Skip Navigation
Skip to contents

J Korean Acad Nurs : Journal of Korean Academy of Nursing

OPEN ACCESS

Articles

Page Path
HOME > J Korean Acad Nurs > Volume 44(2); 2014 > Article
Original Article
Structural Equation Modeling on Contraception Behavior of Unmarried Men and Women in Korea: Gender Difference
Shin Woo Hwang, Chae Weon Chung
Journal of Korean Academy of Nursing 2014;44(2):159-169.
DOI: https://doi.org/10.4040/jkan.2014.44.2.159
Published online: April 30, 2014

1HyoSung Hospital, Daegu, Korea.

2College of Nursing, Research Institute of Nursing Science, Seoul National University, Seoul, Korea.

Address reprint requests to: Hwang, Shin Woo. HyoSung Hospital, 194 Suseong-ro, Suseong-gu, Daegu 706-837, Korea. Tel: +82-53-766-7750, Fax: +82-53-764-0163, sepochung@naver.com
• Received: December 11, 2013   • Revised: December 18, 2013   • Accepted: February 23, 2014

© 2014 Korean Society of Nursing Science

This is an Open Access article distributed under the terms of the Creative Commons Attribution NoDerivs License. (http://creativecommons.org/licenses/by-nd/4.0/) If the original work is properly cited and retained without any modification or reproduction, it can be used and re-distributed in any format and medium.

  • 189 Views
  • 1 Download
  • 14 Crossref
  • 10 Scopus
prev next
  • Purpose
    The purpose of this study was to test and validate a model to predict contraception behavior in unmarried men and women.
  • Methods
    Data were collected from a questionnaire survey of 180 unmarried men and 186 unmarried women 20 years of age or over who had sexual relationships in the past 6 months. Participants were from Seoul, Kyunggi, Daegu, and Busan and data collection was done from February 19 to April 16, 2013.
  • Results
    Model fit indices for the hypotheoretical model fitted to the recommended levels. Out of 15 paths, 11 were statistically significant in both. Predictors of contraception behavior in unmarried men and women were intention to use contraception and self-efficacy for contraception. Exposure to sexual content was directly significant to the intention in men only. Self-efficacy for contraception was affected by perceived threat of pregnancy and gender role attitude. In women, the two predictors were also significant except for the effect of exposure to sexual contents.
  • Conclusion
    Results indicate that an intervention program which increases self-efficacy in unmarried men and women contributes to effective contraception behavior. In addition, proper sexual education programs using positive aspect of mass media can help develop active participation for contraception behavior.
  • 1. Kim HY, Sun BY, Kim EY, Jung JH. Report No.: Research Report-10. Unwed mother's life world and policy agenda. Seoul: Korean Women's Development Institute; 2009.
  • 2. Lee IS, Choi GY, Cha SH, Park HY, Lee JJ. A survey on the sexual behavior of adolescents in South Korea: The third survey in 2007. Korean J Obstet Gynecol. 2010;53(6):512–519. http://dx.doi.org/10.5468/kjog.2010.53.6.512Article
  • 3. Sieving RE, McRee AL, McMorris BJ, Beckman KJ, Pettingell SL, Bearinger LH, et al. Prime time: Sexual health outcomes at 24 months for a clinic-linked intervention to prevent pregnancy risk behaviors. JAMA Pediatr. 2013;167(4):333–340. http://dx.doi.org/10.1001/jamapediatrics.2013.1089ArticlePubMedPMC
  • 4. Ajzen I. The theory of planned behavior. Organ Behav Hum Decis Process. 1991;50(2):179–211. http://dx.doi.org/10.1016/0749-5978(91)90020-TArticle
  • 5. Kang HS. An explanatory model of condom use among Korean college students [dissertation]. Seoul, Yonsei University. 2001.
  • 6. Kim MJ. A structural equation model explaining contraception behaviors of married Korean women [dissertation]. Seoul, Yonsei University. 2001.
  • 7. Fishbein M. A reasoned action approach to health promotion. Med Decis Making. 2008;28(6):834–844. http://dx.doi.org/10.1177/0272989x08326092ArticlePubMedPMCPDF
  • 8. Song JE, Chae HJ. Knowledge and educational need about contraceptives according to sex in college students. Korean J Women Health Nurs. 2010;16(4):399–408. http://dx.doi.org/10.4069/kjwhn.2010.16.4.399ArticlePubMed
  • 9. Witte K, Cameron KA, McKeon JK, Berkowitz JM. Predicting risk behaviors: Development and validation of a diagnostic scale. J Health Commun. 1996;1(4):317–341. http://dx.doi.org/10.1080/108107396127988ArticlePubMed
  • 10. Hwang SW, Chung CW. Contraception behaviors in unmarried men and women: A descriptive qualitative approach. Perspect Nurs Sci. 2012;9(2):71–82.
  • 11. Moon YP. A study of sex-role attitudes, role-expectations and role-performances among urban married couples [master's thesis]. Seoul, Ewha Womans University. 1989.
  • 12. Peter J, Valkenburg PM. Adolescents' exposure to sexually explicit material on the internet. Communic Res. 2006;33(2):178–204. http://dx.doi.org/10.1177/0093650205285369ArticlePDF
  • 13. Choi MI. Determinants on the exposure to internet sexually explicit materials and adolescents' sexual attitudes. Korean J Journal Commun Stud. 2009;53(2):49–69.
  • 14. Yu JP. The concept and understanding of structural equation modeling. Seoul: Hannarae Publishing Co; 2012.
  • 15. Kang HS, Chang SB. Development of college students' condom attitude scale. J Korean Acad Nurs. 2004;34(5):751–759.ArticlePDF
  • 16. Hwang SW, Chung CW. Contraception behavior and related factors in unmarried female and male. Korean J Women Health Nurs. 2011;17(1):77–87. http://dx.doi.org/10.4069/kjwhn.2011.17.1.77ArticlePubMed
  • 17. Primack BA, Switzer GE, Dalton MA. Improving measurement of normative beliefs involving smoking among adolescents. Arch Pediatr Adolesc Med. 2007;161(5):434–439. http://dx.doi.org/10.1001/archpedi.161.5.434ArticlePubMedPMC
  • 18. Statistics Korea. Economically active population survey. Daejeon: Statistics Korea; 2007.
  • 19. Lee KH. Popular culture and sex education for teenager. In: Paper presented at: College of Nursing Seoul National University Seminar. 2013 April 17; College of Nursing Seoul National University Main Center. Seoul.
  • 20. Kim EM, Yu SJ, Song MR. Correlation between history of exposure to obscene material, sexual attitudes and intercourse experience among university students. J Korean Acad Fundam Nurs. 2013;20(1):18–26.Article
  • 21. HwangSong MH, Kim JM, Moon I. Predicting adolescent sexual behaviors and attitudes from the use of harmful media. J Korean Soc Sch Health Educ. 2008;9(2):1–13.
  • 22. Do M, Fu H. Is women's self-efficacy in negotiating sexual decision-making associated with condom use in marital relationships in Vietnam? Stud Fam Plann. 2011;42(4):273–282.ArticlePubMed
Figure 1
Conceptual framework of the study.
jkan-44-159-g001.jpg
Figure 2
Path diagram for the hypotheoretical model.
jkan-44-159-g002.jpg
Table 1
Effects of Predictive Variables on Endogenous Variables in the Model for Men and Women
jkan-44-159-i001.jpg

*p<.05; p<.01.

Figure & Data

REFERENCES

    Citations

    Citations to this article as recorded by  
    • Psychometric evaluation of the Korean version of the sexual communication self-efficacy scale among South Korean college students
      Sujung Lee, Jungmin Lee
      Frontiers in Public Health.2025;[Epub]     CrossRef
    • Factors affecting the safe sexual behaviors of Korean young adults by gender: a structural equation model
      Nalae Moon, Hyunjin Kang, Su Ji Heo, Ju Hee Kim
      Korean Journal of Women Health Nursing.2023; 29(2): 115.     CrossRef
    • Translation and Psychometric Evaluation of the Female Sexual Resourcefulness Scale (FSRS) in South Korea
      Jungmin Lee, Yoonjung Kim
      Psychology Research and Behavior Management.2022; Volume 15: 2357.     CrossRef
    • Factors affecting reproductive health promotion behavior among late-adolescent girls in South Korea: A cross-sectional descriptive study
      Minji Je, Hyeon Ok Ju, Jaeyoung Lee
      Children and Youth Services Review.2020; 118: 105347.     CrossRef
    • Association of Contraceptive Knowledge, Sexual Double Standard and Contraceptive Self-Efficacy among Unmarried Women in Their 30s and 40s
      Kye-ha Kim, Euna Cho
      Korean Journal of Women Health Nursing.2019; 25(2): 169.     CrossRef
    • Effects of Sex Communication with Friends and Sexual Double Standard on Contraceptive Self-efficacy among University Students
      Junghyo Kim, Mikyung Park, Euna Cho
      Korean Journal of Women Health Nursing.2018; 24(1): 14.     CrossRef
    • How Does Advance Provision of Emergency Contraceptives Affect Contraceptive Use and Sexual Activity Among Adolescents? Systematic Review and Meta-Analysis
      Kyungsoon Ryu, Misoon Lee, Younghae Kim, Seonhwa Ban, Mihyang Choi
      Journal of Korean Academy of Nursing.2018; 48(3): 255.     CrossRef
    • A cross-sectional survey of relationships between sexual knowledge, sexual attitudes, and reproductive health behaviour among female university students
      Hye Young Kim, Myonghwa Park, EunJu Lee
      Contemporary Nurse.2018; 54(6): 640.     CrossRef
    • A 10-Year Interval Study About the Sexual Life and Attitudes of Korean Women: The Korean Internet Sexuality Survey (KISS) 2014, Part 2
      Juhyun Park, Byunghun Min, Hyojin Shin, Sohee Oh, Won Hoon Song, Sung Yong Cho, Min Chul Cho, Hyeon Jeong, Hwancheol Son
      The Journal of Sexual Medicine.2017; 14(9): 1142.     CrossRef
    • Effects of a Customized Birth Control Program for Married Immigrant Postpartum Mothers
      So Young Kim, So Young Choi
      Journal of Korean Academy of Nursing.2016; 46(6): 780.     CrossRef
    • Sexual Behaviors and Sexual Experience of Adolescents in Korea
      Gyuyoung Lee
      Journal of the Korea Academia-Industrial cooperation Society.2016; 17(12): 71.     CrossRef
    • Reliability and Validity of the Korean Version of the Contraceptive Self-efficacy Scale: Focused on Women University Students
      Kyeha Kim, Euna Cho
      Korean Journal of Women Health Nursing.2016; 22(3): 151.     CrossRef
    • A Structural Equation Modeling on Reproductive Health Promoting Behavior of Unmarried Women: Based on the Theory of Planned Behavior
      Eun Mi Ji, So Young Choi, Nam Joo Je
      Korean Journal of Women Health Nursing.2016; 22(4): 210.     CrossRef
    • The Influence of Message Framing on College Students' Unintended Pregnancy Prevention by Regulatory Focus and Gender
      안소현, 최유진, 부선영
      Journal of Public Relations.2015; 19(4): 146.     CrossRef

    • Cite
      CITE
      export Copy Download
      Close
      Download Citation
      Download a citation file in RIS format that can be imported by all major citation management software, including EndNote, ProCite, RefWorks, and Reference Manager.

      Format:
      • RIS — For EndNote, ProCite, RefWorks, and most other reference management software
      • BibTeX — For JabRef, BibDesk, and other BibTeX-specific software
      Include:
      • Citation for the content below
      Structural Equation Modeling on Contraception Behavior of Unmarried Men and Women in Korea: Gender Difference
      J Korean Acad Nurs. 2014;44(2):159-169.   Published online April 30, 2014
      Close
    • XML DownloadXML Download
    Figure
    • 0
    • 1
    We recommend
    Related articles
    Structural Equation Modeling on Contraception Behavior of Unmarried Men and Women in Korea: Gender Difference
    Image Image
    Figure 1 Conceptual framework of the study.
    Figure 2 Path diagram for the hypotheoretical model.
    Structural Equation Modeling on Contraception Behavior of Unmarried Men and Women in Korea: Gender Difference

    Effects of Predictive Variables on Endogenous Variables in the Model for Men and Women

    *p<.05; p<.01.

    Table 1 Effects of Predictive Variables on Endogenous Variables in the Model for Men and Women

    *p<.05; p<.01.


    J Korean Acad Nurs : Journal of Korean Academy of Nursing
    Close layer
    TOP