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남자 대학생의 성 지식과 성 가치관이 생식건강 증진행위에 미치는 영향

Impact of Sexual Knowledge and Sexual Values on Reproductive Health Promotion Behaviors among Male College Students

안숙희|조현석
동서간호학연구소 (East-West Nursing Research Institute, Kyung Hee University)|2024.11|동서간호학연구지 (Journal of East-West Nursing Reseach)|제30권 제2호|pp. 118-126

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키워드

지식건강증진남성학생생식건강

초록

목적: 본 연구는 남자 대학생의 생식 건강 증진 행동(RHPB)에 대한 성 지식과 성적 가치관의 영향을 탐구하는 것을 목표로 한다. 방법: 본 연구는 두 대학의 온라인 커뮤니티에서 169명의 남자 학생을 모집한 횡단 연구이다. 참가자들은 참여 동의 후 자기보고식 온라인 설문에 응답했다. 설문 항목은 성 지식 35개, 성 가치관 18개, 남성 생식건강증진행위 16개, 그리고 일반적 특성으로 구성되었다. 총 166개의 응답은 SPSS 26.0과 SPSS Process Model 4를 사용하여 분석되었다. 결과: 참가자들의 평균 연령은 23.03±2.79세(범위, 18~30세)였다. 성지식 평균 점수는 백분율로 환산하여 73.44±12.99였다. 다른 영역은 평균 이상이었지만 임신, 성병, AIDS 영역은 평균보다 낮았다. 성가치관 평균 점수는 55.06±10.17이었다. 다른 영역은 항목 평균보다 높았지만 행동 영역 점수는 평균보다 낮았다. 생식건강증진행위의 점수는 55.54±6.42였다. 다른 영역은 평균보다 높았지만 안전한 성관계와 성적 책임 영역은 평균보다 낮았다. 성지식, 성가치관, 생식건강증진행위는 양의 상관 관계를 보였지만 회귀 분석에서는 성적 가치관(β=.34, p<.001)만이 RHPB에 유의한 영향을 미치는 것으로 나타났습니다.RHPB에 대한 매개 효과를 탐구한 결과 성적 가치를 통한 성적 지식의 간접적 효과가 나타났다(B=.13, CI: .02~.17). 결론: 성가치관과 성지식의 수준이 높을수록 생식건강증진행위 수준이 더 좋으므로 남자 대학생을 위한 생식건강증진행위 교육을 계획할 때 두 요소를 모두 고려해야 한다.

Abstract

Purpose: This study aimed to explore the impact of sexual knowledge and sexual values on reproductive health promotion behaviors (RHPBs) among male college students. Methods: We recruited 169 male students from online communities at two universities for a cross-sectional study. After obtaining consent, participants answered a self-administered online questionnaire. The measurements consist of sexual knowledge with 35 items, sexual values with 18 items, and males’ RHPBs with 16 items, and general characteristics. A total of 166 responses were analyzed using SPSS 26.0 and SPSS Process Model 4. Results: The mean age of participants was 23.03±2.79 years (range, 18-30 years). The average score of sexual knowledge, converted to percentage, was 73.44±12.99. Other areas were above average, but pregnancy, sexually transmitted disease and AIDS scores were below average. The mean score for sexual values was 55.06±10.17. Scores in the behavioral domain were below average, although other domains were above the item average. The score for RHPBs was 55.54±6.42. While other areas were above the item mean, the scores for safe sex and sexual responsibility were lower than the mean. Sexual knowledge, sexual values, and RHPB were positively correlated, but regression analysis showed that only sexual values had a significant effect on RHPBs. As a result of exploring the mediating effect on RHPBs, an indirect effect of sexual knowledge through sexual values was revealed. Conclusion: As higher scores for sexual values and knowledge are significantly associated with better RHPBs, we should consider both factors when planning RHPB education for male college students.

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