学生使用紧急避孕药具的经验和对校内自动售货机的偏好

IF 2.8 2区医学 Q1 OBSTETRICS & GYNECOLOGY

Contraception Pub Date : 2024-10-07 DOI:10.1016/j.contraception.2024.110648

S Knifton, M Quasebarth, V Manthena, L Hasselbacher

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引用次数: 0

摘要

目的以折扣价出售紧急避孕药（EC）的自动售货机在美国大学校园里越来越常见。这些自动售货机减轻了大学生在获取紧急避孕药具时遇到的常见障碍，从而为他们提供了方便和及时的服务。方法通过传单和列表服务器招募伊利诺伊州一所私立大学的在校学生，让他们在 2023 年 11 月至 2024 年 2 月期间完成一项有关 EC 可及性的电子调查。匿名调查回复通过 RedCap 进行记录，并导出到 Microsoft Excel 和 SPSS 中进行分析。大多数参与者认为自己是顺性别女性（73.1%）、异性恋者（45.8%）、白人（52.6%）和本科生（60.1%）。结果发现，超过三分之一（38.2%）的参与者以前购买过心血管疾病药物。其中近 20%的参与者认为购买过程比较困难，主要原因是价格昂贵。超过一半（56.4%）的参与者担心在商店或学生健康诊所购买避孕药时会被注意到或与工作人员打交道。大部分參加者(90.4%)表示，如需要使用安全套，他們會使用校內的安全套售賣機。不到半数（43.6%）的参与者表示，他们愿意花费超过 20 美元购买安全套。结论自动售货机是一个切实可行的解决方案，可以增加大学校园内的安全用药，并支持学生的生殖和教育目标，尤其是在堕胎限制不断增加的情况下。为了最大限度地解决学生的顾虑，确保安全套价格低廉，并将自动售货机放置在方便使用但保密的地点至关重要。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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STUDENT EXPERIENCES WITH EMERGENCY CONTRACEPTION AND PREFERENCES FOR ON-CAMPUS VENDING MACHINES

Objectives

Vending machines that sell emergency contraception (EC) at discounted prices are becoming increasingly common on US college campuses. These machines facilitate convenient and timely access for college students by mitigating common barriers to obtaining EC. Limited research has investigated students’ attitudes toward this resource.

Methods

Currently enrolled students at a private university in Illinois were recruited via flyers and listservs to complete an electronic survey on EC accessibility between November 2023 and February 2024. Anonymous survey responses were recorded via RedCap and exported to Microsoft Excel and SPSS for analysis.

Results

372 students completed the survey. The majority of participants identified as cisgender women (73.1%), straight (45.8%), White (52.6%), and as undergraduate (60.1%). Results found that over one-third (38.2%) of participants had previously purchased EC. Nearly 20% of these participants found the experience difficult, mainly due to the high cost of EC. Over half (56.4%) of participants had concern about being noticed or having to interact with staff when obtaining EC at a store or at student health clinic. Most (90.4%) participants reported that they would use an on-campus EC vending machine if they needed EC. Less than half (43.6%) indicated that they would be willing to spend more than $20 for EC.

Conclusions

EC vending machines are a practical solution to increase EC accessibility on college campuses and support students’ reproductive and educational goals, especially in the face of increasing abortion restrictions. To best address student concerns, ensuring that EC is low-cost and machines are placed in an accessible, but confidential, location is crucial.

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来源期刊

Contraception 医学-妇产科学

CiteScore

4.70

自引率

17.20%

发文量

211

审稿时长

69 days

期刊介绍： Contraception has an open access mirror journal Contraception: X, sharing the same aims and scope, editorial team, submission system and rigorous peer review. The journal Contraception wishes to advance reproductive health through the rapid publication of the best and most interesting new scholarship regarding contraception and related fields such as abortion. The journal welcomes manuscripts from investigators working in the laboratory, clinical and social sciences, as well as public health and health professions education.