Kang Da-In, Park Euna
Department of Nursing, Dong-eui Institute of Technology, Busan, Korea.
Department of Nursing, Pukyong National University, Busan, Korea.
Womens Health Nurs. 2024 Dec;30(4):309-317. doi: 10.4069/whn.2024.12.04. Epub 2024 Dec 30.
Women are experiencing reproductive health abnormalities at younger ages, and the incidence of cervical cancer in women in their 20s and 30s is increasing. Various factors hinder visits to obstetrics and gynecology. This cross-sectional study aimed to explore how health knowledge, reproductive health-promoting behavior, and sexual communication influenced the degree of intention to visit obstetrics and gynecology in unmarried women.
The participants included 170 Korean unmarried women in their 20s and 30s. The data were collected via an online survey from December 11 to 22, 2023. Data analysis was conducted using descriptive statistics, the t-test, one-factor analysis of variance, Pearson correlation coefficients, and hierarchical multiple regression.
On average, participants were 24.64±0.31 years of age. The intention to visit obstetrics and gynecology was high (11.46±3.51). Visiting obstetrics and gynecology was positively correlated with knowledge of reproductive health (r=.26, p=.001), reproductive health-promoting behavior (r=.43, p<.001), and sexual communication (r=.37, p<.001), all with statistical significance. Experience of visiting obstetrics and gynecology (β=0.40, p<.001), reproductive health-promoting behavior (β=.25, p<.001), sexual experience (β=0.22, p<.001), sexual communication (β=0.20, p=.001), and reproductive health knowledge (β=0.12, p=.033) explained 54.2% of variance in intention to visit obstetrics and gynecology in unmarried women.
The findings of this study can be used to develop programs for unmarried women to improve reproductive health-promoting behavior, sexual communication, and reproductive health knowledge, and increase the intention to visit obstetrics and gynecology.
女性在更年轻的年龄阶段出现生殖健康异常情况，二三十岁女性的宫颈癌发病率也在上升。多种因素阻碍了女性前往妇产科就诊。这项横断面研究旨在探讨健康知识、生殖健康促进行为以及性沟通如何影响未婚女性前往妇产科就诊的意愿程度。
研究对象包括170名二三十岁的韩国未婚女性。数据于2023年12月11日至22日通过在线调查收集。数据分析采用描述性统计、t检验、单因素方差分析、Pearson相关系数以及分层多元回归。
参与者的平均年龄为24.64±0.31岁。前往妇产科就诊的意愿较高（11.46±3.51）。前往妇产科就诊与生殖健康知识（r = 0.26，p = 0.001）、生殖健康促进行为（r = 0.43，p < 0.001）以及性沟通（r = 0.37，p < 0.001）均呈正相关，且均具有统计学意义。妇产科就诊经历（β = 0.40，p < 0.001）、生殖健康促进行为（β = 0.25，p < 0.001）、性经历（β = 0.22，p < 0.001）、性沟通（β = 0.20，p = 0.001）以及生殖健康知识（β = 0.12，p = 0.033）解释了未婚女性前往妇产科就诊意愿差异的54.2%。
本研究结果可用于为未婚女性制定相关项目，以改善生殖健康促进行为、性沟通以及生殖健康知识，并提高前往妇产科就诊的意愿。
