Please use this identifier to cite or link to this item: https://hdl.handle.net/10419/249111 
Year of Publication: 
2020
Series/Report no.: 
Discussion Papers No. 921
Publisher: 
Statistics Norway, Research Department, Oslo
Abstract: 
Poor health may constrain women's capacity for active leisure, including family life and childrearing, for participation in the labor market and potentially affect preferences. Still, health remains remarkably understudied as a fertility determinant. We explore the association between health and fertility, using uptake of doctor-certified sickness absences and long-term health-related benefits as proxies for health. We examine whether compositional changes in health distributions and/or changes in the health-fertility association have contributed to the distinct fall in the total fertility rate in Norway since 2009. We use nationwide registry data on women aged 16-45 from 2004-2018. We analyse first, second and third births separately, and use annual observations with lagged time-varying covariates for education, sickness absence and long-term benefits. Income, employment and partnership status are also included in some subanalyses. Long-term benefit uptake is negatively associated with fertility, and the association weakens over time. In addition, such uptake is relatively rare, but increases slightly over time. The use of sickness absence is positively associated with fertility, and the association strengthens over time. Sickness absence uptake is common but decreases over time. It is thus unlikely that changes in women's health and/or changes in the health-fertility association can help explain the observed decline in fertility observed after 2009. However, if the decrease in sickness absence uptake reflects a stronger labor market preference among women in fertile ages, it might help explain parts of the observed decline. Overall, the decline in fertility is most pronounced for healthy women. Health as a fertility determinant warrants further research, from other countries and with other proxies for health.
Subjects: 
fertility
health
sick leave
TFR
total fertility rate
JEL: 
I14
J10
J11
J13
Document Type: 
Working Paper

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