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The individuals were asked to finished a questionnaire survey and attend lectures by midwives affiliated with Shiga University of Medical Science. This was followed by correspondence analyses. The study also examined the effects of different socio-cultural history on attitudes towards sex. Japan underwent profound socio-cultural changes in the twentieth century that have shaped the early years of childhood in different ways. These influences have had an enduring effect on attitudes. To examine the have an effect on of the socio-demographic factors, the researchers used repeated cross-sectional data from the Japanese General Social Survey (JSGS) from 2000 to 2012. While the public's attitudes towards sex are formed largely by pop culture, many directors have addressed the difficulty during the medium of film. Shohei Imamura, for instance, explored the issue through his 1975 documentary film, Karayuki-san. In the film, phallus-shaped objects were found in gala's, shrines, and along highways. They were considered symbols of health and good luck. While it is challenging to prove a causal courting, the shift in attitudes is essential and can function an important social indicator.

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