意大利剖宫产分娩的社会预测因素。
Social predictors of caesarean section births in Italy.
作者信息
Kambale Mastaki J
机构信息
Independent Researcher, Via Leopardi,12/A, 60015 Falconara M, Italy.
出版信息
Afr Health Sci. 2011 Dec;11(4):560-5.
BACKGROUND
Caesarean section birth is a frequent mode of delivery worldwide. Several social factors have been demonstrated to be strong predictors of caesarean births.
OBJECTIVES
To identify possible social predictors of caesarean section births in Italy.
METHODS
Data for this study were drawn from the Italian Institute of Statistics (ISTAT) survey conducted during year 2005 which comprised a nationally representative sample of 50,474 households (128,040 subjects). This 2005 ISTAT survey asked several questions to women who delivered (n=5,812) in the past five years prior to the survey about their delivery mode. The main dependent variables were caesarean delivery rates while independent variables included sociodemographics, health and health-related factors. Descriptive statistics, bivariate and multivariate analyses were performed.
RESULTS
Our sample comprised 5,812 women. Rate of caesarean deliveries was 36.2 percent. Age (adjOR: 0.961; p=0.000) and residence (Reference: North-West; Centre: adjOR: 0.753, p=0.001; South: adjOR: 0.484, p=0.000; Islands: adjOR: 0.629, p=0.000) were the sole social factors which were significant in predicting caesarean delivery (adjusted model).
CONCLUSIONS
Rate of caesarean delivery in Italy is rather high. Age and residence are the sole social predictors evidenced from the ISTAT 2005 survey data.
背景
剖宫产是全球常见的分娩方式。已有多项社会因素被证明是剖宫产分娩的有力预测指标。
目的
确定意大利剖宫产分娩可能的社会预测因素。
方法
本研究数据取自意大利国家统计局（ISTAT）2005年进行的调查，该调查包含一个具有全国代表性的50474户家庭样本（128040名受试者）。2005年ISTAT调查向在调查前过去五年中分娩的女性（n = 5812）询问了几个关于其分娩方式的问题。主要因变量是剖宫产率，自变量包括社会人口统计学、健康及与健康相关的因素。进行了描述性统计、双变量和多变量分析。
结果
我们的样本包括5812名女性。剖宫产率为36.2%。年龄（校正比值比：0.961；p = 0.000）和居住地（参考：西北；中部：校正比值比：0.753，p = 0.001；南部：校正比值比：0.484，p = 0.000；岛屿：校正比值比：0.629，p = 0.000）是预测剖宫产分娩（校正模型）中显著的仅有的社会因素。
结论
意大利的剖宫产率相当高。年龄和居住地是从ISTAT 2005年调查数据中证明的仅有的社会预测因素。
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