Park Juhyun, Min Byunghun, Shin Hyojin, Oh Sohee, Song Won Hoon, Cho Sung Yong, Cho Min Chul, Jeong Hyeon, Son Hwancheol
Department of Urology, SMG-SNU Boramae Medical Center, Seoul National University College of Medicine, Seoul, Korea.
Department of Anesthesiology, Seoul National University Bundang Hospital, Seoul National University College of Medicine, Seongnam, Korea.
J Sex Med. 2017 Sep;14(9):1142-1151. doi: 10.1016/j.jsxm.2017.07.009.
Many studies on sexual attitudes and behavior have been performed to improve sexual health.
To evaluate changing trends in Korean female sexual life and attitudes in an internet-based survey at 10-year intervals.
The survey was targeted toward 20- to 59-year-old women who were asked to complete the questionnaire only if they were sexually active. The survey contained 110 questions about demographic statistics, sexual life, and attitudes that were crafted based on the 2004 study.
Results of the 2004 study vs those of the 2014 study.
In total, 516 women participated in the study; the questionnaire response rate was 16.0%. The mean frequency of intercourse (FOI) per month was 3.46 ± 2.56 in 2014 vs 5.34 ± 3.84 in 2004. Women in their 20s and 30s in 2014 reported a lower mean FOI than those in 2004. There was no significant difference in the mean FOI in 2004 vs 2014 for women who in their 40s. Risk factors for lower FOI were being older, being single, and having dyspareunia. Most Korean women had positive attitudes toward sex (3.2 ± 0.6 of 5) and considered it as important (3.3 ± 0.7 of 5) as those surveyed in 2004. However, women 20 to 39 years old had less positive attitudes toward sex than in the past decade. Women in their 40s were more active and had more conversations with their partners. Of women using contraceptives, 63.8% were found to use less effective methods, such as intercourse withdrawal and the fertility awareness method.
Assessment of changing trends in Korean female sexual life, attitudes, and contraceptive methods could help to establish proper national sexual education programs and campaigns.
This study was not a cohort study, because subjects in the 2014 were not identical to those in the 2004 study. Nevertheless, we applied the same inclusion and exclusion criteria for this internet survey, a suitable tool to evaluate the sex life of women, which is often considered a sensitive and private issue in Asian culture.
Compared with the 2004 survey, young Korean women had fewer sexual relationships and had a less positive attitude toward sex. In addition, many women used less effective methods of contraception. Park J, Min B, Shin H, et al. A 10-Year Interval Study About the Sexual Life and Attitudes of Korean Women: The Korean Internet Sexuality Survey (KISS) 2014, Part 2. J Sex Med 2017;14:1142-1151.
已开展多项关于性态度和性行为的研究以促进性健康。
通过一项基于网络的调查，每隔10年评估韩国女性性生活及态度的变化趋势。
该调查针对20至59岁的女性，仅要求有性生活的女性填写问卷。调查包含110个关于人口统计学、性生活及态度的问题，这些问题是根据2004年的研究设计的。
2004年研究结果与2014年研究结果对比。
共有516名女性参与研究；问卷回复率为16.0%。2014年每月平均性交频率（FOI）为3.46±2.56次，而2004年为5.34±3.84次。2014年20多岁和30多岁的女性报告的平均FOI低于2004年。2004年与2014年相比，40多岁女性的平均FOI无显著差异。FOI较低的风险因素包括年龄较大、单身及性交困难。大多数韩国女性对性持积极态度（满分5分，平均3.2±0.6分），并认为性与2004年调查的女性一样重要（满分5分，平均3.3±0.7分）。然而，20至39岁的女性对性的态度不如过去十年积极。40多岁的女性更活跃，与伴侣的交流更多。在使用避孕措施的女性中，63.8%采用的是效果较差的方法，如体外射精和自然避孕法。
评估韩国女性性生活、态度及避孕方法的变化趋势有助于制定合适的全国性性教育计划和活动。
本研究不是队列研究，因为2014年的研究对象与2004年的不同。尽管如此，我们对此次网络调查应用了相同的纳入和排除标准，网络调查是评估女性性生活的合适工具，而在亚洲文化中，女性性生活常被视为敏感和私密问题。
与2004年的调查相比，韩国年轻女性的性关系较少，对性的态度也不那么积极。此外，许多女性采用效果较差的避孕方法。朴J、闵B、申H等。关于韩国女性性生活和态度的十年间隔研究：2014年韩国网络性调查（KISS），第二部分。《性医学杂志》2017；14：1142 - 1151。
