itMatters: Optimization of an online intervention to prevent sexually transmitted infections in college students

OBJECTIVE: To analyze the core group for sexually transmitted infections (STI) among college students. METHODS: Cross-sectional study carried out in a convenience sample comprising 711 college students of the public university of Morelos, Mexico, between 2001 and 2003. Sociodemographic and sexual behavior information were collected using self-applied questionnaires. Herpes simplex 2 (HSV-2) infection was tested in the blood. The number of sexual partners in the last year and cocaine consumption were used as indicators to construct the dependent variable "level of STI risk" in three categories: low, medium and high risk (core group). A multinomial analysis was conducted to evaluate whether different sex behaviors were associated with the variable "level of STI risk". RESULTS: There was significant association between HSV-2 seroprevalence and the variable "level of STI risk": 13%, 5.6% and 3.8% were found in high (core group), medium and low categories, respectively. There were gender differences regarding the core group. Men started having sexual intercourse earlier, had more sex partners, higher alcohol and drug consumption, higher frequency of sex intercourse with sex workers, exchanging sex for money, occasional and concurrent partners compared to women. CONCLUSIONS: The study findings suggest existing contextual characteristics in the study population that affect their sex behavior. In Mexico, the cultural conception of sexuality is determined mainly by gender differences where men engage in higher risky sexual behavior than women.

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A content analysis of college students’ gaps in knowledge about sexually transmitted infections

Health Education Journal ◽

10.1177/0017896920959091 ◽

2020 ◽

pp. 001789692095909

Author(s):

Alyssa M Lederer ◽

Brittney S Sheena

Keyword(s):

College Students ◽

Content Analysis ◽

Health Education ◽

Sexually Transmitted Infections ◽

Online Survey ◽

Qualitative Content Analysis ◽

Academic Community ◽

Health Consequences ◽

Survey Question ◽

Sexually Transmitted

Objective: Sexually transmitted infections (STIs) disproportionately affect young people and can result in severe health consequences. Accurate knowledge about STIs can play an important role in STI prevention. Prior quantitative research has found that college students’ knowledge about STIs is insufficient. However, there is a dearth of information regarding their specific STI knowledge deficiencies. This study sought to fill this gap by using a qualitative approach to elucidate gaps in students’ STI knowledge. Design: Qualitative content analysis of responses to an open-ended online survey question. Setting: A large public Midwestern university in the USA. Method: Students ( N = 289) watched a web-based STI health education programme covering basic information about Chlamydia, gonorrhoea, human papillomavirus (HPV), herpes and syphilis as a course requirement. Afterwards they answered an open-ended question about what information, if any, was new to them. Themes and sub-themes were identified, exemplar quotes were selected for illustrative purposes, and frequencies were calculated. Results: Ten overarching themes were identified about what students learned: everything/a lot (19.7%), prevention (16.6%), treatment/cures (15.6%), prevalence/statistics (14.9%), nothing/not much (14.2%), symptomatology (12.8%), everything about a specific STI (9.7%), health consequences (6.6%), transmission (5.5%) and testing (2.4%). Participants reported learning about HPV most frequently compared to other STIs. Conclusion: Findings demonstrate critical gaps in college students’ STI knowledge and provide a deeper understanding of specific knowledge deficiencies. Study findings highlight important sexual health content that should be integrated into health education initiatives in academic, community and other settings, and provides recommendations on how to do so.

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