Analysis of Sexual Behaviors among Adults in Korea: Results from the “Korean National Survey on Sexual Consciousness”

다국어 초록 (Multilingual Abstract)

Purpose: This study aimed to understand the characteristics of sexual behaviors among Korean adults to facilitate the development of strategies and policies focused on sexual health in groups categorized by sociodemographic characteristics.
Materials and Methods: A nationally representative probability sample of 2,500 individuals (1,273 men and 1,227 women) aged 18–69 years obtained using a stratified multiple-stage sampling method based on Statistics Korea (KOSTAT) participated in a cross-sectional online survey. The survey consisted of structured questionnaires comprising questions on demographic information, lifetime sexual behavior, and sexual behavior in the previous 12 months.
Results: The mean age at first sexual intercourse was lower in men than in women (21.9±4.4 vs. 24.1±4.4 years, p=0.001).
The overall prevalence rate of sexual events with casual partners within previous 12 months was 13.1% (95% confidence interval [CI], 11.6%–14.5%). It was found to more commonly exist among lower age groups and men. The overall regular condom use rates with relationship partner and casual partner were 14.8% (95% CI, 13.2%–16.4%) and 39.6% (95% CI, 33.9%–45.3%), respectively. Condom use rate with casual partners among 20s and 30s men was 51.2%. Overall, only 10.4% of the respondents had received sexual education about sexually transmitted infections.
Conclusions: This study provided contemporary sexual behaviors in Korean adults, and identified socio-demographic factors that seem to influence sexual behaviors. Low condom use rates and low rate of receiving sexual education were concerns.
The result of this study would be useful to health professionals to formulate policies and strategies related to sexual health.

참고문헌 (Reference)

1 김소영, "일반인의 에이즈에 대한 지식 및 태도" 한국보건교육건강증진학회 25 (25): 13-28, 2008

2 Dennerstein L, "The relative effects of hormones and relationship factors on sexual function of women through the natural menopausal transition" 84 : 174-180, 2005

3 McFarlane M, "The Internet as a newly emerging risk environment for sexually transmitted diseases" 284 : 443-446, 2000

4 Kim HS, "Sexual debut and mental health among South Korean adolescents" 53 : 313-320, 2016

5 Palacios-Ceña D, "Sexual behaviors among older adults in Spain : results from a population-based national sexual health survey" 9 : 121-129, 2012

6 Ortiz AP, "Sexual behaviors among adults in Puerto Rico : a population-based study" 8 : 2439-2449, 2011

7 Herbenick D, "Sexual behavior in the United States : results from a national probability sample of men and women ages 14-94" 7 (7): 255-265, 2010

8 Nicolosi A, "Sexual behavior and sexual dysfunctions after age 40 : the global study of sexual attitudes and behaviors" 64 : 991-997, 2004

9 Jung M., "Sexual behavior and condom use among gay men, female sex workers, and their customers: evidence from South Korea" 8 : e66867-, 2013

10 Moreira ED Jr, "Sexual activity, prevalence of sexual problems, and associated help-seeking patterns in men and women aged 40-80 years in Korea: data from the Global Study of Sexual Attitudes and Behaviors (GSSAB)" 3 : 201-211, 2006

11 Youn G, "Sexual activities and attitudes of adolescent Koreans" 25 : 629-643, 1996

12 Hyun Cheol Jeong, "Sexual Behavior of the Elderly in Urban Areas" 대한남성과학회 30 (30): 166-171, 2012

13 Lindau ST, "Sex, health, and years of sexually active life gained due to good health: evidence from two US population based cross sectional surveys of ageing" 340 : c810-, 2010

14 Choe HS, "Prevalence of sexually transmitted infections and the sexual behavior of elderly people presenting to health examination centers in Korea" 17 : 456-461, 2011

15 Choe HS, "Prevalence of sexually transmitted infections and sexual behavior of young adults and middle-aged people presenting to health examination centers in Korea" 18 : 207-212, 2012

16 Lee GY, "Perception and needs in health education curriculum among school nurses as health teachers in Korea" 29 : 10-18, 2013

17 Madkour AS, "Macro-level age norms for the timing of sexual initiation and adolescents’ early sexual initiation in 17 European countries" 55 : 114-121, 2014

18 "Infectious diseases surveillance yearbook" Cheongju:Korea Centers for Disease Control and Prevention

19 Sohn A, "Gender differences in sexual behavior and condom-related behaviours and attitudes among Korean youths" 19 : 45-52, 2007

20 Lee DY, "Factors associated with sexual debut during adolescence in the Republic of Korea" 88 : 481-483, 2012

21 Fryar CD, "Drug use and sexual behaviors reported by adults: United States, 1999-2002" (384) : 1-14, 2007

22 World Health Organization, "Defining sexual health: report of a technical consultation on sexual health, 28-31 January 2002"

23 Simbayi LC, "Covariates of condom use in South Africa : findings from a national population-based survey in 2008" 26 : 1263-1269, 2014

24 Reece M, "Condom use rates in a national probability sample of males and females ages 14 to 94 in the United States" 7 (7): 266-276, 2010

25 송원훈, "Changes in the Prevalence and Risk Factors of Erectile Dysfunction during a Decade: The Korean Internet Sexuality Survey (KISS), a 10-Year-Interval Web-Based Survey" 대한남성과학회 37 (37): 199-209, 2019

26 Dennerstein L, "Are changes in sexual functioning during midlife due to aging or menopause?" 76 : 456-460, 2001

27 Hoffmann O, "Achieving the global goals on HIV among young people most at risk in developing countries:young sex workers, injecting drug users and men who have sex with men" 938 : 287-315, 2006

28 Lindau ST, "A study of sexuality and health among older adults in the United States" 357 : 762-774, 2007

29 Analysis of sexual behaviour in France (ACSF), "A comparison between two modes of investigation: telephone survey and face-to-face survey. ASCF principal investigators and their associates" 6 : 315-323, 1992

30 Park J, "A 10-year interval study about the sexual life and attitudes of Korean women: the Korean Internet Sexuality Survey (KISS) 2014, part 2" 14 : 1142-1151, 2017