of WPUI among OECD is greater than that among non-OECD countries. This evidence is in line with the findings of most papers in the empirical literature, i.e., the negative impact of COVID-19 is mainly valid in developed countries. This evidence is primarily related to the issue of demographic transition and age distribution (population aging) in different countries. In developed countries, where the negative impact of COVID-19 is higher, the demographic transition is slow, and population aging is a more severe problem than the developing countries.

Conclusion and recommendations

Conclusion

This paper examines the effects of pandemics-related uncertainty on fertility behavior in the panel dataset of 126 countries from 1996 to 2019. For this purpose, we use the WPUI introduced by Ahir et al. (23) to capture the pandemics-related uncertainty. The WPUI measure models pandemics' uncertainty, which is exogenous to the fertility behavior. The novel empirical evidence is that the WPUI reduces the fertility rate. The empirical results show that per capita income and human capital promote the fertility rate, but a higher life expectancy decreases fertility. These results are robust to estimating different models.

Limitations and recommendations

Our evidence from the WPUI may also explain why the rise in uncertainty during COVID-19 resulted in fertility decline. It suggests that fertility is negatively associated with business cycles due to increased uncertainty. However, our results are limited to the panel data across various countries. Note that the sample is the main limitation of our findings since most WPUI values are zero in our case. The COVID-19 pandemic can change the dynamics of uncertainty shocks on fertility at this stage. For instance, Wilde et al. (24) use Google Trend searches data to show that the COVID-19 pandemic reduces fertility due to the rising unemployment (a measure of uncertainty shock). Therefore, future papers can use different indicators of uncertainty shocks to explain the difference in the fertility rates across countries during the COVID-19 pandemic era.

It is also essential to indicate that our findings are valid, with a limited number of control variables included. Therefore, future papers include more control variables in the model estimations. Finally, future articles can use individual microdata to analyse pandemics-related uncertainty shocks' effects on the fertility rate.

Data availability statement

Publicly available datasets were analyzed in this study. This data can be found here: https://databank.worldbank.org/source/world-development-indicators; https://www.rug.nl/ggdc/productivity/pwt/?lang=en; https://worlduncertaintyindex.com/data/.

Author contributions

YW: writing introduction and literature review. GG: collection of the data and empirical estimations. CL: writing the results and conclusion and proofreading. All authors contributed to the article and approved the submitted version.

Conflict of interest

The authors declare that the research was conducted in the absence of any commercial or financial relationships that could be construed as a potential conflict of interest.

Publisher's note

All claims expressed in this article are solely those of the authors and do not necessarily represent those of their affiliated organizations, or those of the publisher, the editors and the reviewers. Any product that may be evaluated in this article, or claim that may be made by its manufacturer, is not guaranteed or endorsed by the publisher.

References

1. Chakrabarty HS, Roy RP. Pandemic uncertainties and fiscal procyclicality: a dynamic non-linear approach. Int Rev Econ Finance. (2021) 72:664–71. doi: 10.1016/j.iref.2020.12.027

CrossRef Full Text | Google Scholar

2. Eichenbaum MS, Rebelo S, Trabandt M. The macroeconomics of epidemics. Rev Finan Stud. (2021) 34:5149–87. doi: 10.1093/rfs/hhab040

CrossRef Full Text | Google Scholar

3. Bakas D, Triantafyllou A. Commodity price volatility and the economic uncertainty of pandemics. Econ Lett. (2020) 193:109283. doi: 10.1016/j.econlet.2020.109283

CrossRef Full Text | Google Scholar

4. Elsayed AH, Gozgor G, Lau CKM. Risk Transmissions between bitcoin and traditional financial assets during the COVID-19 era: the role of global uncertainties. Int Rev Finan Anal. (2022) 81:102069. doi: 10.1016/j.irfa.2022.102069

CrossRef Full Text | Google Scholar

5. Gozgor G, Lau CKM. Economic effects of COVID-19 related uncertainty shocks. Front Public Health. (2021) 9:760619. doi: 10.3389/fpubh.2021.760619

PubMed Abstract | CrossRef Full Text | Google Scholar

6. Gupta R, Sheng X, Balcilar M, Ji Q. Time-varying impact of pandemics on global output growth. Finance Res Lett. (2021) 41:101823. doi: 10.1016/j.frl.2020.101823

CrossRef Full Text | Google Scholar

7. Jordà Ò, Singh SR, Taylor AM. Longer-run economic consequences of pandemics? Rev Econ Statist. (2022) 104:166–75. doi: 10.1162/rest_a_01042

CrossRef Full Text | Google Scholar

8. Wu S. Effects of pandemics-related uncertainty on household consumption: evidence from the cross-country data. Front Public Health. (2020) 8:615344. doi: 10.3389/fpubh.2020.615344

PubMed Abstract | CrossRef Full Text | Google Scholar

9. Chen T, Gozgor G, Koo CK. Pandemics and income inequality: what do the data tell for the globalization era? Front Public Health. (2021) 9:674729. doi: 10.3389/fpubh.2021.674729

PubMed Abstract | CrossRef Full Text | Google Scholar

10. Zhai Y, Jiang D, Gozgor G, Cho E. The amplifying effect of conflicts on case fatality rate of COVID-19: evidence from 120 countries. Front Public Health. (2021) 9:681604. doi: 10.3389/fpubh.2021.681604

PubMed Abstract | CrossRef Full Text | Google Scholar

11. Greenwood J, Guner N, Vandenbrouke G. Family economics writ large. J Econ Literat. (2017) 55:1346–434. doi: 10.1257/jel.20161287

CrossRef Full Text | Google Scholar

12. D'Albis H, Greulich A, Ponthiere G. Development, fertility and childbearing age: a unified growth theory. J Econ Theory. (2018) 177:461–94. doi: 10.1016/j.jet.2018.07.004

CrossRef Full Text | Google Scholar

13. Galor O. Unified Growth Theory. Princeton, NJ: Princeton University Press (2011).

Google Scholar

14. Galor O, Weil D. Population, technology, and growth: from malthusian stagnation to the demographic transition and beyond. Am Econ Rev. (2000) 90:806–28. doi: 10.1257/aer.90.4.806

CrossRef Full Text | Google Scholar

15. Buckles K, Hungerman D, Lugauer S. Is fertility a leading economic indicator? Econ J. (2021) 131:541–65. doi: 10.1093/ej/ueaa068

CrossRef Full Text | Google Scholar

16. Ranjan P. Fertility behavior under income uncertainty. Eur J Popul. (1999) 15:25–43. doi: 10.1023/A:1006106527618

PubMed Abstract | CrossRef Full Text | Google Scholar

17. Vignoli D, Bazzani G, Guetto R, Minello A, Pirani E. Uncertainty and narratives of the future: a theoretical framework for contemporary fertility. In: Schoen R, editor. Analyzing Contemporary Fertility. Cham: Springer (2020).

Google Scholar

18. Gozgor G. Global evidence on the determinants of public trust in governments during the COVID-19. Appl Res Qual Life. (2022) 17:559–78. doi: 10.1007/s11482-020-09902-6

PubMed Abstract | CrossRef Full Text | Google Scholar

19. Hossain E, Rana J, Islam S, Khan A, Chakrobortty S, Ema NS, et al. COVID-19 vaccine-taking hesitancy among bangladeshi people: knowledge, perceptions and attitude perspective. Human Vacc Immunotherap. (2021) 17:4028–37. doi: 10.1080/21645515.2021.1968215

PubMed Abstract | CrossRef Full Text | Google Scholar

20. Kumagai N. The impact of the COVID-19 pandemic on physician visits in Japan. Front Public Health. (2021) 9:743371. doi: 10.3389/fpubh.2021.743371

PubMed Abstract | CrossRef Full Text | Google Scholar

21. Sommer K. Fertility choice in a life-cycle model with idiosyncratic uninsurable earnings risk. J Monet Econ. (2016) 83:27–38. doi: 10.1016/j.jmoneco.2016.08.002

CrossRef Full Text | Google Scholar

22. De la Croix D, Pommeret A. Childbearing postponement, its option value, and the biological clock. J Econ Theory. (2021) 193:105231. doi: 10.1016/j.jet.2021.105231

CrossRef Full Text | Google Scholar

23. Ahir H, Bloom N, Furceri D. World Uncertainty Index. National Bureau of Economic Research (NBER) Working Paper, No. 29763. Cambridge, MA: NBER (2022).

Google Scholar

24. Wilde J, Chen W, Lehmann S. COVID-19 and the future of U.S. fertility: what can we learn from google? Covid economics. Vetted Real-Time Papers. (2020) 54:158–90. doi: 10.4054/MPIDR-WP-2020-034

CrossRef Full Text | Google Scholar

25. Cigno A. Economics of the Family. Oxford: Clarendon (1991).

Google Scholar

26. Chatterjee S, Vogel T. Escaping malthus: economic growth and fertility change in the developing world. Am Econ Rev. (2018) 108:1440–67. doi: 10.1257/aer.20170748

PubMed Abstract | CrossRef Full Text | Google Scholar

27. Leland HE. Saving and uncertainty: the precautionary demand for saving. Quart J Econ. (1968) 82:465–73. doi: 10.2307/1879518

CrossRef Full Text | Google Scholar

28. Sandmo A. The effect of uncertainty on saving decisions. Rev Econ Stud. (1970) 37:353–60. doi: 10.2307/2296725

CrossRef Full Text | Google Scholar

29. Aaronson D, Lange F, Mazumder B. Fertility transitions along the extensive and intensive margins. Am Econ Rev. (2014) 104:3701–24. doi: 10.1257/aer.104.11.3701

CrossRef Full Text | Google Scholar

30. Amin V, Behrman JR. Do more-schooled women have fewer children and delay childbearing? Evidence from a sample of US twins. J Popul Econ. (2014) 27:1–31. doi: 10.1007/s00148-013-0470-z

CrossRef Full Text | Google Scholar

31. Murtin F. Long-run determinants of the demographic transition 1870–2000. Rev Econ Statist. (2013) 95:617–31. doi: 10.1162/REST_a_00302

CrossRef Full Text | Google Scholar

32. Osili U, Long B. Does female schooling reduce fertility? Evidence from Nigeria. J Econ Dev. (2008) 87:57–75. doi: 10.1016/j.jdeveco.2007.10.003

CrossRef Full Text | Google Scholar

33. Becker GS. An economic analysis of fertility. In: George B, Roberts, editors. Demographic and Economic Change in Developed Countries. New York City, NY: Columbia University Press (1960). p. 209–40.

Google Scholar

34. Becker GS. A Treatise on The Family. Cambridge, MA: Harvard University Press (1981).

Google Scholar

35. Becker GS, Lewis HG. On the interaction between the quantity and quality of children. J Polit Econ. (1973) 81:S279–88. doi: 10.1086/260166

PubMed Abstract | CrossRef Full Text | Google Scholar

36. Greenwood J, Seshadri A. The US demographic transition. Am Econ Rev. (2002) 92:153–9. doi: 10.1257/000282802320189168

CrossRef Full Text | Google Scholar

37. Barro RJ, Becker GS. Fertility choice in a model of economic growth. Econometrica. (1989) 57:481–501. doi: 10.2307/1912563

CrossRef Full Text | Google Scholar

38. Boldrin M, Jones LE. Mortality, fertility, and saving in a malthusian economy. Rev Econ Dynam. (2002) 5:775–814. doi: 10.1006/redy.2002.0186

CrossRef Full Text | Google Scholar

39. Ehrlich I, Kim J. Endogenous fertility, mortality and economic growth: can a malthusian framework account for the conflicting historical trends in population? J Asian Econ. (2005) 16:789–806. doi: 10.1016/j.asieco.2005.08.013

CrossRef Full Text | Google Scholar

40. Kalemli-Ozcan S. A stochastic model of fertility and human capital investment. J Dev Econ. (2003) 70:103–18. doi: 10.1016/S0304-3878(02)00089-5

PubMed Abstract | CrossRef Full Text | Google Scholar

41. Sah RK. The effect of child mortality changes on fertility choice and parental welfare. J Polit Econ. (1991) 99:582–606. doi: 10.1086/261768

CrossRef Full Text | Google Scholar

42. Bar M, Leukhina O. Demographic transition and the industrial revolution: a macroeconomic investigation. Rev Econ Dynam. (2010) 13:424–51. doi: 10.1016/j.red.2009.03.002

CrossRef Full Text | Google Scholar

43. Doepke M. Child mortality and fertility decline. Does the Barro-Becker model fit the facts? J Popul Econ. (2005) 18:337–66. doi: 10.1007/s00148-004-0208-z

CrossRef Full Text | Google Scholar

44. Eckstein Z, Mira P, Wolpin KI. A quantitative analysis of swedish fertility dynamics. Rev Econ Dynam. (1999) 2:137–65. doi: 10.1006/redy.1998.0041

CrossRef Full Text | Google Scholar

45. Alhassan GN, Adedoyin FF, Bekun FV, Agabo TJ. Does life expectancy, death rate and public health expenditure matter in sustaining economic growth under COVID-19: empirical evidence from Nigeria? J Public Affairs. (2021) 21:e2302. doi: 10.1002/pa.2302

PubMed Abstract | CrossRef Full Text | Google Scholar

46. Evans R, Hu Y, Zhao Z. The fertility effect of catastrophic U.S. Hurricane Births. J Popul Econ. (2009) 23:1–36. doi: 10.1007/s00148-008-0219-2

CrossRef Full Text | Google Scholar

47. Finlay J. Fertility Response to Natural Disasters: The Case of Three High Mortality Earthquakes. World Bank Policy Research Working Paper, No. 4883. Washington, DC: World Bank (2009).

Google Scholar

48. Nandi A, Mazumdar S, Behrman JR. The effect of natural disaster on fertility, birth spacing, and child sex ratio: evidence from a major earthquake in India. J Popul Econ. (2018) 31:267–93. doi: 10.1007/s00148-017-0659-7

CrossRef Full Text | Google Scholar

49. Nobles J, Frankenberg E, Thomas D. The effects of mortality on fertility: population dynamics after a natural disaster. Demography. (2015) 52:15–38. doi: 10.1007/s13524-014-0362-1

PubMed Abstract | CrossRef Full Text | Google Scholar

50. Hoem JM. The reporting of statistical significance in scientific journals. Demogr Res. (2008) 18:437–42. doi: 10.4054/DemRes.2008.18.15

CrossRef Full Text | Google Scholar

51. Gozgor G, Bilgin MH, Rangazas P. Economic uncertainty and fertility. J Human Capital. (2021) 15:373–99. doi: 10.1086/715020

CrossRef Full Text | Google Scholar

52. Alderotti G, Vignoli D, Baccini M, Matysiak A. Employment instability and fertility in Europe: a meta-analysis. Demography. (2021) 58:871–900. doi: 10.1215/00703370-9164737

PubMed Abstract | CrossRef Full Text | Google Scholar

53. Chabe-Ferret B, Gobbi P. Economic Uncertainty and Fertility Cycles: The Case of the Post-WWII Baby Boom. Centre for Economic Policy Research (CEPR) Discussion Papers, No. DP13374. London: CEPR (2018).

Google Scholar

54. Comolli CL, Vignoli D. Spreading uncertainty, shrinking birth rates: a natural experiment for Italy. Eur Sociol Rev. (2021) 37:555–70. doi: 10.1093/esr/jcab001

CrossRef Full Text | Google Scholar

55. Hanappi D, Ryser V, Bernardi L, Le Goff J. Changes in employment uncertainty and the fertility intention-realization link: an analysis based on swiss household data. Eur J Popul. (2017) 33:381–407. doi: 10.1007/s10680-016-9408-y

PubMed Abstract | CrossRef Full Text | Google Scholar

56. Hondroyiannis G. Fertility determinants and economic uncertainty: an assessment using European panel data. J Fam Econ Issues. (2010) 31:33–50. doi: 10.1007/s10834-009-9178-3

CrossRef Full Text | Google Scholar

57. Matysiak A, Sobotka T, Vignoli D. The great recession and fertility in Europe: a sub-national analysis. Eur J Popul. (2021) 37:29–64. doi: 10.1007/s10680-020-09556-y

PubMed Abstract | CrossRef Full Text | Google Scholar

58. Sobotka T, Skirbekk V, Philipov D. Economic recession and fertility in the developed world. Popul Dev Rev. (2011) 37:267–306. doi: 10.1111/j.1728-4457.2011.00411.x

PubMed Abstract | CrossRef Full Text | Google Scholar

59. Kohler HP, Kohler I. Fertility decline in russia in the early 1990s: the role of economic uncertainty and labour market crises. Eur J Popul. (2002) 18:233–62. doi: 10.1023/A:1019701812709

CrossRef Full Text | Google Scholar

60. Kreyenfeld M. Economic Uncertainty and Fertility Postponement: Evidence from German Panel Data. Max Planck Institute for Demographic Research (MPIDR) Working Paper, No. 2005-034. Rostock: MPIDR (2005).

Google Scholar

61. Fang J, Gozgor G, Nolt JH. Globalisation, economic uncertainty and labour market regulations: implications for the COVID-19 crisis. World Econ. (2022) 45:2165–87. doi: 10.1111/twec.13230

PubMed Abstract | CrossRef Full Text | Google Scholar

62. Zhang X, Gozgor G, Lu Z, Zhang J. Employment hysteresis in the United States during the COVID-19 pandemic. Econ Res Ekonomska IstraŽivanja. (2021) 34:3343–54. doi: 10.1080/1331677X.2021.1875253

CrossRef Full Text | Google Scholar

63. Boberg-Fazlic N, Ivets M, Karlsson M, Nilsson T. Disease and fertility: evidence from the 1918–19 influenza pandemic in Sweden. Econ Hum Biol. (2021) 43:101020. doi: 10.1016/j.ehb.2021.101020

PubMed Abstract | CrossRef Full Text | Google Scholar

64. Chandra S, Christensen J, Mamelund S, Paneth N. Short-term birth sequence of the 1918-1920 influenza pandemic in the U.S.: state-level analysis. Am J Epidemiol. (2018) 187:2585–95. doi: 10.1093/aje/kwy153

PubMed Abstract | CrossRef Full Text | Google Scholar

65. Marteleto LJ, Guedes G, Coutinho RZ, Weitzman A. Live births and fertility amid the Zika epidemic in Brazil. Demography. (2020) 57:843–72. doi: 10.1007/s13524-020-00871-x

PubMed Abstract | CrossRef Full Text | Google Scholar

66. Aassve A, Cavalli N, Mencarini L, Plach S, Bacci ML. The COVID-19 pandemic and human fertility. Science. (2020) 369:370–1. doi: 10.1126/science.abc9520

PubMed Abstract | CrossRef Full Text | Google Scholar

67. Aassve A, Cavalli N, Mencarini L, Plach S, Sanders S. Early assessment of the relationship between the COVID-19 pandemic and births in high-income countries. Proc Natl Acad Sci. (2021) 118:e2105709118. doi: 10.1073/pnas.2105709118

PubMed Abstract | CrossRef Full Text | Google Scholar

68. Ullah M, Moin AT, Araf Y, Bhuiyan AR, Griffiths MD, Gozal D. Potential effects of the COVID-19 pandemic on future birth rate. Front Public Health. (2020) 8:578438. doi: 10.3389/fpubh.2020.578438

PubMed Abstract | CrossRef Full Text | Google Scholar

69. Voicu M, Bădoi D. Fertility and the COVID-19 crisis: do gender roles really matter? Eur Soc. (2021) 23:S199–214. doi: 10.1080/14616696.2020.1822537

CrossRef Full Text | Google Scholar

70. Fostik A. COVID-19 and fertility in Canada: a commentary. Can Stud Popul. (2021) 48:217–24. doi: 10.1007/s42650-021-00054-y

PubMed Abstract | CrossRef Full Text | Google Scholar

71. Berrington A, Ellison J, Kuang B, Vasireddy S, Kulu H. Scenario-based Fertility Projections Incorporating Impacts of COVID-19. Popul Space Place. (2022) 28:2546. doi: 10.1002/psp.2546

CrossRef Full Text | Google Scholar

72. Luppi F, Arpino B, Rosina A. The impact of COVID-19 on fertility plans in Italy, Germany, France, Spain, and the United Kingdom. Demogr Res. (2020) 43:1399–412. doi: 10.4054/DemRes.2020.43.47

CrossRef Full Text | Google Scholar

73. Ghosh S. The determinants of fertility and economic uncertainty: an application of the NARDL model for Hong Kong and South Korea. Millennial Asia, forthcoming. (2022) 09763996211018425, doi: 10.1177/09763996211018425

CrossRef Full Text | Google Scholar

74. Rovetta A. Reliability of Google trends: analysis of the limits and potential of web infoveillance during COVID-19 pandemic and for future research. Front Res Metrics Analyt. (2021) 6:670226. doi: 10.3389/frma.2021.670226

PubMed Abstract | CrossRef Full Text | Google Scholar

75. Berger LM, Ferrari G, Leturcq M, Panico L, Solaz A. COVID-19 lockdowns and demographically-relevant Google trends: a cross-national analysis. PLoS ONE. (2021) 16:e0248072. doi: 10.1371/journal.pone.0248072

PubMed Abstract | CrossRef Full Text | Google Scholar

76. World Bank. World Development Indicators Dataset. Washington, DC: World Bank (2022).

Google Scholar

77. Mariani F, Pérez-Barahona A, Raffin N. Life expectancy and the environment. J Econ Dynam Control. (2010) 34:798–815. doi: 10.1016/j.jedc.2009.11.007

CrossRef Full Text | Google Scholar

78. Huebener M. Life expectancy and parental education. Soc Sci Med. (2019) 232:351–65. doi: 10.1016/j.socscimed.2019.04.034

PubMed Abstract | CrossRef Full Text | Google Scholar

79. Barro RJ, Lee JW. A new data set of educational attainment in the world, 1950–2010. J Dev Econ. (2013) 104:184–98. doi: 10.1016/j.jdeveco.2012.10.001

CrossRef Full Text | Google Scholar

80. Feenstra RC, Inklaar R, Timmer MP. The next generation of the penn world table. Am Econ Rev. (2015) 105:3150–82. doi: 10.1257/aer.20130954

CrossRef Full Text | Google Scholar

Appendix

TABLE A1
www.frontiersin.org

Table A1. 126 Economies in the dataset.

Keywords: the COVID-19 pandemic, fertility behavior, pandemics uncertainty, uncertainty shocks, World Pandemics Uncertainty Index (WPUI)

Citation: Wang Y, Gozgor G and Lau CKM (2022) Effects of pandemics uncertainty on fertility. Front. Public Health 10:854771. doi: 10.3389/fpubh.2022.854771

Received: 14 January 2022; Accepted: 09 August 2022;
Published: 30 August 2022.

Edited by:

Zhiqiang Feng, University of Edinburgh, United Kingdom

Reviewed by:

Tomas Sobotka, Vienna Institute of Demography, Austria
Chiara Oldani, University of Tuscia, Italy
Festus Victor Bekun, Gelişim Üniversitesi, Turkey

Copyright © 2022 Wang, Gozgor and Lau. This is an open-access article distributed under the terms of the Creative Commons Attribution License (CC BY). The use, distribution or reproduction in other forums is permitted, provided the original author(s) and the copyright owner(s) are credited and that the original publication in this journal is cited, in accordance with accepted academic practice. No use, distribution or reproduction is permitted which does not comply with these terms.

*Correspondence: Giray Gozgor, Zy5nb3pnb3ImI3gwMDA0MDticmFkZm9yZC5hYy51aw==

Disclaimer: All claims expressed in this article are solely those of the authors and do not necessarily represent those of their affiliated organizations, or those of the publisher, the editors and the reviewers. Any product that may be evaluated in this article or claim that may be made by its manufacturer is not guaranteed or endorsed by the publisher.