Assessing Sexual Knowledge and Sexual Attitudes of Nursing Students: Implications for Primary Health Care

Authors

  • Kam Weng Boey
  • Hoi Nga Ng

Keywords:

Nursing students, primary care setting, sexual health, sexual attitudes, sexual knowledge

Abstract

Background: Health professionals in primary care settings were considered most appropriate for providing sexual health care.  However, nurses’ perceived inadequate knowledge and negative attitudes towards sexuality were reported to be two major barriers to sexual health care.  

Objectives: This study ascertained if inadequate sexual knowledge and negative sexual attitudes were valid reflection of the situations of nursing students in Hong Kong, and hence if relevant trainings were indicated for preparing students to provide quality primary sexual health care.

Methods: A cross-sectional study was conducted on 258 first year nursing students were recruited to participate via convenience sampling.  A questionnaire which contained items on sociodemographic characteristics and validated measures of sexual knowledge and sexual attitudes was designed for data collection.  

Results: Nursing students’ sexual knowledge was considered rather mediocre.  Out of a total of 19 items, the number of items answered correctly was on average 10.4 ± 3.5.  Their attitudes towards human sexuality were generally neutral.  Sexual knowledge was positively related to sexual attitudes (r = 0.47, p < .01).  Students older in age (20 years old or above) were more liberal in sexual attitudes than students aged 19 or below.  Students reported no religious affiliation were also more liberal in their attitudes towards human sexuality.

Conclusion: Knowledge and positive attitudes regarding human sexuality needed to be promoted among nursing students.  Data from this study provided useful information to facilitate sex education in preparing nursing students to render quality sexual health care in primary care settings.

                                                                                                              

Keywords: Nursing students; primary care setting; sexual health; sexual attitudes; sexual knowledge

References

References

World Health Organization (WHO). Report of a technical consultation on sexual health, 28 to 31 January 2002. Geneva: WHO, 2006.

Ketting E, Esin A. Integrating sexual and reproductive health in primary health care in Europe: position paper of the European Forum for Primary Care. Qual Prim Care 2010;18:269-282

Gott M, Galena E, Hinchilff S, Elford H. Opening a can of worms: GP and practice nurse barrier to talking about sexual health in primary care. Fam Pract 2004; 21(5): 528-36. doi: 10.1093/fampra/cmh509

Ho T, Fernandzo M. Patient’s sexual health: Do we care enough? J Renal Care 2006; 32(4): 183-6. doi: 10.1111/j.1755-6686.2006.tb00019.x/epdf

Demirgöz BM. The nurse’s attitudes and beliefs towards sexuality. HEAD 2014; 11: 38-42.

Saunamaki N, Andersson M. Engström M. Discussing sexuality with patients: Nurses’ attitudes and belief. J Adv Nurs 2010; 66(6): 1308-1316.

doi: 10.1111/j.1365-2648.2010.05260.x

Olsson C, Berglund AL, Larsson M. Patient’s Sexuality – a neglected area of cancer nursing? Eur J Oncol Nurs 2012; 16(4): 426-431. doi: 10.1016/j.ejon.2011.10.003

Temple-Smith M, Hammond JM, Pyett P, Presswell N. Barriers to sexual history taking in general practice. Aust Fam Physician 1996; 25(9): 71-74.

Mahmoud AM, Fawaz MA. Nurse’s perception of barriers toward discussing female sexual issues in nursing practice. Med J Cairo University 2015; 83(2): 221-230.

Kong SKF, Wu LH, Loke AY. Nursing students’ knowledge, attitude and readiness to work for clients with sexual health concerns. J Clin Nurs 2009; 18(16): 2372-82. doi: 10.1111/j.1365-2702.2008.02756.x

Tsai YF. Nurses’ facilitators and barriers for taking a sexual history in Taiwan. Appl Nur Res 2004; 17(4): 257-264. doi: 10.1016/j.apnr.2004.09.011

Tsai LY, Huang CY, Liao WC, Tseng TH, Lai TJ. Assessing student nurses’ learning needs for addressing patients’ sexual health concerns in Taiwan. Nurs Educ Today 2013; 33(2): 152-159. doi: 10.1016/j.nedt.2012.05.014

McKelvey RS, Webb JA, Baldassar LV, Robinson SM, Riley G. Sex knowledge and sexual attitude among medical and nursing Students. Aust NZ J Psychiat 1999; 33(2): 260-266. doi: 10.1046/j.1440-1614.1999.00549.x

Bagheersad Z, Fahami F, Beigi M, Hasanzadeh A. Sexual knowledge and attitude among girls who are getting married based on the information from yas pre-marriage counselling center. Iranian J Nurs Midwifery Res 2017; 22: 255-256.

Low WY. Impact of sexual health course on Malaysian university students. Med J Malaysia 2004; 59(4): 443-449.

Sung SC, Huang, HI, Lin MH. Relationship between the knowledge, attitude, and self-efficacy on sexual health care for nursing students. J Prof Nurs 2015; 31(3): 254-261. doi: 10.1016/j.profnurs.2014.11.001

Papaharitou E, Nakopoulou M, Moraitou Z, Tsimtsiou E, Konstantinidou D. Exploring sexual attitudes of students in health Professions. J Sex Med 2008; 5(6): 1308-1316. doi: 10.1111/j.1743-6109.2008.00826.x

Tobey J, Hillman SB, Anagurthi C, Somers CL. Demographic differences in adolescents’ sexual attitudes and behaviours, parent communication about sex, and school sex education. Electronic J Hum Sex 2011; 14: 1-8.

Yu J. Teenage sexual attitudes and behaviour in China. Health Soc Care Community 2012; 20(6): 561-582. doi: 10.1111/j.1365-2524.2011.01054.x

Zuo X, Lou C, Gao E, Cheng Y, Niu H, Laurie S Z (2012). Gender differences in adolescent premarital sexual permissiveness in three Asian cities: Effects of gender-role attitudes. Journal of Adolescence Health 2012; 50 (3): 18-25.

doi: 10.1016/j.jadohealth.2011.12.001

HKASERT (Hong Kong Association of Sexuality Educators, Researchers and Therapists). Sex knowledge of Hong Kong people. Author; 2010. Retrieved from http://www.hkasert.org

Fisher TD, Hall RG. A scale for the comparison of the sexual attitudes of adolescents and their parents. J Sex Res 1988; 24(1): 90-100.

doi: 10.1080/00224498809551400

Ng, H.N., & Boey, K.W. (2018). Brief sex education programme promoting sexual knowledge and sexual attitudes among nursing students. Presented at the First Symposium of Sexual Counselling and Sexual Education in Hong Kong (12-13 October), The Hong Kong Professional Counselling and Psychology Association, Hong Kong.

Frazer J, Albert M, Smith J, Dearber J. Impact of a human sexuality workshop on sexual attitudes and knowledge of nursing students. J Nurs Educ 1982; 21(3): 6-13.

Weis DL, Rabinowitz B, Ruckstuhl MF. Individual changes in sexual attitudes and behavior within college-level human sexuality courses. J Sex Res 1992; 29(1): 43-59. doi: 10.1080/00224499209551633

Eagly AH, Chaiken S. The psychology of attitudes. Fort Worth, TX: Harcourt Brace Jovanovich; 1993.

Kreager DA, Staff J. The sexual double standard and adolescent peer acceptance. Soc Psychol Q 2009; 72(2): 143-164. doi: 10.1177/019027250907200205

Gall AL, Etienne M, Shafighi SR. Age, religious beliefs, and sexual attitudes. J Sex Res 2002; 39(3): 207-16. doi: 10.1080/00224490209552143

Huber M, Reno B, Mckenny J. Long term care personnel assess their attitudes and knowledge of the older adults. J Adv Nurs 1992; 17 (9): 1114-1121.

doi: 10.1111/j.1365-2648.1992.tb02046.x

Kaas M J (1981). Geriatric sexuality breakdown syndrome. Int J Aging Hum Dev 1981; 13 (1): 71-77. doi: 10.2190/4A16-06AH-HL5A-WKC3

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Published

2020-03-09

How to Cite

Boey, K. W., & Ng, H. N. (2020). Assessing Sexual Knowledge and Sexual Attitudes of Nursing Students: Implications for Primary Health Care. International Journal of Public Health Research, 10(1). Retrieved from https://spaj.ukm.my/ijphr/index.php/ijphr/article/view/255