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Association of socioeconomic status with sex ratio at live birth in individuals living in the slums of Sholapur city, India

Ahankari, Anand S.; Fogarty, Andrew W.

Authors

Anand S. Ahankari

ANDREW FOGARTY andrew.fogarty@nottingham.ac.uk
Clinical Associate Professor & Reader in Clinical Epidemiology



Abstract

Background: The existence of female feticide in India is well known. However, limited data are available on the association of socioeconomic status (SES) on sex ratio at live birth in disadvantaged populations, despite the fact that 33% of the population of India live on less than $1.25 per day.

Objective: To study the association of SES with sex ratio at live birth in individuals living in the slums of Sholapur city, India.

Materials and Methods: We used the data collected as a part of a social work intervention in the slums of Sholapur city, Maharashtra, from January 2007 to August 2011. Two measures of SES were used, location of birth (government hospital compared to private hospital) and eligibility for means-tested financial support after delivery.

Results: Data were available for 1391 infants. The infants born in government hospitals were more likely to be male compared to those born in private hospitals (sex ratio of 1.45 compared to 1.14, respectively, p = 0.03). Similarly, infants whose parents were eligible for post-delivery financial support had a trend to a higher sex ratio (1.47 compared to 1.18, p = 0.057). Maternal age was independently and inversely associated with sex ratio at live birth with a linear relation (OR per year increase in maternal age 0.96, 95% CI 0.93–1.00, p = 0.03).

Conclusion: In this particular population, two measures of less affluent SES were associated with higher sex ratio at live birth. However, care should be taken while generalizing these observations to other disadvantaged groups living in India, but this represents an area of research where more epidemiological work is required, as these differences perpetuated over generations may have substantial demographic consequences.

Journal Article Type Article
Publication Date Jan 31, 2015
Journal International Journal of Medical Science and Public Health
Electronic ISSN 2277-338X
Peer Reviewed Peer Reviewed
Volume 4
Issue 1
APA6 Citation Ahankari, A. S., & Fogarty, A. W. (2015). Association of socioeconomic status with sex ratio at live birth in individuals living in the slums of Sholapur city, India. International journal of medical science and public health, 4(1), https://doi.org/10.5455/ijmsph.2015.1109201428
DOI https://doi.org/10.5455/ijmsph.2015.1109201428
Keywords Socioeconomic status, Sex ratio, Female foeticide, India
Publisher URL http://www.ijmsph.com/?mno=169032
Related Public URLs http://www.scopemed.org/?mno=169032
Copyright Statement Copyright information regarding this work can be found at the following address: http://creativecommons.org/licenses/by-nc/4.0

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Copyright Statement
Copyright information regarding this work can be found at the following address: http://creativecommons.org/licenses/by-nc/4.0





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