Relationships among sexual knowledge, sexual attitudes, and safe sex behaviour among adolescents: A structural equation model

Background and objectivesThe purpose of this cross-sectional study was to test a cause-and-effect model of factors affecting sexual health among Taiwanese adolescents. A structural equation model was proposed in which the relationships among sexual knowledge, sexual attitudes, and safe sex behaviour were explored.ParticipantsThe study collected data from 823 adolescent students at a junior college in Central Taiwan.MethodParticipants were assessed using the Sexual Knowledge Scale, Sexual Attitudes Scale, and Safe Sex Behaviour Questionnaire and the demographic data were collected. The preliminary model fit criteria, overall model fit, and fit of internal structure of model was used to assess the sexual health model fit.ResultsResults revealed that sexual knowledge had a negative effect on sex attitudes and had no significant effect on safe sex behaviour. Adolescents with more sexual knowledge had less positive sexual attitudes and did not show increased practices of safe sex behaviour.ConclusionsNo significant correlation was found between sexual knowledge and safe sex behaviour of adolescents. Improvements in sexual attitudes were found to be irrelevant to the promotion of safe sex behaviour of adolescents. In order to ensure safe sexual health, it is strongly suggested that adolescents learn to be responsible for their own behaviours and attitudes and obtain correct knowledge about their understandings and evaluations of sexuality.