The question now is how governments can soften the economic shock as shrinking workforces are left to support ever-larger retiree populations, straining pensions, healthcare systems and social safety nets.
Experts point to a mix of economic, cultural, and policy factors. In high and middle-income countries, women are delaying marriage and childbirth while balancing careers. Rising housing costs, childcare expenses, and uncertainty about jobs and health care weigh heavily on young families. In the United States, fertility dropped to a record 1.59 in 2024, an all-time lowamid the rising cost of living and as a growing share of women delayed childbearing.