• Women's Health Nursing
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• v.8 no.1
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• pp.106-115
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• 2002

Little is known about sexual autonomy in the light of human sexual health or sexual behavior. The purpose of this study was to increase understanding of sexual autonomy by developing a scale to measure sexual autonomy in college students. The measure was based on the perspective of human beings as having autonomy. A methodological developmental design was used. The study was done in three steps and included concept development through content analysis of relevant literature individual interviews using open-ended questions with 19 college students, item analysis of data from self report questionnaires for item to total correlation, content validity index by professionals and college students, and factor analysis with principal component analysis. Three groups participated in testing the measurement scale; Group A in 1998, a nationwide convenience sample of college students (n=1,163), Group B, college students in 1999 (n=233), and Group C, college students in 2000 who responded to the measurement scale before and after a sex education program (n=216). A series of exploratory and confirmatory factor analyses were conducted to test validity. For analysis of the questionnaires, statistical methods including reliability (test-retest), item to total analysis, content validity, factor analysis for construct validity and t-test for mean difference according to gender, sexual coitus, previous sex education, and pre-post experiment sex education were used with SPSS 10.0. Results: 1. Two stable factors were extracted and these contributed 48.05% of the variance in the total score. All 13 items loaded above .40 on each factor. 2. Factor I with 10 items was named 'control' and factor II with 3 items and was named 'coping'. 3. Differences in sexual autonomy scores for college students according to their experience showed that there were significantly higher scores for sexual autonomy in the post sex education group(t=-10.841, p=.000), but there were no differences according to whether or not they had previous sex education. Female college students had higher sexual autonomy scores than male college students in A or B group (t=-5.933, p=.000/ t=-1.992, p=.048). 4. Cronbach's $\alpha$ was .8603 for the total 13 items with 1,632 college students, .8739 with 232 students, .8333$\sim$.7647 with pre-post sex education with 216 students. This measurement was found to have a high validity and reliability for measuring sexual autonomy in college students. Therefore, the author recommends that it be used to measure the effects of sex education. It is suggested that further study is needed to analyze the relationship between sexual autonomy and sexual behavior.

• Journal of the Korean Data and Information Science Society
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• v.28 no.6
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• pp.1361-1370
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• 2017

In this study, we aimed to identify the relationship between sexual attitude, ego-resiliency, and sexual autonomy in nursing students. The subjects were 226 nursing students who recruited from one college. Data were analyzed using SPSS 20.0 program. The sexual attitude was positively correlated with ego-resiliency (r=.169, p=.011). Also, ego-resiliency and sexual autonomy was positively correlated (r=.148, p=.026). Factors significantly influencing sexual autonomy in nursing students were ego-resiliency (${\beta}=.138$, p=.048), sexual characteristic of participant (${\beta}=-.149$, p=.038), and dating experience (${\beta}=.170$, p=.014). This study showed that the nursing intervention for boosting ego-resiliency and sexual autonomy through healthy and sound dating experience should be required in nursing students.

• The Journal of Korean Society for School & Community Health Education
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• v.19 no.1
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• pp.47-60
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• 2018

Objectives: The purpose of this study was to investigate the sexual knowledge, sexual attitude and sexual autonomy related to reproductive health of female college student and affecting factors on reproductive health promoting behavior. Methods: The sample included 329 females students S university in D city. Data were collected from 24th to 28th of october, 2016 by using a structured questionnaire. The data were analyzed using a T-test, ANOVA, pearson's correlation and multiple regression analysis with SPSS 22.0. Results: The subjects' reproductive health promoting behavior differed according to the age, sexual experience, dating experience, form of high school. The subjects' reproductive health promoting behavior had positive correlations with sexual knowledge and sexual autonomy, and negative correlation with sexual attitude. Sexual knowledge was influencing factors on reproductive health promoting behavior accounting for 79.0%. Conclusions: Therefore, this result suggest that the developing reproductive health education programs based on the findings and providing the programs on their demands.

• Journal of the Korea Academia-Industrial cooperation Society
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• v.18 no.3
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• pp.223-231
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• 2017

The purpose of this study was to determine the relationships among sexual attitudes, autonomy, and harassment experience and to find out how each factor affects the sexual attitudes of college students. The subjects were 236 college students in D city. The data were collected from September 3 - 8, in 2015 using a structured questionnaire. The data were analyzed using the SPSS WIN 18.0 program. For data analysis, a Mann-Whitney U-test, Kruskal-Wallis test, Pearson's correlation coefficients, and multiple regression analysis were carried out. The results are as follows. First, the average scores of sexual attitude, sexual autonomy, and sexual harassment experience were 4.01, 1.95, and 0.95 points, respectively. Second, the individual characteristics in sexual attitude were significantly different in gender (U=2124.50, p=0.000) and department (U=5741.00, p=0.026), sexual autonomy were considerably different in gender (U=2529.50, p=0.001) and satisfaction with personal relationships ($X^2=9.46$, p=0.009), and sexual harassment experience were significantly different in the department (U=5604.00, p=0.007). Third, a positive relationship was observed between the sexual attitudes and sexual autonomy (r=0.517, p<0.01). Sexual autonomy was found to influence the sexual attitudes (${\beta}=0.46$, p<.001). These results highlight the need to develop sex education programs in various situations for college students and that sex education should be implemented constantly.

• Korean Journal of Adult Nursing
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• v.28 no.4
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• pp.482-490
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• 2016

Purpose: The purpose of the study was to examine the impact of self-efficacy in the prevention of sexually transmitted diseases (STD), knowledge of and susceptibility to STD, and the role of gender in sexual autonomy. Methods: Data were collected from 267 college students using self-report questionnaires during the period from the first to the twentieth of June 2015. Data were analyzed using $x^2$ test, Fisher's exact test, t-test, Pearson correlation coefficients, simple and multiple regression techniques with the PASW/WIN 20.0 program. Mediation analysis was performed according to the Baron and Kenny method and Sobel test. Results: In male students, self-efficacy for STD prevention showed a full mediating effect in the relationship between STD susceptibility and sexual autonomy (${\beta}$=-.08, p=.370). But in female students, it had a partial mediating effect (${\beta}$=-.25, p=.001). And self-efficacy for STD prevention showed partial mediating effects in the relationship between knowledge of STD and sexual autonomy in the both male (${\beta}$=.25, p=.005) and female students (${\beta}$=.33, p<.001). Conclusion: To enhance college students' sexual autonomy, it may be useful to build effective strategies enhancing students' knowledge about and susceptibility to STD and to develop a self-efficacy promotion program for college students.

• Journal of the Korea Academia-Industrial cooperation Society
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• v.15 no.11
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• pp.6710-6718
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• 2014

This study examined the factors affecting the sexual autonomy of female university students to provide the basic data for developing an intervention program for sex education. The data was collected from 322 female college students and analyzed with a t-test and multiple regression using the SPSS 21.0 program. The significant factors of sexual autonomy were intercourse experience (${\beta}=0.115$, p=.040), sex knowledge (${\beta}=0.118$, p=.028), permissiveness of sexual violence (${\beta}=-0.290$, p<.001), and the perception of unwed pregnancy (${\beta}=-0.104$, p=.048). These factors explained 21.7% of the variance in sexual autonomy. In conclusion, there is a need to develop a sex education program to increase sexual autonomy considering the factors affecting sexual autonomy.

• The Journal of Korean Academic Society of Nursing Education
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• v.16 no.2
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• pp.257-264
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• 2010

Purpose: This research was conducted to determine the effects on HPV knowledge, cervical cancer preventive behaviors, and sexual autonomy of female university students after they received sexual education to prevent HPV involved cervical cancer. Method: By using a non-equivalent control group pretest and posttest design, the experiment was conducted with a test group of 37 students and a control group of 39 students. Result: There were statistically significant increases in HPV knowledge (p=.003), cervical cancer preventive behaviors (p=.001), and sexual autonomy (p=.005) in the experimental group compared to the control group. Conclusion: It is concluded that this research is valid because this research program has proved to be effective in increasing HPV knowledge, cervical cancer preventive behaviors, and sexual autonomy, and it has provided a foundation to be used with other female university students.

• Journal of the Korea Convergence Society
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• v.10 no.12
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• pp.477-486
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• 2019

This descriptive study was intended to investigate the influence of spouse support, sexual autonomy, and sexual satisfaction on self-efficacy in married immigrant women in South Korea. Data was collected from 171 married immigrant women from Jan to Mar 2019. The data were analyzed by ANOVA, Pearson's correlation coefficient, and Multiple Regression Analysis. As a result of analysis, spouse support 3.64±0.86, sexual autonomy 3.44±0.93, sexual satisfaction 3.14 ±0.90, self-efficacy 3.06±0.64 and there was a high positive correlation among all variables(p<.01). Sex-related variables, sexual autonomy and sexual satisfaction, were identified as strong predictors for self-efficacy, and their explanation power was 26.9%. The results of this study suggest that it is necessary to develop a variety programs to enhance the self-efficacy of married immigrant women and to seek practical approaches to that effect.

• Journal of the Korea Convergence Society
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• v.10 no.4
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• pp.303-309
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• 2019

This study was attempted to identify the marital intimacy, spousal support, sexual autonomy and empowerment of married immigrant Vietnamese women. This study was conducted to 119 Vietnamese women who migrated for marriage, and it took place from May to September, 2018. The data were analyzed using descriptive statistics, ANOVA and Pearson's correlation coefficients. Marital intimacy $3.17{\pm}0.69$, spousal support $3.45{\pm}0.94$, sexual autonomy $3.70{\pm}0.83$ and varied according to educational level(p=.011), and empowerment varied according to economic level(p<.001). There was a difference in intimacy and support depending on the marriage period. There is a very strong correlation between variables(p<.005). Married immigrant women showed moderate marital intimacy, spousal support, high correlation with sexual autonomy and two variables, and empowerment correlated with sexual autonomy. Based on these findings, it seems to be necessary to find a way to increase the empowerment of Vietnamese women and to develop an intervention programs.

• The Journal of the Korea Contents Association
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• v.21 no.7
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• pp.567-574
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• 2021

This study confirmed factors affecting sexual autonomy with self-esteem and sexual awareness as variables to lay the foundation for nursing intervention that helps female college students grow into subjects who can promote safe sexual activity and sexual health. A self-administered online survey of 139 students from three Colleges was conducted from February 15 to 21, 2021. The data were analyzed using a t-test, ANOVA, Scheffe test, Pearson's correlation coefficients and hierarchical multiple regression. The significant predictors of sexual autonomy were self-esteem (𝛽=0.393, p<.001), experience of dating (𝛽=0.213, p=.008) and sexual consciousness (𝛽=0.175, p=.028) and their explanatory power was 22.1%. In order for female college students to have autonomy as sexual subjects, they must be able to have a positive sense of self-esteem that values themselves and healthy sexual consciousness. Furthermore, they must be able to have a positive experience of socializing with the opposite sex. Therefore, individual efforts and social support to promote self-esteem are required, and educational mediation is needed to contribute to the promotion of sexual autonomy through efficient communication between men and women with a healthy sexual consciousness