University of Oxford Department of Social Policy and Intervention Oxford Centre for Population Research: Working Paper #60 Effect of children composition on the sex of next birth in the context of low fertility in rural China Stuart Basten, Ph.D. Department of Social Policy and Intervention University of Oxford [email protected] Quanbao Jiang, Ph.D. Institute for Population and Development Studies Xi'an Jiaotong University (China) Ying Li Institute for Population and Development Studies Xi'an Jiaotong University (China) Xiujun Tai, Associate Professor School of Economics and Management Shanxi Normal University (China) July 2013 1 Abstract China currently has the most skewed national sex ratio at birth [SRB] in the world. In the paper, we use the data from China’s 2001 National Family Planning and Reproductive Health Survey and employ hierarchical models to study how macro factors (mainly fertility policy) and micro factors (mainly fertility intention and sex composition of children already born) affect the sex of next birth. We find that fertility policy exerts a significant effect on the sex of next birth, but this effect is intertwined by sex composition of children already born. For those having had a son (or sons), the policy exert no effect, but for those with only daughters, the effect is significant. Furthermore, fertility intention, independent from fertility policy, has a significant effect on the sex of next birth. Keywords: fertility policy, fertility intention, sex ratio at birth, children composition 2 1. INTRODUCTION AND BACKGROUND 1.1 Sex Ratios at Birth in East and South East Asia Skewed sex ratios at birth [SRB], with excesses of males, have been a feature of numerous Asian countries in recent years. Currently, sites of skewed SRB include Korea, Taiwan, Hong Kong, India and Vietnam (Guilmoto, 2009, Guilmoto et al., 2009, Basten and Verropoulou, 2012). Furthermore, emerging patterns are developing in Western Asian countries such as Azerbaijan, Georgia and Armenia as well as in the Balkans (Meslé et al., 2007). A complex and interconnected set of drivers of skewed SRBs – defined as above the ‘natural’ sex ratio at birth of 103 to 107 male births per 100 females – include easy access to fetal screening and a preference for sons, especially in the context of weak and changing welfare support systems (Lipatov et al., 2008). These become increasingly important in the context of societal level fertility decline to small family sizes (~2 or fewer children) (Park and Cho, 1995). In the past decade, however, evidence from the People’s Republic of China has consistently shown most skewed SRB globally (Poston and Zhang, 2009, UNPD, 2011).Since 1980s more boys have been born than girls annually due to the sharp decline of the fertility level (Poston and Glover, 2006; Poston et al., 2011) and the near continuous increase of the sex ratio at birth has been 3 one of the most remarkable structural changes of Chinese population during the past two decades(Yuan and Shi, 2005). According to the 2010 Census, during the period November 1st 2009 to October 31st 2010, there were 13,836,187 births nationally, of which 7,487,489 were male and 6,348,698 were female (Basten 2012). This results in an overall national SRB of 117.94 (95% C.I. =117.81-118.60). This is marginally lower than the SRB reported by Zhu, Lu and Hesketh (2009) for the 2005 Intercensal survey [SRB: 119; 95% C.I. =119-120]. In the 1990 and 2000 Censuses, the National SRB was 111.45 and 119.92 respectively (National Bureau of Statistics, 1993; PCO, 2002). Despite this, it should be noted that previous studies have rightly identified measurement difficulties in identifying the ‘true’ Chinese SRB at both the national and provincial level. Reasons for this include general issues in census and survey quality and explicit under-reporting of (illegal) female births (Goodkind, 2011). There are, however, wide regional differences. Anhui, Fujian, Hainan, Hubei, Hunan, Jiangxi, Guangxi, Guizhou and Guangdong each report SRBs above 120, while Tibet and Xinjiang are around the global average SRB at around 106. The extremely high SRBs reported in 2005 for Jiangxi (137) and Anhui (132) are similarly high in the 2010 Census (123 and 129 respectively), while Shaanxi saw a notable decline from 134 to 115. As we shall discuss shortly, there is an important policy dimension to these 4 divergent regional trends. Such a skewed sex ratio can have both macro- and micro-level consequences of a generation of excess males regarding lower fertility, more rapid ageing, difficulties in partnership formation and shifts in household saving and spending (Guilmoto, 2010, Jiang et al., 2011, Qian, 2008). Considering the squeeze on the marriage market, unlike other sites of skewed sex ratios where brides from (usually) poorer countries have ‘filled the gap’, in China the excess males are likely to be the most destitute from the poorest regions and, hence, unlikely to be successful in the cross-border marriage market (Das Gupta et al., 2010). This has led some to suggest that there could be shifts in sexual attitudes and behavior (Yang et al., forthcoming), increases in both adverse psycho-social outcomes (Zhou et al., 2011) as well as potential increases in crime and disorder (Hudson and Boer, 2002, Hudson and Boer, 2004). [For a useful review of such consequences, see (Poston et al., 2011)]. 1.2 What are the underlying causes of high SRBs in East Asia? Many settings in East and South East Asia – including China – have been operating under strict family systems of patrilineality, patriarchy and patrilocality which lead to the dominant position of man in the respects of 5 property inheritance, living arrangement, family continuity and intra-household rights. Men take more responsibilities than women, as they have to afford economic and endowment support, carry on the family line, bring honor and authority to the family, take charge of rituals and so on (Skinner, 1997; Das Gupta and Li, 1999; Khan and Khanum, 2000; Das Gupta et al., 2004; Attané, 2005). In this setting, the strong son preference exists among people who think that having no male heir is the gravest of the three cardinal offences against filial piety. This cultural context has held relatively firm in the context of rapid fertility decline in the region. As Figure 1 demonstrates, rapid fertility decline has been observed in these sites of higher SRBs, with period Total Fertility Rates [pTFR] currently well below replacement level. Indeed, recent studies suggest that the pTFR of China is even lower than the estimate employed in the latest UN projections at around 1.4 (UNPD, 2011; Zhao and Chen, 2011). Taiwan and Hong Kong SAR currently have among the lowest fertility rates in the world (UNPD, 2011). This is fundamentally associated with skewed SRBs. When the fertility level stays high couples rarely need to resort to sex-selection technology to have a boy, as they can simply meet their desired number of boys by having more children. As such, in order to insure they have a son in a low fertility setting, some couples will seek assistance from sex-selection technology (Li et al. 2000). In this context, a 6 crucial mediator is the sex composition of the family already achieved (Das Gupta, 2005). FIGURE 1 about here The causes for this rapid fertility decline have been described at length elsewhere, and include strong economic development, improved access to – and quality of – education, urbanization, increased female labor participation, reaction to mortality decline and family planning policies (Caldwell and Caldwell, 2006). In addition, high costs of living and investment in children’s education, long working hours, gender inequality in housework, lack of affordable childcare and low levels of extra-marital childbearing have been suggested as key factors in keeping fertility low (e.g. Frejka et al 2011). It has been argued that these issues can become self-reinforcing as smaller family sizes become normalized and countries fall into the ‘Low Fertility Trap’, where fertility ideals are lowered and it becomes ever more difficult for countries to increase their fertility. Across East and South East Asia, fertility ideals and intentions have indeed altered in reflection of fertility decline. In Taiwan and Hong Kong, for example, reported ideal family size among young people is now well below two children (Basten, 2012). Such patterns are also now visible in Thailand where fertility ideals are now below 2 children (UNFPA, 2012). Furthermore, among educated, 7 urban young women in India, almost one-quarter report an ideal family size of just one child (Kumari and Parasuraman, 2010). As such, where ideal family sizes are below two and in the context of widely available sex-selective technology, intentions regarding the sex composition of the household are extremely important. Where there is a strong preference for one child, it may be important to guarantee that this only child is male. Otherwise, in a two-child ideal, if the first child is female, there is a strong incentive to ensure that the second child is male. 1.3 Is China special? Most studies of fertility decline and SRB in East Asia tend to consider China separately from other territories. The main reasons for this are generally held to be the enormous size of its population, and the recent history of proscriptive family planning policies. Recently, however, scholars are increasingly questioning the central role played by family planning restrictions in driving down fertility at the macro-level in the period since 1980, others point out the enormous effect of socioeconomic progress (Tien, 1984; Peng, 1989; Du, 2005; Wolf, 1986). Prior to the implementation of the family planning of rural areas in 1970s, highly-educated women had already begun to control marital fertility level, which triggered the natural transition of fertility rate (Lavely and Freedman, 1990). In other words, the same core 8 drivers of fertility decline as seen in other East Asian settings and described above can, broadly, be seen in China. Furthermore, similar patterns in reported ideal family size and fertility intentions can be seen in China relative to other East Asian settings. During the past two decades, the ideal children number of rural and urban residents has indeed decreased in China. In 1987, Whyte and Gu reported Mean Ideal Family Size [MIFS] in six urban settings [1983-85] of 1.50-1.81 with an outlier from Zhejiang Province at 1.15. In 10 rural areas for 1982-1985, the range was 1.56-2.49, with a mean of 1.98. According to the 2001 national family planning/reproductive health survey data, for example, the ideal children number of women of childbearing age is 1.70 (Qiao and Ren, 2006). Indeed, in a recent meta-review of survey of mean ideal family size (MIFS) in China, Basten (2012) found a MIFS range in urban areas of 1.0-1.5 children per woman, and 1.2 to 1.8 in rural areas. Again, strong provincial level differences exist, with particularly low MIFS reported for the biggest metropolises (Merli and Morgan 2011; Basten 2010). Even taking into account possible under-reporting owing to the desire to give a ‘politically correct response’, these figures represent, in the context of sub-replacement fertility intentions found elsewhere in East Asia, demonstrate a strong preference for one- or two-child families – an important predictor of skewed SRB. 9 Despite these regional similarities in terms of the context of fertility decline China is clearly an outlier in two ways – firstly, in terms of having a proscriptive family planning regime, and secondly in terms of having a significantly higher SRB than other territories in Asia. As mentioned earlier, there are clear differentials within China regarding the overall SRB by province. The latest evidence from the 2010 Census is replicated in Table 1. Clearly, in some provinces such as Anhui, Fujian and Hainan, the SRB is exceptionally high. Indeed, the provincial distribution of SRBs has led a number of scholars to draw a link between the different provincial level family planning regimes and the various SRBs reported (Zhu et al., 2009, Zhou et al., 2012, Ding and Hesketh, 2006). TABLE 1 about here Since the early 1980s, the Chinese government has carried out strict family planning policies. In order to show their organizational capability and political enthusiasm, local officials were eager to achieve specific goals in the short term, and would even adopt some forceful measures which were directly acted on the women physically (Short et al., 2000; White 2006). In rural areas, as peasants have little deposits and no pensions, the need to be supported by their children in old age was strong, as was the traditional preference for larger families with sons. This meant that in the early stages 10 of the implementation of the family planning restrictions a number of obstacles to acceptance were found, especially in rural areas (Kane and Choi, 1999). To ease up the conflicts, in 1984 the government changed its original policy to the policy of ‘1.5 children’ in rural areas: if the first birth of a couple is a girl, they are permitted to have a second child (Hesketh and Zhu, 1997; Zeng, 2007). Under the guidance of the general principles of central authorities, the family planning policies are mainly programmed and carried out by provincial governments. In order to adapt to the regional difference considering social, economic and cultural elements, policies across the country are flexible. Currently a ‘one-child family’ policy is in force in urban areas while in rural areas different provinces implement different policies. In Beijing, Tianjin, Shanghai, Chongqing, Jiangsu, Sichuan, for example, a strict ‘one-child policy’ is upheld. Meanwhile, couples living in the rural areas of Hainan, Ningxia, Qinghai, Yunnan, Xinjiang are allowed to have two children. In rural areas of other provinces, if their first child is a daughter, they are admitted to have the other child (Gu et al., 2007) under the so-called ‘1.5-child policy’. Indeed, in the 1980s the SRB of China rose gradually, accompanying the strict implementation of family planning policies and the spread of sex selection technology. Using difference-in-differences (DD) estimation and China’s census data, Li et al. (2011) estimated that enforcement of the strict birth control policy led to 4.4 extra boys per 100 girls in the 1980s, 11 accounting for about 94% of the total increase in the SRB during this period. For the 1991-2005 birth cohorts, the birth control policy resulted in about 7.0 extra boys per 100 girls, accounting for about 57% and 54% of the total increase in sex ratios for the 1991-2000 and 2001-2005 birth cohorts, respectively. Based on the longitudinal China Health and Nutrition Survey, Yang (2006) adopted the normal regression method to show that family planning policies exert influences on the proportion of boys in the community. Besides the fixed effect model was also used to prove that the proportion changes with the variation of types of family planning policies and implementing tactics. Some studies have used hierarchical models to examine the macro- and micro-level influences of Chinese family planning policy on SRB. Combining the one-per- thousand national census data of 2000 and data of regional fertility policies of 1999, Guo (2007) applied hierarchical models to analyze what factors will influence the imbalance of sex ratio and the results showed that the number and gender of children would affect sex ratio as well as some social characters. As to family planning policies, it not only made an impact on sex ratio directly, but could exert an influence by interacting with other factors. Based on the 2005 national 1% population survey data, Yang (2012) again used hierarchical models to analyze how family planning policies interacted with individual characters (like educational attainment) to influence SRB. 12 A crucial, if understudied element within the SRB literature, is influence of parity and sex composition of children already born (Poston et al., 2011). Indeed, studies from South Korea as well as South Asia have identified this this as a key determinant of the application of sex-selective technology (Das Gupta 2005). Table 2 reproduces data from the 1990 and 2000 census which shows the importance of examining SRB by sex composition of existing children. Here, the sex ratio at parity two, for example, ranges from 107.5 where the first child is a boy through to 190.0 where the first child is a girl. This demonstrates the clear importance of maximizing the opportunity to secure a son at the point of second birth. TABLE 2 about here It is clear, therefore, that sex composition of existing children will influence the gender of next birth. Recent studies have analyzed how macro-level elements and individual children composition make an impact on the gender of next birth, as Guo (2007) and Yang (2012) have shown by adopting hierarchical models. However, these studies only employ Census data without concerning individual fertility intention and desired number of children. 1.3 Rationale 13 From the review of the literature presented so far, it is clear that there are both similarities and differences between China and elsewhere in East Asia regarding the context and levels of skewed SRB. Strong similarities exist concerning some of the underlying drivers behind fertility decline with economic development a constant theme in the literature. Indeed, Yuan and Shi (2005) suggest that it was not the implementation of the family planning policies that led to the higher level of the sex ratio at birth, but rather the traditional ideology of son preference, the present economic situation, the accessibility of prenatal sex determination and sex-selection technology, as well as the willingness to have fewer children. Despite this, the clear differences in the scale of the skewed SRB in China means that there is, indeed, something ‘special’ about China which needs to be identified and analyzed in its own right. As we have suggested, a number of studies have argued that this key differential is the presence of a proscriptive family planning policy limiting the number of children which couples are legally entitled to have. However, this policy interacts with a wide array of other factors which shape childbearing and, ultimately, the SRB. In Figure 2, we present a simplified model of the relationships discussed in the paper so far. At the top is a selection of some of the key drivers in shaping fertility ideals (and ultimately actual fertility) as derived from the 14 literature. These include, but are not limited to, economic development; urbanization/modernization of society; improvements in quality and access to education; changing gender roles including female participation in the labor force; changes in the mortality context as proposed in demographic transition theory and, in the context of certain countries, son preference. The model also ignores the potentially self-reinforcing effect of low fertility upon ideals, intentions and actual fertility. The model is further simplified in terms of the relationship between fertility intentions and actual fertility. Of course, there is a large number of mediating social, economic, and biological issues. The point, however, is to emphasize the importance of proscriptive family planning regulations in China relative to other settings. Here, too, differentials in policy regulations within China are key. In urban areas, for example, the strict one-child policy formulation places much tighter restrictions on the relationship between intentions and actual fertility. In rural areas, meanwhile, the presence of the 1.5 child policy and two child policy allows for a greater degree of flexibility. Finally, the lower part of the model attempts to demonstrate the interaction between son preference, access to sex-selective technology and sex composition of children already born in terms of shaping actual fertility and, ultimately, both overall and parity-specific SRBs. FIGURE 2 about here 15 Therefore, utilizing data from the 2001 National Family Planning and Reproductive Health survey, this paper analyzes the influence of children composition on the sex of next birth in the context of the low fertility levels extant in China in the 1990s. In this study, we focus exclusively upon rural households simply because of the increased flexibility in family planning restrictions in these settings. In urban areas, where the ‘one child policy’ is more strictly and universally enforced, looking for prior births is extremely difficult as the number of second-born children are very low. Couples who are both only-children in urban areas are, indeed, now entitled to apply to have a second child. However, owing to the generational effect the number of such couples in urban areas in 2001 was relatively limited. Different from the studies already performed, this paper not only takes macro-level policies into consideration but also considered micro-level factors such as individual fertility intention. We find that in China in the late 1990s, both sex composition of children already born and individual fertility intention exerted great influence on the gender of next birth while family planning policies had relatively little influence. This is a novel finding compared to previous studies. 2. DATA AND METHODS The data come from the 2001 National Family Planning and 16 Reproductive Health Survey performed by the National State Population and Family Planning Commission in 2001. The method of three-stage stratified sampling was adopted in the survey and a proportion sampling method was conducted in each stage according to the given probability. First, the country was divided into 31 regions. In the first stage, counties, districts and cities(all addressed as counties in the following) were selected from 31 provinces; in the second stage, three to four villages, towns or streets (all addressed as villages in the following) were selected from each chosen county; in the third stage, a village group were selected from each chosen village. Finally, approximate 1,000 villages and urban community groups were selected which contained 180,000 people including 45,000 women of child-bearing age aged from 15 to 49. There are community questionnaires, household questionnaires and individual questionnaires. The community questionnaire fall into two categories: one questionnaire for townships and one for village family planning service providers. 47,043 households were interviewed, including 39,586 women of child-bearing age. In the individual questionnaire, there is a retrospective question for childbearing-age women about their pregnancy history. To this question, the interviewee is required to report the end year and month and result of every pregnancy. The result falls into the following categories, live male birth, live female birth, induced abortion, natural abortion, still birth. Here, we analyse only the last reported births of mothers. As this paper aims to explore how 17 the children composition of rural households exerts influence on the sex of next birth, data pertaining to urban residents was omitted, and only part of information on conceiving and childbearing in the individual questionnaire and economic information in the village questionnaire is used. Given that provincial family planning policies were adopted after 1990, especially in rural areas (Pang et al., 2008), we further confine the individual samples to the Chinese rural women at childbearing age with live babies in the latest birth delivery during 1990 to the end of this survey. In the sample, there are 13,300 childbearing-age women in rural areas in which 2,087 women live in areas implementing a one-child policy (15.69%); 10,237 women in 1.5-child policy areas (76.97%); and 976 women in 2-child policy areas (7.34%). The mean income per capita of these villages is about 2,029 Yuan. By the end of survey, the proportion of women whose ages are under 27 at the time of last birth is 71%. 6,072 women were childless; 2,092 had one boy; 2,997 women had one daughter; 583 women had a daughter and a son; 284 women had two sons; 614 women had two daughters and 658 women had at least three children. There are 27.18% of the samples expecting to have one child; 64.00% expecting to have two children and 5.70%expecting to have three children. As previous studies largely ascribe the rise of sex ratio at birth in 1990s 18 to the implementation of fertility policies, this ignores the sex selection pressure brought by the expected number of children (intentions). Although some studies have differentiated influences made by macroeconomic policy and family decisions, with the aggravation of regional development difference after 1990, it’s more likely to yield a deviated result by using models that failed to differentiate data structures making it difficult to identify which layer should be cause for the rise of sex ratio at birth. This paper adopts hierarchical linear model to handle this problem. In order to examine how fertility policies and children composition of child-bearing age women exert influences on the sex of next birth, firstly, we build a null-model for the sex of the next birth, the results of which show that there is significant difference among villages. This suggests that the use of a hierarchical linear model is necessary. Secondly, without considering the variables of the second level, a random regression equation was established, which only focused on the variables of the individual level. The regression results show that most variables and intercept of the individual level are significantly different among villages. As such it is necessary to establish a further model for these significant slopes and intercept in the second level. In sum, we can explore the effect of individual variables on dependent variables, as well as the effect and its mechanism of economic level and fertility policy. The Logistic model of the effect on next birth sex selection was 19 established as the following: log p =B0 j +B1 j X ij +eij 1-p (1) In equation (1), p is the probability for the next birth to be a live son; x is the personal feature; i is the individual code; and j is the community code. Considering the data structure and the notable difference of personal data in different communities, the intercept and slopes in equation (1) are established as follows: B0 j =C00 C01Z j +u0 j (2) B1 j =C10 C11Z j (3) In equation (2), Z j is the variables at village level, which is measured with “net per capita income of 2000 in the village”, “whether as the 1.5 children policy region”, “whether as the two children policy region” and so on. C00 , C01 , C10 and C11 are variables to be evaluated. We treat u0 j as a random variable and assume that it takes a normal distribution N(0, σij) . The definitions, assignments and descriptive statistics of the model variables are shown in Table 3. TABLE 3 about here 20 3. RESULTS Table 4 shows the estimated coefficients of the multilevel model. The direction and intensity of these coefficients represent the impact of independent variables of various levels on the dependent variable. Model 1 presents the main effects before interactions are added, while Model 2 presents the main effects without controls for (subjective) fertility intentions. Model 3 provides the results of the initial interpretation model, and the Model 4 is the final interpretation by phasing out those not statistically significant interactive effects. The strategy of identifying interactions is based on theoretical considerations derived from previous studies (Yang 2011, Guo 2007, Yang 2006). The software we use to analyze the data is HLM 6.02. TABLE 4 about here From Table 4, we can examine how the different children composition and the fertility policy affect family sex selection. Compared to the one-child policy, the 1.5-child policy has a significant impact on the gender of the next child. However, the effect of the two-child policy on the gender of the next child is not significant. From Model 4, we can see that comparing to the family without any child, the family that already has one boy lowers the odds of having another son by 15.5% (e-0.169-1);the family that already has one girl can lift the odds of having another son by 65% (e0.500-1);the family 21 that has one boy and one girl can lift the odds by 20.5% (e0.186-1);the family that already has two boys can lower the odds by 49% (e-0.674-1) and the family that already has two girls can lift the odds by 97% (e0.680-1). In other words, if a family has only a son or sons, then a girl is preferred. If a family has only a girl or girls, then a son is preferred. When a family has already had sons and daughters, under the traditional ideology of “more sons, more blessing”, the sex selection toward the next child tends to be a boy. Moreover, from Model 3, we find that compared to the family without any children, the family that already has one boy, or one boy and one girl, or two boys is unlikely to be affected by the village-level variable (i.e. fertility policy and average income) when deciding the gender of next birth. But families with only girls will be affected by fertility policy. According to Model 4, comparing to one-child policy areas, in the areas where the 1.5 child policy is applied, the more girls the woman has had, the more likely she tends to choose a boy for the next birth, whereas in the areas applying the fertility policy of two children, the odds of having a boy is lower. Compared to the one-child policy areas in the 1.5 child policy areas under the condition of one girl being born, the odds increases by 74% (e0.555-1), and with two girls, the odds increases by 106% (e0.721-1). While, with one girl, the odds are lower by around 47% (e-0.634-1), and with two girls, the odds is again lower at about 64% (e-1.034-1) in the two-child policy areas. The 22 fertility policy interaction with existing children position plays a significant role in the gender of next birth. Moreover, the results also show that the 1.5-child family planning policy strengthens sex selection behavior to a certain extent, while the two-child policy loosened the sex selection pressure. The confusing fact is that, according to Model 4, for the parents already with three children or more, the odds of expecting another boy increases markedly and is higher than those with one girl and two girls. The data show that under the condition of having three children or more, the odds of giving birth to a boy increases by 144% (e0.893-1). This may indicate the random choice in the gender, but if it is already a large family, they tend to choose a boy in order to achieve ideal family structure. It is also evidence that reproductive behavior at this level is more related fertility intention than policy. Indeed, for women of child-bearing age, their fertility intention plays an important role in reproductive behavior. In Model 3, independent variables at village level are not significantly correlated with fertility intention, which can be interpreted as the effect of fertility intention on the birth meaning that sex would not be affected by fertility policy and economic level. Some studies point out during the early stage of fertility transition in China, 23 fertility intentions will be greatly influenced by fertility policy and further serve to restrict people’s reproductive behavior. While, the effect of policy on fertility intention is weakened in the context of low fertility, for most people it appears to be simply a deterrent (Yang, 2011). In the survey analyzed here, the fertility intention for more than 90% of the interviewees is one or two children. With low fertility level and low fertility intention, Model 4 indicates that fertility intention of child-bearing age woman plays a more significant role in the reproductive behavior, especially for sex selection of next birth; the decline of fertility intention can raise the odds of having a son for the next birth. 4. DISCUSSION AND CONCLUSION Chinese couples are now having fewer children than decades ago, but son preference is still prevalent (Poston et al., 2011). Transformation of society and population failed to alter the traditional preference for sons with ‘boy and girl’ the ideal family composition followed by boy only (Liu, 2002). Yuan and Shi (2005) have pointed out in Asian countries, no matter what the level of social and economic development is, the idea of preference for boys over girls is widely accepted. As a result, in the background of low fertility level, people with lower fertility intention will raise the odds of bearing a boy. 24 The reason that the family planning policies can lead to the high level of sex ratio at birth is that deeply influenced by thousands years of Confucian culture along with the rapid decline of fertility and strong son preference (Kim,1997; Park and Cho, 1995). As Chinese fertility level stayed at a high level before the 1970s, the chances of bearing a son were high (Pison,2004). Indeed, when the average number of child born is 6 per woman, the probability of having no son is below 2%; however when the number falls to one or two, this probability may rise to 50% (Poston et al., 2011). Imbalanced sex ratio at birth is correlated with both son preference and the decline of fertility intention and level (Yang, 2006). Fertility policies still can make some influences on fertility behaviors, but as socioeconomic developments occur their effects can wane. This study suggests that against the backdrop of low fertility levels, fertility policies and children composition exerted significant influence on the choice of next birth sex particularly in areas where the 1.5-child policy is in force. If couples have had sons, fertility policies may have little effect on their choice; instead, to those who only have daughters, fertility policies affect them markedly. In sum, the findings suggest that the reform of the current fertility policy will not be sufficient on its own to relieve the imbalance of sex ratio at birth. Yang (2011) indicated that fertility policies have less influence on relieving son preference with the son preference manifesting itself more strongly as fertility declined further. Therefore, in the context of low fertility 25 levels and corresponding fertility intention, we need to find new mechanisms to combat high sex ratio at birth. ATTANÉ, I. 2005. Une Chine sans femmes? Paris: Perrin. BASTEN, S. 2012. “Provincial level variations in sex ratio at birth in China: preliminary evidence from the 2010 Census”, Oxford Centre for Population Research Working Papers. Oxford: Department of Social Policy and Intervention, University of Oxford. BASTEN, S., VERROPOULOU, G. 2012. “A new look at sex ratios at birth in Hong Kong SAR”, Oxford Centre for Population Research Working Papers. Oxford: Department of Social Policy and Intervention, University of Oxford. BASTEN, S. 2012. “Re-Examining the Fertility Assumptions in the UN’s 2010 World Population Prospects: Intentions and Fertility Recovery in East Asia? ”, Paper presented at Population Association of America Annual Meeting, San Francisco, May 2012 BASTEN, S. 2010. “Ultra-low fertility in Shanghai: a model for elsewhere?”, Paper presented at Population Association of America Annual Meeting”, Dallas, April 2010. CALDWELL, J.C., CALDWELL, B.K. 2005. “The causes of the Asian fertility decline”, Asian Population Studies, 1(1): 31-46. DAS GUPTA, M., EBENSTEIN, Y., SHARYGIN, E. 2010. “China's marriage market and upcoming challenges for elderly men”, World Bank Policy Research Working Paper Series. New York: World Bank. DAS GUPTA, M. 2005.”Explaining Asia’s ‘missing women’: a new look at the data”, Population and Development Review, 31(3):529-535. DAS GUPTA, M., LEE, S., UBEROI, P., WANG, D.,WANG, L., ZHANG, X. 2004. “State policies and women’s agency in China, the Republic of Korea and India 1950–2000: Lessons 26 from contrasting experiences”, in RAO, V. &WALTON, M. (eds.)Culture and Public Action: A Cross - Disciplinary Dialogue on Development Policy, Stanford: Stanford University Press, 234-259 DAS GUPTA, M., LI, S. 1999. “Gender bias in China, South Korea and India 1920-1990: The effects of war, famine, and fertility decline”, Development and Change, 30(3): 619-652. DING, Q. J., HESKETH, T. 2006. “Family size, fertility preferences, and sex ratio in China in the era of the one child family policy: results from national family planning and reproductive health survey”, BMJ, 333, 371-373. DU, Y. 2005.“The formation of China’s low fertility and its long term effect on economic growth”, World Economy, 28(12):14-23. FREJKA, T., JONES, G.W, SARDON, J.P. 2010.“East Asian childbearing patterns and policy developments”, Population and Development Review. 36(3):579-606. GOODKIND, D. 2011. “Child Underreporting, Fertility, and Sex Ratio Imbalance in China. Demography”, 48:291-316. GU, B., WANG, C., WANG, F., GUO, Z., ZHANG, E.L. 2007.“China's local and national fertility policies at the end of the twentieth century”, Population and Development Review, 33(1):129-148. GUILMOTO, C. Z. 2009. “The sex ratio transition in Asia”, Population and Development Review, 35, 519-549. GUILMOTO, C.Z., HOÀNG, X., VAN, T.N. 2009. “Recent increase in sex ratio at birth in Viet Nam”, PLoS One, 4, e4624. GUO, Z. 2007. “Multilevel analysis of sex ratio at birth in china 2000 population census”, Population Research, 31(3):20-31 (in Chinese). HESKETH, T., ZHU, W. 1997. “Health in China: The one child family policy: The good, the bad, and the ugly”, BMJ: British Medical Journal, 314(7095): 1685-1687. HUDSON, V.M., BOER, A. D. 2002. “A surplus of men, a deficit of peace: Security and sex ratios in Asia's largest states”, 27 International Security, 26, 5-38. HUDSON, V.M., BOER, A.M.D. 2004. Bare branches : the security implications of Asia's surplus male population, Cambridge, Mass., MIT Press. JIANG, Q., LI, S., FELDMAN, M. 2011. “Demographic consequences of gender discrimination in China: Simulation analysis of policy options”, Population Research and Policy Review, 30(4) : 619-638. KANE, P., CHOI, C.Y.1999. “China’s one child family policy”, BMJ: British Medical Journal , 319(7215): 992-994. KHAN, M.A., KHANUM, P. A.2000. “Influence of Son Preference on Contraceptive Use in Bangladesh”, Asia-Pacific Population Journal, 15(3): 43-56. KUMARI, M., PARASURAMAN, S. 2010. “Emergence of One-child Family Norm in India”, Paper presented at 1st Asian Population Association Conference, New Delhi, August 2010. LAVELY, W., FREEDMAN, R. 1990. “The origins of the Chinese fertility decline”, Demography, 27(3): 357-367. LI, N., FELDMAN, L.W., LI, S. 2000. “Cultural transmission in a demographic study of sex ratio at birth in China’s future”, Theoretical Population Biology, 58(2): 161-172. LI, H., YI, J., ZHANG, J. 2011. “Estimating the effect of the one-child policy on the sex ratio imbalance in China: Identification based on the difference-in-differences”, Demography, 48(4):1535-1557. LIPATOV, M., LI, S., FELDMAN, M.W. 2008. “Economics, cultural transmission, and the dynamics of the sex ratio at birth in China”, Proceedings of the National Academy of Sciences, 105, 19171-19176. LIU, S. 2002. “Change in Sex Composition of Children during Fertility Transition”, Market and Demographic Analysis, 8(5):1-10 (in Chinese). LUTZ, W., SKIRBEKK, V., TESTA, M.R. 2006. ”The low-fertility trap hypothesis: Forces that may lead to further postponement and fewer 28 births in Europe”, Vienna Yearbook of Population Research 2006: 167-192. MERLI, G., MORGAN, S.P. 2011. “Below Replacement Fertility Preferences in Shanghai”, Population (English edition). 66(3-4): 519-542. MESLÉ, F., VALLIN, J., BADURASHVILI, I. 2007. “A sharp increase in sex ratio at birth in the Caucasus. Why? How?”, In ATTANÉ, I., GUILMOTO, C. Z. (eds.) Watering the Neighbour’s Garden: The Growing Demographic Female Deficit in Asia. Paris: CICRED NATIONAL BUREAU OF STATISTICS. 1993. Tabulation on the 1990 Population Census of the People’s Republic of China: Volume 3. Beijing: China Statistical Publishing House. PANG, L., CHEN, G., SONG, X., ZHENG, X.2008.”The Choice of Abortion and the Choice of Children’s Sex: An Exploration Analysis”, Population and Development, 14(3):2-9 (in Chinese). PARK, C.B., CHO, N.H. 1995. “Consequences of son preference in a low-fertility society: imbalance of the sex ratio at birth in Korea”, Population and Development Review, 21(1): 59-84. Population Census Office under the State Council (PCO), Department of Population, Social, Science and Technology Statistics of National Bureau of Statistics. 2002. Tabulation on the 2000 Population Census of the People’s Republic of China. Beijing, China: China Statistics Press. PENG, X. 1989. “Major determinants of China’s fertility transition”, The China Quarterly, Mar. No.117: 1-37. PISON, G. 2004. “Fewer births, but a boy at all costs: Selective female abortion in Asia”, Population and Societies, 404:1–4. POSTON, D. L., ZHANG, L. 2009. “China’s Unbalanced Sex Ratio at Birth: How Many Surplus Boys Have Been Born in China Since the 1980s?”, in:TUCKER, J., POSTON, D.L., REN, Q., GU, B., ZHENG, X., WANG, S., RUSSELL, C. (Eds.) Gender 29 Policy and HIV in China. Amsterdam: Springer. POSTON, D.L., CONDE, E., DESALVO, B. 2011. “China's unbalanced sex ratio at birth, millions of excess bachelors and societal implications”, Vulnerable Children and Youth Studies, 6, 314-320. QIAN, N. 2008. “Missing women and the price of tea in China: the effect of sex-specific earnings on sex imbalance”, The Quarterly Journal of Economics, 123(3): 1251-1285. QIAO, X, REN, Q.2006. “The Choices of Chinese Fertility Policy in the Future”, Market and Demographic Analysis, 13(3):1-13 (in Chinese). SHORT, S.E., MA, L., YU, W. 2000. “Birth planning and sterilization in China”, Population Studies, 54(3): 279-291. SKINNER, G.W. 1997. “Family systems and demographic processes”, In KERTZER, D.I., FRICKE, T. (Eds.) Anthropological Demography: Toward A New Synthesis. University of Chicago Press, Chicago, Illinois, 53–95. TIEN, H.Y. 1984. “Induced fertility transition: Impact of population planning and socio-economic change in the People’s Republic of China”, Population Studies, 38(3): 385-400. UNFPA. 2012. Impact of Demographic Change in Thailand. Bangkok: United Nations Population Fund. UNPD 2011. World Population Prospects: the 2010 Revision. [Online]. New York: United Nations Population Division. Available: http://esa.un.org/wpp/. [Accessed 27th October 2012]. WHITE, T. 2006. China’s Longest Campaign: Birth Planning in the People’s Republic, 1949-2005. New York, NY: Cornell University Press. WHYTE, M.K., GU, S.Z. 1987. “Popular response to China's fertility transition”, Population and Development Review 13(3):569-571. WOLF, A. 1986. “The predominant role of government intervention in China’s family revolution”, Population and Development Review, 12(2): 255-276. 30 YANG, X., ATTANÉ, I., LI, S., ZHANG, Q. forthcoming. “Masturbation as a compensation for partnered-sex among enforced male bachelors in rural China – findings from a survey conducted in the context of a deficit of females”, Journal of Men's Health[http://dx.doi.org/10.1016/j.jomh.2012.02.005]. YANG, J. 2006. “Regional diversity of fertility and child sex ratio in China”, Population Research, 30(3):30-41(in Chinese). YANG, J. 2011. “The divergence among fertility intention, fertility behavior and fertility level”, Population Research, 35(2):49-53 (in Chinese). YUAN, X., SHI, H. 2005.”Abnormal high sex ratio at birth and the family planning policy in China”, Population Research, 29(3): 11-17 (in Chinese). ZENG, Y. 2007. “Options for fertility policy transition in China. Population and Development Review”, 33(2): 215-246. ZHAO, Z., CHEN, W. 2011. “China’s far below replacement fertility and its long-term impact: Comments on the preliminary results of the 2010 census”, Demographic Research, 25, 819-836. ZHOU, X. D., WANG, X. L., LI, L., HESKETH, T. 2011. “The very high sex ratio in rural China: Impact on the psychosocial wellbeing of unmarried men”, Social Science and Medicine, 73, 1422-1427. ZHU, W. X., LU, L., HESKETH, T. 2009. “China’s excess males, sex selective abortion, and one child policy: analysis of data from 2005 national intercensus survey”, BMJ: British Medical Journal, 338,b1211. 31 Table 1: Sex ratio at birth by province, November 1st 2009 to October 31st 2010 2005 2009/10 95% Confidence SRB Interval Total births Male Female 13,836,187 7,487,489 6,348,698 119 117.94 117.81 118.06 Beijing 115,987 60,617 55,370 114 109.48 108.22 110.74 Tianjin 81,977 43,614 38,363 114 113.69 112.14 115.26 Hebei 882,233 471,659 410,574 120 114.88 114.40 115.36 Shanxi 347,160 182,022 165,138 116 110.22 109.49 110.96 Inner Mongolia 204,920 108,305 96,615 114 112.10 111.13 113.08 Liaoning 264,854 138,844 126,010 113 110.18 109.35 111.03 Jilin 177,304 93,345 83,959 113 111.18 110.15 112.22 Heilongjiang 248,961 131,752 117,209 109 112.41 111.53 113.30 Shanghai 128,518 67,651 60,867 117 111.15 109.94 112.37 Jiangsu 685,177 368,321 316,856 125 116.24 115.69 116.80 Zhejiang 444,178 240,545 203,633 114 118.13 117.43 118.83 Anhui 751,580 422,863 328,717 131 128.64 128.06 129.23 Fujian 401,732 223,652 178,080 122 125.59 124.81 126.37 Jiangxi 580,921 320,227 260,694 129 122.84 122.20 123.47 Shandong 982,207 534,555 447,652 114 119.41 118.94 119.89 Henan 1,044,716 564,972 479,744 122 117.77 117.31 118.22 Hubei 592,626 328,171 264,455 128 124.09 123.46 124.73 Hunan 796,975 439,956 357,019 122 123.23 122.69 123.78 1,083,819 591,941 491,878 119 120.34 119.89 120.80 Guangxi 715,349 394,108 321,241 121 122.68 122.11 123.26 Hainan 121,636 67,644 53,992 123 125.29 123.88 126.71 National SRB 8 North Northeast East Central Guangdong 32 Southwest Chongqing 263,380 139,442 123,938 112 112.51 111.65 113.37 Sichuan 743,017 391,946 351,071 115 111.64 111.14 112.15 Guizhou 481,717 264,848 216,869 128 122.12 121.43 122.82 Yunnan 564,346 297,855 266,491 113 111.77 111.19 112.35 Tibet 45,731 23,597 22,134 102 106.61 104.67 108.58 Shaanxi 335,229 179,549 155,680 134 115.33 114.55 116.12 Gansu 278,921 150,604 128,317 116 117.37 116.50 118.25 Qinghai 72,363 38,293 34,070 117 112.40 110.77 114.05 Ningxia 76,000 40,462 35,538 107 113.86 112.24 115.49 Xinjiang 322,653 166,129 156,524 105 106.14 105.41 106.87 Northwest Table 2: Sex ratios at birth by sex composition of existing children Sex ratio at birth of next birth Existing children 1990 census 2000 census None 105.6 105.5 1 son 101.4 107.3 1 daughter 149.4 190.0 2 sons 74.1 76.5 1 son and 1 daughter 116.4 122.1 2 daughters 224.9 380.6 Source: 1990 census data from Zeng et al. (1993), 2000 census data from Sun (2005) 33 Table 3: Definition and descriptive statistics of the variables Variable Definition and measurement N(%) Gender of live birth the gender of last live birth of women of child-bearing Mean(SD) 0.61(0.49) age up to the end of the survey dummy variables: 1= boy, 0= girl Personal personal cases: 13300 characteristics Children composition reference category: 0 children 1 son having had only a son: 1 daughter yes=1, no=0 6,072 (45.7%) 2,092 (15.7%) 0.16(0.36) having had only a daughter: yes=1, no=0 2,997 (22.5%) 0.23(0.42) 1 son and 1 daughter having had only a son and a daughter:yes=1, no=0 583 (4.4%) 0.04(0.20) 2 sons having had only two sons: yes=1, no=0 284 (2.1%) 0.02(0.14) 2 daughters having had only two daughters: yes=1, no=0 614 (4.6%) 0.05(0.21) 3 children having had at least three children: yes=1, no=0 658 (4.9%) 0.05(0.22) Age woman’s age at the end of the pregnancy 25.85(4.00) Fertility intention the ideal number of offspring 1.88(0.88) Abortion times First live birth: total abortion times before the live 0.11(0.41) birth; Non-first live: abortion times between the latest live birth and the previous live birth Education level Years of Education Characteristics of village-level unit: 827 6.36(3.34) village Income net per capita income of 2000 2028.93 (1332.51) Policy fertility reference category: 1-child policy 1.5-child policy 1= 1.5-child policy, 0= else 0.77(0.42) 2-child policy 1= 2-child policy, 0= else 0.05(0.22) TOTAL LIVE 13,300 BIRTHS (8,143 male; 5,157 female) Source: 2001 National Family Planning and Reproductive Health Survey (China) 34 35 Table 4: The regression results of the model Model 1 Fixed effect intercept 0.453*** fertility intention Model 2 Model 3 Model 4 0.454*** 0.452 *** 0.451*** -0.108*** -0.136 -0.105*** age -0.033*** -0.033*** -0.006 -0.001 one boy -0.190** -0.168* -0.111 -0.169** one girl 0.689*** 0.717*** 0.565** 0.500** 0.226* 0.635 0.186+ one boy and one girl 0.176 + two boys -0.677*** -0.646*** -0.739 -0.674*** two girls 1.237*** 1.278*** 0.767* 0.680+ three children 0.359** 0.421** 1.044* 0.893+ abortion times -0.046 -0.048 -0.041 -0.041 education level -0.000 -0.001 -0.001 -0.001 Income -0.000+ -0.000+ 0.000+ 0.000+ 1.5-child policy 0.111+ 0.111+ 0.125* 0.125* 2-child policy -0.146 -0.146 -0.151 -0.151 0.000 0.000+ -0.031+ -0.028 + 0.039+ income*age 1.5-child policy *age 2-child policy *age 0.049 income* fertility intention 0.000 1.5-child 0.033 policy *fertility intention 2-child policy *fertility intention 0.183 income*one boy 0.000 1.5-child policy * one boy 0.118 2-child policy * one boy -0.244 income * one girl 0.000* 0.000 1.5-child policy * one girl 0.573 ** 0.555*** 2-child policy * one girl -0.841 ** -0.634* income * one boy and one girl 0.000 1.5-child policy * one boy and -0.274 one girl 36 2-child policy * one boy and one -0.641 girl income * two boys 0.000 1.5-child policy * two boys 0.299 2-child policy * two boys -0.188 income * two girls 0.000 0.000 1.5-child policy * two girls 0.747* 0.721* -1.319** -1.034* income * three children 0.000 0.000 1.5-child policy * three children -0.434 -0.439 -1.973** -1.587** 2-child policy * two girls 2-child policy * three children Random effect Level 2:intercept 0.064*** 0.064*** 0.067*** 0.067*** Level 1:individual 0.984 0.984 0.985 0.984 ***p<0.001; **p<0.01; *p<0.05; +p<0.1 37 Figure 1: Period Total Fertility rates of selected sites of higher SRBs 8.00 7.00 6.00 pTFR 5.00 China 4.00 China, Hong Kong SAR 3.00 Republic of Korea 2.00 Taiwan Viet Nam 1.00 0 Source: (UN 2012) 38 Figure 2: Simplified model of factors influencing fertility ideals/intentions, actual fertility and SRBs in China and other settings 39
© Copyright 2026 Paperzz