• 제목/요약/키워드: low fertility

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저출산 시대와 모성의 건강증진 (Low Fertility Era and Maternal Health Promotion)

  • 전병주
    • 한국콘텐츠학회논문지
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    • 제14권6호
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    • pp.162-173
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    • 2014
  • OECD회원국 가운데 10여년 넘게 지속적으로 합계출산율이 1.3명 미만을 기록한 국가는 한국이 유일하다. 2006년부터 정부는 인구정책을 본격적으로 추진하고 있으나, 한번 떨어진 출산율은 도무지 회복될 기미를 보이지 않고 있어서 '저출산의 덫'에 빠져있다고 볼 수 있다. 이러한 저출산이 지속되는 경우에는 국가경쟁력은 물론이고 국가의 존속 자체를 위협할 수 있는 심각한 문제가 발생할 수 있다. 한국 사회에서는 학업과 취업으로 인해 여성의 출산이 점점 늦어지고 있으며, 열악한 근로환경에 의해 임신에 부적절한 건강상태를 초래하기도 하므로 가임기 여성과 임산부에 대한 건강관리는 매우 중요하다고 할 수 있다. 따라서 본 연구에서는 저출산 시대에 있어 주요 국제기구와 국가가 추진하는 모성 중심의 건강증진 전략을 살펴보고, 이를 토대로 한국 사회에서의 모성 건강증진 정책에 대한 문제점을 분석하여 그들을 위한 보다 효과적인 건강증진 방안을 몇 가지 제시하였다.

The association of follicular fluid volume with human oolemma stretchability during intracytoplasmic sperm injection

  • Inoue, Taketo;Yamashita, Yoshiki;Tsujimoto, Yoshiko;Yamamoto, Shuji;Taguchi, Sayumi;Hirao, Kayoko;Uemura, Mikiko;Ikawa, Kayoe;Miyazaki, Kazunori
    • Clinical and Experimental Reproductive Medicine
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    • 제44권3호
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    • pp.126-131
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    • 2017
  • Objective: Oocyte degeneration often occurs after intracytoplasmic sperm injection (ICSI), and the risk factor is low-quality oocytes. The follicular fluid (FF) provides a crucial microenvironment for oocyte development. We investigated the relationships between the FF volume aspirated from individual follicles and oocyte retrieval, oocyte maturity, oolemma stretchability, fertilization, and development. Methods: This retrospective study included data obtained from 229 ICSI cycles. Ovarian stimulation was performed according to a gonadotropin-releasing hormone antagonist protocol. Each follicle was individually aspirated and divided into six groups according to FF volume ( < 1.0, 1.0 to < 2.0, 2.0 to < 3.0, 3.0 to < 4.0, 4.0 to < 5.0, and ${\geq}5.0mL$). Oolemma stretchability during ICSI was evaluated using a mechanical stimulus for oolemma penetration, that is, the stretchability was assessed by oolemma penetration with aspiration (high stretchability) or without aspiration (low stretchability). Results: Oocyte retrieval rates were significantly lower in the < 1.0 mL group than in the ${\geq}1.0mL$ groups (46.0% [86/187] vs. 67.5%-74.3% [172/255 to 124/167], respectively; p< 0.01). Low oolemma stretchability was significantly more common in the < 1.0 mL group than in the ${\geq}1.0mL$ groups during ICSI (22.0% [13/59] vs. 5.8%-9.4% [6/104 to 13/139], respectively; p= 0.018). There was a relationship between FF volume and oolemma stretchability. However, there were no significant differences in the rates of fertilization, cleavage, ${\geq}7$ cells at day 3, and blastocyst development among all groups. Conclusion: FF volume is potentially associated with the stretchability of metaphase II oolemma during ICSI. Regarding oolemma stretchability, ensuring a uniform follicular size during ovarian stimulation is crucial to obtain good-quality oocytes.

설명 가능한 인공지능을 이용한 지역별 출산율 차이 요인 분석 (Analysis of Regional Fertility Gap Factors Using Explainable Artificial Intelligence)

  • 이동우;김미경;윤정윤;류동원;송재욱
    • 산업경영시스템학회지
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    • 제47권1호
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    • pp.41-50
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    • 2024
  • Korea is facing a significant problem with historically low fertility rates, which is becoming a major social issue affecting the economy, labor force, and national security. This study analyzes the factors contributing to the regional gap in fertility rates and derives policy implications. The government and local authorities are implementing a range of policies to address the issue of low fertility. To establish an effective strategy, it is essential to identify the primary factors that contribute to regional disparities. This study identifies these factors and explores policy implications through machine learning and explainable artificial intelligence. The study also examines the influence of media and public opinion on childbirth in Korea by incorporating news and online community sentiment, as well as sentiment fear indices, as independent variables. To establish the relationship between regional fertility rates and factors, the study employs four machine learning models: multiple linear regression, XGBoost, Random Forest, and Support Vector Regression. Support Vector Regression, XGBoost, and Random Forest significantly outperform linear regression, highlighting the importance of machine learning models in explaining non-linear relationships with numerous variables. A factor analysis using SHAP is then conducted. The unemployment rate, Regional Gross Domestic Product per Capita, Women's Participation in Economic Activities, Number of Crimes Committed, Average Age of First Marriage, and Private Education Expenses significantly impact regional fertility rates. However, the degree of impact of the factors affecting fertility may vary by region, suggesting the need for policies tailored to the characteristics of each region, not just an overall ranking of factors.

BLOOD PLASMA MINERALS AND FERTILITY OF DAIRY COWS IN CENTRAL THAILAND

  • Vijchulata, P.
    • Asian-Australasian Journal of Animal Sciences
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    • 제8권3호
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    • pp.263-265
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    • 1995
  • Blood plasma minerals and their effects towards the fertility in 136 cows randomly selected from 26 dairy farms in central Thailand were studied. An average of 8.60 mg% Ca, 5.97 mg% P, 2.45 mg% Mg, $85.9{\mu}g%$ Cu, and $160.9{\mu}g%$ Zn in plasma was observed. Compared to the critical deficient values, 24.3, 10.3, 11.8, 28.7 and 0.0% of the surveyed cows obtained the respective elements in plasma below the standard levels. No significant difference (p >.05) in plasma concentrations of Ca, P, Mg and Zn for the low fertile (conception rate > 3) and fertile (conception rate < 3) cows was found. However, plasma Cu of the low fertile cows (averaged $77.2{\mu}g%$) was lower (p <.01) than that of the fertile ones (averaged $91.12{\mu}g%$). Additionally, it is observed that 47.1% of the cows with the low fertility problem obtained plasma Cu below the 65.0 pg% critical deficient value.

성별과 세대에 따른 부모됨의 동기 및 저출산 현상에 대한 인식 (Motivations of Parenthood & Perceptions of Low Fertility according to Sex and Generations)

  • 안은진;최효진;유계숙
    • 가정과삶의질연구
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    • 제25권6호
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    • pp.1-13
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    • 2007
  • The purpose of this study is to examine the college students' and married adults' perceptions of the current low fertility and their motivations of parenthood. It also verifies the gender differences in the numbers of planned children between male and female college students. The sample population included 100 unmarried undergraduate students and 100 married adults. The measurements included in the questionnaire were based on recommendations from the literature review. The major findings of this study are as follows: Women reported higher levels of traditional-normal and altruistic-emotional motivations of parenthood than men did. College students reported higher levels of motivations of parenthood to strengthen biological family ties than married adults did, while adults reported higher levels of martial bond-strengthening, traditional-normal, and gene-preservative motivations of parenthood than students did. College students attributed the current low fertility to the tight labor market and high costs of childbirth and rearing while married adults attributed to gender-discriminating traditional family norms, increasing infertility, and poor conditions of pregnancy and childbirth. Female and adult respondents took the social problems caused by the current low fertility more seriously than their counterparts did.

가족문화와 가치관 교육의 관점에서 본 저출산의 원인 및 극복 방안 탐색 (Exploring the causes and overcoming of low fertility in terms of family culture and value education)

  • 전세경
    • 한국가정과교육학회지
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    • 제29권4호
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    • pp.85-100
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    • 2017
  • 이 연구는 한국사회가 처해있는 저출산의 문제에 대하여 그 원인과 대책을 진단하고 논의하는 과정에서 '가족문화와 가치관'의 중요성을 제기하고자 한 것이다. 아울러 가족문화와 가치관 정립을 위한 교육적 접근의 관점에서 저출산의 원인 및 극복의 방안을 모색하고자 하였다. 구체적으로 이 연구에서는 첫째, 저출산 관련 정책에 대한 평가를 고찰하여 저출산 원인을 재인식, 재평가하고, 둘째, 저출산 관련 가족문화와 가치관의 실태 및 변화를 고찰하며, 셋째, 저출산 대책과 관련된 '교육'의 문제를 쟁점화하여 교육적 개입의 타당성, 개입의 실태, 제도교육에서의 교육내용 검토, 교육의 필요성과 효과 검증, 교육내용의 구성, 교육적 접근으로 가능한 정책들과 논거 등을 살펴보았다. 저출산의 문제는 현대 한국사회가 갖고 있는 국가사회적 당면 과제로서 그 원인과 대책을 동시에 고려할 때, 경제적인 요인과 더불어 가족문화와 가치관에 대한 요인에 주목하여 볼 필요가 있으며, 이 요인들을 고려한 해결책으로서 성평등하고 가족친화적인 가족문화와 가치관 형성을 위한 교육적 접근을 더욱 강조하여야 한다.

저출산 대응정책이 출산순위별 출산에 미치는 영향 (The Effects of Fertility Policies on Childbirth by Birth Order)

  • 유계숙
    • 가정과삶의질연구
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    • 제27권2호
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    • pp.191-201
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    • 2009
  • The Korean Government has recently prepared the comprehensive five-year basic plan (2006-2010) to deal with low fertility and population ageing. The basic plan aims at recovering the fertility rate to the appropriate level and improving the social and economic systems in preparation for the aged society. The main objective of this study was to examine the effects of fertility policies on childbirth by birth order. The data came from 1,729 adults who gave birth to babies in 2007 and 991 adults as the control group. The serial logistic regression analyses revealed that establishing the health and nutrition system for maternity and children, and expanding of tax and social insurance benefit were effective policy measures to increase childbirths of first children, while the policy measures establishing the health and nutrition system for maternity and children, supporting for daycare and pre-school education, and work-life balance were effective to childbirths of second or third children in 2007. However, the policies of supporting for costs of test-tube baby and expanding childcare infra didn't have any significant influences on childbirths in 2007. The implications of study results were discussed.

저출산 대책에 대한 다학제적 접근 (Multidisciplinary Approach to Low Fertility Issue in Korea)

  • 박정한
    • 보건행정학회지
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    • 제28권3호
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    • pp.233-239
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    • 2018
  • A rapid decrease of total fertility rate to 1.08 in 2005 prompted the Korean government to plan and implement a '5-year plan for ageing society and population policy' starting from 2006. The 1st and 2nd 5-year plans had not shown any discernible impact on the fertility and the 3rd 5-year plan was launched in 2016. However, the fertility rate is going down further. The author reviewed the contents and assessment reports of the fertility promotion plan to suggest ideas for complementing the shortcomings of it. Author defined the major determinants of marriage and child birth as philosophy, politics, sense of value, social norm, culture, healthcare, and education. The plan was examined in view of these determinants. Transformation of Korea from an agricultural society to an industrialized society in a short period of time had brought about changes in most of the determinants of marriage and child birth; in particular philosophy and sense of value. These aspects were not put into consideration in the plan. Author suggested to launch a social education program for the general public to establish a sound philosophy of life, reform the sense of value on family, child birth and education, and cultivate the skill to draw a consensus through discussions on the social issues. A special program to promote marriage of women at the optimum age for child birth was proposed. The government should implement well balanced policy for economic development and labor. Multidisciplinary approach was recommended for these tasks.

Analysis of the Effects of Job Policy Measures in Korea: Do the job policy measures impact the marriage and fertility of the youth in Korea?

  • Kang, Chang Ick;Lim, Kyung Eun;Kim, Junghak
    • Asian Journal for Public Opinion Research
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    • 제10권3호
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    • pp.200-229
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    • 2022
  • The purpose of this study is to analyze the effects of youth job policy measures, set forth in Korea's 2016-2020 Third Basic Plan for Low Fertility and Aging Society (December 2015), on marriage and fertility among young people. Based on the results, we provide theoretical explanations for the findings and suggest policy alternatives to overcome the low fertility phenomenon in Korea. Previous studies have shown that employment is an important factor for marriage among youth, and a job policy could increase marriage and fertility rates. To test this assumption, we performed an exact matching between Statistics Korea's Employee-Enterprise Linkage DB and the Newlyweds DB from 2011 to 2019, in order to identify all young people aged 15-34. Then, linear spline regression analysis was used to examine the impact of the youth job policy on marriage and fertility. Comparing the period before the implementation of the employment policy (2011-2015) and after (2016-2019), the fertility rate increased as the number of young people looking for work increased. In addition, it was found that these impacts were greater after the implementation of the measures (2016-2019) than before (2011-2015). It is interesting to note that job growth among young people did not lead to an increase in marriage. However, the number of births significantly increased when young people who occupy jobs got married, which seems to be related to the delay in marriage among young people who are employed. Survey results about the intentions to marry and views on fertility are utilized for the explanation of the study results.

시도별 출산력 예측에 대한 연구 (A study on forecasting provinces-specific fertility for Korea)

  • 김순영;오진호
    • 응용통계연구
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    • 제32권2호
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    • pp.229-263
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    • 2019
  • 우리나라 출산율은 2000년 이후 빠르게 감소하고 있으며, 시도별 출산율도 대체적으로 동일한 추이를 나타내고 있다. 특히 시도별 출산율은 지방자치단체에서 저출산 고령화 대책, 교육 및 복지 등의 지역정책을 마련하기 위한 필수 자료이다. KOSTAT (2017) 시도별 출산율 추계 방법은 최근 10년(5년)간 전국 평균 출산율 정보를 이용하고 있으므로 이질적인 시도별 추이를 반영하는데 한계점이 있다. 따라서 본 연구에서는 시도별 출산율 추계에서 중요한 연도별 안정적 패턴 유지와 시도 출산율 차별성을 동시에 고려하는 개선방안을 제시하고자 한다. 본 연구에서 제안한 방법(제안 1, 2)는 연도별 출산율의 시계열 자료를 활용함으로써 연령별로 과거부터 현재까지의 출산율의 변동추이 및 전국과 시도의 차이를 반영할 수 있는 장점이 있다. 또한 제안3은 전국과의 관계는 고려하지 않고 시도의 연령별로 출산율의 과거부터 현재까지의 독자적 추이를 반영한다. 연구결과 우리나라의 경우 전국 출산율과 시도 출산율 패턴이 유사하므로 제안1, 2와 같이 시도 출산율 예측시 전국과의 관계를 이용하는 게 바람직하다 볼 수 있다. 이런 제안은 연령별 출산율 추이에 안정성을 개선시켰다.