Research in Community and Public Health Nursing (지역사회간호학회지)

Korean Academy of Community Health Nursing (한국지역사회간호학회)
권호 표지
DOI QR코드

DOI QR Code

Factors associated with Sexually Transmitted Infections among Korean Adolescents

남·여 청소년에서의 성 매개 감염 관련요인

  • 유정옥 (동아대학교 의과대학 간호학과) ;
  • 차승미 (동아대학교 대학원)
  • Received : 2017.09.05
  • Accepted : 2017.11.14
  • Published : 2017.12.31
Download PDF
⟨ Previous Next ⟩

Abstract

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.

Keywords

References

  1. World Health Organization. Sexually transmitted infections (STIs) [internet]. Geneva: World Health Organization. 2016 [cited 2016 August 23] Available from: http://who.int/mediacentre/factsheets/fs110/en/
  2. Satterwhite CL, Torrone E, Meites E, Dunne EF, Mahajan R, Ocfemia MC, et al. Sexually transmitted infections among US women and men: Prevalence and incidence estimates, 2008. Sexually Transmitted Diseases. 2013;40(3):187-193. https://doi.org/10.1097/OLQ.0b013e318286bb53
  3. Forhan SE, Gottlieb SL, Sternberg MR, Xu F, Datta SD, McQuillan GM, et al. Prevalence of sexually transmitted infections among female adolescents aged 14 to 19 in the United States. Pediatrics. 2009;124(6):1505-1512. https://doi.org/10.1542/peds.2009-0674.
  4. Lee SY, Lee HJ, Kim TK, Lee SG, Park EC. Sexually transmitted infections and first sexual intercourse age in adolescents: The nationwide retrospective cross sectional study. The Journal of Sexual Medicine. 2015;12(12):2313-2323. https://doi.org/10.1111/jsm.13071
  5. Health Insurance Review & Assessment Service. National interest disease statistics [internet]. Wonju: Health Insurance Review & Assessment Service; 2016 [cited 2016 August 23] Available from: http://opendata.hira.or.kr/op/opc/olapMfrnIntrsIlnsInfo.do#none
  6. Gewirtzman A, Bobrick L, Conner K, Tyring SK. Epidemiology of Sexually Transmitted Infections. In: Gross G, Tyring SK, editors. Sexually transmitted infections and sexually transmitted diseases. Berlin Heidelberg: Springer; 2011. p. 13-34.
  7. Kim SH. Lee CY. Factors affecting sexually transmitted infections in South Korean high school students. Public Health Nursing. 2016;33(3):179-188. https://doi.org/10.1111/phn.12211
  8. Gabster A, Mohammed DY, Arteaga GB, Castillero O, Mojica N, Dyamond J, et al. Correlates of sexually transmitted Infections among adolescents attending public high schools, Panama, 2015. Public Library of Science One. 2016;11(9):1-13. https://doi.org/10.1371/journal.pone.0163391
  9. Yan AF, Chiu YW, Stoesen CA, Wang MQ. STD-/HIV-related sexual risk behaviors and substance use among U.S. rural adolescents. Journal of the National Medical Association. 2007;99(12):1386-1394.
  10. Woodhead N, Chung SE, Joffe A. Protective and risk factors for sexually transmitted infections in middle school students. Sexually Transmitted Diseases. 2009;36(5):280-283. https://doi.org/10.1097/OLQ.0b013e318195c2e3
  11. Ghebremichael M, Larsen U, Paintsil E. Association of age at first sex with HIV-1, HSV-2 and other sexual transmitted infections among women in northern Tanzania. Sexually Transmitted Diseases. 2009;36(9):570-576. https://doi.org/10.1097/OLQ.0b013e3181a866b8
  12. Berg CJ, Painter JE, Sales JM, Mays D, Rose E, Wingood GM, et al. Smoking as a risk factor for STI diagnosis among African American females. American Journal of Health Behavior. 2012;36(4):505-512. https://doi.org/10.5993/AJHB.36.4.7
  13. Gwon SH, Lee CY. Factors influencing sexually transmitted infections among adolescents in South Korea. International Nursing Review. 2016;63(1):68-77. https://doi.org/10.1111/inr.12206.
  14. De Vries HJ. Sexually transmitted infections in men who have sex with men. Clinics in Dermatology. 2014;32(2):181-188. https://doi.org/10.1016/j.clindermatol.2013.08.001
  15. Centers for Disease Control and Prevention. 10 ways STDs impact women differently from men [internet]. America; Centers for Disease Control and Prevention. 2016 [cited 2016 August 23] Available from: https://www.cdc.gov/std/health-disparities/stds-women-042011.pdf
  16. Genuis SJ. Are condoms the answer to rising rates of non-HIV sexually transmitted infection? No. British Medical Journal. 2008;336(7637):185. https://doi.org/10.1136/bmj.39402.527766.AD
  17. Steiner MJ, Cates W. Are condoms the answer to rising rates of non-HIV sexually transmitted infections? Yes. British Medical Journal. 2008;336(7637):184. https://doi.org/10.1136/bmj.39402.488727.AD
  18. Steiner MJ, Cates W. Condoms and sexually-transmitted infections. New England Journal of Medicine. 2006;354(25): 2642-2643. https://doi.org/10.1056/NEJMp068111
  19. Jakopanec I, Schimmer B, Grjibovski AM, Klouman E, Aavitsland P. Self-reported sexually transmitted infections and their correlates among men who have sex with men in Norway: an Internet-based cross-sectional survey. BioMed Central Infectious Diseases. 2010;10(1):261. https://doi.org/10.1186/1471-2334-10-261
  20. Ma Q, Ono-Kihara M, Cong L, Xu G, Pan X, Zamani S, et al. Early initiation of sexual activity: A risk factor for sexually transmitted diseases, HIV infection, and unwanted pregnancy among university students in China. BioMed Central Public Health. 2009;9(1):111. https://doi.org/10.1186/1471-2458-9-111
  21. Lee YS, Jeon CM, Kim SY, Ko BJ. Self esteem and sexual liberality of adolescent with gender identity problem or homosexual tendency. Journal of the Korean Academy of Child and Adolescent Psychiatry. 2005;16(2):231-238.
  22. Kang BC, Kim JH. A study of the lives of sexual minority youth. Research Report. Seoul: National Youth Policy Institute; 2006 December. Report No.: 06-R15.
  23. Seth P, Wingood GM, DiClemente RJ, Robinson LS. Alcohol use as a marker for risky sexual behaviors and biologically confirmed sexually transmitted infections among young adult African-American women. Women's Health Issues. 2011;21(2):130-135. https://doi.org/10.1016/j.whi.2010.10.005
  24. Boislard P. MA, Poulin F. Individual, familial, friends-related and contextual predictors of early sexual intercourse. Journal of Adolescence. 2011;34(2):289-300. https://doi.org/10.1016/j.adolescence.2010.05.002
  25. Gwon SH, Lee CY. Factors that influence sexual intercourse among middle school students: Using data from the 8th(2012) Korea Youth Risk Behavior Web-based Survey. Journal of Korean Academy of Nursing. 2015;45(1):76-83. https://doi.org/10.4040/jkan.2015.45.1.76
  26. Dittus PJ, Michael SL, Becasen JS, Gloppen KM, McCarthy K, Guilamo-Ramos V. Parental monitoring and its associations with adolescent sexual risk behavior: A meta-analysis. Pediatrics. 2015;136(6):e1587-e1599. https://doi.org/10.1542/peds.2015-0305
  27. Kim EJ, Ha SM. A study on sexual consciousness, the actual condition of school sex education and its need in high school students. Journal of Child Welfare and Development. 2016;14(2):19-39.

Cited by

  1. 청소년의 성매개 감염에 영향을 미치는 개인, 가족 및 학교요인: 제10~12차(2014~2016년) 청소년건강행태온라인조사 자료분석 vol.31, pp.1, 2018, https://doi.org/10.15434/kssh.2018.31.1.48