• Journal of the Korean Society of School Health
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• v.33 no.2
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• pp.79-88
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• 2020

Purpose: The purpose of this study was to identify 14 years of trends in sexual intercourse and sex education experiences among Korean adolescents from 2006 to 2019, based on online data. Methods: The study was a secondary analysis using the raw data of the 2^nd (2006) through 15^th (2019) Youth Risk Behavior Web-based Survey. The data of 504,105 male adolescents and 473,053 female adolescents were used for the analysis. A complex-sample cross-analysis (Rao-Scott χ² test) was performed to identify differences in sexual intercourse, sex education experience, and contraception over time, and logistic regression was performed to identify factors affecting adolescent sexual intercourse. Results: Sexual intercourse was found to increase as the year progressed. More high school students had sexual experiences than middle school students. Students who had ever smoked or drunk were more likely to have had sexual intercourse than the ones who had not. Students living with relatives or living in boarding houses or dormitories showed a higher rate of sexual intercourse than those living with family members. Students who never received sex education also showed a high rate of sexual intercourse. Conclusion: It is significant to grasp the trends in sexual intercourse, sex education experience, and contraception among adolescents over time. Providing adolescents with healthy sex education is becoming more and more important every year and health-related education including sex education that meets the need of teenagers should be incorporated into the regular curriculum.

• Journal of Korean Academy of Fundamentals of Nursing
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• v.20 no.1
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• pp.18-26
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• 2013

Purpose: The purpose of this study was to analyze the history of exposure to obscene material, and examine sexual attitudes and intercourse experience in order to develop an effective program for university students. Method: The data were collected in May, 2012 from 385 students attending 3 universities in Korea. An independent t-test and ANOVA were used to determine the differences with regard to sexual attitudes and intercourse experience according to general characteristics and history of exposure to obscene material. Results: Sexual attitudes significantly differed according to timing of first exposure to obscene material (p<.001). Intercourse experience was significantly different according to timing of first exposure to obscene material (p=.016) and type of exposure to obscene material (p=.032). There was a negative correlation between first exposure to obscene material and sexual attitudes (p<.001), and a positive correlation between first exposure to obscene material and intercourse experience (p=.017). Conclusion: Results of this study indicate that history of exposure to obscene material should be considered as an important variable in managing the sexual health of university students.

• Korean Journal of Health Education and Promotion
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• v.21 no.1
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• pp.45-68
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• 2004

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.

• Stress
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• v.25 no.3
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• pp.155-161
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• 2017

Background: This study was conducted to investigate the factors that influence sexual intercourse experience of university students in Korea. Methods: We selected 244 students who completed a questionnaire about general characteristics, sexual attitude, sexual intercourse experience, depression. It was analyzed by logistic regression using sexual attitude of university student, father, and mother as explanatory variables. Results: The results showed that sexual intercourse experience was more frequent in the respondents who were more open about sexual attitude, those whose mothers have more open mind to sexual attitude, and those who were less depressed. Conclusions: The sexual intercourse experience is important to affect the upcoming adult period in university students. This study suggests that it is necessary to develop systematically the sexual education program in university and society.

• 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.

• The Journal of Korean Society for School & Community Health Education
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• v.20 no.1
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• pp.43-56
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• 2019

Objectives: This study was to investigate the effects of sexual orientation related to sexual intercourse on smoking behavior. Methods: The study includes 33,309 Korean high school students. Of these, 31,213 had no experience of sexual intercourse, 1,739 had sexual intercourse with the heterosexual, 191 had sex with the homosexual, and 166 had sexual intercourse with the bisex. The study used 12th(2016) Korea Youth Risk Behavior Web-based Survey with complex sample logistic regression. Results: Adjusted confounding variables were analyzed, and it showed that smoking behavior was higher in the group had experienced sexual intercourse. The group had homosexual intercourse (OR=1.84, 95%CI=1.31-2.57) or bisexual intercourse (OR=2.78, 95%CI=2.06-3.76) showed higher risk of smoking behavior than the group had heterosexual intercourse (OR=1.67, 95%CI=1.48-1.90 Conclusions: The study results showed sexual orientation related to sexual intercourse was associated with smoking behavior. Further follow up studies and evaluations are needed.

• 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.

• Journal of Korean Academy of Nursing
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• v.45 no.2
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• pp.183-191
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• 2015

Purpose: For the current article an examination was done as to whether engaging in sexual intercourse before or during adolescence has a negative impact on the suicidal behaviors of suicide ideation, suicide attempt, and suicide lethality and whether the impact varies according to the context of sexual intercourse and/or gender. Methods: Adolescents who experienced casual sex and romantic sex were compared to adolescents who retained their virginity. Data was from samples drawn from the three waves (2010~2012) of the Korea Youth Risk Behavior Web-Based Survey. Logistic models were used to adjust for a wide array of confounding variables. Results: Any type of sexual intercourse increases risk of all suicidal behaviors. Sexual intercourse in a romantic relationship exhibits enhanced risk of suicidal behaviors compared to casual sex. Adjusting for experience of sexual violence, however, decreases risk of romantic sex substantially, turning some estimates statistically insignificant. In addition, risks for suicide lethality are greater for girls than boys. Conclusion: Romantic sex put adolescents at higher risk for suicidal behaviors than casual sex owing to prevalent sexual violence in the relationships. Girls suffer more substantively adverse outcomes than boys. These results suggest that adolescents will benefit from comprehensive education on sexuality and sexual behaviors regarding how to form and maintain a romantic relationship that is characterized by personal integrity and mutual respect. It is also important to help victims of sexual violence recover from traumatic events by providing emotional support and effective counseling.

• Journal of the Korean Home Economics Association
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• v.33 no.6
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• pp.11-23
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• 1995

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.

• 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.