Determinants of Sexual Awareness among High School Students in Tokyo, Japan—Cross Sectional Analysis in Relation to Social Capital

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.

Determinants of Sexual Awareness among High School Students in Tokyo, Japan―Post-Interventional Comparison Analysis in Relation to Social Capital

Purpose: This study was to clarify the association of sexual awareness of high school students with cognitive social capital (SC) in Tokyo, Japan. Method: In September 2017, we conducted a survey of 1073 third-grade high school students who were the same students who had participated in the same questionnaire survey at the prior academic year when they were second-grade students. A total of 1073 students were surveyed and 956 students responded. From six to eight weeks prior to this September 2017 survey, we implemented an educational intervention in the students. Then we compared the results of this survey with the previous survey of February 2017. We used logistic regression to assess sexual awareness and sex knowledge, sexually experienced surrounding peers and Self-Esteem score. The study was approved by the Ethical Review Board. Result/Discussion: Sexual awareness of high school students was significantly associated with SC both before and after the intervention. The higher SC one had, the higher sexual awareness was shown and the greater the sexual caution among both boys and girls was indicated. The study clarified the Determinants of Sexual Awareness of High School Students in Tokyo before and after the educational intervention. Conclusion: SC was found to be significantly associated with sexual awareness. SC should be emphasized in promoting adolescent reproductive health for the future.