| Title |
Barriers and enablers to sexual health service use among university students: a qualitative descriptive study using the Theoretical Domains Framework and COM-B model
|
|---|---|
| Published in |
BMC Health Services Research, July 2018
|
| DOI | 10.1186/s12913-018-3379-0 |
| Pubmed ID | |
| Authors |
Christine Cassidy, Andrea Bishop, Audrey Steenbeek, Donald Langille, Ruth Martin-Misener, Janet Curran |
| Abstract |
University 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. We 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. We 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. We 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. |
X Demographics
The data shown below were collected from the profiles of 9 X users who shared this research output. Click here to find out more about how the information was compiled.
Geographical breakdown
| Country | Count | As % |
|---|---|---|
| Canada | 4 | 44% |
| United Kingdom | 1 | 11% |
| Ireland | 1 | 11% |
| Unknown | 3 | 33% |
Demographic breakdown
| Type | Count | As % |
|---|---|---|
| Scientists | 6 | 67% |
| Members of the public | 3 | 33% |
Mendeley readers
The data shown below were compiled from readership statistics for 264 Mendeley readers of this research output. Click here to see the associated Mendeley record.
Geographical breakdown
| Country | Count | As % |
|---|---|---|
| Unknown | 264 | 100% |
Demographic breakdown
| Readers by professional status | Count | As % |
|---|---|---|
| Student > Master | 36 | 14% |
| Student > Bachelor | 36 | 14% |
| Student > Ph. D. Student | 23 | 9% |
| Student > Doctoral Student | 17 | 6% |
| Researcher | 13 | 5% |
| Other | 33 | 13% |
| Unknown | 106 | 40% |
| Readers by discipline | Count | As % |
|---|---|---|
| Nursing and Health Professions | 35 | 13% |
| Medicine and Dentistry | 33 | 13% |
| Psychology | 23 | 9% |
| Social Sciences | 14 | 5% |
| Biochemistry, Genetics and Molecular Biology | 7 | 3% |
| Other | 38 | 14% |
| Unknown | 114 | 43% |
Attention Score in Context
This research output has an Altmetric Attention Score of 15. This is our high-level measure of the quality and quantity of online attention that it has received. This Attention Score, as well as the ranking and number of research outputs shown below, was calculated when the research output was last mentioned on 16 April 2024.
All research outputs
#2,130,624
of 23,505,669 outputs
Outputs from BMC Health Services Research
#829
of 7,827 outputs
Outputs of similar age
#45,224
of 330,707 outputs
Outputs of similar age from BMC Health Services Research
#37
of 203 outputs
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We're also able to compare this research output to 203 others from the same source and published within six weeks on either side of this one. This one has done well, scoring higher than 81% of its contemporaries.