ArticleAmerican journal of public health2011
Association between type of health insurance and elective cesarean deliveries: New Jersey, 2004-2007.
Article in American journal of public health, 2011. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 16 papers, 2 of them syntheses that pooled it.
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Who cites it
16 citing papers in PubMed, 2 syntheses or guidelines pooled it.
- Caesarean section in uninsured women in the USA: systematic review and meta-analysis.BMJ open · 2019Pooled it
- Pooled it
- Examining Racial and Ethnic Disparities in Low-Risk Cesarean Section Deliveries in the Colorado Healthy Start Study.Journal of racial and ethnic health disparities · 2026Article
- Preventing the preventable: Assessing the burden of incessant caesarean deliveries in select Indian states using NFHS-5.PloS one · 2025Article
- Assessing the Factors Affecting Cesarean Section Selection in Iranian Women Using Multilevel Count Models with Excess Zeros.Iranian journal of public health · 2021Article
- Association between migration status and caesarean section delivery based on a modified Robson classification in China.BMC pregnancy and childbirth · 2021Article
- The impact of voluntary and nonpayment policies in reducing early-term elective deliveries among privately insured and Medicaid enrollees.Health services research · 2020Article
- Women's experience of agency and respect in maternity care by type of insurance in California.PloS one · 2020Article
- Article
- Article
- Trends in Hispanic and non-Hispanic white cesarean delivery rates on the US-Mexico border, 2000-2015.PloS one · 2018Article
- The Effect of Clinical Chorioamnionitis on Cesarean Delivery in the United States.Health services research · 2016Article
- Factors associated with increased cesarean risk among African American women: evidence from California, 2010.American journal of public health · 2015Article
- Private health care coverage and increased risk of obstetric intervention.BMC pregnancy and childbirth · 2014Article
- Disparities in cesarean delivery by ethnicity and nativity in New York city.Maternal and child health journal · 2014Article
- Trends in hospital-based childbirth care: the role of health insurance.The American journal of managed care · 2013Article
Corrections and comments
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Authors and funding
1 author.
Funding
No grant is acknowledged in the PubMed record.
Abstract
objectivesI examined the relationship between insurance coverage, which may influence physician incentives and maternal choices, and cesarean delivery before labor.
methodsI analyzed hospital discharge data for mothers without previous cesarean deliveries in New Jersey between 2004 and 2007, with adjustment for maternal age, race, marital status, and maternal, fetal, and placental conditions.
resultsNearly 1 in 7 women (13.9%) had a cesarean delivery without laboring. Insurance status was strongly associated with cesarean birth. Women insured by Medicaid (adjusted relative risk [ARR] = 0.88; 95% confidence interval [CI] = 0.84, 0.91) or self-paying (ARR = 0.81; 95% CI = 0.78, 0.85) had a significantly lower likelihood, and women insured by BlueCross (ARR = 1.06; 95% CI = 1.03, 1.09) or standard commercial plans (ARR = 1.06; 95% CI = 1.02, 1.10) had a significantly higher likelihood of cesarean delivery than did women insured by commercial health maintenance organizations. These associations persisted in subsets restricted to lower-risk women and in qualitative sensitivity analyses for a hypothetical single, binary, unmeasured confounder.
conclusionsInsurance status has a small, independent impact on whether a woman without a previous cesarean delivery proceeds to labor or has a cesarean delivery without labor.
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