• The Journal of Korean Society for School & Community Health Education
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• v.20 no.1
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• pp.43-56
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• 2019

Objectives: This study was to investigate the effects of sexual orientation related to sexual intercourse on smoking behavior. Methods: The study includes 33,309 Korean high school students. Of these, 31,213 had no experience of sexual intercourse, 1,739 had sexual intercourse with the heterosexual, 191 had sex with the homosexual, and 166 had sexual intercourse with the bisex. The study used 12th(2016) Korea Youth Risk Behavior Web-based Survey with complex sample logistic regression. Results: Adjusted confounding variables were analyzed, and it showed that smoking behavior was higher in the group had experienced sexual intercourse. The group had homosexual intercourse (OR=1.84, 95%CI=1.31-2.57) or bisexual intercourse (OR=2.78, 95%CI=2.06-3.76) showed higher risk of smoking behavior than the group had heterosexual intercourse (OR=1.67, 95%CI=1.48-1.90 Conclusions: The study results showed sexual orientation related to sexual intercourse was associated with smoking behavior. Further follow up studies and evaluations are needed.

• Research in Community and Public Health Nursing
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• v.28 no.2
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• pp.173-181
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• 2017

Purpose: Early sexual intercourse is associated with poor health outcomes in adolescents. It is known that sexual intercourse coincides with other health risk behaviors such as smoking, drinking, and using drugs. The purpose of this study is to identify the relationships between sexual intercourse and health risk behaviors among Korean and US adolescents using nationally representative data. Methods: Data were collected from the 2011 Korea Youth Risk Behavior Web-based Survey (29,676 students) and 2011 Youth Risk Behavior Surveillance System (10,135 high school students). Logistic regression analysis was performed. Results: In Korea, students who had sexual intercourse accounted for 7.0% in total. Among these, 9.7% were male and 4.2% were female students. In the US, a total of 51.3% students had sexual intercourse, and the proportion of the US male (49.3%) and female (53.4%) students who had sexual intercourse was similar. Korean and US students who experienced sexual intercourse were more likely to smoke, drink alcohol, and use drugs. Conclusion: Since the results of this study show the relationships between sexual intercourse and health risk behaviors, it is necessary to develop comprehensive sex education programs with effective strategies to reduce health risk behaviors in adolescents.

• Journal of the Korean Society of School Health
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• v.33 no.2
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• pp.79-88
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• 2020

Purpose: The purpose of this study was to identify 14 years of trends in sexual intercourse and sex education experiences among Korean adolescents from 2006 to 2019, based on online data. Methods: The study was a secondary analysis using the raw data of the 2^nd (2006) through 15^th (2019) Youth Risk Behavior Web-based Survey. The data of 504,105 male adolescents and 473,053 female adolescents were used for the analysis. A complex-sample cross-analysis (Rao-Scott χ² test) was performed to identify differences in sexual intercourse, sex education experience, and contraception over time, and logistic regression was performed to identify factors affecting adolescent sexual intercourse. Results: Sexual intercourse was found to increase as the year progressed. More high school students had sexual experiences than middle school students. Students who had ever smoked or drunk were more likely to have had sexual intercourse than the ones who had not. Students living with relatives or living in boarding houses or dormitories showed a higher rate of sexual intercourse than those living with family members. Students who never received sex education also showed a high rate of sexual intercourse. Conclusion: It is significant to grasp the trends in sexual intercourse, sex education experience, and contraception among adolescents over time. Providing adolescents with healthy sex education is becoming more and more important every year and health-related education including sex education that meets the need of teenagers should be incorporated into the regular curriculum.

• Journal of Korean Academy of Nursing
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• v.45 no.2
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• pp.183-191
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• 2015

Purpose: For the current article an examination was done as to whether engaging in sexual intercourse before or during adolescence has a negative impact on the suicidal behaviors of suicide ideation, suicide attempt, and suicide lethality and whether the impact varies according to the context of sexual intercourse and/or gender. Methods: Adolescents who experienced casual sex and romantic sex were compared to adolescents who retained their virginity. Data was from samples drawn from the three waves (2010~2012) of the Korea Youth Risk Behavior Web-Based Survey. Logistic models were used to adjust for a wide array of confounding variables. Results: Any type of sexual intercourse increases risk of all suicidal behaviors. Sexual intercourse in a romantic relationship exhibits enhanced risk of suicidal behaviors compared to casual sex. Adjusting for experience of sexual violence, however, decreases risk of romantic sex substantially, turning some estimates statistically insignificant. In addition, risks for suicide lethality are greater for girls than boys. Conclusion: Romantic sex put adolescents at higher risk for suicidal behaviors than casual sex owing to prevalent sexual violence in the relationships. Girls suffer more substantively adverse outcomes than boys. These results suggest that adolescents will benefit from comprehensive education on sexuality and sexual behaviors regarding how to form and maintain a romantic relationship that is characterized by personal integrity and mutual respect. It is also important to help victims of sexual violence recover from traumatic events by providing emotional support and effective counseling.

• 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.

• Journal of Korean Academy of Nursing
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• v.52 no.5
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• pp.499-510
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• 2022

Purpose: This study investigated the association between adolescent health behaviors (drinking, smoking, and drug use) and sexual intercourse, as well as the moderating effects of economic status, cohabitation with parents, and school type, among adolescents in Korea. Methods: Secondary data from the 16th Adolescent Health Behavior Survey (2020) were used. A total of 395 schools and 54,948 middle and high school students participated in the study. Complex sample frequency analysis, the Rao-Scott test, and complex sample logistic regression analyses were performed. Results: Sexual intercourse rates for men and women were 5.8% and 3.3%, respectively. Approximately 7.3% of high school students and 1.8% of middle school students reported having had sexual relations. Drinking (odds ratio [OR] = 3.15, 95% confidence interval [CI] = 2.82~3.52), smoking (OR = 6.75, 95% CI = 5.90~7.71), and drug use (OR = 3.03, 95% CI = 2.23~4.11) significantly increased the risk of sexual intercourse. Economic status and school type had moderating effects on the association between drinking and sexual intercourse. Conclusion: Adolescent drinking, smoking, and drug use are associated with a higher risk of sexual experience. Thus, to reduce this risk, controlling alcohol consumption, smoking, and drug use is necessary. In addition, programs for healthy lifestyles and sexual intercourse should be differentiated according to the school type and the economic conditions of the adolescents' households.

• Journal of The Korean Society of Integrative Medicine
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• v.9 no.1
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• pp.59-67
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• 2021

Purpose : This study examined the factors related to sexual intercourse among adolescents in South Korea. Methods : The study sample was comprised of 65,528 middle and high school students aged 12 to 18 years in 2016. For this study, using the data from the 12th Korea youth risk behavior web-based survey, a chi-squared test, and hierarchical logistic regression analysis we reconducted with the SPSS 22.0 program considering personal, family, school, and regional characteristics. Results : The proportion of adolescents who had sexual intercourse was 6.0 % of boys and 2.7 % of girls, and 6.3 % of high school students and 2.4 % of middle school students. The statistically significant related factors of sexual intercourse were gender, grade, attempted suicide, ever drinking, ever smoking, habitual or purposeful drug use, weekly allowance, and coed school in the final model 4. Adolescents with suicide attempts had 2.49 times more sexual intercourse than adolescents with no experience of suicide attempts. Compared to adolescents without alcohol, smoking, and habitual drug use, those who have experienced alcohol, smoking, habitual or purposeful drug use were 2.22 times, 3.76 times, and 3.39 times more likely to have had sexual intercourse, respectively. Adolescents with a weekly allowance of more than 100,000 won per week and adolescents in coed schools were 2.84 times and 1.40 times more likely to have had sexual intercourse, respectively. Conclusion : Multi-level interventions should be considered in school sexual education programs while considering the substantiality of sex education and the actual adolescents' needs. In addition, sexual health interventions in cyberspace for high-risk groups may be needed to consider the emotional and mental characteristics, given the factors related to sexual intercourse in adolescents.

• Journal of the Korean Home Economics Association
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• v.33 no.6
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• pp.11-23
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• 1995

This study investigated 1) actual rates of sexual intercourse and relating variables among college students and workers and 2) the trend of premarital sexual attitudes. Data for 538 were used Reiss' Premarital Sexual Permissiveness Scale question are. The major findings were as follows ; 1) Actual sexual intercourse rates is higher than the past especially in women, yet there is significant difference between man and woman. 2) double standard for premarital sexuality remains in our culture. The degree of premarital sexual permissiveness to man is higher than that of woman. Both man and woman have more permissive permarital sexual attiaudes to man. Nevertheless, the result that the degree to which each sexual behavior was accepted increased with each relationship stage implicates " permissiveness with affection" to be the sexual standard accepted by young adults. 3) Age is higher, premarital sexual attitudes are more liberal, and the extend of peer group' sexual intercourse experience is higher, the rate of sexual intercourse is higher both man and woman.

• Journal of the Korean Society of School Health
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• v.11 no.2
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• pp.229-241
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• 1998

Because sexual awareness is changing, I have tried to classify university students' attitudes toward sex. This study examined male and female university students and used a Q-method to measure these attitudes. Out of a total of 202, 33 statements were abstracted, and a P-sample of 1-7 parties consisting of 26 persons were studied. I Q-sorted the statements with a standard of 9 points for normal distribution and analyzed the data by means of a Principal Component Analysis with a Quan PC Program. According to the result of this research, university students' attitudes toward sex are divided into three types. Type 1 are called open-minded open: They may have a surgical abortion in case of an unexpected pregnancy and sexual intercourse occurs when a man and woman feel love for each other. They don't see sexual intercourse as a means reproduction nor virginal purity as unconditional. It is remarkable that these students regard sexual intercourse as a natural thing and sex as a basic desire of human beings. In short, they show an open-minded attitude toward sex. Type 2 are supporters of virginal purity; They regard virginal purity with great importance. They insist that both man and woman should be chaste but that sexual intercourse before marriage is unfavorable only to the woman. They do not believe in sexual intercourse without love and emphasize purity in sex education. Differen from type 1, they are very negative about surgical abortion. Type 3 experss love through sex. They belive that sexual intercourse makes a couple happy and a way to express their affection for each other. In other words, the relationship between man and woman is improved through sexual intercourse. They do not think of sexual intercourse in terms of childbirth.

• Journal of Korean Academy of Nursing
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• v.34 no.6
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• pp.954-963
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• 2004

Purpose: This study was designed to identify the variables affecting male adolescents' sexual intercourse through a comprehensive analysis of individual and environmental factors. Method: The subjects of this descriptive survey on causal relations were 462 subjects enrolled in liberal and vocational high schools selected on a convenience sampling basis. The data collected from May-July 2002 was put to logistic regression analysis to build a forecast model. Findings: 1) Individual factors such as school record, experience seeking, non-inhibition and sexual permissiveness, 2) family factors such as parental living arrangement, 3) school factors such as career tract and 4) peer factors such as having a boy/girl friend were identified as significant variables forecasting sexual intercourse. Conclusion and Recommendation: The theoretical model built on the basis of the major findings of this study will hopefully help promote a wholesome youth culture related to sexual intercourse. It is recommended that a program be developed that can help control the variables identified in this study along with a follow-up study to verify the model.