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UALR Female Residential Student Health Needs. Results of Fall, 2008 Health Survey. Fall 2008 Female Resident Survey. Purpose : To gain understanding about the sexual health of female residential students of UALR.
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UALR Female Residential Student Health Needs Results of Fall, 2008 Health Survey
Fall 2008 Female Resident Survey • Purpose: To gain understanding about the sexual health of female residential students of UALR. • Methodology: A one-page, anonymous survey was administered during the routine residential hall meetings of East Hall.
Survey Questions • Level (Freshmen, Sophomore, etc.) • Age • Ever had sexual intercourse • Age sex initiated • Number of partners during the past year
Survey Questions • Condom use: (never, sometimes, always) • Use birth control method • If “yes,” type of birth control used • Health care provider type & location • Date of last appointment with this provider
Survey Questions • Health Insurance • If they have a car here at UALR • Would you like for UALR Health Services to begin providing women’s health services? • Please explain . . .
Survey Results • Total number surveyed: 104 • Number of female residents of East Hall: 204 • Sample size represents 51% of total female residents of East Hall
Survey Results • Age: - 17: 3 - 18: 66 - 19: 24 - 20: 8 - 21: 2 - 22: 1
Number of Partners Past Year • 1 partner: 42 • 2 partners: 16 • 3 partners: 8 • 4 or more : 7
Access to Care • F.P. Services from Local Provider: 19% • Have a car at UALR: 50% • Have Health Insurance: 66%
Comments • “Please do! I would have to pay someone to take me to the doctor. Please provide this!” • “It’s rare now that people are abstinent; it would be helpful to everyone.” • “I need birth control.” • “Because it would be easier for people who don’t have a car and are far away from home.”
Comments • “I think this would help women in the dorms stay secure and informed.” • “Because I have no insurance.” • “So I don’t have to go all the way back to my home town.” • “I believe it would be a lot better for UALR to be a lot more active to prevent pregnancies and diseases.”
Conclusions • Most of the female students in East Hall are sexually active (75%). • Half of these students report using condoms “always;” however, half report using condoms “sometimes” or “never.” • 62% of the sexually active students report being on another form of birth control; however, 38% are not.
Conclusions • Only 15 (30%) of the students who are on another form of birth control have been to see a local provider. • Transportation is a concern for ½ of the students surveyed. • 38% of the sexually active female students surveyed are not on another form of birth control. (n = 30) (Based upon the total # of female residents in East Hall, n = +/- 60.)
Impact • Unintended pregnancies • Pregnant students at increased risk of not completing college • Limited financial earning potential
Plan • Provide information & maps about existing ADH family planning clinics and how to access care. • Provide family planning information and question/answer sessions to address gaps in knowledge about risks of pregnancy and STIs. • Explore UALR Health Services becoming a Family Planning Waiver provider site.
Family Planning Waiver Provider Site • In order to address the need for family planning services among childbearing women of AR, Arkansas has a Family Planning Waiver program in place. • Purpose: to provide Family Planning Medicaid Insurance to women and, thereby, increase their access to care. • All students who are US citizens qualify.
Family Planning Waiver Provider Site • As APNs with percriptive authority, we qualify as providers under this program. • UALR Health Services would need to submit an application to become a nurse practitioner provider group. • Students would complete a simple two-page application and submit a copy of their birth certificate.
Family Planning Waiver Provider Site • All services would be billable, including: - APN time - Labs (done by our lab & outsource lab) - Prescriptions
Evaluation • Follow-up with anonymous surveys. • Track numbers of unintended pregnancies. • Analyze cost/benefit of program.