Impact of COVID-19 on birth rate trends in the Italian Metropolitan Cities of Milan, Genoa and Turin

Rose, Aldo Franco De; Ambrosini, Francesca; Mantica, Guglielmo; Terrone, Carlo

doi:10.1016/j.puhe.2021.06.026

Cited by 10 publications

(7 citation statements)

References 5 publications

(5 reference statements)

Supporting

Mentioning

Contrasting

Order By: Relevance

“…This trend differs from Thailand, Peru and the USA, which reported a slight decline in births at the beginning of 2021 before experiencing a rebound to the pre-pandemic trend, possibly due to delayed birth registration [22]. The current findings were instead similar to the situation in Italy, where the authors speculated that the stringent and prolonged lockdown had adversely affected the mental health and subsequent sexual drive of their population [23]. Furthermore, the fear of economic instability due to reduced earnings may have been the contributing factor [24].…”

Section: Discussioncontrasting

confidence: 67%

The Changing Trend of Paediatric Emergency Department Visits in Malaysia Following the COVID-19 Pandemic

Masrani¹,

Husain²,

Musa³

et al. 2023

Cureus

View full text Add to dashboard Cite

BackgroundThe coronavirus disease 2019 (COVID-19) pandemic has impacted the emergency department (ED) due to the surge in medical demand and changes in the characteristics of paediatric visits. Additionally, the trend for paediatric ED visits has decreased globally, secondary to implementing lockdowns to stop the spread of COVID-19. We aim to study the trend and characteristics of paediatric ED visits following Malaysia's primary timeline of the COVID-19 pandemic. Methods and materialsA five-year time series observational study of paediatric ED patients from two tertiary hospitals in Malaysia was conducted from March 17, 2017March 17, (week 11 2017 to March 17, 2022March 17, (week 12 2022. Aggregated weekly data were analysed using R statistical software version 4.2.2 (R Foundation for Statistical Computing, Vienna, Austria) against significant events during the COVID-19 pandemic to detect influential changepoints in the trend. The data collected were the number of ED visits, triage severity, visit outcomes and ED discharge diagnosis. ResultsOverall, 175,737 paediatric ED visits were recorded with a median age of three years and predominantly males (56.8%). A 57.57% (p<0.00) reduction in the average weekly ED visits was observed during the Movement Control Order (MCO) period. Despite the increase in the proportion of urgent (odds ratio (OR): 1.23, p<0.00) and emergent or life-threatening (OR: 1.79, p<0.00) cases, the proportion of admissions decreased. Whilst the changepoints during the MCO indicated a rise in respiratory, fever or other infectious diseases, or gastrointestinal conditions, diagnosis of complications originating from the perinatal period declined from July 19, 2021July 19, (week 29 2021. ConclusionThe incongruent change in disease severity and hospital admission reflects the potential effects of the healthcare system reform and socioeconomic impact as the pandemic evolves. Future studies on parental motivation to seek emergency medical attention may provide insight into the timing and choice of healthcare service utilisation.

show abstract

Section: Discussioncontrasting

confidence: 67%

The Changing Trend of Paediatric Emergency Department Visits in Malaysia Following the COVID-19 Pandemic

Masrani¹,

Husain²,

Musa³

et al. 2023

Cureus

View full text Add to dashboard Cite

show abstract

“…In the setting of already low fertility, further decreases in birth rates raise concern for future difficulties maintaining social security and universal healthcare, increased strain on hospital systems and shortages in physicians 50–54. Previous studies of births during the COVID-19 era have found deficits in other countries 34–36. The United Nations has warned of decreasing fertility around the world and expects fertility to return to pre-pandemic levels between 2023 and 2025,73 though other reports have found that COVID-19-associated disruptions in family planning services may have led to an increase in the number of unintended pregnancies in low- and middle-income countries 74.…”

Section: Discussionmentioning

confidence: 99%

“…Research at the state- and city-levels in the USA has found that marriage and divorce decreased during the early stages of the pandemic 24 33. Fertility research during the early phases of the pandemic has found pandemic-associated drops in fertility in several countries,34–36 though there is significant heterogeneity and analysis of early Japanese data (until November 2020) showed no significant birth deficits 34…”

Section: Introductionmentioning

confidence: 99%

Changes in marriage, divorce and births during the COVID-19 pandemic in Japan

et al. 2022

View full text Add to dashboard Cite

IntroductionMarriage, divorce and fertility are declining in Japan. There is concern that the COVID-19 pandemic may have accelerated the decrease in marriages and births while increasing the number of divorces. Changes in partnership behaviours and fertility have significant implications for mental health, well-being and population demographics.MethodsJapanese vital statistical data were collected for December 2011–May 2021. We used the Farrington algorithm on the daily numbers of marriages, divorces and births (per month) in order to determine whether any given month between January 2017 and May 2021 had a significant excess or deficit. Analyses were conducted at the national and regional levels.ResultsDuring the pandemic, significant deficits in the national number of marriages were noted in January 2020, April 2020, May 2020, July 2020, September 2020 and April 2021. Regional marriage patterns reflected national trends. Divorces were noted to be in deficit during April 2020, May 2020 and May 2021 at the country level. Regional analyses mirrored national divorce trends with the exception of Shikoku, which showed no deficits during the pandemic. Significant deficits in the number of total births were noted in December 2020, January 2021 and February 2021. Regionally, birth deficits were concentrated in Chubu, Kansai and Kanto. After the start of the pandemic, no significant excesses in marriages, divorces or births were noted at the national or regional level.ConclusionsMarriages and divorces declined during the pandemic in Japan, especially during state of emergency declarations. There were decreased births between December 2020 and February 2021, approximately 8–10 months after the first state of emergency, suggesting that couples altered their pregnancy intention in response to the pandemic. Metropolitan regions were more affected by the pandemic than their less metropolitan counterparts.

show abstract

“…Impacts have been positive or negative depending on the local/regional background (Zambon et al 2020 ; Turok and Visagie 2021 ; Salvati 2022 ). Response to the intrinsic shock has been demonstrated to be more or less rapid depending on the specific process (Ullah et al 2020 ; De Rose et al 2021 ; Thomas et al 2022 ). Short-term, medium-term, and long-term effects can finally differ and literature evidence is still occasional, since only short-term impacts have been investigated with some details (Aassve et al 2021 ; Dumont 2021 ; Alaimo et al 2022a ; Bailey et al 2022 ).…”

Section: Introductionmentioning

confidence: 99%

Did COVID-19 enlarge spatial disparities in population dynamics? A comparative, multivariate approach for Italy

2023

View full text Add to dashboard Cite

A short-term issue that has been occasionally investigated in the current literature is if (and, eventually, how) population dynamics (directly or indirectly) driven by COVID-19 pandemic have contributed to enlarge regional divides in specific demographic processes and dimensions. To verify this assumption, our study run an exploratory multivariate analysis of ten indicators representative of different demographic phenomena (fertility, mortality, nuptiality, internal and international migration) and the related population outcomes (natural balance, migration balance, total growth). We developed a descriptive analysis of the statistical distribution of the ten demographic indicators using eight metrics that assess formation (and consolidation) of spatial divides, controlling for shifts over time in both central tendency, dispersion, and distributional shape regimes. All indicators were made available over 20 years (2002–2021) at a relatively detailed spatial scale (107 NUTS-3 provinces) in Italy. COVID-19 pandemic exerted an impact on Italian population because of intrinsic (e.g. a particularly older population age structure compared with other advanced economies) and extrinsic (e.g. the early start of the pandemic spread compared with the neighboring European countries) factors. For such reasons, Italy may represent a sort of ‘worst’ demographic scenario for other countries affected by COVID-19 and the results of this empirical study can be informative when delineating policy measures (with both economic and social impact) able to mitigate the effect of pandemics on demographic balance and improve the adaptation capacity of local societies to future pandemic’s crises.

show abstract

Impact of COVID-19 on birth rate trends in the Italian Metropolitan Cities of Milan, Genoa and Turin

Cited by 10 publications

References 5 publications

The Changing Trend of Paediatric Emergency Department Visits in Malaysia Following the COVID-19 Pandemic

The Changing Trend of Paediatric Emergency Department Visits in Malaysia Following the COVID-19 Pandemic

Changes in marriage, divorce and births during the COVID-19 pandemic in Japan

Did COVID-19 enlarge spatial disparities in population dynamics? A comparative, multivariate approach for Italy

Contact Info

Product

Resources

About