• Title, Summary, Keyword: sexually transmitted diseases

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Sex Trade and Sexually Transmitted Disease Control Policies in Korea: Comparison to the Case of Thailand (태국 사례와의 비교를 통한 한국의 성매매와 성병관리 정책)

  • Lee, Jungwhan;Lee, Sungyong;Kim, Seokho
    • International Area Studies Review
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    • v.14 no.2
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    • pp.275-296
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    • 2010
  • This study aims to identify effective ways to prevent sexually transmitted diseases among sex workers as well as the general public in Korea by examining the case of Thailand, regarded as a model internationally in reducing prevalence rate of sexually transmitted diseases, under the circumstances in which the implementation of the new anti-sex-trade law causes confusion over the existing sexually transmitted disease control program. For the purpose, the study firstly assesses the anti-sex-trade law which has engendered recent debates over the relationship between sex trade and sexually transmitted diseases, and reviews a change of the sexually transmitted disease control system made by the anti-sex-trade law. The Thai case is explored with some special emphasis on relationship between socio-cultural, political and economic factors and sexually transmitted disease control policies. Comparing to the Thai case, the study proposes some suggestions to make the existing sexually transmitted disease control program more effective under the new anti-sex-trade law.

The Effects of a Sex Education Program on Knowledge Related to Sexually Transmitted Diseases and Sexual Autonomy among University Students (건강 신념 모델에 근거한 성교육 프로그램이 대학생의 성병 관련지식과 성적자율성에 미치는 효과)

  • Shin YunHee;Chun YaungKyung;Cha SungMi;Cha YeRyung
    • Journal of Korean Academy of Nursing
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    • v.35 no.7
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    • pp.1304-1313
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    • 2005
  • Purpose: The purpose of this study was to evaluate the effects of a sex education program, which was based on the Health Belief Model, on knowledge related to sexually transmitted diseases and sexual autonomy among university students. Method: A non-equivalent control group, pretest-posttest design was used. The four session program was delivered to 18 students during 4 weeks; the control group consisted of 23 students. The theme of the first session was 'sex, gender, and sexuality: all our concern', 'dangerous sex' for the second session, 'safe sex' for the third session, and 'right sex for you and me' for the fourth session. Result: At follow-up, the knowledge related to sexually transmitted diseases and sexual autonomy were significantly greater in the intervention group than in the control group. Conclusion: A sex education program with several sessions within the theoretical frame of HBM was effective to improve knowledge related to sexually transmitted diseases and sexual autonomy. The results suggest the potential of a systematic sexual education program to teach healthy sex and to extend the program for other various populations.

Factors associated with Sexually Transmitted Infections among Korean Adolescents (남·여 청소년에서의 성 매개 감염 관련요인)

  • Yu, Jungok;Cha, Seoungmi
    • Journal of Korean Academy of Community Health Nursing
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    • v.28 no.4
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    • pp.431-439
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    • 2017
  • Purpose: This study aims to examine the factors influencing sexually transmitted infection (STI) in Korean adolescents 12 to 18 years. Methods: Using statistics from 10-11th Korea Youth Risk Behavior Web-based Survey, secondary analysis was conducted. The study sample consisted of 4,886 boys and 1,998 girls who had reported initiating sexual intercourse. Results: The proportion of adolescents who had a sexually transmitted infection was 8.8% of boys and 11.0% of girls. In multiple regression analysis, grade, smoking, first intercourse before middle school, intercourse after drinking alcohol, living without family, large amounts of pocket money were factors associated with sexually transmitted infection for both boys and girls. Use of condom is related to STI contraction of boys only. Formal sex education was not associated with reducing risk of STI. Conclusion: The results of this study show the factors associated with STI among Korean adolescents. Gender-related effective interventions should be taken into consideration in school-based sex education programs.

Development and Testing of a Sexually Transmitted Diseases Prevention Program in At-Risk Prostitutes (요보호 윤락여성을 위한 성병예방 중재프로그램 개발 및 효과검증)

  • Ahn, Yang-Heui;Jin, Gi-Nam
    • Journal of Korean Academy of Nursing
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    • v.35 no.5
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    • pp.868-878
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    • 2005
  • Purpose: The purpose of the study was to test the effectiveness of an 8 session intervention program to prevent sexually transmitted diseases (STDs) among at-risk prostitutes. Method: An experimental research design was employed. Subjects were 59 prostitutes (29 in the control group and 30 in the experimental group) who agreed to participate in this study. An STD Prevention Framework derived from Cox's Interaction Model of Client Health Behavior guided the overall intervention and the components. The intervention had 8 sessions with STD-prevention strategies and was led by Public Health Nurses. Analysis included change scores, $x^2$-test, and t-test. Result: The results revealed significant increase in feelings and skills of condom use, peer belief on condom use, condom use practice, and satisfaction with service at public health centers (PHC) on STDs knowledge and skills in the experimental group. However, newly contracted STDs were not significant statistically between groups. Conclusion: The 8 session STDs prevention program showed a effect on emotions, skills and' behaviors of condom use even with the limitation of methodological rigors because of subject-specific conditions. In the future, a capacity-building model based on collaborating networks among community-based organizations will be needed to develop in effective STDs prevention.

Number of External Anogenital Warts is Associated with the Occurrence of Abnormal Cervical Cytology

  • Chayachinda, Chenchit;Boriboonhirunsarn, Dittakarn;Thamkhantho, Manopchai;Nuengton, Chanon;Chalermchockcharoenkit, Amphan
    • Asian Pacific Journal of Cancer Prevention
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    • v.15 no.3
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    • pp.1177-1180
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    • 2014
  • Background: Anogenital warts (AGWs) are common results of sexually transmitted infection (STI). Human papillomavirus (HPV) types 6 and 11, which are non-oncogenic types, account for 90% of the clinical manifestations. Although the quadrivalent HPV vaccine has been launched, AGW remains prevalent in some countries and shows association with abnormal cervical cytology. Objectives: To study the prevalence of abnormal cervical cytology (low grade squamous intraepithelial lesions or worse; LSIL+) in immunocompetent Thai women newly presenting with external AGWs. Materials and Methods: Medical charts of all women attending Siriraj STI clinic during 2007-2011 were reviewed. Only women presenting with external AGWs who were not immunocompromised (pregnant, human immunodeficiency virus positive or being on immunosuppressant drugs) and had not been diagnosed with cervical cancer were included into the study. Multivariate analysis was used to determine the association between the characteristics of the patients and those of AGWs and LSIL+. Results: A total of 191 women were eligible, with a mean age of $27.0{\pm}8.9$ years; and a mean body mass index of $20.6{\pm}8.9kg/m^2$. Half of them finished university. The most common type of AGWs was exophytic (80.1%). The posterior fourchette appeared to be the most common affected site of the warts (31.9%), followed by labia minora (26.6%) and mons pubis (19.9%). The median number of lesions was 3 (range 1-20). Around 40% of them had recurrent warts within 6 months after completing the treatment. The prevalence of LSIL+ at the first visit was 16.3% (LSIL 12.6%, ASC-H 1.1%, HSIL 2.6%). After adjusting for age, parity and miscarriage, number of warts ${\geq}5$ was the only factor associated with LSIL+(aOR 2.65, 95%CI 1.11-6.29, p 0.027). Conclusions: LSIL+ is prevalent among immunocompetent Thai women presenting with external AGWs, especially those with multiple lesions.

Gender Difference in Mediating Effects of Self-Efficacy for the Prevention of Sexually Transmitted Diseases (STD) among College Students' STD Knowledge, Susceptibility, and Sexual Autonomy

  • Park, Mijeong
    • Korean Journal of Adult Nursing
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    • v.28 no.4
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    • pp.482-490
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    • 2016
  • Purpose: The purpose of the study was to examine the impact of self-efficacy in the prevention of sexually transmitted diseases (STD), knowledge of and susceptibility to STD, and the role of gender in sexual autonomy. Methods: Data were collected from 267 college students using self-report questionnaires during the period from the first to the twentieth of June 2015. Data were analyzed using $x^2$ test, Fisher's exact test, t-test, Pearson correlation coefficients, simple and multiple regression techniques with the PASW/WIN 20.0 program. Mediation analysis was performed according to the Baron and Kenny method and Sobel test. Results: In male students, self-efficacy for STD prevention showed a full mediating effect in the relationship between STD susceptibility and sexual autonomy (${\beta}$=-.08, p=.370). But in female students, it had a partial mediating effect (${\beta}$=-.25, p=.001). And self-efficacy for STD prevention showed partial mediating effects in the relationship between knowledge of STD and sexual autonomy in the both male (${\beta}$=.25, p=.005) and female students (${\beta}$=.33, p<.001). Conclusion: To enhance college students' sexual autonomy, it may be useful to build effective strategies enhancing students' knowledge about and susceptibility to STD and to develop a self-efficacy promotion program for college students.

Comparison of Sexual Risky Factors of Men Who Have Sex With Men and Sex-buying Men as Groups Vulnerable to Sexually Transmitted Diseases

  • Jung, Min-Soo;Lee, Joong-Yub;Kwon, Dong-Seok;Park, Byung-Joo
    • Journal of Preventive Medicine and Public Health
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    • v.45 no.3
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    • pp.156-163
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    • 2012
  • Objectives: It is necessary to examine groups carrying out sexually risky behavior because the prevalence of sexually transmitted diseases (STDs) is high among them. In this study, the prevalence of STDs among homosexuals and sexbuying men in South Korea was investigated, along with their sexual risk factors. Methods: Men who have sex with men (MSMs, n=108) were recruited in Seoul and Busan by applying the time location sampling method, while sex-buying men (n=118) were recruited from a john school in Gyeonggi province, the suburbs of Seoul. Dependent variables included past or present infection with syphilis, Chlamydia, gonorrhea, and human immunodeficiency virus. Independent variables included health behavior, social support, sexual behavior, and safe sex. Results: It was found that when the MSMs were non-drunk while having sexual intercourse (odds ratio [OR], 0.132), they showed a higher STD infection rate when they had a higher number of anal sex partners (OR, 5.872), rarely used condoms (OR, 1.980), had lower self-efficacy (OR, 0.229), and were more anxious about becoming infected with an STD (OR, 3.723). However, the men who paid for sex showed high STD infections when they had more sex partners (OR, 2.286) and lower education levels (OR, 3.028). Conclusions: STD infections among the two groups were high when they were engaged with many sex partners and not having protected sex. In other words, there was a gap in risky sex behavior within such groups, which was significantly related to the possibility of developing an STD. Therefore, the preventive intervention against STDs for these groups needs to be expanded to include management of sex behaviors.

Preventive Intervention Approach to Health Education for Sexually Transmitted Diseases (성인성 질환에 대한 보건교육에 있어서의 예방적 중재접근)

  • 김명호;한미란;추미호;오성희
    • Korean Journal of Health Education and Promotion
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    • v.3 no.1
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    • pp.98-103
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    • 1985
  • 근래에 이르러 예전의 좀 감정적인 용도로서의 성병(venereal disease)이라는 용어보다는 "성적으로" 전염되는 질환(sexually transmitted diseases; STDs)이라는 용어를 사용한다. STDs는 전염성 질환의 일단으로 그 주요한 전염경로가 성행위에 의한 것이다. 예전 용어 그 자체의 함축된 의미를 극소화시킬 필요성은 그렇다하더라도, 임질(gonorrhoea), 매독(syphilis), 비특이성(non-specific) 혹은 비임균성(non-gonococcal) 요도염 (urethritis), 연성하감(chancroid), 림포그래뉼로마 베네레움(lymphogranuloma venereum), 그래뉼로마 잉규나레(granuloma inguinale), 크라미디아 질환(chlamydial infection), 음부 혜르페스(genital herpes), 음부 사마귀(genital warts), 캔디다증(condidiasis), 트리코모나스(trichomoniasis), 마이코프라스마(mycoplasma))을 포함한 성병 (venereal disease)의 범위를 확대해야 할 필요가 있다. B형 간염(hepatitis B), B형 연쇄상구균(B-streptococcus), 사이토메가로바이러스(cytomegalovirus)도 역시 성적 전염이 가능하다. 전염이 가능하다.

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THE ANALYSIS OF SEXUALLY TRANSMITTED DISEASES WITH DEMOGRAPHICS ON SCALE-FREE NETWORK

  • Liu, Maoxing;Zhang, Yunli
    • Journal of applied mathematics & informatics
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    • v.31 no.3_4
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    • pp.443-456
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    • 2013
  • In this paper we consider a model with demographics for sexually transmitted diseases (STDs) spread on scale-free networks. We derive the epidemic threshold, which is depend on the birth rate, the natural death rate and other parameters. The absence of a threshold in infinite scale-free network is proved. For a hard cut off scale-free network, we also analyze the stability of disease-free equilibrium and the persistence of STDs infection. Two immunization schemes, proportional scheme and targeted vaccination, are studied and compared. We find that targeted strategy is more effective on scale-free networks.

Predictors of Sexually Transmitted Infection among Adolescent Females in Korea (성경험이 있는 여자 고등학생의 성매개감염 영향요인)

  • Lee, Jaeyoung
    • Journal of the Korean Society of School Health
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    • v.31 no.2
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    • pp.70-78
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    • 2018
  • Purpose: This study investigated the predictors of Sexually Transmitted Infections (STI) among female teenagers in Korea who have had intercourse at least once. Methods: This study is based on the 12th Korea Youth Behavior Web-based Survey conducted in April 2016. Data were collected from 798 middle schools and high schools nationwide in Korea and 65,528 students participated. Among the participants, the subjects of this study were 537 female high school students (Grade 10~12). The data were analyzed through complex samples multiple logistic regression using SPSS statistics 22. Results: Among the 537 female adolescents, 11.9% replied they had experienced STI. The predictors of STI among the subjects were 'age at first intercourse' and 'sexual intercourse after drinking'. The risk of STI was lower in the middle (OR=0.26, 95% CI=0.10~0.64) and high school (OR=0.11, 95% CI=0.04~0.27) age groups than those who had their first sexual intercourse at an elementary school age. The sexual intercourse after drinking group had a higher risk of STI, compared to the no sexual relation after drinking group (OR=2.54, 95% CI=1.28~5.07). Conclusion: Practical sex education programs should begin from the elementary stage in order to protect more female adolescents from STI. In addition, sex education including an alcohol prevention program should be considered to lower STI among female adolescents.