• Women's Health Nursing
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• v.29 no.2
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• pp.115-127
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• 2023

Purpose: The aim of this study was to determine the factors that influence safe sexual behaviors of Korean young adults and identify differences by gender. Methods: This study aimed to determine which factors affected safe sexual behaviors based on the Theory of Planned Behavior. Data from 437 Korean young adults (in their 20s and 30s) were collected via online survey between January 3 and January 28, 2022. The questionnaire included items on sexual body image, sexual role perception, sexual attitudes, sexual socialization, sexual communication, and safe sexual behaviors. Structural equation modeling was performed. Results: According to the overall model fit of the hypothetical model, the final model was acceptable and explained 49% of safe sexual behaviors. Sexual attitudes (β=h-.70, p<.001) and sexual communication (β=.53, p<.001) directly affected safe sexual behaviors, and sexual role perception (β=.42, p<.001) indirectly affected safe sexual behaviors in a combined model. There were gender differences in the path from sexual attitudes (β=-.94, p<.001) and sexual communication (β=.66, p<.001) to safe sexual behaviors and from sexual body image (β=.27, p<.001) to sexual communication. Conclusion: Sexual attitudes and sexual communication were predictors of safe sexual behaviors, which differed by gender. Strategies that consider sexual attitudes, sexual communication, sexual role perception, and differences between men and women should be developed to improve the safe sexual behaviors of young adults.

• Korean Journal of Adult Nursing
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• v.22 no.2
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• pp.113-120
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• 2010

Purpose: The purpose of this study is to examine the factors influencing the barriers faced by Korean nurses in addressing the patients' sexual health. Methods: The subjects in this study were nurses working at hospitals in Seoul and Jeonju. The data for this study were collected between November 2008 and December 2008. The subjects were assured of anonymity and confidentiality. Results: The barriers to addressing the patients' sexual health were moderate in the subjects. The nurses had moderate sexual knowledge and communication skills. In a stepwise regression analysis, the areas of work, communication skills, participation in sexual health training, and experience in Obstetrics and Gynecology accounted for 18.3% of the variance of the barrier for addressing the patients' sexual health. Conclusion: These findings emphasize the need for the development of a patient-centered sexual health-related curriculum for nurses, which has been briefly discussed in Korea. An educational program that improves the nurses' communication skills will be effective in reducing the barriers to addressing the patients' sexual health and will help the nurses become sexual health specialists.

• Journal of Digital Convergence
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• v.14 no.7
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• pp.299-307
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• 2016

The purpose of this study was to understand self-esteem, sexual communication for parents, sexual assertiveness, and safer sexual behavior and. to examine the mediating effects of the sexual assertiveness on the safer sexual behavior of early adults. A structured questionnaire was completed by 291 university students from March 1 to April 31, 2016. Data were analyzed to calculate the direct and indirect effects of factors affecting safer sexual behavior using SPSS WIN 21.0 and AMOS 18.0 programs. Final model fit indices were RMSEA .05, GFI .98, AGFI .94, NFI .96, and self-esteem, sexual communication for parents showed a direct effect on sexual assertiveness and safer sexual behavior of university students. Sexual assertiveness mediated the relationships among self-esteem, sexual communication for parents, and safer sexual behavior. Furthermore, it is shown that the sexual assertiveness significantly mediates the relation between the positive self-esteem, sexual open communication for parents and safer sexual behavior of early adults.

• Journal of Korean Academy of Nursing
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• v.33 no.6
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• pp.784-791
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• 2003

Purpose: This study is to investigate the influencing factors in the consistent use of contraception methods by comparing consistent and inconsistent users on partner communication, contraceptive control perception, and sexual autonomy among married Korean women. Method: This study consists of 243 married women living in Korea. A convenient sampling technique was used and data were collected by self report questionnaires from September 14, 2000 to October 20, 2000. Result: Only 41.6% of women were using contraception methods consistently and the rest of them were using contraception methods inconsistently. Between the two groups, statistical significances were noted in sexual communication(t=-2.5, p=.01), perceived contraceptive control(t=-7.5, p=.00) and sexual autonomy(t=-3.1, p=.00). As for general communication, it was not statistically significant(t=-1.0, p=.31). Conclusion: Family planning program advisors should recognize that intervention programs for the promotion of consistent contraceptive behavior should focus on the sexual communication, perceived contraceptive control, and sexual autonomy.

• Women's Health Nursing
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• v.13 no.2
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• pp.77-87
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• 2007

Purpose: This study was examined the quality of the sexual life among married women in terms of the factor structure of Sexual Quality of Life(SQOL) and evaluated the predictive value of 11 variables for SQOL. Method: Two hundred and ninety-three married women completed the Korean version SQOL scale with information on age, education, length of marriage, family income, health, sexual knowledge, coital frequency, harmony with family members, levels of affection, and general and sexual communication. Data were analysed with principal components and regression analyses. Result: The SQOL scale had two clearly defined factors, Negative Quality of Sexual Life and Positive Quality of Sexual Life, on which all scale items were significantly loaded, accounting for 54.3% of the total variance. Independent regression analysis showed all variables except education to be significant predictors of SQOL with interpersonal variables (general and sexual communication, affection and harmony with family members) being the most powerful predictors. However when the 11 variables were combined together in stepwise analysis, only 6 variables (general communication, age, affection, coital frequency, sexual knowledge and health) were significant, accounting for 39% of the total variance. Conclusion: The Korean version SQOL scale is a good measure to tackle SQOL in married women. To enhance SQOL, strengthening interpersonal interaction focusing on general/sexual communication, affection and harmony with family members seems to be more important than sexual activities and personal characteristics.

• Journal of the Korea Academia-Industrial cooperation Society
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• v.15 no.1
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• pp.386-395
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• 2014

Sexual satisfaction depends a lot of various factors. The study was conducted to understand middle-aged women's sexual function, sexual communication, and sexual satisfaction and to determine factors influencing sexual satisfaction. As a descriptive correlation study, data was collected during Oct. in 2012 to Jan. in 2013 from 126 middle-aged women in Korea. Sexual function, sexual communication, and sexual satisfaction were averaged 25.02 (range of score 2~36), 3.12 (out of 5), and 2.36 (out of 4), respectively. Sexual satisfaction had a positive correlation with sexual function and sexual communication. Sexual function, sexual communication, and last formal education were influencing factors on sexual satisfaction. Sexual satisfaction of middle-aged women was considered their physical and psychological aspects. Nurses should become aware of the wider consideration that need to be made in relation to the general and sexual quality of life when caring for middle-aged women.

• Journal of the Korea Academia-Industrial cooperation Society
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• v.14 no.8
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• pp.3876-3886
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• 2013

In modern society, the college students are experiencing more sexual behaviors, threatening their sexual health. The purpose of this study was to determine nursing college student's experiences with sexual behaviors and reveal its associated factors. Methods: As a descriptive correlation study, data was collected from 218 students in a nursing college. Data was analyzed using t-test, ANOVA, and stepwise multiple regression. Results: Sexual behaviors, sexual knowledge, sexual attitude, sexual communication with parents and friends averaged 1.53 (range of score 0-3), .84 (0-1), 3.86 (1-5), 2.75 and 2.97 (1-5), respectively. Sexual behaviors had a positive correlation with sexual attitude. Sexual communication with parents had a positive correlation with sexual communication with friends and negative correlation with sexual attitude. Sexual knowledge, source of sex related information, past date experience, and sex communication with family were affecting factors on sexual behaviors. Conclusion: Sexual problems may have a negative impact on various aspects of life. Nurses should be aware of the wider considerations that need to be made in relation to the quality of life when caring clients with sexual problems. Therefore, professionals and sex educators must continue to be diligent and creative in their efforts to educate nursing students.

• Journal of Families and Better Life
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• v.24 no.1 s.79
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• pp.271-286
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• 2006

The purpose of this study was to investigate the effect of parenting processes(parental support, monitoring, communication about sexuality) on college students' sexual attitudes and sexual behaviors. For this purpose, a survey was conducted using self-administered questionnaires with 361 college students. The results showed that both sexual attitudes and sexual behaviors were different according to sex, age, and dating period. In addition, sexual attitudes of males were correlated with father's support, mother's support and monitoring of parenting processes. It also found that the direct sexual behaviors were correlated with mother's support. Finally, results of multiple regression analysis showed that sex, parents' support, monitoring and communication about sexuality influenced sexual attitudes. Sex and parents' support had indirect influence on sexual behaviors. Experience of dating and communication about sex had direct influence on sexual behavior.

• 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.

• Journal of the Korean Home Economics Association
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• v.44 no.2 s.216
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• pp.113-126
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• 2006

This study aimed to examine the relationship between sexual communication and marital quality. Study data were collected from structured questionnaires completed by 695 married men and women aged in their 30s and 40s. The major results were as follows. For the interaction coordination and postsexual interaction, there were significant differences between men and women, in that men had more interaction coordination and postsexual interaction than women. The results show the stereotype of sexuality in Korean society that men should be more active, and assertive while women should be passive and dependent. For both men and women, those who had more dyadic sexual communication, more interaction coordination, and more postsexual interaction had a higher level of marital quality. That is, sexual communication can function significantly in increasing marital quality. The study results suggest the necessity of training to improve sexual communication skills. For example, in educational programs for couple enrichment, it will be useful to include skills such as expressing ones' desire, affect, and feelings explicitly.