韓國婦人에 있어서의 子宮內避妊裝置의 避妊效果에 關한 硏究

金鐸一(Kim, Taek Il) 서울대학교 보건환경연구소 1966 보건학논집 Vol.3 No.2

우리나라 人口政策方向의 再吟味

李奎植(Kyu-Sik Lee),金鐸一(Taek-Il Kim) 한국인구학회 1988 한국인구학 Vol.11 No.1

The social conditions in Koreas until 1950s were similar to the model phenomena of low level eqilibrium trap which was named by Prof. Nelson, with the continuation of high population growth rate and low economic growth rate. To esape from the trap, Korean government adopted two different policies, one is economic development plans and the other is family planning programs. Theses policies were successful in both increasing the national products and decreasing the population growth rate. In 1985 per capita GNP increased to over two thousand dollars, fertility rate reduced to replacement level(2. 1) and unemployment rate was stabilized at 4 percent level. From various prospects, we were successfully escaped from the Malthusian trap and many economists, who studied developed countries, belive that population growth has positive effects on technological progress, economies of scale, specialization, individual attitude on work, and economic growth. Therefore we need to reexamine the anti-natalistic population policy of Korea in this situation.

韓國 婦人의 不姙症実態에 関한 考察

洪文植(Moon-Sik Hong),金鐸一(Taek Il Kim) 한국인구학회 1982 한국인구학 Vol.5 No.1

One of the primary objectives of Korean family planning program is to assist parents in having the number of children they want, both by providing fertility-enhancing services to infecund and subfecund women and by providing fertility-limitation services to fecund women. As far as fertility-enhancing services to infecund and subfecund women is concerned, there has been little effort from the national family planning program. So far, there is no any basic data on infertility prevalence rate among the Korean women. Therefore, an attempt has been made to review data of 1976 and 1978 fertility and family planning surveys in order to estimate the level of infertility rate among the Korean women. In the 1978 survey 3.7 percent of the current married women responded that they were physically infertile while in the 1976 survey physically infertile women was calculated as 3 percent of the total ever married women wihch is similar level of 1978 data of 3.7 percent. Mean age at first marriage of Korean women is 23 and most of the women are married in the highly fecund age. Only 0.3 percent of the respondents married age 30. In addition, the rate of women with no children among the ever married women whose marriage duration is more than 5 years is very low;2.5 percent among 5-9 years, 1.4 percent among 10-14 years; 1.8 precent among 15-l9 years; 1.0 percent among 20-24 years;and 0.7 percent among 25 or more years of marriage duration. If we consider those data shown above, it is manifest that infertility rate of Korean women is less than 5 percent level which is much lower than the 10 percent level of infertility rate in the United States of America. However, this kind of estimation is still not able to show definite data on fertility rate. Therefore, a nationwide planned survey should be carried out as early as possible to figure out the real situation of infertility rate in Korea.

韓國婦人에 있어서의 子宮內避姙裝置의 避姙效果에 關한 硏究

金鐸一 서울大學校 保健大學院 1966 公衆保健雜誌 Vol.3 No.2

In order to gauge efficacy and acceptability of the intra-uterine contraceptive device or the Jack Lippes' Loop now in widescale use among the Korean women a follow-up observation was carried out during the period from October to December 1965 towards 3,204 married women in Seoul City who had adopted intra-uterine contraception in the period from July 1964 to September 1965. The analysis of the data thus obtained led the Author to the following major findings : 1. Among the reasons for removals of loops after their initial insertions, the removals for medical reasons represented 94 per cent ranking highest, while the removals for personal reasons 2 per cent and irrelevant reasons 4 per cent, respectively. 2. The monthly rate of removals for medical reasons has been measured at 10.1 per cent or the highest within the first month period after the initial insertion, which declined sharply starting in the second month. In contrast, the rates of removal for personal and irrelevant reasons did not demonstrate any noticeable shift in the successive periods after the insertion. 3. The cumulative rates of removals to the end of first year after the initial insertions have been computed at 31.5±1.2 per cent for medical reasons, 0.9±0.2 per cent for personal reasons and 1.5±0.3 per cent for the reasons irrelevant. 4. The rates of spontaneous expulsions of loops turned out to be highest within the first month period after the initial insertion (2.7 per cent) and declined gradually thereafter, the cumulative expulsion rate to the end of the first year after the insertion having been computed at 11.0±0.8 per cent. 5. The monthly rates of pregnancies taking place while loops were in use maintained a range of 0.2∼0.3 per cent regardless of the length of period of observations after the initial insertion. The cumulative pregnancy rate as of the end of the first year period after the insertion has been computed at 2.9±0.4 per cent. 6. The reinsertion of loops rated 10 per cent or lowest for the cases of removals for medical reasons. rating 44 per cent and 11 per cent for cases of removals for personal reasons and for irrelevant reasons, respectively. The reinsertions by cases of spontaneous expulsions rated 42 per cent. The various "drop-out" rates have been adjusted with the rates of reinsertions taken into account. Accordingly, the cumulative rate of removals for medical reasons as of the end of the first year period after insertion turned out to be 28.4 per cent. that for personal reasons 0.5 per cent and for the reasons irrelevant 1.3 per cent. The adjusted cumulative rate for spontaneous expulsions to the end of the first years period has been computed at 6.4 per cent. 7. No visible correlations have been obtained between the reproductive experience in terms of frequency of deliveries, clinical conditions accountable allegedly for the insertion of intra-uterine contraceptive devices and the incidence of pregnancies with devbices in situ. The rates of spontaneous expulsions, however, appeared to tend to become lower with the progress of the frequency of deliveries experienced. This probably suggests a possibility that the spontaneous expulsions of loops might have been caused by the foreign body reactions inherent with the physiology of uterus rather than by the mechanical element involved with the conditions of the cervical canalor the dilatations resulting from frequent deliveries. 8. The combination of all "drop-out" rates cumulatively totaled 42.6±1.2 per cent as of the end of the first year period after the initial insertion, indicating necessities for administrative measures to be taken to supplement the evident drawbacks accompanying a wide-scale use of Lippes' loops, possible with other contraceptive methods including oral pills.

都市人口調節을 爲한 各種 刺戟投與와 그 效果

權彛赫,金泰龍,高應麟,朴亨鐘,鄭斗永,金鐸一 서울대학교 1966 서울대학교 論文集 Vol.17 No.-

An action-research program conducted by the authors during the period from July 1964 to December 1965, towards 44,923 women resident in Sungdong Gu, Seoul City and in the ages 20-44 revealed the effectiveness of various educational stimuli given as follows: 1. The group meeting stimuli played the most conspicuous role both in the direct and indirect influences of the program, while the indirect influences of the other special treatments assumed no less important parts than in their direct influences. 2. The program return in terms of response to various treatment efforts demonstrated an interesting shift by different period of observation. In the earlier periods, the conventional channels of communication appeared to assume important roles as source of information, while in the periods that followed, the influences of program's special treatments became conspicuous. 3. By "treatment area,"the yield from the "home visit area"turned out to be more productive, followed by "group meeting area." The relative return showed upward shift with the progress of time. 4. A remarkable difference was observed in the major sources of communication between the residents in the study area and those from outside.