• Women's Health Nursing
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• v.18 no.2
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• pp.108-116
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• 2012

Purpose: The purpose of this study was to evaluate the effect of the sexual education program on female college students' sexual knowledge and sexual autonomy. Methods: The integrative 5-week (15 hour) sexual education program reflecting control and coping aspects of sexual autonomy was developed based on self-determination theory. 59 female students were assigned to the experimental (n=29) and the control group (n=30). Students completed the sexual knowledge and the sexual autonomy questionnaires at prior to the program, right after and 10 weeks after the completion of the program. Independent t-test were used to test the effectiveness of the program. Results: Significant group differences were found on sexual autonomy score right after and 10 weeks after the completion of the program. No significant group differences were found on sexual knowledge at any time after the program completion. Conclusion: The results indicate that the 5-week Sexual Education Program was effective in increasing female college students' sexual autonomy. Nursing professors majoring women's health nursing may contribute to improving college students' sexual autonomy by opening the sexual education program as a general elective curriculum. Strategies to improve sexual knowledge need to be considered for better effectiveness of the program.

• Women's Health Nursing
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• v.25 no.1
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• pp.46-59
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• 2019

Purpose: To determine associations of traumatic events and post-traumatic stress disorder (PTSD) with sexual autonomy and identify factors influencing sexual autonomy among female university students of North Korean defectors. Methods: A cross-sectional, descriptive study was performed with a total of 103 female students who completed a structured online self-report survey from January 7 to March 31, 2018. This study was conducted using questionnaires on interpersonal trauma scale, the Traumatic Scale for North Korean Refugees (TSNKR), and sexual autonomy measurement for college students. Data were analyzed using descriptive statistics, t-test, one-way ANOVA, Pearson's correlation coefficients, and multiple linear regression with SPSS WIN 23.0 program. Results: Traumatic events, PTSD, and sexual autonomy scores were $3.96{\pm}3.07$, $31.47{\pm}10.75$, and $52.66{\pm}6.89$, respectively. PTSD was positively correlated with traumatic events (r=.22, p=.030). Sexual autonomy was inversely correlated with PTSD (r=-.25, p=.010). Contraceptive use, PTSD, and voluntary sexual debut explained 26% of sexual autonomy of participants. Conclusion: To improve sexual autonomy of young women from North Korea, reproductive intervention programs including contraception, sexual assertiveness training, and psychoeducation to reduce PTSD need to be developed and implemented.

• Journal of Korean Public Health Nursing
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• v.29 no.1
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• pp.90-101
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• 2015

Purpose: The purpose of this study was to investigate impact of sexual knowledge and sexual self-efficacy on sexual autonomy in middle school students in a rural area. Methods: With a cross-sectional descriptive design, 236 second-grade students were recruited from 4 middle schools using convenience sampling. The instrument was a self-administered questionnaire on sexual knowledge, sexual self-efficacy, and sexual autonomy. Data were analyzed using 2-sample t-test, one-way ANOVA, Scheffe, Pearson correlation coefficient, and stepwise regression. Results: Results showed significant positive correlations among sexual knowledge, sexual self-efficacy, and sexual autonomy. Sexual self-efficacy and sexual knowledge explained 37% of the variance in sexual autonomy. Conclusion: Findings of this study suggest that it is relevant to address sexual self-efficacy as well as sexual knowledge in order to increase sexual autonomy in middle school students. Further studies are warranted to investigate these variables with a larger sample and for development and validation of interventions to enhance sexual self-efficacy and sexual autonomy in middle school students.

• 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.

• Women's Health Nursing
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• v.10 no.4
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• pp.318-330
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• 2004

Purpose: The purpose of this study was to measure knowledge, attitude, experience of sex, sexual autonomy and the need of sex education of college students in order to provide sex information. Method: The subjects of this study were 356 college students. The data were collected from October 26 to December 5, 2003 by using a structured questionnaire. Result: The respondents' score of sexual knowledge was relatively low as 53.7 mean score on the basis of 100. However, the scores of sexual knowledge related to masturbation, induced abortion, and contraception were relatively high. The respondents' score of sexual attitude was 3.09. The respondents' score of sexual autonomy was 3.89. The percentage of subjects that experienced sexual intercourse was 41.6% and there was a difference between the gender. There was a positive correlation between sexual knowledge and sexual autonomy and between sexual knowledge and sexual attitude. There were significant differences in the sexual knowledge, sexual attitude and sexual autonomy depending upon the experience of coitus. The respondents expressed the need of sex education in college. Conclusion: An integrated sex education program should be developed and contents must have a concrete and honest education which is appropriate to college students.

• Women's Health Nursing
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• v.12 no.4
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• pp.301-307
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• 2006

Purpose: The purpose of this study was to evaluate the effects of a sexual violence counselor program on knowledge toward sexual violence, sexual autonomy and rape myths. Method: One group, pretest-posttest design was used. The program was delivered to thirty-three persons during 10 weeks for a total of 65 hours. Results: After the program, knowledge toward sexual violence increased significantly from 11.6 to 12.5(t=-2.10, p<.05), and sexual autonomy increased significantly from 50.6 to 53.7(t=-2.35, p<.05). After the program, rape myths decreased significantly from 42.4 to 29.0(t=7.80, p<.001). Conclusion: A sexual violence counselor program was effective to increase knowledge toward sexual violence and sexual autonomy and to diminish rape myths.

• Journal of Fisheries and Marine Sciences Education
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• v.26 no.6
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• pp.1332-1341
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• 2014

The purpose of this study examined the effects of sexual autonomy, sexual assertiveness, sexual subjectivity on sexual behavior among university students. The data was collected from 226 university students and analyzed with t-test and multiple regression using SPSS 21.0 program. The significant factors influencing sexual behavior were sexual attitude, sexual assertiveness, sexual autonomy and sexual subjectivity. And these factors explained 35.7% of the variance in sexual behavior. In conclusion, the results from this study indicated a need to develop the sex education program to improve sexual health among university students.

• Journal of Korean Academy of Fundamentals of Nursing
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• v.20 no.2
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• pp.129-136
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• 2013

Purpose: This study was done to examine sexual autonomy of college students. Method: Between October 2012 and November 2012, data related to self-efficacy, health knowledge, attitude to sex, and sexual autonomy orientation, were collected by questionnaire from 232 students. The data analysis was performed using PASW (SPSS) 18.0 program, and included t-test, one-way ANOVA, Pearson correlation coefficients, and multiple stepwise liner regression analysis. Results: The results showed a positive correlation between self-efficacy and sexual autonomy (r=.56, p<.001), sexual health knowledge (r=.50, p<.001), and attitude to sex (r=.29, p=.001). These 4 variables accounted for 48.7% of the variance in sexual autonomy among college students. Conclusion: The results of this study indicate that there is a need to develop mental health nursing strategies for college students in order to provide effective counseling on sexuality and sexual health matters.

• 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 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.