Zlot Amy I, Jackson Debra J, Korenbrot Carol
Centers for Disease Control and Prevention, Atlanta, Georgia, USA.
Matern Child Health J. 2005 Mar;9(1):11-20. doi: 10.1007/s10995-005-2447-3.
Examine the association of acculturation and cesarean section after adjusting for clinical and non-clinical factors that could influence clinical discretion in performing the surgery.
A sample of 2102 low-risk, low-income primarily Mexican Latinas in San Diego County was divided into two groups: primiparas and multiparas. For each parity group, logistic regression was used to assess the association of acculturation and cesarean section.
Among multiparous Latinas, the risk of cesarean section for highly acculturated women exceeded the risk for the less-acculturated women, but the result was reverse for primiparous women. The adjusted relative odds of cesarean section were twice as high [OR 2.1, 95%CI 1.1-4.1] for multiparous US-born Latinas relative to multiparous Spanish-speaking women born in Mexico. While for primiparous women this same comparison showed US-born Latinas to be approximately half as likely to have a cesarean delivery [OR 0.4, 95%CI 0.2-0.7].
In order to reduce the chances of unnecessary cesarean sections among Latinas, the role of acculturation in women who have and have not already given birth needs to be investigated further.
在对可能影响手术临床决策的临床和非临床因素进行调整后，研究文化适应与剖宫产之间的关联。
从圣地亚哥县选取2102名低风险、低收入且主要为墨西哥裔的拉丁裔女性作为样本，分为初产妇和经产妇两组。对于每个产次组，采用逻辑回归分析来评估文化适应与剖宫产之间的关联。
在经产拉丁裔女性中，文化适应程度高的女性剖宫产风险超过了文化适应程度低的女性，但初产妇的情况则相反。与在墨西哥出生的讲西班牙语的经产女性相比，在美国出生的经产拉丁裔女性剖宫产的校正相对比值高出两倍[比值比2.1，95%置信区间1.1 - 4.1]。而对于初产妇，同样的比较显示美国出生的拉丁裔女性剖宫产的可能性约为一半[比值比0.4，95%置信区间0.2 - 0.7]。
为了降低拉丁裔女性不必要剖宫产的几率，需要进一步研究文化适应在已生育和未生育女性中的作用。
