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http://dx.doi.org/10.15434/kssh.2018.31.1.48

The Effects of Individuals, Families, and School Factors on Sexually Transmitted Infections in Korean Adolescents: Using Data from the 10~12th (2014~2016) Korea Youth Risk Behavior Web-based Survey  

Kwon, Mi Young (College of Nursing, Ewha Womans University)
Jeong, Sookyung (Department of Nursing, Ansan University)
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Abstract
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.
Keywords
Adolescents; Sexually transmitted Infections; Risk factors; Sex education; Sexual behavior;
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1 America Center for Disease Control and Prevention. 2015 Sexually transmitted diseases surveillance [Internet]. Atlanta: America Center for Disease Control and Prevention; 2015 [cited 2018 January 22]. Available from: https://www.cdc.gov/std/stats15/adolescents.htm
2 Chinsembu, KC. Sexually transmitted infections in adolescents. The Open Infectious Diseases Journal. 2009;3(1):107-117.   DOI
3 Dehne KL, Riedner G. Sexually transmitted infections among adolescents; the need for adequate health services. Geneva, Switzerland: World Health Organization; 2005. p. 14-15.
4 Sung YE, Cho HB. A study of the countermeasures for juvenile sexual deviance in South Korea. The Korean Association of Police Science Review. 2010;24:125-165.
5 Kim S, Lee C. Factors affecting sexually transmitted infections in South Korean high school students. Public Health Nursing. 2016;33(3):179-188. https://doi.org/10.1111/phn.12211   DOI
6 Haar K, Bremer V, Houareau C, Meyer T, Desa S, Thamm M, et al. Risk factors for chlamydia trachomatis infection in adolescents: Results from a representative population based survey in Germany, 2003-2006. EuroSurveillance. 2013;18(34):1-10. https://doi.org/10.2807/1560-7917.es2013.18.34.20562
7 Yu JO, Cha SM. Factors associated with sexually transmitted infections among Korean adolescents. Journal of Korean Academy of Community Health Nursing. 2017;28(4):431-439. https://doi.org/10.12799/jkachn.2017.28.4.431   DOI
8 Lee CY. Development of management strategy for sexually transmitted infections for Korean adolescents [Internet]. Seoul: Yonsei University; 2013 [cited 2018 January 10]. Available from: http://cdc.go.kr/CDC/mobile/info/CdcKrInfo0201.jsp?menuIds=HOME001-MNU1154-MNU0004-MNU1889&fid=28&q_type=&q_value=&cid=20757&pageNum=1
9 Hong EY, Kang YM. Gender differences in sexual behaviors in Korean adolescents. Journal of Pediatric Nursing. 2017;37:e16-e22. https://doi.org/10.1016/j.pedn.2017.08.020   DOI
10 Fortenberry JD, Schick V, Herbenick D, Sanders SA, Dodge B, Reece M. Sexual behaviors and condom use at last vaginal intercourse: A national sample of adolescents age 14 to 17 years. Journal of Sexual Medicine. 2010;7(5):305-314. https://doi.org/10.1111/j.1743-6109.2010.02018.x   DOI
11 Ma Q, Ono-Kihara M, Cong L, Xu G, Pan X, Zamani S, et al. Early initiation of sexual activity: a risk factor for sexually transmitted diseases, HIV infection, and unwanted pregnancy among university students in China. BMC Public Health. 2009;9(111):1-8. https://doi.org/10.1186/1471-2458-9-111   DOI
12 Gwon S, Lee C. Factors influencing sexually transmitted infections among adolescents in South Korea. International Nursing Review. 2016;63(1):68-77. https://doi.org/10.1111/inr.12206   DOI
13 Kim JS, Kim KH, Kwak YH. Differences in risky sexual behavior according to sexual orientation in Korean adolescents. Journal of Homosexuality. 2017. Forthcoming.
14 Oh SM, Kim HL. Sex education, sex-related knowledge, sex-related attitude of 6th-grade elementary school students. Journal of Korean Society of School Health. 2010;23(2):228-236.
15 Pearson J, Muller C, Frisco ML. Parental involvement, family structure, and adolescent sexual decision making. Sociological Perspectives. 2006;49(1):67-90. https://doi.org/10.1525/sop.2006.49.1.67   DOI
16 Park JE, Lee EH. Adolescents' Insecure Attachments and Problem Behaviors: The Moderating Role of Empathic Ability. The Korean Journal of Counseling and Psychotherapy. 2008;20(2):369-389.
17 Fonner VA, Armstrong KS, Kennedy CE, O'Reilly KR, Sweat MD. School based sex education and HIV prevention in low-and middle-income countries: A systematic review and meta-analysis. PloS one. 2014;9(3):e89692. https://doi.org/10.1371/journal.pone.0089692   DOI
18 Choukas-Bradley S, Goldberg SK, Widman L, Reese BM, Halpern CT. Demographic and developmental differences in the content and sequence of adolescents' ideal romantic relationship behaviors. Journal of Adolescence. 2015;45:112-126. https://doi.org/10.1016/j.adolescence.2015.08.019   DOI
19 Korea Center for Disease Control and Prevention. The 12th (2016) Korea youth risk behavior web-based survey Statistics. Osong: Korea Center for Disease Control and Prevention; 2016. p. 17-26.
20 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   DOI
21 Reitzel LR, Buchanan TS, Nguyen N, Ahluwalia JS. Associations of subjective social status with nondaily and daily smoking. American Journal of Health Behavior. 2014;38(2):245-253. https://doi.org/10.5993/ajhb.38.2.10   DOI
22 Upchurch DM, Mason WM, Kusunoki Y, Kriechbaum MJ. Social and behavioral determinants of self reported STD among adolescents. Perspectives on Sexual and Reproductive Health. 2004;36(6):276-287. https://doi.org/10.1363/3627604   DOI
23 Lee J, Park KO, Seo YB, Jeong SK, Kim HJ. The evaluation and risk assessment of sexually transmitted disease in Korean adolescents at risk. National Report. Seoul: Hallym University, 2014 December. Report No.:11-1352159-000247-01
24 Lee JS, Jung HS. Perceived importance and performance of sex education between health teachers and general teachers in middle schools: Based on the importance performance analysis (IPA). Journal of the Korean Society of School Health. 2015;28(1):10-21. https://doi.org/10.15434/kssh.2015.28.1.10   DOI
25 Yun WS. The effect of structural chracteristics and socioeconomic status of family on parenting and juvenile delinquency. Korean Institute of Criminology. 2011;3:137-172.
26 Park SY, Lee HJ. Determinants of problem-drinking behavior among Korean adolescents: Focusing on socio-demographic, health and delinquent behavior factors. The Journal of Welliness. 2013;8(1):33-44.
27 Kim SA. The effects of psycho-social predictors during middle school and high school on adolescent drinking and smoking. 2010;21(3):31-57. https://doi.org/10.16881/jss.2010.07.21.3.31   DOI
28 Yan AF, Chiu YW, Stoesen CA, Wang MQ. STD-/HIV-related sexual risk behaviors and substance use among U.S. rural adolescents. Journal of the National Medical Association. 2007;99(12):1386-1394.
29 Korea Center for Disease Control and Prevention. Infectious diseases surveillance yearbook. National Report. Osong: Korea Center for Disease Control and Prevention, 2017 August.
30 Korea Center for Disease Control and Prevention. 2016 HIV/AIDS case reporting. National Report. Osong: Korea Center for Disease Control and Prevention, 2017 August.