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Epidemiol Health > Accepted Articles
Epidemiology and Health 2019;e2019043.
DOI: https://doi.org/10.4178/epih.e2019043    [Accepted] Published online Oct 9, 2019.
Effects of living in the same region as a workplace on the total fertility rate of working women in South Korea
Yeon-Yong Kim  , Hee-Jin Kang  , Seongjun Ha  , Jong Heon Park 
Big Data Department, National Health Insurance Service, Wonju, Gangwon, Republic of Korea, Wonju, Korea
Correspondence  Jong Heon Park ,Tel: 0337363200, Email: parkjh@nhis.or.kr
Received: Sep 9, 2019  Accepted after revision: Oct 9, 2019
Abstract
Objectives:
The lowest-low fertility status of Korea has continued for past 17 years. Despite the government’s efforts to encourage childbirth, the low birth rate has not improved. As the number of working women increases, residence pattern changes. Although various types of residence patterns exist, no prior study on these is available. The aim of this study is to investigate the effects of residence type on the total fertility rate of working women.
Method:
Information on eligibility and healthcare utilization obtained from the national health information database between 2011 and 2015 was used. The study participants were working women aged 15–49 years. We classified the residence into three types: same municipality, same province, and different province. The total fertility rate was calculated and logistic regression of childbirth according to residence type, adjusting age, insurance contribution quartile, the size of workplace, the year of birth, and the province of residence, were performed.
Results:
The total fertility rates of working women from 2011 to 2015 were 1.091, 1.139, 1.048, 1.073, and 1.103, respectively. The total fertility rate by residence type was highest in women from the same municipality. After the variables were adjusted, odds of childbirth in women from the same municipality and the same province increase by 21.6 and 16.0 percent than women from a different province, respectively.
Conclusion:
The total fertility rate of women living near their workplace is increased. Based on the results, the proximity of workplace and residence should be guaranteed to effectively implement the policy.
Keywords: Birth rate; Working women; Republic of Korea; Population policy
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