Kang Hee Sun, Moneyham Linda
Department of Nursing, College of Medicine, Chung-Ang University, 221 Heuksukdong Dongjakku, Seoul 156-756, South Korea.
Int J Nurs Stud. 2008 May;45(5):775-83. doi: 10.1016/j.ijnurstu.2007.01.008. Epub 2007 Mar 8.
This study examined the intentions, knowledge, and attitudes of college students regarding the use of emergency contraceptive pills (ECPs) and condoms.
A cross-sectional descriptive study was conducted at 16 Korean colleges.
Data were collected from March 15 to June 10, 2006 from a convenience sample of 1046 college students using a survey questionnaire. The survey included measures of demographic variables, intention to use ECPs (one item) and condoms (one item), knowledge about ECPs (12 items), and attitudes toward using ECPs (12 items) and condoms (16 items). All items except knowledge were rated on a 5-point Likert-type response format, with higher scores indicating greater intentions, more positive attitudes, and greater knowledge.
Of the 1046 participants, 76.3% had heard of ECPs and 13.2% of the sexually active participants (n=190) had used them. Participants showed a general lack of knowledge about ECPs and misconceptions about their safety. The intentions of using ECPs and condoms were positively correlated with each other and with attitude such that the more positive the attitude, the greater their intention to use both ECPs and condoms. There were significant gender differences on many of the variables, in that female students had higher knowledge about ECPs, intention of using ECPs and condoms, and more positive attitude toward condoms than male students who had more positive attitudes toward ECPs. Females had more concerns about the safety of ECPs than males.
The findings suggest that college students must be better informed about ECPs, and reassured about their safety. Additionally, promoting ECPs would not negatively affect condom use. Efforts are needed to disseminate up-to-date information to the general public and to develop educational and awareness programs to empower young people to make informed decisions about the use of ECPs and condoms.
本研究调查了大学生对使用紧急避孕药和避孕套的意图、知识及态度。
在16所韩国高校开展了一项横断面描述性研究。
于2006年3月15日至6月10日，采用调查问卷从1046名大学生的便利样本中收集数据。该调查包括人口统计学变量测量、使用紧急避孕药（一项）和避孕套（一项）的意图、关于紧急避孕药的知识（12项）以及对使用紧急避孕药（12项）和避孕套（16项）的态度。除知识项外，所有项目均采用5点李克特式回答格式评分，分数越高表明意图越强、态度越积极、知识越丰富。
在1046名参与者中，76.3%听说过紧急避孕药，13.2%的性活跃参与者（n = 190）使用过紧急避孕药。参与者普遍对紧急避孕药缺乏了解，且对其安全性存在误解。使用紧急避孕药和避孕套的意图彼此之间以及与态度呈正相关，即态度越积极，使用紧急避孕药和避孕套的意图就越强。许多变量存在显著的性别差异，女学生比男学生对紧急避孕药的了解更多、使用紧急避孕药和避孕套的意图更强，对避孕套的态度更积极，而男学生对紧急避孕药的态度更积极。女性比男性更担心紧急避孕药的安全性。
研究结果表明，必须让大学生更好地了解紧急避孕药，并消除他们对其安全性的担忧。此外，推广紧急避孕药不会对避孕套的使用产生负面影响。需要努力向公众传播最新信息，并制定教育和宣传项目，使年轻人能够就使用紧急避孕药和避孕套做出明智的决定。
