为了万一:本科生识别和减轻他们性和生殖健康需求的障碍
Rachel Olson1, Jonathan Lehman2, Angie Mejia3
1Center for Learning Innovation, University of Minnesota Rochester, Rochester, MN, USA.
BMC women's health
|February 6, 2024
概括
一个由学生领导的免费性与生殖健康 (SRH) 计划为大学生提供了显著减少的避孕和教育障碍. 这一举措改善了对基本的SRH资源的获取,解决了校园中的关键差异.
科学领域:
- 公共卫生 公共卫生
- 学生健康服务 学生健康服务
- 性和生殖健康 性和生殖健康
背景情况:
- 高校和大学经常提供性与生殖健康 (SRH) 资源,这对于减少学生之间的健康差异至关重要.
- 获得医疗保健服务,用品和工具的限制可能会阻碍学生有效管理性健康的能力.
- 评估了由学生领导的基层健康促进战略,以通过谨慎,免费的SRH资源分配来解决这些访问障碍.
研究的目的:
- 评估由学生领导的互助健康促进战略,旨在增加大学校园内获得性与生殖健康 (SRH) 资源的机会.
- 确定学生在获取性健康产品时面临的障碍,并评估该计划对资源可访问性和利用性的影响.
- 了解学生对校园内SRH资源的看法以及谨慎的供应分发计划的有效性.
主要方法:
- 一个本科生主导的项目"Just in Case"被实施,提供含有避孕药,健康产品,卫生用品和教育材料的SRH供应套件.
- 一项试点研究涉及前后调查 (n=95前,n=73后) 以评估避孕获得障碍,对SRH资源的看法和计划影响.
- 统计分析,包括独立性和关联规则挖掘的千平方测试,用于比较调查答案,并确定频繁请求的SRH项目.
主要成果:
- 成本和隐私被确定为获得校园内性健康产品的重大障碍.
- 在计划实施后,据报道,获得避孕药的机会从50%增加到75% (p < 0.001),获得性健康教育和服务的机会分别从30%增加到73%和36%增加到73% (p < 0.001).
- 避孕套是最常被要求的项目 (75%的套件),其次是紧急避孕和怀孕测试 (61%的套件).
结论:
- 由学生领导的性和生殖健康用品和资源的分发战略可以有效地减少不平等,克服避孕使用的障碍.
- "恰好"计划对学生获得基本的性和生殖健康产品和信息产生了显著的积极影响.
- 该模型提供了一种可扩展的方法,用于改善SRH资源的可用性,并解决大学和大学环境中的差异.
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