• Title/Summary/Keyword: Sexual and Reproductive Health

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The needs for sex knowledge in the late schooler (후기 학령기 아동의 성지식 요구)

  • Lee Eun Joo
    • Child Health Nursing Research
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    • v.6 no.2
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    • pp.167-185
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    • 2000
  • The goal of this research was to provide the basic data of sexual education for late schooler by finding out what they want to know about sex, or to see, if any, its relevancy between female and male students and between each grade. The sample for this research was a total of 453 students in 4th, 5th and 6th grade from 12 different classes at two elementary schools which were located in C city and in B province. The children were requested to write down three points on what they want to know or to learn most about sex, and their answers were put through two analytical stages in order to classify and to examine. The followings are the conclusions from the data. 1. The female cluster took 44.2% out of the whole sample, and there were 151 students per each grade. The specific girl ratios for each grade were 42.4%, 50.3% and 39.7% respectively. 2. It was noted that a total of 1,195 questions were gathered from the students writings, 45% of the questions was raised by the female students. The 4th grade students raised 432questions (43.8% by the girl) while the 5th. and the 6th grade students raised 387 (53.2% by the girl) and 376 questions (42.3% by the girl) respectively. The average number of questions per students was 2.6 while the female students raised 2.8 questions which was more than the average 2.5 questions by male students. It was the 4th grade female student cluster, which raised the most question (3.0) while the 6th grade male students raised the least question (2.4) in average. 3. The questions raised by the children could be divided into seven categories of the knowledge need on sex. They were Reproduction (310 questions, 25.9%), Sexual Culture (230, 19.2%), Concept of sex (125, 18.0%), Changes of Puberty (172, 14.4%), Sexual Health (119, 10.0%), Anatomy and Physiology of Reproductive System (78, 6.5%) and Sexual Tendency and behavior (71, 5.9%). 4. 'Reproduction' was the most frequently raised questions not only by both sex groups but also by the 5th grade students. Both sexes in the 4th grade showed the highest interest in Sexual Culture while it was Changes in Puberty for the both sexes in the 6th grade. The knowledge need on sex of the children indicated what they understand sexuality. They apprehended sex as sex, gender and sexuality in an inclusive way. They showed a major interest in the biological sex and the sexual activities. It seems that the children managed to understand clearly the meaning of gender, furthermore, they even pointed out that the streotyped sex role, patrimonial system and the sexual discrimination were unreasonable. The students possessed not only the least but also the most negative understanding in regard of sexuality. Two suggestions were made from the above conclusions for the practical sex education as well as its research. 1. For the practice: The sex education for the elementary upper grade school student should be relevant with their cognitive characteristics, also it should be more specific on the reproductive organs of both sexes, the actual scenes of the pregnancy and child delivery procedures. The gender concept should be added to the biological sex education, which will lead them to understand the unreasonableness of today's male-superior phenomenon and correct them. It is also necessary to develop educational programs for this age group so as to help them to understand sex in the sense of sexuality as well. 2. For the research: It is not easy to draw out a through conclusion since this study was carried out as one-time data collection. Yet it is undeniably helpful for the sex education if we can understand what the children want to know about sex, how much they know about it by conducting deep-interview researches through a small number of sample.

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Hormone-Mimic Chemicals and Their Possible Endocrine Disruption - Development of Testing Methods -

  • Imai, Kiyoshi
    • Toxicological Research
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    • v.17
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    • pp.313-317
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    • 2001
  • The Ministry of Health and Welfare of Japan has set up six research groups concerning the endocrine disrupting chemicals. One of these projects was "A study on development of testing methodology for health effects due to exposure of environmental endocrine disruptors". In this paper, three topics are described. In OECD collaboration for pre-validation of uterotrophic assay, the most sensitive response to ethnyl estradiol was noted in the ovarectomized rats treated subcutaneously for 7 days. Secondly, it was suggested that changes of the serum $\alpha_{2u}$-globulin level may be a sensitive parameter for detecting the estrogenic activities of chemicals. Finally, development of the sexually dimorphic nucleus of preoptic area in the brain oj male rats was inhibited by the treatment with estrogenic chemicals, and their masculine behaviors and reproductive abilities were impaired after sexual maturation. In conclusion, these parameters are considered to be sensitive endpoints for testing estrogenic chemicals.chemicals.

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The Effects of the Attitude toward Terminating Pregnancy among Women College Students in Nursing (여자 간호대학생의 낙태태도 영향요인)

  • Kim, Jong-Gun;Han, Nam-Kyung
    • The Journal of the Korea Contents Association
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    • v.19 no.9
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    • pp.357-365
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    • 2019
  • This study aimed to identify the effects of the attitude toward terminating pregnancy among women college students in nursing. Data were collected by 181 nursing students using a self-questionnaire from April 17 to 30, 2017. The data were analyzed using an independent t-test, ANOVA, pearson correlation coefficients, and hierarchical multiple regression. There were significant positive correlations among attitude toward terminating pregnancy and the other variables. The significant predictors of the attitude toward terminating pregnancy were catholic among religion (${\beta}=0.22$, p=.029), the most of family income(${\beta}=0.48$, p=.005) and sexual attitude (${\beta}=-0.17$, p=.014). This study showed that religion, family income and sexual attitude were factors women college students in nursing' attitude toward terminating pregnancy.

The Effect of Sex Education on Knowledge and Attitude of High School Girls (성교육(性敎育)이 여고생(女高生)의 성(性)에 대(對)한 지식(知識) 및 태도(態度)에 미친 효과)

  • Bang, Mi-Ra
    • Journal of the Korean Society of School Health
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    • v.3 no.1
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    • pp.48-58
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    • 1990
  • This study was attempted to assess the effects of a long term regular sex education on the knowledge about anatomy and physiology of human reproductive organs and the attitude toward sex of second grade high school girls. The study population included 1,678 high school girls(542 educated second grade girls, 972 not educated second grade girls and 164 pre-educated first grade girls) attending in 3 high schools located in Kyungnam province. The data was collected by guestionnaire to assess knowledge of sexual anatomy and physiology and the attitude toward sex from 21 to 24 December 1988. The results were as follows: Most of students (educated group 99.3%, not educated group 98.1%) agreed to necessity of sex education. Among students 70.8% did not talk about their sexual problems with their parents and 30.1% of educated group obtained spxual knowledge from their teachers. There were significant differences between level of knowledge on anatomy and physiology of reproductive organs, secondary growth spurt, V D, pregnancy and contraceptives of educated group and not educated group (P < 0.01). There was significant difference between positive attitude about sexual intercourse before marriage, artificial abortion and family planning slogan of educated group and not educat.ed group (P < 0.05, P < 0.01). There were significant differences between degree of agreement about acquaintance with the other sex, knowledge of acquaintance with the other sex, talk freely with friend, parent and teacher of educated group and not educated group (P < 0.05, P < 0.01). Statistics revealed that high school girls of not educated group had less knowledge about acquaintance with the other sex than educated group (P < 0.01).

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The influence of internet addiction on health behavior, sexual behavior and mental health of college student (대학생의 인터넷 중독이 건강행동, 성행동, 정신건강에 미치는 요인)

  • Nam, Mun-Hee;Kim, Jeoung-Mi
    • Journal of Digital Convergence
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    • v.12 no.4
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    • pp.367-378
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    • 2014
  • The purpose of this study was to explore the factors related to internet addiction in college student of Korea. Methods: From November 19, 2012 until December 14, 2012, 300 college students from one of the universities located at K city were surveyed. This study is a cross-sectional survey of college students in K city, and data was collected through self-report questionnaires. Data was analyzed by Fisher's exact test, independent t-test to identify different according to addiction group, and logistic regression analysis in order to factors related to on health behavior, sexual behavior and mental health of among college students. According to results, factors related to risk of addiction were lower frequency of exercise (p<0.05), no eat breakfast for 2 day (p<0.05), porno magazine/porno video contact pornography (p<0.05), subjective happiness index (p<0.05), and suicidal Ideation (p<0.05). This study suggest that exercise, regular diet, important of reproductive health, subjective happiness index and Suicidal Ideation are associated with internet addiction in College student. It is necessary to develop some preventive programs for those of internet addiction.

Needs for Sex Knowledge in Adolescents (청소년의 성지식 요구)

  • Lee Eun Joo
    • Child Health Nursing Research
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    • v.5 no.2
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    • pp.211-234
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    • 1999
  • The purpose of this article was to get hold of adolescent's needs for sex knowledge and to reveal their understanding of sex. These results may be applied to the sex education and counselling for adolescent. The participants of study were 267 students (females, 144 ; males, 123) who were the first and second grade form 1 middle and 2 high schools. They were asked to describe 3 questions that they wanted to know or to learn about sex. Their questions about sex were total 779(girls, subtotal 456, mean 3.2, boys, subtotal 323, mean, 2.6). These questions categorized to 9 items by content analysis. The items were ‘sexual drive, behavior and tendency(229, 29.4%)’ , ‘anatomy and physiology of reproductive system(140, 18.0%)’, ‘reproduction(131, 16.8%)’, ‘concept of sex(31, 4.0%)’, ‘acquaintance between the other sexes(17, 2.2%)’, and ‘the others(9, 1.2%)’ in order of frequency. The most frequent item that the student want to know or team about sex was ‘sexual drive, behavior and tendency’ except girls of sophomore in middle school. There were several features in participants' needs for sex knowledge as respects of the understanding of sex- biological sex, gender, and sexuality. The prominent feature in knowledge need of bio logical sex was that the participants had the interests according to their biological sex. They had the negative attitude to the phenomenons (ex, menstruation and pregnancy, phimosiectomy, etc) that they experienced or would experience due to their biological sex. A part of them asked the questions based the misconceptions and used the slangs or ‘××’, ect. to name the male or female genitalia. The male students wanted to know the female genitalia. The participants' understanding of gender reflected the sexism of our society, but they didn't accept and had doubts about the dual, hierarchical structure of that. The students, especially female seemed to be powerless to the harms of the sexual violence. Girls had much interest in their appearances and complained to our sexual culture that women comforted and served men. The participants had the dual perspective that the sexuality as respects of physiologic phenomenon was considered as natural but that as related to heterosexuals was as negative. And they deemed that men's sexual drive was stronger than women's and was difficult or was not able to be inhibited. They had much interests in homosexuality but reflected the negative attitude to that in our society. Adolescent felt wonder why the expressions of sexuality of adult were permitted but theirs were not. Lastly, a part of boys substituted querying the sexuality of animals for asking that of human. Maybe it was because of the embarrassment to talk about human's sexuality directly. The teenaged participants understood that the sex had not only the biological meanings but also the sociocultural meanings. They regarded the sex as natural and wanted to know it, but they had conceptions that it was difficult and embarrass to talk about it openly and directly.

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Influence of Cognition and Optimistic Bias on the Intention to Visiting Obstetrics and Gynecology of Women College Students (인지와 낙관적 편견이 여대생의 산부인과 방문의도에 미치는 영향)

  • Chu, Ye-Rin;Park, Ji-Yeon;An, Hee-Song;Bae, Kyung-Eui
    • Korean Parent-Child Health Journal
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    • v.22 no.1
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    • pp.22-29
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    • 2019
  • Purpose: This study was conducted to identify the intention of visiting obstetrics and gynecology of female college students by considering their perception and optimistic bias. Methods: The study included a total of 135 female college students under the age of 25. The data collection period is a descriptive research study conducted online from April 8, 2019 to April 16, 2019. The collected data were analyzed using the correlation of t-test, ANOVA, Pearson's correlation and multiple regression using SPSS 20.0. Results: The degree of intention of behavior for visits to obstetrics and gynecology was $3.10{\pm}1.06points$ on average. Intention of behavior for visits to obstetrics and gynecology had significant variance depending on sexual experience (t=3.09, p<.001). The intention of behavior for visits to obstetrics and gynecology had positive correlations with the cognition of visits to obstetrics and gynecology (r=.422, p<.001), the optimism bias (r=.419, p<.001). Influence factors emerged the optimism bias, cognition and sexual experience with explanatory power of 30.4%. Conclusion: The results of this paper can be used to prepare the basic data for the development of educational programs to promote preventive gynecological visits of female college students. Through this, the preventive screening rate, the quality of reproductive health in women's lives.

How Does Advance Provision of Emergency Contraceptives Affect Contraceptive Use and Sexual Activity Among Adolescents? Systematic Review and Meta-Analysis (응급피임약 사전 제공이 청소년의 성과 피임 행위에 어떤 영향을 미치는가?: 체계적 문헌고찰과 메타분석)

  • Ryu, Kyungsoon;Lee, Misoon;Kim, Younghae;Ban, Seonhwa;Choi, Mihyang
    • Journal of Korean Academy of Nursing
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    • v.48 no.3
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    • pp.255-265
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    • 2018
  • Purpose: The purpose of this study was to analyze the effect of emergency contraceptive pill on adolescent sexuality and contraceptive behaviors through a meta - analysis of intervention studies on advance provision of emergency contraceptives. This study aimed to provide objective data on the transition of general medicines to be discussed in relation to the reclassification of emergency contraceptive pills. Methods: Using electronic database, 1,820 studies written in Korean or English without limitation of the year were reviewed and for analysis, 5 studies were selected, in which emergency contraceptives were provided to adolescents. Results: The advance provision of emergency contraceptives has increased their use and shortened the time it takes to take contraceptive pills after unprotected sex. There was no change in the frequency of engaging in sexual intercourse and unprotected sex or in existing contraceptive behavior, pregnancy rates decreased, but there was no increase in sexually transmitted infection. Conclusion: The results of this study provide objective grounds for the reclassification of emergency contraceptive pills and propose effective interventional programs on contraceptive education, such as on efficacy and side effects of the contraceptive drug and its proper use among the youth who engage in sexual activity, to improve their reproductive health.

Factors Affecting Sexual Behavior of School Teenagers in Havana, Cuba (쿠바, 아바나 청소년의 성행동 관련 요인)

  • Sanchez, Maybin Herrera;Lee, Ga Ram;Diego, Edith Contreras;Molina, Ruben de Armas;Nam, Eun Woo
    • The Journal of Korean Society for School & Community Health Education
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    • v.21 no.1
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    • pp.47-60
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    • 2020
  • 서론: 청소년기는 여러 생물학적 변화 및 사고방식의 발전과 함께 성행위가 나타나기 시작하는 인간성장의 단계이다. 쿠바를 포함한 많은 라틴아메리카 국가들은 청소년들의 성관계 조기 시작과 같은 위험한 성행동을 보고해 왔다. 이 연구의 목적은 사회 인구 통계학적 요소, 정보 수단 및 쿠바의 십대 학생의 성적 행동에 영향을 미치는 행동 요소 사이의 관계를 확립하는 것이다. 방법: 본 연구를 위해 쿠바 십대들의 생식 및 성적 행동 경향 파악을 위해 설문조사를 실시했다. 전체 260명 중 성경험 여부에 응답한 232명에 대해 인구사회학적 특성의 파악과 성 관련 정보수집수단, 행동적 요인과 성행동 사이의 연관성분석을 위해 회귀분석을 실시했다. 결과: 대상자들의 평균 연령은 16.9세이고 대다수는 여성(64.2%)이었다. 232명 중에 45.3%는 무신론자, 31.2%는 유신론자이었다. 종교의 중요도에 대한 생각은 39.2%가 종교가 중요하지 않다고 응답했고 34.0%는 중요하다고, 14.0%는 종교가 매우 중요하다고 응답했다. 응답자 232명 중 80.5%의 십대들이 성관계 경험이 있다고 하였으며 첫 성관계 평균 연령은 14.65세였다. 피임약을 사용한 비율은 63.8%이었다. 인구사회학적 특성 중에 성별은 성관계와 통계적으로 유의미한 연관성을 나타냈으며, 남성은 여성보다 성관계를 가질 가능성이 3.8 배 더 높았다. 또한, 종교는 성관계와 관련이 없었다. 그러나 나이는 통계적으로 유의미한 것으로 나타났으며, 나이가 한 살 많아질수록 성관계 가능성은 2.29배 증가함을 알 수 있었다. 성 관련 정보수집수단과 관련하여 친구와 학교의 성교육 커리큘럼이 청소년들의 성행동을 결정하는 중요한 요인이었다. 결론: 쿠바 십대들의 연령과 성별은 성행동의 중요한 결정요인으로 나타났다. 또한, 쿠바의 십대들은 친구와 학교로부터 성에 대한 정보를 수집하고 있으므로 학교에서 보다 종합적인 성교육 프로그램을 만드는 등의 십대들의 성행동 문제를 다룰 때 영향요인들을 고려해야 할 것이다.

An Exploratory Study of Japanese Fathers' Knowledge of and Attitudes towards HPV and HPV Vaccination: Does Marital Status Matter?

  • Hanley, Sharon Janet Bruce;Yoshioka, Eiji;Ito, Yoshiya;Konno, Ryo;Sasaki, Yuri;Kishi, Reiko;Sakuragi, Noriaki
    • Asian Pacific Journal of Cancer Prevention
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    • v.15 no.4
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    • pp.1837-1843
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    • 2014
  • Background: No studies on male attitudes towards HPV and HPV vaccination have been conducted in Japan, and little is known globally whether attitudes of single fathers differ to those living with a female partner. This exploratory study assessed whether Japanese fathers were likely to have their daughter vaccinated against HPV in a publically funded program and whether any differences existed regarding attitudes and knowledge about HPV according to marital status. Materials and Methods: Subjects were 27 fathers (16 single; 11 married) who took part in a study on HPV vaccine acceptability aimed at primary caregivers of girls aged 11-14 yrs in three Japanese cities between July and December 2010. Results: Knowledge about HPV was extremely poor (mean score out of 13 being $2.74{\pm}3.22$) with only one (3.7%) participant believing he had been infected with HPV and most (81.4%) believing they had no or low future risk. No difference existed regarding knowledge or awareness of HPV according to marital status. Concerning perceived risk for daughters, single fathers were significantly more likely to believe their daughter was at risk for both HPV (87.5% versus 36.4%; p=0.01) and cervical cancer (75.0% versus 27.3%; p=0.02). Acceptability of free HPV vaccination was high at 92% with no difference according to marital status, however single fathers were significantly more likely (p=0.01) to pay when vaccination came at a cost. Concerns specific to single fathers included explaining the sexual nature of HPV and taking a daughter to a gynecologist to be vaccinated. Conclusions: Knowledge about HPV among Japanese fathers is poor, but HPV vaccine acceptability is high and does not differ by marital status. Providing sexual health education in schools that addresses lack of knowledge about HPV as well as information preferences expressed by single fathers, may not only increase HPV vaccine acceptance, but also actively involve men in cervical cancer prevention strategies. However, further large-scale quantitative studies are needed.