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Korean J Women Health Nurs > Volume 17(2); 2011 > Article
Korean Journal of Women Health Nursing 2011;17(2):109-117.
DOI: https://doi.org/10.4069/kjwhn.2011.17.2.109   
Impact Factors of Korean Women's Cesarean Section according to Ecological Approach
Hyun Kyoung Kim
Division of Nursing Science, College of Health Science, Ewha Womans University, Seoul, Korea. leomommy@hanmail.net
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.
Key Words: Cesarean section; Ecology
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