Ahn Sun Tae, Kim Jong Wook, Park Hong Seok, Kim Hyun Jung, Park Heung Jae, Ahn Hyeong Sik, Lee Sung Won, Moon Du Geon
Department of Urology, Korea University College of Medicine, Seoul, Korea.
Department of Preventive Medicine, Korea University College of Medicine, Seoul, Korea.
World J Mens Health. 2021 Apr;39(2):366-375. doi: 10.5534/wjmh.190137. Epub 2020 Feb 20.
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.
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.
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.
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.
本研究旨在了解韩国成年人的性行为特征，以促进制定针对按社会人口学特征分类群体的性健康策略和政策。
采用基于韩国统计局（KOSTAT）的分层多阶段抽样方法，选取了2500名年龄在18 - 69岁的具有全国代表性的概率样本个体（1273名男性和1227名女性）参与一项横断面在线调查。该调查由结构化问卷组成，包括有关人口统计学信息、终生性行为以及过去12个月内性行为的问题。
男性首次性交的平均年龄低于女性（21.9±4.4岁对24.1±4.4岁，p = 0.001）。过去12个月内与临时伴侣发生性事件的总体患病率为13.1%（95%置信区间[CI]，11.6% - 14.5%）。发现其在较低年龄组和男性中更为普遍。与固定伴侣和临时伴侣的总体常规避孕套使用率分别为14.8%（95% CI，13.2% - 16.4%）和39.6%（95% CI，33.9% - 45.3%）。20多岁和30多岁男性与临时伴侣的避孕套使用率为51.2%。总体而言，只有10.4%的受访者接受过关于性传播感染的性教育。
本研究提供了韩国成年人的当代性行为情况，并确定了似乎影响性行为的社会人口学因素。避孕套使用率低和接受性教育率低令人担忧。本研究结果将有助于卫生专业人员制定与性健康相关的政策和策略。
