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Girls start life on an uneven playing field: Evidence from lowland rural Nepal.

Published version
Peer-reviewed

Type

Article

Change log

Authors

Marphatia, Akanksha A 
Saville, Naomi S 
Manandhar, Dharma S 
Cortina-Borja, Mario 
Reid, Alice M 

Abstract

BACKGROUND AND OBJECTIVES: Evolutionary research on the sex ratio at birth (SRB) has focused on explaining variability within and between populations, and whether parental fitness is maximized by producing daughters or sons. We tested predictors of SRB in a low-income setting, to understand whether girls differ from boys in their likelihood of being born into families with the capacity to invest in them, which has implications for their future health and fitness. METHODOLOGY: We used data from a cluster randomized control trial from lowland rural Nepal (16 115 mother-child dyads). We applied principal component analysis to extract two composite indices reflecting maternal socio-economic and reproductive (parity, age) capital. We fitted mixed-effects logistic regression models to estimate odds ratios of having a girl in association with these individual factors and indices. RESULTS: The SRB was 112. Compared to the global reference SRB (105), there were seven missing girls per 100 boys. Uneducated, early-marrying, poorer and shorter mothers were more likely to give birth to girls. Analysing composite maternal indices, lower socio-economic and reproductive capital were independently associated with a greater likelihood of having a girl. CONCLUSIONS AND IMPLICATIONS: In this population, girls start life facing composite disadvantages, being more likely than boys to be born to mothers with lower socio-economic status and reproductive capital. Both physiological and behavioural mechanisms may contribute to these epidemiological associations. Differential early exposure by sex to maternal factors may underpin intergenerational cycles of gender inequality, mediated by developmental trajectory, education and socio-economic status.

Description

Keywords

4206 Public Health, 42 Health Sciences, Behavioral and Social Science, Pediatric, Prevention, Basic Behavioral and Social Science, 2.3 Psychological, social and economic factors, 2 Aetiology, Reproductive health and childbirth, 3 Good Health and Well Being, 10 Reduced Inequalities

Journal Title

Evol Med Public Health

Conference Name

Journal ISSN

2050-6201
2050-6201

Volume Title

10

Publisher

Oxford University Press (OUP)
Sponsorship
Leverhulme Trust (via University College London (UCL)) (0000033022)