OBJECTIVES Since exposure to sexual content and early sexual initiation among adolescents have become serious social issues in Korea, an in-depth analysis of trends in the prevalence of sexual experience among Korean adolescents is necessary to project the trends and policies required for the next 10 years. The objective of this study was to identify the contributions of age, period, and birth cohort effects on the prevalence of sexual experience in Korean adolescents.
METHODS
We analyzed age-specific, period-specific, and birth cohort–specific trends in the prevalence of sexual experience among 911,502 adolescents (469,593 boys, 51.5%; 441,909 girls, 48.5%) aged 12 years to 17 years from the 2006 to 2017 Korean Youth Risk Behavior Web-based Survey. Joinpoint regression analysis was conducted to examine significant changes in the prevalence of sexual experience and to find the optimal number and location of places where trends changed.
RESULTS
The prevalence of sexual experience generally increased with age in all periods in both boys and girls. In boys, the prevalence of sexual experience increased in recent periods, especially in the age group of 12-13 years, while the prevalence of sexual experience decreased in the age group of 16-17 years. In girls, the age group of 12-13 years showed an increased prevalence of sexual experience in recent periods. However, the prevalence showed a decreasing trend in the age group of 16-17 years.
CONCLUSIONS
In boys and girls, sexual experience increased with age, although this tendency has slowed in recent cohorts. Therefore, early sex education is needed.
Summary
Korean summary
성경험 유병률은 일반적으로 남녀 공히 모든 시기에서 연령대에 따라 증가했다. 공통적으로 최근 연도에서 12-13세 연령군의 성 경험 유병률이 증가한 반면 16-17세 연령군에서 성경험 유병률이 감소했다. 전반적으로 2006 년부터 2017 년까지 청소년들의 성경험률은 소폭 감소했지만, 조기 성경험의 빈도는 증가하고 있다. 따라서 피임이나 순결 교육뿐만 아니라 성적자기결정능력같은 보다 실질적인 성교육이 어릴 때부터 강화되어야 할 것으로 보인다.
Citations
Citations to this article as recorded by
Experiência de uma atividade sobre infecções sexualmente transmissíveis com adolescentes de uma comunidade do Rio de Janeiro Giselle Tatagiba Domingues, Juliana Copquel Martins, Thamires de Souza Borges, Thaís Guilherme Pereira Pinheiro Pimentel, Renata de Moura Bubadué, Jéssica Renata Bastos Depianti Cuadernos de Educación y Desarrollo.2024; 16(7): e4968. CrossRef
Human Papillomavirus (HPV) Vaccination Intent among Mothers of Adolescent Sons: A National Survey on HPV Knowledge, Attitudes and Beliefs in South Korea Jihye Choi, Seyoung Kim, Seung-Ju Lee, Sangrak Bae, Sooyoun Kim The World Journal of Men's Health.2023; 41(2): 413. CrossRef
Association Between School Bullying Victimization and Sexual Risk-Taking among South Korean Adolescents: The Role of Teacher and Parental Relationships Jihoon Kim, Yeungjeom Lee, Lindsay Leban, Wesley G. Jennings Archives of Sexual Behavior.2023; 52(7): 2811. CrossRef
Prevalence and Trends of Sexual Behaviors Among Young Adolescents Aged 12 Years to 15 Years in Low and Middle-Income Countries: Population-Based Study Zhengyue Jing, Jie Li, Yi Wang, Chengchao Zhou JMIR Public Health and Surveillance.2023; 9: e45236. CrossRef
Association between early sexual initiation and sexually transmitted infections among Peruvian reproductive-age women Jhosuny Perez-Fernandez, Diego O. Arroyo-Velasco, Mariella R. Huaman, Sarai G. Chavez-Bustamante, Anita P. Llamo-Vilcherrez, Carolina J. Delgado-Flores, Carlos J. Toro-Huamanchumo Frontiers in Public Health.2023;[Epub] CrossRef
Sexual-Related Knowledge, School and Family Sexuality Education and Its Association with Experience of Sexual Intercourse among Vocational Secondary School Students in China Yuhang Fang, Yujia Zheng, Yan Jin, Chunyan Yu, Xiayun Zuo, Qiguo Lian, Chaohua Lou, Lihe Li, Ping Hong, Xiaowen Tu Children.2022; 9(8): 1206. CrossRef
Factors associated with adolescents’ sexual experience based on the biopsychosocial model: a cross-sectional study using the Korea Youth Risk Behavior Web-based Survey (KYRBS) Ka Young Kim, Hye Young Shin BMJ Open.2022; 12(11): e066307. CrossRef
OBJECTIVES Previous studies have shown that marital status is associated with household composition and living arrangements, which partially explain observed differences in health status according to marital status. However, due to the rapid socioeconomic and demographic transformations of the last few decades, the distribution of marital status among middle-aged adults has become more diverse. Therefore, this study aimed to obtain up-to-date information on the associations between marital status and health and to investigate the implications of these findings for conventional explanations of the health effects of marriage.
METHODS
The data for this study were obtained from the 2015 Korean Community Health Study. We compared 4 modifiable lifestyle behaviors—smoking, alcohol consumption, physical activity, and self-rated health status—as outcome variables in association with marital status in Korean middle-aged men (age 40-44) living in Seoul and other regions.
RESULTS
Married men showed the lowest cigarette smoking prevalence and the highest subjective health status both before and after adjusting for education and income. The odds of engaging in vigorous physical activity did not show a major difference before and after adjustment for income and education.
CONCLUSIONS
In married men, the prevalence of cigarette smoking was lowest and subjective health status was highest, similar to previous studies. However, the prevalence of engaging in physical activity was highest in divorced/widowed/separated men. The health behaviors and health status of Korean middle-aged adults should be more closely followed, since they are representative of demographic changes in the Korean population.
Summary
Korean summary
결혼 상태에 따른 건강을 다룬 이전연구에서 가구구성행태 위주의 연구, 기혼자일수록 일관되게 양호한 건강상태를 보인다는 결과들이 많이 보고되었으나 저출산 고령화의 흐름속에 1인 가구가 증가하고 가구 형태가 다양화되면서 기존의 연구결과들이 오늘날에도 유의한지에 따른 연구가 필요하며, 따라서 본 연구에서는 한국 중년 남성들의 결혼여부에 따른 건강상태를 분석하고자 하였다.
Citations
Citations to this article as recorded by
Marital status, marital transition and health behaviour and mental health outcomes among middle-aged and older adults in Thailand: A national longitudinal study Supa Pengpid, Karl Peltzer, Dararatt Anantanasuwong Archives of Gerontology and Geriatrics.2024; 117: 105196. CrossRef
Interaction between Extreme Temperature Events and Fine Particulate Matter on Cardiometabolic Multimorbidity: Evidence from Four National Cohort Studies Shouxin Peng, Zhaoyuan Li, John S. Ji, Bingbing Chen, Xiaoyi Yin, Wei Zhang, Feifei Liu, Huanfeng Shen, Hao Xiang Environmental Science & Technology.2024; 58(28): 12379. CrossRef
Changing associations of coronary heart disease incidence with current partnership status and marital history over three decades Karri Silventoinen, Kaarina Korhonen, Pekka Martikainen SSM - Population Health.2022; 18: 101080. CrossRef
Socioeconomic disparities between oral cavity cancer patients in Germany David Muallah, Jan Matschke, Sophie Muallah, Anna Klimova, Lysann Michaela Kroschwald, Tom Alexander Schröder, Günter Lauer, Dominik Haim Frontiers in Public Health.2022;[Epub] CrossRef
Hemodiyaliz Hastalarında Sigara Kullanımı, Nikotin Bağımlılık Durumu Ve İlişkili Faktörler Zeynep KENDİ ÇELEBİ, Didem TURGUT Celal Bayar Üniversitesi Sağlık Bilimleri Enstitüsü Dergisi.2020; 7(2): 188. CrossRef
A Multi-Disciplinary Study Into the Drivers of Smoking Cessation in South Korea James E. Prieger, Anna Choi SSRN Electronic Journal.2020;[Epub] CrossRef
OBJECTIVES Although smoking is associated with both low socioeconomic status and blood cadmium (Cd) levels, the association between socioeconomic status and Cd levels remains unclear. Therefore, our study aimed to examine this association and to clarify whether smoking is a confounding or mediating variable in this relationship.
METHODS
Data (n=7,734) were drawn from the Korea National Health and Nutrition Examination Survey (KNHANES, 2008- 2011), including years that contained data on blood Cd and urinary cotinine levels. We investigated the associations of income, education, and occupation with blood Cd levels. Smoking was investigated by categorizing participants by smoking status (never, former, and current) and pack-years into quartiles. The weekly frequency of rice and barley intake was analyzed to gain insights into participants’ dietary patterns. Additionally, urinary cotinine levels were used to ensure the validity of the smoking variables.
RESULTS
Participants earning a low income and with less formal education had higher blood Cd levels. After controlling for smoking, the association between income and Cd levels substantially weakened. Further controlling for education, the association between income and Cd levels disappeared. However, there was a strong negative association between education and Cd levels, even after controlling for smoking history, pack-years, and urinary cotinine levels.
CONCLUSIONS
In cross-sectional data from the KNHANES, blood Cd levels were significantly higher among those with a low income and less formal education. Smoking history contributed to, but did not fully explain, these associations.
Summary
Korean summary
흡연은 낮은 사회경제적 상태와, 높은 혈중 카드뮴 상태 등과 관련이 있다고 보고가 되어 왔지만, 사회경제적 상태와 혈중 카드뮴 상태의 연관성은 불분명하다. 따라서, 본 연구는 혈중 카드뮴 농도와 사회경제적 상태와의 관련성을 분석하고, 흡연이라는 변수가 이 관련성에 어떠한 영향을 주는지 보고자 하였다.
Citations
Citations to this article as recorded by
Association between drinking water quality and mental health and the modifying role of diet: a prospective cohort study Shuduo Zhou, Mintao Su, Peng Shen, Zongming Yang, Pengfei Chai, Shengzhi Sun, Hongbo Lin, Liming Shui, Na Zhang, Ming Xu, Zhi-Jie Zheng, Jianbing Wang, Zhenyu Zhang, Kun Chen BMC Medicine.2024;[Epub] CrossRef
Cross-level interaction between individual education and regional chemical fertilizer consumption on the risk of hypertension: evidence from the China hypertension survey Jiajia Li, Zengwu Wang, Shiqi Lin, Lijun Pei, Linfeng Zhang, Xin Wang, Zuo Chen, Congyi Zheng, Yuting Kang, Lu Chen, Haoqi Zhou, Runlin Gao Environmental Science and Pollution Research.2023; 30(3): 6390. CrossRef
The effect of blood cadmium levels on hypertension in male firefighters in a metropolitan city Ye-eun Jeon, Min Ji Kim, Insung Chung, Jea Chul Ha Annals of Occupational and Environmental Medicine.2022;[Epub] CrossRef
Interactions between Environmental Factors and Glutathione S-Transferase (GST) Genes with Respect to Detectable Blood Aluminum Concentrations in Jamaican Children Mohammad H. Rahbar, Maureen Samms-Vaughan, Yuansong Zhao, Sepideh Saroukhani, Jan Bressler, Manouchehr Hessabi, Megan L. Grove, Sydonnie Shakespeare-Pellington, Katherine A. Loveland Genes.2022; 13(10): 1907. CrossRef
Tobacco Smoke Exposure and Urinary Cadmium in Women from Northern Mexico Ángel Mérida-Ortega, Lizbeth López-Carrillo, Karla Rangel-Moreno, Natalia Ramirez, Stephen J. Rothenberg International Journal of Environmental Research and Public Health.2021; 18(23): 12581. CrossRef