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1.
J Prim Health Care ; 15(2): 106-111, 2023 Jun.
Artigo em Inglês | MEDLINE | ID: mdl-37390028

RESUMO

Introduction Traditionally, gender-affirming hormonal therapy (GAHT) is initiated in secondary care, but a primary care based approach has been developed to reduce access barriers. Aim We aim to describe the demographics, hormone choices, and additional referrals made for young people initiating GAHT in a primary care setting in Aotearoa New Zealand. Methods Clinical notes were reviewed for all patients who commenced GAHT between 1 July 2020 to the end of 2022 at a tertiary education health service. Data were collected on age, ethnicity, gender, type of hormones prescribed, and any additional referrals. Results Eighty five patients commenced GAHT during the review period (64% assigned male at birth and starting oestrogen-based GAHT, 36% assigned female at birth and commencing testosterone-based GAHT). Fourty seven percent of patients identified as transgender female, 38% as non-binary, and 15% as transgender male. Spironolactone was the most common choice of testosterone blocker (81%). The choice of oestrogen formulation was fairly equal between patches (54%) and tablets (46%). Eighty percent of those assigned male at birth chose to preserve fertility, 54% requested voice therapy, and 87% of those assigned female at birth requested top surgery. Discussion There is a need for improved understanding of non-binary gender-affirmation needs, in particular those of Maori and Pasifika youth. An informed consent approach in primary care can reduce barriers and distress for transgender youth seeking GAHT. The high unmet need for top surgery for transgender people assigned female at birth requires attention.


Assuntos
Serviços de Saúde para Pessoas Transgênero , Serviços de Saúde para Estudantes , Pessoas Transgênero , Adolescente , Feminino , Humanos , Masculino , Atenção à Saúde , Povo Maori , Nova Zelândia , Estudantes
2.
J Am Coll Health ; 71(9): 2766-2774, 2023 Dec.
Artigo em Inglês | MEDLINE | ID: mdl-35015976

RESUMO

OBJECTIVE: Community college students engage in more risky sexual behavior compared to their four-year counterparts, yet have access to fewer reproductive health services. The study's purpose was to examine whether California Community College student health centers' participation in Family PACT, a state publicly-funded family planning program, increased reproductive health services to community colleges students. PARTICIPANTS: California community college student health centers. METHODS: Bivariate analyses of student health centers with and without Family PACT participation and qualitative analysis of five participating campuses. RESULTS: Among the 60 colleges in the study, 25 student health centers participated in the Family PACT program. Family PACT campuses reported greater provision of sexual and reproductive health services and higher levels of staffing and revenue. CONCLUSIONS: Key benefits of Family PACT participation among community colleges include expansion of sexual and reproductive health services to an underserved population and increased student health centers' financial sustainability.


Assuntos
Serviços de Saúde Reprodutiva , Serviços de Saúde para Estudantes , Humanos , Estudantes , Universidades , Serviços de Planejamento Familiar , California
3.
J Am Coll Health ; 71(1): 76-79, 2023 01.
Artigo em Inglês | MEDLINE | ID: mdl-33577422

RESUMO

Objective: To determine whether university students are aware of the sexual health services offered by the student health center. Participants: 522 undergraduate students at a southeast public university. Methods: Students were given a list of 19 sexual health services and tests and were instructed that for each one to check "offered," "not offered," or "I'm not sure." Results: Students were generally unaware that the health center offered testing for a variety of sexually transmitted infections (13-27.4% aware), the Gardasil vaccine for human papillomavirus (HPV) (15.5% aware), the IUD (8.8% aware), emergency contraception (18.6% aware), and breast (24.9% aware) and pelvic examinations (16.5% aware). The only exceptions were for free male condoms (63% aware) and women's awareness of birth control pills (55.3% aware) and pregnancy testing (50.3% aware). Nearly half the students were not aware that parents/guardians could not obtain health center medical records without the student's permission. Conclusions: Student health centers cannot be effective in reducing unwanted pregnancies and the spread of STIs if students are unaware of the services provided. Health centers must do a better job of educating students.


Assuntos
Infecções Sexualmente Transmissíveis , Serviços de Saúde para Estudantes , Gravidez , Humanos , Masculino , Feminino , Universidades , Estudantes , Inquéritos e Questionários , Comportamento Sexual , Infecções Sexualmente Transmissíveis/prevenção & controle , Conhecimentos, Atitudes e Prática em Saúde
4.
J Am Coll Health ; 71(3): 655-659, 2023 04.
Artigo em Inglês | MEDLINE | ID: mdl-33891531

RESUMO

Undergraduate and graduate students have a higher risk of mental illness than the general population. Multiple barriers may contribute to decreased help-seeking, including mental health stigma, lack of awareness of available resources, lack of prioritization of self-care, busy class schedules, and different preferences in communication styles. Over the past six years, we have increased the utilization of our Student and Resident Mental Health Clinic on the University of Colorado Anschutz Medial Campus by more than 100%. This viewpoint article highlights eight initiatives that address some of the barriers that mental health clinics on undergraduate and graduate campuses may face. These initiatives include involving students to reduce stigma and increase engagement, matching capacity of clinic services to demand, using technology, being as visible as possible, modeling vulnerability and self-care, adapting services to your audience needs, providing food (other than pizza!), and building a team and promoting collegiality.


Assuntos
Transtornos Mentais , Serviços de Saúde Mental , Serviços de Saúde para Estudantes , Humanos , Estudantes/psicologia , Universidades , Saúde Mental , Transtornos Mentais/psicologia
5.
J Psychosoc Nurs Ment Health Serv ; 61(3): 27-31, 2023 Mar.
Artigo em Inglês | MEDLINE | ID: mdl-35993727

RESUMO

University students' health and well-being is critical, especially in the aftermath of the coronavirus disease 2019 pandemic; however, a comprehensive and integrated approach in academic institutions remains neglected. In this context, the local experience from a pilot university-based Student Health Center at an urban campus in Greece is presented. Select health promotion and disease prevention screening and monitoring initiatives are summarized from the viewpoint of a Strengths, Weaknesses, Opportunities, and Threats analysis, with emerging health needs and policy implications. Long-term sustainability is feasible, only if synergies and close collaboration with other university units and local health authorities are developed. A post-pandemic call to action for intervention programs that integrate physical and mental health care, as well as raise awareness among university stakeholders and health policy makers, is issued. [Journal of Psychosocial Nursing and Mental Health Services, 61(3), 27-31.].


Assuntos
COVID-19 , Serviços de Saúde para Estudantes , Humanos , Universidades , Atenção à Saúde , Estudantes
6.
Nurs Forum ; 57(6): 1227-1231, 2022 Nov.
Artigo em Inglês | MEDLINE | ID: mdl-36371605

RESUMO

BACKGROUND: Universities are communities with specific health care needs, and rural campuses often do not have access to student health services (SHS). PROBLEM: Lack of basic services can increase health risks for students and the greater community. METHODS: A theory-informed quality improvement project utilizing an organizational assessment, study survey, and proof-of-concept intervention designed to demonstrate feasibility and acceptability of a SHS clinic. INTERVENTION: An NP-directed influenza immunization clinic was conducted on a small rural college campus in southeastern United States. RESULTS: Seventy-eight students received influenza vaccinations, demonstrating to local stakeholders the feasibility and acceptability of SHS for primary preventative services. Ninety-seven percent of these students expressed a high likelihood that they would obtain the vaccine again. CONCLUSIONS: Results of this study can be used as an exemplar to guide health care initiatives focused on college students in rural communities.


Assuntos
Vacinas contra Influenza , Influenza Humana , Serviços de Saúde para Estudantes , Humanos , Universidades , Estudantes
8.
Sci Rep ; 12(1): 123, 2022 01 07.
Artigo em Inglês | MEDLINE | ID: mdl-34996909

RESUMO

The mental health of college students is a growing concern, and gauging the mental health needs of college students is difficult to assess in real-time and in scale. To address this gap, researchers and practitioners have encouraged the use of passive technologies. Social media is one such "passive sensor" that has shown potential as a viable "passive sensor" of mental health. However, the construct validity and in-practice reliability of computational assessments of mental health constructs with social media data remain largely unexplored. Towards this goal, we study how assessing the mental health of college students using social media data correspond with ground-truth data of on-campus mental health consultations. For a large U.S. public university, we obtained ground-truth data of on-campus mental health consultations between 2011-2016, and collected 66,000 posts from the university's Reddit community. We adopted machine learning and natural language methodologies to measure symptomatic mental health expressions of depression, anxiety, stress, suicidal ideation, and psychosis on the social media data. Seasonal auto-regressive integrated moving average (SARIMA) models of forecasting on-campus mental health consultations showed that incorporating social media data led to predictions with r = 0.86 and SMAPE = 13.30, outperforming models without social media data by 41%. Our language analyses revealed that social media discussions during high mental health consultations months consisted of discussions on academics and career, whereas months of low mental health consultations saliently show expressions of positive affect, collective identity, and socialization. This study reveals that social media data can improve our understanding of college students' mental health, particularly their mental health treatment needs.


Assuntos
Serviços de Saúde Mental/tendências , Saúde Mental , Encaminhamento e Consulta/tendências , Mídias Sociais/tendências , Serviços de Saúde para Estudantes/tendências , Estudantes/psicologia , Universidades , Necessidades e Demandas de Serviços de Saúde/tendências , Humanos , Aprendizado de Máquina , Processamento de Linguagem Natural , Determinação de Necessidades de Cuidados de Saúde/tendências , Fatores de Tempo
9.
J Am Coll Health ; 70(5): 1363-1371, 2022 07.
Artigo em Inglês | MEDLINE | ID: mdl-32721195

RESUMO

Objective: To describe provider experiences with implementation of the GIFTSS (Giving Information for Trauma Support and Safety) intervention. Participants: Health and counseling center staff from participating campuses attended trainings between August 2015 and August 2016. Interviews were conducted between May and August 2017. Methods: Providers (n = 230) completed surveys prior to and six months following a 3-hour training on the intervention. Structured phone interviews were conducted with a purposively selected subset of 14 providers. Results: Overall, staff found the intervention acceptable. Implementation barriers noted were time and competing patient priorities. Providers noted variation based on patient and visit characteristics. Clinic commitment, particularly in adopting strategies for universal dissemination of the GIFTSS card, was seen as helpful. Conclusion: Implementation of a brief trauma-informed intervention in campus health and counseling centers was feasible and acceptable to most providers. Opportunities to change organizational culture regarding ensuring adequate time and safety for patients are discussed.


Assuntos
Atitude do Pessoal de Saúde , Aconselhamento , Pessoal de Saúde , Delitos Sexuais , Serviços de Saúde para Estudantes , Aconselhamento/organização & administração , Pessoal de Saúde/psicologia , Humanos , Serviços de Saúde para Estudantes/organização & administração , Inquéritos e Questionários , Universidades
10.
Am J Nurs ; 121(11): 59-60, 2021 11 01.
Artigo em Inglês | MEDLINE | ID: mdl-34673698

RESUMO

As most students return to in-person learning this fall, a school nurse discusses her experiences amid the ongoing COVID crisis.


Assuntos
COVID-19 , Serviços de Enfermagem Escolar , Serviços de Saúde para Estudantes , Estudantes , Busca de Comunicante , Feminino , Humanos , Nebraska , Instituições Acadêmicas , Fatores Socioeconômicos
11.
Rev Colomb Psiquiatr (Engl Ed) ; 50(3): 199-213, 2021.
Artigo em Inglês, Espanhol | MEDLINE | ID: mdl-34479842

RESUMO

BACKGROUND: The aim of the study is to compare the emotional effects of COVID-19 among three different groups, namely: health personnel, medical students, and a sample of the general population. METHODS: 375 participants were recruited for this study, of which 125 were medical students (preclinical studies, 59; clinical studies, 66), 125 were health personnel (COVID-19 frontline personnel, 59; personnel not related with COVID-19, 66), and 125 belonged to the general population. The PHQ-9, GAD-7, and CPDI scales were used to assess the emotional impact. A multinomial logistic regression was performed to measure differences between groups, considering potential confounding factors. RESULTS: Regarding CPDI values, all other groups showed reduced values compared to COVID-19 frontline personnel. However, the general population, preclinical and clinical medical students showed increased PHQ-9 values compared to COVID-19 frontline personnel. Finally, confounding factors, gender and age correlated negatively with higher CPDI and PHQ-9 scores. CONCLUSIONS: Being frontline personnel is associated with increased COVID-19-related stress. Depression is associated, however, with other groups not directly involved with the treatment of COVID-19 patients. Female gender and younger age correlated with COVID-19-related depression and stress.


Assuntos
COVID-19/psicologia , Transtornos Mentais/terapia , Serviços de Saúde Mental , Serviços Preventivos de Saúde/métodos , Serviços de Saúde para Estudantes/métodos , Estudantes/psicologia , Ensino/psicologia , COVID-19/prevenção & controle , Promoção da Saúde/métodos , Promoção da Saúde/organização & administração , Humanos , Transtornos Mentais/diagnóstico , Transtornos Mentais/etiologia , Saúde Mental , Serviços de Saúde Mental/organização & administração , Serviços Preventivos de Saúde/organização & administração , Serviços de Saúde para Estudantes/organização & administração , Universidades , Adulto Jovem
12.
Nurs Adm Q ; 45(4): 346-352, 2021.
Artigo em Inglês | MEDLINE | ID: mdl-34320532

RESUMO

The COVID-19 pandemic was an unprecedented event that impacted every segment of healthcare, including universities preparing healthcare professionals. Instituting processes to coordinate student return to campus and ongoing COVID-19 testing and contract tracing challenged university campuses, but also brought opportunities for collaboration. This article reports on the experiences of one nonprofit private higher education university in management of the COVID-19 testing and contact tracing that were led by school of nursing faculty and nursing leadership.


Assuntos
Busca de Comunicante/métodos , Docentes de Enfermagem/organização & administração , Liderança , Universidades/organização & administração , COVID-19/epidemiologia , COVID-19/prevenção & controle , Teste para COVID-19/métodos , Comportamento Cooperativo , Humanos , Pandemias , SARS-CoV-2 , Serviços de Saúde para Estudantes/organização & administração , Estudantes
13.
Rev Infirm ; 70(271): 21-23, 2021 May.
Artigo em Francês | MEDLINE | ID: mdl-34024575

RESUMO

University health services have been serving students for many years. During this very particular health crisis, they are actively caring for the health of their population, including psychological health. Nursing skills are essential here.


Assuntos
Enfermagem Psiquiátrica , Serviços de Saúde para Estudantes , Estudantes de Enfermagem , Humanos , Saúde Mental , Estudantes
14.
Sante Publique ; Vol. 33(3): 407-413, 2021 Oct 28.
Artigo em Francês | MEDLINE | ID: mdl-35485089

RESUMO

INTRODUCTION: Established in France since 2018, the Student Health Service aims to train students to become actors in health education. METHODS AND RESULTS: A teaching system lasting the equivalent of six weeks full-time has been set up in the third year of medical school in Rennes. The aim is for students to develop the skills needed to carry out interventions based on a project approach, with a variety of audiences, on priority public health themes.New pedagogical approaches have been developed to integrate learning about health promotion and health education into the medical curriculum. Innovations have been implemented: work on the educational posture, tutoring of third-year students by medical interns, a forum for simulation of concrete actions under the supervision of a dual thematic and population-based expertise. Beyond the acquisition of knowledge, the training aims to encourage a reflective approach and is based on peer education.The 240 students of the faculty prepare their project in trinomials throughout the academic year. Their activities take place over ten half-days in more than a hundred establishments in the faculty subdivision and enable them to work with approximately 10,000 people per year. DISCUSSION: Education and health promotion now occupies a central place in the training of third-year students, an essential condition for the sustainable acquisition of this field of expertise by future health professionals.


Assuntos
Serviços de Saúde para Estudantes , Currículo , Educação em Saúde , Humanos , Faculdades de Medicina , Estudantes
15.
Sante Publique ; 33(3): 407-413, 2021.
Artigo em Francês | MEDLINE | ID: mdl-35724088

RESUMO

INTRODUCTION: Established in France since 2018, the Student Health Service aims to train students to become actors in health education. METHODS AND RESULTS: A teaching system lasting the equivalent of six weeks full-time has been set up in the third year of medical school in Rennes. The aim is for students to develop the skills needed to carry out interventions based on a project approach, with a variety of audiences, on priority public health themes.New pedagogical approaches have been developed to integrate learning about health promotion and health education into the medical curriculum. Innovations have been implemented: work on the educational posture, tutoring of third-year students by medical interns, a forum for simulation of concrete actions under the supervision of a dual thematic and population-based expertise. Beyond the acquisition of knowledge, the training aims to encourage a reflective approach and is based on peer education.The 240 students of the faculty prepare their project in trinomials throughout the academic year. Their activities take place over ten half-days in more than a hundred establishments in the faculty subdivision and enable them to work with approximately 10,000 people per year. DISCUSSION: Education and health promotion now occupies a central place in the training of third-year students, an essential condition for the sustainable acquisition of this field of expertise by future health professionals.


Assuntos
Serviços de Saúde para Estudantes , Estudantes de Medicina , Currículo , Docentes , Educação em Saúde , Humanos , Estudantes
16.
Health Commun ; 36(8): 1009-1017, 2021 07.
Artigo em Inglês | MEDLINE | ID: mdl-32098524

RESUMO

Despite university health services' critical role in addressing students' health, students frequently underutilize on-campus healthcare, in part due to uncertainty. This study used Uncertainty Management Theory and 41 interviews with college students and health center staff and providers to uncover the types of health services uncertainty students experienced and how students used communication to manage uncertainty. Students experienced institutional uncertainty pertaining to services, logistics, and quality-of-care. Participants who viewed this uncertainty negatively sought to reduce it via passive- and experiential-information seeking. Students who appraised uncertainty neutrally or positively maintained it by ignoring or avoiding information. Other students increased uncertainty by seeking second opinions. Findings suggest that promoting health services year-round and incentivizing patient referrals may help students manage both uncertainty and their health.


Assuntos
Serviços de Saúde para Estudantes , Comunicação , Humanos , Estudantes , Incerteza
17.
J Pharm Pract ; 34(4): 612-617, 2021 Aug.
Artigo em Inglês | MEDLINE | ID: mdl-31769343

RESUMO

OBJECTIVE: The objective of this study was to assess the management of students presenting with pharyngitis to a university health clinic. METHODS: This was a retrospective cohort study. Electronic medical records of undergraduate students presenting to a university health clinic from January 1, 2012, through December 31, 2014, with complaints of sore throat and a diagnosis code for pharyngitis, tonsillitis, or sore throat were reviewed. RESULTS: Records of 241 patients were screened and 197 patients were included. A rapid antigen detection test (RADT) was obtained in 145 (73.6%) patients. The incidence of group A streptococci (GAS) and non-GAS were 15.2% (30/197) and 10.1% (21/197), respectively. All patients with a positive RADT were prescribed antibiotics, with 13 (46.4%) receiving amoxicillin. Overall, 129 (65%) patients received an antibiotic prescription. CONCLUSION: Management of pharyngitis at the clinic appears inconsistent with current guidelines. Approximately 2 of every 3 students were prescribed an antibiotic with no clear indication.


Assuntos
Faringite , Infecções Estreptocócicas , Serviços de Saúde para Estudantes , Antibacterianos/uso terapêutico , Humanos , Estudos Retrospectivos , Estudantes , Universidades
18.
J Am Coll Health ; 69(3): 275-282, 2021 04.
Artigo em Inglês | MEDLINE | ID: mdl-31566504

RESUMO

OBJECTIVES: We sought to evaluate a universal mental health screening program for undergraduate students using graduate student clinicians and online interviewing tools. Participants: Participants included 455 undergraduate students. Data were collected from October 2017 through January 2018. Methods: Participants completed a self-report mental health screening questionnaire. Students scoring "at risk" on any subscale were invited to participate in individual online follow-up interviews to assess risk level and provide referral information. Results: A majority of participants scored in an "at risk" range on at least one subscale. Follow-up interviews were conducted for 40% of students "at risk" and 33% of those interviewed were referred to the university counseling center. Participants' perceptions of campus mental health priorities improved over a three-month period. Conclusions: A pilot universal campus mental health screening using graduate student clinicians resulted in a meaningful number of referrals and enhanced perception that the university cared about student mental health.


Assuntos
Serviços de Saúde para Estudantes , Universidades , Seguimentos , Humanos , Saúde Mental , Estudantes
19.
J Couns Psychol ; 68(1): 112-124, 2021 Jan.
Artigo em Inglês | MEDLINE | ID: mdl-32364396

RESUMO

Comorbidity of generalized anxiety and depression is common in clinical populations. Understanding how change in generalized anxiety and depression are related during counseling may help improve treatment. College student data (N = 51,922) from university and college counseling centers across the United States were used to examine relationships between change in generalized anxiety and depression across 12 counseling sessions using bivariate dual change score models. Results suggested greater improvement in depression was related to greater improvement in generalized anxiety across sessions, but greater improvement in generalized anxiety was related to less improvement in depression across sessions. This same pattern of results generalized to individuals who attended counseling with concerns in anxiety only, depression only, and both anxiety and depression. Although there were general improvements in generalized anxiety and depression across counseling sessions, greater improvement in depression at earlier sessions appeared to be a leading indicator of greater improvement in generalized anxiety at later sessions. Implications and future directions are discussed. (PsycInfo Database Record (c) 2021 APA, all rights reserved).


Assuntos
Ansiedade/psicologia , Ansiedade/terapia , Aconselhamento/tendências , Depressão/psicologia , Depressão/terapia , Questionário de Saúde do Paciente , Adulto , Ansiedade/diagnóstico , Comorbidade , Aconselhamento/métodos , Depressão/diagnóstico , Feminino , Humanos , Masculino , Serviços de Saúde para Estudantes/tendências , Estudantes/psicologia , Universidades/tendências , Adulto Jovem
20.
J Am Coll Health ; 69(1): 59-66, 2021 01.
Artigo em Inglês | MEDLINE | ID: mdl-31483216

RESUMO

OBJECTIVE: This exploratory study sought to assess transgender college students' experiences accessing primary, gynecological, and/or mental health care through university health services (UHS). PARTICIPANTS AND METHODS: Individual interviews were conducted with eleven transgender undergraduate students attending a large public university in the United States in Spring 2017. RESULTS: The structure, organization, and practices of UHS are not adequately meeting transgender college students' health care needs. Students reported being repeatedly misgendered and addressed by the incorrect name by staff at UHS. Some providers asked inappropriate and irrelevant questions about their gender identity during clinical encounters. These and related experiences deterred many participants from returning to UHS for health care services. CONCLUSION: UHS could improve health care delivery to transgender college students by adopting standardized and inclusive practices consistent with those recommended by The Fenway Institute.


Assuntos
Serviços de Saúde para Estudantes , Pessoas Transgênero , Feminino , Identidade de Gênero , Humanos , Masculino , Estudantes , Estados Unidos , Universidades
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