Does women’s health matter for fertility? Evidence from Norwegian administrative data

Syse, Astri; Thomas, Michael J.; Dommermuth, Lars; Hart, Rannveig Kaldager

doi:10.1080/00324728.2022.2041075

Cited by 3 publications

(2 citation statements)

References 56 publications

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“…It should be noted that the potential effects of individual unemployment on childbearing may be influenced by self-selection into unemployment. On the one hand, people with health problems, which are associated with lower fertility (Syse et al 2022), may be more likely to be unemployed, which could help underpin a negative relationship between unemployment and fertility. On the other hand, people with stronger preferences for children and family life combined with lower ambitions in the labor market may be more inclined to be unemployed, which could drive a positive relationship between unemployment and fertility.…”

Section: Theoretical Considerations 41 Links Between Individual Unemp...mentioning

confidence: 99%

Unemployment and fertility: The relationship between individual and aggregated unemployment and fertility during 1994–2014 in Norway

Kristensen¹,

Lappegård²

2022

DemRes

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BACKGROUNDStudies on the unemployment-fertility relationship show divergent and inconclusive findings. OBJECTIVEWe aim to investigate the unemployment-fertility relationship by focusing on multiple dimensions of unemployment across 21 years. METHODSUsing register data covering the Norwegian population in the period 1994-2014, we apply discrete-time event history analysis to estimate the relative risk of first and higherorder births for men and women by their employment situation and local unemployment levels. RESULTSThere is a negative association between individual unemployment and the risk of birth for childless women, childless men, and fathers. For mothers, the association is positive. The negative association is present among childless men and childless women across the included time period of the study, whereas for mothers and fathers it disappeared over time. There is a negative association between municipal unemployment rates and higherorder births, but not first births. A positive association was found in the 1990s for childless men and childless women, but at the turn of the millennium the association became slightly negative. For mothers and fathers, the negative association remains over time but grows weaker and less clear. Our findings also show that individual unemployment matters more for people's fertility behavior than aggregated

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Section: Theoretical Considerations 41 Links Between Individual Unemp...mentioning

confidence: 99%

Unemployment and fertility: The relationship between individual and aggregated unemployment and fertility during 1994–2014 in Norway

Kristensen¹,

Lappegård²

2022

DemRes

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“…Reproductive ageing involves a number of social and personal consequences. In particular, it exerts an impact on the health of both mothers and new-born children and increases the risk of the incidence of health complications during pregnancy and childbirth [6][7][8].…”

Section: Introductionmentioning

confidence: 99%

Does advanced maternal age explain the longer hospitalisation of mothers after childbirth?

et al. 2023

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Background Fertility postponement, which has comprised the most significant reproductive trend in developed countries over the last few decades, involves a number of social, personal and health consequences. The length of stay (LOS) in hospital following childbirth varies considerably between countries. Czechia, where the fertility postponement process has been particularly dynamic, has one of the longest mean LOS of the OECD member countries. Objective We analyse the influence of the age of mothers on the LOS in hospital associated with childbirth. Data and methods We employed anonymised individual data provided by the General Health Insurance Company of the Czech Republic on women who gave birth in 2014. Kaplan-Meier survival plots and binary logistic regression were employed to identify factors associated with long stays (> = 7 days for vaginal births, > = 9 days for CS births). Results The impact of the maternal age on the LOS is U-shaped. A higher risk of a longer hospitalisation period for young mothers was identified for both types of birth (OR = 1.58, 95% CI 1.33–1.87, p˂0.001 for age less than 20, OR = 1.31, 95% CI 1.20–1.44, p˂0.001 for age 20–24 compared to 30–34). The risk of a longer stay in hospital increases with the increasing age of the mother (OR = 1.23, 95% CI 1.13–1.35, p˂0.001 for age 35–39, OR = 2.05, 95% CI 1.73–2.44, p˂0.001 for age 40+ compared to 30–34), especially with concern to vaginal births. Conclusion The probability of a long LOS increases significantly after the age of 35, especially in the case of vaginal births. Thus, the fertility postponement process with the significant change in the age structure of mothers contributes to the increase in health care costs associated with post-birth hospitalisation.

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Do characteristics of family members influence older persons’ transition to long-term healthcare services?

Syse

Artamonova

Thomas

et al. 2022

BMC Health Serv Res

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Background Future demographic and economic changes warrant a better understanding of older persons’ need for health-related long-term care services (LTC). LTC uptake among older people is likely to be influenced by the presence or absence of family members, but there is scarce research on the role played by partners with different caregiving potential. There is even less research on the contributions of adult children and their caregiving potential. The current study examines the extent to which transitions into LTC in older men and women differ according to the presence and caregiving potential of partners and children. Methods Linked registry data for Norway on older persons (aged 65+), their partners, and their adult children are used to examine how characteristics of these family members influence transitions into LTC from 2010 to 2016, using logistic discrete-time hazard regression models. We observed around 215,000 transitions to LTC, corresponding to around 26.3% of individuals and 5.4% of the total person-years (4.0 million). Caregiving potential is measured in terms of employment, income, health and educational attainment for partners and education and geographical proximity for children. Results Personal, partner and child(ren)’s resources are all associated with older persons’ LTC uptake. Unpartnered and/or childless older people are more likely to use LTC than those with partners and/or child(ren). Older persons with resourceful partners and children are the least likely to transition into LTC. The geographical proximity of adult children appears to have only a minor influence on LTC use among older people. Conclusions Population ageing and strained public resources will likely challenge the future provision of formal old-age care. The role of family networks in the future provision of formal old-age care is expected to become progressively important in the years to come. Inequalities in the health, care and welfare of older persons with and without resourceful family members are likely to increase.

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Does women’s health matter for fertility? Evidence from Norwegian administrative data

Cited by 3 publications

References 56 publications

Unemployment and fertility: The relationship between individual and aggregated unemployment and fertility during 1994–2014 in Norway

Unemployment and fertility: The relationship between individual and aggregated unemployment and fertility during 1994–2014 in Norway

Does advanced maternal age explain the longer hospitalisation of mothers after childbirth?

Do characteristics of family members influence older persons’ transition to long-term healthcare services?

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