Purpose: The study aimed to clarify the relationship between cognitive social capital and sexual awareness in high school students in Tokyo, Japan. Method: The self-administered questionnaire survey was administered to 1073 high school junior students in Tokyo in Feb. 2017 (collection rate 94.5%). Final analysis subjects totaled 1011 boys and girls (94.2%). True/false questions on timing to wear condom for sex knowledge, acceptability to sexual behavior of high school students for sexual awareness, sense of community belonging for social capital, existence of sexually experienced peers, and Rosenberg Self-Esteem Scale score (binarized with the mean value) were verified. Multiple logistic regression analysis assigning sexual awareness for dependent variable and sex knowledge, sexually experienced peers and Self-Esteem score for independent variable [model 1], including social capital for independent variable [model 2] was performed. The study was approved by Ethical Review Board of sub-organ. Results and Discussion: Out of subjects, 52.6% answered correctly questions on sex knowledge, 33.2% showed tolerance to sexual behavior of high school students, 68.6% had many peers with sex experience, and 75.9% had a sense of community belonging. In model 1, in both genders, having sex knowledge, high Self-Esteem score, and existence of sexually experienced peers was associated with a sense of intolerance to sexual behavior of high school students. In model 2, in both genders, having a sense of community belonging was associated with a sense of intolerance to sexual behavior of high school students [OR (95% CI): boy 1.11 (0.81-1.53), girl 1.14 (0.72-1.79)]. Persons with high cognitive social capital were likely to have a cautious sense toward sexual behavior. Conclusion: Cognitive social capital was found to be associated with sexual awareness. Cognitive social capital should be emphasized in promoting adolescent reproductive health How to cite this paper: Watanabe, K.,

Purpose: This study was to clarify the association of sexual awareness of high school students with cognitive social capital (SC) in Tokyo, Japan. Method: In September 2017, we conducted a survey of 1073 third-grade high school students who were the same students who had participated in the same questionnaire survey at the prior academic year when they were second-grade students. A total of 1073 students were surveyed and 956 students responded. From six to eight weeks prior to this September 2017 survey, we implemented an educational intervention in the students. Then we compared the results of this survey with the previous survey of February 2017. We used logistic regression to assess sexual awareness and sex knowledge, sexually experienced surrounding peers and Self-Esteem score. The study was approved by the Ethical Review Board. Result/Discussion: Sexual awareness of high school students was significantly associated with SC both before and after the intervention. The higher SC one had, the higher sexual awareness was shown and the greater the sexual caution among both boys and girls was indicated. The study clarified the Determinants of Sexual Awareness of High School Students in Tokyo before and after the educational intervention. Conclusion: SC was found to be significantly associated with sexual awareness. SC should be emphasized in promoting adolescent reproductive health for the future.

Objective: Since the late 1980s, Vietnam has seen numerous social changes, likely leading to changes in adolescent sexual awareness. Adolescents are currently exposed to a plethora of sexual information without adequate sex education and knowledge. Globally, researchers have identified sexual knowledge and self-esteem as determinants of adolescent sexual awareness and behavior, but little is known about the role of social capital, especially in rural areas. This study aimed to clarify the relationship between sexual awareness and cognitive social capital among high school students in rural Vietnam. Materials and Methods: We conducted a questionnaire-based survey assessing sexual knowledge, sexual awareness, perceptions of peers' sexual experience, structural and cognitive social capital, and self-esteem (Rosenberg Self-Esteem Scale) in March 2017 among 1,583 11th graders at four public high schools in Hai Duong Province, Vietnam. Results: The final sample comprised 1,517 students (95.8% of total responses): 609 boys (40.1%) and 908 girls (59.9%). Multiple logistic regression analysis was performed with intolerance toward premarital sex as the dependent variable. In the first model, the independent variables were self-esteem, knowledge of proper timing for condom use, and perception that many peers are sexually experienced. The second model added an indicator of cognitive social capital. In the first model, self-esteem, knowledge of proper timing for condom use, and perception that many peers are sexually experienced were all significantly associated with intolerance toward premarital sex for both boys and girls. In the second model, for both boys and girls, only cognitive social capital was significantly associated with intolerance toward premarital sex. Conclusion: The results of this study regarding the effect of social capital in rural Vietnam are consistent with previous findings in urban areas. Social capital should be emphasized in efforts to improve sexual awareness and, in turn, sexual and reproductive health among adolescents in rural areas.

This study is aimed to clarify the methods and sources from which high school students in Tokyo actually acquired sex information and the methods and sources from which they desired to acquire sex information. The participants of the study were selected from six public high schools in Tokyo, and were administered a survey at the time of their second grade from January to February 2017, and again at the time of their third grade from September to November 2017. We conducted self-administrated questionnaire-based surveys with 1073 students. Between the two surveys, at eight to ten weeks prior to the September/November survey, an educational intervention was presented to these subjects. Final analysis subjects totaled 1011 students at the second-grade and 936 students at the third-grade in school. Although many subjects responded that they received sex education, not so many of them actually had correct sexual knowledge. Most subjects, that is, both boys and girls at both second and third grades, thought sex information should be acquired from school, and significantly fewer considered the Internet as a source of sex information as compared to previous studies. Most subjects had high expectations that sex education would be taught at high school by teachers. One difference between boys and girls was that many girls responded that sex education should be acquired primarily from school, then secondarily from parents. Fewer subjects responded that sex education should be acquired from friends and the Internet. For the future, upskilling teachers and parents in sex education at school and home is expected.