• Health Policy and Management
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• v.21 no.4
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• pp.585-598
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• 2011

This study was conducted to examine the trend of national health insurance service use with relation to pregnancy, childbirth, and the puerperium among pregnant and postpartum women older than 35 over the last decade. A descriptive analysis was conducted, using the data which were drawn from the "nationwide claim database of Korean National Health Insurance Corporation(NHIC)". Data were composed of the total cases related to pregnancy, childbirth, and the puerperium (International Classification of Disease, $10^{th}$revision [ICD-10] codes O00-O99) from 2001 to 2008. During 2001-2008, the number of pregnant and postpartum women older than 35 had continuously increased and the percentage of them also had increased in both hospital and ambulatory care. There are similar trends in their total use of national health insurance service and total expenditure. According to demographic characteristics, there was the biggest increase of the percentage in residents in large cities, self-employed workers, ones in the highest income level. According to ICD-10 codes, there was the biggest increase of the percentage in O10-O16 (oedema, proteinuria and hypertensive disorders in pregnancy, childbirth and the puerperium). According to the major prevalent disease, there was the biggest increase of the percentage in O60 (preterm labor and delivery). Throughout the past decade, the necessity has been emphasized of supporting pregnant and postpartum women older than 35. But in maternal and child health care, they are in an early stage of development. The findings of this study would be helpful in developing the support programs for the aged pregnant and postpartum women.

• Korean Journal of Childcare and Education
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• v.8 no.1
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• pp.125-143
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• 2012

This study examined the cause of the low fertility rate by the Policy on Childbirth Encouragement demographic of married males, parenting burden, parental role satisfaction, and policy on childbirth encouragement perception. It also explored these factors of having an effect on the Plan to have another Child. The study method involved a survey answered by married males in Seoul, Gyung-gi, Incheon and a total of 188 copies were used for the final analysis. The data analyses used SPSS 12.0 which employs basic statistics, reliability tests, and binary logistic regression. The results were as follows: First, It turns out that couples who don't have many children and when the wife is not that old, particularly have high parental role satisfaction. And when they acknowledge the policy on childbirth encouragement, they tend to choose the 'Both Husband and Wife want to give birth' category. Second, the 'Only wife wants to give birth' category was chosen for those who have a small number of children and when a wife was currently not working and the husband was not satisfied with his parental role. Third, the 'Only husband wants to give birth' category tends to be chosen when couples have a small number of children and especially if the wife is working. Last, it was shown that coupless who have many children choose the 'Both husband and wife don't want to give birth' category.

• The Korean Journal of Applied Statistics
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• v.28 no.4
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• pp.685-701
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• 2015

The low fertility rate and the unprecedented rapid pace of population aging is a significant factor degrading the national competitiveness and the social security system of Korea. The government has implemented various maternity incentives to alleviate the low birth problem; however, the policy seems in effective to solve the problem of low fertility. This study proposes a conditional birth-order specific fertility rate and investigates the policy effects of fertility transition in Korea to provide a basis for more effective policy development. The use of a conditional birth-order specific fertility rate allows for an effective calculation of the change and the effect in total fertility rate than a birth-order specific fertility rate. We compare the effects of the total fertility rate according to various scenarios that enables us to calculate how the total fertility rate can achieve the current multi-child childbirth support policy of the government and estimate how the total fertility rate can be achieved when focusing on the first or second childbirth support policy. We also summarize the research results on policy development for a practical increase in the childbirth that considers the rapid decrease in women of childbearing age (15-49 years) due to continued low fertility and present the number of childbirths in accordance with the total fertility rate.

• Korean Journal of Social Welfare
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• v.57 no.4
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• pp.67-90
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• 2005

The purpose of this study is to analyze factors to affect low fertility and to investigate its implications to social welfare. For the purpose, I surveyed 360 married women and men in Gyeongnam province, and employed multi-regression, logistic regression model to process the data. I analyzed factors to influence low fertility in three aspects: demographic feature, socio-economic status, and personal sense of value. The results of analysis can be summarized as follows: (1) the period of marriage in demographic feature, income level in social economic status, and the necessity of children in personal sense of value are important factors to affect the current fertility level, (2) period of marriage, total numbers of children, gender of the first child are determining the future childbirth in demographic feature. Secondly, income level is interrelated to the future childbirth in socio-economic status. Thirdly, in the aspect of personal values, how much one needs to get married, how much one prefers son to daughter, how much one relies on one's children to realize one's dream are interrelated to the future childbirth, (3) the cost of bringing up a child as well as he expense of private education, lacking of a day nursery, and economic difficulty are causes to make people to postpone or give up childbirth. These results suggest that development of population policy to promote women's social participation and to strengthen family welfare as well as social welfare is necessary. These also implicates that if we pursue integrated policies on women, childcare, and education, we can get much more effective population welfare policy.

• Journal of Digital Convergence
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• v.19 no.2
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• pp.253-264
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• 2021

This study was conducted to investigate the relation between the experiences of domestic violence and marriage and childbirth intentions. It also tried to find out the mediating effect of self-efficacy and social support. The survey was conducted structured questionnaire targeting 291 college students. Data analysis was used SPSS 22.0 for t-test, ANOVA, Fisher's exact test, multilogistic regression and Sobel for mediating effect analysis. As a result, students who experienced domestic violence had lower childbirth intentions than those who had not experienced(p=.044), and their self-efficacy and social awareness were lower(p≦.000, p=.001). Self-efficacy was related to marriage and childbirth intentions of both students who experienced domestic violence and those who did not (p=.001, p≦.000). It was difficult to find the mediating effect of self-efficacy and social support in marriage and childbirth intentions. It is necessary for college students to properly recognize marriage and childbirth and to Improve their self-efficacy, and social efforts to lower domestic violence and Institutional improvement are needed.

• Journal of Families and Better Life
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• v.27 no.2
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• pp.191-201
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• 2009

The Korean Government has recently prepared the comprehensive five-year basic plan (2006-2010) to deal with low fertility and population ageing. The basic plan aims at recovering the fertility rate to the appropriate level and improving the social and economic systems in preparation for the aged society. The main objective of this study was to examine the effects of fertility policies on childbirth by birth order. The data came from 1,729 adults who gave birth to babies in 2007 and 991 adults as the control group. The serial logistic regression analyses revealed that establishing the health and nutrition system for maternity and children, and expanding of tax and social insurance benefit were effective policy measures to increase childbirths of first children, while the policy measures establishing the health and nutrition system for maternity and children, supporting for daycare and pre-school education, and work-life balance were effective to childbirths of second or third children in 2007. However, the policies of supporting for costs of test-tube baby and expanding childcare infra didn't have any significant influences on childbirths in 2007. The implications of study results were discussed.

• Journal of Korean Academy of Rural Health Nursing
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• v.3 no.2
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• pp.104-115
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• 2008

Purpose: A study of the family planning and Maternal-Child Health Services that disciplined itself in primary health care post form 1980 to 2009. Method: Investigation studies family planning in primary health care post and a change process of a Maternal-Child Health Services into case by case until 2009 from 1980. Results: Our country family planning business began at economic development dimensions in order to solve a poverty issue. This business goal were childbirth decrease of pregnancy possibility couple aged 19~49 and improve to mother and child health. For this goal, all kinds of health education included sex education and contraception education, contraception service, comprehensive maternal and child health service that management of front and back of childbirth etc. are provided. According to fail down a birthrate from 6.0(1962) to 1.25(2009), the nation reached to a dilemma called childbirth encouragement policy. Conclusions: Decrease of labor supply by low birthrate, decrease numerical an employed person by aging was brought a labor shortage and decrease of productivity of labor of industrial manpower. Deterioration phenomenon of financial income and expenditure by consumption and investment contraction caused decrease of slowdown of economic growth and potential growth rate, and a social cost burden is increased by deterioration financial old man support burden increase by this and pensions and health insurance, a sharp increase of social welfare cost etc. Now, in order to solve a low birth issue, the government establishes a whole nation forwarding system and establishes basic plan social low birth and advanced age, and to prepare for childbirth fault factors removal and advanced age society shall endeavor.

• Journal of the Korea Academia-Industrial cooperation Society
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• v.14 no.11
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• pp.5627-5635
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• 2013

The purpose of this study was to determine factors of women's satisfaction of hospital environment following childbirth. Data were collected using a structured questionnaire from 783 women visited at 101 hospitals for delivery and frequencies, t-test, ANOVA, Pearson's correlation, and multiple regression analyses were performed. Women's satisfaction was significantly related with personal and environmental factors. Specifically, a kind of patient room, using a shared room regardless of their preference, using family delivery room, planned hospitalization, gestational week at delivery, and hospital locations significantly predicted the variance of women's satisfaction. Therefore, hospital user satisfaction should be carefully understood as a consequence of interaction of person and environment and the level of satisfaction can be represented by the degree of congruency between personal and environmental characteristics. Furthermore, healthcare providers should develop strategies to reduce gaps between personal preferences/will/control and environmental situations, contributing to women's satisfaction with hospital following childbirth.

• Journal of Digital Convergence
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• v.17 no.2
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• pp.195-200
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• 2019

Nowadays as the use of mobile communication devices such as smart phones and tablets and the use of Computer is expanded, data is being collected exponentially on the Internet. In addition, due to the development of SNS, users can freely communicate with each other and share information in various fields, so various opinions are accumulated in the from of big data. Accordingly, big data analysis techniques are being used to find out the difference between the response of the general public and the response of the media. In this paper, we analyzed the public response in SNS about child allowance and childbirth grant and analyzed the response of the media. Therefore we gathered articles and comments of users which were posted on Twitter for a certain period of time and crawling the news articles and applied sentiment analysis. From these data, we compared the opinion of the public posted on SNS with the response of the media expressed in news articles. As a result, we found that there is a different response to some national policy between the public and the media.

• The Journal of the Korea Contents Association
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• v.22 no.1
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• pp.74-85
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• 2022

Along with the change in the values of marriage and the prevalence of non-marriage in Korean society, a new form of family composition called unmarried birth or non-maritalism childbirth has appeared, and social discussion in taking place in connection with the problem of a decrease in the birthrate. Using sentiment analysis and social network analysis, this research explored how the people's sentiment and perception has changed toward 'nonmarital birth.' The data used is comments on news articles from the period of November 2020 to August 2021. As a result of the study, there were a lot of positive comments during the social issue period by marriage, whereas there were many negative comments from the policy agenda to the policy making period. As a result of co-occurrence network analysis, the topic of family norm, policy, and personal aspect appeared. This study is significant in that it revealed that negative perceptions prevailed during the policy-making process after the issue of unmarried births after the issue of unmarried births, and it became a cornerstone of social discussion on unmarried births