• 제목/요약/키워드: Socio-economic

검색결과 1,725건 처리시간 0.026초

중·고령자의 사회활동 참여와 인지기능과의 관계 (The relation between the participation in social activity and cognitive function among middle-aged and elderly population)

  • 황종남;권순만
    • 한국노년학
    • /
    • 제29권3호
    • /
    • pp.971-986
    • /
    • 2009
  • 본 연구에서는 중·고령자의 다양한 사회활동 참여가 치매 진단의 1차적 기준이 되는 인지기능에 미치는 영향을 살펴보았으며 이를 위해 2006년 고령화 연구패널 자료를 활용하여 만 45세 이상 중·고령자들의 사회활동 참여와 인지기능 점수간의 관계를 분석하였다. 사회활동의 유형은 김영범·이승훈(2008)의 연구에서 정의한 종교활동, 여가활동, 공공집단 활동과 연고집단 활동으로 분류하였으며 인지기능을 측정하는 MMSE-K의 원점수를 분석에 사용하였고 사회경제수준과 건강수준을 통제변수로 사용하였다. 만 45세 이상 중·고령자 전체를 분석한 결과 종교활동과 여가활동이 인지기능에 유의한 영향을 주는 것으로 나타났으며 연령과 성별을 층화하여 중년 남성, 여성집단과 고령 남성, 여성집단으로 분석한 결과 중년 남성집단에서는 여가활동이 유의하였으며 중년 여성에서는 4가지 사회활동이 모두 유의하지 않았다. 고령 남성과 여성에서는 종교활동과 여가활동이 모두 인지기능에 유의한 영향을 주는 것으로 나타났으며 고령 여성의 공공집단 활동 참여가 인지기능에 유의한 영향을 미치는 것으로 나타났다. 연구의 결과를 통해 중년자들의 사회활동 참여보다 고령자의 종교활동과 여가 활동의 참여가 인지기능 장애와 치매예방에 더 긍정적인 영향을 준다고 볼 수 있으며 이를 근거로 노인들이 건전한 여가활동을 누릴 수 있도록 체계적인 정책과 지원의 확대가 필요하다는 것을 확인하였다.

은퇴가 노인의 심리적 안녕에 미치는 영향 (The Impact of Retirement on Psychological Well-Being of the Elderly)

  • 윤현숙;이미진
    • 한국노년학
    • /
    • 제27권2호
    • /
    • pp.393-408
    • /
    • 2007
  • 본 연구는 2003년도 「고령화와 한국노인의 삶의 질에 관한 연구」자료를 이용하여 서울과 춘천에 거주하는 61세 이상 노인 1,625명을 대상으로 은퇴가 노인의 심리적 안녕에 미치는 영향을 파악하는데 목적을 두고 있다. 노인의 심리적 안녕은 Lawton의 PGCMS(Philadelphia Geriatric Center Morale Scale)의 17개 문항을 이용하여 측정하였다. 연구결과, 은퇴자는 비은퇴자에 비해 여성이 많고 연령이 높으며, 도시지역에 거주하고 있으며, 경제상태, 건강상태, 가족 및 사회관계, 사회활동에서 보다 열악한 상태에 있는 것으로 나타났다. 은퇴자와 비은퇴자의 심리적 안녕상태를 t검증을 통해 분석한 결과, 은퇴자가 비은퇴자에 비해 심리적 안녕감이 낮게 나타났으나 전체 노인을 대상으로 다중회귀분석을 적용하여 다른 변수를 통제한 후에는 은퇴자와 비은퇴자의 심리적 안녕에 유의미한 차이가 나타나지 않아 은퇴여부는 심리적 안녕과 연관이 없는 것으로 분석되었다. 또한 은퇴자와 비은퇴자 집단을 각각 구분하여 다중회귀분석을 적용한 결과, 은퇴자와 비은퇴자의 심리적 안녕에 영향을 미치는 요인은 다르게 나타나, 은퇴자의 경우 사회활동과 취미생활에 대한 욕구가 충족될수록 심리적 안녕감이 높게 나타난 반면 비은퇴자의 경우 학습욕구가 충족될수록 심리적으로 더 안녕한 것으로 나타났다. 따라서 본 연구결과는 은퇴 여부가 노인의 심리적 안녕에 부정적인 영향을 미친다고 보기는 어려우며, 은퇴자와 비은퇴자의 심리적 안녕에 영향을 미치는 요인이 다르게 나타나 집단의 특성에 따라 적합한 프로그램이 제공될 필요가 있음을 시사한다.

빈곤은 인터넷 활용에도 영향을 미치는가?: 빈곤이 부모의 지도감독과 청소년의 인터넷 활용유형을 매개로 학교부적응과 학업성취에 미치는 영향 (The effects of poverty on school maladjustment and academic achievement mediated by parental monitoring and types of internet use)

  • 김지혜;정익중
    • 사회복지연구
    • /
    • 제41권3호
    • /
    • pp.29-56
    • /
    • 2010
  • 21세기를 대표하는 키워드 중 하나는 '정보화' 이다. 정보화는 인류의 삶의 질을 다방면에서 향상시키는 반면, '인터넷 중독' 과 '정보격차' 라는 부정적 측면도 함께 증가시키고 있다. 본 연구는 빈곤청소년들의 사회경제적 격차와 정보격차간의 순환적 관계를 이해하기 위해 한국청소년패널조사자료(KYPS)를 이용하여 빈곤이 부모의 지도감독과 청소년의 인터넷 활용유형을 매개로 학교부적응과 학업성취에 미치는 영향을 구조방정식을 이용하여 분석하였다. 연구결과, 빈곤은 부모의 적절한 지도감독을 감소시키며, 청소년의 인터넷 활용유형 중 정보추구형을 감소시키는 것으로 나타났다. 그리고 정보추구형 이용이 감소할수록 학교부적응이 증가하고, 학업성적이 낮아지는 것으로 나타났다. 빈곤과 오락추구형의 관계는 유의하지 않았다. 본 연구를 통해 빈곤이 청소년의 학교부적응 및 학업성취에 미치는 영향의 주요 경로로 부모의 지도감독과 인터넷 활용유형을 고려할 필요가 있다는 것, 빈곤과 정보격차간의 순환적 관계가 존재할 수 있다는 것을 확인하였다. 이러한 연구결과를 토대로 본 연구는 빈곤청소년의 정보격차 문제를 해소하기 위한 미디어 능력 함양에 대해 제언하였다.

한국 청소년의 안전에 대한 토착심리 분석: 안전사고에 대한 표상과 안전효능감 및 부모의 영향을 중심으로 (Korean adolescents' indigenous understanding of safety: With specific focus on cognitive representation of accidents, safety efficacy and parental influence)

  • 박영신
    • 한국심리학회지 : 문화 및 사회문제
    • /
    • 제9권spc호
    • /
    • pp.89-105
    • /
    • 2003
  • 이 글에서는 한국 사람들의 안전과 관련된 심리 중에서도 특히, 한국 청소년의 안전관련 토착심리를 분석하는데 주된 목적이 있다. 이를 위해 다음과 같은 네 가지 측면에서 선행연구 결과들을 개관하고 정리하였다. 첫째, 한국 청소년의 안전사고에 대한 고유한 표상을 파악하기 위해, 안전사고의 내용, 안전사고의 원인, 안전사고 후의 사회적 지원, 안전사고의 예방 측면에서 살펴보았다. 이러한 안전사고에 대한 표상이 학교수준별, 성별, 안전효능감수준별로 어떠한 차이점과 공통점이 있는지에 대해서도 검토하였다. 둘째, 한국 청소년 안전효능감의 변화를 분석하기 위해, 안전효능감의 개념을 정의하고, 초 중 고등학생의 안전효능감 수준의 변화를 살펴보았다. 셋째, 안전효능감과 안전사고 예방행동의 관계에 대해 살펴보았다. 넷째, 부모가 청소년 자녀의 안전에 미치는 영향에 대해 간략히 정리하였다. 즉 부모의 사회경제적지위와 부모의 안전효능감 및 부모의 안전사고 행동이 청소년 자녀의 안전효능감 및 안전사고 행동과 어떠한 관련이 있는가를 살펴보았다. 이러한 선행연구들에 대한 개관을 통해, 다섯 가지 측면에서 종합적으로 논의하고 후속연구를 위한 시사점을 살펴보았다: 1) 청소년 발달과정에서 안전효능감의 감소 경향성, 2) 안전효능감과 안전행동의 관계, 3) 토착심리학적 접근의 필요성, 4) 부모가 청소년의 안전효능감과 안전행동에 미치는 영향, 5) 한국 사회문제 맥락속에서의 접근: 인간 생명 존엄성에 대한 인식과 사회 전반의 신뢰 구축.

  • PDF

개인의료정보 자기결정권 행사 의도에 영향을 미치는 요인 (Factors Affecting the Intention to Adopt Self-Determination Rights of Personal Medical Information)

  • 구윤모;홍성우;김범수
    • 경영정보학연구
    • /
    • 제20권1호
    • /
    • pp.159-177
    • /
    • 2018
  • 정보통신기술의 발전과 함께 인터넷 상에서 유통되는 디지털 정보의 양과 범위가 급격히 증가하고 있다. 주목할 점은 개인정보의 가치가 광범위하게 인식되면서 의도치 않은 유출과 그에 따른 프라이버시 침해와 같은 부작용 역시 빠르게 증가하고 있다는 것이다. 이러한 개인정보 침해로 인한 정보주체의 피해를 구제하기 위해 전세계 각국은 법률적으로 개인정보 자기결정권을 구체화하고 있으나 실제 현장에서 행사되는 경우는 매우 드문 것으로 나타나고 있다. 특히, 일반적 형태의 개인정보에 비해 개인의 신체 및 건강, 진료 등에 대한 민감한 정보를 담고 있는 개인의료정보의 경우, 보안사고 발생 시 더 많은 경제사회적 문제를 가져올 수 있음에도 개인의료정보에 대한 자기결정권 행사는 충분히 이루어지지 못하고 있다. 본 연구에서는 기존 연구에서 보호와 관련된 개인의 의도 및 행동을 설명하기 위한 이론적 프레임워크로 활용되어 온 보호동기이론을 기반으로 개인의료정보의 자기결정권 행사 의도에 영향을 미치는 요인을 살펴보았다. 설문조사를 통해 수집된 200건의 데이터에 대한 실증분석 결과, 위협평가(위협에 대한 지각된 취약성, 지각된 심각성)와 대처평가(지각된 반응 효율성)가 개인의료정보의 자기결정권 행사 의도에 유의한 영향을 미치고 있는 것으로 나타났으며, 개인이 평소 갖고 있는 개인의료정보 제공에 대한 우려 역시 개인의료정보의 자기결정권 행사 의도에 유의한 영향을 주고 있는 것으로 나타났다. 도출된 결과와 관련된 이론적, 실무적 시사점과 본 연구의 한계점 및 향후 연구방향을 제시하였다.

Tree species migration to north and expansion in their habitat under future climate: an analysis of eight tree species Khyber Pakhtunkhwa, Pakistan

  • Muhammad Abdullah Durrani;Rohma Raza;Muhammad Shakil;Shakeel Sabir;Muhammad Danish
    • Journal of Ecology and Environment
    • /
    • 제48권1호
    • /
    • pp.96-109
    • /
    • 2024
  • Background: Khyber Pakhtunkhwa government initiated the Billion Tree Tsunami Afforestation Project including regeneration and afforestation approaches. An effort was made to assess the distribution characteristics of afforested species under present and future climatic scenarios using ecological niche modelling. For sustainable forest management, landscape ecology can play a significant role. A significant change in the potential distribution of tree species is expected globally with changing climate. Ecological niche modeling provides the valuable information about the current and future distribution of species that can play crucial role in deciding the potential sites for afforestation which can be used by government institutes for afforestation programs. In this context, the potential distribution of 8 tree species, Cedrus deodara, Dalbergia sissoo, Juglans regia, Pinus wallichiana, Eucalyptus camaldulensis, Senegalia modesta, Populus ciliata, and Vachellia nilotica was modeled. Results: Maxent species distribution model was used to predict current and future distribution of tree species using bioclimatic variables along with soil type and elevation. Future climate scenarios, shared socio-economic pathways (SSP)2-4.5 and SSP5-8.5 were considered for the years 2041-2060 and 2081-2100. The model predicted high risk of decreasing potential distribution under SSP2-4.5 and SSP5-8.5 climate change scenarios for years 2041-2060 and 2081-2100, respectively. Recent afforestation conservation sites of these 8 tree species do not fall within their predicted potential habitat for SSP2-4.5 and SSP5-8.5 climate scenarios. Conclusions: Each tree species responded independently in terms of its potential habitat to future climatic conditions. Cedrus deodara and P. ciliata are predicted to migrate to higher altitude towards north in present and future climate scenarios. Habitat of D. sissoo, P. wallichiana, J. regia, and V. nilotica is practiced to be declined in future climate scenarios. Eucalyptus camaldulensis is expected to be expanded its suitability area in future with eastward shift. Senegalia modesta habitat increased in the middle of the century but decreased afterwards in later half of the century. The changing and shifting forests create challenges for sustainable landscapes. Therefore, the study is an attempt to provide management tools for monitoring the climate change-driven shifting of forest landscapes.

국내 크롬 및 그 화합물의 노출실태 및 노출기준 개정 제안 (Proposals to Revise the Occupational Exposure Limits for Aluminum in Korea)

  • 김승원;피영규;백용준;정태진;한정희
    • 한국산업보건학회지
    • /
    • 제34권2호
    • /
    • pp.166-178
    • /
    • 2024
  • Objectives: The 12 occupational exposure limits(OELs) for chromium and its compounds in Korea were set by applying the American Conference of Governmental Industrial Hygienists (ACGIH) Threshold Limit Values (TLVs). However, this is significantly different from the TLVs after the existing TLVs were integrated and withdrawn in 2018, so it is necessary to review the revision. Methods: Various documents related to chromium OELs were reviewed, including the ACGIH TLV Documentations for chromium and its compounds. A field survey was conducted targeting workplaces handling chromium and its compounds. Based on this, a revised OELs were proposed and a socio-economic evaluation was conducted. Results: The OELs for chromium compounds in Korea was first enacted in 2002, and in 2007, the OELs for chromium (hexavalent) compounds (insoluble) was lowered from 0.05 mg/m3 to 0.01 mg/m3. In 2008, the OELs for strontium chromate was newly established as 0.0005 mg/m3, and in 2018, the OELs for calcium chromate was newly established as 0.001 mg/m3. Total chromium and hexavalent chromium were measured for each of 6 samples at 2 welding sites, 4 plating sites, and 2 spray coating sites. When omparing the average of the results measured by ICP, a total chromium analysis method, and the analysis results by IC, a hexavalent chromium analysis method, only workplace 4 was the same, and total chromium was evaluated more, and total chromium was evaluated at 0.0004 to 0.0027 mg/m3. And hexavalent chromium was evaluated as non-detection ~ 0.0014 mg/m3. Amendment ①: The exposure standard for hexavalent chromium is not divided into water soluble, insoluble, chromium ore processing, and other hexavalent chromium compounds, and is integrated into 0.01 mg/m3, which is the level of chromium (hexavalent) compound (insoluble)., OELs for chromium (metal) and chromium (trivalent) compounds are integrated into chromium (trivalent) compounds, and the exposure level is maintained. Amendment ②: As in the amendment ①, the OELs are integrated, but the level is lowered to 0.005 mg/m3, which is the OELs of OSHA, and there is a grace period of 4 years. Amendment ③: As in the amendment ①, the OELs are integrated, but the level is lowered to 0.0002 mg/m3, which is the exposure standard of ACGIH, and there is a grace period of 5 years. Conclusions: Amendment ①: The change in the OELs is insignificant, so the cost required is small, and the benefit/cost ratio is greater than 1, so there is no problem in applying the amendment. Amendment ②: In all scenarios except chromium 6(insoluble), the benefit/cost ratio is greater than 1, so it is thought that there will be no major problem in applying the amendment. Amendment ③: Since the benefit/cost ratio is less than 1 in all scenarios, it is thought that the total social benefit that can be obtained when applying the amendment is not large.

한국의 지역개발과 댐건설 (Regional Development And Dam Construction in Korea)

  • 안경모
    • 물과 미래
    • /
    • 제9권1호
    • /
    • pp.38-42
    • /
    • 1976
  • Because of differences in thoughts and ideology, our country, Korea has been deprived of national unity for some thirty years of time and tide. To achieve peaceful unification, the cultivation of national strength is of paramount importance. This national strength is also essential if Korea is to take rightful place in the international societies and to have the confidence of these societies. However, national strength can never be achieved in a short time. The fundamental elements in economic development that are directly conducive to the cultivation of national strength can be said to lie in -a stable political system, -exertion of powerful leadership, -cultivation of a spirit of diligence, self-help and cooperation, -modernization of human brain power, and -establishment of a scientific and well planned economic policy and strong enforcement of this policy. Our country, Korea, has attained brilliant economic development in the past 15 years under the strong leadership of president Park Chung Hee. However, there are still many problems to be solved. A few of them are: -housing and home problems, -increasing demand for employment, -increasing demand for staple food and -the need to improve international balance of payment. Solution of the above mentioned problems requires step by step scientific development of each sector and region of our contry. As a spearhead project in regional development, the Saemaul Campaign or new village movement can be cited. The campaign is now spreading throughout the country like a grass fire. However, such campaigns need considerable encouragement and support and the means for the desired development must be provided if the regional and sectoral development program is to sucdceed. The construction of large multipurpose dams in major river basin plays significant role in all aspects of national, regional and sectoral development. It ensures that the water resource, for which there is no substitute, is retained and utilized for irrigation of agricultural areas, production of power for industry, provision of water for domestic and industrial uses and control of river water. Water is the very essence of life and we must conserve and utilize what we have for the betterment of our peoples and their heir. The regional and social impact of construction of a large dam is enormous. It is intended to, and does, dras tically improve the "without-project" socio-economic conditions. A good example of this is the Soyanggang multipurpose dam. This project will significantly contribute to our national strength by utilizing the stored water for the benefit of human life and relief of flood and drought damages. Annual average precipitation in Korea is 1160mm, a comparatively abundant amount. The catchment areas of the Han River, Keum River, and Youngsan River are $62,755\textrm{km}^2$, accounting for 64% of the national total. Approximately 62% of the national population inhabits in this area, and 67% of the national gross product comes from the area. The annual population growth rate of the country is currently estimated at 1.7%, and every year the population growth in urban area increases at a rising rate. The population of Seoul, Pusan, and Taegu, the three major cities in Korea, is equal to one third of our national total. According to the census conducted on October 1, 1975, the population in the urban areas has increased by 384,000, whereas that in rural areas has decreased by 59,000,000 in the past five years. The composition of population between urban and rural areas varied from 41%~59% in 1959 to 48%~52% in 1975. To mitigate this treand towards concentration of population in urban areas, employment opportunities must be provided in regional and rural areas. However, heavy and chemical industries, which mitigate production and employment problems at the same time, must have abundant water and energy. Also increase in staple food production cannot be attained without water. At this point in time, when water demand is rapidly growing, it is essential for the country to provide as much a reservoir capacity as possible to capture the monsoon rainfall, which concentarated in the rainy seaon from June to Septesmber, and conserve the water for year round use. The floods, which at one time we called "the devil" have now become a source of immense benefit to Korea. Let me explain the topographic condition in Korea. In northern and eastern areas we have high mountains and rugged country. Our rivers originate in these mountains and flow in a general southerly or westerly direction throught ancient plains. These plains were formed by progressive deposition of sediments from the mountains and provide our country with large areas of fertile land, emminently suited to settlement and irrigated agricultural development. It is, therefore, quite natural that these areas should become the polar point for our regional development program. Hower, we are fortunate in that we have an additional area or areas, which can be used for agricultural production and settlement of our peoples, particularly those peoples who may be displaced by the formation of our reservoirs. I am speaking of the tidelands along the western and southern coasts. The other day the Ministry of Agriculture and Fishery informed the public of a tideland reclamation of which 400,000 hectares will be used for growing rice as part of our national food self-sufficiency programme. Now, again, we arrive at the need for water, as without it we cannot realize this ambitious programme. And again we need those dams to provide it. As I mentioned before, dams not only provide us with essential water for agriculture, domestic and industrial use, but provide us with electrical energy, as it is generally extremely economical to use the water being release for the former purposes to drive turbines and generators. At the present time we have 13 hydro-electric power plants with an installed capacity of 711,000 kilowatts equal to 16% of our national total. There are about 110 potential dams ites in the country, which could yield about 2,300,000 kilowatts of hydro-electric power. There are about 54 sites suitable for pumped storage which could produce a further 38,600,000 kilowatts of power. All available if we carefully develop our water resources. To summarize, water resource development is essential to the regional development program and the welfare of our people, it must proceed hand-in-hand with other aspects of regional development such as land impovement, high way extension, development of our forests, erosion control, and develop ment of heavy and chemical industries. Through the successful implementation of such an integrated regional development program, we can look forward to a period of national strength, and due recognition of our country by the worlds societies.

  • PDF

한국의 베이비부머세대 중년여성이 삶에서 추구하는 가치에 대한 질적연구 - 서울 거주 중산층을 중심으로 - (Qualitative Research on Korean Baby-Boomer Generation Middle-Aged Women's Attitude Toward Their Lives - Based on Middle-Class Seoul Residents -)

  • 이지현;김선우
    • Asia Marketing Journal
    • /
    • 제14권2호
    • /
    • pp.127-156
    • /
    • 2012
  • 본 연구에서는 가족 내 높은 의사결정권을 가진 베이비부머세대 중년여성을 연구대상으로 선정하여 이 소비자에 대한 이해를 높이기 위해 이들이 삶에서 추구하는 가치를 질적연구방법을 통해 알아보았다. 그 결과, 시간, 관계, 젊음과 건강, 자아실현, 의식의 총 5개의 핵심가치를 도출했다. 상위범주들의 맥락적 관계를 구축하여 모형을 도출한 결과, 베이비부머세대 중년여성은 시간적 여유의 증가와 이전/이후세대와는 다른 의식을 인과적 조건으로 하여 자아실현과 타인과의 관계맺기 현상을 나타내며 이 과정에서 스트레스를 받고 있었다. 이들은 이와 같은 현상을 대처하기 위해 건강과 젊음을 위해 다양한 노력을 취하고 있었으며, 이를 통해 최종적으로 시간적 여유가 있고 경제적으로 크게 고통 받지 않는 현재의 삶에 감사하고 있다는 결론을 도출하였다. 모형을 보다 추상적인 중심현상으로 축약화하여 베이비부머세대 중년여성의 삶에 대한 이야기를 구성하였으며, 이를 통해 베이비부머 중년여성이 여러 가지 활동과 노력을 통해 추구하고자 하는 것은 '건강하고 젊고 행복한 삶'이라는 결론을 내렸다. 본 연구를 통해 도출된 실무적 시사점은 다음과 같다. 첫째, 베이비부머세대 중년여성의 삶에 가장 큰 영향을 미치는 시간을 잘 활용하도록 도와주는 상품, 서비스가 필요하다. 둘째, 자아실현 욕구가 높은 베이비부머세대 중년여성이 자아효능감을 느낄 수 있도록 이들의 감각, 능력, 인맥을 활용할 수 있는 기회를 제공해야 한다. 셋째, 이들의 집안과 외모 가꾸기는 자아실현의 방법이므로 이 시장에 대한 세분화가 필요하다. 질적인 방법으로 진행된 본 연구의 한계점을 보완하기 위해서는 다양한 지역과 소득계층을 포함하는 후속연구가 진행되어야 한다. 그리고 이상의 결과를 확인하고 보완하는 차원의 양적연구가 후속으로 진행되어야할 것이며, 이들 삶의 한 부분을 집중적으로 조명하여 더욱 깊이 있는 결과를 도출하는 후속연구가 필요하다.

  • PDF

한국가족계획사업(韓國家族計劃事業)의 문제점(問題點) (Problems in the Korean National Family Planning Program)

  • 홍종관
    • Clinical and Experimental Reproductive Medicine
    • /
    • 제2권2호
    • /
    • pp.27-36
    • /
    • 1975
  • The success of the family planning program in Korea is reflected in the decrease in the growth rate from 3.0% in 1962 to 2.0% in 1971, and in the decrease in the fertility rate from 43/1,000 in 1960 to 29/1,000 in 1970. However, it would be erroneous to attribute these reductions entirely to the family planning program. Other socio-economic factors, such as the increasing age at marriage and the increasing use of induced abortions, definitely had an impact on the lowered growth and fertility rate. Despite the relative success of the program to data in meeting its goals, there is no room for complacency. Meeting the goal of a further reduction in the population growth rate to 1.3% by 1981 is a much more difficult task than any one faced in the past. Not only must fertility be lowered further, but the size of the target population itself will expand tremendously in the late seventies; due to the post-war baby boom of the 1950's reaching reproductive ages. Furthermore, it is doubtful that the age at marriage will continue to rise as in the past or that the incidence of induced abortion will continue to increase. Consequently, future reductions in fertility will be more dependent on the performance of the national family planning program, with less assistance from these non-program factors. This paper will describe various approaches to help to the solution of these current problems. 1. PRACTICE RATE IN FAMILY PLANNING In 1973, the attitude (approval) and knowledge rates were quite high; 94% and 98% respectively. But a large gap exists between that and the actual practice rate, which is only 3695. Two factors must be considered in attempting to close the KAP-gap. The first is to change social norms, which still favor a larger family, increasing the practice rate cannot be done very quickly. The second point to consider is that the family planning program has not yet reached all the eligible women. A 1973 study determineded that a large portion, 3096 in fact, of all eligible women do not want more children, but are not practicing family planning. Thus, future efforts to help close the KAP-gap must focus attention and services on this important large group of potential acceptors. 2. CONTINUATION RATES Dissatisfaction with the loop and pill has resulted in high discontinuation rates. For example, a 1973 survey revealed that within the first six months initial loop acceptance. nearly 50% were dropouts, and that within the first four months of inital pill acceptance. nearly 50% were dropouts. These discontinuation rates have risen over the past few years. The high rate of discontinuance obviously decreases the contraceptive effectiveness. and has resulted in many unwanted births which is directly related to the increase of induced abortions. In the future, the family planning program must emphasize the improved quality of initial and follow-up services. rather than more quantity, in order to insure higher continuation rates and thus more effective contraceptive protection. 3. INDUCED ABORTION As noted earlier. the use of induced abortions has been increase yearly. For example, in 1960, the average number of abortions was 0.6 abortions per women in the 15-44 age range. By 1970. that had increased to 2 abortions per women. In 1966. 13% of all women between 15-44 had experienced at least one abortion. By 1971, that figure jumped to 28%. In 1973 alone, the total number of abortions was 400,000. Besides the ever incre.sing number of induced abortions, another change has that those who use abortions have shifted since 1965 to include- not. only the middle class, but also rural and low-income women. In the future. in response to the demand for abortion services among rural and low-income w~men, the government must provide and support abortion services for these women as a part of the national family planning program. 4. TARGET SYSTIi:M Since 1962, the nationwide target system has been used to set a target for each method, and the target number of acceptors is then apportioned out to various sub-areas according to the number of eligible couples in each area. Because these targets are set without consideration for demographic factors, particular tastes, prejudices, and previous patterns of acceptance in the area, a high discontinuation rate for all methods and a high wastage rate for the oral pill and condom results. In the future. to alleviate these problems of the methodbased target system. an alternative. such as the weighted-credit system, should be adopted on a nation wide basis. In this system. each contraceptive method is. assigned a specific number of points based upon the couple-years of protection (CYP) provided by the method. and no specific targets for each method are given. 5. INCREASE OF STERILIZA.TION TARGET Two special projects. the hospital-based family planning program and the armed forces program, has greatly contributed to the increasing acceptance in female and male sterilization respectively. From January-September 1974, 28,773 sterilizations were performed. During the same time in 1975, 46,894 were performed; a 63% increase. If this trend continues, by the end of 1975. approximately 70,000 sterilizations will have been performed. Sterilization is a much better method than both the loop and pill, in terms of more effective contraceptive protection and the almost zero dropout rate. In the future, the. family planning program should continue to stress the special programs which make more sterilizations possible. In particular, it should seek to add the laparoscope techniques to facilitate female sterilization acceptance rates. 6. INCREASE NUMBER OF PRIVATE ACCEPTORS Among the current family planning users, approximately 1/3 are in the private sector and thus do not- require government subsidy. The number of private acceptors increases with increasing urbanization and economic growth. To speed this process, the government initiated the special hospital based family planning program which is utilized mostly by the private sector. However, in the future, to further hasten the increase of private acceptors, the government should encourage doctors in private practice to provide family planning services, and provide the contraceptive supplies. This way, those do utilize the private medical system will also be able to receive family planning services and pay for it. Another means of increasing the number of private acceptors, IS to greatly expand the commercial outlets for pills and condoms beyond the existing service points of drugstores, hospitals, and health centers. 7. IE&C PROGRAM The current preferred family size is nearly twice as high as needed to achieve a stable poplation. Also, a strong boy preference hinders a small family size as nearly all couples fuel they must have at least one or more sons. The IE&C program must, in the future, strive to emphasize the values of the small family and equality of the sexes. A second problem for the IE&C program to work. with in the: future is the large group of people who approves family planning, want no more children, but do not practice. The IE&C program must work to motivate these people to accept family planning And finally, for those who already practice, an IE&C program in the future must stress continuation of use. The IE&C campaign, to insure highest effectiveness, should be based on a detailed factor analysis of contraceptive discontinuance. In conclusion, Korea faces a serious unfavorable sociodemographic situation- in the future unless the population growth rate can be curtailed. And in the future, the decrease in fertility will depend solely on the family planning program, as the effect of other socio-economic factors has already been maximumally felt. A second serious factor to consider is the increasing number of eligible women due to the 1950's baby boom. Thus, to meet these challenges, the program target must be increased and the program must improve the effectiveness of its current activities and develop new programs.

  • PDF