• Women's Health Nursing
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• v.23 no.4
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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 Korean Academy of Nursing
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• v.40 no.1
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• pp.24-32
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• 2010

Purpose: This study was done to identify psychosocial factors that might be predictive of sexual desire, arousal, lubrication, orgasm, satisfaction, and pain in women with gynecologic cancer. Methods: Two hundred and twelve women with cervical, ovarian, or endometrial cancer completed questionnaires on the Female Sexual Function Index including sexual desire, arousal, lubrication, orgasm, satisfaction, and pain, and data on their psychosocial factors including body image, sexual attitude, sexual information, depression, and marital intimacy. Stepwise multivariable regression analysis was performed to explore psychosocial predictors of women’s sexual function domains. Results: Predictors were identified as sexual attitude, depression, sexual information, and body image for sexual desire; sexual information, depression, and sexual attitude for sexual arousal; sexual information, marital intimacy, and depression for lubrication; sexual information, marital intimacy, depression, and body image for orgasm; marital intimacy, sexual information, sexual attitude, and depression for satisfaction; sexual information, depression, and marital intimacy for pain. Conclusion: The results indicate that women’s sexual function needs to be approached to domains of female sexual function psychosocially as well as to general sexual function. These factors should be considered in future interventions to positively promote sexual function in women with gynecologic cancer.

• Child Health Nursing Research
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• v.14 no.3
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• pp.305-314
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• 2008

Purpose: This study was done to identify sexual maturity, sexual knowledge and sexual attitude in late elementary school children and to provide basic data to develop more concrete and practical applications for sexual education. Method: The participants were 1,959 fifth and sixth graders from 8 elementary schools in Busan and Gyungnam. Result: Sexual maturity for boys was at the $1.3{\pm}\;.6$ stage and pubic hair $1.2{\pm}\;.6$. Breast maturity for girls was at the $2.3{\pm}\;.7$ stage, and pubic hair, $1.7{\pm}\;.8$. Of the boys, 5.9% had experienced nocturnal emission, and of the girls, 20.9% had experienced menarche. Sexual knowledge was lower than the mean. They were not well informed about contraception and sexual disease. Sexual knowledge of girls and of sixth graders was higher than boys and fifth graders. The more mature students had higher sexual knowledge. Sexual attitude was generally positive but was more positive for girls than for boys. Sexual maturity, sexual knowledge, and sexual attitude were positively correlated. Conclusion: Because sexual maturity comes earlier, systematic sexual education is needed for elementary students. Institutional and economic support should continue to be given to the sexual education programs in school, home and community.

• Korean Journal of Health Education and Promotion
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• v.21 no.1
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• pp.45-68
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• 2004

This study was done to examine the sexual knowledge, attitudes, and behaviors of Korea college students and investigate the effects of sexual education programs on college students with respect to their sexual knowledge and sexual attitudes. For these objectives, a single 92 item sexual questionnaire was administered to 213 college students (113 in the experimental group and 100 in the control group) as a pretest one day before the experimental group participated in a sexual education program. Then a three week sexual education program was given to the experimental group and a posttest was administered to both groups day after the program. The findings from the pretest； 1) The main sources of sexual information were friends, Internet, books and magazines. College students in this study showed relatively high scores on their overall sexual knowledge but showed low scores on their knowledge of venereal disease and HIV/AIDS. Female students had a higher sexual knowledge of physiology, pregnancy and sexual abuse than male students. 2) The overall sexual attitudes of college students were subjective. They showed especially strong liberal attitudes to premarital intercourse, had few double standards and agreed on induced abortion. Male students showed a more liberal attitude to premarital intercourse and extramarital intercourse (X²＝50.679, p＜.001). Christian students showed the lowest rates of permissiveness for induced abortion than students of other religions. 3) 64.9％ of the subjects in this study had experience in intercourse. The gender and age of students did influence the experience rates of intercourse. Male students had much higher rates of intercourse than female students (X²＝13.565, p＜.001) and older students had higher experience rates of intercourse. 4) From the analysis of the relationship between sexual knowledge, attitudes and behaviors, this study revealed that sexual knowledge and sexual attitudes of college students have a correlation 6＝0.324, p＝0.000). Students' experience of intercourse did not influence their sexual knowledge scores, but did influence their sexual attitudes. Students who had experience of intercourse showed more liberal sexual attitudes than those students who did not (t＝2.677, p＜.050). And students who were exposed to sexual media such as pornography, sexual magazines, sexual books and the Internet, also showed more liberal sexual attitudes than those students who were not. The findings from the comparison of pretest and posttest ； 1. The sexual knowledge of the experimental group that participated in the sexual education program was significantly increased after the program compared to before the program (p＜.001). However the control group did not show any significant change in their sexual knowledge. 2. The sexual attitudes of the experimental group were also changed significantly becoming less liberal (p＜.001). The control group also showed significant change in their sexual attitudes, also becoming less liberal (p＜.001). Therefore, the sexual education program used in this study was effective in increasing college students' accurate sexual knowledge, but had little effect on their sexual attitudes.

• Women's Health Nursing
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• v.29 no.2
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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.

• Korean Journal of Biological Psychiatry
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• v.20 no.3
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• pp.66-73
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• 2013

Sexual behavior is crucial in life, yet comparatively little is known about the mechanisms in the sexual response in humans. A lot of theories and models have been developed to explain about the process of the sexual response in humans. The first model of sexual function was described by Masters and Johnson, defined the four-phase model (phases of excitation, plateau, orgasm and resolution). Helen Kaplan proposed a slightly different model of human sexual response by adding the conception of the desire phase. Some years later, a new model of circular sexual response pattern was described by Whipple and Brash-McGreer, who acknowledged the cyclic nature of women's sexual response. Basson presented an alternative model of women's normative sexual function, which featured a responsive form of desire in women's sexual response. Bancroft developed a new theoretical model, the Dual Control Model, which postulates sexual response and arousal is ultimately determined by the balance between the sexual activation or excitation system and the sexual inhibition system. The Sexual Tipping Point is a model created by Perelman, suggesting that a sexual response is determined by a balance between excitatory or inhibitory factors that may be psychological, organic, psychosocial, or cultural. A comprehensive understanding of sexual response and function is of paramount importance for the psychiatrist to study sex, offer counseling to the patient on sex, and practice sex therapy. In this literature, models of sexual response would be reviewed to understand the knowledge of the sexual functioning in humans.

• Journal of Korean Academy of Fundamentals of Nursing
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• v.11 no.3
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• pp.353-360
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• 2004

Purpose: This study was to identify the relationship between sexual attitude, sexual identity, sexual permissiveness in girls in junior high school, Method: The participants were 587 female students in Chungnam Province. Data were collected by questionnaire surveys using convenience sampling. The instruments were the Sexual Attitude Scale by Kim (1997), the Sexual Identity Scale by Jung (1990), and the Sexual Permissiveness Scale developed by Reiss (1964). Data were analyzed by the SPSS 11.0 program. using descriptive statistics, Pearson correlation coefficients, t-test, ANOVA and Tukey's multiple comparison. Results: The relationship between sexual attitude and sexual permissiveness had a positive correlation (r=.440, p-0.000). Sexual identity was positively correlated (r=.180, p=.036; r=.222, p=.014) with both sexual attitude and sexual permissiveness, but maleness was the only positive correlation (r=.258, p=.014) with sexual permissiveness, no sexual specialization was the only characteristic that had a positive correlation (r=.188, p=.046) with sexual attitude. Conclusion: These results suggest assessment of these factors and treatment fitted to individual needs are important for correct sexual culture. There should be repeated research on various population groups. Moreover, it is considered necessary to carry out factor-related theoretical researches on several variables related to sex through multilateral literature reviews.

• Journal of the Korean Home Economics Association
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• v.41 no.6
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• pp.63-74
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• 2003

The purpose of this study is to examine factors causing the female adolescent sexual activity. 201 female adolescents participated in this study. Each participant was classified into the sexual activity experience or non-sexual activity experience group on the basis of survey. In total, 87 female adolescents have sexual activity experience, and 114 female adolescents have non-sexual activity experience. Analysis reported that sexual activity experience group was more positive on the adolescent sexual activity than non-sexual activity experience group. Also sexual activity experience group has more peers having sexual activity and pregnancy experience than non-sexual activity experience group. And, sexual activity experience group was more coping level and lower father social support than non-sexual activity experience group. Logistic regression analysis was conducted in order to determine the extent to which the attitude on the adolescent sexual activity, peer group's sexual experiences, social support, and coping factors affected on female adolescent sexual activity. As a results, peer's sexual activity and peer's pregnancy factors were significantly associated with it. Finally based on the results, the intervention strategies were suggested.

• Women's Health Nursing
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• v.7 no.1
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• pp.18-29
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• 2001

The purpose of this study was to provide basic data from confirming factors that could help nurses tailor counseling program for married couples who were facing the prospect of a hysterectomy. A descriptive design was used to study a total of 81 married couples(total of 162 subjects) between 2 to 18 months after hysterectomy, due to a benign gynecology disease at a University Hospital in Daegu by questionnaires from March, 1999 to June, 2000. This study used Sexual Knowledge Measurement of Koo, Ja-sung(1996), Sexual Attitude Scales of Hudson, Murphy and Nurius(1994), Sexual Attitude Measurement of Jang, Soon-bok(1989), Sexual Activity Questionnaires of Thiriaway, Fallowfield and Cuzick(1996) modified and supplemented by advice of experts in order to measure sexual knowledge, sexual attitude and sexual activity, and Sexual Function Inventory of Derogatis(1979) translated by Jang, Soon-bok(1984) was used to measure sexual satisfaction of the subjects. For data analysis, the study executed $x^2$-test, t-test, ANOVA, Pearson correlation and multiple regression in accordance with the purpose of study by SPSS/PC+ WIN 10.0 program. Also this study obtained Cronbach's alpha for examination of reliability. The results are as follows : 1) The sexual knowledge of the husband was higher than that of the wife after hysterectomy by showing the mean 11.27(${\pm}2.72$) in case of the wife and the mean 11.57(${\pm}2.28$) in case of the husband, but there was no statistically significant difference(t=.681, p=.497). 2)The sexual attitude of the husband was more liberal than that of the wife after hysterectomy by showing the mean 3.25(${\pm}.48$) in case of the wife and the mean 3.42(${\pm}.48$) in case of the husband, and there was statistically significant difference(t=2.399, p=.018). 3)There was no statistically significant difference between the score of sexual activity of wife and husband by period elapsed after hysterectomy. 4)There was no statistically significant difference between the score of sexual satisfaction of wife and husband by period elapsed after hysterectomy. 5)The wife subjects showed positive correlation among sexual knowledge, sexual attitude, sexual activity and sexual satisfaction. The husband subjects showed positive correlation only between sexual knowledge and sexual activity, sexual activity and sexual satisfaction, sexual attitude and sexual satisfaction, sexual knowledge and sexual satisfaction. There was a positive correlation between the sexual knowledge, sexual attitude, sexual activity and sexual satisfaction of the wife and husband. 6)Only the variable of sexual activity among factors of sexual satisfaction of the wife subjects showed the statistical significance(F=52.452, p<0.001), while variables of sexual attitude (F=20.360, p<0.001) and sexual activity (F=14.142, p<0.05) among factors of sexual satisfaction of the husband subjects showed a statistical significance.

• Child Health Nursing Research
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• v.6 no.3
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• pp.316-328
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• 2000

This study aims at not only suggesting some ideas useful in planning and doing the sexual education in the primary schools in the near future putting into test the sexual education program which has been developed by researchers in accordance with the national education courses but also improve sexual health of the children through taking right sexual knowledge and sound sexual attitude. For this study 21 students are selected from all class of the fourth grade of the 'D' primary school at H district in KangWon-Do and have been taught the sexual education program during 6weeks, 12times. The findings of the study are as follows: 1. After the sexual education program, the sexual knowledge of the primary school children show to be significantly different from that they had before(t=-6.661, p=.000). So, this finding indicating that the sexual education program helps the children have and expand the correct sexual knowledge accordingly. 2. In order to look into any change of the sexaul attitudes of the primary school children after the sexual education program, there were significant difference(t=-3.808, p=.001). It is discovered that children come to have more affirmative and sound sexual attitude after sexual education program. As the findings of the study indicate, it may be concluded as follows: Since the sexual education program can affirmative influence on the sexual knowledge and sexual attitudes of the children, it is recommendable to start the sexual education program as early as possible in their childhood so that they can establish a sound sexual mortality for themselves. Additionally, to perform the sexual education program suitable for every stage of children should be developed, qualified teachers and the educational materials should be reinforced and added enough and institutional device should be made to execute the sexual education program systematically.