Journal List > Korean J Adult Nurs > v.28(4) > 1076414

Korean J Adult Nurs. 2016 Aug;28(4):482-490. English.
Published online August 31, 2016.  https://doi.org/10.7475/kjan.2016.28.4.482
© 2016 Korean Society of Adult Nursing
Gender Difference in Mediating Effects of Self-Efficacy for the Prevention of Sexually Transmitted Diseases (STD) among College Students' STD Knowledge, Susceptibility, and Sexual Autonomy
Mijeong Park, Ph.D., RN
Assistant Professor, Department of Nursing, Hoseo University, Asan, Korea.

Corresponding author: Park, Mijeong. Department of Nursing, Hoseo University, 20 Hoseo-ro, 79 beon-gil, Baebang-eup, Asan 31499, Korea. Tel: +82-41-540-9535, Fax: +82-41-540-9558, Email: mijeong@hoseo.edu
Received May 10, 2016; Revised August 19, 2016; Accepted August 24, 2016.

This is an open access article distributed under the terms of the Creative Commons Attribution Non-Commercial License (http://creativecommons.org/licenses/by-nc/3.0/), which permits unrestricted non-commercial use, distribution, and reproduction in any medium, provided the original work is properly cited.


Abstract

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 χ2 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 (β=-.08, p=.370). But in female students, it had a partial mediating effect (β=-.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 (β=.25, p=.005) and female students (β=.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.

Keywords: Sexually transmitted disease; Knowledge; Disease susceptibility; Self-efficacy; Personal autonomy

Figures


Figure 1
Model showing the influence of knowledge about and susceptibility to STD on sexual autonomy, and the mediating effect of self-efficacy of STDs in male (a) and female students (b).
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Tables


Table 1
College Students' Characteristics (N=267)
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Table 2
Correlational Relationships among Variables (N=267)
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Table 3
Mediating Effect of Self-efficacy for STD Prevention in the Relationship between STD Knowledge and Sexual Autonomy (N=267)
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Table 4
Mediating Effect of Self-efficacy for STD Prevention in the Relationship between STD Susceptibility and Sexual Autonomy by Gender (N=267)
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Notes

This research was supported by the Academic Research Fund of Hoseo University in 2014 (2014-0441)

References
1. Shin YH, Chun YK, Cho SM, Cho YR. The effects of a sex education program on knowledge related to sexually transmitted disease and sex autonomy among university students. J Korean Acad Nurs 2005;35(7):1304–1313.
2. World Health Organization media Centre. Sexually transmitted infections (STIs). WHO; 2015 [cited 2016 January 20].
Available from: http://www.who.int/mediacentre/factsheets/fs110/en/.
3. Westrom L, Joesoef R, Reynolds G, Hagdu A, Thompson SE. Pelvic inflammatory disease and fertility. A cohort study of 1,844 women with laparoscopically verified disease and 657 control women with normal laparoscopic results. Sex Transm Dis 1992;19(4):185–192.
4. Lee SJ, Ha US, Kim SW, Cho YH, Yoon MS. Prevalence of chlamydial and gonococcal infections and sexual behavior in university students in Korea. Korean J Urol 2004;45(7):707–713.
5. Kim KW, Kang KH, Jeong GH. Self-efficacy and sexual autonomy among university students. J Korean Public Health Nurs 2012;26(1):51–59. [doi: 10.5932/JKPHN.2012.26.1.051]
6. Woo NS, Ka YH. A study on the sexual knowledge, sexual attitudes and sexual behavior in Korean and American college students. Korean J Woman Psychol 2005;10(2):113–133.
7. Kang HS, Jang SB. Development of college student's condom attitude scale. J Korean Acad Nurs 2004;34(5):751–759.
8. Ko YS. In: A study on male and female university students' sexual attitude and sexual behavior [master's thesis]. Seoul: Ewha Womans University; 2001.
9. Choi MS, Ha NS. A study on the knowledge, attitude, and experience in sex and sexual autonomy of college students. Korean J Women Health Nurs 2004;10(4):318–330.
10. Wolf S. In: Freedom within reason. Oxford: Oxford University Press; 1994.
11. Kim SJ. In: Predictors of male college students' condom use based upon the health belief model. [master's thesis]. Suwon: Ajou University; 2009.
12. Chang SB. Development of sexual autonomy measurement for college students. Korean J Women Health Nurs 2002;8(1):106–115.
13. Cho GY, Kim YH. Factors affecting sexual autonomy among female university students. J Korea Acad Ind Coop Soc 2014;15(11):6710–6718. [doi: 10.5762/KAIS.2014.15.11.6710]
14. Shim CS, Lee YS, Oh SH. Study on the relationship between gender-role stereotypes, sexual assault awareness and permissible limit in the college students. Korean J Women Health Nurs 2012;18(2):117–125.
15. Yoo MS, Park JW, You MA. The relationships among gender egalitarianism, sexual attitudes and sexual harassment myths among Korean university students. J Korean Soc Matern Child Health 2012;16(1):14–22.
16. Faul F, Erdfelder E, Buchner A, Lang AG. Statistical power analyses using G*Power 3.1: Tests for correlation and regression analyses. Behav Res Methods 2009;41(4):1149–1160.
17. Mahoney CA, Thomb DL, Ford OJ. Health belief and self-efficacy models: their utility in explaining college student condom use. AIDS Educ Prev 1995;7(1):32–49.
18. Baron RM, Kenny DA. The moderator-mediator variable distinction in social psychological research: conceptual, strategic, and statistical considerations. J Pers Soc Psychol 1986;51(6):1173–1182.
19. Sobel ME. Asymptotic confidence intervals for indirect effects in structural equation models. Sociol Methodol 1982;13:290–312.
20. Shin KR, Park HJ, Kang MJ, Park IS, Bae KE, Seo SR, et al. In: Survey on actuation sexual attitude among college students. Health Promotion Research Report. Seoul: Korea Health Promotion Foundation; 2011 Nov.
21. Lee HK. Predictors of condom use intentions according to experience of sexual intercourse in male college students. Korean J Women Health Nurs 2010;16(2):194–203. [doi: 10.4069/kjwhn.2010.16.2.194]
22. Ji SH, Kang YS. Discussion on mediation tests of structural equation model in social science field. J Korean Data Anal Soc 2014;16(6):3121–3131.
23. Preacher KJ, Hayes AF. SPSS and SAS procedures for estimating indirect effects in simple mediation models. Behav Res Methods Instrum Comput 2004;36(4):717–731.
24. Rucker DD, Preacher KJ, Tormala ZL, Petty RE. Mediation analysis in social psychology: current practices and new recommendations. Soc Personal Psychol 2011;5(6):359–371. [doi: 10.1111/j.1751-9004.2011.00355.x]