• Korean Journal of Health Education and Promotion
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• v.33 no.2
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• pp.77-87
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• 2016

Objectives: This study was conducted to provide data in order to develop effective family planning programs by analyzing the factors which affect contraceptive use among women in Ethiopia. Methods: The community health survey was conducted on women of childbearing age. The research model was developed based on Andersen's Model. A total of 320 respondents were analyzed through Chi-square analysis, t-tests and logistic regression analysis. Results: Contraceptive prevalence rate was 43.1% and most of them were using modern and short-term methods. Among three factor categories, the need factor(unwanted pregnancy experience) was revealed as the most important factor, following enabling factor which was knowing the FP services in health center. Conclusions: These results lead to several conclusions. First, the results imply that programs should focus on women who are in the over 30yr. as well as the poorer economic group and urban residents. Second, to improve the effectiveness of the program, it is important to help them to be motivated themselves and to promote knowledge on various methods. Third, in terms of service delivery, community health workers are expected to take a crucial role. To improve the availability of services, they should provide practical services as those in health center.

• Women's Health Nursing
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• v.15 no.4
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• pp.336-343
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• 2009

Purpose: The purpose of this study was to explore the knowledge of, attitude toward, and intention to use Emergency Contraceptive Pills (ECPs) and their relationships among Korean high school girls. Methods: This study is a cross-sectional correlational survey. Data were collected from 191 high school girls by self-report questionnaires from December 10 to 22, 2008. Result: The mean scores of knowledge, attitude, and intention were 4.74 (range 1 to 12), 2.60 (range 1 to 5), and 3.36 (range 1 to 5) respectively. Only 45% of participants had received education on ECPs and most respondents (77.5%) wanted to know more about it. Participants who had a more positive attitude toward ECPs had a greater intention to use it. Participants who had received education on ECPs had more knowledge than those who had not received education. However, there were no differences in attitude or intention between groups. Conclusion: This study indicates that efforts should be made to provide education on ECPs to high school girls to increase awareness and to minimize the misuse of ECPs. Also, educational programs should be designed to improve knowledge as well as promote a more positive attitude toward ECPs.

• Women's Health Nursing
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• v.23 no.4
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• pp.265-275
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• 2017

Purpose: The purpose of this study was to explore essences and meanings of using oral contraceptives among adult women. Methods: The interview was conducted with 20 adult women who lived in Seoul, Gyeongi Province, Jeolla Province, Chungcheong Province, and Gangwon Province. Participants with the experience of using oral contraceptives for contraception were selected by convenience sampling. Semi-structured interviews were conducted for data collection. The data were analyzed using Colaizzi's method. Results: Five themes revealed: 'Lack of information and knowledge regarding oral contraceptives', 'Inconvenient and difficult purchase process of oral contraceptives', 'Pressure and fear regarding other people's reaction', 'Self-centered thinking toward the use of oral contraceptives', 'A need for a change in public awareness and policy'. Conclusion: A change in society's perception about oral contraceptives is required for safe contraceptives use. Therefore, it is necessary to educate the correct usage of oral contraceptives, and to develop a program for changing the paradigm of sex education.

• Child Health Nursing Research
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• v.8 no.3
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• pp.313-321
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• 2002

We would like to suggest the guideline of use of materials of sexual education for adolescent in school by examining the status of use of materials and by evaluating the video materials frequently used. Survey was done by enquetes on status of use of materials of sexual education from school nurses in 190 primary, 44 middle and 50 high schools in Seoul, Kyonggi-do and Kangwon-do from August 1999 to February 2000. The frequently used 84 videotapes were evaluated on their contents. As for the status of use, 99.3% of subjected schools possessed the materials for sexual education. Decision of purchase was determined according to the review of contents (92.6%). Information about materials was received by the advertisement in newspapers or broadcasting (46.1%) or recommendation of peer teacher (32.4%). Videotape was most frequently used (64.1%) rather than books or CD. Teachers concerns on the materials were the educational content according to developmental stage of students (41.9%), content provoking interest (33.5%) and concrete guide for teacher (10.6%). As for the evaluation of the contents of videotapes, a subject of education was not described out of 46.6%. Videotape producer were mostly the Government-affiliated institutes or non-profit organizations (86.8%). The year of production was indicated from 41.7%. Running time range of 21-30 minutes was highest (55.9%). The price was marked in only one videotape. Subjects of contents were general sexual education (34.5%), sexual violence or sexual harassment (21.4%), pregnancy and contraception (14.2%) and AIDS and sexually transmitted diseases (8.3%) and dating and adolescent change (4. 8%), and etc (11.9 %). According to above results, we suggested that materials for sexual education should be completed with a description on the subjected group, summary of content, information on the tape producer, year of production, running time and sale price.

• Women's Health Nursing
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• v.12 no.2
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• pp.124-131
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• 2006

Purpose: The purpose of this study was to examine the perceptions regarding the use of Emergency Contraceptive Pills (ECPs) among young Korean women. Method: The study included 14 unmarried women aged 19 to 34 years (mean, 25 years). Data was collected by focus group interviews and an in-depth interview from July to November, 2005. Content analysis was conducted. Result: The four major themes that emerged were control of accessibility, safety concern, lack of knowledge and information, and ambivalence. Control of accessibility: Most of the participants stated a prescription is necessary although they might feel ashamed if they had to ask for an ECP. Safety concerns: Participants thought that taking an ECP would be harmful to their body. Lack of knowledge and information: Most of the participants felt that they did not know enough about ECPs and were willing to learn more. Ambivalence: The participants stated that they would take an ECP when needed and would recommend it to a friend although they were concerned about the risks of ECPs. Conclusion: The results from this study suggest the need for an educational and awareness program to empower women to be able to make informed decisions on ECPs when needed.

• Women's Health Nursing
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• v.22 no.3
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• pp.151-161
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• 2016

Purpose: The purpose of this study was to develop and test the validity and reliability of the Korean version of the Contraceptive Self-efficacy (K-CSE) scale. Methods: The K-CSE scale was developed through forward-backward translation methods. Construct and criterion validity and internal consistency reliability were calculated using SPSS/WIN 21.0. Data were collected from 257 women students from two universities in G city, South Korea. Results: The factor structure of the K-CSE scale showed the cumulative variance as 62.9% in the factor analysis. Factor loading of 13 items on four subscales ranged from .47 to .88. Factors were named as 'initiative of contraceptive use', 'sexual assertiveness', 'refusal of sexual intercourse', and 'autonomic sexual behavior'. Criterion validity compared to the Sexual Autonomy Measurement (SAM) showed significant correlation. Cronbach's ${\alpha}$ for the reliability of each subscale were .50~.82 and .76 for the total scale. Conclusion: The findings of this study demonstrate that the K-CSE scale is a satisfactory valid and reliable scale. Therefore, the CSE scale can be useful in measuring contraceptive self-efficacy among women university students in Korea.

• Korea journal of population studies
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• v.25 no.1
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• pp.213-256
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• 2002

A woman faced with choices regarding contraception has several sources of information which may influence her decision Among these are other women's ideas as well as their reported behavior. Applying a two-stage econometric model to data on married women taken from a study of Korean social networks. this Paper assesses the relative impacts of the two information sources above. In addition, this Paper (1 ) considers the role of social and opinion leadership in the impact of a family Planning Program by Postulating two different social influence factors, (2) explores which types of social network contacts most significantly amplify the impact of the family Planning program, and (3) discusses the effects of two types of family Planning Program efforts: the inputs of family planning field workers, and the use of indigenous women's groups.

• Women's Health Nursing
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• v.25 no.1
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• pp.46-59
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• 2019

Purpose: To determine associations of traumatic events and post-traumatic stress disorder (PTSD) with sexual autonomy and identify factors influencing sexual autonomy among female university students of North Korean defectors. Methods: A cross-sectional, descriptive study was performed with a total of 103 female students who completed a structured online self-report survey from January 7 to March 31, 2018. This study was conducted using questionnaires on interpersonal trauma scale, the Traumatic Scale for North Korean Refugees (TSNKR), and sexual autonomy measurement for college students. Data were analyzed using descriptive statistics, t-test, one-way ANOVA, Pearson's correlation coefficients, and multiple linear regression with SPSS WIN 23.0 program. Results: Traumatic events, PTSD, and sexual autonomy scores were $3.96{\pm}3.07$, $31.47{\pm}10.75$, and $52.66{\pm}6.89$, respectively. PTSD was positively correlated with traumatic events (r=.22, p=.030). Sexual autonomy was inversely correlated with PTSD (r=-.25, p=.010). Contraceptive use, PTSD, and voluntary sexual debut explained 26% of sexual autonomy of participants. Conclusion: To improve sexual autonomy of young women from North Korea, reproductive intervention programs including contraception, sexual assertiveness training, and psychoeducation to reduce PTSD need to be developed and implemented.

• Women's Health Nursing
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• v.30 no.1
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• pp.26-40
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• 2024

Purpose: This study investigated the scope of patient navigation studies on women's health care for maternal health and noncancerous gynecologic conditions and aimed to report the characteristics of the identified patient navigation programs. Methods: A scoping review was conducted following Arksey and O'Malley's framework. Five electronic databases were searched for relevant studies published in English: PubMed, Embase, Cochrane Library, CINAHL, and PsycInfo. There were no restrictions on the publication date and the search was completed in July 2023. Results: This scoping review included 14 studies, which collectively examined seven patient navigation programs. All selected studies were related to maternal health issues (e.g., perinatal health problems and contraception for birth spacing). Close to two-thirds of the patient navigation services were provided by women (n=9, 64.3%) and half by lay navigators (n=7, 50.0%). The majority incorporated the use of mobile health technologies (n=11, 78.6%). All of the patient navigation programs included in the review coordinated the necessary clinical and social support services to improve women's access to care. Conclusion: Patient navigation appears to be in its nascent phase in the field of maternal health. The results of this study suggest that the implementation of patient navigation services could potentially improve access to care for socially disadvantaged women and families. Furthermore, providing patient navigation services that are specifically tailored to meet women's needs could improve the quality of maternity care.

• Korean Journal of Health Education and Promotion
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• v.6 no.1
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• pp.22-33
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• 1989

Rapid socio-cultural and economic changes in the country has brought with it changes in the society's value system. For a traditional society that is increasingly being exposed to modernization but where sex norms are still very restrictive, the adolescent sexual mores takes on added significance. Adolescents are caught between two opposing forces, the changing environment that allows for freer and liberal mores and the traditional society that cannot keep pace with the changing environment and therefore demands resistance to changes. This paper focuses on problems of adolescent sexuality in this country and considers the countermeasures for the existing problems. Amongst the problems are: (a) increasingly younger age of the adolescents who start sexual intercourse (b) non-use of contraception, (c) unwanted pregnancies, (d) increase in the number of induced abortion and (e) increase in the number of unwanted children and unmarried mothers. The Korean adolescent's sexual behavior seems to follow that of the developed countries. In other words, many western modes of life and sexual values seem to bave been copied in Korea and yet Korean adolescents lack in their knowledge of sex related matters such as reproductive physiology and contraception. Among middle and high school students, female students are reported to have less knowledge on sex than male students according to a 1988 survey by KIPH. Even among the unmarried famale factory workers, only 42.5 percent replied they know of the condom, and 25.1 percent and 23.1 percent said they had knowledge of spermicide and menstrual regulation respectively. However, 14.9 percent and 13.9 percent reported that they had a knowledge of the loop and female sterilization respectively according to the 1984 study by KIPH. Among the middle school students 0.8 percent said they had experience in sexual intercourse, while 7.3 percent of the high school students reported having had sexual intercourse. The sexual intercourse experience rate among the unmarried female factory workers is 37.8 percent. Among those female factory workers with sexual experience, 46.7 percent had more than one sex partners. Only 39.1 percent of male students and 18.9 percent of female students among those with sexual intercourse experience have used contraceptives. mostly condoms and oral pills 45.1 percent of female factory workers with sexual intercourse experience used contraceptives such as pills, condoms and rhythm methods. The pregnancy experience rate among the female factory workers who had experience in sexual intercourse is 29.5 percent, which is 11.1 percent among the total respondents. Out of the 102 pregnant female workers, 98 workers(96.1 percent) terminated their pregnancy by induced abortion and 2 workders(2 percent) in natural abortion, while 1 worker(1 percent) was in pregnancy and another 1 worker had normal birth that was subsequently sent to orphanage. In order to cope with the problem of adolescent sexuality, a drastic and strong policy measures should be taken by the government. The most effective countermeasure to the adolescent sexual problems appears to the education. The sex and population education in the school is very much in need. In addition, sex education program through mass media and at the job sit-should be promoted for a healthy development of adolescents' sexual behavior. Also, the existing national family planning program, which has focused on the married couples, should be extended to the unmarried people in its scope and contents of the program.