• Child Health Nursing Research
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• 제14권2호
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• pp.186-194
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• 2008

Purpose: The purpose of this study was to describe the pregnancy and childbirth experience of unmarried teenage mothers and to provide basic information of programmes to prevent unplanned pregnancies in unmarried teenage mothers. Methods: The participants of study were 7 unmarried teenage mothers who lived in shelters in D city, and whose ages ranged from 15 to 19 years. Data gathering through in-depth interviews, 3 to 5 times, was done from August 2002 to September 2003. Data were analyzed with Colaizzi's(1978) phenomenological methodology. Results: The implications of pregnancy and childbirth experience for unmarried teenage mothers were "Seem to live in hell", "Desire for a miscarriage", "Lethargy", "Feel maternity", "Feel unjustified", and "Change of sexual perception". Conclusion: These findings contribute to understanding the pregnancy and childbirth experience of unmarried teenage mothers and can be used as sexual education information to help unmarried teenage mothers to prevent further unplanned pregnancies.

• 한국학교ㆍ지역보건교육학회지
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• 제23권4호
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• pp.29-39
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• 2022

Objectives: The purpose of this study was to assess the incidence of delivery and puerperium complications in South Korea and analyze the correlations between the patient's characteristics and delivery and complications before and after 10 years. Methods: This study used the data from an Korean National Hospital Discharge In-depth Injury Survey. Cases of which the principal diagnosis and second diagnoses were disease classification ICD code O00-O99(Pregnancy, childbirth and the puerperium) were defined as the study subjects, and the first study group was divided as the year of discharge from 2005 to 2007, and the second study group from 2015 to 2017. Results: The number of patients discharged whose principal diagnosis or second diagnoses was O00-O99 was 21,598(Weighted 423,306) from 2005 to 2007 and 19,028(Weighted 364,384) from 2015 to 2017, which decreased by 13.9% compared to 10 years ago. The average age of discharged patients increased by about 2 years and was statistically significant (p<.0001). Factors associating spontaneous delivery, caesarean section and puerperium complication were hospitalization route, bed size, maternal age, length of hospital stay, and the year of discharge. Conclusion: Based on the results of this study, health and education policies and economic support for medical care for high-risk pregnancy and delivery management would be necessary continuously. In addition, policies to strengthen the medical system for high-risk pregnancy management in non-metropolitan areas with high fertility rates would also be needed.

• 한국인구학
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• 제32권1호
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• pp.1-23
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• 2009

본 논문에서는 설문조사자료를 이용하여 1940년대 이후 출생한 우리나라 여성들의 연령별 출산율, 연령별 누적출산율, 결혼연령을 5개의 출생코호트별로 살펴보고 위험도 모형을 이용하여 결혼연령 및 결혼 이후 초산까지의 간격에 영향을 미치는 요인을 각각 분석하였다. 먼저 연령별 출산율을 보면 출생시기가 늦은 코호트일수록 출산율이 최고수준에 이르는 연령이 높아지는 것으로 나타났다. 한편 연령별 누적출산율은 50년대 코호트와 60년대 코호트의 경우 각각 직전 코호트에 비해 누적출산율이 크게 하락하였으나 70년대 코호트나 80년대 코호트는 60년대 코호트에 비해 누적출산율에 있어서 별다른 차이를 보이지 않았다. 결혼연령을 보면 최근의 출생코호트로 올수록 결혼연령이 높아졌다. 한편, 결혼 위험도 모형을 추정한 결과에 의하면 여성의 출생시기가 늦을수록 그리고 교육수준이 높을수록 결혼연령이 높아지는 것으로 나타났으며 특히 출생시기의 영향은 그간 진행된 여성의 취업기회의 확대와 여성의 상대적 지위의 향상 등 경제적 및 사회문화적 변화를 종합적으로 반영하는 것으로 해석된다. 다음으로 결혼 이후 첫 자녀의 출산 위험도의 경우에는 출생시기나 결혼시기 모두 유의한 영향을 미치지 않는 것으로 분석되었다. 한편, 결혼 이후에도 상당기간 취업상태를 유지한 여성의 경우 출산 위험도가 크게 낮았으며 또한 중졸 이하 학력을 가진 여성은 여타 수준의 학력을 가진 여성에 비해 출산 위험도가 낮은 것으로 나타났다. 이는 여성의 취업이나 낮은 가구소득이 출산율을 낮추는 중요한 요인임을 의미하는 것으로 중요한 정책적 시사점을 가진다.

• 한국가족관계학회지
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• 제21권1호
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• pp.77-98
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• 2016

Objectives: The aim of this study was to explore perceived meanings of dating and marriage among well-educated Korean couples who were in optimal marriageable ages. Particularly, an emphasis was placed on finding out where the traditional gender norms and post-modern contexts intersect on the couples' course of dating and marriage. Method: We undertook a qualitative analysis of 8 couples (age: 26-34) dating. Participants were limited to university graduates of upper-middle rank universities in Seoul, South Korea. The rationale for choosing such sample was based on the idea that characteristics of class is inherent in the act of dating and marriage, and that such characteristics lead to different contextual experiences in dating and marriage. This study was based on interviews conducted over a three-month time span. The interviews were first transcribed into research text and then subjects and key categories were drawn from the transcripts for analysis. Results: Participants sought meanings of joy, learning, and self-improvement in dating, and they were free from traditional gender norms in their romantic relationships. They viewed marriage as having a permanent companionship with their partner, becoming independent from their parents, and/or a social norm to be followed. Participants reported mixed perceptions about marriage in such fashion that they described their parents' relationship in terms of a gendered leader-supporter relationship, while viewing their own relationship as being genderless partners. In transition to parenthood, however, they regressed to traditional gender norms dichotomized as women being a homemaker and men being a breadwinner. In sum, participants displayed expectations that were inconsistent with regard to dating and marriage over the study period. That is, during the course of dating and early marriage, they did not hold separated gender norms; however, when transitioning from being a newly married couple to giving their first childbirth, expectations shifted to traditional gender norms and values. Conclusion: This suggests that it is not marriage, but the experience of childbirth and motherhood, which strengthen traditional gendered norms, engendering regeneration of the gender norms in families. The results indicate that there is a need to promote co-parenting behavior among the newly-married couples and to educate gender equality about parent roles or for parents in South Korea so that they can overcome traditional gendered norms in family.

• 가족자원경영과 정책
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• 제24권2호
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• pp.69-87
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• 2020

The purpose of this study was to identify the factors related to the willingness to have a child, parental age at first child's birth, and the planned number of children. The data came from the Korean General Social Survey from the Survey Research Center at Sung Kyun Kwan University. The sample data set included 488 men and women between the ages of 18 and 49. The major findings are as follows. First, gender, age, satisfaction with family relations, the value of marriage, the value of family succession, and willingness to increase spending on education significantly affected the willingness to have a child among unmarried and married participants without children. Second, among people willing to have a child, the factors that influenced parental age at first child's birth were gender, education, satisfaction with household economic condition, the value of marriage, and the willingness to increase spending on education. Third, across the sample, the planned number of children was decided by satisfaction of family relations, the value of childbirth, the value of marriage, and home ownership. Overall, the value of marriage was the factor most strongly associated with the three dependent variables. The more a person agree with living with their partner before marriage, the more willing they were to give birth, the younger they were when they became a parent, and the more children they planned to have. The higher satisfaction of family relations, the higher willingness to have a child, and the more children a participant planned to have. In addition, the more a participant was willing to increase spending on education, the higher their willingness was to have a child and the older they were when they became a parent.

• 한국병원경영학회지
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• 제25권4호
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• pp.38-47
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• 2020

Purposes: The problem in the recent immigration policy and social policy changes for foreigners is that the preliminary analysis or research on the actual impact of the influx of foreigners has not been done enough in Korea yet.. This study is to examine the impact of the Korean health insurance finances on the influx of foreigners. Approach: This study analyzed the health insurance statistics for foreigners and overseas Koreans of the Health Insurance Corporation from 2013 to 2017. The data is the "Status of Health Insurance Premiums for Nationals, Foreigners, and Overseas Koreans from 2013 to 2017" submitted by the National Health Insurance Service to the Health and Welfare Committee during the 2018 National Audit Period. Findings: To summarize the analysis, first, the proportion of foreigners was only 1% of all subscribers (1.7% at work, 1.9% in regions) until 2017. Second, employees at work have a lower pay-to-pay ratio, and local subscribers have a higher pay-to-pay rate, regardless of nationality. Third, as immigrants are mostly concentrated in younger ages, they are healthy and use of hospitals is relatively low. Fourth, in terms of gender distribution, there are many women of childbearing age due to marriage immigration among foreign local subscribers, and more men use hospitals than workers who have a high proportion of males due to childbirth. In conclusion, the impact of immigration on health insurance finances is not large, and has a positive effect on finances. Practical Implications: If we simply consider the financial aspect, encouraging foreigners to subscribe to health insurance has a positive effect on finances. In particular, the more foreign workers are enrolled, the greater the financial gain. In particular, increasing the employment of foreign women through language education, vocational training, and employment support will help finance health insurance. One of the reasons foreign subscribers have a positive impact on health insurance finance is the low medical utilization rate. It can be said that young and healthy foreigners use fewer hospitals and clinics, but another aspect means that foreigners have difficulty using health insurance for various reasons. Therefore, various supports must be accompanied so that foreign subscribers can use medical services when necessary.

• 치위생과학회지
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• 제9권2호
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• pp.231-239
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• 2009

본 연구는 2008년 3월 26일부터 4월 16일까지 서울, 경기, 충북지역의 18세 이상의 미혼 또는 기혼의 가임여성을 대상으로 총 210부의 설문지를 배부하여 직접 작성하게 하였으며, 자료처리에 부적합한 2부를 제외한 208부를 자료 분석 이용하였다. 임신 중 구강진료와 구강건강상태 및 구강건강관리 인지도를 조사 분석하기 위하여 본 연구를 진행하였으며, 임산부의 구강건강관리 행태를 개선하기 위한 구강보건교육 프로그램 개발의 기초자료로 제공하고자 하였다. 1. 임신기간 중 입덧 후 잇솔질을 하는가에 대해 연령에 따라서는 18~29세(67.3%), 30~39세(47.3%)는 한다는 응답이 많았고, 40~49세(51.0%), 50세이상(52.0%)은 잇솔질을 하지 않는다는 응답이 많은 것으로 조사되었으며(p < 0.001), 임신경험 유무에 따라서는 임신 중인 조사자 72.2%, 출산경험이 있는 조사자 43.0%가 하는 것으로 조사되었다(p < 0.05). 2. 구강진료 중 걱정되는 것에 내에 연령별에 따라서는 50세 이상(56.0%)에서는 비용이라고 응답하였으며, 18~29에(39.2%), 30~39세(44.6%), 40~49세(41.5%)는 통증이라는 응답이 가장 많았다(p < 0.05). 임신경험 유무에 따라서는 임신 중인 조사에서는 통증(38.9%), 유산(27.8%), 비용(22.2%)순이었으며, 출산경험이 있는 조사자들은 통증(45.0%), 비용(22.8%), 유산(14.8%) 순으로 응답하였고, 임신경험이 없는 조사자는 비용(52.2%), 통증(13.0%)순으로 응답하였다(p < 0.05). 3. 임신 중 구강진료를 받아야 하는가에 대해 연령별에 따라 18~29세, 50세 이상에서는 받으면 안된다가 각각 41.9%, 52.0%로 가장 높았으며, 30~39세와 40~49세는 각각 53.6%, 54.7%가 받아도 된다는 응답이 가장 높은 것으로 조사되었다. 임신경험 유무에 따라서는 임신 중인 조사자는 63.9%, 출산경험이 있는 조사자는 46.3%가 받아도 된다고 응답하였으며, 임신경험이 없는 조사자는 받아도 된다, 받으면 안된다가 각각 34.8%로 조사되었다(p < 0.05). 4. 보조구강위생용품이 필요한가에 대해 18~29세(47.3%), 30~39세(46.4%)에서는 필요하다는 응답이 가장 많았으며, 40~49세(41.5%), 50세 이상(48.0%)은 모르겠다는 응답이 가장 많았다(p < 0.05).