Volume 2, Issue 4 (12-2019)                   Iran J Health Insur 2019, 2(4): 184-197 | Back to browse issues page

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Agheli L, Assari A, Nasseri A, Asadi A A. Identifying and Analyzing the Economic, Social and Cultural Factors Affecting the Rate of Cesarean in Tehran. Iran J Health Insur 2019; 2 (4) :184-197
URL: http://journal.ihio.gov.ir/article-1-111-en.html
1- , aghelik@modares.ac.ir
Abstract:   (7131 Views)

Introduction: In addition to the scientific requirements and limitations and medical advice, other influential factors are involved in choosing cesarean section, including economic, social and cultural factors. Given the disadvantages of cesarean delivery for the individual and society and in order to achieve a standard rate of cesarean section and naturally reach a healthy population, the aim of this study is to understand, and analyze the reasons for cesarean delivery, especially identifying the economic and social factors affecting cesarean delivery. It is a way of giving birth. In addition to the economic and social factors, the researchers also consider the cultural factors that influence the choice of cesarean section in addition to the necessity of research.

Methods: The required data and information were collected by questionnaire and cross-sectional in a sample of 600 in Tehran in 2019-2018. Cochran method was used to select the optimal number of samples and valid statistical databases and related articles were also used in the research. Given the zero or one dependent variable of delivery method (natural delivery or cesarean section), data analysis was performed
using Logit discrete econometric models and STATA14 software.

Results: Research findings show that improving household economic conditions increases the probability of choosing cesarean delivery method. Also, among all the variables under study, cesarean delivery recommendation variable with numerical value (0.19) had the most final effect on probability of choosing and increasing cesarean rate. The least significant marginal effect on the likelihood of cesarean delivery belonged to variable “the number of hours of participation in prenatal periods” with a numerical value of - 0.003.

Conclusion: Overall, and as a final result, it can be concluded that the rate of cesarean section among women is influenced by a large number of individual, economic, social, cultural, medical and clinical variables, each of which has a small or incremental effect on the probability of cesarean delivery. But they all come together to form a large collection that can push the rate of cesarean beyond the international standard.

Full-Text [PDF 436 kb]   (1980 Downloads)    
Type of Study: Research | Subject: Special
Received: 2019/11/27 | Revised: 2020/03/14 | Accepted: 2020/01/4 | ePublished: 2020/03/14

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