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한국여성의 제왕절개술 영향요인에 관한 생태학적 접근

 Impact Factors of Korean Women’s Cesarean Section according to Ecological Approach

여성건강간호학회지 2011년 17권 2호 p.109 ~ 117
KMID : 0606420110170020109
김현경 ( Kim Hyun-Kyoung ) - 이화여자대학교 건강과학대학 간호과학부

Abstract

Purpose: This study examined the impact factors of cesarean section based on the ecological approach in Korea.

Methods: 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.

Results: 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.

Conclusion: 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.
KeyWords
제왕절개술, 생태학
Cesarean section, Ecology
원문 및 링크아웃 정보
 
등재저널 정보
학술진흥재단(KCI) KoreaMed