文章基本信息

标题：Assessing the Factors Affecting Cesarean Section Selection in Ira-nian Women Using Multilevel Count Models with Excess Zeros
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作者：Eghbal Zandkarimi ; Abbas Moghimbeigi ; Hossein Mahjub 等
期刊名称：Iranian Journal of Public Health
印刷版ISSN：2251-6085
电子版ISSN：2251-6093
出版年度：2021
卷号：50
期号：4
DOI：10.18502/ijph.v50i4.6008
语种：English
出版社：Tehran University of Medical Sciences
摘要：Background: Iran has ranked second in the frequency of cesarean delivery (CD) and this rate in 2014 has increased by 56 percent. The CD has multiple complications for the woman and newborn, and due to the women's readmission after surgery impose additional costs to the countries. Although CD has many complications and is not recommended by obstetrician and midwives; some factors affect the choice of this method of delivery. Methods: We used data from the Iranian Institute for Health Sciences Research (IIHSR) in 2015. We studied the effects of factors such as socioeconomic and demographic factors and supplemental insurance status in the choice of CD. We used multilevel Zero-Inflated models for the modeling of data. Results: The employed women resident in urban areas with the high-income and age greater than 34-yr old and supplemental insurance more likely chose CD. On the other hand, women with high education level, women who use at least one media (e.g. Radio, television, etc.) and women that use contraceptive methods have chosen the less CD. Conclusion: Our findings highlighted the importance of supplemental insurance and socio-economic status in choosing a CD by women. However, in some cases especially in the rich class of society, the high cost of this type of delivery does not affect the choice decrease of it, and governments should adopt rigorous policies in using this method.
关键词：Cesarean delivery; Vaginal delivery; Multilevel models; Zero-inflated