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Kim: Impact Factors of Korean Women's Cesarean Section according to Ecological Approach
Original Article
Korean Journal of Women Health Nursing

Korean Journal of Women Health Nursing 2011; 17(2): 109-117.

Published online: 30 June 2011

DOI: https://doi.org/10.4069/kjwhn.2011.17.2.109

Impact Factors of Korean Women's Cesarean Section according to Ecological Approach

Hyun Kyoung Kim

Doctoral Student, Division of Nursing Science, College of Health Science, Ewha Womans University, Seoul, Korea.

Address reprint requests to: Kim, Hyun Kyoung, Division of Nursing Science, College of Health Science, Ewha Womans University, 11-1 Daehyundong, Seodaemun-gu, Seoul 120-750, Korea. Tel: 82-2-3277-2873, Fax: 82-2-3277-2850, leomommy@hanmail.net

Received 17 March 2011       Accepted 30 May 2011

Copyright © 2011 Korean Academy of Women's Health Nursing

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: Cesarean section, Ecology

Figures and Tables

Figure 1
Research design of cesarean section rate according to ecological approach.
kjwhn-17-109-g001
Figure 2
Geological distribution of cesarean section rate (N=2,849).
kjwhn-17-109-g002
Figure 3
Recommender of cesarean section (N=2,849).
kjwhn-17-109-g003
Figure 4
Causes of cesarean section (N=2,849).
kjwhn-17-109-g004
Table 1
Logistic Regression Analysis of Ecological Factors on Cesarean Section Rate (N=950)
kjwhn-17-109-i001

OR=odds ratio; CI=confidence interval.

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