• 가정과삶의질연구
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• 제30권3호
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• pp.1-11
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• 2012

The purpose of this study is to analyze the effects of attitudes toward reasons for which abortion is permitted on needs for abortion prevention policies among 232 unmarried female students at the middle schools, high schools, and universities located in Seoul. The respondents were requested to complete the self-administered questionnaire, and the principal component analysis, t-tests, Pearson's correlations, and hierarchical multiple regression analyses were performed for analyzing data. The major findings of this study were as follows: First, the principal component analysis identified three reasons for which abortion is permitted. These are reasons under the maternal & child health law, socioeconomic reasons, and normatively unqualified reasons. Second, the female students showed permissive attitudes toward reasons for abortion under the maternal & child health law, disapproval attitudes toward socioeconomic reasons for abortion, and neutral attitudes toward abortion by normatively unqualified reasons. Students also showed high levels of needs for abortion prevention policies. Finally, hierarchical regression analyses revealed that female students' attitudes toward reasons for which abortion is permitted significantly predicted levels of needs for abortion prevention policies, after controlling their sciodemographic characteristics. The implications of the study results are discussed.

• 한국인구학
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• 제17권2호
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• pp.77-97
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• 1994

Despite the fact that the national family planning program in korea has accomplished its primary goals of fertility reduction and universal contraceptive use, the induced abortion is still high and there has been an increasing trend in the population sex ratio at birth. It seems that the changes in the imbalance of sex ratio have originated from traditonal boy preference. This indicates that much of the current family planning program can be overhauled, so that the program quality could be better controlled, by preventing the number of unwanted pregnancies and the imbalance of sex ratios. This paper aims, therefore, to examine the determinants of induced abortion through the investigation of pregnancy outcomes and their changes over time and to study the interaction between induced abortion, boy preference and the imbalance of sex ratio in Korea. The abortion rate had increased rapidly until the mid-1980s when there were about the same number of abortions as live births. Thereafter, the abortion rate has been maintained at this high level. By parity it shows a much higher abortion rate for a higher parity at all time. From the first parity, the sex composition of previous children stands out as the most important factor in deciding the pregnancy outcome at all time. The probability of a pregnancy ending in an abortion increases substantially when parents already had a son. The decline of the desired family size and the sustained strong son preference has made the sex of children a more important factor in the determination of the pregnancy outcome. Women's education has had consistently positive effects on the probability of a pregnancy ending in an abortion, but the effect shows a steady decline over time. The premarital pregnancy and urban residence also increase the abortion probability. This study suggests that the main concerns of the family planning program should be to strengthen the social support policies so as to weaken the son preference value leading to a balanced sex ratio and prevention of induced abortions.

• 페미니즘연구
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• 제10권1호
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• pp.123-158
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• 2010

지난 몇 달간 우리 사회에 낙태가 쟁점이 되고 있다. 저출산 문제를 해결하기 위해 낙태단속을 강화해야 한다는 의견이 제기되는 한편, 외국에서는 찾아보기 힘든 산부인과 의사 간의 낙태 논쟁 및 고발이 진행 중이고 여성계와 정부도 이에 대한 대응을 내놓고 있다. 이러한 맥락에서 본 논문의 목적은 낙태의 정책방향을 여성건강의 관점에서 제시하기 위해 유럽의 사례를 고찰하는 데 있다. 낙태의 법적·사회적 수용도 및 안전한 낙태시스템 보장 수준을 기준 삼아 아일랜드, 영국, 네덜란드 세 국가를 선정하여, 개별 국가의 낙태에 관한 국가정책, 법적 기준, 의료 체계, 시민사회 등의 역학이 여성건강에 미치는 영향을 분석하였다. 이들 국가의 경험은 여성의 요청에 의한 낙태 시행, 낙태를 위한 의사의 복잡한 입증을 전제로 하지 않는 낙태제도, 투명하고 익명성이 보장되는 정보제공 및 상담, 임신 초기단계의 빠른 낙태 결정, 의료진의 질 높은 낙태를 위한 교육 및 훈련, 낙태 서비스의 공공지원을 통한 모든 여성의 낙태 접근도 향상, 안전한 낙태를 위한 지속적인 모니터링 및 체계 구축 등과 같은 장치가 안전한 낙태를 위해 한국 사회에서도 시급하다는 함의를 얻을 수 있었다. 여성의 요청에 의한 '안전한 낙태'와 원치 않는 임신의 예방정책이라는 두 가지 전략을 통해 건강한 여성과 사회가 재생산될 수 있다.

• 보건행정학회지
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• 제28권3호
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• pp.222-225
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• 2018

Health policy is a historical product in the process of development, including the political and economic factors of the state as well as the social and cultural elements of the country. Bioethics began to debate the ethical questions that arise in the overall process of life's birth and death, and gradually evolved by presenting ethical directions for various social phenomena. Especially, according to the moral awakening of 'scientific medicine' which caused in some human problems in the rapidized scientific society from the late 19th century to the early 20th century, as a result of distress including the concept of various social relations, it is possible to say that it has reached the bioethics. Although health policy and bioethics are different in terms of starting and concept, they can be found in common with social, cultural, and political diversity in the times. In 2004, 'Bioethics Law' was enacted through the issue of research ethics in the life sciences. Therefore, in order to examine ethical aspects of current health policy direction and major issues, it can be divided into before and after enactment of 'Bioethics Law' in 2004. The authors would like to examine how the evolution of the ethical viewpoint on the health policy has changed in line with the enactment of the 'Bioethics Law' and how it is trying to solve it from an ethical point of view. Through the various events that took place in the 1990s and the 2000s, various discussions on bioethics were conducted in Korea. Prior to the enactment of the 'Bioethics Law,' ethical judgments of professions, distribution of healthcare resources, if the discussion focused on the ethical judgment of abortion, and the various events that appeared in the early 2000s became the beginning to inform that the ethical debate about the life, death, and dignity of human beings began in earnest in Korea with the enactment of the 'Bioethics Law.' Since then, 'Hospice and Palliative care Law' which was enacted in 2017, is based on the fact that the health policy of our country focuses on the treatment of the past diseases, health promotion, and delivery of health care services. It was an opportunity to let them know that even the quality problems were included. Therefore, considering the various circumstances, the ethical issue facing Korea's health care system in the future is the change of the demographic structure due to aging and what is to be considered as the beginning and the process of life in the overall process of life. It is the worry about how to die and when it sees as death. This has far exceeded the paradigm of traditional health care policies such as disease prevention and management and health promotion, and calls for innovative policy response at the national level that reflects the new paradigm, which in many cases creates a predictable ethical environment. And health policy should be shifted in the direction of future ethical review considering sustainability in the development process of future health care rather than coercive management.