Sex-selective abortion is the practice of terminating a pregnancy based upon the predicted sex of the infant. The selective abortion of female fetuses is most common where male children are valued over female children, especially in parts of East Asia and South Asia (particularly in countries such as People's Republic of China, India and Pakistan), as well as in the Caucasus, and Western Balkans.
Sex-selective abortion effects the human sex ratio—the relative number of males to females in a given age group, with China and India, the two most populous countries of the world, having unbalanced gender ratios. Studies and reports focusing on sex-selective abortion are predominantly statistical; they assume that birth sex ratio—the overall ratio of boys and girls at birth for a regional population, is an indicator of sex-selective abortion. This assumption has been questioned by some scholars.
Sex-selective abortion affects the human sex ratio—the relative number of males to females in a given age group. Studies and reports that discuss sex-selective abortion are based on the assumption that birth sex ratio—the overall ratio of boys and girls at birth for a regional population, is an indicator of sex-selective abortion.
The natural human sex ratio at birth was estimated, in a 2002 study, to be close to 106 boys to 100 girls. Human sex ratio at birth that is significantly different from 106 is often assumed to be correlated to the prevalence and scale of sex-selective abortion.Countries considered to have significant practices of sex-selective abortion are those with birth sex ratios of 108 and above (selective abortion of females), and 102 and below (selective abortion of males). This assumption is controversial, and the subject of continuing scientific studies.
One school of scholars suggest that any birth sex ratio of boys to girls that is outside of the normal 105-107 range, necessarily implies sex-selective abortion. These scholars claim that both the sex ratio at birth and the population sex ratio are remarkably constant in human populations. Significant deviations in birth sex ratios from the normal range can only be explained by manipulation, that is sex-selective abortion.
In a widely cited article, Amartya Sen compared the birth sex ratio in Europe (106) and United States (105) with those in Asia (107+) and argued that the high sex ratios in East Asia, West Asia and South Asia may be due to excessive female mortality. Sen pointed to research that had shown that if men and women receive similar nutritional and medical attention and good health care then females have better survival rates, and it is the male which is the genetically fragile sex.
Sen estimated 'missing women' from extra women who would have survived in Asia if it had the same ratio of women to men as Europe and United States. According to Sen, the high birth sex ratio over decades, implies a female shortfall of 11% in Asia, or over 100 million women as missing from the 3 billion combined population of South Asia, West Asia, North Africa and China.
James cautions that available scientific evidence stands against the above assumptions and conclusions. He reports that there is an excess of males at birth in almost all human populations, and the natural sex ratio at birth is usually between 102 and 108. However the ratio may deviate significantly from this range for natural reasons such as early marriage and fertility, teenage mothers, average maternal age at birth, paternal age, age gap between father and mother, late births, ethnicity, social and economic stress, warfare, environmental and hormonal effects. This school of scholars support their alternate hypothesis with historical data when modern sex-selection technologies were unavailable, as well as birth sex ratio in sub-regions, and various ethnic groups of developed economies. They suggest that direct abortion data should be collected and studied, instead of drawing conclusions indirectly from human sex ratio at birth.
James' hypothesis is supported by historical birth sex ratio data before technologies for ultrasonographic sex-screening were discovered and commercialized in the 1960s and 1970s, as well by reverse abnormal sex ratios currently observed in Africa. Michel Garenne reports that many African nations have, over decades, witnessed birth sex ratios below 100, that is more girls are born than boys. Angola, Botswana and Namibia have reported birth sex ratios between 94 and 99, which is quite different than the presumed 104 to 106 as natural human birth sex ratio.
John Graunt noted that in London over a 35-year period in the 17th century (1628–62), the birth sex ratio was 1.07; while Korea's historical records suggest a birth sex ratio of 1.13, based on 5 million births, in 1920s over a 10-year period. Other historical records from Asia too support James hypothesis. For example, Jiang et al. claim that the birth sex ratio in China was 116–121 over a 100-year period in the late 18th and early 19th centuries; in the 120–123 range in the early 20th century; falling to 112 in the 1930s.
In the United States, the sex ratios at birth over the period 1970–2002 were 105 for the white non-Hispanic population, 104 for Mexican Americans, 103 for African Americans and Native Americans, and 107 for mothers of Chinese or Filipino ethnicity. Among Western European countries c. 2001, the ratios ranged from 104 to 107. In the aggregated results of 56 Demographic and Health Surveys in African countries, the birth sex ratio was found to be 103, though there is also considerable country-to-country, and year-to-year variation.
In a 2005 study, U.S. Department of Health and Human Services reported sex ratio at birth in the United States from 1940 over 62 years. This statistical evidence suggested the following: For mothers having their first baby, the total sex ratio at birth was 106 overall, with some years at 107. For mothers having babies after the first, this ratio consistently decreased with each additional baby from 106 towards 103. The age of the mother affected the ratio: the overall ratio was 105 for mothers aged 25 to 35 at the time of birth; while mothers who were below the age of 15 or above 40 had babies with a sex ratio ranging between 94 and 111, and a total sex ratio of 104. This United States study also noted that American mothers of Hawaiian, Filipino, Chinese, Cuban and Japanese ethnicity had the highest sex ratio, with years as high as 114 and average sex ratio of 107 over the 62-year study period. Outside of United States, European nations with extensive birth records, such as Finland, report similar variations in birth sex ratios over a 250-year period, that is from 1751 to 1997 AD.
In 2017, according to CIA estimates, the countries with the highest birth sex ratio were Liechtenstein (125), Northern Mariana Islands (116), China (114), Armenia (112), Falkland Islands (112), India (112), Grenada (110), Hong Kong (110), Vietnam (110), Albania (109), Azerbaijan (109), San Marino (109), Isle of Man (108), Kosovo (108) and Macedonia (108). Also in 2017 the lowest ratio (ie. more girls born) was in Nauru at (0.83). There were ratios of 102 and below in several countries, most of them African countries or Black/African majority population Caribbean countries: Angola, Aruba, Barbados, Bermuda, Burkina Faso, Burundi, Cabo Verde, Cameroon, Cayman Islands, Central African Republic, Chad, Comoros, Republic of the Congo, Cote d'Ivoire, Djibouti, Eritrea, Eswatini, Ethiopia, Gabon, The Gambia, Ghana, Guinea-Bissau, Haiti, Kazakhstan, Leshoto, Liberia, Madagascar, Malawi, Mali, Mauritania, Mozambique, Niger, Puerto Rico, Qatar, Senegal, Sierra Leone, Somalia, South Africa, Togo, Uganda, Zambia.
There is controversy about the notion of the exact natural sex ratio at birth. In a study around 2002, the natural sex ratio at birth was estimated to be close to 1.06 males/female. There is controversy whether sex ratios outside the 103-107 range are due to sex-selection, as suggested by some scholars, or due to natural causes. The claims that unbalanced sex ratios are necessary due to sex selection have been questioned by some researchers. Some researchers argue that an unbalanced sex ratio should not be automatically held as evidence of prenatal sex-selection; Michel Garenne reports that many African nations have, over decades, witnessed birth sex ratios below 100, that is more girls are born than boys. Angola, Botswana and Namibia have reported birth sex ratios between 94 and 99, which is quite different than the presumed "normal" sex ratio, meaning that significantly more girls have been born in such societies.
In addition, in many developing countries there are problems with birth registration and data collection, which can complicate the issue. With regard to the prevalence of sex selection, the media and international attention has focused mainly on a few countries, such as China, India and the Caucasus, ignoring other countries with a significant sex imbalance at birth. For example, Liechtenstein's sex ratio is far worse than that of those countries, but little has been discussed about it, and virtually no suggestions have been made that it may practice sex selection, although it is a very conservative country where women could not vote until 1984. At the same time, there have been accusations that the situation in some countries, such as Georgia, has been exaggerated. In 2017, Georgia' sex ratio at birth was 107, according to CIA statistics.
The estimates for birth sex ratios, and thus derived sex-selective abortion, are a subject of dispute as well. For example, United States' CIA projects the birth sex ratio for Switzerland to be 106, while the Switzerland's Federal Statistical Office that tracks actual live births of boys and girls every year, reports the latest birth sex ratio for Switzerland as 107. Other variations are more significant; for example, CIA projects the birth sex ratio for Pakistan to be 105, United Nations FPA office claims the birth sex ratio for Pakistan to be 110, while the government of Pakistan claims its average birth sex ratio is 111.
The two most studied nations with high sex ratio and sex-selective abortion are China and India. The CIA estimates a birth sex ratio of 112 for both in recent years. However, The World Bank claims the birth sex ratio for China in 2009 was 120 boys for every 100 girls; while United Nations FPA estimates China's 2011 birth sex ratio to be 118.
For India, the United Nations FPA claims a birth sex ratio of 111 over 2008–10 period, while The World Bank and India's official 2011 Census reports a birth sex ratio of 108. These variations and data reliability is important as a rise from 108 to 109 for India, or 117 to 118 for China, each with large populations, represent a possible sex-selective abortion of about 100,000 girls.
The earliest post-implantation test, cell free fetal DNA testing, involves taking a blood sample from the mother and isolating the small amount of fetal DNA that can be found within it. When performed after week seven of pregnancy, this method is about 98% accurate.
Obstetric ultrasonography, either transvaginally or transabdominally, checks for various markers of fetal sex. It can be performed at or after week 12 of pregnancy. At this point, 3⁄4 of fetal sexes can be correctly determined, according to a 2001 study. Accuracy for males is approximately 50% and for females almost 100%. When performed after week 13 of pregnancy, ultrasonography gives an accurate result in almost 100% of cases.
The most invasive measures are chorionic villus sampling (CVS) and amniocentesis, which involve testing of the chorionic villus (found in the placenta) and amniotic fluid, respectively. Both techniques typically test for chromosomal disorders but can also reveal the sex of the child and are performed early in the pregnancy. However, they are often more expensive and more dangerous than blood sampling or ultrasonography, so they are seen less frequently than other sex determination techniques.
Prenatal sex determination is restricted in many countries, and so is the communication of the sex of the fetus to the pregnant woman or her family, in order to prevent sex selective abortion. In India, prenatal sex determination is regulated under the Pre-conception and Prenatal Diagnostic Techniques (Prohibition of Sex Selection) Act 1994.
China launched its first ultrasonography machine in 1979. Chinese health care clinics began introducing ultrasound technologies that could be used to determine prenatal sex in 1982. By 1991, Chinese companies were producing 5,000 ultrasonography machines per year. Almost every rural and urban hospital and family planning clinics in China had a good quality sex discernment equipment by 2001.
The launch of ultrasonography technology in India too occurred in 1979, but its expansion was slower than China. Ultrasound sex discernment technologies were first introduced in major cities of India in the 1980s, its use expanded in India's urban regions in the 1990s, and became widespread in the 2000s.
The exact prevalence of sex-selective abortion is uncertain, with the practice taking place in some societies as an open secret, without formal data on its frequency. Some authors argue that it is quite difficult to explain why this practice takes place in some cultures and not others, and that sex-selective abortion cannot be explained merely by patriarchal social norms, because most societies are male dominated, but only a minority practice sex-selective abortion.
China, the most populous country in the world, has a serious problem with an unbalanced sex ratio population. A 2010 BBC article stated that the sex birth ratio was 119 boys born per 100 girls, which rose to 130 boys per 100 girls in some rural areas. The Chinese Academy of Social Sciences estimated that more than 24 million Chinese men of marrying age could find themselves without spouses by 2020. In 1979, China enacted the one child policy, which, within the country's deeply patriarchal culture, resulted in an unbalanced birth sex ratio. The one child policy was enforced very aggressively throughout the years, including through forced abortions and forced sterilizations, but it has been gradually loosened in recent years, and formally abolished in 2015. China's strong son preference is well documented in documentaries such as The Dying Rooms (1995) and It's a Girl: The Three Deadliest Words in the World (2012).
When sex ratio began being studied in China in 1960, it was still within the normal range. However, it climbed to 111.9 by 1990 and to 118 by 2010 per its official census. Researchers believe that the causes of this sex ratio imbalance are increased female infant mortality, underreporting of female births and sex-selective abortion. According to Zeng et al. (1993), the most prominent cause is probably sex-selective abortion, but this is difficult to prove that in a country with little reliable birth data because of the hiding of "illegal" (under the One-Child Policy) births.
These illegal births have led to underreporting of female infants. Zeng et al., using a reverse survival method, estimate that underreporting keeps about 2.26% male births and 5.94% female births off the books. Adjusting for unreported illegal births, they conclude that the corrected Chinese sex ratio at birth for 1989 was 111 rather than 115. These national averages over time, mask the regional sex ratio data. For example, in some provinces such as Anhui, Jiangxi, Shaanxi, Hunan and Guangdong, sex ratio at birth is more than 130.
Traditional Chinese techniques have been used to determine sex for hundreds of years, primarily with unknown accuracy. It was not until ultrasonography became widely available in urban and rural China that sex was able to be determined scientifically. In 1986, the Ministry of Health posted the Notice on Forbidding Prenatal Sex Determination, but it was not widely followed. Three years later, the Ministry of Health outlawed the use of sex determination techniques, except for in diagnosing hereditary diseases.
However, many people have personal connections to medical practitioners and strong son preference still dominates culture, leading to the widespread use of sex determination techniques. According to Hardy, Gu, and Xie (2000), ultrasound has spread to all areas of China, as evidenced by the spread of the high sex ratio throughout the country.
Hardy, Gu, and Xie suggest sex-selective abortion is more prevalent in rural China because son preference is much stronger there. Urban areas of China, on average, are moving toward greater equality for both sexes, while rural China tends to follow more traditional views of gender. This is partially due to the belief that, while sons are always part of the family, daughters are only temporary, going to a new family when they marry. Additionally, if a woman's firstborn child is a son, her position in society moves up, while the same is not true of a firstborn daughter.
In the past, desire for a son was manifested by large birth rates—many couples would continue to have children until they had a son. However, the combination of financial concerns and, more importantly, the One-child policy (discussed further below) have led to an increase in gender planning and selection. Even in rural areas, most women know that ultrasonography can be used for gender discernment. For each subsequent birth, Junhong found that women are over 10% more likely to have an ultrasound (39% for firstborn, 55% for second born, 67% for third born). Additionally, he found that the sex of the firstborn child impacts whether a woman will have an ultrasound in her subsequent pregnancies: 40% of women with a firstborn son have an ultrasound for their second born child, versus 70% of women with firstborn daughters. This points to a strong desire to select for a son if one has not been born yet.
Because of the lack of data about childbirth, a number of researchers have worked to learn about abortion statistics in China. One of the earliest studies by Qui (1987) found that according to cultural belief, fetuses are not thought of as human beings until they are born, leading to a cultural preference for abortion over infanticide. In fact, infanticide and infant abandonment are rather rare in China today. Instead, Junhong found that roughly 27% of women have an abortion. Additionally, he found that if a family's firstborn was a girl, 92% of known female would-be second born fetuses were aborted.
In a 2005 study, Zhu, Lu, and Hesketh found that the highest sex ratio was for those ages 1–4, and two provinces, Tibet and Xinjiang, had sex ratios within normal limits. Two other provinces had a ratio over 140, four had ratios between 130-139, and seven had ratios between 120-129, each of which is significantly higher than the natural sex ratio.
Variance in the one child policy has led to three types of provinces. Zhu et al. call Type 1, the most restrictive, policy where 40% of couples are permitted to have a second child but generally only if the first is a girl. In Type 2 provinces, any couple is permitted to have a second child if the first born is a girl or if the parents petition “hardship” and the petition is accepted by local officials. Type 3 provinces, typically sparsely populated, allow couples a second child and sometimes a third, irrespective of sex. Zhu et al. find that Type 2 provinces have the highest birth sex ratios, as seen in Henan, Anhui, Jiangxi, Hunan, Guangdong, and Hainan.
High sex ratio trends in China is projected, by 2020, to create a pool of 55 million excess young adult men than women. According to Junhong, many males between the ages of 28 and 49 are unable to find a partner and thus remain unmarried. Families in China are aware of the critical lack of female children and its implication on marriage prospects in the future; many parents are beginning to work extra when their sons are young so that they will be able to pay for a bride for them.
The birth sex ratio in China, according to a 2012 news report, has decreased to 117 males born for every 100 females.
The ratios in China vary greatly by region, as can be seen below. The figures are from the intercensus survey of 2005, which was carried out in November 2005 on a representative 1% of the total population.
|Rank||Name||Boys for Every 100 Girls|
India's 2001 census revealed a national 0–6 age child sex ratio of 108, which increased to 109 according to 2011 census (927 girls per 1000 boys and 919 girls per 1000 boys respectively, compared to expected normal ratio of 943 girls per 1000 boys). The national average masks the variations in regional numbers according to 2011 census—Haryana's ratio was 120, Punjab's ratio was 118, Jammu & Kashmir was 116, and Gujarat's ratio was 111. The 2011 Census found eastern states of India had birth sex ratios between 103 and 104, lower than normal. In contrast to decadal nationwide census data, small non-random sample surveys report higher child sex ratios in India.
The child sex ratio in India shows a regional pattern. India's 2011 census found that all eastern and southern states of India had a child sex ratio between 103 and 107, typically considered as the “natural ratio.” The highest sex ratios were observed in India's northern and northwestern states – Haryana (120), Punjab (118) and Jammu & Kashmir (116). The western states of Maharashtra and Rajasthan 2011 census found a child sex ratio of 113, Gujarat at 112 and Uttar Pradesh at 111.
The Indian census data suggests there is a positive correlation between abnormal sex ratio and better socio-economic status and literacy. Urban India has higher child sex ratio than rural India according to 1991, 2001 and 2011 Census data, implying higher prevalence of sex selective abortion in urban India. Similarly, child sex ratio greater than 115 boys per 100 girls is found in regions where the predominant majority is Hindu, Muslim, Sikh or Christian; furthermore "normal" child sex ratio of 104 to 106 boys per 100 girls are also found in regions where the predominant majority is Hindu, Muslim, Sikh or Christian. These data contradict any hypotheses that may suggest that sex selection is an archaic practice which takes place among uneducated, poor sections or particular religion of the Indian society.
Rutherford and Roy, in their 2003 paper, suggest that techniques for determining sex prenatally that were pioneered in the 1970s, gained popularity in India. These techniques, claim Rutherford and Roy, became broadly available in 17 of 29 Indian states by the early 2000s. Such prenatal sex determination techniques, claim Sudha and Rajan in a 1999 report, where available, favored male births.
Arnold, Kishor, and Roy, in their 2002 paper, too hypothesize that modern fetal sex screening techniques have skewed child sex ratios in India. Ganatra et al., in their 2000 paper, use a small survey sample to estimate that 1⁄6 of reported abortions followed a sex determination test.
Mevlude Akbulut-Yuksel and Daniel Rosenblum, in their 2012 paper, find that despite numerous publications and studies, there is limited formal evidence on the effects of the continued spread of ultrasound technology on missing women in India. They conclude, contrary to common belief, that the recent rapid spread of ultrasound in India, from the 1990s through 2000s, did not cause a concomitant rise in sex-selection and prenatal female abortion.
The Indian government and various advocacy groups have continued the debate and discussion about ways to prevent sex selection. The immorality of prenatal sex selection has been questioned, with some arguments in favor of prenatal discrimination as more humane than postnatal discrimination by a family that does not want a female child. Others question whether the morality of sex selective abortion is any different over morality of abortion when there is no risk to the mother nor to the fetus, and abortion is used as a means to end an unwanted pregnancy?
India passed its first abortion-related law, the so-called Medical Termination of Pregnancy Act of 1971, making abortion legal in most states, but specified legally acceptable reasons for abortion such as medical risk to mother and rape. The law also established physicians who can legally provide the procedure and the facilities where abortions can be performed, but did not anticipate sex selective abortion based on technology advances.
With increasing availability of sex screening technologies in India through the 1980s in urban India, and claims of its misuse, the Government of India passed the Pre-natal Diagnostic Techniques Act (PNDT) in 1994. This law was further amended into the Pre-Conception and Pre-natal Diagnostic Techniques (Regulation and Prevention of Misuse) (PCPNDT) Act in 2004 to deter and punish prenatal sex screening and sex selective abortion. The impact of the law and its enforcement is unclear. United Nations Population Fund and India's National Human Rights Commission, in 2009, asked the Government of India to assess the impact of the law. The Public Health Foundation of India, an activist NGO in its 2010 report, claimed a lack of awareness about the Act in parts of India, inactive role of the Appropriate Authorities, ambiguity among some clinics that offer prenatal care services, and the role of a few medical practitioners in disregarding the law.
The Ministry of Health and Family Welfare of India has targeted education and media advertisements to reach clinics and medical professionals to increase awareness. The Indian Medical Association has undertaken efforts to prevent prenatal sex selection by giving its members Beti Bachao (save the daughter) badges during its meetings and conferences.
In November 2007, MacPherson estimated that 100,000 abortions every year continue to be performed in India solely because the fetus is female.
Other countries with large populations but high sex ratios include Pakistan and Vietnam. United Nations Population Fund, in its 2012 report, claims the birth sex ratio of Vietnam at 111 with its densely populated Red River Delta region at 116; for Pakistan, the UN estimates the birth sex ratio to be 110. The urban regions of Pakistan, particularly its densely populated region of Punjab, report a sex ratio above 112 (less than 900 females per 1000 males). Hudson and Den Boer estimate the resulting deficit to be about 6 million missing girls in Pakistan than what would normally be expected. Three different research studies, according to Klausen and Wink, note that Pakistan had the world's highest percentage of missing girls, relative to its total pre-adult female population. Taiwan has reported a sex ratio at birth between 1.07 and 1.11 every year, across 4 million births, over the 20-year period from 1991 to 2011, with the highest birth sex ratios in the 2000s. Sex-selective abortion is reported to be common in South Korea too, but its incidence has declined in recent years. As of 2015, South Korea's sex ratio at birth was 1.07 male/female. In 2015, Hong Kong had a sex ratio at birth of 1.12 male/female. A 2001 study on births in the late 1990s concluded that "sex selection or sex-selective abortion might be practiced among Hong Kong Chinese women".
Recently, a rise in the sex ratio at birth has been noted in some parts of Nepal, most notably in the Kathmandu Valley, but also in districts such as Kaski. High sex ratios at birth are most notable amongst richer, more educated sections of the population in urban areas.
Abnormal sex ratios at birth, possibly explained by growing incidence of sex-selective abortion, have also been noted in some other countries outside South and East Asia. According to CIA, the most imbalanced birth sex ratios in Europe (2017) are in Liechtenstein, Armenia, Albania, Azerbaijan, San Marino, Kosovo and Macedonia; with Liechtenstein having the most imbalanced sex ratio in the world.
The Caucasus has been named a "male-dominated region", and as families have become smaller in recent years, the pressures to have sons has increased. Before the dissolution of the Soviet Union in the early 1990s, the birth sex ratio in Caucasus countries such as Azerbaijan, Armenia and Georgia was in the 105 to 108 range. After the collapse, the birth sex ratios sharply climbed and have remained high for the last 20 years. Christian Armenia and Georgia, as well as Islamic Azerbaijan have seen strongly imbalanced birth sex ratios in the first decade of the 21st century. In Georgia, the birth sex ratio for the years 2005–2009 was cited by The Economist to be about 120, a trend The Economist claims suggests that the practice of sex-selective abortion in the Caucasus has been similar to those in East Asia and South Asia in recent decades.
According to an article in The Economist the sex ratio in Armenia is seen to be a function of birth order. The article claimed that among first born children, there are 138 boys for every 100 girls. Overall, the birth sex ratio in Armenia exceeded 115 in some years, far higher than India's which was cited at 108. While these high birth sex ratios suggest sex-selective abortion, there is no direct evidence of observed large-scale sex-selective abortions in Caucasus.
According to latest CIA data, the 2017 sex ratio in the region is 112 for Armenia, 109 for Azerbaijan, and 107 for Georgia.
An imbalanced birth sex ratio has been present in the 21st century in the Western Balkans, in countries such as Albania, Macedonia, Kosovo and Montenegro. Scholars claim this suggests that sex-selective abortions are common in southeast Europe. As of 2017, according to CIA estimates, Albania birth sex ratio is 109. According to Eurostat and birth record data over 2008–11, the birth sex ratios of Albania and Montenegro for that period were 112 and 110 respectively. In recent years, Montenegrin health authorities have expressed concern with regard to the significant imbalance between the number of male and female births. However the data from CIA in 2017 cites the birth ratio for Montenegro within the normal range, at 106. In recent years, the birth registration data for Macedonia and Kosovo indicate unbalanced birth sex ratios, including a birth rate in 2010 of 112 for Kosovo. As 2017, CIA cited both Macedonia and Kosovo at 108.
Like in other countries, sex-selective abortion is difficult to track in the United States because of lack of data.
While the majority of parents in United States do not practice sex-selective abortion, there is certainly a trend toward male preference. According to a 2011 Gallup poll, if they were only allowed to have one child, 40% of respondents said they would prefer a boy, while only 28% preferred a girl. When told about prenatal sex selection techniques such as sperm sorting and in vitro fertilization embryo selection, 40% of Americans surveyed thought that picking embryos by sex was an acceptable manifestation of reproductive rights. These selecting techniques are available at about half of American fertility clinics, as of 2006.
However, it is notable that minority groups that immigrate into the United States bring their cultural views and mindsets into the country with them. A study carried out at a Massachusetts infertility clinic shows that the majority of couples using these techniques, such as Preimplantation genetic diagnosis came from a Chinese or Asian background. This is thought to branch from the social importance of giving birth to male children in China and other Asian countries.
A study of the 2000 United States Census suggests possible male bias in families of Chinese, Korean and Indian immigrants, which was getting increasingly stronger in families where first one or two children were female. In those families where the first two children were girls, the birth sex ratio of the third child was 151.
Because of this movement toward sex preference and selection, many bans on sex-selective abortion have been proposed at the state and federal level. In 2010 and 2011, sex-selective abortions were banned in Oklahoma and Arizona, respectively. Legislators in Georgia, West Virginia, Michigan, Minnesota, New Jersey, and New York have also tried to pass acts banning the procedure.
A 2013 study by John Bongaarts based on surveys in 61 major countries calculates the sex ratios that would result if parents had the number of sons and daughters they want. In 35 countries, claims Bongaarts, the desired birth sex ratio in respective countries would be more than 110 boys for every 100 girls if parents in these countries had a child matching their preferred gender (higher than India's, which The Economist claims is 108).
Estimates of implied missing girls, considering the "normal" birth sex ratio to be the 103–107 range, vary considerably between researchers and underlying assumptions for expected post-birth mortality rates for men and women. For example, a 2005 study estimated that over 90 million females were "missing" from the expected population in Afghanistan, Bangladesh, China, India, Pakistan, South Korea and Taiwan alone, and suggested that sex-selective abortion plays a role in this deficit. For early 1990s, Sen estimated 107 million missing women, Coale estimated 60 million as missing, while Klasen estimated 89 million missing women in China, India, Pakistan, Bangladesh, Nepal, West Asia and Egypt. Guilmoto, in his 2010 report, uses recent data (except for Pakistan), and estimates a much lower number of missing girls, but notes that the higher sex ratios in numerous countries have created a gender gap – shortage of girls – in the 0–19 age group.
0-19 age group (2010)
|% of minor
|Afghanistan||265,000||3.0||South Asia||Mostly Islam|
|Albania||21,000||4.2||Southeast Europe||Religiously diverse|
|Bangladesh||416,000||1.4||South Asia||Mostly Islam|
|China||25,112,000||15.0||East Asia||Religiously diverse|
|India||12,618,000||5.3||South Asia||Mostly Hinduism|
|Montenegro||3,000||3.6||Southeast Europe||Mostly Christianity|
|Nepal||125,000||1.8||South Asia||Mostly Hinduism|
|Pakistan||206,000||0.5||South Asia||Mostly Islam|
|South Korea||336,000||6.2||East Asia||Religiously diverse|
|Singapore||21,000||3.5||Southeast Asia||Religiously diverse|
|Vietnam||139,000||1.0||Southeast Asia||Religiously diverse|
Although there is significant evidence of the prevalence of sex-selective abortions in many nations (especially India and China), there is also evidence to suggest that some of the variation in global sex ratios is due to disparate access to resources. As MacPherson (2007) notes, there can be significant differences in gender violence and access to food, healthcare, immunizations between male and female children. This leads to high infant and childhood mortality among girls, which causes changes in sex ratio.
Disparate, gendered access to resources appears to be strongly linked to socioeconomic status. Specifically, poorer families are sometimes forced to ration food, with daughters typically receiving less priority than sons. However, Klasen's 2001 study revealed that this practice is less common in the poorest families, but rises dramatically in the slightly less poor families. Klasen and Wink's 2003 study suggests that this is "related to greater female economic independence and fewer cultural strictures among the poorest sections of the population". In other words, the poorest families are typically less bound by cultural expectations and norms, and women tend to have more freedom to become family breadwinners out of necessity.
Increased sex ratios can be caused by disparities in aspects of life other than vital resources. According to Sen (1990), differences in wages and job advancement also have a dramatic effect on sex ratios. This is why high sex ratios are sometimes seen in nations with little sex-selective abortion. Additionally, high female education rates are correlated with lower sex ratios (World Bank 2011).
Lopez and Ruzikah (1983) found that, when given the same resources, women tend to outlive men at all stages of life after infancy. However, globally, resources are not always allocated equitably. Thus, some scholars argue that disparities in access to resources such as healthcare, education, and nutrition play at least a small role in the high sex ratios seen in some parts of the world. For example, Alderman and Gerter (1997) found that unequal access to healthcare is a primary cause of female death in developing nations, especially in Southeast Asia. Moreover, in India, lack of equal access to healthcare has led to increased disease and higher rates of female mortality in every age group until the late thirties (Sen 1990). This is particularly noteworthy because, in regions of the world where women receive equal resources, women tend to outlive men (Sen 1990). Women outlive men in all but 2 countries.
Economic disadvantage alone may not always lead to increased sex ratio, claimed Sen in 1990. For example, in sub-Saharan Africa, one of the most economically disadvantaged regions of the world, there is an excess of women. So, if economic disadvantage is uncorrelated with sex ratio in Africa, some other factor(s) may be at play. More detailed analysis of African demographics, in 2002, suggests that Africa too has wide variation in birth sex ratios (from 1.01 in Bantu populations of East Africa to 1.08 in Nigeria and Ethiopia). Thus economic disadvantage remains a possible unresolved hypothesis for Africa as well.
Various theories have been proposed as possible reasons for sex-selective abortion. Culture rather than economic conditions is favored by some researchers because such deviations in sex ratios do not exist in sub-Saharan Africa, Latin America, and the Caribbean. Other hypotheses include disparate gender-biased access to resources, and attempts to control population growth such as using one child policy.
Some demographers question whether sex-selective abortion or infanticide claims are accurate, because underreporting of female births may also explain high sex ratios. Natural reasons may also explain some of the abnormal sex ratios. In contrast to these possible causes of abnormal sex ratio, Klasen and Wink suggest India and China's high sex ratios are primarily the result of sex-selective abortion.
The reason for intensifying sex-selection abortion in China and India can be seen through history and cultural background. Generally, before the information era, male babies were preferred because they provided manual labor and continuation of the family lineage. Labor is still important in developing nations as China and India, but when it comes to family lineage, it is of great importance.
The selective abortion of female fetuses is most common in areas where cultural norms value male children over female children for a variety of social and economic reasons. A son is often preferred as an "asset" since he can earn and support the family; a daughter is a "liability" since she will be married off to another family, and so will not contribute financially to her parents. Sex selective female abortion is a continuation, in a different form, of a practice of female infanticide or withholding of postnatal health care for girls in certain households. Furthermore, in some cultures sons are expected to take care of their parents in their old age. These factors are complicated by the effect of diseases on child sex ratio, where communicable and noncommunicable diseases affect males and females differently. In parts of India and Pakistan, there are social norms such as purdah, which stipulate that female seclusion and confinement to the home is necessary. Such practices are prevalent among some Muslim and Hindu communities in South Asia. When females interact with men, or are believed to do so, the "family honor" is tarnished.
Historically, in many South Asian populations, women were allocated a very low status, evidenced through practices such as sati, an ancient funeral custom where a widow immolated herself on her husband's pyre or committed suicide in another fashion shortly after her husband's death. Such societies, in placing almost no value on females, encouraged parents to commit infanticide of girls or to abandon them. The modern practice of sex-selective abortion is therefore a continuation of other historical practices. During the 19th century, in the Northwest British India, one-fourth of the population preserved only half the daughters, while other 3/4th of the population had balanced sex ratio. There were 118 males per 100 females. This is comparable to the contemporary sex ratio in the area, now divided between India and Pakistan.
Chinese culture is deeply patriarchal. Pre-modern Chinese society was predominantly patriarchal and patrilineal from at least the 11th century BCE onwards. There has long been a son preference in China, leading to high rates of female infanticide, as well as a strong tradition of restricting the freedom of movement of women, particularly upper class women, manifested through the practice of foot binding. Although the legal and social standing of women have greatly improved in the 20th century, son preference remains still strong, and the situation was aggravated by the one child policy.
Interpretations of Confucianism have been argued to contribute to the low status of women. The gender roles prescribed in the Three Obediences and Four Virtues became a cornerstone of the family, and thus, societal stability. Starting from the Han period, Confucians began to teach that a virtuous woman was supposed to follow the males in her family: the father before her marriage, the husband after she marries, and her sons in widowhood. In the later dynasties, more emphasis was placed on the virtue of chastity. The Song dynasty Confucian Cheng Yi stated that: "To starve to death is a small matter, but to lose one's chastity is a great matter." The "cult of chastity" accordingly, condemned many widows to poverty and loneliness by placing a social stigma on remarriage.
In modern East Asia, a large part of the pattern of preferences leading to this practice can be condensed simply as a desire to have a male heir. Monica Das Gupta (2005) observes, from 1989 birth data for China, there was no evidence of selective abortion of female fetuses among firstborn children. However, there was a strong preference for a boy if the first born was a girl.
Dowry is the property that parents of a female transfer at her marriage. Dowry is an ancient practice, that has been common in many cultures around the world, and which is today prevalent especially in South Asia. The custom of dowry is most common in cultures that are strongly patrilineal and that expect women to reside with or near their husband's family (patrilocality).
Kirti Singh states that dowry is widely considered to be both a cause and a consequence of son preference, and this may lead to girls being unwanted, sex selective abortion, female infanticide or abuse of female children.
The dowry system in India is a major part of Indian culture and refers to the durable goods, cash, and real or movable property that the bride's family gives to the bridegroom, his parents, or his relatives as a condition of the marriage. Dowry consists of a payment in cash or some kind of gifts given to the bridegroom's family along with the bride and includes cash, jewelry, electrical appliances, furniture, bedding, crockery, utensils and other household items that help the newlyweds set up their home. Disputes regarding dowry sometimes lead to dowry deaths.
Following the 1949 creation of the People's Republic of China, the issue of population control came into the national spotlight. In the early years of the Republic, leaders believed that telling citizens to reduce their fertility was enough, repealing laws banning contraception and instead promoting its use. However, the contraceptives were not widely available, both because of lack of supply and because of cultural taboo against discussing sex. Efforts were slowed following the famine of 1959–61 but were resumed shortly thereafter with virtually the same results. Then, in 1964, the Family Planning Office was established to enforce stricter guidelines regarding fertility and it was moderately successful.
In 1979, the government adopted the One-Child Policy, which limited many families to one child, unless specified by provincial regulations. It was instituted as an attempt to boost the Chinese economy. Under it, families who break rules regarding the number of children they are allowed are given various punishments (primarily monetary), dependent upon the province in which they live.
As stated above, the sex ratios of a province are largely determined by the type of restriction placed upon the family, pointing to the conclusion that much of the imbalance in sex ratio in China can be attributed to the policy. Research by Junhong (2001) found that many parents are willing to pay to ensure that their child is male (especially if their first child is female), but will not do the same to ensure their child is female. Likely, fear of the harsh monetary punishments of the One-Child Policy make ensuring a son's birth a smart investment. Therefore, son's cultural and economic importance to families and the large expenses associated with multiple children are primary factors leading to China's disparate sex ratio.
In 2013, China announced plans to formally change the One-Child policy, making it less stringent. The National People's Congress has changed the policy to allow couples to have two children, so long as one of the partners is an only child. This change was not sparked by sex ratios, but rather by an aging population that is causing the workforce to become increasingly smaller. It is estimated that this new law will lead to two million more births per year and could cause a baby boom in China. In 2015, China officially relaxed its one child law. Unfortunately, many of China's social problems are based on overpopulation. So, it is unclear if this new law will actually lead to women being more valued in Chinese society as the number of citizens increases.
The Trivers–Willard hypothesis argues that available resources affect male reproductive success more than female and that consequently parents should prefer males when resources are plentiful and females when resources are scarce. This has been applied to resource differences between individuals in a society and also to resource differences between societies. Empirical evidence is mixed with higher support in better studies according to Cronk in a 2007 review. One example, in a 1997 study, of a group with a preference for females was Romani in Hungary, a low status group. They "had a female-biased sex ratio at birth, were more likely to abort a fetus after having had one or more daughters, nursed their daughters longer, and sent their daughters to school for longer."
The idea of “missing women” was first suggested by Amartya Sen, one of the first scholars to study high sex ratios and their causes globally, in 1990. In order to illustrate the gravity of the situation, he calculated the number of women that were not alive because of sex-selective abortion or discriminatory practices. He found that there were 11 percent fewer women than there “should” have been, if China had the natural sex ratio. This figure, when combined with statistics from around the world, led to a finding of over 100 million missing women. In other words, by the early 1990s, the number of missing women was “larger than the combined casualties of all famines in the twentieth century” (Sen 1990).
This has led to particular concern due to a critical shortage of wives. In some rural areas, there is already a shortage of women, which is tied to migration into urban areas (Park and Cho 1995). In South Korea and Taiwan, high male sex ratios and declining birth rates over several decades have led to cross-cultural marriage between local men and foreign women from countries such as mainland China, Vietnam and the Philippines. However, sex-selective abortion is not the only cause of this phenomenon; it is also related to migration and declining fertility.
Some scholars argue that as the proportion of women to men decreases globally, there will be an increase in trafficking and sex work (both forced and self-elected), as many men will be willing to do more to obtain a sexual partner (Junhong 2001). Already, there are reports of women from Vietnam, Myanmar, and North Korea systematically trafficked to mainland China and Taiwan and sold into forced marriages. Moreover, Ullman and Fidell (1989) suggested that pornography and sex-related crimes of violence (i.e., rape and molestation) would also increase with an increasing sex ratio.
As Park and Cho (1995) note, families in areas with high sex ratios that have mostly sons tend to be smaller than those with mostly daughters (because the families with mostly sons appear to have used sex-selective techniques to achieve their “ideal” composition). Particularly in poor areas, large families tend to have more problems with resource allocation, with daughters often receiving fewer resources than sons. Blake (1989) is credited for noting the relationship between family size and childhood “quality.” Therefore, if families with daughters continue to be predominantly large, it is likely that the social gap between genders will widen due to traditional cultural discrimination and lack of resource availability.
Guttentag and Secord (1983) hypothesized that when the proportion of males throughout the world is greater, there is likely to be more violence and war.
Some scholars believe that when sex ratios are high, women actually become valued more because of their relative shortage. Park and Cho (1995) suggest that as women become more scarce, they may have “increased value for conjugal and reproductive functions” (75). Eventually, this could lead to better social conditions, followed by the birth of more women and sex ratios moving back to natural levels. This claim is supported by the work of demographer Nathan Keifitz. Keifitz (1983) wrote that as women become fewer, their relative position in society will increase. However, to date, no data has supported this claim.
It has been suggested by Belanger (2002) that sex-selective abortion may have positive effects on the mother choosing to abort the female fetus. This is related to the historical duty of mothers to produce a son in order to carry on the family name. As previously mentioned, women gain status in society when they have a male child, but not when they have a female child. Oftentimes, bearing of a son leads to greater legitimacy and agency for the mother. In some regions of the world where son preference is especially strong, sonless women are treated as outcasts. In this way, sex-selective abortion is a way for women to select for male fetuses, helping secure greater family status.
Goodkind (1999) argues that sex-selective abortion should not be banned purely because of its discriminatory nature. Instead, he argues, we must consider the overall lifetime possibilities of discrimination. In fact, it is possible that sex-selective abortion takes away much of the discrimination women would face later in life. Since families have the option of selecting for the fetal sex they desire, if they choose not to abort a female fetus, she is more likely to be valued later in life. In this way, sex-selective abortion may be a more humane alternative to infanticide, abandonment, or neglect. Goodkind (1999) poses an essential philosophical question, “if a ban were enacted against prenatal sex testing (or the use of abortion for sex-selective purposes), how many excess postnatal deaths would a society be willing to tolerate in lieu of whatever sex-selective abortions were avoided?”
There are many controversies surrounding sex-selective abortion. Just like the practice of sex-selective abortion has been criticized, the solutions proposed or enacted by governments have also been criticized. It is argued that the response to a patriarchal practice (sex selection) should not be another patriarchal practice (restricting women's reproductive rights), as such a situation creates a cycle: women's social status is lowered, which in turn leads to more sex-selective abortions. The association of public discourse on sex-selective abortion with the anti-abortion movement also complicates the situation. Furthermore, access to safe abortion is seen as important from a public health perspective; in India although the abortion law is relatively liberal, most efforts are put into preventing sex-selective abortion, rather than adequate access to safe abortion, as a result nearly 78% of all abortions in India take place outside of health facilities, with such unsafe abortions representing the third largest cause of maternal death in India. Another controversy in that of population planning campaigns such as the one child policy in China, and efforts from the governments of several Asian countries, including India and South Korea, from the 1970s onward to limit the number of children a family could have, which have intensified the desire to quickly have a son. An article by Al Jazeera titled "How Western family planners helped curb the birth of girls in developing countries, the effects of which are felt today" claimed that it was such population policies (which included forced sterilization), which were fully supported, even pushed by the West, that contributed to unbalanced sex ratios.
MacPherson estimates that 100,000 sex-selective abortions every year continue to be performed in India. For a contrasting perspective, in the United States with a population 1⁄4th of India, over 1.2 million abortions every year were performed between 1990 and 2007. In England and Wales with a population 1⁄20th of India, over 189,000 abortions were performed in 2011, or a yearly rate of 17.5 abortions per 1,000 women aged 15–44. The average for the European Union was 30 abortions per year per 1,000 women.
Many scholars have noted the difficulty in reconciling the discriminatory nature of sex-selective abortion with the right of women to have control over their own bodies. This conflict manifests itself primarily when discussing laws about sex-selective abortion. Weiss (1995:205) writes: "The most obvious challenge sex-selective abortion represents for pro-choice feminists is the difficulty of reconciling a pro-choice position with moral objections one might have to sex selective abortion (especially since it has been used primarily on female fetuses), much less the advocacy of a law banning sex-selective abortion." As a result, arguments both for and against sex-selective abortion are typically highly reflective of one's own personal beliefs about abortion in general. Warren (1985:104) argues that there is a difference between acting within one's rights and acting upon the most morally sound choice, implying that sex-selective abortion might be within rights but not morally sound. Warren also notes that, if we are to ever reverse the trend of sex-selective abortion and high sex ratios, we must work to change the patriarchy-based society which breeds the strong son preference.
Laws against sex-selective abortion, especially those that exist in some U.S. states, are controversial, because it is not clear how they can be enforced, and pro-choice activists argue that such laws are brought by anti-abortion movement forces who are using this as a pretext to restrict women's access to safe and legal abortion and to harass doctors who perform abortions: NARAL states that "For many years, anti-choice lawmakers have tried to ban abortion using every possible reason and excuse –including, now, on the grounds of purported concern about race or sex selection." There is concern that such bans may put women who seek sex-selective abortions in danger because they may seek unsafe abortions, and that these bans do not address the root cause of sex-selective abortion, including the pregnant women's fear that they or their future daughters will suffer abuse, violence and stigmatization.
The practice of prenatal sex selection has been condemned internationally. It is often seen as a result of discriminatory social views which consider females inferior to males. In 1994 over 180 states signed the Programme of Action of the International Conference on Population and Development, agreeing to "eliminate all forms of discrimination against the girl child". In 2011 the resolution of PACE's Committee on Equal Opportunities for Women and Men condemned the practice of prenatal sex selection.
Many nations have attempted to address sex-selective abortion rates through a combination of media campaigns and policy initiatives.
On the state level, laws against sex-selective abortions have been passed in a number of U.S. states; the law passed in Arizona in 2011 prohibits both sex-selective and race-selective abortion.
The law on sex-selective abortion is unresolved in the United Kingdom. In order for an abortion to be legal, doctors need to show that continuing the pregnancy could threaten the physical or mental health of the mother. In a recent case, two doctors were caught on camera offering a sex-selective abortion but the Director of Public Prosecution deemed it not in the public interest to proceed with the prosecution. Following this incidence, MPs voted 181 to 1 for a Bill put forward by Tessa Munt and 11 other MPs aiming to end confusion about the legality of this practice. Organisations such as BPAS and Abortion Rights have been lobbying for the decriminalisation of sex-selective abortions.
China's government has increasingly recognized its role in a reduction of the national sex ratio. As a result, since 2005, it has sponsored a “boys and girls are equal campaign.” For example, in 2000, the Chinese government began the “Care for Girls” Initiative. Furthermore, several levels of government have been modified to protect the “political, economic, cultural, and social” rights of women. Finally, the Chinese government has enacted policies and interventions to help reduce the sex ratio at birth. In 2005, sex-selective abortion was made illegal in China. This came in response to the ever-increasing sex ratio and a desire to try to detract from it and reach a more normal ratio. The sex ratio among firstborn children in urban areas from 2000 to 2005 didn't rise at all, so there is hope that this movement is taking hold across the nation.
UNICEF and UNFPA have partnered with the Chinese government and grassroots-level women's groups such as All China Women's Federation to promote gender equality in policy and practice, as well engage various social campaigns to help lower birth sex ratio and to reduce excess female child mortality rates.
In India, according to a 2007 study by MacPherson, Prenatal Diagnostic Techniques Act (PCPNDT Act) was highly publicized by NGOs and the government. Many of the ads used depicted abortion as violent, creating fear of abortion itself within the population. The ads focused on the religious and moral shame associated with abortion. MacPherson claims this media campaign was not effective because some perceived this as an attack on their character, leading to many becoming closed off, rather than opening a dialogue about the issue. This emphasis on morality, claims MacPherson, increased fear and shame associated with all abortions, leading to an increase in unsafe abortions in India.
The government of India, in a 2011 report, has begun better educating all stakeholders about its MTP and PCPNDT laws. In its communication campaigns, it is clearing up public misconceptions by emphasizing that sex determination is illegal, but abortion is legal for certain medical conditions in India. The government is also supporting implementation of programs and initiatives that seek to reduce gender discrimination, including media campaign to address the underlying social causes of sex selection.
Other recent policy initiatives adopted by numerous states of India, claims Guilmoto, attempt to address the assumed economic disadvantage of girls by offering support to girls and their parents. These policies provide conditional cash transfer and scholarships only available to girls, where payments to a girl and her parents are linked to each stage of her life, such as when she is born, completion of her childhood immunization, her joining school at grade 1, her completing school grades 6, 9 and 12, her marriage past age 21. Some states are offering higher pension benefits to parents who raise one or two girls. Different states of India have been experimenting with various innovations in their girl-driven welfare policies. For example, the state of Delhi adopted a pro-girl policy initiative (locally called Laadli scheme), which initial data suggests may be lowering the birth sex ratio in the state.
Abortion in Armenia is legal on request up to 12 weeks of pregnancy, and in special circumstances between 12 weeks and 22 weeks. Abortion has been legal since November 23, 1955, when Armenia was a republic of the Soviet Union. Pregnancies may be ended on request by the mother until the twelfth week and for medical and social reasons until the twenty-second week with a doctor's approval. Since 2016, when a law banning sex-selective abortion was passed, mandatory counseling is required before abortion along with a 3-day waiting period. The law has been criticized as using sex-selective abortion as a pretext to restrict access to abortion, although the government denied this, and claimed that it did not intend to question women's right to access safe abortion.Traditionally, abortion was used as a manner of birth control in Armenia and the number of maternal deaths from abortion complications used to be very high (between 10 and 20% in 2000). After massive reforms, the number of deaths declined to 5% in 2005.In 2014, 21.77% of pregnancies in Armenia ended in abortion, a slight rise from the all-time low recorded in 2010 (21.52%). The United Nations reported an abortion rate (expressed as the number of abortions per 1000 women aged 15–44) of 13.9 in 2004 and 16.9 as of 2010.Abortion in China
Abortion in China is legal and is a government service available on request for women. In theory this does not apply to sex-selective abortion, although this remains the basis for some women's requests. In addition to virtually universal access to contraception, abortion was a common way for China to contain its population in accordance with its one-child policy, in existence from 1979 to 2015.Abortion in Georgia (country)
Abortion in Georgia is legal on request within the first 12 weeks of pregnancy. Between 12 and 22 weeks, abortions may be performed on medical grounds under conditions established by the Ministry of Health, Labour and Social Affairs. After 22 weeks, abortions additionally require approval of a three-member medical committee. The law governing abortion was instituted in 2000.The abortion rate in Georgia dropped sharply during the 1990s, from 41.1 abortions per 1,000 women aged 15 to 44 in 1992 to 21.9 in 1996 and 19.1 in 2005. This decline has been attributed to increased use of modern contraceptives.As of 2010, the abortion rate was 26.5 abortions per 1,000 women aged 15 to 44, among the highest rates in the world. By an alternate measure, however, abortion fell between 2005 and 2010: a 2005 study found that women in Georgia had on average 3.1 abortions in their lifetimes, then the highest rate in the world; by 2010, that statistic had fallen to 1.6 abortions.A majority of Georgians oppose legal abortion. The 2013 Caucasus Barometer poll found that 69% of Georgians believe that abortion can never be justified. Public opinion polling by the Pew Research Center, released in May 2017, found that only 10% supported legal abortion in most or all cases.A study of 2005–2009 data found a sex ratio at birth of 121 males for every 100 females, suggesting that sex-selective abortion may be occurring.Abortion in Montenegro
Abortion in Montenegro is legal on request during the first ten weeks of pregnancy. Between ten and 20 weeks, abortions must be approved a committee, and may only be performed for medical reasons, if the child is expected to be born with serious disabilities, if the pregnancy is the result of a crime, or if the woman could face serious family circumstances during pregnancy or after birth. Between 20 and 32 weeks, abortions must be approved by an ethics committee, and are only granted for medical reasons or in the case of serious fetal defects; after 32 weeks, abortions can only be permitted to save the pregnant woman's life. The current abortion law, which dates from 2009, repealed the previous 1977 law enacted by Yugoslavia.The woman must pay for an abortion performed on request, and abortions can only be performed in medical institutions that meet certain minimum standards. Sex-selective abortion is specifically prohibited, as are tests of the fetus's sex during the first ten weeks of pregnancy. However, the ratio of males to females at birth was 109.8 over 2009-2011, an abnormally high number that, according to a report by the United Nations Population Fund, suggests sex selection is occurring.As of 2010, the abortion rate was 6.3 abortions per 1000 women aged 15–44.Abortion in South Korea
Abortion in South Korea is illegal in most circumstances, but illegal abortions are widespread and commonly performed at hospitals and clinics. The South Korean Constitutional Court on April 11, 2019 ruled the abortion ban unconstitutional and ordered the law's revision by the end of 2020.Sex-selective abortion, attributed to a cultural preference for sons, is widespread. Despite a 1987 revision of the Medical Code prohibiting physicians from using prenatal testing to reveal the sex of the child, the ratio of boys to girls at birth continued to climb through the 1990s. The 1987 law was ruled unconstitutional by the Constitutional Court in 2008.Ann Furedi
Ann Marie Furedi (born 31 October 1960, Birmingham, England) is the chief executive of BPAS, the UK's largest independent abortion provider.
Furedi has worked in pro-choice organizations for more than 20 years, mainly in policy and communications. She ran the press office of the UK Family Planning Association before leading Birth Control Trust, a charity that advocated the need for research and development in methods of contraception and abortion. Before joining BPAS, as its chief executive in June 2003, Furedi was Director of Policy and Communications for the UK regulator of infertility treatment and embryo research, the Human Fertilisation and Embryology Authority (HFEA). She is regarded as a leading pro-choice advocate and spokesperson, often appearing in the media representing this perspective.Prior to her career in pro-choice organizations, Furedi was a journalist, specialising in healthcare features for women's magazines, including Cosmopolitan and Company, sometimes writing under her maiden name, Bradley. She is also known as Ann Burton. In the early 1980s, she worked for the National Council for Civil Liberties as its Gay Rights Officer, using the name of Ann Marie Bradley.In 1982, she married Frank Furedi, the founder and then leader of the British Revolutionary Communist Party (RCP).Ann Furedi was a contributor to the party's LM Magazine until it folded in 2000 after being found to have libelled ITN journalists. She has also contributed to Spiked Online, an online magazine, that identifies itself as libertarian humanist. For that magazine, she has written in support of women legally choosing sex-selective abortion.Furedi is the Vice-Chairman of the Governing Body at MidKent College.Female infanticide in India
Female infanticide in India has a history spanning centuries. Poverty, the dowry system, births to unmarried women, deformed infants, famine, lack of support services and maternal illnesses such as postpartum depression are among the causes that have been proposed to explain the phenomenon of female infanticide in India.
Although infanticide has been criminalised in India, it remains an under-reported crime due to the lack of reliable data. In 2010, the National Crime Records Bureau reported approximately 100 male and female infanticides, producing an official rate of less than one case of infanticide per million people.
The Indian practice of female infanticide and of sex-selective abortion have been cited to explain in part a gender imbalance that has been reported as being increasingly distorted since the 1991 Census of India, although there are also other influences that might affect the trend.Female infanticide in Pakistan
Female infanticide in Pakistan is a common practice. Female infanticide is the deliberate killing of newborn female children. Aid groups have reported that hardly any steps have been taken in Pakistan for preventing infanticide, especially among poor people.Forced abortion
A forced abortion may occur when the perpetrator causes abortion by force, threat or coercion, or by taking advantage of woman's incapability to give her consent, or where she gives her consent under duress. This may also include the instances when the conduct was neither justified by medical or hospital treatment. Like forced sterilization, forced abortion may include a physical invasion of female reproductive organs.Forum against Oppression of Women
The Forum against Oppression of Women is a Mumbai feminist organisation. It originated as the Forum against Rape in 1980, organising protests in the city to the judgement in the Mathura rape case.Luo Cuifen
Luo Cuifen (born in Songming, Yunnan Province, 1976), is a woman from China with 26 sewing needles in her body, discovered after she visited the hospital complaining of blood in her urine. Luo said at least two needles had been pulled from festering wounds on her abdomen when she was a young child. Some of the needles have penetrated vital organs, such as the lungs, liver, kidneys, and brain. She is currently being treated at the Richland International Hospital, Kunming, where doctors hope to find a way to remove the needles. Doctors believe the needles were inserted into her body when she was just a few days old by her grandparents, whom they believe were disappointed that she was not a boy. The Chinese government has a birth control policy requiring payment of a "social compensation fee" for couples having more than one child in an urban area. This has caused the problem of sex-selective abortion and, in this case, discrimination against female children.Mark Warawa
Mark Warawa (born May 7, 1950) is a Canadian politician. Formerly a businessman and loss prevention officer as well as a city councillor in Abbotsford, British Columbia from 1990 to 2004, Warawa has been the Member of Parliament for Langley—Aldergrove (originally called Langley) since 2004.
On February 10, 2006, Warawa was named parliamentary secretary to the Minister of the Environment. Less recently, he served as a member of the Standing Committee on Justice, Human Rights, Public Safety and Emergency Preparedness.
Warawa has introduced a private member's bill in the House of Commons, condemning discrimination against females in Sex-selective abortion.He and his wife, Diane, live in Langley and have five children. His son Ryan was the Conservative candidate in Vancouver East in the 2008 election, losing to Libby Davies of the NDP.Missing women of China
Missing women of China is a widely known phenomenon referring to the unusual shortfall of female population resulting from cultural influences and government policy. The term "missing women" was coined by economist Amartya Sen, winner of the 1998 Nobel Memorial Prize in Economic Sciences, to describe a distorted population sex ratio in which the number of males far outweighs the number of females. Female disadvantages in child survival throughout China reflects a long pattern of gender-based discrimination. Preferences for sons are common in China owing to males' ability to carry on family names, their wealth inheritance, and the idea that they are typically ones who care for parents once they are older. Limiting the ability for parents to have numerous children forces them to think of logical and long term reasons to decide between a male or female child. Chinese parents are known to have favored large families and have preferred sons over daughters in effort to create more directed family resources. The result of the discrimination and male preference is a shortfall of women and an extremely unbalanced sex ratio in the population of China.In December 2016, researchers at the University of Kansas reported that the missing women may be largely a result of administrative under-reporting and that delayed registration of females could account for as many as 10 to 15 million of the missing women since 1982.Mitu Khurana
Dr. Mitu Khurana is a pediatrician from Delhi, India. She is an activist against female feticide in India. Her case became well-known when she took legal action against her husband and his family on accusations of performing an ultrasound to reveal the gender of their children without her consent, pressuring her to abort their two daughters once gender was known, and domestic violence after she refused to consider sex-selective abortion.Prenatal sex discernment
Prenatal sex discernment is the prenatal testing for discerning the sex of a fetus before birth.Sex ratio
The sex ratio is the ratio of males to females in a population. In most sexually reproducing species, the ratio tends to be 1:1. This tendency is explained by Fisher's principle. For various reasons, however, many species deviate from anything like an even sex ratio, either periodically or permanently. Examples include parthenogenic species, periodically mating organisms such as aphids, some eusocial wasps such as Polistes fuscatus and Polistes exclamans, bees, ants, and termites.The human sex ratio is of particular interest to anthropologists and demographers. In human societies, however, sex ratios at birth may be considerably skewed by factors such as the age of mother at birth, and by sex-selective abortion and infanticide. Exposure to pesticides and other environmental contaminants may be a significant contributing factor as well. As of 2014, the global sex ratio at birth is estimated at 107 boys to 100 girls (1000 boys per 934 girls).Women in Armenia
Women in Armenia have been officially guaranteed gender equality since the establishment of the Republic of Armenia in 1991. This has enabled women to actively participate in all spheres of Armenian life. Armenian women have attained prominence in entertainment, politics and other fields.Women in China
The lives of women in China have significantly changed throughout reforms in the late Qing Dynasty, the Republican period, the Chinese Civil War, and rise of the People's Republic of China, which had announced publicly on the commitment toward gender equality. Efforts the new Communist government made toward gender equality were met with resistance in the historically male-dominated Chinese society, and obstacles continue to stand in the way of women seeking to gain greater equality in China.Women in Taiwan
The status of women in Taiwan has been based on and affected by the traditional patriarchal views and social structure within Taiwanese society, which put women in a subordinate position to men, although the legal status of Taiwanese women has improved in recent years, particularly during the past two decades when the family law underwent several amendments.