Study on differences of socioeconomic factors influencing adoption of cesarean section in Chongqing
Online published: 2015-02-27
Supported by
Regional Health Planning For Health Reform Development Balanced Urban-Rural in Chongqing, CHSR1
Objective To analyze socioeconomic factors that influence the adoption of cesarean section in Chongqing. Methods Data of the fifth national health service survey that conducted in 2013 were collected and household wealth was calculated by the principal component analysis. The concentration index and decomposition of concentration index were adopted to evaluate the inequality of socioeconomic factors that influence the adoption of cesarean section and contributions of influencing factors to the inequality. Results Among 1 140 puerperae, 569 of them (49.91%) chose the cesarean section. The rate of cesarean section was influenced by socioeconomic factors, which were rural registered permanent residence (the rate of cesarean section was 45.06% and the contribution rate was -58.53%), education level was or below the high school (the rate of cesarean section was 44.12% and the contribution rate was 38.76%), participation of medical insurance for urban workers (the rate of cesarean section was 58.93% and the contribution rate was 26.49%), primiparity (the rate of cesarean section was 55.13% and the contribution rate was 23.38%), and age between 25 and 29 (the rate of cesarean section was 52.75% and the contribution rate was 18.89%). Conclusion Socioeconomic factors have some effect on puerperae for choosing the delivery method. In order to decrease the rate of cesarean section, relevant institutions should enhance the propaganda and education of pregnancy and delivery for target populations; assist them to choose the best delivery method; promote appropriate new obstetric technologies; improve the medical environment and quality; strength self-discipline; and make relevant medical and health policies.
TAO Yi , ZHONG Xiao-ni . Study on differences of socioeconomic factors influencing adoption of cesarean section in Chongqing[J]. Journal of Shanghai Jiao Tong University (Medical Science), 2015 , 35(2) : 253 . DOI: 11.3969/j.issn.1674-8115.2015.02.020
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