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Predictors of Sexually Transmitted Infection among Adolescent Females in Korea

성경험이 있는 여자 고등학생의 성매개감염 영향요인

  • Lee, Jaeyoung (Department of Nursing Science, College of Natural Sciences, Kyungsung University)
  • 이재영 (경성대학교 이과대학 간호학과)
  • Received : 2018.03.23
  • Accepted : 2018.06.28
  • Published : 2018.08.31

Abstract

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.

Keywords

References

  1. Ball JW, Bindler RC, Cowen K. Principles of pediatric nursing: Caring for children. 6th ed. USA: Pearson; 2014. p. 108.
  2. Risser WL, Bortot AT, Benjamins LJ, Feldmann JM, Barratt MS, Eissa MA, et al. The epidemiology of sexually transmitted infections in adolescents. Seminars in Pediatric Infectious Diseases. 2005;16(3):160-167. https://doi.org/10.1053/j.spid.2005.04.004
  3. Newton DC, McCabe MP. Sexually transmitted infections: Impact on individuals and their relationships. Journal of Health Psychology. 2008;13(7):864-869. https://doi.org/10.1177/1359105308095058
  4. Darroch J, Myers L, Cassell J. Sex differences in the experience of testing positive for genital Chlamydia infection: A qualitative study with implications for public health and for a national screening programme. Sexually Transmitted Infections. 2003; 79(5):372-373. https://doi.org/10.1136/sti.79.5.372
  5. Schwartz RM, Hogben M, Liddon N, Augenbraun M, McCormack WM, Rubin S, et al. Coping with a diagnosis of C trachomatis or N gonorrhoeae: Psychosocial and behavioral correlates. Journal of Health Psychology. 2008;13(7):921-929. https://doi.org/10.1177/1359105308095066
  6. O'Donnell L, O'Donnell CR, Stueve A. Early sexual initiation and subsequent sex-related risks among urban minority youth: The reach for health study. Family Planning Perspectives. 2001; 33(6):268-275. https://doi.org/10.2307/3030194
  7. Mezzich AC, Tarter RE, Giancola PR, Lu S, Kirisci L, Parks S. Substance use and risky sexual behavior in female adolescents. Drug and Alcohol Dependence. 1997;44(2):157-166. https://doi.org/10.1016/S0376-8716(96)01333-6
  8. Lee J. Factors affecting contraceptive use among adolescent girls in South Korea. Child Health Nursing Research. 2017;23 (3):259-267. https://doi.org/10.4094/chnr.2017.23.3.259
  9. Lee SY, Lee HJ, Kim TK, Lee SG, Park EC. Sexually transmitted infections and first sexual intercourse age in adolescents: The nationwide retrospective cross-sectional study. The Journal of Sexual Medicine. 2015;12(12):2313-2323. https://doi.org/10.1111/jsm.13071
  10. Korea Centers for Disease Control and Prevention. Communicable diseases surveillance yearbook 2008. Yearbook. Cheongju: Korea Centers for Disease Control and Prevention; 2009 June. Report No.: 11-1460193-000004-10.
  11. Korea Centers for Disease Control and Prevention. Infectious diseases surveillance yearbook 2016. Yearbook. Cheongju: Korea Centers for Disease Control and Prevention; 2017 August. Report No.: 11-1352159-000048-10.
  12. Lee CY. Development of management strategy for sexually transmitted infections for Korean adolescents. Research Report. Cheongju: Korea Centers for Disease Control and Prevention; 2013 February. Report No.: None
  13. Korea Centers for Disease Control and Prevention. 2016 HIV/AIDS reported status. Information Report. Cheongju: Korea Centers for Disease Control and Prevention; 2017 August. Report No.: None.
  14. Dir AL, Coskunpinar A, Cyders MA. A meta-analytic review of the relationship between adolescent risky sexual behavior and impulsivity across gender, age, and race. Clinical Psychology Review. 2014;34(7):551-562. https://doi.org/10.1016/j.cpr.2014.08.004
  15. Ministry of Education, Ministry of Health and Welfare, Korea Centers for Disease Control and Prevention. The twelfth Korea youth risk behavior web-based survey 2016 Report. Youth Risk Behavior Report. Cheongju: Korea Centers for Disease Control and Prevention; 2016 December. Report No.: 11-1460736-000038-10.
  16. Cho YH, Ra JS. Contraceptive practice and influencing factors of adolescents. Korean Journal of Health Education and Promotion. 2014;31(5):59-70. https://doi.org/10.14367/kjhep.2014.31.5.59
  17. Forhan SE, Gottlieb SL, Sternberg MR, Xu F, Datta SD, Mc-Quillan GM, et al. Prevalence of sexually transmitted infections among female adolescents aged 14 to 19 in the United States. Pediatrics. 2009;124(6):1505-1512. https://doi.org/10.1542/peds.2009-0674
  18. Kann L, McManus T, Harris WA, Shanklin SL, Flint KH, Hawkins J, et al. Youth risk behavior surveillance-United States, 2015. Morbidity and Mortality Weekly Report Surveillance Summaries. 2016;65(6):1-174. https://doi.org/10.15585/mmwr.ss6506a1
  19. Tyler CP, Warner L, Gavin L, Barfield W. Receipt of reproductive health services among sexually experienced persons aged 15-19 years: National survey of family growth, United States, 2006-2010.Morbidity and Mortality Weekly Report Supplements. 2014;63(2):89-98.
  20. Ministry of the Interior and Safety. Population by age [Internet]. Seoul: Ministry of the Interior and Safety; 2018 [cited 2018 April 21]. Available from: http://www.mois.go.kr/frt/sub/a05/ageStat/screen.do.
  21. Kim SW. Diagnosis and clinical symptoms of sexually transmitted diseases. Journal of the Korean Medical Association. 2008;51(10):875-883. https://doi.org/10.5124/jkma.2008.51.10.875
  22. Byun HJ. The vision and method of policies on gender sensitive sexuality education for health promotion of youth. Journal of the Korean Society of Maternal and Child Health. 2014; 18(1):60-74. https://doi.org/10.21896/jksmch.2014.18.1.60
  23. Kaestle CE, Halpern CT, Miller WC, Ford CA. Young age at first sexual intercourse and sexually transmitted infections in adolescents and young adults. American Journal of Epidemiology. 2005;161(8):774-780. https://doi.org/10.1093/aje/kwi095
  24. Cook RL, Comer DM, Wiesenfeld HC, Chang CC, Tarter R, Lave JR, et al. Alcohol and drug use and related disorders: An underrecognized health issue among adolescents and young adults attending sexually transmitted disease clinics. Sexually Transmitted Diseases. 2006;33(9):565-570. https://doi.org/10.1097/01.olq.0000206422.40319.54
  25. Morrison DM, Gillmore MR, Hoppe MJ, Gaylord J, Leigh BC, Rainey D. Adolescent drinking and sex: Findings from a daily diary study. Perspectives on Sexual and Reproductive Health. 2003;35(4):162-168. https://doi.org/10.1363/3516203
  26. Kann L, McManus T, Harris WA, Shanklin SL, Flint KH, Hawkins J, et al. Youth risk behavior surveillance-United States, 2015. Morbidity and Mortality Weekly Report Surveillance Summaries. 2016;65(6):1-174. https://doi.org/10.15585/mmwr.ss6506a1
  27. Sohn AR. The relationship with tobacco use, alcohol consumption and sexual behavior among adolescents in Seoul city. The Journal of Korean Alcohol Science. 2010;11(1):77-86.
  28. Halpern-Felsher BL, Millstein SG, Ellen JM. Relationship of alcohol use and risky sexual behavior: A review and analysis of findings. The Journal of Adolescent Health. 1996;19(5):331-336. https://doi.org/10.1016/S1054-139X(96)00024-9
  29. Lee JY, Ju HO, Park SY. The status analysis of health education for adolescents: Using data from Korea youth risk behavior web-based survey of 2005, 2010 and 2015. The Journal of the Korean Society of School Health. 2017;30(1):59-69. https://doi.org/10.15434/kssh.2017.30.1.59
  30. Park GS, Kim M. A comparative study of health status between students and out-of-school youth. Youth Facilities and Environment. 2016;14(2):17-26.