• Journal of the Korean Society of School Health
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• v.31 no.2
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• pp.70-78
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• 2018

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.

• Journal of the Korean Society of School Health
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• v.29 no.3
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• pp.299-309
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• 2016

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.

• Journal of Korean Academy of Nursing
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• v.13 no.1
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• pp.22-33
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• 1983

This study was done to research the relationship between State-Trait Anxiety and Sexual activity of pregnant women. The subjects for this study were 200 pregnant women from 2 hospitals located in a urban area. The data was collected through questionnaires which was developed by Spielberger, from to, 1982. The content of the questionnaire consist of following 2 categories of Anxiety and Sexual activity; (1) State Anxiety, (2) Trait Anxiety and (3) Sexual activity included sexual drive, number of sexual intercourse, and length of sexual intercourse. Analysis of data was done by use percentage, T-test, x$^2$-test, ANOVA and pearson correlation coefficiency. The findings of this study are as follows: 1. The mean score of state Anxiety and Trait Anxiety of respondents were 43.06, 44.19, therefore Trait Anxiety was higher than state Anxiety. 2. A significant state Anxiety and Trait Anxiety were not found among general characteristics with age, education level and religion 3. In the analysis of correlation among state Anxiety, Trait anxiety and Sexual activity, the Trait Anxiety was positively correlated with the State Anxiety. (r=.3877, p=.000) It was support the fact that the higher level of Trait anxiety, the greater was the State anxiety. 4. And the state anxiety was negatively correlated with number of sexual intercourse. (r=-1518, p=.016) Therefore, the higher the state anxiety, the lower sexual activity. Or the lower sexual activity, the higher the State Anxiety. 5. Also, in the analysis of factors affecting sexual activity, only the variable of age showed a significant correlation to number of sexual intercounse. That is the younger, the higher number of sexual intercounse. (r=. -. 1380, p=.026).

• Korean Journal of Health Education and Promotion
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• v.20 no.2
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• pp.149-162
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• 2003

The purpose of this study was to investigate of the sexual behavior, attitude and knowledge of delinquence adolescents. Data were collected by self-report from 224 delinquence adolescents of the juvenile protection and education organizations in Gwangju city from June 18 to 21, 2002 in Korea. The results were as follows； The concern of subjects on sexual education was pregnancy, delivery and miscarriage(17.4%), date with boy-girl mends(13.9%) and sexually transmitted disease/AIDS(13.1%). The experiences of sexual behavior was masturbation(86.5%), sexual intercourse(79.6%), sexual desire(70.0%) and pregnancy(27.6%). There were statistically significant differences between age and contraception(p＜0.05), age and pregnancy(p＜0.05). The average score for sex attitude was 38.32. The average score for sex knowledge was 7.65. There were statistically significant correlation between sex attitude and sexual intercourse(p＜0.01), sex knowledge and intercourse(p＜0.05), sex knowledge and contraception(p＜0.05), sex attitude and pregnancy (p＜0.05), sex knowledge and sexual desire(p＜0.05). In conclusion, juvenile delinquence adolescents should be educated on sexuality continuously to express there sexual behavior patterns with the right morality and knowledge in any sexual arousal situation.

• Women's Health Nursing
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• v.9 no.1
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• pp.5-17
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• 2003

Purpose : The purpose of this study was 1) to classify university student's attitudes toward sex, 2) to confirm the effects of sexuality course on sex-role stereotypes and sexual attitude in university student s. Method : The subjects in this study were 212 K university students in Kangwon Province between 3/7/2001 $\sim$ 6/13/2001. The instruments used for this study were the general characteristics, sexual attitude and sex-role stereotypes. The data was analyzed by frequency, percentage, mean, standard deviation, paired t-test, ANOVA, Pearson correlation coefficients, Factor analysis and Cronbach's $\alpha$ using the SPSS program. Result : 1. University students' attitude toward sex are divided into three types. Type I are called open mined : 16, 33, 28, 10, 18, 2, 30, 25, 26, 27, 22, 19, 29, 21, 9, 5 items. Type II are supporters of virginal purity : 8, 6, 31, 17, 14, 33 items. Type III express love through sexual intercourse : 20, 24, 7, 3, 15, 32 items. 2. There was a significant difference in the appearance and occupational characteristics of sex-role stereotypes before and after the sexuality course (t=2.562, p<.05). 3. In Type III, there was a significant difference in sexual attitude before and after the sexuality course (t=3.576, p<.0001). 4. The data showed the relationships between type III of sexual attitude and sex-role stereotypes (r=-.3 15, p<.0001). 5. Sex-role stereotypes according to the demographic characteristics before sexuality course were significantly different by age, gender, experience of military service, experience of sex edu cat ion an d experience of sexual intercourse. Sex-role stereotypes according to the demographic characteristics after sexuality course were significantly different by gender and experience of sexual intercourse. 6. Sexual attitude according to the demographic characteristics before sexuality course were significantly different by maj or (type I), age, grade, experience of military service and experience of sexual intercourse (type II), age, grade, gender, experience of military service, experience of sex education and experience of sexual intercourse. Sexual attitude according to the demographic characteristics after sexuality course were significantly different by religion and major(type I), age and grade(type II), age, grade, gender, religion and experience of sexual intercourse. Conclusion : This study showed that a sexuality course was effect ive in changing the sex-role stereotypes and sexual attitude of university students.

• Asian Pacific Journal of Cancer Prevention
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• v.14 no.6
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• pp.3561-3564
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• 2013

Background: The negative effects of gynecologic cancer on women's health is multidimensional. Sexual problems arising after chemotherapy are decreased interest and vaginal lubrication, lack of orgasm and dyspareunia and sense of reduction in sexual attractiveness in general. The purpose of this study was to evaluate changes that patients who receive chemotherapy for a gynecologic oncology disorder experience in their sexual functions. Materials and Methods: A descriptive/cross-sectional and qualitative study was performed. The Female Sexual Function Index (FSFI) was used in order to collect data on sexual capacity. The quantitative data obtained were evaluated with frequency and percentage calculations while content analysis was performed for the qualitative data. Results: All of the information related to sexuality was provided by the physician. Chemotherapy treatment affected sexuality negatively in 55.9%. Since receiving the diagnosis, 52.9% of women had experienced no sexual intercourse at all. Those who had an FSFI score of 30 and below made up 75% of the women. After the content analysis of data obtained during in in-depth interviewing, we focused on three main themes: desire for sexual intercourse, problems experienced during sexual intercourse, and coping with problems. Conclusions: An integrated system where sexual problems can be handled professionally should be present during gynecological cancer treatment.

• Journal of the Korean Society of School Health
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• v.31 no.1
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• pp.48-58
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• 2018

Purpose: This study was to identify the factors that influence sexually transmitted infections (STIs) among adolescents in Korea. Methods: The data from the 10~12th Korea Youth Risk Behavior Web-based Survey (2014~2016) were used to assess the effects of individual, family, and school-related factors on sexually transmitted infections. The participants of this study were 9,760 adolescents who had experienced sexual intercourse. The participants consisted of 6,905 boys and 2,855 girls. Results: Out of 9,760 adolescents with sexual intercourse experience, 9.7% (908) had STIs. Grade, substance abuse, age at first sexual intercourse, having sexual intercourse after drinking alcohol, the type of sex partner and family structure were significantly related STIs in both boys and girls. Using condoms was related to STIs only in boys. Drinking alcohol and smoking were related to STIs only in girls. However, sex education at school was not related to STIs in both boys and girls. Conclusion: In this study, Individual and family factors were associated with STIs in male and female adolescents. The results of this study suggest the need for systematic research on the factors influencing STIs and health eduation for STI prevention.

• Research in Community and Public Health Nursing
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• v.30 no.2
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• pp.150-160
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• 2019

Purpose: This study was conducted to investigate the relationship between short message service and social media use, and sexual intercourse of high school students in Cambodia. Methods: Four hundred and eighty-three high school students from three schools in rural provinces were interviewed with structured questionnaires. Results: Sexual intercourse was found significantly more frequent among male students than among female students (p=.001), among alcohol drinkers than among non-drinkers (p<.001), among those who were not taking pictures with mobile phones than among those who were (p=.045), and among those who were exchanging SMS between boyfriend and girlfriend than among those who were not (p=.006). The students who were sending SMS by mobile phones were 5.83 times as likely to have sexual intercourse as their counterparts (p=.020), who were taking pictures with mobile phone were 0.04 times as likely as those who were not (p=.045) and the odds ratio was 15.19 times as high in alcohol drinkers as in non-drinkers (p=.001). Conclusions: Efforts should be made to encourage positive and effective use of social media among adolescents to maintain their sexual health.

• Korean Journal of Health Education and Promotion
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• v.31 no.5
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• pp.59-70
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• 2014

Objectives: The purpose of this study was to identify the current status of contraception use and analyze factors affecting contraception use among Korean adolescents. Methods: This cross sectional study used secondary data from the 2013 Adolescent Health Behavior Online Survey (KYRBS), which included a nationally representative sample of middle and high school students. A total of 3,475 adolescents who had experienced sexual intercourse were included in the study. Results: Almost 4.8% of total adolescents experienced sexual intercourse. Only 26.8% of them had sex with contraception. The significant predictors related to contraception use were as follows: sexual intercourse experience after drinking (OR=2.02) and living with mother (OR=3.00) for male middle school student, first intercourse experience (OR=2.04) for female middle school students, and first intercourse experience (OR=1.59) and intercourse experience after drinking (OR=0.56) for male high school students. On the other hand, there were no predictors for female high school students. Conclusions: Development and application of effective strategies according to gender and school level are needed to increase contraception rate of adolescents.

• Journal of the Korean Society of School Health
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• v.12 no.2
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• pp.339-356
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• 1999

The purpose of this study is to analyze the factors which influence the college student sex behavior. The results can be used as the basis to establish health polices and a health promotion program to reduce the risks of sexual behavior of college students. The study subjects were random selected from college students in Kyonggido. The 335 subjects were selected from 4 schools including three colleges and one university. The self-administered questionnaires were distributed to 350 students, 335 of which were analyzed (after excluding the 15 incomplete or inaccurate data). The study took place between December 7-19, 1998. Regarding the analysis method, the SPSS program was used. The relationship between social and demographic characteristics and relevant factors was identified through Chi-squared test. The major findings of the study were follows: 1. Of the 335 respondents, thirty seven percent of men and ten percent of women had already experienced sexual intercourse. Significantly more males had experienced sexual experience than women. The majority of students, living with both their parents had less sexually experience than that living without their parents. There were religious differences, that students who believed in buddhism had more sexual experience than christian or catholic students. Students who reported drinking alcohol frequently had more sexual experience than those who didn't and it was statistically significant (${\chi}^2=47.6$ df=4 p=0.000). 2. Sexual awareness was relatively low. High level group of sex knowledge were less sexual experience than middle or low level group (${\chi}^2=6.038$ df=2 p=0.049). Women were more sexually aware than men (${\chi}^2=20.814$ df=2 p=0.000). Groups who had sisters and brothers were more sexually aware than those who few sisters and brothers. 3. Sixty one percent of respondents said that chastity before marriage should be kept but twenty four percent of them felt that it was unnecessary. Opponents to chastity before marriage had more sex experience than those for. It was statistically significant (${\chi}^2=48.967$ df=2 p=0.000). Those who agreed with the questionnaire point 'Even if people are not married, if they love each other, they can have sexual intercourse.' had more sexual intercourse than those who didn't agree. Those who agreed with the questionnaire point 'Even though people doesn't like, they can still have sexual intercourse.' had more sexual intercourse than those who disagree. On this point, men were three times higher of the opinion than women. So we can see the difference in the perception between men and women. As a result of this study, sexual awareness influences sexual attitudes and sexual attitudes influence sexual awareness influences sexual activity includes poor knowledge and uninformed attitudes about sex. Therefore sex education is needed and it is very important to reestablish concepts about sex.