Background: Latitude gradients and secular trends in Europe and North America have been found in the male-female ratio at birth (M/F: male births divided by total births), which is anticipated to approximate 0.515. Methods: Annual national data for Asian countries for male and female live births were obtained from the World Health Organization and analyzed with contingency tables. Results: A total of 245 938 211 live births were analyzed. An overall increasing trend in M/F was found (P < 0.0001).A latitude gradient was also noted, with more boys being born in southern, warmer latitudes (P < 0.0001). There was an overall deficit of 1 351 757 male births based on an anticipated M/F of approximately 0.515. Conclusion: M/F is increasing overall in Asia, unlike the decline previously noted in Europe and North America. Moreover, it had been shown that there is a higher incidence of male births in southern Europe than in the north, with the opposite gradient in North America. This paper shows that M/F latitude gradients in Asia are in keeping with those of Europe. The overall M/F in Asia may be rising due to improving socioeconomic conditions, and the interplay of several poorly understood factors is likely.Key words Asia, birth rate, infant, newborn, sex ratio, Southeastern Far East, trends.Gender is determined at conception in mammals, and male births occur slightly in excess. 1 The male to female ratio of live births is expressed as the ratio of male live births divided by total live births (M/F), and for humans this is expected to approximate 0.515.1 The reason for this discrepancy is uncertain but a plethora of factors have been proposed.2 Indeed, the study of M/F has become a subspecialty in its own right, with numerous and ongoing studies in this field. Findings from this research may be relevant in a wider sense because M/F has been proposed to function as a surrogate health indicator, as will be outlined. This study identifies secular trends in M/F in Asia from a World Health Organization (WHO) dataset that includes the past 60 years. Secular trends and trends by geographical latitude are also analyzed. The null hypothesis is that there were no significant geographical or secular differences in M/F.
Methods
Data sourcesAnnual male and female live births were obtained directly from WHO. Asia is conventionally divided into the low latitudes (0-23°N), the middle latitudes (24°N-40°N) and the high latitudes (Ն41°N), and this categorization was applied.
StatisticsExcel was used for data entry, overall analysis and charting. The quadratic equations of Fleiss were used for exact calculation of 95% confidence intervals for ratios.7 Chi-squared tests and chisquared tests for trends for annual male and female births were used throughout. Statistical significance was set at P Յ 0.05.
ResultsThere were 245 938 211 live births available for analysis.