Department of Nursing, College of Health. Welfare, and Education, Tongmyong University, Busan, Korea.
Department of Nursing, Ulsan College, Ulsan, Korea.
J Sch Nurs. 2023 Aug;39(4):285-294. doi: 10.1177/1059840520987534. Epub 2021 Jan 13.
Although the rate of sexual intercourse among adolescents has increased in Asian countries, including Korea, many sexually active adolescents still do not use contraception. The aim of this study was to identify the risk factors for contraceptive nonuse among adolescents using decision tree analysis of the 2018 Korea Youth Risk Behavior Survey data from 2,460 high school students who had an experience of sexual intercourse. The findings indicated that the highest risk group who did not use contraception during sexual intercourse did not receive sexual health education in school and was involved in habitual or purposeful drug use. The experience of ever receiving treatment due to violence and the experience of sexual intercourse after drinking were also identified as risk factors for contraceptive nonuse. To encourage contraceptive use, development of standard sexual health education, counseling, and educational intervention intended to prevent risky behaviors is needed.
尽管包括韩国在内的亚洲国家青少年的性行为发生率有所增加，但许多有性行为的青少年仍不使用避孕药具。本研究旨在通过对 2460 名有性行为经历的高中生的 2018 年韩国青少年风险行为调查数据进行决策树分析，确定青少年不使用避孕药具的风险因素。研究结果表明，在性行为中不使用避孕药具的最高风险群体是在学校未接受性健康教育且有习惯性或故意使用药物的群体。曾经因暴力而接受治疗以及酒后发生性行为的经历也被确定为不使用避孕药具的风险因素。为了鼓励使用避孕药具，需要制定标准的性健康教育、咨询和旨在预防危险行为的教育干预措施。
