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P. 57

International Journal of

                                                                         Population Studies





                                        RESEARCH ARTICLE
                                        Levels and trends estimate of sex ratio at birth

                                        for seven provinces of Pakistan from 1980
                                        to 2020 with scenario-based probabilistic

                                        projections of missing female birth to 2050: A
                                        Bayesian modeling approach



                                                                            2
                                        Fengqing Chao *, Muhammad Asif Wazir , and Hernando Ombao 1
                                                     1
                                        1 Statistics Program, Computer, Electrical and Mathematical Sciences and Engineering Division,
                                        King Abdullah University of Science and Technology, Thuwal, Saudi Arabia
                                        2 Population and Development Advisor (Freelance), Islamabad (ICT), Pakistan



                                        Abstract

                                        Most evidence on son preference in Pakistan is reflected in the higher child mortality
                                        among females than males. The sex discrimination before birth is rarely reported
                                        in Pakistan. This is the first study to quantify prenatal sex discrimination in Pakistan
                                        on a subnational level. We provide annual estimates of the sex ratio at birth (SRB)
            *Corresponding author:      from 1980 to 2020 and scenario-based projections of the number of missing female
            Fengqing Chao               births up to 2050 by Pakistan province. The results are based on a comprehensive
            (fengqing.chao@kaust.edu.sa)  database consisting of 832,091 birth records from all available surveys and censuses.
            Citation: Chao, F., Wazir, M.A.,   We adopted a Bayesian hierarchical time series model to synthesize different data
            & Ombao, H. (2022). Levels and   sources.  We identified Balochistan with an existing imbalanced SRB since 1980.
            trends estimate of sex ratio at birth
            for seven provinces of Pakistan   For the rest provinces without past or ongoing SRB inflation, we projected the
            from 1980 to 2020 with scenario-  largest female birth deficit to occur in Punjab in 2033 under the scenario that the
            based probabilistic projections   SRB transition process starts in 2021. We demonstrated important disparities in the
            of missing female birth to 2050:   occurrence and quantification of missing female births up to 2050.
            A Bayesian modeling approach.
            International Journal of Population
            Studies, 8(2):51-70.
            https://doi.org/10.36922/ijps.v8i2.332  Keywords: Bayesian hierarchical model; Pakistan; Scenario-based projection; Sex ratio at
                                        birth; Son preference; Sex-selective abortion; Subnational modeling; Time series models
            Received: August 27, 2022
            Accepted: November 14, 2022
            Published Online: December 14,
            2022                        1. Introduction
            Copyright: © 2022 Author(s).   The ratio of the number of male live births to the number of female live birth,
            This is an Open Access article   namely, the sex ratio at birth (SRB), is an essential element in estimating and
            distributed under the terms of the
            Creative Commons Attribution   projecting population size and its dynamics. Furthermore, an imbalanced SRB in
            License, permitting distribution,   a population reflects discrimination and disadvantages that females face in social,
            and reproduction in any medium,
            provided the original work is   political, economic, and cultural contexts (Gupta et al., 2003; Guilmoto, 2009). SRBs
            properly cited.             are distorted from their natural levels in several countries, primarily clustered in
            Publisher’s Note: AccScience   South Asia, East Asia, and East Europe. The imbalanced values reach as high as 1.2
            Publishing remains neutral with   (i.e., 120 male births per 100 female births) in certain regions (Attané & Guilmoto,
            regard to jurisdictional claims in
            published maps and institutional   2007; Chao et al., 2019a; Duthé et al., 2012; Goodkind, 2011; Guilmoto et al., 2009;
            affiliations.               Guilmoto, 2012; Guilmoto & Ren, 2011; Lin, 2009; Park & Cho, 1995). SRB is the


            Volume 8 Issue 2 (2022)                         51                     https://doi.org/10.36922/ijps.v8i2.332
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