@article {PUIGBARRACHINA2019,
	title = {Decline in fertility induced by economic recession in Spain},
	journal = {Gaceta Sanitaria},
	year = {2019},
	abstract = {Objective To describe trends in fertility in Spain before (pre-recession; 1998-2008) and during (recession period; 2009-2013) the economic crisis of 2008, taking into account women{\textquoteright}s age and regional unemployment in 2010. Method The study consisted of a panel design including cross-sectional ecological data for the 17 regions of Spain. We describe fertility trends in Spain in two time periods, pre-recession (1998-2008) and recession (2009-2013). We used a cross-sectional, ecological study of Spanish-born women to calculate changes in fertility rates for each period using a linear regression model adjusted for year, period, and interaction between them. Results We found that compared to the pre-recession period, the fertility rate in Spain generally decreased during the economic recession. However, in some regions, such as the Canary Islands, this decrease began before the onset of the recession, while in other regions, such as the Basque country, the fertility rate continued to grow until 2011. The effects of the recession on the fertility rate are clearly observed in women aged 30-34 years. Conclusions The current economic recession has disrupted the positive trend in fertility that began at the start of this century. Since Spain already had very low fertility rates, the further decline caused by the economic recession could jeopardize the sustainability of welfare-state systems. Resumen Objetivo Describir las tendencias de la fecundidad en Espa{\~n}a en la {\'e}poca precrisis (1998-2008) y durante la crisis (2009-2013) econ{\'o}mica, teniendo en cuenta la edad de las mujeres y el desempleo regional en 2010. M{\'e}todo Se utiliza un dise{\~n}o panel que incluye datos ecol{\'o}gicos transversales para las 17 comunidades aut{\'o}nomas de Espa{\~n}a. Se describen las tendencias de fecundidad en los dos periodos. Para calcular los cambios en las tasas de fecundidad se utiliza un modelo de regresi{\'o}n lineal ajustado por a{\~n}o, periodo e interacci{\'o}n de ellas. Resultados En comparaci{\'o}n con el periodo anterior, la tasa de fecundidad global en Espa{\~n}a disminuy{\'o} durante la crisis econ{\'o}mica. Sin embargo, en algunas comunidades, como las Islas Canarias, esta disminuci{\'o}n comenz{\'o} antes del inicio de la crisis, mientras que en otras, como el Pa{\'\i}s Vasco, la tasa de fecundidad continu{\'o} creciendo hasta 2011. Los efectos de la crisis en la fecundidad se observan claramente en mujeres de 30 a 34 a{\~n}os. Conclusiones La crisis econ{\'o}mica actual ha interrumpido la tendencia positiva en la fecundidad que comenz{\'o} a principios de este siglo. Dado que Espa{\~n}a ya ten{\'\i}a tasas de fecundidad muy bajas, el descenso causado por la crisis econ{\'o}mica podr{\'\i}a poner en peligro la sostenibilidad de los sistemas de bienestar social.},
	keywords = {Crisis econ{\'o}mica, Desempleo, Economic recession, Espa{\~n}a, Fecundidad, Fertility, Modelos de regresi{\'o}n, spain, Statistical regression, Unemployment},
	issn = {0213-9111},
	doi = {https://doi.org/10.1016/j.gaceta.2019.05.011},
	url = {http://www.sciencedirect.com/science/article/pii/S0213911119301554},
	author = {Puig-Barrachina, Vanessa and Rodr{\'\i}guez-Sanz, Maica and Mar{\'\i}a Felicitas Dom{\'\i}nguez-Berj{\'o}n and Unai Mart{\'\i}n and Miguel {\'A}ngel Luque and Miguel Ruiz and Gl{\`o}ria Perez}
}
