DOI QR코드

DOI QR Code

Factors Influencing on Attitude toward Homosexuality among Nursing Students: Focusing on Sexual Assertiveness and Sex Stereotypes

간호대학생의 동성애에 대한 태도 영향요인; 성적 자기주장과 성역할 고정관념 중심으로

  • 박서아 (경북보건대학교 간호학과) ;
  • 신경숙 (계명대학교 대학원 간호학과) ;
  • 김혜영 (계명대학교 간호학과)
  • Received : 2019.05.21
  • Accepted : 2019.07.05
  • Published : 2019.07.31

Abstract

The purpose of this study was to determine the relevance and different factors having an impact on sexual assertiveness and sex stereotypes for the attitude among nursing students toward homosexuality. A survey was conducted on 253 nursing students in D city using a self-report questionnaire. The data was collected from April 11 to April 20, 2019 and it was then analyzed by descriptive statistics, t-tests, ANOVA, Pearson's correlations and multiple regression using SPSS 22.0. The average of sexual assertiveness in the nursing students was $4.44{\pm}0.37$, and the average of sex stereotypes was $2.08{\pm}0.58$, and the average of attitude toward homosexuality was $2.75{\pm}0.37$. The attitude toward homosexuality according to the general characteristics differed among religions (F=13.32, p<.000), religious life (F=20.43, p<.000) and method of parenting (F=2.74, p<.044). There was a statistically significant negative correlation between sexual assertiveness and the attitude toward homosexuality (r=-0.13, p=.034). Also, there was a statistically significant positive correlation between sex stereotypes and the attitude toward homosexuality (r=0.24, p<.000). Religion, religious life and sex stereotypes were the influential factors. Models that included the variables explained 23.1% of the variance for the attitude toward homosexuality. Thus, it is necessary to create an interventional strategy related to nursing student' attitude towards homosexuality so as to develop a practical educational program for promoting healthy gender identity.

본 연구는 간호대학생의 성적 자기주장, 성역할 고정관념 및 동성애에 대한 태도 정도를 확인하고, 간호대학생의 동성애에 대한 태도에 영향을 미치는 요인을 파악하기 위한 연구이다. D광역시에 소재하는 2개 대학교 간호대학생 253명을 대상으로 2019년 4월 11일부터 4월 20일까지 설문조사를 실시하였다. 분석방법은 SPSS/WIN 22.0 프로그램을 이용하여 연구대상자의 일반적 특징, t-test, ANOVA 분석, 상관분석, 다중회귀분석(multiple regression)을 실시하였다. 연구결과는 다음과 같다. 성적 자기주장은 평균 평점은 $4.44{\pm}0.37$점, 성 역할 고정관념은 $2.08{\pm}0.58$점, 동성애 태도는 $2.75{\pm}0.37$점로 나타났다. 일반적 특성에 따른 동성애 태도는 종교(F=13.32, p<.000), 종교생활(F=20.43, p<.000), 부모님의 양육태도(F=2.74, p<.044)가 통계적으로 유의한 차이가 있는 것으로 나타났다. 대상자의 성적 자기주장과 동성애의 태도(r=-0.13, p=.034)는 유의한 음의 상관관계가 있으며, 성역할 고정관념과 동성애의 태도(r=0.24, p<.000)는 유의한 양의 상관관계가 있는 것으로 나타났다. 대상자의 종교, 종교생활, 성역할 고정관념이 동성애 태도에 유의한 영향요인으로 나타났으며, 영향요인의 설명력은 23.1%로 나타났다. 본 연구 결과를 토대로 간호대학생의 동성애 태도와 관련된 중재전략이 필요하고, 건강한 성 정체성을 위한 실천 방안과 교육 프로그램 개발이 필요할 것이다.

Keywords

Table 1. Characteristics of the Subjects

SHGSCZ_2019_v20n7_68_t0001.png 이미지

Table 2. Attitude toward homosexuality to General Characteristics

SHGSCZ_2019_v20n7_68_t0002.png 이미지

Table 3. Correlations among Sexual Self-Assertion, Gender Stereotype and Attitude toward Homosexuality

SHGSCZ_2019_v20n7_68_t0003.png 이미지

Table 4. Factors Influencing Attitude toward homosexuality

SHGSCZ_2019_v20n7_68_t0004.png 이미지

References

  1. M. A Kim, S. H. Nam, "A Q study on gender-role identity among college students." Journal of Korean Academy of Adult Nursing, Vol.16, No.2,pp.306-315, 2004. From: http://www.dbpia.co.kr/journal/articleDetail?nodeId=NODE01548777
  2. M. H. Shim, Y. Endo, "A research on gender-role identity, gender discriminative consciousness and attitudes toward military service of Korean college students.", Korean J Psychol Soc Issues, Vol.17, No.1,pp.1-17,2011 From: http://www.dbpia.co.kr/journal/articleDetail?nodeId=NODE06373882
  3. S. O. Yang, G. H. Jeong, "Perceptional difference of sexual image and sexual role between male and female students in university, Korea." Korean Journal of Women Health Nursing, Vol.8, No.2, pp.289-300, 2002. https://doi.org/10.4069/kjwhn.2002.8.2.289
  4. S. L. Bem, "Gender schema theory: A cognitive account of sex typing." Psychological review, Vol. 88, No.4, pp.354, 1981. DOI:http://dx.doi.org/10.1037/0033-295X.88.4.354
  5. P. H. Smith, J. W. White, and L. J. Holland, "A longitudinal perspective on dating violence among adolescent and college-age women." American Journal of public health Vol.93. No. 7, pp. 1104-1109, 2003. DOI:http://dx.doi.org/10.2105/AJPH.93.7.1104
  6. Y. H. Kim, S. T. Moon, H. S. Kang, "Factors influencing on sexual assertiveness of college students. " Korean J Women Health Nurs. Vol.19, No.3, pp166-175, 2013. DOI: http://dx.doi.org.kims.kmu.ac.kr/10.4069/kjwhn.2013.19.3.166
  7. J. Y. Lee, E. S. Lee, "Development and validation of the Korea sexual self-assertiveness scale for female." The Korean Journal of Counseling, Vol. 7, pp. 47-62, 2006.
  8. P. J. Morokoff, K. Quina, L. L. Harlow, L. Whitmire, D. M. Grimley, P. R. Gibson, et al. "Sexual assertiveness scale for women: Development and validation." Journal of Personality and Social Psychology, Vol. 73, No. 4, pp. 790-804, 1997. DOI:http://dx.doi.org/10.1037/0022-3514.73.4.790
  9. N. M. Yang, J. Y. Lee, "The effect of rape myth on the sexual assertiveness and control disposition-focusing on the mediating effect of gender equality awareness in high school students." Journal of Asian Women, Vol. 47, No. 47,pp. 39-65, 2008.
  10. D. I. Kim, Sociology of Gender. Seoul: Munemsa, 1993.
  11. S. H. Nam, M. A Kim, "The Study on the Gender Role Identity & Sex Stereotypes of College Students." Journal of Korean Academic Society of Adult Nursing, Vol.17, No. 4, pp. 561-572, 2005. From: http://www.dbpia.co.kr/journal/articleDetail?nodeId=NODE01548754
  12. A. P. Haas, et. al., Suicide and suicide risk in lesbian, gay, bisexual, and transgender populations: Review and recommendations. Journal of homosexuality, Vol.58, No.1, pp.10-51. 2010. DOI:https://doi.org/10.1080/00918369.2011.534038
  13. K. D. Yeu, M. H. Lee, "The Homosexual Identity Development Process and Mental Health In Korean Gay Men.", J Korean Acad Psych Mental Health Nurs, Vol. 15, No.3, pp. 289-298, 2006.
  14. J. C. Phillips, K. M. Ingram, N. G. Smith, E. J. Mindes, "Methodological and content review of lesbian-, gay-, and bisexual-related articles in counseling journals: 1990-1999." The Counseling Psychologist, Vol. 31 No.1, pp.25-62, 2003. DOI:https://doi.org/10.1177/0011000002239398
  15. I. S. Jang, "Effects of Gender Role Attitude and Self-esteem on Attitude Toward Homosexuality among College Students in Korea." The Journal of the Korea Contents Association, Vol. 17, No. 8, 560-569, 2017. DOI: http://dx.doi.org.kims.kmu.ac.kr/10.5392/JKCA.2017.17.08.560
  16. A. L. Roberts, S. B. Austin, H. L. Corliss, A. K. Vandermorris, K. C. Koenen, "Pervasive trauma exposure among US sexual orientation minority adults and risk of post traumatic stress disorder." American journal of public health, Vol. 100, No.12, pp. 2433-2441, 2010. DOI:https://doi.org/10.2105/AJPH.2009.168971
  17. J. Lee, D. Y. Shim, M. O. Yang, H. S. Kim, "The Effects of Sexual Behavior and Self-Esteem on Homophobia among Korean College Students." Journal of Digital Convergence, Vol.13, No.1, pp. 543-553, 2015. DOI:https://doi.org/10.14400/JDC.2015.13.1.543
  18. R. Garofalo, R. C. Wolf, S. Kessel, J. Palfrey, R. H. DuRant, "The association between health risk behaviors and sexual orientation among a school-based sample of adolescents." Pediatrics, Vol. 101, No. 5, pp. 895-902, 1998. DOI:https://doi.org/10.1542/peds.101.5.895
  19. E. K. Moscicki, P. Muehrer, L. B. Potter, "Introduction to supplemental issue: Research issues in suicide and sexual orientation." Suicide and Life-Threatening Behavior, Vol. 25, No. 1, pp. 1-3, 1995. DOI:https://doi.org/10.1111/j.1943-278X.1995.tb00484.x
  20. R. C. Savin-Williams, "Verbal and physical abuse as stressors in the lives of lesbian, gay male, and bisexual youths: associations with school problems, running away, substance abuse, prostitution, and suicide." Journal of consulting and clinical psychology, Vol. 62, No.2, pp. 261, 1994. DOI:http://dx.doi.org/10.1037/0022-006X.62.2.261
  21. E. Saewyc, L. Bearinger, P. Heinz, R. Blum, M. Resnick, "Gender differences in health and risk behaviors among bisexual and homosexual adolescents." Journal of Adolescent Health, Vol. 23, No.3, pp. 181-188, 1998. DOI:https://doi.org/10.1016/S1054-139X(97)00260-7
  22. M. E. Kite, K. B. Bryant-Lees, "Historical and contemporary attitudes toward homosexuality." Teaching of Psychology, Vol. 43, No. 2, pp.164-170, 2016. DOI:https://doi.org/10.1177/0098628316636297
  23. L. M. Lance, "The effects of interaction with gay persons on attitudes toward homosexuality." Human Relations, Vol. 40, No. 6, pp. 329-336, 1987. DOI:https://doi.org/10.1177/001872678704000601
  24. G. M. Herek, "Heterosexuals' attitudes toward lesbians and gay men: Correlates and gender differences." Journal of sex research, Vol. 25, No.4, pp. 451-477, 1988. DOI:https://doi.org/10.1080/00224498809551476
  25. J. G. Kerns, M. A. Fine, "The relation between gender and negative attitudes toward gay men and lesbians: Do gender role attitudes mediate this relation?." Sex Roles, Vol.31, No.5-6, pp.297-307, 1994. DOI:https://doi.org/10.1007/BF01544590
  26. S. Dogan, M. Dogan, E. Bestepe, E. Eker, "Development and reliability study of Homosexuality Attitudes Scale: a preliminary study." Anatolian Journal of Psychiatry, 9, pp. 84-90, 2008. From: https://www.researchgate.net/publication/36448023
  27. The Royal Collage of Nursing. The Nursing Care of Lesbian and Gay Male Patients or Clients, 2003. Available fromURL: http://www.rcn.org.uk/data/assets/pdf_file/0007/785 7/002018.pdf. Accessed 14 November 2011.
  28. G. Rondahl, S. Innala, M. Carlsson, "Nursing staff and nursing students' emotions towards homosexual patients and their wish to refrain from nursing, if the option existed." Scandinavian Journal of Caring Science, Vol.18, No. 1, pp. 19-26, 2004. DOI:https://doi.org/10.1111/j.1471-6712.2004.00263.x
  29. U.S. Department of Health and Human Services, Agency for Healthcare Research and Quality. (2012). National healthcare disparities report 2011. Retrieved from From: www.ahrq.gov/research/findings/nhqrdr/nhdr11/nhdr 11.pdf
  30. The Joint Commission, Behaviors that undermine a culture of safety. Sentinel Event Alert, Vol. 40, pp. 1-3, 2008. Retrieved from : www.jointcommission.org/assets/1/18/SEA_40.PDF
  31. P. J. Morokoff, K. Quina, L.. L.. Harlow, L. Whitmire, D.M. Grimley, P. R. Gibson, et al, Sexual assertiveness scale for women: Development and validation. Journal of personality and Social Psychology, Vol.73 ,No.4 pp.790-804. 1997. DOI:http://dx.doi.org/10.1037/0022-3514.73.4.790
  32. E.H. Ha, J.M. Jun, M.S.Yoo, S.H. Lee, Y.J. Cho, The validity and reliability of the sexual development assessment scale for the high school students. Korean Journal of Youth S of Counseling, Vol 7, pp. 47-62. 2006.
  33. S.H. Oh, H. S. Kang, Y.H. Kim, Analysis of rape myths acceptance and gender role stereotype among female and male university students. Journal of Korean Academy of Public Health Nursing, Vol.24, pp. 249-257. 2010. DOI:https://doi.org/10.5932/JKPHN.2010.24.2.249
  34. R. Kalin & P. J. Tilby, Development and validation of a sex role ideology scale. Psychological Reports, Vol.42, No.3, pp. 731-738. 1978. DOI:https://doi.org/10.2466/pr0.1978.42.3.731
  35. D. I. Kim, A study on the relationship between gender stereotypes and authoritarianism. Social Science Review,63(2), 45-56. 1993.
  36. R. Bouton, P. Gallaher, P. Garlinghouse, T. Leal, L. Rosenstein, R. Young, Scales for measuring fear of AIDS and homophobia. Journal of Personality Assessment, Vol.51, No. 4, pp. 606-614. 1987. DOI:https://doi.org/10.1207/s15327752jpa5104_13
  37. B. J. Lee, Social work students' attitudes towards lesbians and gay men. Social Science Research Review, Vol.22, No.2, pp.1-19. 2006.
  38. R. D. Fisher, D. Derison, III. C. F. Polley, J. Cadman, D. Johnston, Religiousness, Religious Orientation, and Attitudes Towards Gays and Lesbians 1, Journal of Applied Social Psychology, Vol. 24, No. 7, 614-630, 1994. DOI:https://doi.org/10.1111/j.1559-1816.1994.tb00603.x
  39. Y. S. Seo, J. L. Lee, J. H. Cha, The Effects of Gender Role Attitudes, Religiosity, Authoritarianism, and Cultural Values on Korean College Students' Homophobia, The Korean Psychological Association, Vol.18, No.1, pp.177-199, 2006. From: http://www.dbpia.co.kr/Article/NODE06369550
  40. M. K. Jun, J. H. Jun, S. A. Whang, Recognition and Attitude toward Homosexuality of High School Students, Asia-pacific Journal of Multimedia Services Convergent with Art, Humanities, and Sociology, Vol. 7, No. 10, pp. 631-642, 2017. DOI: http://dx.doi.org/10.14257/ajmahs.2017.10.09.
  41. H. J. Lee, M. H. Kang, The Validation of the PAQ and the Relationship with Parenting Style and Family Function, Studies on Korean Youth, Vol.19, No.3, pp.5-31, 2008. From: http://www.dbpia.co.kr/journal/articleDetail?nodeId=NODE01043343
  42. R. D. Parke, R. Buriel, Socialization in the family: Ethnic and ecological perspectives. Handbook of child psychology.1998. DOI:https://doi.org/10.1002/9780470147658.chpsy0308
  43. S. H. Choi, Factors Influencing Sexual Assertiveness of Women University Students in Nursing, Journal of Korean Academy of Psychiatric & Mental Health Nursing, Vol.25, No. 4, pp. 367-374. 2016. DOI:https://doi.org/10.12934/jkpmhn.2016.25.4.367
  44. E. S. Lee, H. S. Kang, A study on university students' gender role stereotype, sexual assertiveness, sexual assault recognition, sexual violence permissiveness and sexual violence experience in dating. J East-West Nurs Res. Vol. 20, No.1 pp. 48- 56. 2014. DOI:https://doi.org/10.14370/jewnr.2014.20.1.48
  45. S. L. Bem, Sex role adaptability; One consequence of psychological androgyny. J Personal Soc Psychol, Vol. 31, pp.634-643. 1975. DOI:http://dx.doi.org/10.1037/h0077098