A Tale of Two Choices: Son Preference and Reproductive Outcomes in Uzbekistan

In this study, we use data from the recent round of the Multiple Indicator Cluster Surveys (MICS) to estimate the effect of son preference on reproductive behaviour in Uzbekistan. We find strong evidence of differential stopping and spacing behaviour among Uzbek women. Women are significantly less likely to have a subsequent birth if they have at least one son at a given birth order. The effect is particularly strong among rural women at higher birth orders. The likelihood of discontinuation of childbearing increases as the number of sons increases. However, the sex of the firstborn child, whether male or female, plays no role in women's decisions about having additional children. We find that the probability of a subsequent short or risky birth interval is lower among women with at least one son. In addition, women with at least one son are more likely to use contraceptives. These patterns persist regardless of women's age. The findings have important implications for policymakers and practitioners in helping to design targeted interventions and programs in the country to improve reproductive health outcomes, promote gender equality, increase access to family planning services, and support women's reproductive autonomy.