SRF042: Let’s talk about sex, baby: Canadian university students’ perceived and actual knowledge of sexual and reproductive health

Kristen Booth; Michael Cardinal-Aucoin, PhD, MSc; Sophie Sawler; Madison Pendleton, Student; Carolyn Arbanas, MD, CCFP, CCFP-EM; Stefania Moro, PhD


Context: Recently, there has been a significant increase in STI rates across Canada. This trend is particularly evident in the young adult population, especially those attending university. This impacts university communities and places a significant burden on primary healthcare. Sexual health education has been shown to prevent negative sexual health outcomes and promote positive ones, but sexual health curricula differ between provinces and their implementation is inconsistent. Objective: To assess perceived and actual levels of student knowledge of sexual and reproductive health prior to and during university. Study Design: Mixed-methods study including qualitative (structured interview) and quantitative (survey) components. Survey incorporated semantic differential, Likert scale, dichotomous, and open-ended questions. Setting: St. Francis Xavier University, a small residential university in Nova Scotia, Canada. Outcome measures: Survey data were analyzed by t-test, Mann-Whitney U test, and ANOVA, as appropriate. A summary of interview responses is provided. Population studied: Students attending St. Francis Xavier University during 2019-2020. Results: Participants (n=350) reported general dissatisfaction with the quality of their sexual health education prior to university, rating it minimal to adequate. Current knowledge was generally rated as moderate. Knowledge about STI risk, transmission, safe sex practices, and treatment options varied with gender and degree program. Females had significantly higher perceptions of their current general STI knowledge compared to males (p=0.024), and their scores for general STI knowledge compared to males were also significantly higher (p=0.018), specifically those who have had 5-10 partners. Discussion: University students demonstrated deficient knowledge of types of STIs, their transmission, and symptoms. Many Canadian students rely on the sexual health education provided by their secondary schools; however, many Canadian educators do not receive formal training on the subject and the information provided may be inconsistent. Insufficient knowledge regarding sexual health combined with high-risk sexual practices prevalent in today’s culture likely contribute to the increased rates of STIs in this population. Based on these findings, it is recommended that a consistent delivery of education about safe sexual health practices be provided to students prior to and upon their arrival at university.
Leave a Comment
Jack 11/21/2020

great project. thanks

Bill Phillips 11/23/2020

Nicely done and nicely presented. Thanks. Your study – paired with the other trainee presentation from Saint Xavier in Nova Scotia - make me curious how that student population compares with other university students across Canada. Do these Catholic University students come from parochial schools with sex education even more efficient than in public schools? Do they suffer from the "good girl" self image and start out thinking they will not need this kind of information and protection? Interested in your next steps. (Hope to see them here at NAPCRG next year.)

Judy Belle Brown 11/23/2020

Kristen - These findings will shake up the St X campus!!! Great work and super collaborations!!

Social Media


11400 Tomahawk Creek Parkway
Leawood, KS 66211