• 여성건강간호학회지
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• 제18권3호
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• pp.159-169
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• 2012

Purpose: This study was conducted to investigate the relationship of knowledge, attitudes and needs of sex education in high school students. Methods: There were 258 participants who were high school students in S high school in G city. Data were collected from October 1 to October 31, 2011, and analyzed using SPSS/WIN 19.0. Results: The mean score for sexual knowledge was 69.78, sexual attitudes was 63.66, and needs of sex education was 75.37. Sexual knowledge had positive correlation with needs of sex education (r=.17, p=.007). Conclusion: The findings of this study indicated a need to develop programs for high school students to increase appropriate sexual knowledge, and to encourage appropriate sexual attitudes, and to reflect needs of sex education.

• 보건교육건강증진학회지
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• 제17권1호
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• pp.19-39
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• 2000

The purpose of this study was to examine the prevalence and correlated factors of sexual behavior among high school students in Seoul A sample of 233 male and 248 female high school students were analyzed using cross-tabulation and logit regression models. Correlated factors examined include type of school, level of mothers education, perceived living status of family, whether family has two parents or not, and whether students have ever lived away from the family, whether students received reproductive health education at school and whether they have friends with sexual experience, whether students have ever smoking and alcohol drinking. The prevalence of alcohol drinking was 73% among boys and 55% among girls and the prevalence of smoking was 64% of boys and 40% of girls, whereas the prevalence of sexual activity was 27% among boys and 15% among girls. Risk taking was more prevalent among boys than among girls. Multiple risk taking behavior was common for both boys and girls. Students who did not have two parents were more likely to engage in risk taking behavior than those who had two parents. For both boys and girls, the factor that affects their own sexual activity most was having a friend who was sexually active and having an experience of living away from their family also increases the odds. For girls, the factor that affects having experience of alcohol drinking and smoking. Receiving reproductive health education at school had no effect on students sexual behavior. Much higher risk taking behavior with sexual behavior among students in Seoul implies that the overall prevalence of risk taking behavior among high school students was likely to rise as South Korea continues its modernization. In-school and community health education programs need to be modified to be effective in protecting students from risk taking sexual behavior.

• 지역사회간호학회지
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• 제10권2호
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• pp.494-507
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• 1999

This study has developed the sex education contents including new natural family plan, concept and principle by receiving the opinions and advices from professionals and professors on sex education, by amending and supplementing existing teaching materials on sex, and examining the books related with sex education contents that reflect the request of teachers and students, and the lack of sex education teaching materials which have been the reason that needs of school sex education has been highly recognized but not vitalized. The developed sex education contents are 8 areas such as knowing my body right, caring my body, observing the ability of being pregnant, marriage, sexual intercourse, process of pregnancy, miscarriage, and sexual violence, 30 lower areas, and 105 detailed contents in their composition, and here are the results of analyses of the degree of request of nurse teachers and the students on them. The teachers showed highest request in the area of sexual violence(M =4.67), the next was my body care(M=4.44), knowing my body right(M =4.38), process of pregnancy(M=4.13), marriage(M=4.11) and sexual intercoursen (M=3.98), ways of judging the ability of being pregnant(M=3.88), and miscarriage(M=3.72) showed comparative higher request than normal. Not like the teachers, the students showed that they requested Marriage area as the highest need(M=3.04) and next was sexual violence(M=3.02), caring my body(M=3.00) to have been higher than normal. Process of pregnancy(M=2.99), Sexual intercourse(M=2.81), miscarriage(M = 2.77), observation of the ability of being pregnant(M=2.74), and knowing my body right(M=2.70) have been the requests lower than normal. This study showed that sexual violence, marriage, caring my body, were the items most requested by both the leacgers and students and in elementary school the development of sex education teaching materials on natural family plan suitable to the level of development of the children has been requested as it has had no inclusion of the concept of natural family plan, and the students in elementary school are concerned on indirect sexual contents related with physical health like regular exercise rather than direct sexual education contents including sexual intercourse. All these show that they are still so naive on sex. The sense of the teachers on sex has been connected with the level of achievement of sex education of the children as it has been the important cause of deciding the contents of sex education. Therefore the materials developed onesidedly by leaders without reflecting the needs or the preference of the students might be worries of bringing shameful. low quality and negative opinions on sex, and on the other hand the children might lose the concerns and interest on sex education, So the materials should be developed to have the contents of sex education coinciding with the request of the children.

• 여성건강간호학회지
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• 제8권1호
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• pp.124-137
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• 2002

The purpose of this study was to identify the need for sex education in middle school students Research subjects were 194 students who attended at I seminary in B city. The period of data collection was from July to August, 2001. Research instrument was composed of 61 structured items 17 items related to demographics and sex, 44 items related to the need of sex education. Data were collected through the self-report method by the researcher and one trained assistant. The instrument developed by the researchers was employed to measure the need of sex education and it's Cronbach's $\alpha$ = 0.9349 in this research. Data were analyzed by frequency, percentage factor analysis and t-test using SPSS WIN Program. The findings of this study are summarized as follows : 1. The highest score among characteristics of sex was 'less interest about sex(42.6%)', 39.0% of subjects got information about sex from friends or elders. 52.3% of subjects consulted friends or elders about sex problems. The number of sex education lessons was 1-2 times in school during last semester (61.0%). Education by the school nurse was 35.9% to students. 43.1% of subjects announced moderate satisfaction on sex education. 2. The mean score of the need for sex education was $2.88{\pm}0.47$ (lowest value 1, highest 4). The most wanted sex education factor was 'chastity and sexual responsibility($3.33{\pm}0.67$)' and followed by 'family and marriage ($3.26{\pm}0.62$)' and 'considerations of sex($3.07{\pm}0.69$)'. Meanwhile, the lowest wanted sex education factor is 'physiological characteristics of male ($2.47{\pm}0.72$)', followed by 'sexual behavior ($2.49{\pm}0.75$)'. The most wanted sex education item was 'the meaning of family ($3.54{\pm}0.75$)' and followed by 'the cautions to prevention from sexual abuse ($3.49{\pm}0.78$)' and sexual activity and responsibility($3.43{\pm}0.77$)'. Meanwhile, the lowest wanted sex education item is 'masturbation ($2.16{\pm}0.97$)', followed by 'circumcision($2.32{\pm}0.97$)'. 3. There is no significant difference between boys and girls in mean score about the need for sex education(t=-.715, p=.476). Sex education factor that girl-students wanted was 'physiological characteristics of female'. Sex education factor that boy-students wanted was 'family and marriage'. Sex education items that girl-students wanted were 'cautions during menstruation', the relation of ovulation and pregnancy', caution to prevention from sexual abuse' and sexual behavior and responsibility'. Sex education items that boy-students wanted were 'the meaning of family', 'the importance of marriage', 'male's sex organs', 'a wet dream', 'the method to resolve sexual curiosity', 'sexual intercourse' and 'the connection with the other sex'. In conclusion, the mean score of the need for sex education is medium. The route to attain knowledge about sex and sexual problem is through consulting friends and elders. Therefore, it is necessary to give sex education that is suitable to the subject's needs and methods. Also, it is necessary to give differently strong point about sex education between female and male students.

• 여성건강간호학회지
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• 제9권2호
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• pp.189-200
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• 2003

The purpose of this comparative study is to find out women and their spouses' sexual life and the factors affecting on their sexual life after women's hysterectomy. The data were the 110 questionaires which were collected from the participants, the 55 women who had undergone a hysterectomy due to gynecologic disease or benign tumor of genital organs and their spouses from January 1, 1999 to January 30, 2002 in one general hospital located in Seoul, Korea. Questionnaires were mailed to couples, who agreed to participate on the study and self reported questionnaires returned in the pre-stamped envelopes. And personal visits were made for those couples who did not respond. Tools for Sexual life and characteristics of sexual activities were reconstituted by the author based on Kim(1996) and Chang(1988)'s tools and were reviewed by a nurse specialist. Data analysis was done by SPSS 10.0 program using frequency, percentage, mean, S.D. Pearson correlation coefficient, t-test, oneway ANOVA and multiple regression. The results of this study are as follows; 1. Of all female subjects, 80% had experienced hysterectomy below the age of 50. 2. 72.8% of female subjects and 67.3% of male subjects did not receive any sexual education & counseling before and after the surgery. More than 60% of both female and male subjects answered that it was necessary to have a sexual counseling. And 40% wanted to receive sexual counseling from a professional sexual counselor. 3. More than half of couples started their first coitus within 4 weeks after the surgery. And 88.9% of females and 85.2% of males answered that they were experiencing orgasms with their sexual relationship. 4. Influencing factors on the satisfaction level of sexual life were couple's intimacy and sexual discomfort in women and couple's intimacy and sexual knowledge in spouses. These factors explained the 33% and 24% of total variance respectively. In conclusion, the result suggests that it is necessary for couples to receive a professional sexual education and counseling to improve couples' quality of life. It is also necessary for institutions to use prepared nurses by receiving sexual counseling and education program as a professional sexual counselors or educators so as to provide individualized sexual education and counseling for their clients.

• 지역사회간호학회지
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• 제15권2호
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• pp.246-254
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• 2004

Purpose: This study was to measure college students' understanding of elderly's sexual life. Method: For this study, questionnaires were distributed to 423 students in 'K' college of Chungcheongbuk-do during the period from November 17 to December 3 2003. Result: With regard to elderly's sexual life, 38.5% of the respondents answered' very important' or 'important'. With regard to disturbances of elderly's sexual life, 56.7% of the respondents answered 'because of aging', and 53.4% answered 'because of social and moral dignity'. Of the respondents, 95.0% agreed on elderly's acquaintance with the opposite sex, and 50.8% of respondents who agreed on it answered that the reason of elderly's acquaintance with the opposite sex was to get friends. The score of college students' understanding of elderly's sexual life was 2.64 out of 4 points. Among the areas in the questionnaire on understanding of elderly's sexual life, college students' attitude toward sexual life showed the highest score. The score of the necessity of education and counseling for elderly on sexuality and acquaintance with the opposite sex was 3.11 out of 4 points. Of the respondents, 84.4% agreed on education and counseling on sexuality for elderly, and 90.0% agreed on education and counseling on acquaintance with the opposite sex for elderly. There were statistically significant differences in the scores of college students' understanding of elderly's sexual life according to their grade(F=14.241, p=.000), major(t=4.751, p=.000) and sexual attitudes(F=5.395, 0=.005). Conclusion: The survey result suggests that college students have open-hearted understanding of elderly's sexual life. But to make ordinary people accept elderly's sexual life more open-heartedly, it is necessary to develop various education and counseling programs for elderly's sexual health.

• 한국학교ㆍ지역보건교육학회지
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• 제6권
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• pp.17-34
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• 2005

The purpose of this study was to examine the sex-consciousness and sexual values of school children by geographic region. It's specifically attempted to make a comparative analysis of sex-consciousness and sexual values between urban and rural elementary schoolers to help provide efficient sex education for them to build the right sexual values. The subjects in this study were 400 elementary schoolers in their sixth year of elementary schools located in Danyang-gun and Chungju city, north Chungcheong province. After a survey was conducted, answer sheets from 387 students that were analyzable were analyzed. For data handling, SPSS program was employed, and t-test was utilized to see if there's any differences between the urban and rural elementary school youngsters in sex consciousness and sexual values. And $x^2$ test was used to make a comparative analysis of their view of sex education. The findings of the study were as follows : First, regarding sex-consciousness, they had general knowledge on sex. Especially, they were highly aware of sexual violence and the generation of baby, but many of them didn't know about where and how egg cells were produced. This indicated that systematic education should be offered in various ways. Concerning geographic gap, there was a significant difference in sexual knowledge between the urban and rural students. As to sexual attitude, they took a relatively positive attitude toward display of affection or sex-related talk on TV or in movies, as they viewed it as natural. This finding implied that the elementary schoolers were recipient toward sex and took an active attitude toward sexual expressions. Concerning geographic gap, there was no difference between the rural and urban students. As for sexual practices, the largest group of the students had a liking for the opposite sex, which showed that their needs for sex were unveiled in the course of having some trouble due to the other sex rather than through firsthand experiences or activities. As to geographic gap, there was a significant difference between the urban and rural students in that regard. Besides, the urban students put their sex-consciousness in practice more often than the rural students did. After they are educated to build the right sexual values, systematic sex-education programs should also be offered for them to be exposed to sustained sex education and to team how to apply their sex-consciousness to real life. Second, as for sexual values, the school children had relatively positive and equalitarian sexual values. Regarding geographic gap, there were significant gaps between the two groups' view of the opposite sex, sexual roles and chastity. Concerning view of the opposite sex, they attached more importance to the inner aspects of the opposite sex than his or her look, and they wanted to date in a natural manner. Regarding sexual roles, they were relatively well cognizant of gender equity and the importance of male and female roles. As to view of chastity, they looked upon sex as natural, not as what's ugly or ashamed of. Third, concerning their outlook on sex education, approximately more than half the students felt the needs for sex education, and there was a significant difference between the urban and rural students. They wanted to receive education about the prevention of sexual violence and physical changes during puberty the most, and there was a significant gap between the urban and rural students in this aspect. As to the time for sex education, they thought that students should start to be exposed to sex education in their fifth or sixth year. This finding signified that fifth or sixth graders who were in the beginning of puberty started to have a lot of interest in their own physical changes. Therefore, sex education would produce better effects when it's provided to fifth or sixth graders. Nearly half them preferred single-gender class when they received sex education, and there's no gap between the urban and rural students in that regard.

• 한국보건간호학회지
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• 제16권2호
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• pp.225-238
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• 2002

The purpose of this descriptive study was to assess sexual orientation and Knowledge and attitudes with regards to AIDS in military personnel, and to provide basic data for developing a further sex education program for them. The data were collected in June 2002 on 242 service members of A Branch of the Ground Army located in Chung-Chung Do Region. They responded to a survey questionnaire that consisted of 68 items: 14 items on sexual orientation. 39 items on knowledge about AIDS, and 15 items on attitudes toward AIDS. The data were analyzed using SAS program. The study results are as follows: 1. Sexual orientation of the military personnel 1) In terms of sexual orientaion, harassment and assault, only $26.4\%$ of the subjects responded as, 'know well'. Appropriate awareness of the legal liability was reported by $21.6\%$ of the subjects regarding sexual harassment and $78.1\%$ of the subjects regarding sexual assault. 2) Pre-marital cohabitant was supported by $89.2\%$ of the subjects. 3) The Korean military personnel showed liberal attitudes toward sexuality as $46.4\%$ of them reported having sexual-relationship with the dating partner is acceptable. 4) The attitudes of the most subjects toward homosexuality was found to be unfavorable. 5) Subjects were m the need of appropriate sex education. of which substantial knowledge on sexual intercourse was the most needy area. 2. Knowledge and attitudes toward AIDS of the military personnel 1) The subjects' level of knowledge on AIDS was relatively low, showing the average score of $22.31\pm7.23$ points (range: 0-39 points). The higher level of knowledge was reported by those who had high level of education, father alive. and less number of brothers in their family. 2) The subjects' attitudes toward AIDS was relatively positive. The attitude toward AIDS was also found to be more positive in those who had high level of education and less number of brothers. 3) There was a positive but weak correlation between knowledge and attitude toward AIDS. The study finding showed that the sexual orientaion of the Korean military personnel was moderately positive and liberal. However, their awareness of sexual harassment and assault and AIDS was still found to be low. As Korean enlisted military service men are likely to be in the ages with strong sexual desire, it may be important for them to have appropriate sexual orientation and attitudes toward AIDS. Therefore, it is recommended to develop further practical and sound sex education programs within the military unit in order to meet their education needs as well as to utilize sex education specialists as the instructors of those programs.

• 한국학교보건학회지
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• 제9권1호
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• pp.99-108
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• 1996

The purpose of the survey was to identify the degree and the relationship of sexual knowledge, sexual attitude and need of sex education. This information will provide useful data for a more systematic. desirable, and practical sex education. The data was collected from 300 first grade schoolchildren (150 boys and 150 girls) of two Junior high school in K city. The data was gathered by questionnaire from Nov.21 to 28, 1995. The questionnaire was modified by authors using the questionnaire developed by Lief & Reed. Data was analyzed by using the statistical computer package, SAS to manipulate the data along with percentages, means, standard deviation, t-test, $X^2$-test, GLM, and Pearson correlation coeffiency. The results in this study were summarized as follows: 1. Sexual knowledge. - The mean score of sexual knowledges showed no significant differences between boys and girls(p<0.6180), but in the areas of biological differences(boys; $11.57{\pm}2.43$, girls; $10.93{\pm}2.41$, p<0.0242), and pregnancy physiology(boys; $9.28{\pm}1.87$, girls; $10.04{\pm}2.42$, p<0.0026) showed significant difference between boys and girls. 2. Sexual attitudes. - The mean score of sexual attitudes showed no significant difference between boys and girls (p<0.8286), but in the areas of masturbation (boys : $6.69{\pm}2.22$, girls : $5.65{\pm}1.88$, p<0.0001), and premarital intercourse (boys : $5,42{\pm}1.35$, girls : $6.00{\pm}1.33$, p<0.0002) showed significant difference between boys and girls 3. Need of sex education. - The majority of the subjects wanted to learn about sexual delinquency and it's prevention(57.7%), form a friendship with the other sex(56.3%), physical differences of the other sex(52.0%), psychological differences and the charateriatics of the other sex (50.3%) and meaning of love(50.3%). 4. The relationships between sexual knowledges and sexual attitudes. - Those who had higher sexual knowledges showed more positive attitudes towards sex, and showed statistical significance(r=0.2074, p<0.0003). 5. The relationships between general charateristics and sexual knowledge. - Better students(by self-perception of school performance) had higher knowledge scores about sex. 6. The relationships between general charateristics and sexual attitudes. - Those who wanted to learn more about sex, and better students had higher attitude scores about sex. - Those who were in high standard of living had higher attitude scores about sex as well. Suggestions based on above study are as follows' 1. The planned sex education showed be performed to the schoolchildren establish responsible attitudes about sex. 2. Systematic sex education through formal school education according to age is recommended. 3. Further studies should be done to measure the effect of sex education based on the needs of the schoolchildren.

• Child Health Nursing Research
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• 제25권4호
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• pp.435-448
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• 2019

Purpose: The purpose of this study was to review sexual abuse prevention education program for Korean elementary school students. Methods: Whittemore and Knafl's integrative review methods were used and Gough's weight of evidence was employed as a quality appraisal tool. Articles published in Korean or English were identified through electronic search engines and scholarly web sites using three keywords: "elementary school student", "sexual abuse", and "prevention education". Peer-reviewed articles published between 2000 and 2018 were included in this review. Results: Twelve articles met the inclusion criteria and were appraised as being high-quality. Among the 12 selected studies, seven were descriptive, while five were intervention studies. Sexual abuse prevention education programs were effective in improving perceptions, knowledge, attitudes, and preventive behaviors among elementary school students. However, deficiencies were found in the variety of educational methods, utilization of experts, and standardization of the content of sexual abuse prevention education. Conclusion: We need to provide various educational methods that are appropriate for specific developmental stages, and the sexual abuse prevention content should draw upon the current sexual education program administered to this population. Furthermore, parents and trained teachers or school health teachers should be included to provide effective education programs for elementary students.