• Journal of the Korean Academy of Child and Adolescent Psychiatry
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• v.9 no.2
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• pp.127-137
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• 1998

The authors surveyed extrafamilial sexual abuse in the children under 15years old by the physician's reports. We sent the semi-structured child sexual abuse questionnaires to 7055 board certified pediatrics, obstetrics and gynecology, family medicine and emergency medicine. Total respondents were 1205. The results from these respondents were as followings. 1) The number of respondents who have had the experience of treating victims of extraf/amilial child sexual abuse were 641(53.2% of total respondents). 2) 338(52.7%) of the perpetrators were known persons and 277(43.2%) were strangers, the most common age bracket were 20s, 30s and 10s, and almost all(99.8%) of the perpetrators were male. 3) The mean age of victims was $9.7{\pm}3.5$ years old, and almost all(98.6%) of the victims were female. 4) The ways by which extrafamilial child sexual abuses were found were victim’s own reports：273(62.6%), pain complaint, 156(24.3%) and abnormal behavior 96(15.0%), other person’s report 72(11.2%), detection during examination 19(3.0%), and pregnancy 4(0.6%). 5) Time lags between extrafamilial child sexual abuses and hospital visits were within 24 hours 332 (51.8%) and from 1 day to 1 week 232(36.2%), victims were rather quickly 6) Physical complications were perineal wound 571(89.1%), hymen rupture 349(54.4%), wound of other part of body 124(19.3%), pregnancy 37(5.8%), and sexually transmitted disease 18(2.8%), and other serious complications such as vaginal-rectal lacerations 8, intastinal bleeding 7, death 2, hypotensive shock 1. These results suggest considerable numbers of physicians have had the experience of treating victims of extrafamilial child sexual abuses, and extrafamilial child sexual abuses are the major medical as well as social issue in children in Korea.

• Clinical and Experimental Pediatrics
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• v.54 no.10
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• pp.395-400
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• 2011

During the adolescent period, they experience rapid physical, emotional, cognitive developments while they establish their lifestyle and habitual routines that strongly influence adult health and life. Recent rapid economic growth in Korea, and the earlier onset of physical, sexual, and psychological maturation of adolescents, has resulted in changes in the health status of adolescents from many years ago. Risk-taking behaviors such as drinking alcohol, smoking, and sexual experiences are critical issues that affect the health of, adolescents. Therefore, it is important for pediatricians to note the that risk-taking behaviors of adolescents in Korea that are caused by individual psychosocial factors. This review article illustrates the current health status of Korean adolescents and provides an overview of risk-taking behaviors, to inform pediatricians about some of the key issues.

• Health Policy and Management
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• v.34 no.2
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• pp.129-140
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• 2024

Background: The mental health issues caused by trauma can manifest differently depending on the characteristics of the traumatic event. Particularly, individuals who have experienced sexual trauma are known to have more negative mental health outcomes compared to those who have experienced non-sexual trauma. The mental health issues of individuals who have experienced sexual trauma are severe, and new forms of threats, such as digital sexual crimes, are emerging. This study aimed to investigate whether the type of traumatic event, particularly focusing on sexual trauma events, contributes to differences in mental health outcomes and to identify factors influencing suicidal ideation and potential post-traumatic stress disorder (PTSD) risk. Methods: Based on an online survey conducted nationwide among adults aged 20 to 50, participants were categorized based on the type of trauma they experienced (sexual trauma events and non-sexual trauma events). The study conducted propensity score matching (PSM) using demographic factors (sex, age group, subjective economic status, and marital status) and resilience protective factors (cognition of recoverability, social support, and protection experiences in childhood) as control variables, excluding the experience of sexual trauma events, to investigate their potential impact on mental health (suicidal ideation and potential PTSD risk). Subsequently, binary logistic regression analysis was conducted to identify factors influencing mental health. Results: Even after PSM, individuals who experienced sexual trauma exhibited more negative outcomes in terms of suicidal ideation and potential PTSD risk compared to those who experienced non-sexual trauma. The results of binary logistic regression analysis showed that sexual trauma survivors were 1.9 times more likely to have suicidal thoughts (odds ratio [OR], 1.911) and 2.5 times more likely to have a potential PTSD risk (OR, 2.472). Furthermore, as resilience protective factors became more negative, the likelihood of suicidal ideation and potential PTSD risk increased. Conclusion: This study emphasizes the importance of understanding and supporting individuals who have experienced sexual trauma, highlighting the necessity for strategies aimed at mitigating suicidal ideation and potential PTSD risk among sexual trauma survivors, while also facilitating recovery through the promotion of resilience protective factors.

• Korean Journal of Health Education and Promotion
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• v.10 no.2
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• pp.40-55
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• 1993

To obtain information about knowledge and attitude toward sex, sexural experience and need of sex education, a questionnaire survey was conducted on 599 students who were attended in 2nd grade of 2 girls' high schools(A group: 190 girls), 2 vocational girls' high schools(B group: 205 girls), and 2 special girls' high school attached to industrial company(C group: 204 girls) in Taegu city between 20th and 25th April 1992. Mean score of knowledge toward sex of the total was 9.3. Mean score of A group was higher than that of Band C groups. Among the total students, vocational high school girls were the highest affirmative attitude towards the acquaintance and relationship with the other sex, and the next was special high school girls. Students of B group assumed the highest negative attitude towards artificial abortion, and the lowest was A group. Among the respondent girls, 31.1% did not experienced in the acquaintance and relationship with the other sex and 86 girls(14.4%) had experience with sexual affairs. Most of girls(96.9% of A group, 90.4% of B group and 86.8% of C group) agreed to necessity of sex education, and answered that current education on sex was insufficient to them(80.6% of A group, 82.6% of B group and 62.4% of C group). Among what the surveyed girls wanted to know about knowledge towards sex, they showed the highest interest on the acquaintance and relationship with the other sex(A group: 44.7%, B group: 45.4%, C group: 56.4%). And they showed the second highest interest on pregnancy and delivery(A group: 33.2%, B group: 32.6% , C group: 26.5%). There was no unique difference among each surveying item. Most of the students(A group: 46.8%, B group: 40.1%, C group: 36.3%) thought it better that the time they wanted to get education on sex in 5th or 6th grade of elementary schools and to have a regular curriculum on sex education.

• Journal of the Korean Society of School Health
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• v.12 no.2
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• pp.263-280
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• 1999

The purpose of this study is to present basic data to be used in the development of a sexual education program to create an affirmative sexual egoism. We classified the types of subjectivities and revelation attitudes of menstrual experience in 5th and 6th elementary school girls. The analytic method of data was a "Q-method" (William Stephenson). The results of this study classified four-types. The first type is an "open type". Girls of this type accepted menstrual experience as neither disease nor an embarrassment but as an important and natural course for a woman. The second type is the "concealing type". Girls of this type keep silent and conceal menstruation from persons because they consider it shameful or disgrace. The third type is the "conceited type". Girls of this type think that menstruation is painful-but only for them. Also, they accept such pains being 'grown-up'. The fourth type is the "tomboy type". Girls of this type want to be an eternal child; they hate being born a woman and think menstruation is troublesome. As a result of this research, we have concluded that it is necessary to educate girl students before they experience menstruation in order to develop positive attitudes towards sexuality and in so doing, aid them through adolescence.

• Child Health Nursing Research
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• v.11 no.1
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• pp.14-22
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• 2005

Purpose: This study was designed to identify the factors affecting the experience of smoking in middle school girls. A comprehensive analysis of individual and family factors was used. Method: The students in this descriptive survey on causal relations were 433 girls enrolled in middle schools selected by convenience sampling. The data were collected in November-December 2003 and logistic regression analysis was used to build a forecast model. Findings: The findings showed the following, 1) Individual factors such as grade, alcohol consumption, sexual experience and the frequency of exposure to pornographic materials, and 2) family factors such as parental living arrangement were significant factors. Conclusion and Recommendation: The experience of smoking among Korean middle school girls was associated not only with individual factors, but also with family factors, which exert a strong influence on health behavior. There is therefore a need for school-based smoking prevention programs, which deal comprehensively with these factors that influence smoking. It is recommended that a program be developed that will help to control the variables identified in this study along with follow?up study to verify the model.

• Research in Community and Public Health Nursing
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• v.10 no.2
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• pp.549-563
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• 1999

This paper is a review of findings from studies that have used vignettes to identify salient characteristics that have been found to influence individuals' perceptions of child sexual abuse. Vignette studies finding avoid to unreliable and biased self-reports. A review of the literature revealed that factors influencing the perception process are divided into two groups. One group of factors relates to the details of the abuse situation including characteristics of sexual act (intrusiveness of the sexual act and the frequency of acts), characteristics of victim (age of victim, the gender of victim and victim resistance), and characteristics of perpetrator (age of perpetrator, gender of perpetrator and the relationship of the perpetrator to the child). The other group of factors focused on in research reflects individuals background variables that affect personal interpretations of the abuse situation. These factors include professional affiliation of the respondent and various other. demographics (e.g., gender of respondents, age, education, marital status, parental status, number of children, the length of experience, etc.), along with respondents own child sexual victimization experiences. Based on theses findings vignette studies have allowed researchers to learn how individuals vary their perceptions of various situational aspects of child sexual abuse situations, and how background characteristics of the respondents as observers may influence these perceptions.

• Korean Journal of Culture and Social Issue
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• v.13 no.1
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• pp.43-61
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• 2007

Most previous research on safer sex and condom use has been mainly focused on individual's dispositional factors such as attitudes, perceived control, intention, and etc. However, a few researchers recently started to propose that condom use is not a matter of individual behavioral decision but a product of serious interactive negotiation processes and condom negotiation would be the proximal key-determinant of condom use behaviors. The present research categorized condom-negotiation strategies and preferences of Korean college students and examined relationship between the strategies and other sex-related concepts. 186 participants' strategies on a free-response questions of condom negotiation revealed 7 types of persuasion strategies for condom use; Pregnancy risk, responsibility, care for partner, withholding sex, sexual disease, direct request, and sexual satisfaction (in order of preference). 6 types of persuasion strategies for condom avoid were abstracted: Pregnancy free, Sexual satisfaction, responsibility, direct request, unfaith toward condom, and withholding sex (in order of preference). The effects of gender, sexual experience, and culture were found and discussed in their implications for sexual education,

• The Journal of the Korea Contents Association
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• v.11 no.4
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• pp.132-139
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• 2011

Despite the importance of sexual life of the aged, it is almost disregarded due to the Confucius value system and bias. The common people's view on the sex of the aged was clearly demonstrated by their attitude toward a movie entitled "I love it though I might die" which was determined "18 Age over"being awareness of its explicit sexual intercourse and several lied on the discussion. For this reason, the sex of the aged is clandestinely revealed and uses to receive publicity for sexual assault for children, sexual crime, and illegal prostitution in parks. And social atmosphere that prevents open discussion of the sexof the aged increases in the number of suffering aged in reality, and it causes the decrease of life quality of them. In this circumstance, cartoon contents can be perfectly used for sex education for them. Entertainment character and genre character of cartoon contents can deliver the understanding of sex rather voluntarily and easily to the aged and it can be used as a tool to motivate by indirect experience and to enhance efficient understanding.

• Women's Health Nursing
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• v.28 no.1
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• pp.65-73
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• 2022

Purpose: This study investigated Korean healthcare providers' attitudes toward sexual and gender minority (SGM) persons and their knowledge and behavior concerning the collection of data on sexual orientation and gender identity (SO/GI). Methods: In this cross-sectional, descriptive study, 137 Korean healthcare providers were recruited through convenience sampling from internet communities for medical professionals. A structured questionnaire was created using Google Surveys. The Mann-Whitney U-test, Kruskal-Wallis test, and Spearman correlation analysis were performed. Results: The sample was mostly women (80.3%) and nurses (83.9%), who had overall negative attitudes toward SGM persons and low levels of knowledge and behavior with regard to the collection of patients' SO/GI data. Participants in their 20s, who were religious, and had clinical experiences in treating or providing nursing care for SGM persons had higher levels of knowledge about the collection of SO/GI data. The level of engagement in collecting SO/GI data was higher among women and in their 20s and 30s, unreligious participants, nurses, and those with less than 10 years of clinical experience. Positive attitudes toward SGM persons were associated with higher levels of knowledge, but lower levels of behavior, regarding the collection of SO/GI data. Conclusion: It is important to recognize the diversity of patients' SO/GI and to collect the corresponding information. To this end, it is necessary to develop and use a standardized SO/GI form. Healthcare providers should also receive education and training related to the health of SGM persons to resolve health problems that disproportionately affect SGM persons and related health disparities.