Recently, twinning rate increases in Korea since the early 1990s by delayed marriage and prevailing of assisted reproductive technology. But twin and higher-order multiples are at increased risk for perinatal and neonatal mortality over 5 fold despite of dramatic improvement of perinatal and neonatal care. Because twins are born more prematurely and have lower birth weights than singleton. In addition, twins are at increased risk for cerebral palsy mainly in monochorionic twins due to co-twin fetal death, twin to twin transfusion and congenital anomaly. So, this article reviews the factors contributing to the mortality and morbidity of the twins and the efforts to decrease the neonatal mortality of twins.
Purpose - The multicultural society is a society where a variety of ethnic groups and cultures co-exist. Regarding Korean multicultural society, the public interest in the multicultural society and its problems are on a growing trend due to the increasing number of the multicultural families by international marriage and the foreign immigrant workers. Research design, data, and methodology - Models of the multicultural society policies have been divided into those of assimilation and multiculturalism, while they have been materialized into the models of discriminative exclusivism, assimilation and multiculturalism. Most countries are aiming at the model of either the multiculturalism or the assimilation focused on national managerial situations. Results - In the case of Europe where the multicultural society had been formed earlier than Korea, Islamic immigrants have been politically accepted in order for Europe to overcome the problem of population decrease caused by its low birth-rate. Also, in the case of the United States. Conclusions - Korean multicultural society policies are characterized mostly by supporting the multicultural families of international marriage. In this study, it is intended to present the characteristics of diversified immigrants and the possible directions of the polices on immigrant youth in accordance with each country's managerial policy.
Objectives: This study was to examine literature on postdivorce partnership focused on cohabiting & Living Apart Together(LAT) and prospect postdivorce partnership in Korea in the near future. Method: For this study, domestic and foreign literature were reviewed especially on recent studies on living apart together(LAT). Results: Reviewed overseas studies showed that studies on cohabitation and Living Apart Together(LAT) were increased and prevalent in the divorced as an alternative marriage type following divorce partnership and many research have been proceeded on definition and classification and dynamics in those relationships. Especially studies are on the rise recently on LAT with importance demographically and academically among middle and older people. In comparison to overseas studies, very little research on partnership following divorce, especially on LAT in Korea. Conclusion: Considering increasing divorce rate rapidly in the milddle aged in Korea, it is expected that LAT following divorce might be emerged in the divorced in Korea. Therefore, it is needed to pay a lot of attention to cohabitation following divorce and Living Apart Together(LAT) as a postdivorce partnership and as an alternative type of marriage and to be treated as a significant phenomenon socially and academically.
Journal of agricultural medicine and community health
/
v.32
no.2
/
pp.63-73
/
2007
Objectives: The purpose of this study was to obtain basal information to establish a proper birth-encouraging policy in the future through the survey of the attitude towards childbirth and its related factors among female students in junior, senior high school, and university. Methods: A survey was performed for 2 weeks in June, 2006, for a total of 688 female students which included 185 ones in a girls' junior high school and 242 ones in a girls' senior high school in Sacheon, and 261 ones in two universities in Jinju. The selfadministered questionnaires developed by the authors included the socio-demographic characteristics, the attitude towards childbirth, the preference of a son for their future child, the belief on relative importance of family or work after marriage, the seriousness perception of low birth rate in Korea, frequencies of education in school about low birth rate. The attitude was measured by an answer to the question of 'To what degree do you think you are going to have a child(or children)?' Results: The proportion of positive attitude towards their future childbirth was 76.2% in junior high school, 63.9% in high school, and 82.8% in university students (p<0.01). In the logistic regression analysis, the significant factors related with positive attitude towards future childbirth were school grade, preference of a son for their future children, and belief on relative importance of family or work after marriage. Conclusions: It suggests that the related factors with positive attitude towards future childbirth need to be considered to make a proper birth policy.
Purpose: This study was done to investigate factors affecting preparation stage to quit smoking in men. Methods: Based on data from the Community Health Survey conducted in Chungbuk Province in 2008, we estimated rates and odds ratio (OR) of smoking cessation intention for 2,639 men who were current smokers. Multivariate logistic regression analyses were used to identify factors affecting preparation stage to quit smoking. Results: Among current male smokers, the rate of smoking cessation intention was 17.1%. The OR of factors affecting smoking cessation was as follows: Compared to men with middle school education, the OR for rate of smoking cessation intention in men with high school education was 1.47 (p=.018), and for college or higher, 1.55 (p=.017). Compared to being single, the OR for cohabitation after marriage was 1.61 (p=.011) and living alone after marriage, 2.23 (p=.005). The OR for attempt to quit smoking, exposure to secondhand smoke and participation in smoking education were 6.80 (p<.001), 1.32 (p=.020) and 1.69 (p=.005), respectively. Conclusion: Results of this study show that it is necessary to decrease exposure to secondhand smoke and to increase participation in smoking cessation education targeting current smokers to move them from precontemplation or contemplation stage to preparation stage.
This study is about the nationwide research concerning the degree and trends of marital conflict and instability. The research samples are 1,217 married. As the result of the research, the most conflict able issues in Korean couples are on the husband-wife relations, such as habitual differences, sharing in houseworks, conflicts in the role expectation, and the communication problems. In this study, We devide the marital relationships into 4 types (A, B, C, and D) in the view of the satisfaction & instability of marriage. First, the marriage with unsatisfaction and instability (A) was portioned 8.3%, and the satisfactory & stable type (D) was portioned 68.4%. It seems the marital relationships in Korea are relatively stable. However, the portion of type B-unsatisfactory, but stable couples-is 17.1% and the type C-satisfactory, but unstable marriage 6.2%. The result implies that the indication of marital instability should consider not only the divorce rate, but also the quality of marital relationships. In other words, the intervention for the conflict couples yet not divorce is needed. The differences of conflict areas among the relational types is not so much, but the degrees on conflicts are very serious. Especially, in the areas of marital conflict, love issues and personal value system affect the division of relational types of marriage most. It means the interaction factors are the most important variables about maintaining the marital relations with stable and satisfaction.
Background: The purpose of the present study was to determine geographic clustering of breast cancer incidence in Kanagawa Prefecture, using cancer registry data. The study also aimed at examining the association between socio-economic factors and any identified cluster. Materials and Methods: Incidence data were collected for women who were first diagnosed with breast cancer during the period from January to December 2006 in Kanagawa. The data consisted of 2,326 incidence cases extracted from the total of 34,323 Kanagawa Cancer Registration data issued in 2011. To adjust for differences in age distribution, the standardized mortality ratio (SMR) and the standardized incidence ratio (SIR) of breast cancer were calculated for each of 56 municipalities (e.g., city, special ward, town, and village) in Kanagawa by an indirect method using Kanagawa female population data. Spatial scan statistics were used to detect any area of elevated risk as a cluster for breast cancer deaths and/or incidences. The Student t-test was performed to examine differences in socio-economic variables, viz, persons per household, total fertility rate, age at first marriage for women, and marriage rate, between cluster and other regions. Results: There was a statistically significant cluster of breast cancer incidence (p=0.001) composed of 11 municipalities in southeastern area of Kanagawa Prefecture, whose SIR was 35 percent higher than that of the remainder of Kanagawa Prefecture. In this cluster, average value of age at first-marriage for women was significantly higher than in the rest of Kanagawa (p=0.017). No statistically significant clusters of breast cancer deaths were detected (p=0.53). Conclusions: There was a statistically significant cluster of high breast cancer incidence in southeastern area of Kanagawa Prefecture. It was suggested that the cluster region was related to the tendency to marry later. This study methodology will be helpful in the analysis of geographical disparities in cancer deaths and incidence.
BACKGROUND/OBJECTIVES: This study was conducted to compare the overall changes in dietary intake and metabolic syndrome risk parameters in Vietnamese marriage-based female immigrants over time. SUBJECTS/METHODS: The subjects of this study were 581 Vietnamese marriage-based female immigrants, who were recruited from local clinical centers in Korea. Baseline data were collected from 2006-2011 and the follow-up data were collected from 2012-2014. Dietary food intake was assessed by a 1-day 24-hour recall method. RESULTS: Compared to the baseline, the mean body weight, body mass index, waist circumference, high density lipoprotein (HDL)-cholesterol, systolic blood pressure and diastolic blood pressure increased while the fasting blood sugar, triglycerides and low density lipoprotein-cholesterol decreased at follow-up. The total consumption of foods such as vegetables/fruits/seaweeds/mushrooms, oil and fat, and eggs decreased during the follow-up period, whereas the consumption of sugars, beverages and meats increased. Partial correlation between the rate of change [(Follow-up - Baseline) / Baseline ${\times}100$] in metabolic syndrome risk parameters and food intake after controlling for confounding factors showed that the waist circumference was positively correlated with either the total plant food intake (r = 0.1042, P = 0.0129) or the total food intake (r = 0.0880, P = 0.0359). The plasma levels of total cholesterol (r = -0.1918, P = 0.0289) and HDL-cholesterol (r = -0.1424, P = 0.0007) were negatively correlated with the percentage of total intake from plant food, and HDL-cholesterol levels were positively correlated with the intake of total animal food (r = 0.0980, P = 0.0217). The serum C-reactive protein levels were positively correlated with the total intake of animal food (r = 0.2374, P < 0.0001) or the percentage of total intake from animal food (r = 0.1346, P = 0.0016). CONCLUSIONS: These results suggest that the change rate of dietary intake such as total plant food or animal food is associated with the change rates of metabolic syndrome risk parameters.
The first demographic transition refers to the historical decline in mortality and fertility, as shown from the 18th Century in several European populations, and continuing present in most developing countries. The end point of the first demographic transition(FDT) was supposed to be a stationary and stable population corresponding with replacement fertility and zero population growth. In addition, households in all parts of the world would converge toward the nuclear and conjugal types, composed of married couples and their offspring. The second demographic transition(SDT), on the other hand, sees no such equilibrium as the end-point. Rather, new developments bring sub-replacement fertility, a multitude of living arrangements other than marriage, and the disconnection between marriage and procreation. Populations would face declining sizes if not complemented by new migrants. Over the last decades birth rates have been on the decline in all countries of the world, and it is estimated that already more than half of he world's population has below replacement level fertility. Measured in terms of the Total Fertility Rate (TFR), currently 34 countries have fertility levels of 1.5 or less. Similarly, Korea has been below lowest-low fertility for eight consecutive years since 2001 and below the replacement level for more than twenty years. In explaining the low fertility in Korea, some researchers explain the low fertility as revenge against a male-dominated society and institution, while others focus the impact of the employment instability. These studies share the basic ideas (spread of individualism, delayed marriage and childbearing, high divorce rate etc.) of a second demographic transition in order to explain the low fertility in Korea.
The total population of Korea in 1975 was 35,281,000 and population density was $357/km^2$, which is one of the highest rate of the countries in the world. In the early part of 1960's, prior to the initiation of national family planning program in 1962, the natural population increase rate in Korea was almost 3.0%. However, due to the positive support and activity of the national family planning program, the population growth rate has been dropped right below 2.0% in 1970, and decreased to 1.7% in 1975. The average number of children per woman was 5.8 in 1961 and has decreased steadily to 3.5 in 1975. However, traditional value like the 'boy-preference' concept may bring many difficulties of lowering the fertility rate, decreasing number of children less than three in the future. Rising marriage age which had much contributed to decrease the population growth showed preferably falling trends since 1970. There is a prospect that total number of birth will be continuously increased while the fertility rate may be fallen since the age group born during 'baby-boom' soon after the Korean war are becoming the reproductive age group at present time. Considering the above mentioned factors, family planning program should be much improved and strengthened and the government support is much required in order to meet the above mentioned objectives which maintain appropriate level of the population growth.
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