Journal of Korean Academy of Nursing

Prevention Stages for Sexually Transmitted Diseases of College Students: Soon Bok Chang; Journal of Nurses Academic Society 1997;27(2):423-432. Published online March 30, 2017; DOI: https://doi.org/10.4040/jnas.1997.27.2.423

Abstract PDF: This is a descriptive study to understand the preventive stage for STDs to provide a basis for sex education for college students. The colleges were selected by quota sampling in five representative cities in Korea, but the1,691 college students were selected by convenient sampling in the cities nationwide, and the data were collected by self-reporting using questionnaire consisting of 33 items. The results were as follows : 1. Their mean ages were 21.8 for female and 23.3 for male students, 2. 78.0% of the males and 46.5% of the females permitted premarital sex, 57.1% of male and 10.3% of female college students had experienced sexual intercourse, 7.1% of males and 2.4% of females had experienced pregnancy, 10.3% of males and 3.4% of females had been infected with STDs, 72.1% of male and 13.8% of female didn't use condoms at the time of infection. 3. Most of the factors related to STDs infection, such as drinking, smoking, frequency of sexual intercourse, pregnancy, knowledge of STDs, the score of STDs prevention were statistically higher in the male student group than in the female group. 4. The student's mean score of knowledge about STDs was similar between the male group(7.80)and the female group(7.84) with a possible score range from 0-18. 5. Only fifteen percent of male and 9.6% of female students expressed that they will do something to prevent STD. 6. The group having the experience of sexual intercourse(t=3.924, P=.048) and the group of having experience of contracting STDs(t=16.638, P=.000) had shown statistically higher STDs prevention score than the group not having that kind of experience, but the group not having experience with pregnancy didn't show any difference from the group not having experience with pregnancy. Considering that 57.1% of males and 10.3% of females had sexual intercourse experience, 78% of male and 46.5% of female permitted premarital sex, 10.3% of male and 3.4% of female had been infected with STDs. It could be concluded that the college students were ignorant about the prevention of STDs and had unrealistic stage of the STDs prevention. Therefore, enforcement of education for the prevention of STDs including the dynamics of the sexual intercourse and STDs infection is needed.

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The Effects of a Sex Education Program on Knowledge Related to Sexually Transmitted Diseases and Sexual Autonomy among University Students: Yun Hee Shin, Young Kyung Chun, Sung Mi Cho, Ye Ryung Cho; Journal of Korean Academy of Nursing 2005;35(7):1304-1313. Published online March 28, 2017; DOI: https://doi.org/10.4040/jkan.2005.35.7.1304

Abstract PDF: Purpose
The purpose of this study was to evaluate the effects of a sex education program, which was based on the Health Belief Model, on knowledge related to sexually transmitted diseases and sexual autonomy among university students.
Methods
A non-equivalent control group, pretest-posttest design was used. The four session program was delivered to 18 students during 4 weeks; the control group consisted of 23 students. The theme of the first session was “sex, gender, and sexuality: all our concern”, “dangerous sex” for the second session, “safe sex” for the third session, and “right sex for you and me” for the fourth session.
Results
At follow-up, the knowledge related to sexually transmitted diseases and sexual autonomy were significantly greater in the intervention group than in the control group.
Conclusion
A sex education program with several sessions within the theoretical frame of HBM was effective to improve knowledge related to sexually transmitted diseases and sexual autonomy. The results suggest the potential of a systematic sexual education program to teach healthy sex and to extend the program for other various populations.

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Development and Testing of a Sexually Transmitted Diseases Prevention Program in At-Risk Prostitutes: Yang Heui Ahn, Gi Nam Jin; Journal of Korean Academy of Nursing 2005;35(5):868-878. Published online March 28, 2017; DOI: https://doi.org/10.4040/jkan.2005.35.5.868

Abstract PDF: Purpose
The purpose of the study was to test the effectiveness of an 8 session intervention program to prevent sexually transmitted diseases (STDs) among at-risk prostitutes.
Methods
An experimental research design was employed. Subjects were 59 prostitutes (29 in the control group and 30 in the experimental group) who agreed to participate in this study. An STD Prevention Framework derived from Cox's Interaction Model of Client Health Behavior guided the overall intervention and the components. The intervention had 8 sessions with STD-prevention strategies and was led by Public Health Nurses. Analysis included change scores, χ²-test, and t-test.
Results
The results revealed significant increase in feelings and skills of condom use, peer belief on condom use, condom use practice, and satisfaction with service at public health centers (PHC) on STDs knowledge and skills in the experimental group. However, newly contracted STDs were not significant statistically between groups.
Conclusion
The 8 session STDs prevention program showed a effect on emotions, skills and behaviors of condom use even withthe limitation of methodological rigors because of subject-specific conditions. In the future, a capacity-building model based on collaborating networks among community-based organizations will be needed to develop in effective STDs prevention.

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