Fertility and Media Narratives of the Economy: Evidence From Italian News Coverage.

We argue that media-conveyed economic narratives are crucial for understanding contemporary fertility dynamics, net of objective economic constraints. Individuals use these narratives to project themselves into an actionable imagined future and make decisions that may be relatively independent from their actual economic situation. We test this hypothesis for Italy by combining individual-level data from the 2009 and 2016 releases of the nationally representative Family and Social Subjects Survey with Media Tenor data on the coverage of the economy in the evening newscast of Italian TV's most-viewed channel (Rai 1). Our findings reveal that both the incidence and tone of news reports on the state of the economy are associated with fertility behavior. An increase in the number of negative economic news items is negatively associated with fertility, whereas an increase in positive items is positively correlated with fertility. Interestingly, when positive news items outnumber negative ones, an increase in the share of economic reports is positively associated with fertility. These associations are statistically significant and substantially relevant, net of traditional individual and contextual socioeconomic fertility correlates. Overall, our findings bolster the claim that media-conveyed narratives of the economy influence fertility behaviors.

Incidence, prevalence and mortality of systemic sclerosis in Italy: a nationwide population-based study using administrative health data.

To study incidence, prevalence and mortality of systemic sclerosis (SSc) in Italy, assessing epidemiological differences between men and women and in distinct age groups. We performed a nationwide population-based study using administrative health data from regional co-payment exemption registries. Patients entitled with SSc-specific co-payment exemption were included. Fourteen of the 20 Italian regions contributed data covering a population of over 45 million individuals. Crude annual incidence rate, annual prevalence, crude annual mortality rate and standardised mortality ratio (SMR) were calculated. In 2016, the overall crude incidence rate of SSc was 18.5 (95% CI 16.9-20.2) per million per year. Incidence rate was 31.0 (95% CI 28.1-34.1) per million in women, and 4.3 (95% CI 3.2-5.6) per million in men. Peak incidence was observed in the age range 55-69 years. Overall annual prevalence was 306.1 (95% CI 301.1-311.2) per million. Prevalence was 530.8 (95% CI 521.5-540.2) per million in women and 67.8 (95% CI 64.4-71.3) per million in men, with a female to male ratio of 7.8:1. Highest prevalence was observed in the range 70-84 years. Crude annual mortality rate was 27.9 (95% CI 24.9-31.1) per 1000 patients. Overall SMR in patients with SSc was 2.8 (95% CI 1.9-3.8). SMR was 3.8 (95% CI 2.9-5.1) in men and 2.6 (95% CI 1.8-3.6) in women. We provided updated estimates on epidemiology of SSc in Italy. Our findings on incidence, prevalence and mortality of SSc are consistent with previously published literature.