ArticleThe Journal of international medical research2020
Rural-urban disparities in caesarean section rates in minority areas in China: evidence from electronic health records.
Article in The Journal of international medical research, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 7 papers.
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Who cites it
7 citing papers in PubMed.
- Exploring spatial clusters of caesarean sections across India - Insights from National Family Health Survey data.PLOS global public health · 2026Article
- Article
- Assessing maternity care access: impacts on cesarean sections and dystocia.BMC pregnancy and childbirth · 2024Article
- Article
- Computational Phenotyping of OMOP CDM Normalized EHR for Prenatal and Postpartum Episodes: An Informatics Framework and Clinical Implementation on All of Us.AMIA ... Annual Symposium proceedings. AMIA Symposium · 2023Article
- Variation of caesarean section rates in Palestinian governmental hospitals.BMC pregnancy and childbirth · 2022Article
- Rural-urban disparities in caesarean deliveries in sub-Saharan Africa: a multivariate non-linear decomposition modelling of Demographic and Health Survey data.BMC pregnancy and childbirth · 2022Article
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Authors and funding
7 authors.
Funding
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Abstract
objectiveTo assess the rural-urban disparity in caesarean section rates using electronic health records from hospitals located in the Province of Inner Mongolia, which is a minority area in Northeastern China.
methodsThe study examined the electronic health records of women that gave birth in three major public hospitals between January 2012 and December 2016. Multinomial regression analyses were used to estimate rural-urban disparities in caesarean section rates.
resultsData from 61 903 women were examined. Caesarean section rates increased slightly over the study period and the rate was significantly higher in rural compared with urban hospitals (48% versus 38%). This disparity consistently increased over time. Multinomial regression analyses showed that maternal age, ethnicity, health insurance type, employment status, reproductive history and the newborn's sex were significant risk factors associated with caesarean section rate. Furthermore, stratified analysis of first-time pregnancies, minorities and different age groups showed that the odds of undergoing an emergency caesarean section was lower in the rural hospital, but the odds of undergoing a planned caesarean section was higher in the rural hospital.
conclusionsCaesarean section rates have increased in rural areas and the disparity in rural-urban areas has increased substantially over the years.
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