Womens Health Nurs.  2024 Dec;30(4):288-298. 10.4069/whn.2024.12.06.1.

Factors associated with future fertility intentions among Korean women of childbearing age in Seoul: a cross-sectional study

Affiliations
  • 1Faculty of Korean Language, Phenikaa University, Hanoi City, Vietnam
  • 2Department of Otolaryngology-Head and Neck Surgery, Hanyang University College of Medicine, Seoul, Korea

Abstract

Purpose
South Korea currently has the lowest fertility rate among Organization for Economic Co-operation and Development countries, with a total fertility rate of less than one child per woman. This study explored the factors influencing future fertility intentions (FFI) among Korean women of childbearing age. Methods: Using a cross-sectional design, we analyzed data from the 2022 Survey on Low Birth Policy Demand in Seoul, conducted by the Seoul Women and Family Foundation. This study focused on women of childbearing age. Bivariate analyses and a multivariate logistic regression model were employed to investigate the FFI rate and its associated factors. Results: The observed overall FFI rate among Korean women of childbearing age was 25.6%, with rates of 27.9% among unmarried women, and 22.0% among married women. Factors associated with FFI included education level, employment status, weekly working hours, number of children, age at first sexual education, monthly income, and perspectives on marriage, childbearing, and gender inequality. High FFI rates were noted among self-employed individuals (33.3%); those who received sexual education in adulthood (48.6%), those who believed in having children after marriage (44.0%), those who thought children strengthen relationships (32.5%), and those who perceived gender equality in family or workplace culture (31.7%). Conclusion: This study assessed the FFI rate among Korean women of childbearing age, identifying the sociodemographic characteristics and perspectives on marriage, childbearing, and gender inequality that influence it. The findings provide valuable insights for policymakers and nurses to engage with women and increase birth rates in Seoul and throughout South Korea.

Keyword

Childbearing; Fertility; Marriage; Sex education; Sociodemographic factors

Figure

  • Figure 1. Differences in the future fertility intention (FFI) rate among childless women of childbearing age by sociodemographic characteristics. The two-sided Fisher exact test was utilized to calculate p-values, assessing differences in FFI rates across categories of each sociodemographic factor. KRW: Korean won (one million Korean won is approximately 790 US dollars).

  • Figure 2. Differences in the future fertility intention (FFI) rate among childless women of childbearing age by perspectives towards marriage and childbearing. The two-sided Fisher exact test was utilized to calculate p-values, assessing differences in FFI rates across categories of each perspective.


Reference

References

1. The World Bank. Fertility Rate, total (births per woman) [Internet]. Washington, DC: Author;2023. [cited 2024 Jul 2]. Available from: https://genderdata.worldbank.org/indicators/sp-dyn-tfrt-in.
2. Yong JC, Li NP, Jonason PK, Tan YW. East Asian low marriage and birth rates: The role of life history strategy, culture, and social status affordance. Pers Individ Dif. 2019; 141:127–132. https://doi.org/10.1016/j.paid.2019.01.009. DOI: 10.1016/j.paid.2019.01.009.
Article
3. Statistics Korea. Birth and death. [Internet]. Daejeon: Author;2024. [cited 2024 Jul 2]. Available from: https://kostat.go.kr/board.es?mid=a20108100000&bid=11773.
4. Jin J, Wang Y, Jiang L. The low fertility and response of family policy in Germany. Front Bus Econ Manage. 2024; 13(1):27–29. https://doi.org/10.54097/w1qkh660. DOI: 10.54097/w1qkh660.
Article
5. Chen M, Lo CK, Chen Q, Chan KL, Ip P. Fertility intention in Hong Kong: declining trend and associated factors. Appl Res Qual Life. 2024; 19:1309–1335. https://doi.org/10.1007/s11482-024-10292-2. DOI: 10.1007/s11482-024-10292-2.
Article
6. Jeong K, Yoon J, Cho HJ, Kim S, Jang J. The relationship between changes in the Korean fertility rate and policies to encourage fertility. BMC Public Health. 2022; 22(1):2298. https://doi.org/10.1186/s12889-022-14722-4. DOI: 10.1186/s12889-022-14722-4. PMID: 36482452.
Article
7. Cho KA. Korea’s low birth rate issue and policy directions. Korean J Women Health Nurs. 2021; 27(1):6–9. https://doi.org/10.4069/kjwhn.2021.02.16. DOI: 10.4069/kjwhn.2021.02.16. PMID: 36311990.
Article
8. Lim S. Socioeconomic differentials in fertility in South Korea. Demogr Res. 2021; 44:941–978. https://doi.org/10.4054/demres.2021.44.39. DOI: 10.4054/demres.2021.44.39. PMID: 34054341.
Article
9. Kim HS, Oh CY, Ahn KH. A survey on public perceptions of low fertility: a social research panel study. J Korean Med Sci. 2022; 37(25):e203. https://doi.org/10.3346/jkms.2022.37.e203. DOI: 10.3346/jkms.2022.37.e203. PMID: 35762146.
Article
10. Preis H, Tovim S, Mor P, Grisaru-Granovsky S, Samueloff A, Benyamini Y. Fertility intentions and the way they change following birth- a prospective longitudinal study. BMC Pregnancy Childbirth. 2020; 20(1):228. https://doi.org/10.1186/s12884-020-02922-y. DOI: 10.1186/s12884-020-02922-y. PMID: 32303192.
Article
11. Zhang C, Wei L, Zhu Y, Teng L, Zhang W, Xu J, et al. Fertility intentions among young people in the era of China's three-child policy: a national survey of university students. BMC Pregnancy Childbirth. 2022; 22(1):637. https://doi.org/10.1186/s12884-022-04873-y. DOI: 10.1186/s12884-022-04873-y. PMID: 35962340.
Article
12. Yu X, Liang J. Social norms and fertility intentions: evidence from China. Front Psychol. 2022; 13:947134. https://doi.org/10.3389/fpsyg.2022.947134. DOI: 10.3389/fpsyg.2022.947134. PMID: 36467244.
Article
13. Atalay K, Li A, Whelan S. Housing wealth, fertility intentions and fertility. J Hous Econ. 2021; 54:101787. https://doi.org/10.1016/j.jhe.2021.101787. DOI: 10.1016/j.jhe.2021.101787.
Article
14. Raybould A, Mynarska M, Sear R. “The future is unstable”: exploring changing fertility intentions in the United Kingdom during the COVID-19 pandemic. Perspect Sex Reprod Health. 2023; 55(4):229–238. https://doi.org/10.1111/psrh.12248. DOI: 10.1111/psrh.12248. PMID: 38084828.
Article
15. Spéder Z, Bálint L. Realization of short-term fertility intentions in a comparative perspective: which macro-level conditions matter? Popul Res Policy Rev. 2024; 43:72. https://doi.org/10.1007/s11113-024-09913-3. DOI: 10.1007/s11113-024-09913-3.
Article
16. Novelli M, Cazzola A, Angeli A, Pasquini L. Fertility intentions in times of rising economic uncertainty: evidence from Italy from a gender perspective. Soc Indic Res. 2021; 154:257–284. https://doi.org/10.1007/s11205-020-02554-x. DOI: 10.1007/s11205-020-02554-x.
Article
17. Jeon S, Lee M, Kim S. Factors influencing fertility intentions of newlyweds in South Korea: focus on demographics, socioeconomics, housing situation, residential satisfaction, and housing expectation. Sustainability. 2021; 13(3):1534. https://doi.org/10.3390/su13031534. DOI: 10.3390/su13031534.
Article
18. Kim T. The impact of working hours on pregnancy intention in childbearing-age women in Korea, the country with the world’s lowest fertility rate. PLoS One. 2023; 18(7):e0288697. https://doi.org/10.1371/journal.pone.0288697. DOI: 10.1371/journal.pone.0288697. PMID: 37467184.
Article
19. Lee SH. Survey on low birth policy demand in Seoul, 2022 [Internet]. Seoul: Korea Social Science Data Archive;2022. [cited 2024 Feb 21]. Available from: https://doi.org/10.22687/KOSSDA-A1-2022-0095-V1. DOI: 10.22687/KOSSDA-A1-2022-0095-V1.
Article
20. Sprent P. Fisher exact test. In : Lovric M, editor. International encyclopedia of statistical science. Berlin, Heidelberg: Springer;2011. p. 524–525.
21. Hosmer DW Jr, Lemeshow S, Sturdivant RX. Applied logistic regression. 3rd ed. Hoboken (NJ): John Wiley & Sons;2013. p. 313–375.
22. Febrianti R, Widyaningsih Y, Soemartojo S. The parameter estimation of logistic regression with maximum likelihood method and score function modification. J Phys Conf Ser. 2021; 1725:012014. https://doi.org/10.1088/1742-6596/1725/1/012014. DOI: 10.1088/1742-6596/1725/1/012014.
Article
23. Statista. Average annual wage in South Korea adjusted for purchasing power parity from 2000 to 2023 (in 2022 U.S. dollars) [Internet]. Hamburg: Author;2024. [cited 2024 Nov 26]. Available from: https://www.statista.com/statistics/557759/south-korea-average-annual-wage/.
24. Tan J. Educational differentials on the transition to first birth in South Korea. Soc Sci Res. 2022; 105:102728. https://doi.org/10.1016/j.ssresearch.2022.102728. DOI: 10.1016/j.ssresearch.2022.102728. PMID: 35659048.
Article
25. Tan J. Fewer and later births in South Korea, especially among more educated women [Internet]. Aubervilliers, France: World Population, International Union for the Scientific Study of Population;2022. [cited 2024 Nov 26]. Available form: https://www.niussp.org/category/fertility-and-reproduction/.
26. Schneider M, Hirsch JS. Comprehensive sexuality education as a primary prevention strategy for sexual violence perpetration. Trauma Violence Abuse. 2020; 21(3):439–455. https://doi.org/10.1177/1524838018772855. DOI: 10.1177/1524838018772855. PMID: 29720047.
Article
27. Ryu Y. 84% of Korean women think having a child puts them at a disadvantage [Internet]. Seoul: Hankyoreh;2024. [cited 2024 Nov 28]. Available from: https://english.hani.co.kr/arti/english_edition/e_national/.
28. Byoun SJ, Choi S, Kim HY. Exploring the diverse family structures in South Korea: experiences and perspectives of nonmartial cohabitants. Societies. 2021; 11(3):90. https://doi.org/10.3390/soc11030090. DOI: 10.3390/soc11030090.
Article
29. Seo SH. Low fertility trend in the Republic of Korea and the problems of its family and demographic policy implementation. Popul Econ. 2019; 3(2):29–35. https://doi.org/10.3897/popecon.3.e37938. DOI: 10.3897/popecon.3.e37938.
Article
30. Lee S, Kim E, Park J, Byeon S, Oh M, Lee S, et al. The 2018 National Survey on Fertility and Family Health and Welfare [Internet]. Sejong: Korean Institute for Health and Social Affairs; 2018 [cited 2024 Jul 10]. Available from: https://repository.kihasa.re.kr/en/handle/201002/32628.
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