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Loenzien Myriam de, Schantz C., Luu B. N., Dumont Alexandre. (2019). Magnitude and correlates of caesarean section in urban and rural areas : a multivariate study in Vietnam. Plos One, 14 (7), e0213129 [14 p.] ISSN 1932-6203

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Lien direct chez l'éditeur doi:10.1371/journal.pone.0213129

En Libre Accès sur HAL https://www.hal.inserm.fr/inserm-02264451

Titre
Magnitude and correlates of caesarean section in urban and rural areas : a multivariate study in Vietnam
Année de publication2019
Type de documentArticle référencé dans le Web of Science WOS:000484979500001
AuteursLoenzien Myriam de, Schantz C., Luu B. N., Dumont Alexandre.
SourcePlos One, 2019, 14 (7), e0213129 [14 p.] ISSN 1932-6203
RésuméCaesarean section (CS) can prevent maternal and neonatal mortality and morbidity. However, it involves risks and high costs that can be a burden, especially in low and middle income countries. The aim of this study is to assess its magnitude and correlates among women of reproductive age in the urban and rural areas of Vietnam. We analyzed microdata from the national Multiple Indicator Cluster Survey (MICS) conducted in 2014 by using a representative sample of households at the national level in both urban and rural areas. A total of 1,350 women who delivered in institutional settings in the two years preceding the survey were included. Frequency and percentage distributions of the variables were performed. Bivariate and multivariate logistic regression analyses were undertaken to identify the factors associated with CS. Odds ratios with a 95% confidence interval were used to ascertain the direction and strength of the associations. The overall CS rate among the women who delivered in healthcare facilities in Vietnam has rapidly increased and reached a high level (29.2%). After controlling for significant characteristics, living in urban areas doubles the likelihood of undergoing a CS (OR = 1.98; 95% CI 1.48 to 2.67). Maternal age at delivery over 35 years is a major positive correlate of CS. Beyond this common phenomenon, different distinct lines of socioeconomic and demographic cleavage operate in urban compared with rural areas. The differences regarding the correlates of CS according to the place of residence suggest that specific measures should be taken in each setting to allow women to access childbirth services that are appropriate to their needs.
Plan de classementSanté : aspects socioculturels, économiques et politiques [056]
Descr. géo.VIET NAM
LocalisationFonds IRD [F B010077002]
Identifiant IRDfdi:010077002
Lien permanenthttp://www.documentation.ird.fr/hor/fdi:010077002

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