Full length articleMindfulness in learning safe sex via social media: Perspectives of personality and experiential value
Introduction
According to a survey by the Health Promotion Administration, Ministry of Health and Welfare of Taiwan (2013), 10%–13.5% of adolescents aged 15–17 years have had sexual intercourse, and 8.3% of these adolescents had sexual intercourse for the first time at age 15 or younger. In addition, 15% of high school students have had sexual intercourse, and this percentage has increased over time. A report by the Centers for Disease Control, Taiwan Ministry of Health (2014) indicated that 66.8% of males aged 15–49 years did not know that condoms should be used with a water-based lubricant. Advocates for Youth, a Taiwan-based study that focuses on adolescent sexual health, reported that few adolescents knew how to use condoms correctly, and engaging in risky sexual behaviors can result in unplanned health outcomes, such as pregnancy or sexually transmitted diseases. Therefore, safe sex education programs should guide youths to engage in safe sex. For most adolescents, using the Internet and social media is an integral part of daily life. The advent of the Internet has enhanced information dispersal and communication worldwide and thus increased adolescents’ access to information on sex (Cookingham & Ryan, 2015).
There are significant biological, individual, cognitive, contextual, and social changes that occur during adolescence (e.g., Bauermeister et al., 2010, Moilanen et al., 2010), which likely influence the relationship between impulsivity and risky sexual behavior (Donohew et al., 2000). Previous studies have shown that many adolescents initiate sex and experience sexual curiosity because of their exposure to social media (Albarracin et al., 2004, Bobkowski et al., 2016). Adolescents who have viewed sexual photos and posted sexual photos on social media are more likely to be curious (Temple et al., 2012) or impulsive about sex and experimented with sex (Dir, Coskunpinar, & Cyders, 2014). As such, use of social media may have a significant impact on the social and sexual well-being of adolescents (Cookingham & Ryan, 2015). In accordance with this, sex education can be integrated into social media to provide accurate and complete information supported by the educational administration (Byron, Albury, & Evers, 2013). Through using social media, students can control the progress of their learning by repeating playback, rewinding or fast forwarding the sex education video. The context of integrating sex education into social media has not been extensively examined; accordingly, the aim of this research was to gain an understanding of adolescents using social media for safe sex education.
Sexual health promotion agencies in the social media space should not expect students to fully engage and be mindful when learning the health promotion content. Kabat-Zinn defined mindfulness as “paying attention in a particular way: on purpose, in the present moment, and non-judgmentally” (Kabat-Zinn, 1994, p.4). In this sense, viewing a video related to sex may arouse adolescents’ sexual curiosity (Dir et al., 2014), which may lead to loss of focus in moment-to-moment engagement during social media learning; ultimately resulting in not acquiring safe sex knowledge from social media learning. In this regard, few studies have focused on the effect of adolescents’ mindfulness during safe sex education via social media. Therefore, this study aimed to explore the role mindfulness plays while adolescents learn about safe sex via social media.
Fishbein and Ajzen (1975) proposed theory of reason action (TRA) to explain the beliefs of behavioral attitudes and behaviors when using media for learning. That is, a belief forms when an attribute is linked to an object based on direct observation, inference, or information from another source that assigns meaning to that object. Hall-Phillips, Park, Chung, Anaza, and Rathod (2016) suggested that aspects of users’ social media experience and experiential values were found to enhance users’ engagement. In addition, Baams et al. (2015) found personality affects adolescents’ sexual behavior. Moreover, neuroticism was found to be significant in the prediction of the overall frequency of negative sexual cognitions; whereas openness was found to be significantly related to all types of positive sexual cognitions (Moyano & Sierra, 2013). Taken together, the present study assumed that mindfulness asserts an effect independent of experiential values and intention to learn about safe sex via social media. Therefore, we will examine the influence of personality on the role of mindfulness, and its effect on two valence aspects (hedonism and utilitarian), and the effect on continuance intention to about learn about safe sex from social media.
Section snippets
Literature review
To assess the effectiveness of media in facilitating students’ social media learning, Moreno (2006) proposed the Cognitive-Affective Theory of Learning with Media (CATLM) to focus on the cognitive and affective processes in multimedia learning. These processes include the concept of attitude mediation, which indicates affective factors may influence the cognitive activation of the learners (Leutner, 2014). Drawing from CATLM, individuals’ personalities may interplay with mindfulness to affect
Research hypotheses and model
With the aim of understanding how individual traits are expressed as learning-related behavior and how this behavior relates back to performance (Lievens, Chasteen, Day, & Christiansen; 2006), this study focused on the predictability of experiential values and adolescents’ continuance intention to use social media to learn about safe sex. According to the aims of this study, the correlates between variables were hypothesized as follows.
Methods
In order to verify the research model, this study applied confirmatory factor analysis (CFA) with structural equation modeling (SEM) to explore the correlates between constructs. The measurement questionnaire was developed with first-order CFA, and after deleting the invalidated items, it was subjected to further statistical analysis.
Research instrument
The questionnaire items were adapted from previous theories or researchers and obtained via professional translation of the original items to Chinese using the forward-backward method, which enables verification of the accuracy, clarity, and naturalness of the translation. The items were assessed on a five-point Likert scale that ranged from 1 (“Disagree strongly”) to 5 (“Agree strongly”).
Results
By using AMOS 22.0, structural equation modeling (SEM) was applied to verify the research model.
Discussion
This study focused on students’ mindfulness when learning about condom usage from social media. We identified six intermediary variables, and developed scales that were supported by psychometric analyses. We also demonstrated the explained linkages between openness and neurotic personality traits, and its contribution to effectiveness in learning about safe sex via YouTube. The results of this study indicated that in the context of learning about condom usage via Youtube, the neuroticism
Conclusion
Based on the results of this study, we believe that learning about safe sex via YouTube can offer a new experience for students, which can increase the likelihood that they continue to learn about safe sex via social media over time. The aim of safe sex education is to encourage students to use condoms for their future sexual behaviors. If they have less mindfulness when viewing the safe sex video on Youtube, their experiential values will also be lower at the time of learning.
Taken together,
Limitation and future study
According to a study by Charmaraman, Lee, and Erkut (2012), sexual activity, female anatomy, reproduction, and puberty are the most frequently discussed topics in schools; whereas sexual violence and drug/alcohol use are less frequently discussed. Although this study was limited to the investigation of cognitive and emotional factors in learning about condom use, future studies may focus on different topics within safe sex education.
Sexual impulsivity has been associated with conditions of
Acknowledgement
This research was partially supported by the “Aim for the Top University Project” of National Taiwan Normal University, sponsored by the Ministry of Education, Taiwan and the “International Research-Intensive Center of Excellence Program” of NTNU and Ministry of Science and Technology, Taiwan (MOST 103-2911-I-003-301 and MOST 101-2511-S-003-056-MY3 and MOST 104-2911-I-003-301).
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