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Article analysis:

This article provides a detailed analysis of the rural-urban disparities in caesarean section rates using electronic health records from three major public hospitals located in the Province of Inner Mongolia, which is a minority area in Northeastern China. The authors used multinomial regression analyses to examine the data from 61,903 women who gave birth between January 2012 and December 2016. The results showed that caesarean section rates were significantly higher in rural compared to urban hospitals (48% vs 38%), and this disparity consistently increased over time.

The article is well written and provides a comprehensive overview of the research conducted by the authors. The methods used are appropriate for this type of study and provide reliable results. Furthermore, the authors have taken into account potential confounding factors such as maternal age, ethnicity, health insurance type, employment status, reproductive history and newborn’s sex when conducting their analyses.

However, there are some potential biases that should be noted when interpreting these results. Firstly, the study was conducted in only one province in China which may limit its generalizability to other regions or countries with different healthcare systems or cultural norms regarding childbirth practices. Secondly, it is possible that some of the data collected may be incomplete or inaccurate due to errors made during data entry or coding errors which could lead to inaccurate conclusions being drawn from the analysis. Finally, it is important to note that while this study provides valuable insights into rural-urban disparities in caesarean section rates among minority populations in China it does not explore any potential causes for these disparities or suggest any interventions that could be implemented to reduce them.