Abortion patterns and reported sex ratios at birth in rural Yunnan, China

Abortion patterns and reported sex ratios at birth in rural Yunnan, China
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DOI:
10.1016/s0968-8080(04)24147-7
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发表时间:
2004-11-01
影响因子:
--
通讯作者:
Johansson, A
Johansson, A
中科院分区:
医学3区
文献类型:
--
作者:
Löfstedt, P;Luo, SS;Johansson, A

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在历史上,由于重男轻女导致的出生性别比偏高在中国是众所周知的,但人们认为这种现象会随着现代化的发展而减少。本研究的目的是调查云南省中国霍宁县在连续计划生育政策背景下的堕胎决策和报告的出生性别比。对1980年至2000年随机抽样的1,336名年龄在15岁至之间的妇女的流产模式和报告的出生性别比与以前生育的孩子的胎次和性别进行了分析。在79世纪80年代,堕胎模式中存在男性偏见,但到90年代末,大多数有两个孩子的妇女的怀孕都被终止了。华宁市出生人口性别比从1984-87年的107上升到1988-2000年的110。虽然女性的生育决定在整个时期都受到男孩偏好的影响,但用于确保生男孩的手段与不断变化的计划生育政策不同。我们的结论是,在生育率下降和现代化的背景下,性别比例的上升是一个令人震惊的社会人口问题,与历史经验背道而驰。事实证明,随着经济发展和女性教育,对女孩的歧视将会减少的假设过于简单化。迫切需要采取行动,减少和减轻歧视女孩的影响。(C)2004年生殖健康问题。版权所有。
High sex ratio at birth due to son preference has been known in China historically, but it was thought this phenomenon would diminish with modernisation. The aim of this study was to investigate abortion decisions and reported sex ratios at birth in the context of successive family planning policies in Huoning County, Yunnan Province, in China. Abortion patterns and reported sex ratios at birth of a random sample of 1,336 women aged 15-64 were analysed for the period 1980-2000, in relation to parity and sex of previous children. There was a male bias in the abortion pattern during the 7980s, but by the end of the 1990s most pregnancies of women with two children were being terminated. Sex ratio at birth rose from 107 in 1984-87 to 110 between 1988-2000 in Huaning. While women's reproductive decisions were influenced by son preference over the whole period, the means used to ensure a son differed with changing family planning policies. We conclude that rising sex ratios in the context of falling fertility and modernisation is an alarming socio-demographic issue, which defies historical experience. Assumptions that discrimination against girls would diminish with economic development and female education have proven simplistic. Action is urgently needed to reduce and mitigate the effects of discrimination against girls. (C) 2004 Reproductive Health Matters. All rights reserved.