Hsu Kuang-Hung, Liao Pei-Ju, Hwang Chorng-Jer
Department of Health Care Management, College of Management, Chang Gung University, Taiwan.
Soc Sci Med. 2008 Jan;66(1):201-9. doi: 10.1016/j.socscimed.2007.07.030. Epub 2007 Sep 14.
The rising rate of cesarean section (CS) is a subject of concern, intensive discussion, and investigation. However, few, if any, systematic studies of this trend have been recorded among the oriental populations. This study examines factors that may contribute to the high incidence of CS in Taiwan, where the rate of CS is among the highest in the world. Multiple logistic regression and stratified analyses were used to determine the association between CS and various factors, including provider and patient parameters. Our study sample of 2,497 cases was drawn from a total of 10,654 in-patient deliveries in Chang Gung Memorial Hospital of Taiwan. A number of factors associated with the use of CS were explored, including maternal age, occupation, education and marital status of the mother, sex and body weight of the infant at birth, parity, insurance status, source of admission, and time of birth. Our study also shows that CS in Taiwan is affected by the folk belief of Pe-Ji, which influences the preference of some patients for delivery at a specific time. Such a preference reflects a unique right of choice by women in Taiwan.
剖宫产率的上升是一个备受关注、深入讨论和研究的话题。然而，在东方人群中，针对这一趋势的系统性研究（即便有也）寥寥无几。本研究调查了可能导致台湾剖宫产率居高不下的因素，台湾的剖宫产率位居世界前列。采用多元逻辑回归和分层分析来确定剖宫产与各种因素之间的关联，这些因素包括医疗服务提供者和患者的参数。我们的研究样本包含2497例病例，取自台湾长庚纪念医院总共10654例住院分娩病例。研究探讨了一些与剖宫产使用相关的因素，包括产妇年龄、职业、教育程度和婚姻状况、婴儿出生时的性别和体重、产次、保险状况、入院来源以及出生时间。我们的研究还表明，台湾的剖宫产受到“陪吉”民间信仰的影响，这影响了一些患者对特定时间分娩的偏好。这种偏好反映了台湾女性独特的选择权。
