Objective-Demographic studies in various industrialised countries have show
n a decline in male births in the latter half of the 20th century from the
expected ratio of 0.515 (males/total). This study analyses trends in this r
atio over the period 1890 to 1995 in Malta, and also analyses this ratio fo
r Western European countries for the period 1990-1995.
Design-Births subdivided by sex were obtained from official Maltese publica
tions. European countries were grouped according to geographical latitude b
y banding countries into three groups: Northern Mediterranean, Central Euro
pean and Scandinavian. Births by sex for these countries were also analysed
for the period 1990-1995.
Results-No decline in the ratio of male births to total births was noted in
Malta over the period 1916-1995. However, the ratio was higher than expect
ed (n=151 766, ratio=0.517(95% confidence intervals (95%CI): 0.514, 0.519).
Moreover, during the period 1890-1899 (n=66 874), the ratio was 0.523 (95%
CI: 0.519, 0.527), even higher than observed during the 20th century (chi(
2)=8.3, p=0.003). Analysis of European births showed a much higher ratio of
male births in the south of Europe than in the north (chi(2)=87.2, p<0.000
1).
Conclusions-The findings were unable to explain the higher incidence of mal
e births in the south of Europe, but it is speculated that ambient temperat
ures may not only affect fertility, but also influence sex ratios at birth.