| Titre : | Inequalities in caesarean section : influence of the type of maternity care and social class in an area with a national health system. (2009) |
| Auteurs : | J. SALVADOR ; BORRELL (C.) : ESP. Universitat Pompeu Fabra. Barcelona. ; G. CANO-SERRAL ; LLADONOSA (A.) : ESP. Adknoma. Barcelona. ; M. RODRIGUEZ-SANZ ; Ciber de Epidemiologia y Salud Pûblica Ciberesp. ESP ; Servei de Sistemes d'lnformacio Sanitària. Agència de Salut Pûblica de Barcelona. ESP |
| Type de document : | Article |
| Dans : | Journal of epidemiology and community health (vol. 63, n° 3, 2009) |
| Pagination : | 259-261 |
| Langues : | Anglais |
| Mots-clés : | Césarienne ; Soins ; Inégalité sociale ; Classe sociale ; Système santé ; Thérapeutique ; Thérapeutique chirurgicale ; Chirurgie |
| Résumé : | [BDSP. Notice produite par INIST-CNRS CqR0xH8t. Diffusion soumise à autorisation]. Objective : To analyse the impact of social class inequalities and type of maternity unit in the use of caesarean sections (CSs) among residents in an urban area of Southern Europe. Design : This was a cross-sectional study. The study population consisted of 2186 women resident in Barcelona city who gave birth to an infant without any birth defect during 1994-2003. The dependent variable was the type of delivery. Maternal age, social class and type of maternity unit (public or private) were independent variables. Maternal age-adjusted logistic regression models were used. Results : 30% of deliveries ended in CS ; 70% of less privileged women delivered in public maternity units and 72% of more privileged women delivered in private centres. A relationship between CS and social class was observed (OR 1.4 ; 95% Cl 1.1 to 1.7), but disappeared when the analysis was done separately for each stratum of type of maternity unit (both ORs 1.0). In contrast, a relationship between CS and type of maternity unit was found (OR 2.3 ; 95% Cl 1.9 to 2.7), which persisted when the analysis was done separately for each stratum of social class. Conclusion : Although strongly related to higher social class, the main determinant of the high proportion of CSs was delivering in private maternity units. |
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