Ann Pediatr Endocrinol Metab.  2017 Mar;22(1):43-48. 10.6065/apem.2017.22.1.43.

The effect of first nocturnal ejaculation timing on risk and sexual behaviors of Korean male adolescents

Affiliations
  • 1Department of Pediatrics, Dong-A University College of Medicine, Busan, Korea. pedendo@dau.ac.kr
  • 2Department of Psychiatry, Dong-A University College of Medicine, Busan, Korea.

Abstract

PURPOSE
This study evaluated the effect of first nocturnal ejaculation timing on risk and sexual behaviors of Korean male adolescents.
METHODS
We analyzed data from the 10th edition of the Korea Youth Risk Behavior Web-based survey that was conducted with male high school adolescents in grades 10-12. The survey included 17,907 adolescents, and 10,326 responded their experience of first nocturnal ejaculation. Of these, 595 had their first nocturnal ejaculation in ≤grade 4 ("early puberty") and 9,731 had their first nocturnal ejaculation in ≥grade 5 ("normal puberty"). We analyzed differences between these 2 groups in risk and sexual behaviors.
RESULTS
Early first nocturnal ejaculation showed a positive association with sexual intercourse (odds ratio [OR], 3.27; 95% confidence interval [CI], 2.56-4.17), sexual debut at elementary school age (OR, 7.45; 95% CI, 5.00-11.10), and having had a sexually transmitted disease (OR, 6.60; 95% CI, 3.94-11.08). After a multiple logistic regression to adjust for socio-demographic variables, early first nocturnal ejaculation was still positively associated with sexual intercourse (OR, 2.73; 95% CI, 2.03-3.69), sexual debut at elementary school age (OR, 5.96; 95% CI, 3.47-10.22), and having had a sexually transmitted disease (OR, 5.17; 95% CI, 2.52-10.20). Early first nocturnal ejaculation was positively associated with alcohol consumption, smoking, and substance use. However, this was not statistically significant after adjusting for several socio-demographic variables.
CONCLUSION
There is a positive association between early nocturnal ejaculation and sexual behaviors in male adolescents. Proactive education about sexual behaviors is required for adolescents who reach sexual maturity early.

Keyword

Puberty; Ejaculation; Adolescents; Sexual behavior; Substance use

MeSH Terms

Adolescent*
Alcohol Drinking
Coitus
Education
Ejaculation*
Humans
Korea
Logistic Models
Male
Male*
Puberty
Risk-Taking
Sexual Behavior*
Sexually Transmitted Diseases
Smoke
Smoking
Smoke

Cited by  1 articles

Adherence of the Annals of Pediatric Endocrinology & Metabolism to the Principles of Transparency and Best Practice in Scholarly Publishing
Sun Huh
Ann Pediatr Endocrinol Metab. 2018;23(1):1-3.    doi: 10.6065/apem.2018.23.1.1.


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