This study was done to examine the sexual knowledge, attitudes, and behaviors of Korea college students and investigate the effects of sexual education programs on college students with respect to their sexual knowledge and sexual attitudes. For these objectives, a single 92 item sexual questionnaire was administered to 213 college students (113 in the experimental group and 100 in the control group) as a pretest one day before the experimental group participated in a sexual education program. Then a three week sexual education program was given to the experimental group and a posttest was administered to both groups day after the program. The findings from the pretest; 1) The main sources of sexual information were friends, Internet, books and magazines. College students in this study showed relatively high scores on their overall sexual knowledge but showed low scores on their knowledge of venereal disease and HIV/AIDS. Female students had a higher sexual knowledge of physiology, pregnancy and sexual abuse than male students. 2) The overall sexual attitudes of college students were subjective. They showed especially strong liberal attitudes to premarital intercourse, had few double standards and agreed on induced abortion. Male students showed a more liberal attitude to premarital intercourse and extramarital intercourse (X²=50.679, p<.001). Christian students showed the lowest rates of permissiveness for induced abortion than students of other religions. 3) 64.9% of the subjects in this study had experience in intercourse. The gender and age of students did influence the experience rates of intercourse. Male students had much higher rates of intercourse than female students (X²=13.565, p<.001) and older students had higher experience rates of intercourse. 4) From the analysis of the relationship between sexual knowledge, attitudes and behaviors, this study revealed that sexual knowledge and sexual attitudes of college students have a correlation 6=0.324, p=0.000). Students' experience of intercourse did not influence their sexual knowledge scores, but did influence their sexual attitudes. Students who had experience of intercourse showed more liberal sexual attitudes than those students who did not (t=2.677, p<.050). And students who were exposed to sexual media such as pornography, sexual magazines, sexual books and the Internet, also showed more liberal sexual attitudes than those students who were not. The findings from the comparison of pretest and posttest ; 1. The sexual knowledge of the experimental group that participated in the sexual education program was significantly increased after the program compared to before the program (p<.001). However the control group did not show any significant change in their sexual knowledge. 2. The sexual attitudes of the experimental group were also changed significantly becoming less liberal (p<.001). The control group also showed significant change in their sexual attitudes, also becoming less liberal (p<.001). Therefore, the sexual education program used in this study was effective in increasing college students' accurate sexual knowledge, but had little effect on their sexual attitudes.
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.
The aim of this study was to assess adolescents' sexuality and to gather student opinions on current school-based sex education in South Korea. A self-administered questionnaire survey was conducted in Seoul, Incheon, and Kyunggi Province to assess the status and needs of high school sexuality education. Survey data was obtained from 1,130 senior high school students. The rates of sexual intercourse for boys and girls were 33.1% and 13.2% respectively. Boys were more likely to be sexually involved (p = .000) and experienced earlier at first sexual intercourse than girls (p = .006). Among students who had sexual intercourse, only 20.3% (21.1% of boys and 19.1% of girls) used contraceptives at first sexual intercourse. The proportion of respondents who had had sexual intercourse was higher among those with poor self-perceived academic performance (p = .000). The proportion was also higher among those with a boy or girl friend (p = .000). Other risk-taking behaviors such as smoking and drinking were associated with sexual activity (p = .000). This study found that most students were not satisfied with sex education because of teachers' lack of information and skills in delivering it. Most teachers providing sex education were not qualified and/or trained. They should receive adequate training and guidelines for the training. Training should also give teachers time to practice and become comfortable in delivering it.
Purpose: This study was done to identify contraceptive practices in adolescent girls in South Korea and predictors of contraceptive practices. Methods: The study sample included 743 girls who had experienced sexual activity. Using statistics from the 12th (2016) Korea Youth Risk Behavior Web-based Survey, hierarchical logistic regression analysis was conducted. Results: The contraceptive practice rate for adolescent girls was 34%. Contraceptive practice was associated with 'age at first intercourse' and 'sexual intercourse after drinking'. For adolescent girls who had early sexual initiation and drank alcohol before sexual intercourse there was a tendency to reduce the practice of contraception. Conclusion: It is necessary to provide practical sex education to improve the practice of contraception in these adolescents. In addition, adolescent girls should be encourage to delay their first intercourse. The results of this study can also be used to develop education interventions regarding healthy sexuality behaviour including the practice of contraception.
Purpose: The purpose of this study was to investigate factors that influence sexual intercourse among middle school students in South Korea. Methods: Using statistics from the 8th (2012) Korea Youth Risk Behavior Web-based Survey, hierarchical logistic regression analysis was conducted. The study sample comprised 37,297 middle school students aged primarily 12 to 15. Results: The significant predictors of sexual intercourse were grade, ever smoking, ever drinking, habitual or purposeful drug use, economic status, weekly allowance, cohabitation with family, and type of school. Conclusion: The results suggest that intensified sex education is needed not only in the 1st grade of middle school, but also in the upper grades of elementary school. Sexual health interventions for high-risk groups may be needed, given the factors predicting sexual intercourse.
This study analyzed college students' perceptions of sexual meanings and motives for intercourse. The sample consisted of 185 never married students of two universities in Seoul; 58 male and 127 female. Among these students, $55.2\%$ of male students and $22.8\%$ of female students answered that they had experienced sexual intercourse. The referred symbolic meanings of sex to these subjects were important, secretive, hot, connected, tense, young, serious, excitable, friendly, wet, sacred, pleasurable, interesting, play, creative, strong, and spontaneous. Students responded that the most important reason for sex was affection, followed by concern for partner, spiritual bond, communication, recreation-play, and procreation. Students who had experienced sexual intercourse and male students had significantly more positive sexual meanings than their counterparts. The recommendations for future research are provided.
This study investigated 1) actual rates of sexual intercourse and relating variables among college students and workers and 2) the trend of premarital sexual attitudes. Data for 538 were used Reiss' Premarital Sexual Permissiveness Scale question are. The major findings were as follows ; 1) Actual sexual intercourse rates is higher than the past especially in women, yet there is significant difference between man and woman. 2) double standard for premarital sexuality remains in our culture. The degree of premarital sexual permissiveness to man is higher than that of woman. Both man and woman have more permissive permarital sexual attiaudes to man. Nevertheless, the result that the degree to which each sexual behavior was accepted increased with each relationship stage implicates " permissiveness with affection" to be the sexual standard accepted by young adults. 3) Age is higher, premarital sexual attitudes are more liberal, and the extend of peer group' sexual intercourse experience is higher, the rate of sexual intercourse is higher both man and woman.
Purpose: The purpose of this study was to investigate the association between sexual intercourse and experience of alcohol, tobacco, and drugs use among adolescents in South Korea. Methods: This study used the data of the Korea Youth Risk Behavior Web-based Survey from 2010 through 2014. The subjects of this study were 367,562 students (Male 187,610, Female 179,952). The subjects' general characteristics and their sexual experiences according to their general characteristics were analyzed using frequency analysis. The relationship between sexual intercourse and the use of alcohol, tobacco, and drugs was analyzed through multiple logistic regression. The analyses were conducted using SPSS 18.0. Results: According to the study, the significant predictors of sexual intercourse were gender, grade, parents' educational level, residence type, economic status, and substance abuse. Adolescents who had used alcohol, tobacco, and drugs were more likely to have had sexual intercourse than their peers who hadn't use the substances. Conclusion: The results suggest that factors that increase the risk of having premature sex should be managed and prevented systematically. Among the factors, in particular, drinking, smoking, and drug use require intensive management.
Rizkianti, Anissa;Maisya, Iram Barida;Kusumawardani, Nunik;Linhart, Christine;Pardosi, Jerico Franciscus
Journal of Preventive Medicine and Public Health
/
v.53
no.5
/
pp.323-331
/
2020
Objectives: This study aimed to determine the prevalence and correlates of sexual intercourse among junior secondary and high school students in Indonesia from the 2015 Global School-based Health Survey (GSHS). Methods: The survey was conducted among 11 110 students from 75 schools in Indonesia using a self-administered questionnaire. Univariate and multivariate analyses were conducted to explore associations between sexual intercourse and socio-demographic variables, substance use, mental distress, and protective factors. Results: Overall, 5.3% of students reported having ever had sex (6.9% of boys and 3.8% of girls). Of students who engaged in sexual intercourse, 72.7% of boys and 90.3% of girls had an early sexual debut (before reaching the age of 15) and around 60% had multiple sex partners. Sexual intercourse was associated with gender, school grade, smoking, alcohol consumption, drug use, suicidal ideation, truancy, peer support, and parental supervision. Conclusions: These findings indicate a pressing need to develop more comprehensive sexual health education in the national curriculum. An effective strategy should also address other risky behaviours.
To evaluate the effectiveness of intrauterine insemination (IUI) in the treatment of infertility, timed-intercourse and intrauterine insemination by husband in stimulated cycles with clomiphene citrate and gonadotropins were compared in a total of 105 cycles. Patients received 100mg of clomiphene citrate daily for 5 days starting on day 3 of the menstrual cycle followed by hMG or FSH. Doses of exogenous gonadotropins were adjusted by the follicular development and concentrations of serum estradiol $(E_2)$. More than 3 follicles reaching >16 mm were present in the ovary, 5,000 IU of hCG was administered intramusculary. Patients received a maximum of three intercourse or IUI cycles for the treatment. Severe male (<$10{\times}10^6$ motile sperm) or age factor (>39 y) patients were excluded in this study. Pregnancy was classified as clinical if a gestational sac or fetal cardiac activity was seen on ultrasound. The overall clinical pregnancy rates were 17.1% per cycle (18/105) and 21.2% per patient (18/85). The pregnancy rates (per cycle) were 17.5% (11/63) in intercourse and 16.7% (7/42) in IUI groups, respectively. IUI had no significant improvement in pregnancy rate compared with timed-intercourse. The multiple pregnancy rates were 11.1% (1 twin and 1 triplet). No patient developed ovarian hyperstimulation. Abortion rate was 28.6% (2/7) in IUI group only. The delivery and ongoing pregnancy rates were 15.2% per cycle (16/105) and 18.8% per patient (16/85). There were no differences in age, duration of infertility, follicle size and level of estradiol $(E_2)$ on the day of hCG injection in pregnant and non-pregnant groups. However, total doses of gonadotropins were higher in pregnant group than in non-pregnant group (p<0.01). Pregnancy rate was not affected by ovulatory status at the time of insemination. These results indicate that well timed-intercourse in stimulated cycles is as effective as IUI for infertile couples.
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