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Patterns and causes of excess female mortality among children in developing countries.

In all developed countries males have higher mortality than females at every age while in many developing countries the reverse is true for the ages 1-44 years. Excess female mortality in adults is attributed to maternal mortality but in children and infants may result from inherent sex differences such as lower IgE levels in girls or from differences in socialization. Sex discrimination as a cause of excess female mortality was carefully evaluated and found to contribute significantly in those societies where mothers showed a marked preference for sons; this discrimination is manifest as decreased nutrition and/or health care for female infants and children. Excess female mortality should be considered a warning signal for an important social problem discrimination against girls.