• Asia-Pacific Journal of Business
• /
• v.15 no.1
• /
• pp.335-352
• /
• 2024

Purpose - Low fertility rate is a serious problem, and this study analyzes factors affecting total fertility rate using panel data from 16 metropolitan cities and provinces in Korea from 2000 to 2022. Design/methodology/approach - Estimating the SAR model considering the weak cross-sectional dependence that exists in variables related to the regional total fertility rate, and using the DKSE estimation method considering the strong cross-sectional dependence. Findings - Estimation results considering weak and strong cross-sectional dependence were similar, confirming the robustness of the results. Female labor force participation rate has a positive effect on total fertility rate, and employment rate has no effect. However, the interaction term is a negative (-) sign. Crude marriage rate has a positive effect on total fertility rate, and apartment price has a slightly positive effect. Environmental factor has no effect, and policy factor has a negative effect. Research implications or Originality - In order for an increase in the female labor force participation rate to lead to an increase in the total fertility rate, qualitative improvements in female employment must be made. Financial investment policies for childbirth must increase their effectiveness. The problem of low fertility rate requires not only population policy but also social, economic, cultural, environmental, and policy conditions to be considered.

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

• Korean Journal of Psychosomatic Medicine
• /
• v.30 no.2
• /
• pp.99-111
• /
• 2022

Akey factor in evolution is reproduction, which is also a major concern in medicine. Evolutionists have proposed many theories and hypotheses to explain the low fertility rates of modern industrial societies, which are contrary to maximization of biological fitness. Given that childbirth is the most significant factor affecting reproductive fitness, it is likely that a variety of psychological modules related to childbirth behavior and intention evolved over time. Several evolutionary psychological modules have been proposed in relation to reproduction, including sexual desire, status-seeking, a need for nurturing, and the desire for children. Previously adaptive psychological modules may now be expressed maladaptively due to the discrepancy between the Environment of Evolutionary Adaptedness (EEA) and the environment of modern industrial society. Several evolutionary ecological factors influence childbirth intention in modern society, including individual personality factors, childhood life history experiences, and socioecological factors throughout reproductive life. By focusing on mental, social, and ecological factors, this review examines several hypothetical models relating to evolutionary psychological factors and childbirth decisions in modern industrial society, as well as a possible explanation for the low birth rate.

• The Journal of Korean Obstetrics and Gynecology
• /
• v.26 no.4
• /
• pp.82-93
• /
• 2013

Purpose: The aim of this study was to investigate the relation between peripheral blood leukocyte differential - Granulocyte rate, Lymphocyte rate and its calculated Granulocyte/Lymphocyte ratio - and the obstetric variables. Methods: From 270 cases of women who were in the postpartum care center attached to Won-Kwang Korean Medical Hospital, 36 cases met exclusion criteria. On the obstetric variables of 234 cases, peripheral blood leukocyte differential - Granulocyte rate, Lymphocyte rate and its calculated Granulocyte/Lymphocyte ratio - was analyzed. In the postpartum care center, the obstetric variables were asked of 234 cases of women, and who measured leukocyte differential. Results: Mean granulocyte rate and lymphocyte rate of peripheral blood leukocyte differential showed statistically significant difference from those in healthy people and was high. There was statistically significant difference in granulocyte/lymphocyte ratio according to mood of delivery, parity and period passed from childbirth. But whether postpartum women with anemia or not, maternal age and gender of neonate were not associated with granulocyte/lymphocyte ratio, and which was not significantly correlated with gestational age and neonatal birth weight. Conclusions: These findings suggest that activation of the sympathetic nervous system in postpartum women is higher than in healthy people. And granulocyte/lymphocyte ratio was influenced by mood of delivery, parity and period passed from childbirth. In future, more studies or surveys, with less bias, for the relation between peripheral blood leukocyte differential and the obstetric variables are required.

• Proceedings of the Korean Institute of Information and Commucation Sciences Conference
• /
• 2021.05a
• /
• pp.496-498
• /
• 2021

In Korea, based on the high fertility rate before 1980, the total population has been steadily increasing, and since the mid-1980s, the fertility rate has fallen sharply and has fallen below the level of population replacement. The cause of low birth rate in the region is not voluntary rejection, but rather, it is necessary to find out the cause by identifying the structural causes of the local community from various angles. We collected local Internet news and local representative cafe data, where many mothers participate, based on the budget area with a very low fertility rate among various areas. Factors of childbirth inhibition were analyzed by using the frequency of concurrent words that became issues related to population decline, low birthrate, and child-rearing welfare.

• Korean Journal of Family Social Work
• /
• no.55
• /
• pp.129-156
• /
• 2017

The study was conducted to identify factors that affect the first childbearing decisions among married working women in South Korea and thereby to gain insight into effective ways to improve relatively low fertility and unfavorable workplace conditions for women of childbearing age. This study used the merged data(1st-5th waves) from Korean Longitudinal Survey of Women and Families (KLoWF), which were measured by the Korean Women's Development Institute. With 1,020 married business women, cross tab and binary logistic regression were conducted to determine which factors were significantly associated with the first childbearing decisions.

• Journal of The Korea Institute of Healthcare Architecture
• /
• v.28 no.3
• /
• pp.47-54
• /
• 2022

Purpose: This study presents the analysis on space usage of delivery departments in regional public hospitals. The results intention is to achieve improvement of the delivery environment for the mothers and newborns regarding exposure prevention and efficient infection control. The purpose of this study is to provide fundamental data for architectural plans and guidelines for the delivery department. Method: The investigation and analysis were based on research papers, legal systems, public medical statistical data, and the architectural floor plan drawing. For research, 20 regional public hospitals with an operating delivery room were excluded. Regarding data accessibility, 15 regional public hospitals were selected. Results: To overcome the increased vulnerability of the delivery department, the research results of basic data is provided for the establishment to address urgent needs and rapid response. Thus, the research results are as follows: Firstly, the delivery department needs to respond promptly according to the type of patients. For example, in a case of emergency surgery, a connected circulation plan with the related departments is needed. Secondly, for the environment of the delivery area, alleviating anxiety is imperative for pregnant patients and guardians, labor, childbirth, and recovery. Therefore, these needs must be addressed for treatment space and circulation. Lastly, the delivery department is classified into three areas for analysis: access area, treatment area, and support area. In most of the delivery departments of the 15 selected hospitals, there is no space for the access and support area except for the labor and delivery rooms in the treatment area. For the access area, a waiting area, changing room for pregnant women and guardians, and a storage space for contaminated linens are required for infection prevention, safety, and efficiency. For the treatment area, childbirth processes and circulation should have space reserved for labor, delivery, recovery, examination, and treatment. In preparation for an emergency during childbirth, emergency response measures and supporting space needs to be established. For the support area, circulation and rooms are to be designed for medical staff support, activity space, storage and transportation of equipment, and urgent medical treatment. Implications: Along with the low fertility rate and the decrease of medical institutions that operate delivery departments, for the purpose of establishing a public medical service system and a healthy medical environment for mothers and newborns, the researched information demonstrates basic data on space plan of delivery departments in regional public hospitals.

• Journal of Labour Economics
• /
• v.40 no.4
• /
• pp.33-59
• /
• 2017

In this paper, we describe the economic model of Becker's demand for child and examine whether the number of children and spending on private education in Korea can be explained by this model. The results show that household income has no significant effect on the number of children but has a significant positive effect on the spending on private education per child. These results suggest that the low fertility rate in Korea may increase the demand of parents for the quality of their children due to the increase of household income. And the higher the household income, the parents' education level and the child's age, the higher the spending on private education per child. These results show that there is a possibility of education and wealth transfer between parents and children through educational investment.

• Journal of Korean Academy of Nursing
• /
• v.47 no.6
• /
• pp.713-730
• /
• 2017

Purpose: This study was a systematic review and meta-analysis designed to evaluate the effects of breastfeeding intervention on breastfeeding rates. Methods: Based on the guidelines of the Preferred Reporting Items for Systematic Reviews and Meta-analyses (PRISMA), a systematic search was conducted using eight core electronic databases and other sources including gray literature from January 9 to 19, 2017. Two reviewers independently select the studies and assessed methodological risk of bias of studies using the Cochrane criteria. The topics of breastfeeding interventions were analyzed using descriptive analysis and the effects of intervention were meta-analyzed using the Review Manager 5.2 software. Results: A total of 16 studies were included in the review and 15 were included for meta-analysis. The most frequently used intervention topics were the importance of good latch-on and frequency of feeding and determining adequate intake followed. The pooled total effect of breastfeeding intervention was 1.08 (95% CI 1.03~1.13). In the subgroup analysis, neither pre-nor post-childbirth intervention was effective on the breastfeeding rates at 1, 3, and 6 months, and neither group nor individual interventions had an effect. Only the 1 month breastfeeding rate was found to be affected by the individual intervention with the persistent strategies 1.21 (95% CI 1.04~1.40). Conclusion: Effective breastfeeding interventions are needed to help the mother to start breastfeeding after childbirth and continue for at least six months. It should be programmed such that individuals can acquire information and specific breastfeeding skills. After returning home, there should be continuous support strategies for breastfeeding as well as managing various difficulties related to childcare.

• Korea Journal of Hospital Management
• /
• v.25 no.4
• /
• pp.29-37
• /
• 2020

Purposes: This study purposed to identify influence of postpartum care services on health-related quality of life in women after birth. Methodology: Korea Health Panel Survey 2009-2015 provided by the Korea Institute for Health and Social Affairs and National Health Insurance Service was used for the analysis. The health-related quality of life evaluate as a EuroQoL-5D(EQ-5D-3L, used the weight of the CDC) was used as dependent variables. Postpartum care services was used as independent variable. Demographic factors(education, economic activity, region, house income), health related variable(presence of chronic disease, self-rated health), birth related variable(birth-related problem, childbirth, pregnancy of advanced maternal age) used as covariates. Regression analysis was used. Findings: The rate of use of postpartum care services is increasing year by year. Postpartum care services and self-rated health positively influence on the health-related quality of life in women after birth and chronic disease and birth-related problem negatively influence on. Practical Implications: Therefore, it is necessary that the government's policy of the postpartum care service be expanded and systematized to increase accessibility on. There are rare studies on the health-related quality of life of women after childbirth, adjusted for birth-related variables. So this study has significance.