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Please use this identifier to cite or link to this item: http://hdl.handle.net/10625/49850

Title: Low male-to-female sex ratio of children born in India: national survey of 1.1 million households
Authors: Jha, P
Kumar, R
Vasa, P
Dhingra, N
Thiruchelvam, D
Keywords: SEX DISTRIBUTION
BIRTH RATE
SELECTIVE ABORTION
GENDER DISCRIMINATION
INDIA
Issue Date: Jan-2006
Citation: Jha, P., Kumar, R., Vasa, P., Dhingra, N., Thiruchelvam, D., & Moineddin, R. (2006). Low male-to-female sex ratio of children born in India: national survey of 1.1 million households. The Lancet, 367 (9506): 211-218. doi:10.1016/S0140-6736(06)67930-0
Abstract: Background: Fewer girls than boys are born in India. Various hypotheses have been proposed to explain this low sex ratio. Our aim was to ascertain the contribution of prenatal sex determination and selective abortion as measured by previous birth sex. Methods: We analysed data obtained for the Special Fertility and Mortality Survey undertaken in 1998. Ever-married women living in 1.1 million households in 6671 nationally-representative units were asked questions about their fertility history and children born in 1997. Findings: For the 133 738 births studied for 1997, the adjusted sex ratio for the second birth when the preceding child was a girl was 759 per 1000 males (99% CI 731—787). The adjusted sex ratio for the third child was 719 (675—762) if the previous two children were girls. By contrast, adjusted sex ratios for second or third births if the previous children were boys were about equal (1102 and 1176, respectively). Mothers with grade 10 or higher education had a significantly lower adjusted sex ratio (683, 610—756) than did illiterate mothers (869, 820—917). Stillbirths and neonatal deaths were more commonly male, and the numbers of stillbirths were fewer than the numbers of missing births, suggesting that female infanticide does not account for the difference. Interpretation: Prenatal sex determination followed by selective abortion of female fetuses is the most plausible explanation for the low sex ratio at birth in India. Women most clearly at risk are those who already have one or two female children. Based on conservative assumptions, the practice accounts for about 0·5 million missing female births yearly, translating over the past 2 decades into the abortion of some 10 million female fetuses.
URI: http://hdl.handle.net/10625/49850
ISSN: 0140-6736
Project Number: 102172
Project Title: Operational Research: Canadian International Immunization Initiative - Phase II (CIII2)
Document Delivery: This document is not available in the IDRC Digital Library / Ce document n'est pas disponible dans la Bibliothèque numérique du CRDI
Appears in Collections:IDRC Research Results / Résultats de recherches du CRDI
Research Results (GHRI) / Résultats de recherches (IRSM)
Maternal, Newborn, and Child Health (MNCH) / la santé de la mère, du nouveau-né, et de l’enfant
Canadian International Immunization Initiative (CIII2) / l’initiative canadienne d’immunisation internationale
2000-2009 / Années 2000-2009

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