Abstract：
Many U.S. colleges and universities offer access to a healthcare center that provides sexual and reproductive health (SRH) resources, services, and products. The importance of health centers in college and university settings in reducing sexual health disparities in student populations cannot be stressed enough. This article evaluates a student-led, mutual-aid, grassroots health promotion strategy for students with limited access to healthcare services, supplies, and tools via an anonymous and discrete distribution of SRH resources without charge.
In partnership with faculty, undergraduate students worked to address their school\'s unmet SRH needs by increasing on-campus access to comprehensive, evidence-based, and sex-positive resources. Referred to as Just in Case, this student-led, grassroots health promotion program provided students with supply kits containing contraceptives, sexual health wellness products, basic hygiene supplies, and education materials. Students were surveyed in a pre- (n = 95) post- (n = 73) pilot study to identify contraception acquisition barriers, discern perceptions of on-campus SRH resources, and elucidate trends in this program\'s use and impact. Chi-square tests of independence were used to compare survey group responses, and association rule mining was employed in tandem to identify SRH items that students requested.
Students identified cost and privacy as significant barriers to acquiring sexual health products on campus. Of the 182 Just in Case supply kits requested by students during the 2022-2023 academic year, condoms were requested most frequently in 75% of fulfilled kits, while emergency contraception and pregnancy tests were asked most often in 61% of kits. 50% of students reported access to contraceptives on campus before this program\'s implementation, growing to 75% (p < 0.001) 1 year later post-implementation. Similar jumps were observed for reported access to sexual health education (30 to 73%, p < 0.001) and services (36 to 73%, p < 0.001).
A student-led SRH supply and resource delivery strategy may immediately reduce SRH inequities and decrease barriers to contraceptive use for students with limited access to on-site SRH product availability.
In partnership with faculty, undergraduate students worked to address their school\'s unmet SRH needs by increasing on-campus access to comprehensive, evidence-based, and sex-positive resources. Referred to as Just in Case, this student-led, grassroots health promotion program provided students with supply kits containing contraceptives, sexual health wellness products, basic hygiene supplies, and education materials. Students were surveyed in a pre- (n = 95) post- (n = 73) pilot study to identify contraception acquisition barriers, discern perceptions of on-campus SRH resources, and elucidate trends in this program\'s use and impact. Chi-square tests of independence were used to compare survey group responses, and association rule mining was employed in tandem to identify SRH items that students requested.
Students identified cost and privacy as significant barriers to acquiring sexual health products on campus. Of the 182 Just in Case supply kits requested by students during the 2022-2023 academic year, condoms were requested most frequently in 75% of fulfilled kits, while emergency contraception and pregnancy tests were asked most often in 61% of kits. 50% of students reported access to contraceptives on campus before this program\'s implementation, growing to 75% (p < 0.001) 1 year later post-implementation. Similar jumps were observed for reported access to sexual health education (30 to 73%, p < 0.001) and services (36 to 73%, p < 0.001).
A student-led SRH supply and resource delivery strategy may immediately reduce SRH inequities and decrease barriers to contraceptive use for students with limited access to on-site SRH product availability.
摘要：
背景：许多美国学院和大学提供提供性健康和生殖健康（SRH）资源的医疗保健中心，服务,和产品。在大学和大学环境中，卫生中心在减少学生群体性健康差异方面的重要性不能得到足够的强调。这篇文章评估了一个以学生为主导的，互助,针对获得医疗保健服务有限的学生的基层健康促进策略，用品,和工具，通过SRH资源的匿名和离散分布免费。
方法：与教职员工合作，本科生通过增加校内对全面的访问来解决他们学校未满足的SRH需求，以证据为基础,和性别积极的资源。被称为“以防万一”，这个学生领导的，基层健康促进计划为学生提供包含避孕药具的供应包，性健康健康产品，基本卫生用品，和教育材料。在前（n=95）后（n=73）试点研究中对学生进行了调查，以确定避孕获得障碍，辨别对校园SRH资源的看法，并阐明此程序的使用趋势和影响。独立性的卡方检验用于比较调查组的反应，并采用关联规则挖掘来识别学生要求的SRH项目。
结果：学生认为成本和隐私是在校园内获取性健康产品的重要障碍。在2022-2023学年学生要求的182个JustinCase供应套件中，在75%的完整工具包中，安全套是最常见的要求，而紧急避孕和妊娠试验在61%的试剂盒中最常见。50%的学生报告说，在该计划实施之前，他们在校园里获得了避孕药具，实施后1年增长到75%(p<0.001)。据报道，获得性健康教育的机会也出现了类似的跳跃(30%至73%，p<0.001)和服务(36%至73%，p<0.001)。
结论：由学生主导的SRH供应和资源交付策略可以立即减少SRH的不平等现象，并减少对现场SRH产品可用性有限的学生使用避孕药具的障碍。
方法：与教职员工合作，本科生通过增加校内对全面的访问来解决他们学校未满足的SRH需求，以证据为基础,和性别积极的资源。被称为“以防万一”，这个学生领导的，基层健康促进计划为学生提供包含避孕药具的供应包，性健康健康产品，基本卫生用品，和教育材料。在前（n=95）后（n=73）试点研究中对学生进行了调查，以确定避孕获得障碍，辨别对校园SRH资源的看法，并阐明此程序的使用趋势和影响。独立性的卡方检验用于比较调查组的反应，并采用关联规则挖掘来识别学生要求的SRH项目。
结果：学生认为成本和隐私是在校园内获取性健康产品的重要障碍。在2022-2023学年学生要求的182个JustinCase供应套件中，在75%的完整工具包中，安全套是最常见的要求，而紧急避孕和妊娠试验在61%的试剂盒中最常见。50%的学生报告说，在该计划实施之前，他们在校园里获得了避孕药具，实施后1年增长到75%(p<0.001)。据报道，获得性健康教育的机会也出现了类似的跳跃(30%至73%，p<0.001)和服务(36%至73%，p<0.001)。
结论：由学生主导的SRH供应和资源交付策略可以立即减少SRH的不平等现象，并减少对现场SRH产品可用性有限的学生使用避孕药具的障碍。
