Sex ratio at birth in twenty-first century Greece: the role of ethnic and social groups.

The number of male per 100 female live births (defined as the sex ratio at birth, SRB) has been shown to be consistently stable in human populations irrespective of time and geographical location. All over the globe approximately 105 boys are born for every 100 girls and any significant deviation from this 'global average' is considered to be unnatural and is attributed to sex-selective under-reporting of births, sex-selective abortion, sex-selective infanticide or other man-made factors. The present paper uses data on civil registration from 2004-2011 to investigate the sex ratio at birth in modern Greece. It was found that the SRB is extremely masculine when the parents originate from the Indian sub-continent and China. The SRB is also unnaturally high (more than 113 boys per 100 girls) in the case of legitimate births born to Greek mothers who are illiterate. These findings are strong evidence that sex-selective abortions are taking place in Greece within population groups with a certain ethnic and social profile. Other parameters, such as age of mother at birth, birth order, legal status of birth and geographical location, were also investigated and they were found to play a role in the variation of SRB, but not to the extent education and ethnic group do.

Detecting alcohol-related problems among general hospital patients with heart disease.

BACKGROUND: Certain epidemiologic studies suggest that moderate alcohol consumption decreases the risk of coronary heart disease. However, long-term excessive alcohol drinking is considered a major cause for a significant incidence of heart disease. Identifying alcohol-related problems among inpatients with cardiac disease is important. METHODS: In this study, 209 male and 137 female inpatients with cardiac disease were screened for alcohol-related problems using the CAGE questionnaire. Associations of alcohol-related problems with sociodemographic and clinical variables were also investigated. RESULTS: Fifty-seven patients (16.5%) scoring positively on the CAGE questionnaire were considered as having alcohol-related problems. Logistic regression analysis revealed that alcohol-related problems were associated with sex (p = 0.00), age (p = 0.0497), and educational level (p = 0.0524). Men less than age 50, with cardiac disease and of lower education level should be considered at high risk for abnormal drinking. The probability increases from 5.2% for the whole sample to 41.9% for the group with these specific characteristics. CONCLUSIONS: The characteristics are useful for constructing a profile of the cardiology patient who is more likely to have alcohol-related problems. Early identification and vigorous and holistic treatment of these patients is important for secondary prevention of alcohol-related problems.