Journal List > Korean J Women Health Nurs > v.24(1) > 1094761

Kim, Park, and Cho: Effects of Sex Communication with Friends and Sexual Double Standard on Contraceptive Self-efficacy among University Students

Abstract

Purpose

To determine the effect of sex communication with friends and sexual double standard on contraceptive self-efficacy among university students.

Methods

With a survey design, data were collected from 251 university students from three universities in G city from September 2016 to October 2016. Data were analyzed by descriptive statistics, t-test, ANOVA, Pearson's correlation coefficient, and stepwise multiple regression.

Results

Sex communication with friends, sexual double standard, and contraceptive self-efficacy scores of participants were 58.82±8.78, 21.73±6.00, and 44.20±5.91, respectively. Sex communication with friends and sexual double standard were related to contraceptive self-efficacy. Sexual double standard, sex communication with friends, female, contraceptive education, and contraceptive experience explained 33% of contraceptive self-efficacy of participants.

Conclusion

Sexual double standard and sex communication with friends were influencing factors of contraceptive self-efficacy. To improve contraceptive self-efficacy of university students, a program is needed to eliminate sexual double standard and improve sex communication with friends among university students in Korea.

References

1. Kim YH, Moon ST, Kang HS. Factors influencing on sexual assertiveness of college students. Korean Journal of Women Health Nursing. 2013; 19(3):166–175. https://doi.org/10.4069/kjwhn.2013.19.3.166.
crossref
2. Choi MS, Ha NS. A study on knowledge, attitude, and experience in sex and sexual autonomy of college students. Korean Journal of Women Health Nursing. 2004; 10(4):318–330.
crossref
3. Hur MH, Ahn HY, Kwak EA, Kim KM, Park JY, Lee JR. A study on sexual behavior, and correlation between knowledge of contraception and attitude of contraception among university students. Journal of Korean Academy of Nursing. 2007; 37(3):267–275. https://doi.org/10.4040%2Fjkan.2007.37.3.267.
crossref
4. Shin KR, Park HJ, Bae KE, Cha C. Sexual behavior, health risk behaviors related to reproductive health, and sexual experiences among Korean college students. Journal of Korean Academy Adult Nursing. 2010; 22(6):624–633.
5. Kang HS. An explanatory model of condom use among Korean college students [dissertation]. Seoul: Yonsei University;2001. p. 130. p.
6. Kim YS. The importance of the communication of sex with friends: the communication, the knowledge and the attitude relationship [master's thesis]. Seoul: Korea University;2007. p. 51. p.
7. Reiss IL. The social context of premarital sexual permissiveness. New York: Helt, Rinehart & Winston;1967. p. 256. p.
8. Kim YG. The effects of university students' sexual double standard, sexual subjectivity, sexual meaning on their sexual behaviors. Forum for Youth Culture. 2011; 27:8–37.
9. Min HY, Kim KH. Parent's supportive parenting and adolescent sexual values. Korean Journal of Child Studies. 2005; 26(6):59–71.
10. Kim KH, Cho EA. Reliability and validity of the Korean version of the contraceptive self-efficacy scale: Focused on women university students. Korean Journal of Women Health Nursing. 2016; 22(3):151–161. https://doi.org/10.4069/kjwhn.2016.22.3.151.
crossref
11. Lee IS, Cho JY. Comparative study on the contraceptive knowledge, self-efficacy according to the career tract of high school female students. The Journal of the Korean Society of School.
12. Hwang SW, Chung CW. Structural equation modeling on contraception behavior of unmarried men and women in Korea: Gender difference. Journal of Korean Academy of Nursing. 2014; 44(2):159–169. https://doi.org/10.4040/jkan.2014.44.2.159.
crossref
13. Levinson RA. Contraceptive self efficacy: A perspective on teenage girl's contraceptive behavior. The Journal of Sex Research. 1986; 22(3):347–369. https://doi.org/10.1080/00224498609551314.
14. Alvarez C, Villarruel AM, Zhou Y, Gallegos E. Predictors of condom use among Mexican adolescents. Research and Theory for Nursing Practice. 2010; 24(3):187–196.
crossref
15. Jung HY. Contraceptive knowledge, contraception self-efficacy among university students. Journal of the Korean Society for Multicultural Health. 2016; 6(1):17–25.
16. Cho JY, Lee IS. Sexual behavior, knowledge, self-efficacy, and perceived risk of contraception among male high school students. Journal of Korean Data Analysis Society. 2010; 12(6):3179–3192.
17. Choo BS. A qualitative research on college students' sexual double standard. Journal of Future Oriental Youth Society. 2014; 11(4):47–75.
18. Warren C. Parent, children and communication: Frontiers of theory and research (Parent-child communication about sex). Mahwah. New Jersey: Lawrence Erlbaum associater;1995. p. 173–201.
19. Ha SH, Lee JY, Chung HJ. The effect of parenting processes on sexual attitude and sexual behaviors among college students. Journal of Korean Management Association. 2006; 24(1):271–286.
20. Caron SL, Davis CM, Halteman WA, Stickle M. Predictors of condom-related behaviors among first-year college students. Journal of Sex Research. 1993; 30(3):252–259.
crossref
21. Nam YJ. Sexual meaning types and marital satisfaction of the married in their 30s and 40s [dissertation]. Seoul: Seoul National University;2003. p. 136. p.
22. Kim MJ. A structural equation model explaining contraception behaviors of married Korean women. Korean Journal of Women Health Nursing. 2001; 7(2):141–156.
23. Faul F, Erdfelder E, Lang AG, Buchner A. G∗Power 3: a flexible statistical power analysis program for the social, behavioral, and biomedical sciences. Behavior Research Methods. 2007; 39(2):175–191.
crossref
24. Ip WY, Sin LL, Chan DS. Contraceptive self-efficacy and contraceptive knowledge of Hong Kong Chinese women with unplanned pregnancy. Journal of Clinical Nursing. 2009; 18(17):2416–2425. https://doi.org/10.1111/j.1365–2702.2009.02829.
crossref
25. Jaung AH, Jung YJ, Kim MY. Affecting factors sexual experience among college students. Journal of the Korea Academia-Industrial cooperation Society. 2015; 16(1):555–563. https://doi.org/10.5762/KAIS.2015.16.1.555.
crossref
26. Cho GY, Kim YH. Factors affecting sexual autonomy among female university students. Journal of the Korea Academia-Industrial cooperation Society. 2014; 15(11):6710–6718. https://doi.org/10.5762/KAIS.2014.15.11.6710.
crossref
27. Impett EA, Peplau LA. Sexual compliance: Gender, motivational, and relationship perspectives. Journal of Sex Research. 2002; 40(1):87–100. https://doi.org/10.1080/00224490309552169.
crossref

Table 1.
General Characteristics (N=251)
Characteristics Categories n (%) or M±SD
Gender Male Female 117 (46.6) 134 (53.4)
Age (year) 18∼19 20∼21 ≥22 20.83±1.95 77 (30.7) 91 (36.2) 83 (33.1)
Department Health & medical Science & technology Humanities & social studies Arts & physical education 75 (29.9) 48 (19.1) 63 (25.1) 65 (25.9)
Grade Freshman Sophomore Junior Senior 60 (39.4) 96 (38.2) 56 (22.3) 39 (15.5)
Parents' opinion about dating Conservative Moderate Open 39 (15.5) 149 (59.4) 63 (25.1)
Economic status High Middle Low 15 (6.0) 211 (84.0) 25 (10.0)
Drinking within one year Yes No 234 (93.2) 17 (6.8)
Experience of watching pornography Yes No 181 (72.1) 70 (27.9)
Contraceptive education Yes No 195 (77.7) 56 (22.3)
Information sources of contraceptive education (n=195) School Friends Others 149 (76.4) 11 (5.6) 35 (17.9)
Friend of opposite sex Yes No In the past, not present 96 (38.3) 111 (44.2) 44 (17.5)
Experience of sexual intercourse Yes No 98 (39.0) 153 (61.0)
The first time of sexual intercourse (year) (n=81) 13∼17 18∼19 ≥20 18 (22.2) 34 (42.0) 29 (35.8)
Contraceptive experience Yes No 90 (35.9) 161 (64.1)
Contraceptive intent Yes No 243 (96.8) 8 (3.2)
Method of contraception Condom Oral contraceptive pill Others >2 171 (68.1) 17 (6.8) 32 (12.7) 31 (12.4)
Character Introvert 87 (34.7)
  Extrovert I do not know 88 (35.1) 76 (30.2)
Number of friends (n=238) 0 1∼2 3∼4 ≥5 6 (2.5) 49 (20.6) 80 (33.6) 103 (43.3)
Table 2.
Differences of Contraceptive Self efficacy to the General Characteristic (N=251)
Characteristics Categories   Contraceptive self-efficacy  
M±SD t or F p Scheffé
Gender Male 3.54±0.45 –5.00 <.001  
  Female 3.84±0.48      
Age (year) 18∼19 3.71±0.54 0.58 .560  
  20∼21 3.70±0.48      
  ≥22 3.64±0.49      
Department Health & medical 3.76±0.50 2.17 .092  
  Science & technology 3.54±0.43      
  Humanities & social studies 3.73±0.52      
  Arts & physical education 3.72±0.47      
Grade Freshman 3.70±0.51 0.29 .835  
  Sophomore 3.71±0.53      
  Junior 3.65±0.46      
  Senior 3.74±0.38      
Parents' opinion about dating Conservative 3.77±0.54 0.74 .480  
  Moderate 3.67±0.48      
  Open 3.66±0.50      
Economic status High 3.73±0.59 1.51 .223  
  Middle 3.70±0.49      
  Low 3.52±0.43      
Drinking with one year Yes 3.69±0.50 1.30 .196  
  No 3.53±0.40      
Experience of watching Yes 3.69±0.50 0.20 .845  
pornography No 3.67±0.46      
Contraceptive education Yes 3.76±0.49 4.68 <.001  
  No 3.42±0.42      
Information sources of School 3.75±0.48 0.31 .735  
contraceptive education Friends 3.87±0.46      
  Others 3.75±0.52      
Friend of opposite sex Yes 3.74±0.51 2.94 .055  
  No 3.60±0.47      
  In the past, not present 3.76±0.49      
Experience of sexual Yes 3.76±0.46 1.85 .066  
intercourse No 3.64±0.51      
The first time of sexual 13∼17 3.80±0.39 0.89 .417  
intercourse (year) 18∼19 3.87±0.50      
  ≥20 3.71±0.48      
Contraceptive experience Yes 3.79±0.46 2.47 .014  
  No 3.63±0.50      
Contraceptive intent Yes 3.70±0.49 2.75 .006  
  No 3.22±0.37      
Method of contraception Condom 3.70±0.47 1.09 .353  
  Oral contraceptive pill 3.64±0.50      
  Other 3.55±0.56      
  >2 3.74±0.54      
Character Introverta 3.59±0.47 8.14 <.001 a, c<b
  Extrovertb 3.85±0.52      
  I do not knowc 3.60±0.44      
Number of friends 0a 3.07±0.15 26.56 <.001 a<b, c, d
  1∼2b 3.67±0.47      
  3∼4c 3.71±0.54      
  ≥5d 3.67±0.43      
Table 3.
Relationships among Three Research Variables (N=251)
Variables Sex communication with friends Sexual double standard Contraceptive self-efficacy
r (p) r (p) r (p)
Sex communication with friends    
Sexual double standard –.14 (.022)  
Contraceptive self-efficacy .39 (<.001) –.39 (<.001)
Table 4.
The Influenced Factors on Contraceptive Self-efficacy (N=251)
Variables B SE β t p
(Constant) 32.75 3.28   10.00 <.001
Sexual double standard –0.27 0.05 –.27 –4.98 <.001
Sex communication with friends 0.17 0.04 .25 4.41 <.001
Gender (female) 2.59 0.69 .22 3.73 <.001
Contraceptive education (yes)  2.00 0.78 .14 2.58 .011
Contraceptive experience (yes) 1.55 0.71 .13 2.17 .031
Contraceptive intent (yes) 2.50 1.80 .07 1.39 .165
Character (introvert) 0.49 0.78 .04 0.63 .527
Character (extrovert) 0.87 0.80 .07 1.08 .283
Number of friends (1∼2) 0.91 1.35 .06 0.67 .502
Number of friends (3∼4) 0.86 1.27 .07 0.68 .497
Number of friends (≥5) 1.16 1.25 .10 0.93 .353
R2=.36, Adjusted R2=.33, F=12.12, p<.001

Dummy variables; B=unstandardized coefficients; SE=standard error; β=standardized coefficients.

Table 5.
The Influenced Factors on Contraceptive Self-efficacy by Sex (N=251
Variables   Male (n=117)     Female (n=134)  
B SE β t p B SE β t p
(Constant) 38.89 4.29   9.06 <.001 30.26 4.90   6.18 <.001
Sexual double standard –0.28 0.07 –.33 –4.10 <.001 –0.21 0.08 –.21 –2.56 .012
Sex communication with friends 0.11 0.05 .18 2.14 .035 0.21 0.06 .32 3.66 <.001
Contraceptive education (yes)  2.90 0.92 .25 3.15 .002 0.99 1.30 .06 0.76 .447
Contraceptive experience (yes) 2.97 0.88 .28 3.36 .001 0.21 1.16 .02 0.18 .858
Contraceptive intent (yes) –1.36 2.33 –.05 –0.58 .561 5.66 2.78 .16 2.04 .044
Character (introvert) 1.18 1.01 .11 1.17 .244 –0.21 1.22 –.02 –0.17 .863
Character (extrovert) 0.54 1.16 .05 0.46 .644 1.23 1.13 .10 1.09 .279
Number of friends (1∼2) 0.39 1.82 .02 0.21 .831 0.74 2.21 .06 0.34 .738
Number of friends (3∼4) 0.20 1.57 .02 0.13 .899 1.01 2.17 .08 0.47 .643
Number of friends (≥5) 1.02 1.52 .10 0.67 .506 0.59 2.15 .05 0.27 .784
  R2=.39, Adjusted d R2=.33, F=6.83, p <.001 R2=.29, Adjusted R2=.23, F=4.96, p<.001

Dummy variables; B=unstandardized coefficients; SE=standard Error; β=standardized coefficients.

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