Skip to main content

Advertisement

Log in

Predictors of Intention to Practice Safer Sex Among Korean College Students

  • Original Paper
  • Published:
Archives of Sexual Behavior Aims and scope Submit manuscript

Abstract

This study examined the efficacy of the Theory of Planned Behavior (TpB) among Korean college students on intentions of condom use. A cross-sectional, correlational design was conducted with an exploratory survey method. Young men and women aged 18–25 were recruited from a university in Seoul, Korea using a flyer and self-referral. Students completed a background and sexual behavior questionnaire, a parent–adolescent communication scale, and instruments derived from the TpB. Age, parent–adolescent communication, and perceived risk of sexual behavior were added to the model as potential determinants of intention of condom use. All the TpB components significantly predicted intention of condom use for young men, but only condom attitude and condom efficacy significantly predicted intention of condom use for young women. Age and quality of parent–adolescent communication indirectly affected the intention of condom use; however, perceived risk of sexual behavior did not predict intention of condom use, nor was it affected by age. Older students had a higher condom efficacy and a higher perceived peer norm of condom use. The quality of parent–adolescent communication significantly predicted a higher condom efficacy for young men, but not women.

This is a preview of subscription content, log in via an institution to check access.

Access this article

Subscribe and save

Springer+ Basic
$34.99 /Month
  • Get 10 units per month
  • Download Article/Chapter or eBook
  • 1 Unit = 1 Article or 1 Chapter
  • Cancel anytime
Subscribe now

Buy Now

Price excludes VAT (USA)
Tax calculation will be finalised during checkout.

Instant access to the full article PDF.

Fig. 1
Fig. 2

Similar content being viewed by others

References

  • Ajzen, I. (2002). Residual effects of past on later behavior: Habituation and reasoned action perspectives. Personality and Social Psychology Review, 6, 107–122.

    Article  Google Scholar 

  • Ajzen, I. (2005). Frequently asked questions about TpB. Retrieved June 5, 2005, from http://www.people.umass.edu/aizen/faq.html.

  • Ajzen, I., Brown, T. C., & Carvajal, F. (2004). Explaining the discrepancy between intentions and actions: The case of hypothetical bias in contingent valuation. Personality and Social Psychology Bulletin, 30, 1108–1121.

    Article  PubMed  Google Scholar 

  • Albarracin, D., Johnson, B. T., Fishbein, M., & Muellerleile, P. A. (2001). Theories of reasoned action and planned behavior as models of condom use: A meta-analysis. Psychological Bulletin, 127, 142–161.

    Article  PubMed  CAS  Google Scholar 

  • Barber, B. K., & Erickson, L. D. (2001). Adolescent social initiative: Antecedents in the ecology of social connections. Journal of Adolescent Research, 16, 326–354.

    Article  Google Scholar 

  • Barnes, H., & Olson, D. H. (2003). Parent-adolescent communication scale. Minneapolis, MN: Life Innovation, Inc.

    Google Scholar 

  • Basen-Engquist, K., Masse, L. C., Coyle, K., Kirby, D., Parcel, G. S., Banspach, S., et al. (1999). Validity of scales measuring the psychosocial determinants of HIV/STD-related risk behavior in adolescents. Health Education Research, 14, 25–38.

    Article  PubMed  CAS  Google Scholar 

  • Becker, M. H. (1974). The health belief model and personal health behavior. San Francisco: C. B. Slack, Inc.

    Google Scholar 

  • Bentler, P. M., & Wu, E. J. C. (2002). EQS for Windows user’s guide (5th ed.). Encino, CA: Multivariate Software, Inc.

    Google Scholar 

  • Beyrer, C. (2003). Hidden epidemic of sexually transmitted diseases in China. Journal of the American Medical Association, 289, 1303–1305.

    Article  PubMed  Google Scholar 

  • Bullough, V. L., & Bullough, B. (1995). Alternative views of sexual activity. In V. L. Bullough & B. Bullough (Eds.), Sexual attitudes: Myths and realities (pp. 29–45). New York: Prometheus Books.

    Google Scholar 

  • Cha, E. S. (2005). Predictors of sexual behavior among Korean college students: Testing the Theory of Planned Behavior. Unpublished doctoral dissertation, University of Pittsburgh, Pittsburgh, PA.

  • Cha, E. S., Doswell, W. M., Kim, K. H., Charron-Prochownik, D., & Patrick, T. E. (in press). Evaluating the Theory of Planned Behavior to explain intention to engage in pre-marital sex amongst Korean college students: A questionnaire survey. International Journal of Nursing Studies.

  • Chen, X. S., Gong, X. D., Liang, G. J., & Zhang, G. C. (2000). Epidemiologic trends of sexually transmitted diseases in China. Sexually Transmitted Diseases, 27, 138–142.

    Article  PubMed  CAS  Google Scholar 

  • Dittus, P., & Jaccard, J. (2000). Adolescent’s perceptions of maternal disapproval of sex: Relationship to sexual outcomes. Journal of Adolescent Health, 26, 268–278.

    Article  PubMed  CAS  Google Scholar 

  • Doswell, W. M. (2002). Overview of female middle childhood in societal context: Implications for research and practice. Journal of Pediatric Nursing, 17, 392–401.

    Article  PubMed  Google Scholar 

  • Eisenberg, M. (2001). Differences in sexual risk behaviors between college students with same-sex and opposite-sex experience: Results from a national survey. Archives of Sexual Behavior, 30, 575–589.

    Article  PubMed  CAS  Google Scholar 

  • Fisher, T. D. (1987). Family communication and the sexual behavior and attitude of college students. Journal of Youth and Adolescence, 16, 481–495.

    Article  PubMed  CAS  Google Scholar 

  • Hanna, K. M. (1999). An adolescent and young adult condom self-efficacy scale. Journal of Pediatric Nursing, 14, 59–66.

    Article  PubMed  CAS  Google Scholar 

  • Hu, L. T., & Bentler, P. M. (1999). Cutoff criteria for fit indexes in covariance structure analysis: Conventional criteria versus new alternatives. Structural Equation Modeling, 6, 1–55.

    Article  Google Scholar 

  • Hutchinson, M. K., Jemmott, J. B., Jemmott, L. S., Braverman, P., & Fong, G. T. (2003). The role of mother-daughter sexual risk communication in reducing sexual risk behaviors among urban adolescent females: A prospective study. Journal of Adolescent Health, 33, 98–107.

    Article  PubMed  Google Scholar 

  • Jemmott, J. B., Jemmott, L. S., & Fong, G. T. (1998). Abstinence and safer sex HIV risk-reduction interventions for African American adolescents: A randomized controlled trial. Journal of the American Medical Association, 279, 1529–1536.

    Article  PubMed  Google Scholar 

  • Johnson, B. T., Carey, M. P., Marsh, K. L., Levin, K. D., & Scott-Sheldon, L. A. (2003). Interventions to reduce sexual risk for the human immunodeficiency virus in adolescents, 1985–2000: A research synthesis. Archives Pediatrics & Adolescent Medicine, 157, 381–388.

    Article  Google Scholar 

  • Kang, H. (2001). An explanatory model of condom use among Korean college students. Unpublished doctoral dissertation, Yonsei University, Seoul, Korea.

  • Kaplan, C. P., Zabkiewicz, D., McPhee, S. J., Nguyen, T., Gregorich, S. E., Disogra, C., et al. (2003). Health-compromising behaviors among Vietnamese adolescents: The role of education and extracurricular activities. Journal of Adolescent Health, 32, 374–383.

    Article  PubMed  Google Scholar 

  • Kline, R. B. (1998). Principles and practice of structural equation modeling. New York: Guilford.

    Google Scholar 

  • Korean National Statistical Office. (2003). Statistics of being searched frequently: Education, culture, science. Retrieved Aug 2, 2003, from http://www.nso.go.kr/eng/releases/e_sswo2003.shtm.

  • Liu, P., & Chan, C. S. (2003). Lesbian, gay and bisexual Asian American and their families. In L. Zhan (Ed.), Asian Americans: Vulnerable populations, model interventions and clarifying agendas (pp. 89–104). Boston: Jones and Bartlet Publishers.

    Google Scholar 

  • Mensch, B. S., Clark, W. H., & Anh, D. N. (2003). Adolescents in Vietnam: Looking beyond reproductive health. Studies in Family Planning, 34, 249–262.

    Article  PubMed  Google Scholar 

  • Okazaki, S. (2002). Influences of culture on Asian Americans’ sexuality. Journal of Sex Research, 39, 34–41.

    Article  PubMed  Google Scholar 

  • Pachauri, S., & Santhya, K. G. (2002). Reproductive choices for Asian adolescents: A focus on contraceptive behavior. International Family Planning Perspectives, 28, 186–195.

    Article  Google Scholar 

  • Parish, W. L., Laumann, E. O., Cohen, M. S., Pan, S., Zheng, H., Hoffmann, I., et al. (2003). Population-based study of chlamydial infection in China. Journal of the American Medical Association, 289, 1265–1273.

    Article  PubMed  Google Scholar 

  • Scott-Lennox, J. A., & Lennox, R. D. (1995). Sex-race differences in social support and depression in older low-income adults. In R. H. Hoyle (Ed.), Structural equation modeling: Concepts, issues, and applications (pp. 199–216). Thousand Oaks, CA: Sage Publications.

    Google Scholar 

  • Thato, S., Hanna, K. M., & Rodcumdee, B. (2005). Translation and validation of the condom self-efficacy scale with Thai adolescents and young adults. Journal of Nursing Scholarship, 37, 36–40.

    Article  PubMed  Google Scholar 

  • Tinsley, B. J., Lees, N. B., & Sumartojo, E. (2004). Child and adolescent HIV risk: Familial and cultural perspectives. Journal of Family Psychology, 18, 208–224.

    Article  PubMed  Google Scholar 

  • Youn, G. (1996). Sexual activities and attitudes of adolescent Korean. Archives of Sexual Behavior, 25, 629–643.

    Article  PubMed  CAS  Google Scholar 

Download references

Acknowledgments

This study is a part of the first author’s dissertation. The study was supported by Rose E. Constantino Scholarship, the School of Nursing the University of Pittsburgh. The authors express heartfelt gratitude to all dissertation committee and Dr. Judith A. Erlen for their support. The authors thank Dr. Kyeongra Yang and Ms. Alison M. Colbert for their reviews and valuable critique of this paper.

Author information

Authors and Affiliations

Authors

Corresponding author

Correspondence to Eun-Seok Cha.

Rights and permissions

Reprints and permissions

About this article

Cite this article

Cha, ES., Kim, K.H. & Patrick, T.E. Predictors of Intention to Practice Safer Sex Among Korean College Students. Arch Sex Behav 37, 641–651 (2008). https://doi.org/10.1007/s10508-007-9187-y

Download citation

  • Received:

  • Revised:

  • Accepted:

  • Published:

  • Issue Date:

  • DOI: https://doi.org/10.1007/s10508-007-9187-y

Keywords

Navigation