Habel Melissa A, Coor Alexandra, Beltran Oscar, Becasen Jeffrey, Pearson William S, Dittus Patricia
a Division of STD Prevention , Centers for Disease Control and Prevention , Atlanta , Georgia , USA.
b Oak Ridge Institute for Science and Education , Oak Ridge , Tennessee , USA.
J Am Coll Health. 2018 May-Jun;66(4):259-268. doi: 10.1080/07448481.2018.1431896. Epub 2018 Mar 5.
To describe the array of sexual health care services provided at US colleges and universities.
During 2014-2015, 885 colleges were surveyed about their provision of sexual health services.
55% of colleges responded. Data were weighted and stratified by minority-serving institutions (MSIs), 2-year and 4-year institutions.
70.6% of colleges reported having a health center (HC), of which 73.0% offered STI diagnosis/treatment (4 years vs. 2 years; 77.9% vs. 53.1%) and contraceptive services (70.1% vs. 46.4%), all p < .001. HCs less frequently offered LARC (19.7%), express STI testing (24.4%) and self-collection (31.4%). Condoms were available on 66.8% of campuses. HPV vaccination was available at more 4-year colleges (73.7% vs. 48.5%, p < .003) and non-MSIs (74.4% vs. 58.5, p = .019). Regarding MSM-targeted services, 54.6% offered pharyngeal and 51.8% rectal STI testing.
2-year colleges may require additional support with providing sexual health care. Improvements could entail increasing express testing, extra-genital STI testing, and LARC.
描述美国高校提供的一系列性健康保健服务。
在2014 - 2015年期间，对885所高校提供性健康服务的情况进行了调查。
55%的高校做出了回应。数据按少数族裔服务机构（MSIs）、两年制和四年制机构进行加权和分层。
70.6%的高校报告设有健康中心（HC），其中73.0%提供性传播感染诊断/治疗（四年制高校与两年制高校；77.9%对53.1%）以及避孕服务（70.1%对46.4%），所有p < 0.001。健康中心较少提供长效可逆避孕方法（LARC，19.7%）、快速性传播感染检测（24.4%）和自我采样（31.4%）。66.8%的校园提供避孕套。四年制高校（73.7%对48.5%，p < 0.003）和非少数族裔服务机构（74.4%对58.5%，p = 0.019）提供人乳头瘤病毒（HPV）疫苗接种的比例更高。关于针对男男性行为者（MSM）的服务，54.6%提供咽部性传播感染检测，51.8%提供直肠性传播感染检测。
两年制高校在提供性健康保健方面可能需要额外支持。改进措施可包括增加快速检测、生殖器外性传播感染检测和长效可逆避孕方法。
