Early sexual debut and condom nonuse among adolescents in South Korea
Jiyun Kim A and Jong-Eun Lee B CA Department of Nursing, Gachon University, 1342 Seongnamdaero, Sujeong-gu, Seongnam-si, Gyeonggi-do, 461-701, South Korea.
B College of Nursing, The Catholic University of Korea, 505 Banpo-Dong, Socho-Gu, Seoul 137-701, South Korea.
C Corresponding author. Email: jlee@catholic.ac.kr
Sexual Health 9(5) 459-465 https://doi.org/10.1071/SH11124
Submitted: 5 September 2011 Accepted: 27 June 2012 Published: 15 October 2012
Abstract
Background: The purpose of this study was to investigate the factors related to sexual debut among adolescents, and to examine the association between subject characteristics and condom nonuse among those who experienced sexual intercourse in South Korea. Methods: Data were obtained from the 2009 Korean Youth Risk Behaviour Survey, a nationally representative sample. Logistic regression analysis was conducted to investigate the factors related to sexual debut, associations of condom nonuse and subject characteristics. Results: Among male adolescents, age, early age at first emission, low academic achievement, living with a step-parent, perceived low level of household income, frequent drinking and smoking, and depressive feelings were associated with early sexual debut. Attending a coeducational school, living with a single biological parent and step-parent, risky health behaviour such as drinking and smoking, and depressive feelings were related risks factors for early sexual debut among female students. Factors associated with condom nonuse included early sexual debut (less than 16 years of age) (odds ratio (OR) = 1.79, 95% confidence interval (CI) = 1.32–2.43) and frequent smoking behaviour (OR = 1.49, 95% CI = 1.08–2.05) for males and early sexual debut (OR = 4.37, 95% CI = 1.02–18.68) and frequent drinking (OR = 2.05, 95% CI = 1.12–3.75) for females. Conclusions: Appropriate interventions should be implemented for adolescents in Korea to delay sexual debut and educate them on the proper use of condoms.
Additional keywords: depression, risk, sexual behaviour, young people.
References
[1] Ministry of Health and Welfare. The 3rd Korean youth risk behavior web-based survey (2007). Seoul: Ministry of Health and Welfare; 2006.[2] Song Y, Ji CY. Sexual intercourse and high-risk sexual behaviours among a national sample of urban adolescents in China. J Public Health 2010; 32 312–21.
| Sexual intercourse and high-risk sexual behaviours among a national sample of urban adolescents in China.Crossref | GoogleScholarGoogle Scholar |
[3] Yi S, Poudel KC, Yasuoka J, Palmer PH, Yi S, Jimba M. Role of risk and protective factors in risky sexual behavior among high school students in Cambodia. BMC Public Health 2010; 10 477
| Role of risk and protective factors in risky sexual behavior among high school students in Cambodia.Crossref | GoogleScholarGoogle Scholar |
[4] Center for Disease Control and Prevention. Youth risk behavior surveillance – United States. Washington, DC: Government Printing Office; 2009.
[5] Sohn A, Chun SS. Gender differences in sexual behavior and condom-related behaviors and attitudes among Korean youths. Asia Pac J Public Health 2007; 19 45–52.
| Gender differences in sexual behavior and condom-related behaviors and attitudes among Korean youths.Crossref | GoogleScholarGoogle Scholar | 1:STN:280:DC%2BD2sjit1Kguw%3D%3D&md5=f5b2d7a791c97954449f5c2e6f945369CAS |
[6] Fatusi A, Wang W. Multiple sexual partnership mediates the association between early sexual debut and sexually transmitted infection among adolescent and young adult males in Nigeria. Eur J Contracept Reprod Health Care 2009; 14 134–43.
| Multiple sexual partnership mediates the association between early sexual debut and sexually transmitted infection among adolescent and young adult males in Nigeria.Crossref | GoogleScholarGoogle Scholar |
[7] Klavs I, Rodrigues LC, Weiss HA, Hayes R. Factors associated with early sexual debut in Slovenia: results of a general population survey. Sex Transm Infect 2006; 82 478–83.
| Factors associated with early sexual debut in Slovenia: results of a general population survey.Crossref | GoogleScholarGoogle Scholar | 1:STN:280:DC%2BD28jhsVKhsg%3D%3D&md5=365a67da1d8168aab70a123068a2521cCAS |
[8] Baumgartner JN, Waszak Geary C, Tucker H, Wedderburn M. The influence of early sexual debut and sexual violence on adolescent pregnancy: a matched case–control study in Jamaica. Int Perspect Sex Reprod Health 2009; 35 21–8.
| The influence of early sexual debut and sexual violence on adolescent pregnancy: a matched case–control study in Jamaica.Crossref | GoogleScholarGoogle Scholar |
[9] Harrison A, Cleland J, Gouws E, Frohlich J. Early sexual debut among young men in rural South Africa: heightened vulnerability to sexual risk? Sex Transm Infect 2005; 81 259–61.
| Early sexual debut among young men in rural South Africa: heightened vulnerability to sexual risk?Crossref | GoogleScholarGoogle Scholar | 1:STN:280:DC%2BD2M3nvFyitA%3D%3D&md5=54a02307fdf82719f6cb6c8d6b0f1b80CAS |
[10] Zuma K, Setswe G, Ketye T, Mzolo T, Rehle T, Mbelle N. Age at sexual debut: a determinant of multiple partnerships among South African youth. Afr J Reprod Health 2010; 14 47–54.
[11] Magnusson C. A follow-up study of adolescent girls with early sexual debut in combination with gynecological problems. J Psychosom Obstet Gynaecol 1998; 19 70–83.
| A follow-up study of adolescent girls with early sexual debut in combination with gynecological problems.Crossref | GoogleScholarGoogle Scholar | 1:STN:280:DyaK1czgt1CmtA%3D%3D&md5=870e079fef49c38a06375016768e1c71CAS |
[12] Mårdh PA, Creatsas G, Guaschino S, Hellberg D, Henry-Suchet J, European Chlamydia Epidemiology Group Correlation between an early sexual debut, and reproductive health and behavioral factors: a multinational European study. Eur J Contracept Reprod Health Care 2000; 5 177–82.
| Correlation between an early sexual debut, and reproductive health and behavioral factors: a multinational European study.Crossref | GoogleScholarGoogle Scholar |
[13] Langille DB, Asbridge M, Flowerdew G, Allen M. Associations of sexual risk-taking with having intercourse before 15 years in adolescent females in Cape Breton, Nova Scotia, Canada. Sex Health 2010; 7 199–204.
| Associations of sexual risk-taking with having intercourse before 15 years in adolescent females in Cape Breton, Nova Scotia, Canada.Crossref | GoogleScholarGoogle Scholar |
[14] Jordahl T, Lohman BJ. A bioecological analysis of risk and protective factors associated with early sexual intercourse of young adolescents. Child Youth Serv Rev 2009; 31 1272–82.
| A bioecological analysis of risk and protective factors associated with early sexual intercourse of young adolescents.Crossref | GoogleScholarGoogle Scholar |
[15] Glynn JR, Kayuni N, Floyd S, Banda E, Francis-Chizororo M, Tanton C, et al Age at menarche, schooling, and sexual debut in northern Malawi. PLoS ONE 2010; 5
| Age at menarche, schooling, and sexual debut in northern Malawi.Crossref | GoogleScholarGoogle Scholar |
[16] Magadi MA, Agwanda AO. Determinants of transitions to first sexual intercourse, marriage and pregnancy among female adolescents: evidence from south Nyanza, Kenya. J Biosoc Sci 2009; 41 409–27.
| Determinants of transitions to first sexual intercourse, marriage and pregnancy among female adolescents: evidence from south Nyanza, Kenya.Crossref | GoogleScholarGoogle Scholar |
[17] Wheeler SB. Effects of self-esteem and academic performance on adolescent decision-making: an examination of early sexual intercourse and illegal substance use. J Adolesc Health 2010; 47 582–90.
| Effects of self-esteem and academic performance on adolescent decision-making: an examination of early sexual intercourse and illegal substance use.Crossref | GoogleScholarGoogle Scholar |
[18] Guo J, Stanton B, Cottrell L, Clemens RL, Li X, Harris C, et al Substance use among rural adolescent virgins as a predictor of sexual initiation. J Adolesc Health 2005; 37 252–5.
| Substance use among rural adolescent virgins as a predictor of sexual initiation.Crossref | GoogleScholarGoogle Scholar |
[19] Peltzer K. Early sexual debut and associated factors among in-school adolescents in eight African countries. Acta Paediatr 2010; 99 1242–7.
| Early sexual debut and associated factors among in-school adolescents in eight African countries.Crossref | GoogleScholarGoogle Scholar |
[20] Valle AK, Torgersen L, Røysamb E, Klepp KI, Thelle DS. Social class, gender and psychosocial predictors for early sexual debut among 16 year olds in Oslo. Eur J Public Health 2005; 15 185–94.
| Social class, gender and psychosocial predictors for early sexual debut among 16 year olds in Oslo.Crossref | GoogleScholarGoogle Scholar |
[21] Fatusi AO, Blum RW. Predictors of early sexual initiation among a nationally representative sample of Nigerian adolescents. BMC Public Health 2008; 8 136–149.
| Predictors of early sexual initiation among a nationally representative sample of Nigerian adolescents.Crossref | GoogleScholarGoogle Scholar |
[22] Tassiopoulos KK, Seage G, Sam N, Kiwelu I, Shao J, Ao TT, et al Predictors of herpes simplex virus type 2 prevalence and incidence among bar and hotel workers in Moshi, Tanzania. J Infect Dis 2007; 195 493–501.
| Predictors of herpes simplex virus type 2 prevalence and incidence among bar and hotel workers in Moshi, Tanzania.Crossref | GoogleScholarGoogle Scholar |
[23] Korea Centers for Disease Control and Prevention (CDC). User’s guide for the Korea youth risk behavior web-based survey. Seoul: CDC; 2009.
[24] Korea Centers for Disease Control and Prevention (CDC). Reliability and validity of the Korean youth risk behavior web-based survey questionnaire. Seoul: CDC; 2009.
[25] Madkour AS, Farhat T, Halpern CT, Godeau E, Nic Gabhainn S. Early adolescent sexual initiation and physical/psychological symptoms: a comparative analysis of five nations. J Youth Adolesc 2010; 39 1211–25.
| Early adolescent sexual initiation and physical/psychological symptoms: a comparative analysis of five nations.Crossref | GoogleScholarGoogle Scholar |
[26] Lee SJ, Cho YH, Kim CS, Shim BS, Cho IR, Chung JI, et al Screening for chlamydia and gonorrhea by strand displacement amplification in homeless adolescents attending youth shelters in Korea. J Korean Med Sci 2004; 19 495–500.
| Screening for chlamydia and gonorrhea by strand displacement amplification in homeless adolescents attending youth shelters in Korea.Crossref | GoogleScholarGoogle Scholar |
[27] Sohn A, Kim SK, Chun SS. Alcohol use and sexual behavior among adolescents. J of Korean Alcohol Science 2002; 3 175–87.
[28] Grunbaum JA, Lowry R, Kann L. Prevalence of health-related behaviors among alternative high school students as compared with students attending regular high schools. J Adolesc Health 2001; 29 337–43.
| Prevalence of health-related behaviors among alternative high school students as compared with students attending regular high schools.Crossref | GoogleScholarGoogle Scholar | 1:STN:280:DC%2BD3Mnjs1ynuw%3D%3D&md5=b5aae910c1820156a60ef0f89b53733bCAS |
[29] Lavikainen HM, Lintonen T, Kosunen E. Sexual behavior and drinking style among teenagers: a population-based study in Finland. Health Promot Int 2009; 24 108–19.
| Sexual behavior and drinking style among teenagers: a population-based study in Finland.Crossref | GoogleScholarGoogle Scholar |
[30] McIntosh KH, Moore JB, Elci OC. Predisposing factors related to adolescent sexuality among students in rural and urban school-based health centers in eastern North Carolina. J Public Health Manag Pract 2009; 15 E16–22.
[31] Upchurch DM, Levy-Storms L, Sucoff CA, Aneshensel CS. Gender and ethnic differences in the timing of first sexual intercourse. Fam Plann Perspect 1998; 30 121–7.
| Gender and ethnic differences in the timing of first sexual intercourse.Crossref | GoogleScholarGoogle Scholar | 1:STN:280:DyaK1c3pvV2quw%3D%3D&md5=53d058127f49e35dd15cf8e7398829a5CAS |
[32] Kawai K, Kaaya SF, Kajula L, Mbwambo J, Kilonzo GP, Fawzi WW. Parents’ and teachers’ communication about HIV and sex in relation to the timing of sexual initiation among young adolescents in Tanzania. Scand J Public Health 2008; 36 879–88.
| Parents’ and teachers’ communication about HIV and sex in relation to the timing of sexual initiation among young adolescents in Tanzania.Crossref | GoogleScholarGoogle Scholar |
[33] Phillips-Howard PA, Bellis MA, Briant LB, Jones H, Downing J, Kelly IE, et al Wellbeing, alcohol use and sexual activity in young teenagers: findings from a cross-sectional survey in school children in north west England. Subst Abuse Treat Prev Policy 2010; 5 27–34.
| Wellbeing, alcohol use and sexual activity in young teenagers: findings from a cross-sectional survey in school children in north west England.Crossref | GoogleScholarGoogle Scholar |
[34] Hansen BT, Kjaer SK, Munk C, Tryggvadottir L, Sparén P, Hagerup-Jenssen M, et al Early smoking initiation, sexual behavior and reproductive health – a large population-based study of Nordic women. Prev Med 2010; 51 68–72.
| Early smoking initiation, sexual behavior and reproductive health – a large population-based study of Nordic women.Crossref | GoogleScholarGoogle Scholar |
[35] Ministry of Education, Science and Technology (MEST). Yearbook of education statistics. Seoul: MEST; 2010. Available online at: http://www.mest.go.kr/web/1087/site/contents/ko/ko_0118.jsp?selectId=1085 [verified May, 2011].
[36] Parkes A, Wight D, Henderson M, Hart G. Explaining associations between adolescent substance use and condom use. J Adolesc Health 2007; 40 180.e1–180.e18.
| Explaining associations between adolescent substance use and condom use.Crossref | GoogleScholarGoogle Scholar |
[37] Flisher AJ, Chalton DO. Adolescent contraceptive non-use and covariation among risk behaviors. J Adolesc Health 2001; 28 235–41.
| Adolescent contraceptive non-use and covariation among risk behaviors.Crossref | GoogleScholarGoogle Scholar | 1:STN:280:DC%2BD3M3jsVOquw%3D%3D&md5=48e709961156b09b18e49753d6329630CAS |
[38] Lazarus JV, Moghaddassi M, Godeau E, Ross J, Vignes C, Ostergren PO, et al A multilevel analysis of condom use among adolescents in the European Union. Public Health 2009; 123 138–44.
| A multilevel analysis of condom use among adolescents in the European Union.Crossref | GoogleScholarGoogle Scholar | 1:STN:280:DC%2BD1M7kslOqtg%3D%3D&md5=04eae866262e3cf4ebbf1ddd2c77fe98CAS |
[39] Mohammad K, Farahani FK, Mohammadi MR, Alikhani S, Zare M, Tehrani FR, et al Sexual risk-taking behaviors among boys aged 15–18 years in Tehran. J Adolesc Health 2007; 41 407–14.
| Sexual risk-taking behaviors among boys aged 15–18 years in Tehran.Crossref | GoogleScholarGoogle Scholar |
[40] Cavazos-Rehg PA, Krauss MJ, Spitznagel EL, Schootman M, Peipert JF, Cottler LB, et al Type of contraception method used at last intercourse and associations with health risk behaviors among US adolescents. Contraception 2010; 82 549–55.
| Type of contraception method used at last intercourse and associations with health risk behaviors among US adolescents.Crossref | GoogleScholarGoogle Scholar |