Gender differences in willingness for childbirth, fertility knowledge, and value of motherhood or fatherhood and their associations among college students in South Korea, 2021

• Type of Material: Article
• Authors: Hae Won Kim, Seoul National University; Seo Yun Kim, Emory University
• Language: English
• Date: 2023-12-01
• Publisher: BioMed Central Ltd
• Publication Version: Final Published Version
• Copyright Statement: © The Author(s) 2023
• License: Creative Commons Attribution 4.0 International
• Final Published Version (URL): http://dx.doi.org/10.1186/s13690-023-01127-x
• Title of Journal or Parent Work: Archives of Public Health
• Volume: 81
• Issue: 1
• Grant/Funding Information: This study was supported by the National Research Foundation of Korea (NRF) grant funded by the Korea government (Grant No. 2018R1A2B2001231). And this research was supported by the BK21 four project (Center for Human-Caring Nurse Leaders for the Future) funded by the Ministry of Education (MOE, Korea) and NRF.
• Keywords: GenderPreconception Care; Intention; Parenthood; Knowledge; Fertility
• Research Categories: Health Sciences, Nursing

Abstract

Background: South Korea is a country with a very low fertility rate and there is a tendency for young adults to postpone marriage and childbirth, which affects adverse pregnancy outcomes. It is important for young adults to predict and prepare in advance for future fertility-related issues, especially by identifying their willingness and thoughts about childbirth for both women and men. This study aimed to investigate gender differences in willingness for childbirth, fertility knowledge, and the value of motherhood or fatherhood among college students in South Korea and to explore the factors influencing willingness for childbirth. Methods: This was a cross sectional study among 286 unmarried college students who were recruited through a campus email and online communities for college student conducted from June 20, 2021 to July 19, 2021. The data were analyzed using the chi-square test and t-test to identify gender differences in general characteristics, willingness for childbirth, fertility knowledge, and value of motherhood of fatherhood. The factors influencing willingness for childbirth were examined using multiple logistic regression. Results: Female students showed lower willingness for future childbirth than male students (χ2 = 26.85, p <.001). Women valued motherhood significantly less than men valued fatherhood (t = 6.34, p <.001). Women had a lower fertility knowledge score than men (t = 2.53 p =.012). The value of motherhood or fatherhood was an important influencing factor in both male and female college students (AOR = 8.57, 95% CI = 3.79–19.41 and AOR = 10.42, 95% CI = 3.65–29.80, respectively), whereas the monthly allowance was also an important influencing factor in female students (AOR = 1.02, 95% CI = 1.01–1.03). Conclusion: The findings indicate the future direction to develop effective interventions considering gender differences which will promote healthy pregnancy and childbirth in the future for informed reproductive decision-making for college students.