Evidence map›Paper›PMID 38110509›Full record

ArticleNature human behaviour2024

Evidence from Finland and Sweden on the relationship between early-life diseases and lifetime childlessness in men and women.

Aoxing Liu, Evelina T Akimova, Xuejie Ding, Sakari Jukarainen, Pekka Vartiainen, Tuomo Kiiskinen, Sara Koskelainen, Aki S Havulinna, Mika Gissler, Stefano Lombardi and 3 more

Abstract read
In one paragraph

Article in Nature human behaviour, 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 19 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
19citing papers in PubMed, 1 pooled it
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

19 citing papers in PubMed, 1 synthesis or guideline pooled it.

  1. Pooled it
  2. Article
  3. Article
  4. Article
  5. Article
  6. Observational
  7. Long-term socioeconomic outcomes in Danish children with moderate-to-severe atopic dermatitis.Journal of the European Academy of Dermatology and Venereology : JEADV · 2026
    Article
  8. Article
  9. Article
  10. Article
  11. Mental Disorders and Having a First Child Among Young Adults: A Nationwide Register-Based Cohort Study.BJOG : an international journal of obstetrics and gynaecology · 2025
    Article
  12. Article
  13. Review
  14. Article
  15. Article
  16. Article
  17. Review
  18. Article
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4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

13 authors.

Aoxing LiuInstitute for Molecular Medicine Finland, University of Helsinki, Helsinki, Finland. aoxing.liu@helsinki.fi.ORCID 0000-0002-9155-1494
Evelina T AkimovaLeverhulme Centre for Demographic Science, Nuffield Department of Population Health, and Nuffield College, University of Oxford, Oxford, UK.ORCID 0000-0001-8733-3745
Xuejie DingLeverhulme Centre for Demographic Science, Nuffield Department of Population Health, and Nuffield College, University of Oxford, Oxford, UK.
Sakari JukarainenInstitute for Molecular Medicine Finland, University of Helsinki, Helsinki, Finland.ORCID 0000-0001-8169-8954
Pekka VartiainenInstitute for Molecular Medicine Finland, University of Helsinki, Helsinki, Finland.ORCID 0000-0001-5803-9571
Tuomo KiiskinenInstitute for Molecular Medicine Finland, University of Helsinki, Helsinki, Finland.ORCID 0000-0002-6306-8227
Sara KoskelainenInstitute for Molecular Medicine Finland, University of Helsinki, Helsinki, Finland.
Aki S HavulinnaInstitute for Molecular Medicine Finland, University of Helsinki, Helsinki, Finland.ORCID 0000-0002-4787-8959
Mika GisslerFinnish Institute for Health and Welfare, Helsinki, Finland.ORCID 0000-0001-8254-7525
Stefano LombardiVATT Institute for Economic Research, Helsinki, Finland.ORCID 0000-0001-9100-9331
Tove FallMolecular Epidemiology, Department of Medical Sciences, and Science for Life Laboratory, Uppsala University, Uppsala, Sweden.ORCID 0000-0003-2071-5866
Melinda C MillsLeverhulme Centre for Demographic Science, Nuffield Department of Population Health, and Nuffield College, University of Oxford, Oxford, UK. melinda.mills@demography.ox.ac.uk.ORCID 0000-0003-1704-0001
Andrea GannaInstitute for Molecular Medicine Finland, University of Helsinki, Helsinki, Finland. andrea.ganna@helsinki.fi.ORCID 0000-0002-8147-240X

Funding

EC | EC Seventh Framework Programm | FP7 Ideas: European Research Council (FP7-IDEAS-ERC - Specific Programme: "Ideas" Implementing the Seventh Framework Programme of the European Community for Research, Technological Development and Demonstration Activities (2007 to 2013)) 835079EC | EC Seventh Framework Programm | FP7 Ideas: European Research Council (FP7-IDEAS-ERC - Specific Programme: "Ideas" Implementing the Seventh Framework Programme of the European Community for Research, Technological Development and Demonstration Activities (2007 to 2013)) 945733RCUK | Economic and Social Research Council (ESRC) ES/W002116/1
6 · The paper itself

Abstract

The percentage of people without children over their lifetime is approximately 25% in men and 20% in women. Individual diseases have been linked to childlessness, mostly in women, yet we lack a comprehensive picture of the effect of early-life diseases on lifetime childlessness. We examined all individuals born in 1956-1968 (men) and 1956-1973 (women) in Finland (n = 1,035,928) and Sweden (n = 1,509,092) to the completion of their reproductive lifespan in 2018. Leveraging nationwide registers, we associated sociodemographic and reproductive information with 414 diseases across 16 categories, using a population and matched-pair case-control design of siblings discordant for childlessness (71,524 full sisters and 77,622 full brothers). The strongest associations were mental-behavioural disorders (particularly among men), congenital anomalies and endocrine-nutritional-metabolic disorders (strongest among women). We identified new associations for inflammatory and autoimmune diseases. Associations were dependent on age at onset and mediated by singlehood and education. This evidence can be used to understand how disease contributes to involuntary childlessness.

Indexed as

Mental DisordersReproductionAgedChildEducational StatusFemaleFinlandHumansMaleSweden

Identifiers

PMID38110509
PMCPMC10896715

What OpenQuestion holds

Textmetadata
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Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.