Invisible Impact: A Direct Link Between Air Pollution and Declining Birth Rates

01.04.2025

Air pollution has a profound impact on our lives and health, but do we truly understand its full extent? A recent study by the HUN-REN Centre for Economic and Regional Studies (HUN-REN CERS), which examined 657 regions across Europe from 2013 to 2020, has identified a significant correlation between air pollution and declining fertility rates—an issue that is not only a public health concern but also has significant policy implications.

The researchers conducted a comprehensive analysis to assess how different types of air pollutants affect birth rates across Europe. Their study examined ten major pollutants: nitrogen dioxide (NO₂), nitric oxide (NO), nitrogen oxides (NOx), ozone (O₃), sulphur dioxide (SO₂), particulate matter of varying sizes (PM2.5 and PM10), benzene (C₆H₆), lead (Pb), and carbon monoxide (CO). To establish a causal link between pollution levels and birth rates, they employed a quasi-experimental approach, using wind speed and the number of cold (‘heating’) days as key variables.

"According to existing research, the number of cold days does not directly affect fertility. However, colder days result in increased heating, which in turn raises air pollution levels. By leveraging this, we can isolate periods with lower or higher pollution levels," explains Ágnes Szabó-Morvai, Senior Research Fellow at HUN-REN CERS and Research Fellow at the University of Debrecen.

Previous estimates of air pollution’s impact on fertility have often been geographically and temporally limited. In contrast, this study analysed data from 657 regions across Europe and its neighbouring areas, covering up to six years. Birth rate statistics were gathered from 36 European countries and adjacent regions.

The results reveal a direct causal link between higher concentrations of particulate matter and a significant decline in birth rates. Specifically, a one standard deviation increase in airborne particulate matter leads to a 14.1% drop in births the following year, with a further 17.2% decline two years later. This effect is particularly pronounced in lower-GDP regions, underscoring the greater challenges faced by economically disadvantaged areas. The researchers found that while particulate matter had a substantial impact on fertility, other pollutants had a negligible effect.

Why Focus on PM2.5 and PM10?

Numerous studies have shown that elevated levels of pollutants such as PM2.5, PM10, and ozone adversely affect children's health, increasing the risk of low birth weight, infant mortality, and asthma. For example, research by Currie and Schwandt (2016) found that exposure to air pollution from the 9/11 dust cloud significantly raised the likelihood of preterm birth and low birth weight.

PM10 refers to particulate matter with a diameter of less than 10 micrometres. This threshold is crucial, as larger particles are significantly less harmful, being filtered out by the respiratory system before they reach the lungs. In contrast, PM2.5—comprising particles smaller than 2.5 micrometres—poses a far greater health risk due to its ability to penetrate deep into the lungs. The researchers focused on these two categories because they are standard air quality metrics monitored in Hungary and across Europe.

The study highlights the need for targeted environmental policies. Reducing particulate matter levels would not only improve public health but also help mitigate the decline in Europe’s fertility rate—a critical issue given the ageing population and shrinking workforce. The researchers emphasise that different policy areas can either reinforce or counteract each other. “For example, if a major family support programme is funded by promoting industrial activities that increase air pollution,” explains Ágnes Szabó-Morvai.

The research demonstrates that particulate matter in the air has a significant impact on fertility. The primary sources of these pollutants include wood and coal combustion, as well as soot emissions from petrol and diesel engines. “Introducing more energy-efficient heating systems, modernising vehicle fleets, and tightening vehicle registration regulations would not only improve air quality but could also help increase birth rates,” added the HUN-REN researcher. This reinforces the idea that air quality is no longer just an environmental concern but a key factor in societal and economic resilience.

While air pollution is a significant factor influencing fertility, it is not the only one. Climate change affects various aspects of our lives, from the economy and environment to even our sleeping patterns. Rising temperatures also have societal impacts that are less frequently discussed. As previously reported, HUN-REN CERS researcher Tamás Hajdu has examined the relationship between rising temperatures and fertility rates.

KRTK légszennyezés
1. ábra: Ezer szülőképes korban lévő nőre jutó születések száma 2. ábra: PM10 koncentráció

HUN-REN aims to become one of the most effective research organisations in Europe and to contribute significantly to Hungary's social and economic success. The HUN-REN Act, effective from 1 January 2025, provides the necessary framework for HUN-REN to transform into a more responsive, collaborative, performance-oriented, and well-functioning network, ensuring the freedom of scientific research and the continuation of exploratory research, while providing multidisciplinary solutions to complex challenges affecting both national and international communities. Employees within the modernising HUN-REN can look forward to a long-term, consistent, value-driven, and performance-focused funding system, mutually reinforcing structure and operation, competitive salaries, and a predictable research career.

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