Urbanization and the likelihood of a cesarean section

European Journal of Obstetrics, Gynecology, and Reproductive Biology
Chin-Shyan ChenStefani Pfeiffer

Abstract

This study examines the association between the likelihood of cesarean section (CS) and the degree of urbanization in Taiwan, exploring possible explanations for the difference. The database used in this study was the Taiwan 2004 National Health Insurance Research Database. A total of 200,207 singleton deliveries fulfilled our criteria and were included in our study. The urbanization level of cities/towns where parturients resided at the time of delivery was stratified into seven categories. A multilevel logistic regression model was applied to examine the relative likelihood of CS by urbanization level after adjusting for parturient, physician and hospital characteristics. There was an upward trend in the CS rate with advancing urbanization level; the CS rates for urbanization level 1 (most urbanized) through 7 (least urbanized) were 33.7, 32.3, 30.4, 30.2 29.7, 29.5, and 28.6%, respectively. Compared with participants living at the highest urbanization level, the adjusted odds of a CS were 0.91 (95% CI=0.85-0.98, p=0.014), 0.84 (95% CI=0.78-0.91, p<0.001), 0.83 (95% CI=0.68-0.88, p<0.001), 0.79 (95% CI=0.72-0.86, p<0.001), and 0.70 (95% CI=0.62-0.80, p<0.001) times, respectively, for those living in cities/towns ranked from t...Continue Reading

References

Apr 1, 1995·Medical Care·L R BurnsD R Wholey
May 1, 1995·American Journal of Public Health·P BravemanM Verdon
Nov 1, 1993·Social Science & Medicine·E L Shearer
Jan 20, 1993·JAMA : the Journal of the American Medical Association·A R LocalioJ R Landis
Jan 2, 1997·The Rand Journal of Economics·J Gruber, M Owings
Jan 12, 2002·The Journal of Perinatal & Neonatal Nursing·H Goer
Jan 6, 2004·Obstetrics and Gynecology·Herng-Ching Lin, Sudha Xirasagar
Jun 1, 2005·Annals of Epidemiology·Susan A HallDavid A Savitz
Aug 10, 2006·Health Affairs·Katherine BaickerAmitabh Chandra
Dec 26, 2006·International Journal of Gynaecology and Obstetrics : the Official Organ of the International Federation of Gynaecology and Obstetrics·Chin-Yuan HsuFu-Yuan Huang
May 12, 2007·Journal of Urban Health : Bulletin of the New York Academy of Medicine·Herng-Ching LinWen-Ta Chiu
Nov 14, 2007·Journal of Urban Health : Bulletin of the New York Academy of Medicine·Kuo-Hsuan ChungHerng-Ching Lin

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Citations

Oct 15, 2011·The Journal of Sexual Medicine·Shiu-Dong ChungHerng-Ching Lin
Nov 4, 2015·The American Journal of Gastroenterology·Hsiu-Nien ShenChung-Yi Li
Nov 7, 2020·Obstetrics and Gynecology·Ilir HoxhaIlirjana Bajraktari

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