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Does depression matter for fertility intentions and their realisation? An analysis of Norwegian and Swedish men and women in coresidential unions

Bibliographic Data

ID24224858
AuthorsErik Carlsson (0000-0003-1704-2058), Wooseong Kim (0000-0001-9874-446X)
Year2026
Volume82
Issue1
Publication date2026-02-09
Open AccessYes
TypeARTICLE
VenueGenus (JOURNAL)
Journal identifiersISSN: 0016-6987 • E-ISSN: 2035-5556
PublisherSpringer Science and Business Media LLC (PUBLISHER)
DOI10.1186/s41118-026-00283-6
OpenAlexW7128427432
LanguageEN
References cited43

Many high-income societies have seen two parallel trends in recent decades: falling fertility rates and an increasing prevalence of mental health issues among young adults. Yet, the association between mental health and fertility remains underexplored, especially with respect to fertility preferences and their realisation. This study examines how depression, one of the most common mental disorders, relates to two fertility outcomes: (1) reporting a positive short-term fertility intention, and (2) realising such an intention. The study uses data from the Norwegian and Swedish Generations and Gender Surveys from 2007/2008 to 2012/2013, together with their register-based follow-ups. To measure depression, we use the 7-item, shortened version of the Centre for Epidemiologic Studies Depression Scale (CES-D Scale). Results show that depression is negatively associated with the propensity to report a positive fertility intention among Norwegian women and the propensity to realise a positive fertility intention within three years among Swedish women. Among men, depression is not significantly associated with either of the two outcomes. This study contributes new evidence on how depression may influence fertility, advancing the understanding of the determinants of fertility behaviour as well as the consequences of a widespread mental disorder.

CES-D scale · Depression · fertility behavior · fertility intentions · gender differences · Mental health · Norwegian women · Swedish women · Young adults · Family Dynamics and Relationships · Reproductive Health and Contraception · Reproductive Health and Technologies

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