在已婚夫妇中与怀孕和分娩相关的因素:使用2012-2018年韩国卫生小组进行纵向分析
1Graduate School of Public Health, Seoul National University, Seoul, KOR.
Cureus
|November 21, 2024
概括
在韩国,母亲和父亲的年龄都会对分娩的可能性产生重大影响. 社会经济稳定和夫妇的关系.
科学领域:
- 生殖健康 生殖健康
- 人口统计学 人口统计学
- 社会学 社会学 社会学
背景情况:
- 韩国面临着人口挑战,拥有世界上最低的出生率和最高的预期寿命.
- 以前关于怀孕和分娩的研究往往侧重于女性因素,忽视了男性伴侣和夫妇动态的关键作用.
- 怀孕和分娩是家庭形成的组成部分,受到夫妇内部联合决定的影响.
研究的目的:
- 调查影响韩国生育年龄已婚妇女及其配偶怀孕和分娩的因素.
- 分析女性和男性特征以及夫妇层面因素对生育结果的影响.
- 为了全面分析,利用一个具有代表性的七年调查数据集.
主要方法:
- 利用来自2012-2018年韩国卫生小组 (KHP) 的2,579对已婚夫妇 (20-49岁的女性) 的数据.
- 采用一般化的估计方程模型来分析怀孕和分娩的结果.
- 包括共同变量,如母亲和父亲的年龄,教育,经济活动,生活方式因素 (吸烟,饮酒,体力活动),体重指数 (BMI),家庭结构 (孩子的存在) 和家庭收入.
主要成果:
- 与年轻女性 (<35岁) 相比,在35岁及以上的女性中,怀孕率 (1.43%) 和分娩率 (1.02%) 明显较低.
- 先进的母亲年龄 (≥35岁) 和父亲年龄是分娩的突出负面预测因素 (分别为aOR=0.23和0.39).
- 高等教育和没有孩子与分娩的可能性增加有关. 影响生育能力的具体因素因年龄组而异,女性的健康和收入对年轻女性更为关键,男性的BMI和体力活动对年长女性更为关键.
结论:
- 生育能力受到生物,社会经济和两个伴侣的个人因素的复杂相互作用的影响,而不仅仅是年龄或健康行为.
- 调查结果突出了异质关系,并强调了需要采用全方位方法,考虑到双方配偶的特点.
- 与生育和家庭形成有关的政策干预应谨慎地整合这些多方面的影响.
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