Discipline of Public Health, School of Nursing and Public Health Medicine, University of KwaZulu-Natal, Durban, South Africa.
Human and Social Capabilities Research Division, Human Sciences Research Council, Durban, South Africa.
BMC Health Serv Res. 2021 May 10;21(1):445. doi: 10.1186/s12913-021-06470-9.
Institutions of higher learning provide education, training, independence and life-long skills for young people. However, for students to achieve their optimal growth and intellectual development they need to be healthy psychologically, mentally and physically. This can be achieved through the development of effective health programs for all university students. This qualitative study was designed to explore Black male students' perspectives and experiences regarding the utilization of on-campus health services at the University of KwaZulu-Natal.
The study population was selected using purposive sampling. Data were collected using four focus group discussions (FGDs) with 36 participants and three key informant interviews. Thematic analysis was conducted to identify the key patterns and themes that emerged from the data.
Emerging themes included poor knowledge and awareness, negative perceptions and attitudes, fear and lack of privacy, and negative experiences leading to poor access and utilization of campus health services. The findings suggested a need for more advocacy and awareness campaigns especially among first year students, campaigns for normalization of sexual health, addressing HIV stigma and discrimination, providing youth friendly services to improve students' use of sexual health services, and ultimately, their overall health and well-being.
The findings give valuable insights from male students on the barriers and potential solutions to campus health services and highlight where improvements can be directed to increase access and use of health services by the study population.
高等学府为年轻人提供教育、培训、独立和终身技能。然而，为了让学生实现最佳成长和智力发展，他们需要在心理、精神和身体上保持健康。这可以通过为所有大学生制定有效的健康计划来实现。本定性研究旨在探讨夸祖鲁-纳塔尔大学黑人男学生对利用校内卫生服务的观点和经验。
采用目的抽样选择研究人群。使用四个焦点小组讨论（FGD）和三个关键信息提供者访谈收集数据。对数据进行主题分析，以确定出现的关键模式和主题。
出现的主题包括知识和意识差、负面看法和态度、恐惧和缺乏隐私，以及导致难以获得和利用校园卫生服务的负面经历。研究结果表明，需要开展更多的宣传和提高认识运动，特别是针对一年级学生；开展性健康正常化运动；解决艾滋病毒耻辱和歧视问题；提供青年友好服务，以提高学生对性健康服务的使用，最终提高他们的整体健康和福祉。
研究结果从男学生的角度提供了有关校园卫生服务障碍和潜在解决方案的宝贵见解，并强调了可以在哪些方面进行改进，以增加研究人群对卫生服务的获得和使用。
