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Disease and Fertility: Evidence from the 1918 Influenza Pandemic in Sweden

Author

Listed:
  • Boberg-Fazlic, Nina

    (University of Southern Denmark)

  • Ivets, Maryna

    (University of Duisburg-Essen)

  • Karlsson, Martin

    (University of Duisburg-Essen)

  • Nilsson, Therese

    (Research Institute of Industrial Economics (IFN))

Abstract

This paper studies the effect of the 1918–19 influenza pandemic on fertility using a historical dataset from Sweden. Our results suggest an immediate reduction in fertility driven by morbidity, and additional behavioral effects driven by mortality. We find some evidence of community rebuilding and replacement fertility, but the net long-term effect is fertility reduction. In districts highly affected by the flu there is also an improvement in parental quality: we observe a relative increase in births to married women and better-off city dwellers. Our findings help understand the link between mortality and fertility, one of the central relations in demography, and show that several factors – including disruptions to marriage and labor markets – contribute to fertility reduction in the long term. Our results are consistent with studies that find a positive fertility response following natural disasters, but with high-quality historical data we show that this effect is short-lived.

Suggested Citation

  • Boberg-Fazlic, Nina & Ivets, Maryna & Karlsson, Martin & Nilsson, Therese, 2017. "Disease and Fertility: Evidence from the 1918 Influenza Pandemic in Sweden," Working Paper Series 1179, Research Institute of Industrial Economics.
    • Handle: RePEc:hhs:iuiwop:1179
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    Citations

    RePEc Biblio mentions

    As found on the RePEc Biblio, the curated bibliography for Economics:
    1. > Economics of Welfare > Health Economics > Economics of Pandemics > Consequences > Mortality
    2. > Economics of Welfare > Health Economics > Economics of Pandemics > Consequences > Fertility
    3. > Economics of Welfare > Health Economics > Economics of Pandemics > Specific pandemics > Spanish Influenza

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    Cited by:

    1. Jonas Helgertz & Tommy Bengtsson, 2019. "The Long-Lasting Influenza: The Impact of Fetal Stress During the 1918 Influenza Pandemic on Socioeconomic Attainment and Health in Sweden, 1968–2012," Demography, Springer;Population Association of America (PAA), vol. 56(4), pages 1389-1425, August.
    2. Sebastian Vollmer & Juditha Wójcik, 2017. "The long-term consequences of the global 1918 influenza pandemic: A systematic analysis of 117 IPUMS international census data sets," Courant Research Centre: Poverty, Equity and Growth - Discussion Papers 242, Courant Research Centre PEG.
    3. Arthi, Vellore & Parman, John, 2021. "Disease, downturns, and wellbeing: Economic history and the long-run impacts of COVID-19," Explorations in Economic History, Elsevier, vol. 79(C).
    4. Karlsson Martin & Matvieiev Mykhailo & Obrizan Maksym, 2023. "The Macroeconomic Impact of the 1918–19 Influenza Pandemic in Sweden," The B.E. Journal of Macroeconomics, De Gruyter, vol. 23(2), pages 637-675, June.
    5. Fletcher, Jason M., 2018. "The effects of in utero exposure to the 1918 influenza pandemic on family formation," Economics & Human Biology, Elsevier, vol. 30(C), pages 59-68.
    6. Brian Beach & Karen Clay & Martin Saavedra, 2022. "The 1918 Influenza Pandemic and Its Lessons for COVID-19," Journal of Economic Literature, American Economic Association, vol. 60(1), pages 41-84, March.
    7. Francesca Feoli & Giovanni Fosco & Maria Antonietta Liguori, 2022. "The pandemic crisis and the decline of births in Italy: a causal-effect analysis of the pandemic shock," RIEDS - Rivista Italiana di Economia, Demografia e Statistica - The Italian Journal of Economic, Demographic and Statistical Studies, SIEDS Societa' Italiana di Economia Demografia e Statistica, vol. 76(2), pages 4-12, April-Jun.
    8. Remi Jedwab & Amjad M. Khan & Richard Damania & Jason Russ & Esha D. Zaveri, 2020. "Pandemics, Poverty, and Social Cohesion: Lessons from the Past and Possible Solutions for COVID-19," Working Papers 2020-13, The George Washington University, Institute for International Economic Policy.
    9. Lawrence M Berger & Giulia Ferrari & Marion Leturcq & Lidia Panico & Anne Solaz, 2021. "COVID-19 lockdowns and demographically-relevant Google Trends: A cross-national analysis," PLOS ONE, Public Library of Science, vol. 16(3), pages 1-28, March.
    10. Timothy Riffe & Kieron J. Barclay & Sebastian Klüsener & Christina Bohk-Ewald, 2019. "Boom, echo, pulse, flow: 385 years of Swedish births," MPIDR Working Papers WP-2019-002, Max Planck Institute for Demographic Research, Rostock, Germany.

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    More about this item

    Keywords

    1918–19 influenza pandemic; Influenza and pneumonia mortality; Fertility; Difference-in-Differences;
    All these keywords.

    JEL classification:

    • I12 - Health, Education, and Welfare - - Health - - - Health Behavior
    • J11 - Labor and Demographic Economics - - Demographic Economics - - - Demographic Trends, Macroeconomic Effects, and Forecasts
    • J13 - Labor and Demographic Economics - - Demographic Economics - - - Fertility; Family Planning; Child Care; Children; Youth

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