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East Mediterr Health J. 2007 Jan-Feb;13(1):119-28.

Determinants and causes of son preference among women delivering in Mansoura, Egypt.

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Department of Community Medicine, Faculty of Medicine, University of Mansoura, Egypt.


This study in Egypt, measured the son preference index, its determinants, and impact on reproductive behaviour and intention of 400 mothers attending for delivery. Overall son preference index was 1.4. The causes of sex preference were mainly psychological and social. Mothers with only girls were 496 times more likely to prefer a son as compared to those with boys only. Mothers with illiterate husbands were nearly 10 times more likely to prefer a son than those married to highly educated husbands. Achievement of the desired sex, whether son or daughter, was associated with less desire for more children, intention to prolong pregnancy spacing and intention to use contraceptives.

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