Journal of East-West Nursing Research (동서간호학연구지)

East-west Nursing Research Institute, Kyung Hee University (경희대학교 동서간호학연구소)
권호 표지
DOI QR코드

DOI QR Code

Impact of Sexual Knowledge and Sexual Values on Reproductive Health Promotion Behaviors among Male College Students

남자 대학생의 성 지식과 성 가치관이 생식건강 증진행위에 미치는 영향

  • Cho, Hyunseok (College of Nursing, Chungnam National University) ;
  • Ahn, Sukhee (College of Nursing, Chungnam National University)
  • Received : 2024.09.19
  • Accepted : 2024.10.30
  • Published : 2024.11.30
Download PDF
⟨ Previous Next ⟩

Abstract

Purpose: This study aimed to explore the impact of sexual knowledge and sexual values on reproductive health promotion behaviors (RHPBs) among male college students. Methods: We recruited 169 male students from online communities at two universities for a cross-sectional study. After obtaining consent, participants answered a self-administered online questionnaire. The measurements consist of sexual knowledge with 35 items, sexual values with 18 items, and males' RHPBs with 16 items, and general characteristics. A total of 166 responses were analyzed using SPSS 26.0 and SPSS Process Model 4. Results: The mean age of participants was 23.03±2.79 years (range, 18-30 years). The average score of sexual knowledge, converted to percentage, was 73.44±12.99. Other areas were above average, but pregnancy, sexually transmitted disease and AIDS scores were below average. The mean score for sexual values was 55.06±10.17. Scores in the behavioral domain were below average, although other domains were above the item average. The score for RHPBs was 55.54±6.42. While other areas were above the item mean, the scores for safe sex and sexual responsibility were lower than the mean. Sexual knowledge, sexual values, and RHPB were positively correlated, but regression analysis showed that only sexual values had a significant effect on RHPBs. As a result of exploring the mediating effect on RHPBs, an indirect effect of sexual knowledge through sexual values was revealed. Conclusion: As higher scores for sexual values and knowledge are significantly associated with better RHPBs, we should consider both factors when planning RHPB education for male college students.

Keywords

References

  1. Kim SG. A study on sexual attitude, autonomy and harassment experience of college students. Journal of the Korea Academia-Industrial cooperation Society. 2017;18(3):223-31. https://doi.org/10.5762/KAIS.2017.18.3.223
  2. Shin HW, Lee JM, Min HY. An Integrative literature review on sex education programs for Korean college students. The Journal of Korean Academic Society of Nursing Education. 2020;26(1):78-96. https://doi.org/10.5977/jkasne.2020.26.1.78
  3. Lee KE. Analysis of teachers' recognition of and demands for training of school sex education Standard. The Journal of Learner-Centered Curriculum and Instruction. 2016;16(4):51-71.
  4. Yeom GJ, Kim IO. A study about research of needs for development of sex education program on university entrants. Korean Parent-Child Health Journal. 2018;21(1):11-9. https://kiss.kstudy.com/Detail/Ar?key=3629084
  5. Aantjes CJ, Govender K. Are we getting any closer to including men and boys in sexual and reproductive health? A multi-country policy analysis on guidance to action in East and Southern Africa. International Journal of Sexual Health, 2024;1-20. https://doi.org/10.1080/19317611.2024.2353624
  6. Min HY, Lee JM, Min HY, Jeong YW. University freshman's sexual knowledge, attitudes, and satisfaction of sex education. The Journal of Korean Academic Society of Nursing Education. 2019;25(2):238-50. https://doi.org/10.5977/jkasne.2019.25.2.238
  7. Noh JH, Kim HS. Gender differences and relationships among lifestyle and reproductive health in university students. Korean Journal of Women Health Nursing. 2019;25(4):446-58. https://doi.org/10.4069/kjwhn.2019.25.4.446
  8. Shin KR, Park HJ, Shin MK. Influence of military service experience on sexual knowledge, attitudes, and behavior of male college students. Korean Journal of Adult Nursing. 2009;21(1):77-85.
  9. Kang YS, Hwang HN. A study on sexual knowledge, sexual attitudes, and reproductive health promoting behaviors in male and female college students. Journal of East-West Nursing Research. 2017;23(1):9-17. https://doi.org/10.14370/jewnr.2017.23.1.9
  10. Han JY, Kim SY, Lee CM, Jeong CR, Kim S, Sung KW. Factors affecting sexual knowledge and attitude on Intentions to receive human papilloma virus (HPV) vaccination in male and female university students. Global Health and Nursing. 2020;10(1):69-78. https://doi.org/10.35144/ghn.2020.10.1.69
  11. Seo EJ, Cha NH. Analysis of domestic studies in sexual knowledge, attitude, and sexual behavior of university students: 1985-2020. The Journal of the Convergence on Culture Technology. 2021;7(1):162-9. https://doi.org/10.17703/JCCT.2021.7.1.162
  12. Kim MS, Eo YS. A study on reproductive health promoting behavior among male and female undergraduate students. Journal of East-West Nursing Research. 2015;21(2):140-7. https://doi.org/10.14370/jewnr.2015.21.2.140
  13. Choi WJ, Park JH, Lee SW, Yim JE, Jeong HC, Lim YS, et al. The effects of convergent reproductive health promotion program for Korean university students on sexual knowledge, sexual attitude, and reproductive health promoting behavior. Journal of the Korea Convergence Society. 2018;9(3):145-52. https://doi.org/10.15207/JKCS.2018.9.3.145
  14. Oh YS, Cho YE. Exploring the limitations in the use of online health information and future direction: focused on analysis of expert knowledge in the frame of ignorance. Health and Social Welfare Review. 2019; 39(2):358-93. https://doi.org/10.15709/hswr.2019.39.2.358
  15. Sunkara J. Sexual health misinformation and potential interventions among youth on social media. The Cardinal Edge. 2021;1. https://doi.org/10.18297/tce/vol1/iss1/16
  16. Kim SH, Yoon WC. Sexual consciousness and attitude of male university students. Journal of Korean Public Health Nursing. 2012;26(2):248-57. https://doi.org/10.5932/JKPHN.2012.26.2.248
  17. Santos MJ, Ferreira E, Duarte J, Ferreira M. Risk factors that influence sexual and reproductive health in Portuguese university students. International Nursing Review. 2018; 65(2):225-33. https://doi.org/10.1111/inr.12387
  18. Jaung AH, Jung YJ, Kim MY. Affecting factors sexual experience among college students. Journal of the Korea Academia-Industrial cooperation Society. 2015;16(1):555-63. https://doi.org/10.5762/KAIS.2015.16.1.555
  19. Jun EM, Shin HG. Factors influencing condom use in male college students. Journal of The Korean Data Analysis Society. 2016;18(6):3395- 3408.
  20. Bergstrom A, Ugarte Guevara WJ, Eustachio Colombo P. Knowledge about sexual and reproductive health among school enrolled adolescents in Tololar, Nicaragua, a cross-sectional study. Journal of Public Health International, 2018;1(2):27-38. https://doi.org/10.14302/issn.2641-4538.jphi-18-2464
  21. Korean Education Statistics Service (KESS). 2020 Department (major) Classification Data Collection [Internet]. Seoul: Korea Educational Development Institute; 2020 [cited 2023 Aug 18]. Available from: https://kess. kedi.re.kr/post/6716429?itemCode=04&menuId=m_02_04_02
  22. Koo SM, Kim HJ. The relationships between sexual knowledge or sexual attitudes and reproductive health promotion behavior of undergraduate students. Journal of Digital Convergence. 2017;15(12):1-11. https://doi.org/10.14400/JDC.2017.15.12.1
  23. Jung JY, Kang HS. Causal relationship among factors affecting on intention to continued use of online classes. Journal of the Korea AcademiaIndustrial cooperation Society. 2021;22(10):231-8. https://doi.org/10.5762/KAIS.2021.22.10.231
  24. Parcel G, Luttman D, Meyers M. Formative evaluation of a sex education course for young adolescents. Journal of School Health. 1979;49(6):335-9. https://doi.org/10.1111/j.1746-1561.1979.tb07724.x
  25. Jeon GS, Lee HY, Rhee SJ. Sexual knowledge, attitudes and behaviors of Korea college students and effects of sexual education on sexual knowledge and attitudes. Korean Journal of Health Education and Promotion. 2004;21(1):45-68.
  26. Sung KM, Lee SY. Development of sexual values scale for college students. The Journal of the Korean Society of School Health. 2018;31(2):98-107. https://doi.org/10.15434/kssh.2018.31.2.98
  27. Jo HY, Kim YH, Son HM. Development of a scale to measure reproductive health promoting behavior of undergraduates. Korean Journal of Health Education and Promotion. 2014;31(5):29-43. https://doi.org/10.14367/kjhep.2014.31.5.29
  28. Son YW, Park JY, Min JW, Lee UH, Lee HS, Kong HJ, et al. The comparison of sexual knowledge, HPV knowledge, and HPV Vaccine acceptance between health and non-health-related male undergraduate students. Global Creative Leader: Education and Learning. 2022;12(4):103-21. https://doi.org/10.34226/gcl.2022.12.4.103
  29. Park EH. A comparative study on sexual behaviors and consciousness about sex of Korean and Dutch adolescents. Korean Journal of Youth Studies. 2016;23(4):345-66. https://doi.org/10.21509/KJYS.2016.04.23.4.345
  30. Kim HY, Park MH, Lee EJ. A cross-sectional survey of relationships between sexual knowledge, sexual attitudes, and reproductive health behavior among female university students. Contemporary Nurse. 2018; 54(6):640-650. https://doi.org/10.1080/10376178.2018.1556104