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Journal of Korean Academy of Nursing
Oct, 2022;52 (5): 499-510.

Moderating the Effects of Health Behaviors on Sexual Intercourse among Adolescents: A Cross-Sectional Study Using the 2020 Adolescent Health Behavior Survey.

Eunmi Lee, Youngran Yang
Author Information
  1. Eunmi Lee: College of Nursing, Jeonbuk National University, Jeonju, Korea. ORCID
  2. Youngran Yang: College of Nursing · Research Institute of Nursing Science, Jeonbuk National University, Jeonju, Korea. youngran13@jbnu.ac.kr. ORCID
PMID: 36373466 DOI: 10.4040/jkan.22080

Abstract

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.

Keywords

Adolescent Health Behavior Sexual Intercourse

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Grants

  1. NRF-2020S1A5A2A03047080/National Research Foundation of Korea

MeSH Term

Male
Adolescent
Female
Humans
Coitus
Cross-Sectional Studies
Adolescent Health
Adolescent Behavior
Sexual Behavior
Health Behavior
Risk-Taking
Journal Article

Word Cloud

Created with Highcharts 10.0.0sexualschool=intercoursesmokingdruguseAdolescentHealthdrinkingtypeBehaviorstudentsSexual395%riskstudyassociationmoderatingeffectseconomicstatusamongSurvey2020middlehighsample58%3%2ORCIIntercoursePURPOSE:investigatedadolescenthealthbehaviorswellcohabitationparentsadolescentsKoreaMETHODS:Secondarydata16thusedtotal395schools54948participatedComplexfrequencyanalysisRao-ScotttestcomplexlogisticregressionanalysesperformedRESULTS:ratesmenwomenrespectivelyApproximately71reportedrelationsDrinkingoddsratio[OR]15confidenceinterval[CI]82~35267590~7710323~411significantlyincreasedEconomicCONCLUSION:associatedhigherexperienceThusreducecontrollingalcoholconsumptionnecessaryadditionprogramshealthylifestylesdifferentiatedaccordingconditionsadolescents'householdsModeratingEffectsBehaviorsAdolescents:Cross-SectionalStudyUsing

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