Gender Differences? Internet Use and ParentYChild Communication about Sex Toward Sexual Attitudes among Early Adolescents in Taiwan

男女有別？臺灣青少年早期網路使用與親子性溝通於性態度之性別差異

10.1097/jnr.0000000000000067

曾櫻花(Ying-Hua Tseng)；翁嘉穗(Chia-Sui Weng)；郭詩憲(Shih-Hsien Kuo)；周汎澔(Fan-Hao Chou)；楊奕馨(Yi-Hsin Yang)；蔣立琦(Li-Chi Chiang)

青少年早期 ； 網路 ； 親子溝通 ； 性態度 ； early adolescent ； Internet ； parentYchild communication ； sexual attitudes

The Journal of Nursing Research

23卷2期（2015 / 06 / 01）

125 - 134

英文

背景　青少年早期與性別差異的實證研究很欠缺，伴隨性早熟及資訊科技進步，網路的性訊息對性知識、性態度及親子性溝通具重要影響力。目的　探討青少年早期網路使用行為、親子性溝通、性知識與性態度之性別差異及性態度之預測變項。方法　本研究為橫斷性、比較性研究，以共變數分析及階層迴歸進行資料分析；採結構式問卷對南臺灣小六男生（n=204）、女生（n=253）共457人進行調查。結果　網路使用行為、親子性溝通、性知識及性態度等均有顯著性別差異。男生網路使用時間較女生長，男生以「休閒娛樂性」較多，女生則是「資訊性」較多。「母－女」性溝通優於「母－子」性溝通，而父親與子女的性溝通無顯著差異。女生的「青春期發展」與「經期保健」性知識優於男生，性態度也較男生正向。性態度的重要預測因素為性知識與親子性溝通。結論　護理專業、家庭與學校等應重視性知識與親子性溝通之強化。青少年早期學生均應加強性教育與網路安全教育，本研究結果可供性健康促進之參考。

Background: With the progress of information technology, early adolescents are able to access sex-related information through the Internet easily. This information has been shown to have a significant influence on the sexual health of this population. In addition, parentYchild communications about sex affect the sexual health of adolescents. Few empirical studies have focused on early adolescents and gender differences. Purpose: This study explores gender differences between early adolescents in terms of the use of the Internet to obtain sexrelated information, parentYchild communication, and sex-related knowledge and attitudes. Methods: This cross-sectional and comparative study uses an analysis of covariance and a hierarchical regression for data analysis. The researchers recruited 457 sixth-grade boys (n=204) and girls (n=253) in southern Taiwan as participants and used a structured questionnaire to collect data. Results: Participants exhibited significant differences in terms of Internet usage behavior, parentYchild communications about sex, and sex-related knowledge and sexual attitudes. The male participants spent more time on ＂recreation and entertainment＂ activities on the Internet, whereas their female peers spent significantlymore time searching for information.Regarding parentYchild communications about sex, girls had better motherYchild communications than boys. In addition, no gender-based difference was found for fatherYchild communications about sex. The knowledge of physical changes occurring during puberty and of menstrual healthcare among female participants was superior to their male counterparts. Girls had a more informed sexual attitude, particularly with regard to issues of gender roles, relationships with the opposite gender, and the social aspects of sex. Sex-related knowledge and parentYchild communication about sex were the two major predictors of sexual attitudes for boys and girls, respectively. Conclusions: To develop healthy sexual attitudes among early adolescents, nursing professionals, families, and schools should enhance sex-related knowledge and parentYchild communications, especially with boys. Early adolescence is a key time to provide sex education and Internet-safety education to both boys and girls to improve their sexual health. This study may serve as a reference for families, schools, researchers, and policymakers for promoting the sexual health of early adolescents.

1. Liao, L. L.、Hong, X. L.(2006)。The communication practices of sex-related issues between adolescents and their caregivers-Elementary and junior high school students in Changhua County, Taiwan as an example。Formosan Journal of Sexology，12(2)，1-12。
   連結：
2. United Nations Children's Fund. (2002). Gender mainstreaming. Retrieved from http://www.un.org/womenwatch/ianwge/gm:facts/Unicef.pdf
3. United Nations Children's Fund. (2011). Boys and girls in the life cycle. Retrieved from http://www.unicef.fi/files/unicef/pdf/boys_and_girls_in_the_life_cycle.pdf
4. Bureau of Health Promotion, Taiwan, ROC. (2013). Health number 123. Retrieved from https://olap.bhp.doh.gov.tw/Search.aspx?menu=100000000006&KeyWord=%E8%89%B2%E6%83%85(Original work published in Chinese)
5. Taiwan Network Information Center. (2013). Basic Web survey. Retrieved from http://statistics.twnic.net.tw/query/survey-query.cgi(Original work published in Chinese)
6. International Council of Nurses. (2009). ICN on the girl child. Retrieved from http://www.icn.ch/images/stories/documents/publications/fact_sheets/11b_FS_Girl_Child.pdf
7. International Council of Nurses. (2009). Mainstreaming a gender perspective into the health service. Retrieved from http://www.icn.ch/images/stories/documents/publications/fact_sheets/7f_FS-Mainstreaming_Gender_Perspective.pdf
8. Bleakley, A.,Hennessy,M.,Fishbein,M.,Jordan, A.(2008).It works both ways: The relationship between exposure to sexual content in the media and adolescent sexual behavior.Media Psychology,11(4),443-461.
9. Brown, J. D.,L'Engle, K. J.(2009).X-rated: Sexual attitudes and behaviors associated with U.S. early adolescents' exposure to sexually explicit media.Communication Research,36(1),129-151.
10. Chen, P. K.(2010)。Taiwan, ROC.，National Taipei University of Education。
11. Chou, P. H.(2013)。Chiayi County, Taiwan, ROC，National Chung Cheng University。
12. Chu, M. H.(2000).Changhua County, Taiwan, ROC.,Da-Yeh University.
13. Dowdell, E. B.(2013).Use of the Internet by parents of middle school students: Internet rules, risky behaviours and online concerns.Journal of Psychiatric and Mental Health Nursing,20(1),9-16.
14. Dowdell, E. B.,Burgess, A. W.,Flores, J. R.(2011).Original research: Online social networking patternsamong adolescents, young adults, and sexual offenders.The American Journal of Nursing,111(7),28-36.
15. Gillmore, M. R.,Chen, C. C.,Haas, S. A.,Kopak, A. M.,Robillard, A. G.(2011).Do family and parenting factors in adolescence influence condom use in early adulthood in a multiethnic sample of young adults?.Journal of Youth and Adolescence,40(11),1503-1518.
16. Hsu, H. Y.、Liu, C. A.、Lin, Y. C.(1997)。An exploration of sexual knowledge, attitudes and behavior in aboriginal elementary school students in the Ping-Tung area。The Journal of Nursing，44(2)，38-50。
17. Jones, L. M.,Mitchell, K. J.,Finkelhor, D.(2012).Trends in youth Internet victimization: Findings from three youth Internet safety surveys 2000-2010.Journal of Adolescent Health,50(2),179-186.
18. Kuo, C. H.(2006)。Adolescent psychology。Taipei City, Taiwan, ROC:Hung-Yeh。
19. Lai, Y. C.(2008)。Taiwan, ROC.，National Taipei University of Education。
20. Lee, L. C.(2009)。Kaohsiung City, Taiwan, ROC，Shu-Te University。
21. Lin, C. H.、Tjung, J. J.、Lin, C. J.(2007)。The research investigation about perception of sexual physiology and gender equity through gender education for school-age children。Chinese Journal of Occupational Medicine，14(4)，247-259。
22. Lin, C. H.,Yu, S. F.(2008).Adolescent Internet usage in Taiwan: Exploring gender differences.Adolescence,43(170),317-331.
23. Lin, H. M.(2009)。Taipei City, Taiwan, ROC.，Tamkang University。
24. Liu, Y. W.(2010)。Hsinchu City, Taiwan, ROC.，Chung Hua University。
25. Lo, V. H.,Wei, R.(2005).Exposure to Internet pornography and Taiwanese adolescents' sexual attitudes and behavior.Journal of Broadcasting & Electronic Media,49(2),221-237.
26. Ma, W. F.、Chao, F. H.、Chang, H. J.、Liou, Y. M.、Chiang, L. C.(2009)。Health issues and preventive health strategies for adolescent girls。The Journal of Nursing，56(6)，21-26。
27. Micucci, J. A.(2009).The adolescent in family therapy: Harnessing the power of relationships.New York, NY:Guilford.
28. Mitchell, K. J.,Wolak, J.,Finkelhor, D.(2008).Are blogs putting youth at risk for online sexual solicitation or harassment?.Child Abuse & Neglect,32(2),277-294.
29. Moore, S. M.,Rosenthal, D. A.(2006).Sexuality in adolescence: Current trends.New York, NY:Routledge.
30. Pew Internet Center(2013).,未出版
31. Rice, F. P.,Dolgin, K. G.(2008).The adolescent: Development, relationships, and culture.Boston, MA:Allyn and Bacon.
32. Rose, A.,Koo, H. P.,Bhaskar, B.,Anderson, K.,White, G.,Jenkins, R. R.(2005).The influence of primary caregivers on the sexual behavior of early adolescents.Journal of Adolescent Health,37(2),135-144.
33. Shen, M. H.、Chang, Y. T.、Lo, S. F.(2004)。An exploration of sexual knowledge, attitudes, behavior and sexual education needs among aboriginal and non aboriginal junior high school students。Tzu Chi Medical Journal，16(5)，325-334。
34. Shih, W. C.(2006)。Hualien County, Taiwan, ROC，National HualienUniversity of Education。
35. Tjung, J. J.、Lin, C. J.、Lin, C. H.(2008)。A descriptive study of elementary school graders on sexual knowledge-study in one elementary school at Taipei。Taiwan Family Medicine Research，6(3-4)，134-145。
36. Wei, H. M.(1998)。Taiwan, ROC.，National Kaohsiung Normal University。
37. Wilson, E. K.,Dalberth, B. T.,Koo, H. P.,Gard, J. C.(2010).Parents' perspectives on talking to preteenage children about sex.Perspectives on Sexual and Reproductive Health,42(1),56-63.
38. Wilson, E. K.,Koo, H. P.(2010).Mothers, fathers, sons, and daughters: Gender differences in factors associated with parent-child communication about sexual topics.Reproductive Health,7(1),31.
39. Wolak, J.,Mitchell, K.,Finkelhor, D.(2007).Unwanted and wanted exposure to online pornography in a national sample of youth Internet users.Pediatrics,119(2),247-257.
40. Ybarra, M. L.,Mitchell, K. J.(2008).How risky are social networking sites? A comparison of places online where youth sexual solicitation and harassment occurs.Pediatrics,121(2),e350-e357.

1. (2019)。大學生對未成年未婚懷孕現象之認知、態度和行為傾向影響之探討--以屏東某大學為例。靜宜人文社會學報，13(3)，220-247。