Determinants of Sexual Awareness among High School Students in Tokyo, Japan—Cross Sectional Analysis in Relation to Social Capital
Determinants of Sexual Awareness among High School Students in Tokyo, Japan—Cross Sectional Analysis in Relation to Social Capital
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日本东京高中生性意识的决定因素——与社会资本相关的横断面分析
DOI：
10.4236/health.2018.1010106
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发表时间：
2018
期刊：
影响因子：
--
通讯作者：
Yumiko Totsu
中科院分区：
文献类型：
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作者：
Kaori Watanabe;Hitomi Tanaka;Yumiko Totsu
目的：本研究旨在阐明日本东京高中生认知社会资本与性意识之间的关系。方法：于2017年2月对东京市1073名高中生进行自填式问卷调查(回收率为94.5%)。最终分析对象为1011名男生和女生(94.2%)。对何时戴避孕套的性知识、高中生性意识对性行为的可接受性、社会资本的社区归属感、是否存在有性经验的同伴和Rosenberg自尊量表得分(按平均值二值化)进行了验证。以性意识为因变量，性知识、性经验同伴和自尊得分为自变量[模型1]，包括社会资本为自变量[模型2]进行多元Logistic回归分析。这项研究得到了亚机构伦理审查委员会的批准。结果与讨论：52.6%的被调查者答对性知识问题，33.2%的被调查者对高中生性行为表现出容忍，68.6%的被调查者有较多有性行为经历的同伴，75.9%的被调查者有社区归属感。在模型1中，无论男女，拥有性知识、高自尊得分和有性经验的同伴的存在与高中生对性行为的不容忍感有关。在模型2中，无论男女，拥有社区归属感与高中生对性行为的不容忍感相关[OR(95%CI)：男生1.11(0.81-1.53)，女生1.14(0.72-1.79)]。具有高认知社会资本的人对性行为可能会有谨慎的感觉。结论：认知社会资本与性意识相关。在促进青少年未来生殖健康方面，应强调认知社会资本。
Purpose: The study aimed to clarify the relationship between cognitive social capital and sexual awareness in high school students in Tokyo, Japan. Method: The self-administered questionnaire survey was administered to 1073 high school junior students in Tokyo in Feb. 2017 (collection rate 94.5%). Final analysis subjects totaled 1011 boys and girls (94.2%). True/false questions on timing to wear condom for sex knowledge, acceptability to sexual behavior of high school students for sexual awareness, sense of community belonging for social capital, existence of sexually experienced peers, and Rosenberg Self-Esteem Scale score (binarized with the mean value) were verified. Multiple logistic regression analysis assigning sexual awareness for dependent variable and sex knowledge, sexually experienced peers and Self-Esteem score for independent variable [model 1], including social capital for independent variable [model 2] was performed. The study was approved by Ethical Review Board of sub-organ. Results and Discussion: Out of subjects, 52.6% answered correctly questions on sex knowledge, 33.2% showed tolerance to sexual behavior of high school students, 68.6% had many peers with sex experience, and 75.9% had a sense of community belonging. In model 1, in both genders, having sex knowledge, high Self-Esteem score, and existence of sexually experienced peers was associated with a sense of intolerance to sexual behavior of high school students. In model 2, in both genders, having a sense of community belonging was associated with a sense of intolerance to sexual behavior of high school students [OR (95% CI): boy 1.11 (0.81 - 1.53), girl 1.14 (0.72 - 1.79)]. Persons with high cognitive social capital were likely to have a cautious sense toward sexual behavior. Conclusion: Cognitive social capital was found to be associated with sexual awareness. Cognitive social capital should be emphasized in promoting adolescent reproductive health for the future.