KCI등재
우리나라 農村地域의 出産調節行態 및 出産調節行爲의 決定要因分析 = A Study on the Status of Fertility Regulation Behavior and Its Determinants in Rural Korea
저자
발행기관
학술지명
권호사항
발행연도
1988
작성언어
Korean
등재정보
KCI등재
자료형태
학술저널
수록면
33-53(21쪽)
제공처
This study aimed at developing a desirable family planning policy and strategy by examining the current status of family planning practice in rural Korea and by indentifying the crucial factors which affect fertility control behavior. For this purpose, an analytical study was conducted, using the survey data collected in July 1985, on an interview basis, on 1,440 married women living in the Soyi, Wonnam and Maingdong townships of Eumseong County(in North Chungcheong Province). This study population has the typical characteristics of rural areas, and the results of the analysis can be summarized as follows :
1. In regard to the demographic characteristics of the study population : their average age at marriage was 23.7, they had an average of 2.6 children(1.3 boys, 1.3 girls) ; 10% experienced the death of their child (ren) : 14% had spontaneous abortion(s) ; 4% weathered stillbirth(s) ; 35% went through induced abortion (s) ;and 5.5% were currently pregnant. The average of their ideal numbers of children was 2.2, while 44% felt that they must have a son.
2. Looking at the contact rate with medical & health institutions, over the past 1 year, the visit rate to health subcenters was 43.7%, while 26.9% visited the (county) health center;59.6% had been to private clinics ; and 41.5% went to the Soonchunhyang-Eumsung hospital ; thus showing a relatively high rate of accessibility.
3. The utilization rate of family planning services was 76.5%, with tubectomy being the most prominent method at 52.3%, while the informants were health workers in 54.2% of the acceptors. Of the 8.4% who discontinued the use of contraceptive methods, only 26% did so due to want for pregnancy, natural infertility (meno-pause), or other reasons, while the remaining 74% stopped usage on account of side effects, failure in the methods themselves, and inconvenience of use, thus pointing to a situation where the proper choice of family planning methods have not yet been made. It can be noted that there is a strong motivation for early birth stopping as 35.3% practice family planning even with only one child, of which 38.3% have had sterilization operations. According to results of a multiple regression analysis, among the variables affecting contraception usage the most significant variable was the number of sons.
4. 34.8% experienced induced abortions. It was shown as a result of multiple regression analysis that the number of children and attitudes toward induced abortions extensively affected their frequency of abortions conducted.
5. In the regard to the relation between family planning and induced abortions, 33.7% of the women used both, while 52.0% of them used only the former(family planning), with only 1.4% utilizing solely the latter(abortion), and 12.9% totally abstaining from fertility regulation ; again, the discriminant analysis indicated that the choice of family planning and/or induced abortion was determined by the number of children and attitudes toward induced abortion.
In view of the above mentioned results, the following are some comments and suggestions concerning problems related to the current family planning policies, in Korea :
1. It is difficult to expect a further quantitative expansion in family planning program operations, as there has been an excessive supply of target-oriented sterilization operations on women. From a maternal and child health care point of view, it will be desirable to have a diversification of service points in the future where family planning methods may be properly chosen, so that choices of methods which suit the mothers' characteristics and tastes may be made by the individuals themselves by strengthening their quality of family planning information services.
2. Along with the strengthening of the qualitative improvement of family planning services policies must be implemented to effectively promote the moral (ethical) deterrents to induced abortions and to preference
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