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

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  • Boberg-Fazlic, Nina

    (University of Southern Denmark)

  • Ivets, Maryna

    (University of Duisburg-Essen)

  • Karlsson, Martin

    (University of Duisburg-Essen)

  • Nilsson, Therese

    (Lund University)

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," IZA Discussion Papers 10834, Institute of Labor Economics (IZA).
    • Handle: RePEc:iza:izadps:dp10834
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    1. Emilia Bono & Andrea Weber & Rudolf Winter-Ebmer, 2015. "Fertility and economic instability: the role of unemployment and job displacement," Journal of Population Economics, Springer;European Society for Population Economics, vol. 28(2), pages 463-478, April.
    2. Douglas Almond & Bhashkar Mazumder, 2013. "Fetal Origins and Parental Responses," Annual Review of Economics, Annual Reviews, vol. 5(1), pages 37-56, May.
    3. repec:cai:poeine:pope_402_0229 is not listed on IDEAS
    4. Chesnais, Jean-Claude, 1992. "The Demographic Transition: Stages, Patterns, and Economic Implications," OUP Catalogue, Oxford University Press, number 9780198286592.
    5. Bhalotra, Sonia & Karlsson, Martin & Nilsson, Therese, 2014. "Life Expectancy and Mother-Baby Interventions. Evidence from A Historical Trial," Ruhr Economic Papers 504, RWI - Leibniz-Institut für Wirtschaftsforschung, Ruhr-University Bochum, TU Dortmund University, University of Duisburg-Essen.
    6. Ruben Castro & Jere Behrman & Hans-Peter Kohler, 2015. "Perception of HIV risk and the quantity and quality of children: the case of rural Malawi," Journal of Population Economics, Springer;European Society for Population Economics, vol. 28(1), pages 113-132, January.
    7. Holger Strulik & Sebastian Vollmer, 2015. "The fertility transition around the world," Journal of Population Economics, Springer;European Society for Population Economics, vol. 28(1), pages 31-44, January.
    8. Finlay, Jocelyn E., 2009. "Fertility response to natural disasters : the case of three high mortality earthquakes," Policy Research Working Paper Series 4883, The World Bank.
    9. Townsend, Robert M, 1994. "Risk and Insurance in Village India," Econometrica, Econometric Society, vol. 62(3), pages 539-591, May.
    10. Conning, Jonathan & Udry, Christopher, 2007. "Rural Financial Markets in Developing Countries," Handbook of Agricultural Economics, in: Robert Evenson & Prabhu Pingali (ed.), Handbook of Agricultural Economics, edition 1, volume 3, chapter 56, pages 2857-2908, Elsevier.
    11. Claus Portner, 2006. "Gone With the Wind? Hurricane Risk, Fertility and Education," Working Papers UWEC-2006-19-R, University of Washington, Department of Economics, revised Feb 2008.
    12. Kalemli-Ozcan, Sebnem & Turan, Belgi, 2011. "HIV and fertility revisited," Journal of Development Economics, Elsevier, vol. 96(1), pages 61-65, September.
    13. Chinhui Juhn & Sebnem Kalemli-Ozcan & Belgi Turan, 2013. "HIV and fertility in Africa: first evidence from population-based surveys," Journal of Population Economics, Springer;European Society for Population Economics, vol. 26(3), pages 835-853, July.
    14. David Lindstrom & Betemariam Berhanu, 1999. "The impact of war, famine, and economic decline on marital fertility in ethiopia," Demography, Springer;Population Association of America (PAA), vol. 36(2), pages 247-261, May.
    15. Darwyn Kobasa & Steven M. Jones & Kyoko Shinya & John C. Kash & John Copps & Hideki Ebihara & Yasuko Hatta & Jin Hyun Kim & Peter Halfmann & Masato Hatta & Friederike Feldmann & Judie B. Alimonti & Li, 2007. "Aberrant innate immune response in lethal infection of macaques with the 1918 influenza virus," Nature, Nature, vol. 445(7125), pages 319-323, January.
    16. Richter, André & Robling, Per Olof, 2013. "Multigenerational e ffects of the 1918-19 influenza pandemic in Sweden," Working Paper Series 5/2013, Stockholm University, Swedish Institute for Social Research.
    17. Raouf Boucekkine & Rodolphe Desbordes & Hélène Latzer, 2009. "How do epidemics induce behavioral changes?," Journal of Economic Growth, Springer, vol. 14(3), pages 233-264, September.
    18. Alwyn Young, 2007. "In sorrow to bring forth children: fertility amidst the plague of HIV," Journal of Economic Growth, Springer, vol. 12(4), pages 283-327, December.
    19. Gregory Clark, 2015. "The Son Also Rises: Surnames and the History of Social Mobility," Economics Books, Princeton University Press, edition 1, number 10181-2.
    20. Martin Karlsson & Stefan Pichler, 2015. "Demographic consequences of HIV," Journal of Population Economics, Springer;European Society for Population Economics, vol. 28(4), pages 1097-1135, October.
    21. Tommy Bengtsson & Martin Dribe, 2014. "The historical fertility transition at the micro level," Demographic Research, Max Planck Institute for Demographic Research, Rostock, Germany, vol. 30(17), pages 493-534.
    22. Rosenzweig, Mark R & Schultz, T Paul, 1983. "Consumer Demand and Household Production: The Relationship between Fertility and Child Mortality," American Economic Review, American Economic Association, vol. 73(2), pages 38-42, May.
    23. Victor Agadjanian & Ndola Prata, 2002. "War, peace, and fertility in Angola," Demography, Springer;Population Association of America (PAA), vol. 39(2), pages 215-231, May.
    24. Warren, C.W. & Gold, J. & Tyler Jr., C.W. & Smith, J.C. & Paris, A.L., 1980. "Seasonal variation in spontaneous abortions," American Journal of Public Health, American Public Health Association, vol. 70(12), pages 1297-1299.
    25. Karlsson, Martin & Nilsson, Therese & Pichler, Stefan, 2014. "The impact of the 1918 Spanish flu epidemic on economic performance in Sweden," Journal of Health Economics, Elsevier, vol. 36(C), pages 1-19.
    26. Alwyn Young, 2005. "The Gift of the Dying: The Tragedy of AIDS and the Welfare of Future African Generations," The Quarterly Journal of Economics, President and Fellows of Harvard College, vol. 120(2), pages 423-466.
    27. Lembke B., 1918. "√ a. p," Journal of Economics and Statistics (Jahrbuecher fuer Nationaloekonomie und Statistik), De Gruyter, vol. 111(1), pages 709-712, February.
    28. Alberto Palloni & Hantamala Rafalimanana, 1999. "The effects of infant mortality on fertility revisited: new evidence from latin america," Demography, Springer;Population Association of America (PAA), vol. 36(1), pages 41-58, February.
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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," CINCH Working Paper Series 1708, Universitaet Duisburg-Essen, Competent in Competition and Health.
    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. 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.
    6. 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.
    7. 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.
    8. 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.
    9. 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.
    10. 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.

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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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