本文发现中国的高出生性别比和偏高的女婴死亡水平同时在80年代中期开始出现.进一步的分析表明,高出生性别比和偏高的女婴死亡水平根本上是由强烈的男孩偏好所造成的,它同时又被快速的生育率转变所加剧.80年代中期开始的广泛利用B超鉴定胎儿性别和同期农村村级合作医疗体制的弱化及解体,分别是导致高出生性别比和偏高的女婴死亡水平的直接原因.

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