• Women's Health Nursing
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• v.19 no.2
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• pp.108-118
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• 2013

Purpose: Sexual function involves a complex interaction of emotions, body image, and intact physical responses. The purpose of this study was to determine the sexual functioning of women who are incontinent and to identify associated factors. Methods: For this descriptive correlation study, data were collected from 147 women with urinary incontinence. Data were analyzed using t-test, ANOVA, and stepwise multiple regression. Results: Mean scores were 22.39 (sexual dysfunction ${\leq}26.55$) for sexual function, 13.38 (of 63) for depression, and 55.47 (range of score 17~85) for body image. Urinary symptoms and daily life symptoms averaged 36.04 (range of score 20~100) and 16.03 (range of score 8~40). Sexual function had a positive correlation with body image and negative correlation with daily life symptoms. Sexual satisfaction, daily life symptoms, marital satisfaction, and frequency of sexual intercourse were factors affecting sexual function. Conclusion: Study results indicate that urinary incontinence has a negative impact on various aspects of sexual function. Nurses should be aware of the wider consideration that needs to be made in relation to general and sexual quality of life when caring for clients suffering from urological diseases.

• Korean Journal of Health Education and Promotion
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• v.34 no.1
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• pp.1-12
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• 2017

Objectives: The aim of this study was to verify relationships between light- and heavy alcohol drinking and health-risk behaviors such as smoking, inappropriate weight control, physical inactivity, and sexual activity among adolescents. Methods: The data of 68,043 adolescents in middle- and high school collected from the Korea Youth Risk Behavior Web-based Survey in 2015 were analyzed. For statistical analysis, logistic regression model was used. Results: The rate of heavy alcohol drinking increased with increasing age up to 21.5% among boys and 13.9% among girls. Among boys, heavy alcohol drinkers were at a higher risk of smoking (adjusted odds ratios [OR]=3.3, 95% confidence interval [CI]=2.8-3.8), inappropriate weight control (OR=1.7; 95% CI=1.4-2.1), having sexual intercourse (OR=3.6; 95% CI=3.0-4.2) than light drinkers. Multiple health-risk behaviors of smoking, inappropriate weight control and sexual intercourse also increased in accordance with the severity of drinking alcohol beverage compared to non-drinker. Physical inactivity was decreased among heavy drinkers compared to light drinkers (OR=0.8; 95% CI=0.7-0.9 for inactivity of moderate exercise). Similar results were observed among girls. Conclusions: Alcohol drinking especially heavy alcohol drinking among adolescents is related to other risky behaviors including smoking, inappropriate weight control, and sexual activity. To prevent health problems in adolescents, it is necessary to adopt a combined approach regarding heavy drinking and health-risk behaviors.

• The Journal of Korean Society for School & Community Health Education
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• v.10 no.1
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• pp.105-122
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• 2009

Objectives: The aim of this study was to describe HIV/AIDS knowledge, attitudes (discrimination towards HIV/AIDS and lives with HIV infected persons) and HIV/AIDS related sexual behaviors among middle school and high school students in Seoul, Korea. Methods: The population of this study was junior and senior high school students in Seoul, Korea. Eight junior high schools and eight senior high schools were randomly selected from Seoul City. Two thousand nine hundred and ninety-six responses from the sixteen schools were analyzed (fifty-nine were excluded). A self-administered questionnaire measuring socio-demographic variables, knowledge of HIV/AIDS, as well as discriminatory attitudes of HIV/AIDS was utilized. Results: The level of HIV/AIDS knowledge was low and the levels of discriminatory attitudes were high. The results indicated that students had considerable misconceptions about HIV transmission as well as stigmatizing attitudes towards HIV-infected people and their lives. The proportions of sexual intercourse were 1.3 % for middle school students and 7.7% for high school students. Only 30.7% of current sexually active subjects were to use condoms at the last step of sexual intercourse. The HIV/AIDS related risk-taking behavior were predicted by gender, school types, parents' marital status, reported academic performances, and attitudes towards to homosexuals. Conclusions: It is important to design HIV prevention strategies that improve in the knowledge of HIV transmission for adolescents in Korea.

• Korean Journal of Adult Nursing
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• v.16 no.3
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• pp.398-408
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• 2004

Purpose: The purpose of this study was to identify the frequency of urinary incontinence and lower urinary symptoms, to identify lifestyle and sexual matters for UI of adult women in an urban area. Method: The sample consisted of 364 educated women from a women's health education program in a public health center. For data collection, the Bristol Female Lower Urinary Tract Symptoms Questionnaire developed by Jackson, et. al.(1996) and the demographic questionnaire were used. For data analysis, SAS 8.2 program was used. Result: The results were as follows: 1. the prevalence rate of UI was 73.63%. 45.88% of them were stress incontinence and 27.75% of them were urge incontinence. 2. Remarkable differences were found between the type of UI and LUTS in the case of urgency($x^2=42.0585$, P<0.001), unexplained incontinence($x^2=59.0585$, P<0.001), noctural incontinence($x^2=18.8080$, P<0.001) and catetherization($x^2=10.7207$, P= 0.004), burning sense($x^2=27.7400$, P<0.001). 3. Remarkable differences were found between the type of UI and lifestyle matters in the cases as follows fluid intake restriction($x^2=31.0532$, P=0.008), interference in physical activity($x^2=36.7481$, P=0.001), interference in relation with others($x^2=22.2729$, P=0.034). 4. Remarkable differences were found between the type of UI and sexual matters with difficulty of sexual intercourse($x^2=16.1898$, P=0.002), and urine leakage during sexual intercourse($x^2=17.9752$, P=0.001). Conclusion: Based on the results, developing and carrying out an adequate UI care and education program is needed.

• Journal of Korean Academy of Nursing
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• v.39 no.4
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• pp.539-548
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• 2009

Purpose: This study was designed to construct and test the structural equation model on sexual satisfaction in patients with a colostomy. Methods: The model construction was based upon Roy's adaptation model. Stoma-related discomfort (SRD), age, frequency of sexual intercourse, treatment modality, and gender affect sexual satisfaction and are mediated by physical, psychosocial, and interdependence modes. Each mode was conceptualized as sexual function, body image/ depression, and marital intimacy. The patients were 112 colostomates with colorectal cancer who were asked to complete a mail-back survey on their demographic data, SRD, body image, depression, marital intimacy, sexual function, and sexual satisfaction. Data were analyzed using SPSS WIN 15.0 and AMOS WIN 7.0. Results: Significant variables for sexual satisfaction in the final model were body image affected by SRD, depression affected by body image and SRD, marital intimacy affected by depression, and sexual function affected by marital intimacy. Conclusion: The results of this study suggest that specific guidelines for SRD are necessary to improve sexual satisfaction among colostomates. Nurses should be vigilant in monitoring depression and body image disturbance, and providing appropriate interventions to increase marital intimacy. Treatment modality, gender, and age should be considered in developing education programs pertaining to sexuality.

• Journal of Korean Academy of Fundamentals of Nursing
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• v.17 no.2
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• pp.187-199
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• 2010

Purpose: The purpose of this study was to describe experiences of sexual life among Korean women with breast cancer. Methods: Data were collected by focus group and individual tape-recorded interviews. The data were analyzed using qualitative content analysis. Results: Participants were 13 women who had stage I, II, or III breast cancer. Four major categories were discovered. "Not interested in sexual life at all" in which participants described their struggle to live while avoiding sexual life during initial stages of disease. "Sexual life that could not go back to previous normal life" in which participants described how they began to recognize many problems related to their sexual life resulting from the loss of femininity and pain during intercourse. "Dangerous marriage due to no sexual life" in which participants illustrated how no or unsatisfactory sexual life threatened their entire marriage and family life. Finally, "rediscovery of sexual life as a vital element in life" in which participants described how, with support from their spouse, they came to realize that sexual life was an important and vital part of their life. Conclusions: The results of this study could help in developing-educational programs to improve sexual well-being of women with breast cancer and their spouses.

• Journal of Korean Public Health Nursing
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• v.26 no.1
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• pp.51-59
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• 2012

Purpose: The purpose of this study was to identify correlation between sexual autonomy and self-efficacy and provide preliminary information for use in development of a sex education program for university students. Method: This study employed a descriptive research design. Data were collected from 357 university students. Subjects completed questionnaires on the following: demographics, sexual autonomy, and self-efficacy. Results: A total of 112 subjects (31.3.%) had experienced sexual intercourse and 126 subjects (35.3%) regarded it as an acceptable level of sexual behavior. The mean of sexual autonomy was 3.49 and significant differences were observed in gender, grade, department, and acceptable level of sexual behavior. The mean of self-efficacy was 4.08 and significant differences were observed in gender, department, and acceptable level of sexual behavior. In addition, significant correlation was observed between sexual autonomy and self-efficacy. Conclusion: Development of a sex education program for university students, which includes information on reinforcement of sexual autonomy and self-efficacy, is needed.

• Journal of the Korea Academia-Industrial cooperation Society
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• v.19 no.10
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• pp.467-474
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• 2018

This study was conducted to investigate the effect of unmarried women's self-efficacy and sex role stereotypes on sexual assertiveness. This study is a descriptive research study. The subjects of this study were unmarried women who had experience of dating. Data collection was conducted by online from July 17th to 19th, 2018. The final 190 subjects were the subject of the study and data analysis was performed using the SPSS 24.0 program. Pearson's correlation was used for correlations between variables, and multiple regression analysis was performed to determine the effect on sexual assertiveness. The results showed that there was a significant difference in the scores of the sexual assertiveness according to the age, having a boyfriend, number of intimate relationship, and sexual intercourse experience. There was a positive correlation between sexual assertiveness and self-efficacy, while there was a negative correlation between sexual assertiveness and sex role stereotypes. Factors influencing sexual assertiveness were sexual intercourse experience and sex role stereotypes, which accounted for 41.7%. This study was meaningful in that it analyzed the factors influencing sexual assertiveness among unmarried women who are not college students. In order to increase the sexual assertiveness of unmarried women, it is necessary to have a program that takes into account stereotypes of sex roles.

• Journal of Korean Academy of Nursing
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• v.33 no.3
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• pp.339-346
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• 2003

Purpose: This study was to add to the understanding of sexual autonomy in college students in Korea. A descriptive survey design was used. Method: The participants in this study were 1,865 college students from 13 colleges, The questionnaire consisted of 15 items on general characteristics and 13 items measuring sexual autonomy. The SPSS 10.0 program was used for data analysis. Result: The global score for sexual autonomy was relatively high at 55.24 with a possible range of 13～65. The item on sexual autonomy with the highest score were, ‘I can prevent repeated STD infections’ and the item with the lowest sexual autonomy score was ‘I can speak clearly about having intercourse’. Factors related to sexual autonomy were identified as gender, parents’ attitude, year in university, experience with STD prevention and experience with pregnancy prevention. The score for sexual autonomy was lower in male college students (p=.000), students whose parents’ attitudes to sex were vague, first year students (p=.000), students who had little experience with prevention of STDs (p=.002), students who had little experience with prevention of pregnancy (p=.001). Conclusion: The results showed that in setting priorities for sex education the following groups of students should be given first priority, male students, students whose parents’ attitudes to sex were vague, first year students, students who have not had experience with prevention of STDs, and students who have not had experience with prevention of pregnancy.

• Child Health Nursing Research
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• v.11 no.1
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• pp.54-62
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• 2005

Purpose: This study was done to examine the relationship between sexual permissiveness, family function and parent-adolescent communication among adolescents. Method: A descriptive correlation approach was used and the participants were 956 male and female students. Data were collected by questionnaire survey using convenience sampling. The instruments were the Family APGAR Questionnaire by Smilkstein(1978), PAC by Olson and Barnes(1982), and the Premarital Sexual Permissiveness Questionnaire by Reiss(1967). Data were analyzed using the SPSS 10.0 program with descriptive statistics, Pearson correlation coefficients, t-test, and ANOVA. Results: Family function was significant according to school record, economic status, living arrangement of parent. Parent-Adolescent Communication was significant according to religion, economic status, having a boy/girl friend, and experience of sexual intercourse. Sexual permissiveness was significant for all except economic status. Correlation among the variables showed that parent-adolescent communication was negatively correlated to sexual permissiveness(r=-.127, p=.000) and positively to family function(r=.368, p=.000). Conclusion: The findings suggest that parent-adolescent communication and family function are associated with sexual permissiveness, and the findings of this study are expected to make a contribution to creating an ideal sexual culture for youth.