That adds to an already negative birth/death ratio (also due to economic reasons and the ever more prevalent idea that having family/children isn't one's sole purpose of existence in the universe).
As these countries continue to develop and become more industrialized, educated, and urbanized birth rates decline more and more until, usually, populations start to decline, as well.
In some countries such as the United States and a handful in Western Europe, this population decline is offset by healthy economies that encourage larger families and, more importantly, immigration. Eastern Europe is fairly developed but economies there are depressed and families there don't usually have more than 1 kid if they have any at all. It's also losing people to immigration instead of gaining them.
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