• Title/Summary/Keyword: Reproductive health education

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An Exploratory Study of Japanese Fathers' Knowledge of and Attitudes towards HPV and HPV Vaccination: Does Marital Status Matter?

  • Hanley, Sharon Janet Bruce;Yoshioka, Eiji;Ito, Yoshiya;Konno, Ryo;Sasaki, Yuri;Kishi, Reiko;Sakuragi, Noriaki
    • Asian Pacific Journal of Cancer Prevention
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    • v.15 no.4
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    • pp.1837-1843
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    • 2014
  • Background: No studies on male attitudes towards HPV and HPV vaccination have been conducted in Japan, and little is known globally whether attitudes of single fathers differ to those living with a female partner. This exploratory study assessed whether Japanese fathers were likely to have their daughter vaccinated against HPV in a publically funded program and whether any differences existed regarding attitudes and knowledge about HPV according to marital status. Materials and Methods: Subjects were 27 fathers (16 single; 11 married) who took part in a study on HPV vaccine acceptability aimed at primary caregivers of girls aged 11-14 yrs in three Japanese cities between July and December 2010. Results: Knowledge about HPV was extremely poor (mean score out of 13 being $2.74{\pm}3.22$) with only one (3.7%) participant believing he had been infected with HPV and most (81.4%) believing they had no or low future risk. No difference existed regarding knowledge or awareness of HPV according to marital status. Concerning perceived risk for daughters, single fathers were significantly more likely to believe their daughter was at risk for both HPV (87.5% versus 36.4%; p=0.01) and cervical cancer (75.0% versus 27.3%; p=0.02). Acceptability of free HPV vaccination was high at 92% with no difference according to marital status, however single fathers were significantly more likely (p=0.01) to pay when vaccination came at a cost. Concerns specific to single fathers included explaining the sexual nature of HPV and taking a daughter to a gynecologist to be vaccinated. Conclusions: Knowledge about HPV among Japanese fathers is poor, but HPV vaccine acceptability is high and does not differ by marital status. Providing sexual health education in schools that addresses lack of knowledge about HPV as well as information preferences expressed by single fathers, may not only increase HPV vaccine acceptance, but also actively involve men in cervical cancer prevention strategies. However, further large-scale quantitative studies are needed.

Marriage in Korea I. Evidence of Changing Attitudes and Practice

  • Kim, Mo-Im;Harper, Paul A.;Rider, Rowland V.;Yang, Jae-Mo
    • Clinical and Experimental Reproductive Medicine
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    • v.2 no.2
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    • pp.13-26
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    • 1975
  • Seven aspects of attitude toward marriage in Korea are examined to better understand present and future marriage patterns. Also, various facets of current marriage practice are compared with attitudes. The study comprises three groups of roughly 600 women each, selected by random sampling from a rural, an urban, and a semi-urban area. A carefully designed and pretested questionnaire was checked for reliability by a reinterview in a 15% subsample. The great majority of Korean women support traditional attitudes that one must or should marry. The small group who recommend that one should not marry are mostly the very young or the never married, whose attitudes still may change. However, there are important and probably predictive shifts in favor of more individual decision, especially among the better educated, the young, and the more urban. Traditional reasons for marriage such as "custom" and procreation are ranked first by a majority, but there is a large shift to more contemporary or liberal desire for companionship and love, also primarily among the better educated, the urban, the young, and the never married. The traditional attitude that parents should have the sole or major role in mate selection is still held by a bare majority; the educated, urban, young, and never married are more liberal. Only 6% opt for each of the two extremes: That the parent alone or the respondent alone should decide. The remainder prefer one of the two middle-of-the-road positions where parent and child together decide. The proportions of respondents who classed specified criteria as moat important for selecting a husband, arranging the criteria in order from traditional to contemporary were: Lineage, etc., 23%; personal attributes, 40%; health and education, 27%; and love, 10%. The changing attitudes are suggested by the fact that love was ranked first by only 3% of the poorly educated rural poulation versus 23% of urban college level and 31% of the urban never married. There has been a substantial rise in the ideal age of marriage over the past twelve or more years, but there also is evidence that the ideal age is at or near a ceiling. Knowledge about legal age of marriage is minimal; the implications of this for proposed legislation are discussed. Three-fifthes to four-fifths of all respondents married husbands of the same religious, residential, and economic backgrounds as themselves. Almost all of them married men of the same or higher educational level. These evidences of traditional influences in mate selection are contrasted with the low priority given some of those items in earlier questions on reasons for marriage and criterion for selecting husband. Contrary to the expressed attitudes as to who should select the husband, we find that marriages of the study sample were stated to be arranged by parents alone in 62%; and in another 23%, the parents made the decision but asked the respondent's views. Such arrangements were most frequent among the rural, the less educated, and the older respondents and less common in the urban and more educated. The implications of these and related findings are discussed.

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A study on education needs related to prenatal care programs in married immigrant women (결혼이주여성의 산전관리 프로그램을 위한 교육요구도에 관한 연구)

  • Park, Heeok;Park, Meera;Chun, Youngmi
    • Journal of the Korea Academia-Industrial cooperation Society
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    • v.16 no.7
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    • pp.4632-4640
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    • 2015
  • The purpose of this study was to investigate the education needs related to prenatal care program in married immigrant women and to suggest the meaningful data in developing prenatal care programs. Data collection was conducted in a multi-cultural center, D-city from 2014 Mar to 2015 April and a total of 71 subjects participated in this study. Education needs related to prenatal care programs were investigated using a questionnaire including infertility, human reproductive structures, prenatal educations, vaccinations, health problems managements and so on. Scores in education needs related to prenatal care programs were high in newborn baby safety managements, vaccinations, health care managements, newborn baby normal developments and newborn baby care managements. In addition, education needs related to fertility in the married immigrant women from Vietnam were higher than the married immigrant women from China and others (F=5.53, p<.05). Thus, based on the results of this study, the contents of an educational program needs to focus on newborn baby normal developments and nursing care management for them.

Implication for Korean Adolescent Sexuality (한국청소년의 성실태고찰)

  • 홍문식
    • 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.

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Risk Factors for Preterm Birth and Low Birth Weight in Extramarital Birth: 2008-2012 Birth Certificated Data (혼외 출생아의 조기분만과 저체중아 발생 위험도에 관한 연구: 2008-2012년 출생통계)

  • Lim, Dar-Oh;Park, Sang-Hwa
    • The Korean Journal of Health Service Management
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    • v.8 no.3
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    • pp.137-145
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    • 2014
  • The objective of this study was to analyze the risk of preterm birth (PTB) and low birth weight (LBW) in extramarital birth by analyzing 2008-2012 birth certificated data (2,328,719 births) from Korea Statistics. Odds ratio and 95% confidence intervals (95% CI) were calculated from logistic regression analyses to describe the associations between PTB & LBW and extramarital birth adjusted for maternal age, maternal occupation & education, infantile sex, birth order and number of child birth (singleton & multiple birth). The rate of extramarital birth was 1.8 percent and 2.1 percent in 2010-11. The incidence of LBW was 8.1 percent in extramarital birth and 5.0 percent in marital birth. The incidence of PTB in extramarital birth were 8.2 percent and 5.8 percent in marital birth. Compared with marital birth, the odds ratio (OR) for PTB were 1.48 (95% CI: 1.43-1.54) for extramarital birth. Risk of LBW was higher in extramarital birth (OR: 1.70, 95% CI: 1.64-1.76) than that of marital birth. Among mothers younger than 20 years, the odds ratio of PTB among extramarital birth, relative to married birth was 1.69 (1.49-1.91). Among unmarried mothers, those at a higher risk of LBW was aged 20-29 years (1.69: 1.59-1.79). Maternal unmarried status was associated with increased risk of PTB and LBW.

Comparison of Level of Knowledge and Attitude towards Sex between General and Industrial High School Students (인문계와 산업체 고교생들의 성에 대한 태도 및 지식수준 비교)

  • 장정희;맹광호
    • Korean Journal of Health Education and Promotion
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    • v.12 no.2
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    • pp.73-89
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    • 1995
  • This study was planned to investigate indirectly the effects of study environments of high school students such as family characteristics, availability of sex education, and possibility of exposure to unhealthy sexual environments. For this purpose, the level of knowledge and attitude towards sex of general and industrial high school students were compared because these two groups of students were believed to be different in those study variables. For this study, 600 students (300 male and 300 female students) from a general high school students and 400 (200 male and 200 female) from an industrial high school in one industrial city in Korea were surveyed with a structured questionnaire. The study results were as follows: 1. There were significant differences in selected family condition variables between general and industrial high school students. Proportions of students with single parents, those who live in houses other than their own, and those father's occupations were farming and manufacturing were higher in industrial high school students than in general high school students. 2. Female students wanted to have more knowledge on sex whereas male students were interested in things related to sexual acts in both general and industrial high school students. The largest proportion of students wanted to discuss their sex problems with their friends not with their parents. 3. More students in general high school thought that the sexual intercourse is natural and pretty than those in industrial high school, whereas more industrial high school students insisted on the sexual purity before marriage than general high school students. 4. About 65% of students surveyed agreed to making friends with opposite sex and, in fact, more than half either had experiences or were having friends of opposite sex. More students in industrial high school wanted to choose their marital partners based on advices of their parents than students in general high school. 5. More female students than male and more industrial high school students than general high school students were embarrassed with first wet dream or menstruation and felt guilty about the masturbation. 6. Level of knowledge on reproductive physiology, sex transmitted disease and contraception was higher in general high school students than in industrial high school students. These study results suggest that simple knowledge on sex of the general high school students does not seem to affect positively the students attitude towards sex and the unfavorable living conditions of industrial high school students seem to influence the students to become more sincere and healthy in their attitude towards sex and life. Therefore, more thoughtful consideration in contents and methods should be given when the sex education is provided to the high school students.

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Study of Relationship Between Illness Perception and Delay in Seeking Help for Breast Cancer Patients Based on Leventhal's Self-Regulation Model

  • Attari, Seyedeh Maryam;Ozgoli, Giti;Solhi, Mahnaz;Majd, Hamid Alavi
    • Asian Pacific Journal of Cancer Prevention
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    • v.17 no.sup3
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    • pp.167-174
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    • 2016
  • One of the major causes of morbidity and mortality in breast cancer patients is delay in seeking help. Leventhal's self-regulation model provides an appropriate framework to assess delay in seeking help. The aim of this study was to investigate the relationship between "illness perception" and "help seeking delay" in breast cancer patients based on Leventhal's self-regulation model. In this correlational descriptive study with convenience sampling conducted in 2013, participants were 120 women with breast cancer who were diagnosed in the last year and referred to chemotherapy and radiotherapy centers in Rasht, Iran. Data collection scales included demographic data, Revised Illness Perception Questionnaire (IPQ-R)and a researcher made questionnaire to measure the delay in seeking help. Pre-hospital delay (help seeking delay) was evaluated in 3 phases (assessment, disease, behavior). The data were analyzed using SPSS-19. The mean (SD) age calculated for the patients was $47.3{\pm}10.2$. Some 43% of the patients had a high school or higher education level and 82% were married. The "pre-hospital delay" was reported ${\geq}3months$. Logistic regression analysis showed that none of the illness perception components were correlated with appraisal and behavioral delay phases. In the illness delay phase, "time line" (p-value =0.04) and "risk factors"(p-value=0.03) had significant effects on reducing and "psychological attributions" had significant effects on increasing the delay (p-value =0.01). "Illness coherence" was correlated with decreased pre-hospital patient delay (p-value<0.01). Women's perceptions of breast cancer influences delay in seeking help. In addition to verifying the validity of Leventhal's self-regulation model in explaining delay in seeking help, the results signify the importance of the "illness delay phase" (decision to seek help) and educational interventions-counseling for women in the community.

Relationship between Sexual Knowledge and Sexual Attitudes of Mongolian University Students (몽골 대학생의 성지식과 성태도의 관계)

  • Kim, Jin;Cha, Nam Hyun
    • Journal of East-West Nursing Research
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    • v.27 no.1
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    • pp.70-77
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    • 2021
  • Purpose: The purposes of this study are to examine the relationship between sexual knowledge and sexual attitudes and identify factors that influence sexual attitudes among Mongolian university students. Methods: A cross-sectional study was used. Participants include 200 students from 23 universities in U city in Mongolia. Data were collected from 1 December to 30 December of 2019. A self-report questionnaire through Google survey was used. Data were analysed using descriptive statistics, t-test, ANOVA, Pearson correlation coefficients, and multiple regression analyse with SPSS 26.0 for Window Program. Results: We found the differences between sexual knowledge and sexual attitudes according to participants' general characteristics, sex education, and sexual knowledge (t=5.43, p<.001) and sexual attitudes (t=2.21, p=.028), sexual experience and sexual knowledge. There was no correlation with marriage thought among sexual knowledge, sexual health and pregnancy and childbirth, and sexual attitudes. The correlations between the remaining variables were high. Sexual knowledge was the most influential factor on sexual attitudes followed by the sexual act (β=.30, p<.001), reproductive organs (β=.29, p<.001), solving sexual desire (β=-.25, p<.001), sexual experience (β=-.16, p=.021), and sex education (β=-.16, p=.028) with an explanatory power of 20.0%. Conclusion: The findings of this study may provide a basic data and help to understanding of sexual attitudes among Mongolia university students.

A culture study of women's sports of babyboom generation in Korea: through oral history interview (한국 베이비붐 세대 여성의 운동문화 연구: 구술생애사인터뷰를 중심으로)

  • Kim, Young-Sun
    • 한국체육학회지인문사회과학편
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    • v.54 no.4
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    • pp.439-452
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    • 2015
  • The purpose of this study was to criticize the sport culture of babyboom generation women in Korea society. In the traditional society with Confucianism dominating, women were told to walk in small strides with modesty, keep footsteps narrower than the size of foot and never run frivolously. But in the modern society, many middle aged women-babyboom generation who was born in 1955-1963 and the first generation was served high level education engaged to enjoy various physical activities. For this study, there is a important method to analysis through three oral history interviews. It can be seen the cultural context in the result of sport as a play, restricted P·E class, forced motive-a good motherhood, survival fitness and ready for later life. These results will can be founded as a reality of dynamic relations and provided implications about founding the important of women voice and creating important data for people who want to be engaged in sports as a physical activities.

A Study on Risk Factors of Osteoporosis (골다공증 위험요인에 관한 연구)

  • Ju, Myung-Suk;Nam, Sang-Lyun
    • Journal of muscle and joint health
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    • v.6 no.1
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    • pp.37-50
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    • 1999
  • The purpose of this study was to identify the risk factors of osteoporosis. The data were collected from women who visited Physical Examination Center of a university hospital located in Taejon during the period of September 1997-August 1998. The sample was divided into two groups(the osteoporosis group of 44 cases and the control group of 66 cases). The results were summarized as follows ; 1. Sociodemographic characteristics(education and family income) and BMI showed no significant difference between the osteoporosis group and the control group. 2. There was no significant difference in coffee, unbalanced diet, diet method and meal habit between the osteoporosis group and the control group. 3. The osteoporosis group reported more incidence of operative menopause due to hysterectomy and oophorectomy, but this was not statistically significant. There was no significant difference in use of oral pill use, past disease and family history of fracture between the osteoporosis group and the control group, but the odds ratio(OR 3.11, 95% CI : 1.30-7.41) of present illness was statistically significant in the osteoporosis group. 4. There was no significant difference in the reproductive history including number of delivery and abortion and feeding method between the osteoporosis group and the control group. 5. The osteoporosis group showed significant results of lower menopausal age, shorter duration of menstruation and longer duration after menopause compared to the control group. 6. The osteoporosis group reported significantly lower level of physical activity in such variables as work activity and walking time. 7. A logistic analysis showed that shorter period of menstruation, lower level of physical activity, non-alcohol drinking group, and presence of disease were related to the possibility of occurring of osteoporosis.

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