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dc.contributor.authorHernández-Vásquez, Akrames_ES
dc.contributor.authorChacón-Torrico, Horacioes_ES
dc.contributor.authorBendezu-Quispe, Guidoes_ES
dc.date.accessioned2022-10-17T13:27:33Z
dc.date.available2022-10-17T13:27:33Z
dc.date.issued2021-07-08
dc.identifier.urihttps://hdl.handle.net/20.500.13053/6858
dc.description.abstractBackground There is a global concern about the high rates of cesarean birth (CB). This study aimed to investigate the geographic and socioeconomic inequalities in CB rates in the Peruvian population. Methods We conducted a population-based study using the Peruvian Demographic and Family Health Surveys (ENDES, the Spanish acronym for Encuesta Demográfica y de Salud Familiar) between 2009 and 2018. ENDES reported data from births registered in the five years preceding survey execution. For the years 2009 (n = 10 289) and 2018 (n = 23 077), we calculated the weighted rates of CB among variables such as natural geographic domain (Coast, Andean, or Amazon), area of residence (rural or urban), wealth index quintile (quintile 1 is poorest, and quintile 5 is richest), and educational level. To assess inequalities, we calculated the concentration index (CIs), the slope index of inequality (SII), and the relative index of inequality (RII). Results The CB rates by year were 21.4% (95% confidence interval [CI]: 20.0-22.9) in 2009 and 34.5% (95% CI: 33.4-35.5) in 2018. Women living in urban and coastal regions and with a higher education level had the highest CB rates. All the CIs were positive, reflecting a prowealthy inequality in CB rates, and both SII and RII were positive, indicating a gap between the use of cesarean in women in the higher wealth quintile compared with those in the lower quintile. Conclusions Cesarean birth rates have increased by 60% during the last decade in Peru. The richest wealth quintiles had the highest CB rates during the study years, which were well above global recommendations.es_ES
dc.formatapplication/pdfes_ES
dc.language.isoenges_ES
dc.publisherJohn Wiley and Sons Inces_ES
dc.rightsinfo:eu-repo/semantics/openAccesses_ES
dc.rights.urihttps://creativecommons.org/licenses/by/4.0/es_ES
dc.subjectcesarean section, health care disparities, health surveys, maternal health, maternal health services, Perues_ES
dc.titleGeographic and socioeconomic inequalities in cesarean birth rates in Peru: A comparison between 2009 and 2018es_ES
dc.typeinfo:eu-repo/semantics/articlees_ES
dc.identifier.doihttps://doi.org/10.1111/birt.12572es_ES
dc.type.versioninfo:eu-repo/semantics/publishedVersiones_ES
dc.publisher.countryGBes_ES
dc.subject.ocdehttp://purl.org/pe-repo/ocde/ford#3.03.00es_ES


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