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Live Births and Fertility Amid the Zika Epidemic in Brazil

Author

Listed:
  • Letícia J. Marteleto

    (University of Texas at Austin)

  • Gilvan Guedes

    (Universidade Federal de Minas Gerais)

  • Raquel Z. Coutinho

    (Universidade Federal de Minas Gerais)

  • Abigail Weitzman

    (University of Texas at Austin)

Abstract

In late 2015, the Brazilian Ministry of Health and the Pan American Health Organization classified the increase in congenital malformations associated with the Zika virus (ZIKV) as a public health emergency. The risk of ZIKV-related congenital syndrome poses a threat to reproductive outcomes that could result in declining numbers of live births and potentially fertility. Using monthly microdata on live births from the Brazilian Information System on Live Births (SINASC), this study examines live births and fertility trends amid the ZIKV epidemic in Brazil. Findings suggest a decline in live births that is stratified across educational and geographic lines, beginning approximately nine months after the link between ZIKV and microcephaly was publicly announced. Although declines in total fertility rates were small, fertility trends estimated by age and maternal education suggest important differences in how Zika might have impacted Brazil’s fertility structure. Further findings confirm the significant declines in live births in mid-2016 even when characteristics of the municipality are controlled for; these results highlight important nuances in the timing and magnitude of the decline. Combined, our findings illustrate the value of understanding how the risk of a health threat directed at fetuses has led to declines in live births and fertility.

Suggested Citation

  • Letícia J. Marteleto & Gilvan Guedes & Raquel Z. Coutinho & Abigail Weitzman, 2020. "Live Births and Fertility Amid the Zika Epidemic in Brazil," Demography, Springer;Population Association of America (PAA), vol. 57(3), pages 843-872, June.
  • Handle: RePEc:spr:demogr:v:57:y:2020:i:3:d:10.1007_s13524-020-00871-x
    DOI: 10.1007/s13524-020-00871-x
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    2. Daniel Dench & Wenhui Li & Theodore Joyce & Howard Minkoff & Gretchen Wye, 2024. "Fertility in the Heart of the COVID-19 Storm," Population Research and Policy Review, Springer;Southern Demographic Association (SDA), vol. 43(4), pages 1-20, August.
    3. Arpino, Bruno & LUPPI, FRANCESCA & Rosina, Alessandro, 2021. "Changes in fertility plans during the COVID-19 pandemic in Italy: the role of occupation and income vulnerability," SocArXiv 4sjvm, Center for Open Science.
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    9. Sobotka, Tomas & Jasilioniene, Aiva & Galarza, Ainhoa Alustiza & Zeman, Kryštof & Nemeth, Laszlo & Jdanov, Dmitri, 2021. "Baby bust in the wake of the COVID-19 pandemic? First results from the new STFF data series," SocArXiv mvy62, Center for Open Science.
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    11. Francesca Luppi & Bruno Arpino & Alessandro Rosina, 2020. "The impact of COVID-19 on fertility plans in Italy, Germany, France, Spain, and the United Kingdom," Demographic Research, Max Planck Institute for Demographic Research, Rostock, Germany, vol. 43(47), pages 1399-1412.

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