Michel Garenne reports that many African nations have, over decades, witnessed birth sex ratios below 100, that is more girls are born than boys.
Other historical records from Asia too support James hypothesis. claim that the birth sex ratio in China was 116–121 over a 100-year period in the late 18th and early 19th centuries; in the 120–123 range in the early 20th century; falling to 112 in the 1930s.
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Outside of United States, European nations with extensive birth records, such as Finland, report similar variations in birth sex ratios over a 250-year period, that is from 1751 to 1997 AD.
The selective abortion of female fetuses is most common in areas where cultural norms value male children over female children, especially in parts of East Asia and South Asia (particularly in countries such as People's Republic of China, India and Pakistan), as well as in the Caucasus, and Western Balkans.
with China and India, the two most populous countries of the world, having unbalanced gender ratios.
Sen pointed to research that had shown that if men and women receive similar nutritional and medical attention and good health care then females have better survival rates, and it is the male which is the genetically fragile sex.
Sen estimated 'missing women' from extra women who would have survived in Asia if it had the same ratio of women to men as Europe and United States.
William James and others James cautions that available scientific evidence stands against the above assumptions and conclusions.