Factors associated with future fertility intentions among Korean women of childbearing age in Seoul: a cross-sectional study.

Purpose: South Korea currently has the lowest fertility rate among Organization for Economic Co-operation and Development countries, with a total fertility rate of less than one child per woman. This study explored the factors influencing future fertility intentions (FFI) among Korean women of childbearing age.

Methods: Using a cross-sectional design, we analyzed data from the 2022 Survey on Low Birth Policy Demand in Seoul, conducted by the Seoul Women and Family Foundation. This study focused on women of childbearing age. Bivariate analyses and a multivariate logistic regression model were employed to investigate the FFI rate and its associated factors.

Results: The observed overall FFI rate among Korean women of childbearing age was 25.6%, with rates of 27.9% among unmarried women, and 22.0% among married women. Factors associated with FFI included education level, employment status, weekly working hours, number of children, age at first sexual education, monthly income, and perspectives on marriage, childbearing, and gender inequality. High FFI rates were noted among self-employed individuals (33.3%); those who received sexual education in adulthood (48.6%), those who believed in having children after marriage (44.0%), those who thought children strengthen relationships (32.5%), and those who perceived gender equality in family or workplace culture (31.7%).

Conclusion: This study assessed the FFI rate among Korean women of childbearing age, identifying the sociodemographic characteristics and perspectives on marriage, childbearing, and gender inequality that influence it. The findings provide valuable insights for policymakers and nurses to engage with women and increase birth rates in Seoul and throughout South Korea.