J Korean Soc Matern Child Health.  2023 Jan;27(1):32-44. 10.21896/jksmch.2023.27.1.32.

The Childbirth Experience and Life Satisfaction among Women with Disabilities

• Ma SB
• Choi YM
• Lee M
• Jeon B

• KMID: 2539416
• DOI: http://doi.org/10.21896/jksmch.2023.27.1.32

Abstract

Purpose
The aim of this study was to show the association between the childbirth experience and life satisfaction among women with disabilities and estimate the moderating effect of family strengths and social support.
Methods
The target sample included disabled married women aged 20-49 years. We used the Disability and Life Dynamics Panel 2018. The total number of participants was 220. Three groups were defined based on the childbirth experience: women who had never given birth (13.6%), those who gave birth before the onset of disability (73.2%), and those who gave birth after the onset of disability (13.2%). We identified differences in general characteristics, family strengths, social support, and life satisfaction across the 3 groups and examined the moderating effect of family strengths and social support for the childbirth experience and life satisfaction.
Results
Women who gave birth after the onset of disability were in better health, exhibiting longer disability retention periods. The multiple regression analysis revealed that among women who gave birth after the onset of disability, life satisfaction was significantly higher than that of women without the childbirth experience because of the moderating effect of family strengths. However, social support had no significant effect on the childbirth experience and life satisfaction.
Conclusion
We empirically analyzed the status of childbirth before and after the onset of disability using representative survey data. The findings indicate a positive moderating effect of family strengths on the level of life satisfaction among women with disabilities.

Keyword

Disabled persons, Women, Personal satisfaction, Family, Social support

Reference

Abualait TS., Alzahrani MA., Ibrahim AI., Bashir S., Abuoliat ZA. Deter-minants of life satisfaction among stroke survivors 1 year post stroke. Medicine. 2021. 100:e25550.

Barisin A., Benjak T., Vuletić G. Health-related quality of life of women with disabilities in relation to their employment status. Croat Med J. 2011. 52:550–6.

Baron RM., Kenny DA. The moderator-mediator variable distinction in social psychological research: conceptual, strategic, and stati-stical considerations. J Pers Soc Psychol. 1986. 51:1173–82.

Cho S., Lee J., Kim KT. Factors and policy challenges for married couple's childless choice. Sejong (Korea): Korea Institute for Health And Social Affairs;2021.

Choi B. A qualitative study on the difficulties perceived by disabled women: pregnancy, childbirth and mothering. Korean J Phys Mult Disabil. 2011. 54:323–47. https://doi.org/10.20971/kcpmd.2011.54.4.323.

Choi S. Supporting plan of disabled welfare center for the disabled in securing the maternity rights (pregnancy · childbirth · child rearing) of disabled women from a gender-sensitive perspective. J Digit Converg. 2018. 16:97–107. https://doi.org/10.14400/JDC.2018.16.12.097.

Emerson E., Llewellyn G. The wellbeing of women and men with and without disabilities: evidence from cross-sectional national surveys in 27 low- and middle-income countries. Qual Life Res. 2022 Oct 22. https://doi.org/10.1007/s11136-022-03268-y [Epub].

Go DK., Choi JS. A qualitative study on pregnancy, childbirth and childrearing of women with developmental disabilities. Korean J Fam Soc Work. 2020. 67:137–71. https://doi.org/10.16975/kjfsw.67.3.5.

Hwang BO., Park YJ. The analysis on the causal model physically disabled women's social support, social integration and quality of life. J Rehabil Res. 2010. 14:299–324.

Jeon BY., Kwon SM., Cho BH., Lee TJ. Factors associated with employment and life satisfaction of occupationally injured people. Korean Soc Secur Stud. 2010. 26:199–222.

Jeon HY. A study on types of family health perceived by the people of disabilities and affecting factors. J Spec Child Educ. 2021. 23:27–49.

Jeon S., Lee S., Jung E., Kim J. Correlationship between satisfaction of disabled females with mental, visual and hearing disability in raising children: mediating effect of communication between parent and child. Korean J Soc Welf. 2014. 66:297–319.

Jung J. A study to guarantee the social rights of women with disabilities. J Human Soc Sci 21. 2022. 13:2635–49. http://dx.doi.org/10.22143/HSS21.13.1.186.

Kim CH., Kang SH. Convergence study to predict length of stay in premature infants using machine learning. J Digit Converg. 2021. 19:271–82. http://doi.org/10.14400/JDC.2021.19.7.271.

Kim HG. The impact of social support and prejudice experienced by the mentally Ill on quality of their life. J Inst Soc Sci. 2010. 21:63–84. https://www.kci.go.kr/kciportal/ci/sereArticleSearch/ciSereArtiView.kci?sereArticleSearchBean.artiId=ART001444380.

Kim J. An longitudinal factor analysis for social support and parenting-stress of motherhood: longitudinal data analysis of the Panel Study of Korean Children (PSKC). Seoul (Korea): Yonsei University;2021.

Kim J. The impact of gender role and life satisfaction on changes in women's birth experience. Fam Cult. 2020. 32:180–208. https://doi.org/10.21478/family.32.2.202006.006.

Kim N., Choi SK. A study on pregnancy, childbirth, child rearing to experience physically disabled women. Korean Civic Ethic Rev. 2009. 22:275–302. https://www.kci.go.kr/kciportal/ci/sereArticleSearch/ciSereArtiView.kci?sereArticleSearchBean.artiId=ART001397488.

Kim S., Shim IS. A study on the effects of satisfaction of the maternity experiences to quality of life among women with disability. Women Stud. 2007. 72:73–107. https://doi.org/10.33949/tws.2007.1.72.003.

Kim YO., Lee HJ., Lim KW. The difference in daily life satisfaction according to the social economic status and sociodemographic characteristics of women with disabilities. J Vocat Rehabil. 2012. 2:49–65.

Ko CS. The influence of perceived family strengths on parenting stress of mothers with disabled children. J Digit Converg. 2016. 14:389–97. http://doi.org/10.14400/JDC.2016.14.11.389.

Ko MS., Kim DJ. The effects of the economic activity status of the female disabled on their daily life satisfaction level: focusing on the mediating effects of self-esteem. Disabil Employ. 2014. 24:137–64. https://doi.org/10.15707/disem.2014.24.2.005.

Korea Disabled people's Development Institute. 2020 Disability and Life Dynamics Panel. Seoul (Korea): Korea Disabled people's Development Institute;2020.

Korea Federation of Persons with Disabilities. ‘Don't have children?’ The reality of preventing women with disabilities from giving birth [Internet]. Seoul (Korea): Korea Federation of Persons with Disabilities;2019. [cited 2022 Oct 4] Available from: http://m.kofod.or.kr/bbs_shop/read.htm?board_code=sub2_4&idx=77263.

Korea Federation of Women with Disabilities. The definition of maternal rights [Internet]. Seoul (Korea): Korea Federation of Women with Disabilities;2022. [cited 2022 Oct 4]. Available from: http://www.kdawu.org/right/mother.php.

Korean Institute for Healthy Family. Familynet [Internet]. Seoul (Korea): Korean Institute for Healthy Family;2023. [cited 2023 Jan 26]. Available from: https://www.familynet.or.kr/web/index.do.

Lee HH. The effect of income status on life satisfaction of middle-aged and disabled persons: multiple mediating effects of depression and social support. J Korea Converge Soc. 2021. 12:377–89. https://doi.org/10.15207/JKCS.2021.12.11.377.

Lee J., Jo W., Choi J. A study on the living conditions and support plan by life cycle of women with disabilities in Jeollabuk-do: focusing on women with disabilities during pregnancy, childbirth, and child-raising. Jeonju (Korea): Jeonbuk Research Institute;2017.

Lee KH. Family strengths influence factor of disabled children parents group members: focusing on support of colleague and satisfaction with group. J Disabil Welf. 2016b. 32:35–62. https://doi.org/10.22779/kadw.2016.32.32.35.

Lee KS. A qualitative study of maternal experience of physically severe disabled women. TACR. 2016a. 6:1–26. https://doi.org/10.13065/jksdh.20190061.

Lee SH., Shin BM., Shin SJ., Bae SM. Relationship between perceived health status and health-related quality of life in the elderly: a focus on moderating effects of oral health. J Korean Soc Dent Hyg. 2019. 19:715–29. https://doi.org/10.13065/jksdh.20190061.

Lim EJ., Park AS. A study of the effect of social support on physically disabled women's nurturing behavior-focusing on the intervening effect of self-esteem. J Rehabil Res. 2012. 16:67–90. https://www.kci.go.kr/kciportal/ci/sereArticleSearch/ciSereArtiView.kci?sereArticleSearchBean.artiId=ART001736042.

Lim NG., Lee JY., Park JO., Lee JA., Oh J. Pregnancy, prenatal care, and delivery of mothers with disabilities in Korea. J Korean Med Sci. 2015. 30:127–32.

Medical Today. Support for the delivery of women with disabilities far away…Childbirth support rates are below 80 percent every year [Internet]. 2022 Sep 9. [cited 2022 Sep 9]. Available from: https://mdtoday.co.kr/news/view/1065594182550290.

Ministry of Health and Welfare. A guide to the health and health management project for Persons with Disabilities in 2022. Sejong (Korea): Ministry of Health and Welfare;2022.

Ministry of Health and Welfare, Korea Institute of Health and Social Affairs. Announcement of the results of the 2020 survey on persons with disabilities [Internet]. Sejong (Korea): Ministry of Health and Welfare;2021. [cited 2022 Sep 9]. Available from: https://www.mohw.go.kr/react/al/sal0301vw.jsp?PAR_MENU_ID=04&MENU_ID=0403&page=1&CONT_SEQ=372831.

Nam JY., Park EC. The association between adequate prenatal care and severe maternal morbidity: a population-based cohort study. J Korean Soc Matern Child Health. 2018. 22:112–23. https://doi.org/10.21896/jksmch.2018.22.2.112.

National Cancer Institute. NCI dictionaries [Internet]. Bethesda (MD): National Cancer Institute;2021. [cited 2022 Oct 4]. Available from: https://www.cancer.gov/publications/dictionaries/cancer-terms/def/social-support.

Paik ER., Lee EM., Oh HK. A study on characteristics of motherhood experience and affecting factors on fertility of women with disa bility. J Disabil Welf. 2009. 11:113–49. https://www.kci.go.kr/kciportal/ci/sereArticleSearch/ciSereArtiView.kci?sereArticleSearchBean.artiId=ART001416985.

Park H. Reliability using Cronbach alpha in sample survey. Korean J Appl Stat. 2021. 34:1–8. https://doi.org/10.5351/KJAS.2021.34.1.001.

Park JI., Lee KJ. The effect of self-determination on quality of life for the people with psychiatric disabilities. Mental Health Soc Work. 2012. 40:33–62. https://www.kci.go.kr/kciportal/ci/sereArticleSearch/ciSereArtiView.kci?sereArticleSearchBean.artiId=ART001671224.

Park MS. The factors of life satisfaction among women with disability. J Rehabil Res. 2012. 16:139–58.

Shin EM., Lee JW., Lee HS. The effects of family strengths perceived by college students on self-esteem: focusing on the double mediation of interpersonal relationship ability and self-efficacy. J Digit Converg. 2021. 19:177–83.

Shin JE., Cho GJ., Bak S., Won SE., Han SW., Lee SB, et al. Pregnancy and neonatal outcomes of women with disabilities: a nationwide population-based study in South Korea. Sci Rep. 2020. 10:9200.

Sim B., Park MB. Exploration of community risk factors for COVID-19 incidence in Korea. Health Policy Manag. 2022. 32:45–52.

Statistics Korea, Ministry of Health and Welfare. Life of persons with disabilities in 2020 statistics [Internet]. Daejeon (Korea): Statistics Korea;2020. [cited 2022 Sep 9]. Available from: https://www.korea.kr/news/pressReleaseView.do?newsId=156402781.

Suh H., Jang MS. A discourse on maternal right security for women with disabilities. Ewha J Gender Law. 2018. 10:177–211. https://doi.org/10.22791/ewhagl.2018.10.2.006.