Women's Health Nursing (여성건강간호학회지)

Korean Society of Women Health Nursing (한국여성건강간호학회)
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Impact Factors of Korean Women's Cesarean Section according to Ecological Approach

한국여성의 제왕절개술 영향요인에 관한 생태학적 접근

  • Kim, Hyun-Kyoung (Division of Nursing Science, College of Health Science, Ewha Womans University)
  • 김현경 (이화여자대학교 건강과학대학 간호과학부)
  • Received : 2011.03.17
  • Accepted : 2011.05.30
  • Published : 2011.06.20
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Abstract

Purpose: This study examined the impact factors of cesarean section based on the ecological approach in Korea. Methods: Population-based data (Korea Institute for Health and Social Affairs) were used from 2,849 delivery cases during 2003~2009. Data were analyzed using geographic statistics with STATA 10.0 and hierarchical logistic regression with SPSS/WIN 12.0. Results: The range of cesarean section rate was 28.8~44.7% with geographic distribution. The proportion of mother's problem was increasing in choice of cesarean section. According to the ecological model, age of mother (OR=1.08), time of birth (OR=0.79), delivery in hospital (OR=1.83), delivery in clinic (OR=1.46), and education of mother (OR=2.61) had significant impact on cesarean section. Conclusion: This study contributes to provide the impact factors of the high cesarean rate in Korea ecologically. Policy maker and health care provider can consider these results to reduce cesarean section rate.

Keywords

References

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