• Clinical and Experimental Pediatrics
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• 제57권3호
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• pp.117-124
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• 2014

Purpose: Administration of antiretroviral drugs to mothers and infants significantly decreases mother-to-child human immunodeficiency virus (HIV) transmission; cesarean sections and discouraging breastfeeding further decreases this risk. The present study confirmed the HIV status of babies born to mothers infected with HIV and describes the characteristics of babies and mothers who received preventive treatment. Methods: This study retrospectively analyzed medical records of nine infants and their mothers positive for HIV who gave birth at Korea University Ansan Hospital, between June 1, 2003, and May 31, 2013. Maternal parameters, including HIV diagnosis date, CD4+ count, and HIV ribonucleic acid (RNA) copy number, were analyzed. Infant growth and development, HIV RNA copy number, and HIV antigen/antibody test results were analyzed. Results: Eight HIV-positive mothers delivered nine babies; all the infants received antiretroviral therapy. Three (37.5%) and five mothers (62.5%) were administered single- and multidrug therapy, respectively. Intravenous zidovudine was administered to four infants (50%) at birth. Breastfeeding was discouraged for all the infants. All the infants were negative for HIV, although two were lost to follow-up. Third trimester maternal viral copy numbers were less than 1,000 copies/mL with a median CD4+ count of $325{\mu}L$ ($92-729{\mu}L$). Among the nine infants, two were preterm (22.2%) and three had low birth weights (33.3%). Conclusion: This study concludes that prophylactic antiretroviral therapy, scheduled cesarean section, and prohibition of breastfeeding considerably decrease mother-to-child HIV transmission. Because the number of infants infected via mother-to-child transmission may be increasing, studies in additional regions using more variables are necessary.

• 부모자녀건강학회지
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• 제5권2호
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• pp.206-223
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• 2002

The purpose of this study was to discuss the nature of pregnancy experience among unwed Korean mothers and to figure out what it meant for them, by asking some of them to reflect on themselves in a written form from interpretative and phenomenological perspective, based on van Manen's research method of the same approach. The subjects in this study were seven unmarried mothers in Korea. The data were collected from July through December 2000 through in- depth interview and observation. The statements of the participants were taped, recorded, analyzed and select essential themes. To have a phenomenological understanding of the pregnancy unmarried mothers, literary works, including essays and novels, were reviewed. The findings of this study were as below: The selected substantial themes about the pregnancy and birth experiences of the single mothers included 'hatred for boy friend,' 'hatred for the fetus,' and 'hatred for myself.' The unmarried mothers met their boy friends through the introduction of friends. At first, they were good friends, but they soon went on a date and had sexual relation with no common knowledge about sex. Most of them were aware of their pregnancy after they felt fetal movement, but they put off taking the test because they didn't want to accept the fact and feared it. Such an attitude was rare among married pregnant women, and being pregnant with no prior preparation or sexual knowledge is not common in Western countries. They felt guilty and informed their boy friends of the fact, but the boy friends didn't admit their responsibility and rejected the babies. This made the poor girls hate them, and it turned into severe abhorrence. They thought their lives were ruined by the babies, and wished they would disappear. They reproached the babies, hitting their own bellies or making a kick. They considered themselves to be abandoned and didn't want to live any more. Giving themselves up to despair, some attempted to commit a suicide. They hoped to die, thinking their death would solve the problem. When they lost a chance of abortion and were about to have the babies adopted, they felt sorry for them. The unwanted pregnancy gave them a pain, but they keenly felt they were loved by their mothers, and learned the value of family. It's attempted in this study to clearly show how much unmarried Korean mothers suffered from pregnancy, and this effort paved the way for seeing unwed mothers in a new light and having a better understanding of them, instead of sticking to general perception.

• 대한가정학회지
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• 제43권9호
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• pp.15-26
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• 2005

The purpose of this study was to develop an educational program that enhances a single mother's social adaptation (self-esteem and sociality) based on the precedent studies. The subjects of this program were seven single motherswholive in C city in Chung Cheong Namdo. Paired-Sample t-test, individual change and group processing description data, and behavior observation record data were analyzed. Research results are as follows based on the research questions. First, a group of 8 single mothers who participated in the program showed an improvement of their social adaptation. Therefore, the effectiveness of the educational program was verified. Second, as the group session went on, the cohesion among the group members was solidified and their will to participate in the program was increased. Third, generally, individuals' understanding, acceptance, and adaptation toward themselves and others were enhanced. On the whole, the educational program for improving single mother's social adaptation was verified. We need to develop and implement more programs that enhance single mother's social adaptation in the future.

• 대한가정학회지
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• 제40권6호
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• pp.145-158
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• 2002

The purpose of this study is to develop and evaluate a family life education program for children of institutionalized single-mother famines. Based on the strong family perspective and empirical research in this field, the program was developed to enhance children's self-esteem and social ability, and to help children accept diverse family patterns. The program consists of four 60-minute sessions. Ten children and their mothers in two institutions for single-mother families participated in this program. The results of program evaluation revealed that this program was helpful for promoting children's personality development and strengthening their family life of institutionalized single-mother famines. Conclusions and implications are discussed.

• 한국콘텐츠학회논문지
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• 제16권1호
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• pp.493-502
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• 2016

이 연구의 목적은 재가 양육미혼모와 시설 양육미혼모의 사회적 지지 중 정부지원의 차이를 조사하고 정책대안을 마련하고자 함에 있다. 최근에는 양육미혼모들이 증가하고 있으나 정부의 지원은 충분하지 못하며, 가장 기초적인 생계유지에도 도달하지 못하고 있다. 양육미혼모에 대한 정부지원의 차이를 조사한 결과재가 양육미혼모가 시설 양육미혼모보다 연령과 학력이 높았으며, 직업을 더 많이 가지고 있는 것으로 나타났다. 아동의 월령 또한 재가 양육미혼모의 아동이 더 높은 것으로 나타났다. 위기지원과 친자검사를 제외한 정부지원은 시설 양육미혼모가 더 높게 나타났으며, 재가 양육미혼모가 더 어려움을 겪고 있는 것으로 나타났다. 이와 같은 연구결과를 바탕으로 양육미혼모들의 안정된 정착을 위한 현실성 있는 정부정책을 제언하였다.

• 가족자원경영과 정책
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• 제25권1호
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• pp.113-132
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• 2021

지금까지의 한부모가족에 대한 연구들의 대다수는 미혼 한부모가족의 형성사유를 구분하지 않아, 청소년한부모를 특정하여 직접 자료조사를 한 연구는 많지 않다. 본 연구의 목적은 청소년부모의 임신, 출산, 양육이 안전하게 이루어지도록 지원하기 위한 정책 개발의 기초 자료를 청소년부모의 양육과 관련한 실태조사를 통해 얻고자 한다. 그러나 현실적으로 청소년부모를 대상으로 하기에는 어려움이 따르므로 동일한 문제를 내포한 10대에 첫 자녀를 출산한 미혼한부모를 대상으로 선정하였다. 연구목적을 위하여 설정한 연구문제는 '첫째, 이들의 기본적인 특성은 어떠한가. 둘째, 임신에서 양육 초기의 실태는 어떠한가. 셋째, 자녀 양육의 실태는 어떠한가. 넷째, 자립의 가능성은 어떠한가' 이다. 본 연구는 청소년부모의 지원근거를 마련하기 위하여 10대에 첫 자녀를 출산한 미혼한부모를 대상으로 임신에서 출산, 양육초기까지의 일련의 과정을 직접 조사를 통해 탐색한 연구로서 기존의 연구들과 차별점을 갖고 있으며, 비양육자인 자녀의 생부의 역동을 함께 추측할 수 있는 자료를 제시하였다. 또한 저출산의 극복이라는 중차대한 국가의 과업에서 청소년 산모의 건강권을 바탕으로 아동의 건강한 성장을 함께 논의하였다는 점에서 의미가 있다. 자녀를 출산하고 양육하는 일은 개인, 사회가 함께 고민하여야 하며, 그 과정에서 아이 생부에 관한 사회의 무관심을 환기시키고 아이 생부를 양육에 참여할 수 있도록 하는 방향으로의 전환을 모색할 필요가 있다. 청소년부모와 미혼부의 존재를 인정하고 이들을 다양한 가족의 하나로 기능할 수 있도록 하기 위하여 청소년복지지원법과 저출산고령사회기본법에서 청소년부모에 대한 지원의 근거가 명시되어야 하며, 10대의 청소년으로서 부모역할을 수행하는 부모, 한부모들에 대해서는 가정의 형태에 관계없이 이용가능한 시스템의 도입과 10대 부모를 대상으로 하는 자녀양육과 관련한 정보 및 양육프로그램이 전문가에 의해 개발되어야 하며 이를 포괄하는 가족정책의 수립과 가족자원과 지역자원을 적용할 수 있는 더욱 구체적인 후속 연구들이 필요함을 제시하였다.

• 여성건강간호학회지
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• 제19권2호
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• pp.99-107
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• 2013

Purpose: This study was conducted to identify relationships among knowledge and attitudes of unmarried mothers toward emergency contraceptive pills. Methods: Data were collected through structured questionnaires from 135 unmarried mothers enrolled in 7 single mothers' facilities nationwide. Data were analyzed using the SPSS/WIN 17.0 program for descriptive statistics, t-test, ANOVA, Scheffe-test, and Pearson correlation coefficients. Results: For knowledge about emergency contraceptive pills, there were significant differences among who live with her before pregnancy, experience of past pregnancies, state of present pregnancy and preparation in using contraceptives. For attitude toward emergency contraceptive pills, there were significant differences according to age, education level and religion. There were significant positive relationships between knowledge and attitudes toward emergency contraceptive pills. Conclusion: The results of this study suggest that unmarried women should be better informed about emergency contraceptive pills, and reassured about their safety. Efforts are needed to disseminate up-to-date information to experts in sex education including nurses.

• 가족자원경영과 정책
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• 제17권1호
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• pp.39-61
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• 2013

This paper analyzed the experience of case management experts and single mothers in managing the cases, as the useful approach for family enrichment of a low-income single parent family. The analysis included five case managements and interview with three case management experts for single-parent families. Four of the five cases have been in progress at present. According to the analysis, the main appeals for single-parent families were economy and basic life, physical and mental health, family and social relationships, and child care and education. Furthermore, the interview with the case management experts identified the difficulty in managing single-parent family cases, especially those cases with complicated demands and problems, barriers to expert management, and required support for family enrichment. Finally, this paper analyzed the implementation process of case management for single-parent families in a specific area, meaning that the results of this paper do not represent all single-parent families. Moreover, the analyzed reports were specific to the case management implementation process. Thus, the contents, which were not recorded in the reports, were not fully reflected, and the in-depth analysis of multilateral aspects was restricted.

• 가정과삶의질연구
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• 제22권1호
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• pp.153-167
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• 2004

The purpose of this study was to investigate the difficulties, conflicts, and communications between female-headed single parents and their children, their child rearing methods and attitude, and the political suggestions for the welfare in those families. The in-depth interviews were conducted for 7 women in Gyonggi-Do and Chungnam-Do on March 3-27, 2003. The interviewees were selected for the mothers whose children were enrolled either elementary schools or middle schools. The contents of interviews were receded to be analyzed by qualitative method. The results were as follows; first, female-headed single parent families were in low economic status with unstable employment condition. Secondly, women in that families were confronted with psychological problems because of their multiple roles and low income. Third, although they had a controlled child rearing method, they used much reinforcement and praise. Thirdly, they were in need of the aids for the basic life such as housings and their children's private institute expenses. Finally, they required the repealing of an existing birthright system.

• 한국보육지원학회지
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• 제6권1호
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• pp.137-155
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• 2010

타인과 긴밀한 정서적 유대감을 가지려는 인간 성향인 애착은 내적작동모델로 기능하면서 타인과의 상호작용의 질을 결정하는 요인으로 보고되고 있다. 따라서 어머니의 성인애착은 자녀와의 상호작용인 양육행동에 영향을 미칠 수 있다. 뿐만 아니라 어머니의 만족도 역시 긍정적 심리 요인으로 기능하면서 양육행동에 영향을 미칠 수 있다. 그러나 어머니의 애착인 성인애착이, 그리고 삶의 질을 반영하는 삶의 만족도가 양육행동 중 애정적 양육행동에 더 민감한 영향을 미치는지 또는 거부적 양육행동에 더 영향을 미치는지에 관해서는 충분한 정보가 부족한 실정이다. 이에 이 연구에서는 다음과 같은 연구문제를 통해 어머니의 성인애착과 삶의 만족도가 애정적 또는 거부적 양육행동에 어떠한 영향을 미치는지를 살펴보고자 한다. 첫째, 유아기 자녀를 둔 어머니의 성인애착과 삶의 만족도는 애정적-거부적 양육행동에 유의한 영향을 미치는가? 둘째, 유아기 자녀를 둔 어머니의 애정적-거부적 양육행동에 대한 성인애착과 삶의 만족도의 상대적 영향력은 어떠한가? 이를 위해 대구경북지역내 유아교육기관에 다니는 만 3, 4, 5세 유아의 어머니 331명을 연구대상으로 질문지 조사를 통해 자료수집하였으며 SPSS PC(15.0 version)프로그램의 단순 및 표준적 중회귀분석을 통해 유의수준 .05미만에서 자료분석하였다. 연구결과 첫째, 유아기 자녀를 둔 어머니의 애정적 양육행동은 성인애착이 높을수록, 삶의 만족도가 높을수록 높게 나타났다. 반면 유아기 자녀를 둔 어머니의 거부적 양육행동은 성인애착이 낮을 때, 삶의 만족도가 낮을 때 높게 나타났다. 둘째, 유아기 자녀를 둔 어머니의 애정적 양육행동에 대한 성인애착과 삶의 만족도의 설명력은 성인애착이 상대적으로 높게 나타났다. 유아기 자녀를 둔 어머니의 거부적 양육행동 역시 삶의 만족도보다 성인애착에 의해 보다 높게 나타났다. 이는 애정적 또는 거부적 양육행동에 있어 어머니의 성인애착이 삶의 만족도보다 더 영향력 있음을 시사하는 것이다. 이와 같은 연구 결과 외에 중요하게 고려해야 하는 것은 유아기 자녀를 둔 어머니의 성인애착과 삶의 만족도는 애정적 양육행동보다 거부적 양육행동을 설명하는 힘이 더 크다는 것이다. 이는 유아기 자녀를 둔 어머니의 애정적 양육행동을 높이기보다 거부적 양육행동을 예방하기 위해 성인애착과 삶의 만족도에 보다 더 많은 관심을 가질 필요가 있음을 시사하는 것이다.