Adolescent sexual behavior, in comparison
to adults, is known to become high risk in future health issues such as
infertility as consequence of unwanted pregnancy and sexually transmitted
diseases. In this study, the authors aimed to clarify the relationship between
cognitive social capital and sexual awareness in high school students in Tokyo,
Japan.
The authors administered our survey to 1073 high school junior students in six
high schools in the Tokyo metropolitan area using the Japanese language version
of the self-administered questionnaire (collection rate 94.5%). Excluding
invalid responses without age and gender specified, analysis subjects were 518
boys, 493 girls, total 1011 students (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.
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.
In conclusion, cognitive
social capital was found to be associated with sexual awareness. Thus, this
suggests that the concept of cognitive social capital should be emphasized in
promoting adolescent reproductive health. Formulating measures to enhance
cognitive social capital are needed for the future.
Article by Kaori
Watanabe, et al, from Japan.
Full access: http://mrw.so/529C0A
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