Journal List > Korean J Women Health Nurs > v.23(4) > 1089576

Choi and Ko: Concept Analysis of Female Sexual Subjectivity based on Walker and Avant's Method



The purpose of this study was to clarify attributes, antecedents, and consequences of female sexual subjectivity.


Walker and Avant's concept analysis process was used to analyze 27 studies from the current literature that relates to female sexual subjectivity. A systematic literature review of women's study in sociology, psychology, theology, law, health science, and nursing was reviewed.


The defining attributes of female sexual subjectivity were sexual self-awareness, sexual decision making, sexual desire, and good sexual communication with partner. The antecedents of female sexual subjectivity were social environment, sexual education, sexual experience, and interpersonal relationship. The consequences of female sexual subjectivity were safe sex, prevention of sexual victimization, and sexual satisfaction.


Female sexual subjectivity is defined as sexual self-awareness, sexual decision making, sexual desire to seek sexual pleasure and safety, and effective communication with partner in terms of sexual behavior, sexual experience and sexual health. Based on these results, a scale measuring female sexual subjectivity is needed.


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Figure 1.
Flow chart of study selection.
Figure 2.
Conceptual structure of female sexual subjectivity.
Table 1.
Attributes, Antecedents, Facilitators and Consequences by Disciplines
Disciplines Attributes Antecedents Facilitators Consequences
Women's study ․ Right of sexual decision making [A1] ․ Sexual self-awareness [A1, A2] ․ Sexual desire and pleasure [A1, A2] ․ Sexual autonomy [A3] ․ Relationship [A1] ․ Social environment [A1∼A3] ․ Regulation [A3] ․ Sexual education [A3] ․ Strengths of economic and psychic resource [A1] ․ Policy related to sexual issue [A3] ․ Liberation from male control [A2]
Sociology ․ Good sexual communication and interaction with partner [A4] ․ Sexual self-awareness [A5] ․ Sexual decision making [A5, A6] ․ Social environment [A4, A5] ․ Interpersonal relationship [A5] ․ Sexual education [A5] ․ Sexual experiences [A5] ․ Self image [A5] ․ Age [A6] ․ Modernization [A5] ․ Sexual satisfaction [A4] ․ Safe sex [A4∼A6] ․ Prevention of sexual victimization [A4, A6] ․ Responsibility [A5] ․ Planned family size [A6]
Psychology ․ Sexual feeling [A7, A8] ․ Sexual desire and pleasure [A8∼A10] ․ Sexual decision making [A8∼A10] ․ Rejection sexual objectification [A9] ․ Sexual self-awareness [A10, A11] ․ Communication skill [A10, A11] ․ Social environment [A8] ․ Self-esteem [A9, A10] ․ Gender egalitarianism [A11] ․ Sexual experiences [A11] ․ Power [A9] ․ Sexual satisfaction [A7, A10] ․ Increasing empowerment [A9] ․ Safe sex [A10] ․ Reducing of guilty and sexual anxiety [A10] ․ Prevention of sexual victimization [A11]
Theology ․ Sexual decision making [A12] ․ Sexual autonomy [A13] ․ Sexual pleasure [A13] ․ Social Environment [A13]   ․ Prevention of sexual victimization [A13]
Law ․ Sexual self-awareness [A14] ․ Sexual desire [A14] ․ Sexual integrity [A14] ․ Freedom of sexual expression [A14] ․ Right of sexual decision making [A14∼A16] ․ Social Environment [A14, A16]   ․ Prevention of sexual victimization [A14]
Health science ․ Sexual self-reflection [A17∼A19] ․ Sexual body-esteem [A17∼A19] ․ Sexual desire and pleasure [A17∼A19] ․ Sexual Self-efficacy [A17, A18] ․ Entitlement to desire and pleasure from a partner [A17∼A19] ․ Sexual activities with pleasure and safe [A18, A19] ․ Sexual communication with partner [A18, A20] ․ Sexual decision making [A18, A20] ․ Sexual self-awareness [A19] ․ Being sexual subject [A19] ․ Age [A17] ․ Sexual experience [A17, A19] ․ Social environment [A18] ․ Body-esteem [A20] ․ Autonomous sexual decision making [A17] ․ Romantic relationship [A17] ․ Healthy sexual development [A17] ․ Safe sexual practices [A17] ․ Sexual satisfaction [A17] ․ Sexual well-being [A19] ․ Enjoyable sexual relationship [A19] ․ Protection of sexual health [A20]
Nursing ․ Sexual self-awareness [A21, A22] ․ Communication with partner [A21, A24] ․ Self-control of sexual desire [A22] ․ Sexual decision making [A21, A24∼A26] ․ Sexual communication skill [A23, A25] ․ Sexual desire with pleasure [A23, A27] ․ Right of sexual expression [A27] ․ Sexual experience [A21, A23, A24] ․ Social environment [A21, A23, A25∼A27] ․ Sexual knowledge [A22] ․ Sexual education [A26] ․ Self efficacy [A22, A23] ․ Gender egalitarianism [A23] ․ Self esteem [A24] ․ Safe sex Self efficacy [A21∼A25] ․ Prevention of sexual victimization [A21, A23∼A25] ․ Sexual satisfaction [A27]
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