Factors of Adolescents' Sexual Communication in Taiwan: A Structural Equation Model

Thursday, 15 July 2010

Jiunn-Horng Lou, MHS, RN
Department of Nursing, Jen-Teh Junior College of Medicine, Nursing, and Management, Miaoli, Taiwan

Learning Objective 1: The learner will be able to understand the mediator role of sexual risk cognition between sexual self-concept and sexual communication.

Learning Objective 2: The learner will be able to understand sexual self-concept and sexual risk cognition of adolescent’s sexual communication.


The purpose of this study was to test a cause-and-effect model of sexual communication among Taiwanese adolescents. Three hypotheses and a model were proposed in which the relationships among sexual self-concept, sexual risk cognition, and sexual communication were explored.

Methods: A cross-sectional survey was used in this study. The author collected data from 748 adolescent students at a Taiwan junior college in 2009. Data were collected by a questionnaire.


The author found that the postulated model fitted the data well in this study. Sexual self-concept was found an influential factor and predictor to sexual risk cognition and sexual communication. Sexual risk cognition reached a significance level at predicting sexual communication. Moreover, it had an intervening effect on the relationship between sexual self-concept and sexual communication.


Sexual risk cognition was an important factor in explaining sexual communication in adolescents. Sexual self-concept has both direct and indirect effects towards sexual communication. Several strategies are provided for school educators in developing sexual health programs to promote sexual self-concept of adolescents and their sexual communication with parents.