澳大利亚大学生获得和使用性健康与生殖健康服务的情况。

IF 1.8 3区 医学 Q2 FAMILY STUDIES
Arabella Mundie, Amy B Mullens, Erich C Fein, Sara F E Bell, Joseph Debattista, Armin Ariana, Kirstie Daken, Kathryn Wenham, Charles F Gilks, Pamela Doherty, Jo Durham, Zhihong Gu, Judith A Dean
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引用次数: 0

摘要

上大学可能会导致性行为的改变,从而增加性健康和生殖健康(SRH)负面经历的风险;然而,对澳大利亚大学生获得和使用SRH服务的情况进行探讨的研究相对较少。来自五所大学的方便抽样学生(N = 4291)完成了一项在线调查,以了解获得性与生殖健康服务的障碍和促进因素。调查使用了描述性统计来分析性别、性取向和入学状况的差异。对两个开放式问题的回答进行了内容分析。半数以上(59%,2934 人)的人从未就性健康和生殖健康问题与卫生专业人员交谈过。在41%(1 357人)曾与保健专家交谈过的学生中,女性、非二元/多元性别和澳大利亚出生的学生与男性、异性恋或留学生交谈过的可能性要大得多。经常报告的使用性健康和生殖健康服务的障碍包括 "感到尴尬"、"被评判 "和 "不知道去哪里"。女同性恋、男同性恋、双性恋、变性人、两性人和青少年学生以及国际学生和在海外出生的国内学生面临着特殊的使用障碍。针对学生提出的使用障碍提出了建议,呼吁大学通过提供支持性、非评判性和包容性的性健康和生殖健康促进和保健服务,满足不同学生群体的需求,从而为学生的健康提供支持。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
University students' access and use of sexual and reproductive health services in Australia.

University attendance can lead to changes in sexual behaviour that place people at increased risk of negative sexual and reproductive health (SRH) experiences; however, relatively few studies have explored access to and use of SRH services by university students in Australia. A convenience sample of students (N = 4291) from five universities completed an online survey to examine barriers and facilitators to accessing SRH services. Descriptive statistics were used to analyse variations by gender, sexuality, and enrolment status. Content analyses were conducted on responses to two open-ended questions. Over half (59%, 2934) had never spoken to a health professional about SRH issues. Of the 41% (1357) who had, female, non-binary/gender diverse, and Australian-born students were significantly more likely to have done so than students identifying as male, heterosexual, or as an international student. Frequently reported barriers to use of SRH services were 'feeling embarrassed', 'being judged' and 'not knowing where to go'. LGBTQIA+ students along with international and overseas-born domestic students faced specific access barriers. Recommendations targeting student-identified barriers to access are offered, calling for universities to support student wellbeing by providing supportive, non-judgemental, and inclusive SRH promotion and health services that cater to needs of diverse student cohorts.

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CiteScore
4.60
自引率
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