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Exploring college students' sexual and reproductive health literacy.

OBJECTIVE: To assess college students' sexual and reproductive health (SRH) literacy experiences, specific to contraception use and STI prevention.

PARTICIPANTS: In Spring 2015, participants (n = 43) from a large institution participated in six focus groups (two male and four females groups).

METHODS: Focus groups were guided by the health literacy domains (access; understand; appraise; apply); data were analyzed in MaxQDA using the constant comparative method.

RESULTS: The Internet was the most commonly accessed source for SRH information. Participants discussed facilitators (eg, use of visuals) and barriers (eg, medical jargon) to understanding information; and personal lifestyle, advice from family/friends, symptoms, and sexual partners as appraisal factors. Participants applied information by communicating with friends/providers and seeking healthcare. However, findings were not linear nor mutually exclusive, representing the interaction of health literacy skills.

CONCLUSION: Findings suggest that a patient-centered intervention capitalizing on technology and trusted individuals (providers/peer educators) may facilitate college students' SRH literacy.

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