Taiwan's high rate of cesarean births: Impacts of National Health Insurance and fetal gender preference

Tsai Ching Liu, Chin Shyan Chen, Yi Wen Tsai, Herng Ching Lin

Research output: Contribution to journalArticle

14 Citations (Scopus)

Abstract

Background: Taiwan has a high rate of cesarean section, approximately 33 percent in the past decade. This study investigates and discusses 2 possible factors that may encourage the practice, one of which is fetal gender difference and the other is Taiwan's recently implemented National Health Insurance (NHI). Methods: A logistic regression model was used with the 1989 and 1996 National Maternal and Infant Health Survey and with the 2001 to 2003 NHI Research Databases. Results: Using survey data, we found a statistically significant 0.3 percent gender difference in parental choice for cesarean section. However, no statistically significant difference was found in the rate of cesarean section before and after NHI implementation. Conclusions: Taiwan's high cesarean section rate is not directly related to financial incentives under NHI, indicating that adjusting policy to lower financial incentives from NHI would have only limited effect. Likewise, focusing effort on the small gender difference is unlikely to have much impact. Effective campaigns by health authorities might be conducted to educate the general population about risks associated with cesarean section and the benefits of vaginal birth to the child, mother, and society.

Original languageEnglish
Pages (from-to)115-122
Number of pages8
JournalBirth
Volume34
Issue number2
DOIs
Publication statusPublished - Jun 2007

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Birth Rate
National Health Programs
Taiwan
Cesarean Section
Motivation
Logistic Models
Health Surveys
Health Promotion
Mothers
Parturition
Databases
Research
Population

Keywords

  • Cesarean section
  • Fetal gender
  • National Health Insurance

ASJC Scopus subject areas

  • Obstetrics and Gynaecology
  • Nursing(all)

Cite this

Taiwan's high rate of cesarean births : Impacts of National Health Insurance and fetal gender preference. / Liu, Tsai Ching; Chen, Chin Shyan; Tsai, Yi Wen; Lin, Herng Ching.

In: Birth, Vol. 34, No. 2, 06.2007, p. 115-122.

Research output: Contribution to journalArticle

Liu, Tsai Ching ; Chen, Chin Shyan ; Tsai, Yi Wen ; Lin, Herng Ching. / Taiwan's high rate of cesarean births : Impacts of National Health Insurance and fetal gender preference. In: Birth. 2007 ; Vol. 34, No. 2. pp. 115-122.
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