Fertility in the Heart of the COVID-19 Storm

Working Paper: NBER ID: w31070

Authors: Daniel L. Dench; Wenhui Li; Theodore J. Joyce; Howard Minkoff; Gretchen Van Wye

Abstract: We describe how the COVID-19 pandemic affected reproductive choices in New York City, the most acutely impacted area of the United States. We contrast changes in New York City with reproductive outcomes in the rest of the US. We find that births to New York City residents fell 8.4% more between March, 2020 and February 2021 than that would have been expected given trends leading up to the pandemic. Births to US-born residents of New York City fell 5.5% over the same year, triple the observed decline in the rest of the US. Births to foreign-born New York City residents fell 11.4%, twice the decline observed in the rest of the US. Reported induced abortions to New York City residents fell precipitously whereas induced abortions nation-wide rose slightly. The acute downturn and robust recovery in births in New York City maps closely with the spike in mortality and its equally rapid decline three months later. We conclude that the fear and uncertainty in the early months of the pandemic is the best explanation for the sudden, but brief drop in births in New York City.

Keywords: COVID-19; fertility; reproductive choices; birth rates; abortion rates

JEL Codes: I12; J10


Causal Claims Network Graph

Edges that are evidenced by causal inference methods are in orange, and the rest are in light blue.


Causal Claims

CauseEffect
COVID-19 pandemic (H12)birth rates (J11)
economic downturn (F44)birth rates (J11)
fear of illness (I12)birth rates (J11)
public health measures (I14)birth rates (J11)
spike in mortality (I12)birth rates (J11)
decrease in ITOPs (O30)increase in births (J13)
pre-existing immigration patterns (F22)birth rates (J11)
economic shocks (F69)reproductive choices (J13)
health shocks (I12)reproductive choices (J13)

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