| Chen CS |
------>authors3_c= ------>paper_class1=1 ------>Impact_Factor=1.432 ------>paper_class3=2 ------>paper_class2=1 ------>vol= ------>confirm_bywho=nwkuo ------>insert_bywho=henry11111 ------>Jurnal_Rank=50.0 ------>authors4_c= ------>comm_author=1 ------>patent_EDate=None ------>authors5_c= ------>publish_day=1 ------>paper_class2Letter=None ------>page2= ------>medlineContent= ------>unit=E0800 ------>insert_date=20080709 ------>iam=2 ------>update_date=None ------>author=??? ------>change_event=4 ------>ISSN= ------>authors_c= ------>score=500 ------>journal_name=European Journal of Obstetrics & Gynecology and Reproductive Biology ------>paper_name=Urbanization and the Likelihood of a Cesarean Section ------>confirm_date=20080901 ------>tch_id=090053 ------>pmid=18722701 ------>page1= ------>fullAbstract=OBJECTIVE: This study examines the association between the likelihood of cesarean section (CS) and the degree of urbanization in Taiwan, exploring possible explanations for the difference. STUDY DESIGN: The database used in this study was the Taiwan 2004 National Health Insurance Research Database. A total of 200,207 singleton deliveries fulfilled our criteria and were included in our study. The urbanization level of cities/towns where parturients resided at the time of delivery was stratified into seven categories. A multilevel logistic regression model was applied to examine the relative likelihood of CS by urbanization level after adjusting for parturient, physician and hospital characteristics. RESULTS: There was an upward trend in the CS rate with advancing urbanization level; the CS rates for urbanization level 1 (most urbanized) through 7 (least urbanized) were 33.7, 32.3, 30.4, 30.2 29.7, 29.5, and 28.6%, respectively. Compared with participants living at the highest urbanization level, the adjusted odds of a CS were 0.91 (95% CI=0.85-0.98, p=0.014), 0.84 (95% CI=0.78-0.91, p<0.001), 0.83 (95% CI=0.68-0.88, p<0.001), 0.79 (95% CI=0.72-0.86, p<0.001), and 0.70 (95% CI=0.62-0.80, p<0.001) times, respectively, for those living in cities/towns ranked from the third highest to the lowest levels of urbanization. CONCLUSIONS: We conclude that higher urbanization levels were associated with higher odds of CS. Highly urbanized communities could therefore be targeted for policy intervention aimed at reducing the unnecessary CS rate. ------>tmu_sno=None ------>sno=18728 ------>authors2=Lin HC ------>authors3=Liu TC ------>authors4=Pfeiffer S ------>authors5= ------>authors6= ------>authors6_c= ------>authors=Chen CS ------>delete_flag=0 ------>SCI_JNo=None ------>authors2_c= ------>publish_area=0 ------>updateTitle=Urbanization and the likelihood of a cesarean section. ------>language=2 ------>check_flag=None ------>submit_date=None ------>country=None ------>no= ------>patent_SDate=None ------>update_bywho=None ------>publish_year=2008 ------>submit_flag=None ------>publish_month=1 |