Kim Hyun Kyoung
Division of Nursing Science, College of Health Science, Ewha Womans University, Seoul, Korea.
Korean J Women Health Nurs. 2011 Jun;17(2):109-117. doi: 10.4069/kjwhn.2011.17.2.109.
This study examined the impact factors of cesarean section based on the ecological approach in Korea.
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.
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.
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.
本研究基于生态方法探讨韩国剖宫产的影响因素。
使用韩国卫生和社会事务研究所的基于人群的数据，数据来源于2003年至2009年期间的2849例分娩病例。使用STATA 10.0进行地理统计分析，并使用SPSS/WIN 12.0进行分层逻辑回归分析。
剖宫产率的范围在地理分布上为28.8%至44.7%。在选择剖宫产时，母亲因素所占比例正在增加。根据生态模型，母亲年龄（OR = 1.08）、分娩时间（OR = 0.79）、在医院分娩（OR = 1.83）、在诊所分娩（OR = 1.46）以及母亲受教育程度（OR = 2.61）对剖宫产有显著影响。
本研究有助于从生态角度提供韩国高剖宫产率的影响因素。政策制定者和医疗保健提供者可以考虑这些结果以降低剖宫产率。
