Suchergebnisse

In the absence of manipulation, both the sex ratio at birth and the population sex ratio are remarkably constant in human populations. Small alterations do occur naturally; for example, a small excess of male births has been reported to occur during and after war. The tradition of son preference, however, has distorted these natural sex ratios in large parts of Asia and North Africa. This son preference is manifest in sex-selective abortion and in discrimination in care practices for girls, both of which lead to higher female mortality. Differential gender mortality has been a documented problem for decades and led to reports in the early 1990s of 100 million "missing women" across the developing world. Since that time, improved health care and conditions for women have resulted in reductions in female mortality, but these advances have now been offset by a huge increase in the use of sex-selective abortion, which became available in the mid-1980s. Largely as a result of this practice, there are now an estimated 80 million missing females in India and China alone. The large cohorts of "surplus" males now reaching adulthood are predominantly of low socioeconomic class, and concerns have been expressed that their lack of marriageability, and consequent marginalization in society, may lead to antisocial behavior and violence, threatening societal stability and security. Measures to reduce sex selection must include strict enforcement of existing legislation, the ensuring of equal rights for women, and public awareness campaigns about the dangers of gender imbalance.

China has shown how a non-democratic system can benefit the health of the population, but can health gains be sustained as the country becomes freer?

Unintentional injury is the leading cause of childhood death and disability in many countries worldwide. This study aimed to quantify rates and risk factors for childhood unintentional injury in areas of rural China, where many children are left behind by migrant worker parents. We administered a questionnaire to children aged 9 to 15, in 56 schools in five counties in Zhejiang and Guizhou provinces. Of the 3791 respondents, 44% lived with both parents, 23% with one parent, and 33% with neither. Around half the children (47.9%) had suffered at least one unintentional injury in the past year, with burns (26%), animal bites (20%) and mechanical injury (18%) the most common. Left-behind children had no increased risk of unintentional injury, but children living in poorer Guizhou (p = 0.001), of divorced parents (p = 0.02), and less well-educated mothers (p = 0.02) were associated with higher risk. Virtual absence of personal level risk factors highlights the importance of addressing environmental risk to reduce childhood injury. The findings have informed a community-based intervention to reduce injury risk through raising awareness of environmental hazards, and through removal of specific hazards. Importantly, the Chinese government should ensure that known effective interventions are subject to legislation and enforcement.

Unintentional injury is the leading cause of childhood death and disability in many countries worldwide. This study aimed to quantify rates and risk factors for childhood unintentional injury in areas of rural China, where many children are left behind by migrant worker parents. We administered a questionnaire to children aged 9 to 15, in 56 schools in five counties in Zhejiang and Guizhou provinces. Of the 3791 respondents, 44% lived with both parents, 23% with one parent, and 33% with neither. Around half the children (47.9%) had suffered at least one unintentional injury in the past year, with burns (26%), animal bites (20%) and mechanical injury (18%) the most common. Left-behind children had no increased risk of unintentional injury, but children living in poorer Guizhou (p = 0.001), of divorced parents (p = 0.02), and less well-educated mothers (p = 0.02) were associated with higher risk. Virtual absence of personal level risk factors highlights the importance of addressing environmental risk to reduce childhood injury. The findings have informed a community-based intervention to reduce injury risk through raising awareness of environmental hazards, and through removal of specific hazards. Importantly, the Chinese government should ensure that known effective interventions are subject to legislation and enforcement.

There is growing evidence in China that son preference is on the decline. But sex ratios at birth, despite a recent small reduction, are still the highest in the world at around 120 male births to every 100 females. We carried out this research to explore current attitudes towards gender preference amongst people of reproductive age in China today, with a view to understanding better the persistently high sex ratio. We conducted in-depth interviews with 212 individuals, aged 18 to 39, in rural and urban areas of three provinces—Yunnan, Guizhou and Zhejiang—and have shown that while son preference has weakened considerably in this reproductive generation, it has by no means disappeared. The sex ratio remains high because of this small minority of individuals who still expresses a clear son preference and who choose sex-selective abortion to ensure male offspring. But its numbers are falling, and this may help to explain the recent downturn in sex ratio and perhaps signals the beginning of a trend towards its normalisation. Intensive local policy interventions have been successful in reducing the sex ratio in some areas and these should be disseminated widely.

Evidence from many countries shows that as societies modernise and women's status rises, son preference declines. Yet in China the sex ratio at birth has been the highest in the world for over two decades despite rapid modernisation, urbanisation and huge improvements in women's status. This study explored this apparent contradiction through interviews with 212 men and women in urban and rural areas of Zhejiang, Guizhou and Yunnan provinces. Results showed that women's status is perceived as high across a range of factors, including educational attainment and opportunity, labour participation and roles at home and the workplace. The majority of interviewees expressed gender indifference and had clear views about why the sex ratio is persistently high in China. High sex ratios persist probably because, while the majority is essentially gender indifferent, it takes only a small minority undergoing selective abortion to skew the sex ratio.