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剖宫产率“追赶”现象存在吗?来自 14 个欧洲国家的证据。

Do caesarean section rates 'catch-up'? Evidence from 14 European countries.

机构信息

Department of Senior Citizen Service Management, National Taichung University of Science and Technology, 193, Sec. 1, Sanmin Road, Taichung, 40343, Taiwan, Republic of China,

出版信息

Health Care Manag Sci. 2013 Dec;16(4):328-40. doi: 10.1007/s10729-013-9232-4. Epub 2013 Mar 22.

DOI:10.1007/s10729-013-9232-4
PMID:23519946
Abstract

This study investigated the catch up effect of Caesarean Section (CS) birth rates across 14 European countries during 1980-2009 for the first time. The panel stationary test incorporating multiple structural breaks and cross-sectional dependence was used to provide reliable evidence for the existence of the catch up effect of CS birth rates. Our results suggested that the CS birth rates in 14 European countries have mostly exhibited signs of convergence through a steady upward trend from 1980 to 2009. Policymakers in low CS birth rate countries should be cautioned concerning the negative impact of the increase of CS births.

摘要

这项研究首次调查了 1980 年至 2009 年期间 14 个欧洲国家剖宫产率的追赶效应。该面板平稳性检验结合了多个结构断点和横截面相关性,为剖宫产率追赶效应的存在提供了可靠的证据。研究结果表明,14 个欧洲国家的剖宫产率在 1980 年至 2009 年期间,大多呈现出趋同的迹象,呈稳步上升趋势。低剖宫产率国家的政策制定者应该警惕剖宫产率增加所带来的负面影响。

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J Perinat Med. 2013 Jan;41(1):5-15. doi: 10.1515/jpm-2012-0049.
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Factors influencing rising caesarean section rates in China between 1988 and 2008.1988 年至 2008 年期间影响中国剖宫产率上升的因素。
Bull World Health Organ. 2012 Jan 1;90(1):30-9, 39A. doi: 10.2471/BLT.11.090399. Epub 2011 Oct 6.
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Portugal. Health system review.葡萄牙。卫生系统综述。
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Caesarean section without medical indications is associated with an increased risk of adverse short-term maternal outcomes: the 2004-2008 WHO Global Survey on Maternal and Perinatal Health.无医学指征的剖宫产与不良短期产妇结局风险增加相关:2004-2008 年世卫组织全球孕产妇和围产儿健康调查。
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