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

Cyrus Ghaznavi; Takayuki Kawashima; Yuta Tanoue; Daisuke Yoneoka; Koji Makiyama; Haruka Sakamoto; Peter Ueda; Akifumi Eguchi; Shuhei Nomura

doi:10.1136/bmjgh-2021-007866

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

BMJ Glob Health. 2022 May;7(5):e007866. doi: 10.1136/bmjgh-2021-007866.

Authors

Cyrus Ghaznavi^{1

2}, Takayuki Kawashima^{3

4}, Yuta Tanoue^{3

5}, Daisuke Yoneoka^{3

6}, Koji Makiyama⁷, Haruka Sakamoto^{8

9}, Peter Ueda^{8

10}, Akifumi Eguchi^{3

11}, Shuhei Nomura^{3

8}

Affiliations

¹ Department of Health Policy and Management, Keio University, Tokyo, Japan cghaznavi@keio.jp.
² Medical Education Program, Washington University School of Medicine in Saint Louis, St Louis, Missouri, USA.
³ Department of Health Policy and Management, Keio University, Tokyo, Japan.
⁴ Department of Mathematical and Computing Science, Tokyo Institute of Technology, Tokyo, Japan.
⁵ Institute for Business and Finance, Waseda University, Tokyo, Japan.
⁶ Infectious Disease Surveillance Center, National Institute of Infectious Diseases, Tokyo, Japan.
⁷ HOXO-M, Tokyo, Japan.
⁸ Department of Global Health Policy, The University of Tokyo, Tokyo, Japan.
⁹ Department of Hygiene and Public Health, Tokyo Women's Medical University, Tokyo, Japan.
¹⁰ Clinical Epidemiology Division, Department of Medicine, Solna, Karolinska Institutet, Stockholm, Sweden.
¹¹ Center for Preventive Medical Sciences, Chiba University, Chiba, Japan.

Abstract

Introduction: Marriage, 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.

Methods: Japanese 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.

Results: During 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.

Conclusions: Marriages 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.

Keywords: COVID-19; Epidemiology; Health policy; Public Health.

Publication types

Research Support, Non-U.S. Gov't

MeSH terms

COVID-19* / epidemiology
Divorce*
Humans
Japan / epidemiology
Marriage
Pandemics