Relationships among sexual self-concept and sexual risk cognition toward sexual self-efficacy in adolescents: Cause-and-effect model testing

Hsiu Yueh Hsu*, Hsing Yi Yu, Jiunn Horng Lou, Cheng Joo Eng

*Corresponding author for this work

Research output: Contribution to journalJournal Article peer-review

14 Scopus citations

Abstract

Aim: Sexual self-efficacy plays an important role in adolescents' sexual health. The aim of this study was to test a cause-and-effect model of sexual self-concept and sexual risk cognition toward sexual self-efficacy in adolescents. Methods: The study was a cross-sectional survey. Using a random sampling method, a total of 713 junior nursing students were invited to participate in the study, and 465 valid surveys were returned, resulting in a return rate of 65.2%. The data was collected using an anonymous mailed questionnaire. Structural equation modeling was used to test the relationships among sexual self-concept, sexual risk cognition, and sexual self-efficacy, as well as the mediating role of sexual risk cognition. Results: The results revealed that the postulated model fits the data well. Sexual self-concept significantly predicted sexual risk cognition and sexual self-efficacy. Sexual risk cognition significantly predicted sexual self-efficacy and had a mediating effect on the relationship between sexual self-concept and sexual self-efficacy. Conclusion: Based on social cognitive theory and a structural equation model technique, this study confirmed the mediating role of sexual risk cognition in the relationship between sexual self-concept and sexual self-efficacy. Also, sexual self-concept's direct and indirect effects explaining adolescents' sexual self-efficacy were found in this study.

Original languageEnglish
Pages (from-to)124-134
Number of pages11
JournalJapan Journal of Nursing Science
Volume12
Issue number2
DOIs
StatePublished - 01 04 2015

Bibliographical note

Publisher Copyright:
© 2014 The Authors.

Keywords

  • Adolescents
  • Sexual risk cognition
  • Sexual self concept
  • Sexual self-efficacy

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