DescriptionPurpose: To collect information from LGBTQ+ community college students about perceived facilitators and barriers to sexual health resources to develop a sexual health protocol to reduce barriers for LGBTQ+ students.
Methods: The anonymous, forty-question, web-based survey aims to collect demographic, social determinant, and subjective information from fifteen LGBTQ+ county college students. Students completed the one-time survey during the rolling 30-day collection period. Data was collected with Qualtrics and analyzed with Qualtrics and SPSS for descriptive statistics and thematic analysis. IRB approval was obtained from Rutgers Biomedical and Health Sciences.
Results: The evidence displayed various student-experienced barriers, including inadequate LGBTQ+ inclusive and relevant sexual health education and insufficient knowledge of safe sex practices as displayed by high-risk sexual behavior, and decreased visibility of on-campus and community or social organization resources. The most significant facilitator was that all (100%) students reported feeling their school was safe and accepting for the LGBTQ+ community. The evidence identifies deficiencies in sexual health education and resources among the LGBTQ+ community college population and the relationship between these deficiencies and high-risk sexual health behaviors.
Implications for practice: Community colleges can provide LGBTQ+ students with sexual health resources to help positively influence safe sexual health behaviors to reduce sexual health disparities. As many respondents reported, they were unsure of existing available resources; increasing the visibility on and off-campus could aid in increasing accessibility. Additionally, partnering with community organizations could further increase accessibility to necessary resources by amplifying services and information the school does not provide. Furthermore, promoting a safe and accepting campus environment can help to promote positive sexual health outcomes, such as reducing STIs and unplanned pregnancies in this high-risk population. Educating health-care providers, such as those in student health, on why the need for LGBTQ+ inclusivity is essential, how inclusivity and affirming care can help to reduce sexual health disparities, and how the providers can become more inclusive and affirming in the care that they provide, can positively impact sexual health by promoting a safe and accepting campus environment and increasing access and visibility of necessary resources.