Document Detail

Primary cesarean section rates in uninsured, Medicaid and insured populations of predominantly rural northern New England.
MedLine Citation:
PMID:  10437337     Owner:  NLM     Status:  MEDLINE    
Many studies in the United States during the past two decades have reported consistently lower cesarean section rates in women of lower socioeconomic status as defined by census tract, insurance status, or maternal level of educational attainment. This study sought to determine whether cesarean section rates in predominantly rural northern New England are lower for lower, compared with higher socioeconomic groups, as they are reported nationally and in more urban areas. Age-adjusted, primary cesarean section rates for privately insured, Medicaid and uninsured women were calculated using 1990 to 1992 uniform hospital discharge data for Maine, New Hampshire and Vermont. Age-adjusted cesarean section rates for insured women (15.71 percent) were significantly higher than those for Medicaid (14.35 percent) and uninsured (12.85 percent) women. These differences in the cesarean section rate between the insured and poorer populations in northern New England are much less than those reported elsewhere in the country.
D K Onion; D L Meyer; D E Wennberg; D N Soule
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Publication Detail:
Type:  Comparative Study; Journal Article; Research Support, U.S. Gov't, P.H.S.    
Journal Detail:
Title:  The Journal of rural health : official journal of the American Rural Health Association and the National Rural Health Care Association     Volume:  15     ISSN:  0890-765X     ISO Abbreviation:  J Rural Health     Publication Date:  1999  
Date Detail:
Created Date:  1999-08-27     Completed Date:  1999-08-27     Revised Date:  2007-11-14    
Medline Journal Info:
Nlm Unique ID:  8508122     Medline TA:  J Rural Health     Country:  UNITED STATES    
Other Details:
Languages:  eng     Pagination:  108-12     Citation Subset:  IM    
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MeSH Terms
Age Distribution
Cesarean Section / economics,  trends,  utilization*
Health Services Research
Insurance, Health / utilization*
Medicaid / utilization*
Medically Uninsured / statistics & numerical data*
New England / epidemiology
Patient Discharge / statistics & numerical data,  trends
Rural Health Services / utilization*
Socioeconomic Factors
United States
Grant Support
HS 06813 05/HS/AHRQ HHS

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine

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