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As an expression of a harmful practice, gender-biased sex selection (GBSS) in favor of boys is a symptom of pervasive social, cultural, political and economic injustices against girls and women. GBSS leads to distorted levels of sex ratio at birth (SRB).
 
Analysis of data indicates that in recent decades, imbalanced SRB favoring boys have grown in a number of South Asian, East Asian, and Central Asian as well as East European countries. China has witnessed the most prolonged and significantly skewed SRB among the countries facing a similar challenge.