Evidence map›Paper›PMID 31805886›Full record

ArticleBMC pregnancy and childbirth2019

Social determinants of delivery mode in Jiangsu, China.

Hong Fan, Hai Gu, Hua You, Xinpeng Xu, Yun Kou, Nichao Yang

Abstract read
In one paragraph

Article in BMC pregnancy and childbirth, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 5 papers.

0numbers the graph read from it
0cells of the map it votes in
5citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

5 citing papers in PubMed.

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4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

6 authors.

Hong FanCenter for Health Policy and Management Research, Nanjing University, 22 Hankou Road, Nanjing, People's Republic of China. fanhong@njmu.edu.cn.
Hai GuCenter for Health Policy and Management Research, Nanjing University, 22 Hankou Road, Nanjing, People's Republic of China. 503192818@qq.com.ORCID http://orcid.org/0000-0002-3572-3052
Hua YouCenter for Health Policy and Management Research, Nanjing University, 22 Hankou Road, Nanjing, People's Republic of China.
Xinpeng XuCenter for Health Policy and Management Research, Nanjing University, 22 Hankou Road, Nanjing, People's Republic of China.
Yun KouCenter for Health Policy and Management Research, Nanjing University, 22 Hankou Road, Nanjing, People's Republic of China.
Nichao YangCenter for Health Policy and Management Research, Nanjing University, 22 Hankou Road, Nanjing, People's Republic of China.

Funding

China Postdoctoral Science Foundation 2016M600400National Natural Science Foundation of China 71503139Natural Science Research of Jiangsu Higher Education Institutions of China 16KJB330002Philosophy and Social Science Research of Jiangsu Higher Education Institutions of China 2017SJB0267
6 · The paper itself

Abstract

backgroundLess evidence exists regarding the association of social determinants and delivery mode in Jiangsu, and if the trend is influenced by the type of residence. This study aims to identify the significant social determinants of delivery mode, and also to compare the main differences in delivery mode between urban and rural areas.

methodsWe used data from the cross-sectional National Health Service Surveys conducted in Jiangsu Province in 2013. For the purposes of this study, information from women (15-64 years old) who had experienced childbirth the last 5 years were examined, and a total of 1365 participants were selected as research subjects.

resultsParticipants using vaginal delivery mode and cesarean delivery mode were found in 616 (45.1%) and 751(54.9%) participants, respectively. The proportion of women using cesarean delivery was 53.5% in rural area and 58.2% in urban area. Meanwhile, our results showed that women in middle Jiangsu were more likely to use cesarean delivery, and cesarean delivery is more prevalent among richer women. We also find that the more use of prenatal care visit, the more use of cesarean delivery.

conclusionsThis study validated the relationship between social determinants and the mode of delivery in Jiangsu province. Social determinants are contextual factors, which may vary by region and additional work is needed to fully understand these relationships globally. Further studies are needed to elucidate mechanisms and pathways across various populations, and these social determinants should be incorporated into future multi-level interventions designed to decrease the cesarean delivery rate.

Indexed as

AdolescentAdultCesarean SectionChinaCross-Sectional StudiesDelivery, ObstetricFemaleHumansLogistic ModelsMiddle AgedParturitionPregnancyPrenatal CareRural PopulationSocial Determinants of HealthSocioeconomic FactorsChinaDelivery modeJiangsuSocial determinants

Identifiers

PMID31805886
PMCPMC6894495

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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.