• 한국보건간호학회지
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• 제24권2호
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• pp.258-269
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• 2010

Purpose: This study investigated the effectiveness of AIDS education on knowledge, prejudice, susceptibility, severity, and intention of safe sex behavior among university students. Methods: This study was conducted from March, 2008 to May, 2008. The research design was a non-equivalent control group pre-post test. Participants 78 university students (control group) and 89 university students (experimental group). For the latter, AIDS education was provided once weekly for 1 h for 4 weeks. The educational program included understanding of sexuality, facts of AIDS, life stories of patients with AIDS, and safe sex behavior. The differences between two groups after education were analyzed by independent t-test. Results: The experimental group had significantly higher scores for knowledge, prejudice, susceptibility, and intention of safe sex behavior compared to the control group. However, no significant difference was found for severity between two groups. Conclusion: AIDS education can be effective in improving knowledge, prejudice, susceptibility, and intention of safe sex behavior, and is recommended as an effective AIDS education for university students.

• 지역사회간호학회지
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• 제19권2호
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• pp.290-299
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• 2008

Purpose: The purpose of this study was to identify differences in knowledge, attitude, sexual experiences, and intention of safe sex behavior between pornography exposures and non-exposures. Methods: The subjects of this study consisted of 196 non-exposures and 160 exposures among high school students in the Chungnam Province. Data were collected from Dec.1 to Dec. 23, 2005. Result: The results of this study were as follows: The pornography exposures had more liberal attitudes, more sexual intercourses in sexual experiences, and less intention of safe sex behavior than the pornography non-exposures. There was no significant differences in sexual knowledge between the pornography exposures and non-exposures. Especially the score of knowledge related to contraceptive methods and venereal diseases was relatively low in both groups. Conclusion: The findings of this study showed that pornography can affect sexual attitudes, sexual experiences, and intention of safe sex behavior. An effective 'safe sex' education program needs to be developed for high school students. especially for pornography exposures.

• 여성건강간호학회지
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• 제25권2호
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• pp.207-218
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• 2019

Purpose: To compare reproductive health promoting behaviors (RHPBs) of infertile women with those of normal women and identify effects of RHPB on infertility. Methods: A total of 148 females (73 infertile women and 75 normal women) were enrolled in this study. Measurements included their general characteristics and RHPB using self-report questionnaires. Data were analyzed with descriptive statistics, ${\chi}^2$ test, ANCOVA, and hierarchical logistic regression using SPSS. Results: There were significant difference in incomes, number of family, number of term deliveries, and number of abortions according to infertility diagnosis. Mean duration of infertility was 32.16 months. Only 12.32% women had known cause of infertility. The most common cause of infertility was unknown. Mean RHPB score was 3.98 for infertile women and 4.41 for normal women. In logistic regression, total RHPB (odds ratio [OR], 0.21) and safe sex of RHPB (OR, 0.66) were significant factors influencing infertility. Infertile women's total RHPB and subcategories of RHPB (safe sex behavior and sexual transmitted disease [STD] prevention) were lower than those of normal women. Conclusion: For infertility women, RHPB-related intervention programs are needed, especially information about safe sex behavior and STD prevention.

• 여성건강간호학회지
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• 제29권2호
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• pp.115-127
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• 2023

Purpose: The aim of this study was to determine the factors that influence safe sexual behaviors of Korean young adults and identify differences by gender. Methods: This study aimed to determine which factors affected safe sexual behaviors based on the Theory of Planned Behavior. Data from 437 Korean young adults (in their 20s and 30s) were collected via online survey between January 3 and January 28, 2022. The questionnaire included items on sexual body image, sexual role perception, sexual attitudes, sexual socialization, sexual communication, and safe sexual behaviors. Structural equation modeling was performed. Results: According to the overall model fit of the hypothetical model, the final model was acceptable and explained 49% of safe sexual behaviors. Sexual attitudes (β=h-.70, p<.001) and sexual communication (β=.53, p<.001) directly affected safe sexual behaviors, and sexual role perception (β=.42, p<.001) indirectly affected safe sexual behaviors in a combined model. There were gender differences in the path from sexual attitudes (β=-.94, p<.001) and sexual communication (β=.66, p<.001) to safe sexual behaviors and from sexual body image (β=.27, p<.001) to sexual communication. Conclusion: Sexual attitudes and sexual communication were predictors of safe sexual behaviors, which differed by gender. Strategies that consider sexual attitudes, sexual communication, sexual role perception, and differences between men and women should be developed to improve the safe sexual behaviors of young adults.

• Journal of Preventive Medicine and Public Health
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• 제45권3호
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• pp.156-163
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• 2012

Objectives: It is necessary to examine groups carrying out sexually risky behavior because the prevalence of sexually transmitted diseases (STDs) is high among them. In this study, the prevalence of STDs among homosexuals and sexbuying men in South Korea was investigated, along with their sexual risk factors. Methods: Men who have sex with men (MSMs, n=108) were recruited in Seoul and Busan by applying the time location sampling method, while sex-buying men (n=118) were recruited from a john school in Gyeonggi province, the suburbs of Seoul. Dependent variables included past or present infection with syphilis, Chlamydia, gonorrhea, and human immunodeficiency virus. Independent variables included health behavior, social support, sexual behavior, and safe sex. Results: It was found that when the MSMs were non-drunk while having sexual intercourse (odds ratio [OR], 0.132), they showed a higher STD infection rate when they had a higher number of anal sex partners (OR, 5.872), rarely used condoms (OR, 1.980), had lower self-efficacy (OR, 0.229), and were more anxious about becoming infected with an STD (OR, 3.723). However, the men who paid for sex showed high STD infections when they had more sex partners (OR, 2.286) and lower education levels (OR, 3.028). Conclusions: STD infections among the two groups were high when they were engaged with many sex partners and not having protected sex. In other words, there was a gap in risky sex behavior within such groups, which was significantly related to the possibility of developing an STD. Therefore, the preventive intervention against STDs for these groups needs to be expanded to include management of sex behaviors.

• 한국학교보건학회지
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• 제33권1호
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• pp.39-47
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• 2020

Purpose: The purpose of this study was to compare unsafe sex experiences of multicultural and non-multicultural adolescents. Methods: The study analyzed the data of 3,029 respondents who responded that they had sex in the Korea Youth Risk Behavior Web-Based Survey of 2018. Weighted percentages and simple and multiple logistic regression were conducted using SAS 9.2. Results: As a result of univariate analysis, the odds ratio of unsafe sex was significantly higher in multicultural adolescents, but the difference between the two groups was not significant after controlling for the related variables. Among the covariates, the odds of unsafe sex were significantly higher in boys (AOR: 1.34; 95% CI: 1.08~1.66), those who did not live with their family (AOR: 1.68; 95% CI: 1.17~2.39), those with low academic achievement (AOR: 1.33; 95% CI: 1.02~1.73), binge drinkers (AOR: 1.61; 95% CI: 1.29~2.02), smokers (AOR: 1.37; 95% CI: 1.06~1.78), and those who did not receive sex education (AOR: 1.59; 95% CI: 1.20~2.11). Conclusion: There was no significant difference in unsafe sex experience between multicultural and non-multicultural adolescents. This study also shows the positive effect of school sex education on safe sex in teenagers. It is necessary to strengthen sex education for male students, students not living with their family, students with low academic achievement, binge drinkers, and smokers.

• 여성건강간호학회지
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• 제14권3호
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• pp.205-212
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• 2008

Purpose: The purpose of this study was to survey the health behaviors related to reproductive health, reproductive health history, and sexual behaviors of college students in local areas. Method: With a survey design, 792 college students from C and D areas were recruited to assess health behaviors such as smoking and alcohol drinking, as well as history of reproductive health and sexual behaviors. The data were collected by a self-administered questionnaire from November to December, 2007. Result: Mean age of the students was 20.8(SD=1.96) and gender distribution was 29.2% for male and 70.8% for female. Unhealthy behaviors were alcohol drinking, smoking, excessive weight loss, and irregular exercise; unsafe sex practices were experience of sexual intercourse with multiple sex partners and history of sexually transmitted disease (STD). Male students had more alcohol drinking (p=.04), smoking(p<.001), excessive weight loss(p=.01), experience of sexual intercourse with multiple sex partners(p<.001), history of STD(p=.025) compared to females. On the other hands, female students participated in regular exercise less than males(p<.001). Conclusion: College students seem to perform unhealthy behaviors related to reproductive health and less effective way of safe sex practices. Therefore, a planned education program for reproductive health promotion operated by college level is needed to assess and improve the level of reproductive health in college students.

• 보건교육건강증진학회지
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• 제31권5호
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• pp.29-43
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• 2014

Objectives: This study was to develop a reliable and valid instrument measuring the reproductive health promoting behavior of undergraduates. Methods: The initial questionnaires were made of 106 items from four domains through literature review. All questionnaire items were revised by an expert group and a pilot test. Data were collected using the revised initial questionnaire of men's 58 items and female's 64 items from 634 male and 685 female undergraduate students. The collected questionnaires were analyzed by factor analysis using varimax rotation to evaluate the construct validity. Results: According to the gender, two measurement were invented and analysed separately. Four common factors consisting of 'safe sex', 'sexual responsibility', 'genital health management' and 'STD prevention' were discovered in both groups. The 'genital hygiene' factor was added as a female factor. Male students' scale was made up 4 factors 16 items and female students' scale was made up 5 factors 18 items. Cronbach's alpha for male scale was estimated to be .892 and female scale to be .882. Conclusions: This scale will make it possible to measure the level of reproductive health among Korean university students. This scale may be useful for developing effective methods of education as well as policy programs for improving the reproductive health of Korean university students.

• 여성건강간호학회지
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• 제23권4호
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• pp.243-255
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• 2017

Purpose: The purpose of this study was to clarify attributes, antecedents, and consequences of female sexual subjectivity. Methods: Walker and Avant's concept analysis process was used to analyze 27 studies from the current literature that relates to female sexual subjectivity. A systematic literature review of women's study in sociology, psychology, theology, law, health science, and nursing was reviewed. Results: The defining attributes of female sexual subjectivity were sexual self-awareness, sexual decision making, sexual desire, and good sexual communication with partner. The antecedents of female sexual subjectivity were social environment, sexual education, sexual experience, and interpersonal relationship. The consequences of female sexual subjectivity were safe sex, prevention of sexual victimization, and sexual satisfaction. Conclusion: Female sexual subjectivity is defined as sexual self-awareness, sexual decision making, sexual desire to seek sexual pleasure and safety, and effective communication with partner in terms of sexual behavior, sexual experience and sexual health. Based on these results, a scale measuring female sexual subjectivity is needed.

• Journal of Dental Anesthesia and Pain Medicine
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• 제23권5호
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• pp.265-271
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• 2023

Background: Anxiety and fear in children's dental care are major impediments to successful dental care. High-quality dental treatment can be achieved using various behavioral control methods; however, conscious sedation using drugs can be used if behavioral control is difficult, owing to excessive fear and anxiety. This study aimed to examine the trends in conscious sedation implemented in pediatric dentistry at the Dankook University Dental Hospital over the past 11 years. Methods: This study included 6,438 cases of dental treatment under conscious sedation conducted over 11 years between January 2011 and December 2021 in the Department of Pediatric Dentistry at Dankook University Dental Hospital. Results: Over the past 11 years, the number of dental treatments under sedation has increased. In the case of inhalation sedation using nitrous oxide, the rate of increase was approximately twice every year, and the use of midazolam gradually decreased. The average age of children who underwent sedation was 5.11 years, and the rate of sedation treatment in children aged <4 years tended to decrease, while that of children aged >5 years tended to increase. This is related to the trend of changes in drugs used. In a sex-based survey, sedation treatment rate was higher in males than that in females. Conclusion: Appropriate selection of sedatives can reduce the frequency of general anesthesia and minimize complications through efficient and safe dental treatments. Trend analysis of sedation by year will help provide guidelines for the appropriate selection of sedation for dental treatment of children and patients with disability.