ArticleRevista de saude publica2017
The relationship between indicators of socioeconomic status and cesarean section in public hospitals.
Article in Revista de saude publica, 2017. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 14 papers, 1 of them a synthesis that pooled it.
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Who cites it
14 citing papers in PubMed, 1 synthesis or guideline pooled it.
- Caesarean sections in teaching hospitals: systematic review and meta-analysis of hospitals in 22 countries.BMJ open · 2021Pooled it
- The price of equality: determinants of the convergence in delivery costs in Bangladesh.Frontiers in public health · 2026Article
- Evaluating rates and factors associated with cesarean section and inpatient cost among low-risk deliveries in selected U.S. states.BMC pregnancy and childbirth · 2025Article
- Does community pressure matter in cesarean deliveries in Bangladesh? An analysis of nationally representative surveys.PloS one · 2025Article
- Prevalence of depression among pregnant women and its correlation with the choice of delivery method.Annals of medicine and surgery (2012) · 2024Article
- Mode of delivery preferences: the role of childbirth fear among nulliparous women.Frontiers in psychology · 2023Article
- Geospatial analysis of cesarean section in Iran (2016-2020): exploring clustered patterns and measuring spatial interactions of available health services.BMC pregnancy and childbirth · 2022Article
- Provider volume and maternal complications after Caesarean section: results from a population-based study.BMC pregnancy and childbirth · 2020Article
- Socioeconomic inequalities in the use of caesarean section delivery in Ghana: a cross-sectional study using nationally representative data.International journal for equity in health · 2019Article
- Inequality in geographical distribution of hospitals and hospital beds in densely populated metropolitan cities of Iran.BMC health services research · 2019Article
- Postponing Pregnancy Through Oocyte Cryopreservation for Social Reasons: Considerations Regarding Clinical Practice and the Socio-Psychological and Bioethical Issues Involved.Medicina (Kaunas, Lithuania) · 2018Review
- Outcome of caesarean section at the Edward Francis Small Teaching Hospital, Banjul The Gambia.African health sciences · 2018Article
- The Argentinian mother-and-child contaminant study: a cross-sectional study among delivering women in the cities of Ushuaia and Salta.International journal of circumpolar health · 2017Observational
- Prevalence-pattern and risk factors of Cesarean section in a multiethnic cohort.Pakistan journal of medical sciencesArticle
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Authors and funding
5 authors.
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No grant is acknowledged in the PubMed record.
Abstract
objectiveTo assess the relationship between indicators of socioeconomic status and cesarean section in public hospitals that adopt standardized protocols of obstetrical care.
methodsThis was a prospective cohort study conducted between May 2005 and January 2006 with 831 pregnant women recruited from 10 public primary care clinics in São Paulo, Brazil. Demographic and clinical characteristics were collected during pregnancy. The three main exposures were schooling, monthly family income per capita, and residential crowding. The main outcome was cesarean section at three public hospitals located in the area. Crude and adjusted risk ratios (RR), with 95% confidence intervals were calculated using Poisson regression with robust variance. We examined the effects of each exposure variable on cesarean section accounting for potential confounders by using four different models: crude, adjusted by mother's characteristics, by obstetrical complications, and by the other two indicators of socioeconomic status.
resultsAmong the 757 deliveries performed in the public hospitals, 215 (28.4%) were by cesarean section. In the bivariate analysis, cesarean section was associated with higher family income per capita, higher education, lower residential crowding, pregnancy planning, white skin color, having a partner, and advanced maternal age. In the multivariate analysis, after adjustment for covariates, none of the socioeconomic status variables remained associated with cesarean section.
conclusionsIn this group, the chance of women undergoing cesarean section was not associated with indicators of socioeconomic status only, but was defined in accordance with major obstetric and clinical conditions.
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