Shin Hyewon, Lee Anna, Choi Sunyeob, Jo Minjeong
Assistant Professor, College of Nursing, Ewha Womans University, Seoul, Korea.
Assistant Professor, College of Nursing and Mo-Im Kim Nursing Research Institute, Yonsei University, Seoul, Korea.
Child Health Nurs Res. 2025 Jan;31(1):15-27. doi: 10.4094/chnr.2024.025. Epub 2025 Jan 31.
To identify the childbearing intentions of young adults in South Korea and examine the factors influencing them using a social-ecological model (SEM).
A descriptive cross-sectional study design was used. Unmarried employed men and women (n=181) aged 25-40 years completed an online survey. The data included socio-demographic characteristics and responses at four levels: (1) intrapersonal (perception of parenthood and fertility knowledge), (2) interpersonal (quality of family relationships), (3) institutional (work-family culture), and (4) community and public policy (adequacy of government policies and social support systems). Data were analyzed using descriptive statistics, correlations, and multiple logistic regression.
Approximately 77% of the participants planned to have children, and more than 60% wanted to have two or more children. Among the four levels of SEM, only intrapersonal factors, including intention to marry, fertility knowledge, and attitudes toward parenthood, were statistically significant in influencing childbearing intentions. The model explaining the intention to have a child demonstrated an explanatory power of 59.6%, incorporating factors such as marital intention, perceptions of parenthood, and fertility knowledge.
A noticeable gap exists between childbearing intentions and childbirth in South Korea. These findings provide insights into the nursing educational content needed for delivering family planning education to young adults. Targeted interventions such as counseling services and community education should be integrated into nursing practice. Moreover, nursing curricula should discuss factors influencing childbearing intentions to equip future nurses better to support young adults' family planning decisions.
确定韩国年轻人的生育意愿,并使用社会生态模型(SEM)研究影响他们生育意愿的因素。
采用描述性横断面研究设计。25至40岁的未婚在职男女(n = 181)完成了一项在线调查。数据包括社会人口学特征以及四个层面的回答:(1)个人层面(为人父母的观念和生育知识),(2)人际层面(家庭关系质量),(3)机构层面(工作-家庭文化),以及(4)社区和公共政策层面(政府政策和社会支持系统的充分性)。使用描述性统计、相关性分析和多元逻辑回归对数据进行分析。
约77%的参与者计划要孩子,超过60%的人想要两个或更多孩子。在社会生态模型的四个层面中,只有个人层面的因素,包括结婚意愿、生育知识和对为人父母的态度,在影响生育意愿方面具有统计学意义。解释生育意愿的模型显示出59.6%的解释力,纳入了婚姻意愿、为人父母的观念和生育知识等因素。
韩国的生育意愿和生育行为之间存在明显差距。这些发现为向年轻人提供计划生育教育所需的护理教育内容提供见解。有针对性的干预措施,如咨询服务和社区教育,应纳入护理实践。此外,护理课程应讨论影响生育意愿的因素,以使未来的护士更好地支持年轻人的计划生育决策。