ArticleBMC health services research2018
Barriers and enablers to sexual health service use among university students: a qualitative descriptive study using the Theoretical Domains Framework and COM-B model.
Article in BMC health services research, 2018. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 45 papers.
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Who cites it
45 citing papers in PubMed, 121 citations in OpenAlex.
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- Personal factors influencing female students' condom use at a higher education institution.African journal of primary health care & family medicine · 2024Article
- Young Women's Needs Regarding Sexual Preventive Behaviours and Unwanted Pregnancies.Healthcare (Basel, Switzerland) · 2024Article
- Just in case: undergraduate students identifying and mitigating barriers to their sexual and reproductive health needs.BMC women's health · 2024Article
- Nurses' perspectives on user-friendly self-sampling interventions for diagnosis of sexually transmitted infections among young women in eThekwini district municipality: a nominal group technique.BMC health services research · 2024Article
- Exploring relationships between dating app use and sexual activity among young adult college students.Frontiers in reproductive health · 2024Article
- Applying the COM-B behaviour model to understand factors which impact 15-16 year old students' ability to protect themselves against acquirement of Human Papilloma virus (HPV) in Northern Ireland, UK.PLOS global public health · 2024Article
- Development of Interventions to Support Provincial Implementation of the Baby-Friendly Initiative: A Study Protocol.Nursing reports (Pavia, Italy) · 2023Article
- Increasing chronic disease preventive care in community mental health services: clinician-generated strategies.BMC psychiatry · 2023Article
- Need for Sexual, Reproductive, and Mental Health Promotion Among Diverse College Students in a COVID-19 Era.Clinical child and family psychology review · 2023Review
- Successful Integration of HIV PrEP in Primary Care and Women's Health Clinical Practice: A Model for Implementation.Viruses · 2023Article
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Corrections and comments
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Authors and funding
6 authors at 2 institutions in 1 country.
Funding
No grant is acknowledged in the PubMed record.
Abstract
backgroundUniversity students are within the age group at highest risk for acquiring sexually transmitted infections and other negative health outcomes. Despite the availability of sexual health services at university health centres to promote sexual health, many students delay or avoid seeking care. This study aimed to identify the perceived barriers and enablers to sexual health service use among university undergraduate students.
methodsWe used a qualitative descriptive design to conduct semi-structured focus groups and key informant interviews with university students, health care providers, and university administrators at two university health centres in Nova Scotia, Canada. The semi-structured focus group and interview guides were developed using the Theoretical Domains Framework and COM-B Model. Data were analyzed using a directed content analysis approach, followed by inductive thematic analysis.
resultsWe conducted 6 focus groups with a total of 56 undergraduate students (aged 18-25) and 7 key informant interviews with clinicians and administrators. We identified 10 barriers and enablers to sexual health service use, under 7 TDF domains: knowledge; memory, attention and decision-making processes; social influences; environmental context and resources; beliefs about consequences; optimism; and emotion. Key linkages between students' social opportunity and motivation were found to influence students' access of sexual health services.
conclusionsWe identified barriers and enablers related to students' capability, opportunity and motivation that influence sexual health service use. We will use these findings to design an intervention that targets the identified barriers and enablers to improve students' use of sexual health services, and ultimately, their overall health and well-being.
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