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Findings compare how availability changed since the start of the 2021-2022 academic year, including shifts around abortion access following the Dobbs decision.",{"@graph":14,"@context":73},[15,34,56],{"@type":16,"itemListElement":17},"BreadcrumbList",[18,23,27,31],{"item":19,"name":20,"@type":21,"position":22},"https://docshare.wps.com","Home","ListItem",1,{"item":24,"name":25,"@type":21,"position":26},"https://docshare.wps.com/document/","Document",2,{"item":28,"name":29,"@type":21,"position":30},"https://docshare.wps.com/document/research-report/","Research & 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on-campus sexual and reproductive health care did most selected colleges offer?","Question",{"text":63,"@type":64},"Most of the 15 selected colleges offered a variety of services through their student health center, including menstrual products, pregnancy tests, and—at most colleges—STI testing.","Answer",{"name":66,"@type":61,"acceptedAnswer":67},"What challenges did students face when seeking sexual and reproductive health care on campus?",{"text":68,"@type":64},"Officials reported challenges such as unfamiliarity with services, privacy concerns, and cost, among other factors.",{"name":70,"@type":61,"acceptedAnswer":71},"How did abortion-related services change after the start of the 2021-2022 academic year?",{"text":72,"@type":64},"Officials at 14 colleges reported no abortion services before or after the start of that academic year, while officials at one college began offering medication abortion in February 2021 and another discontinued off-campus referrals due to state political 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Education and Workforce House of Representatives  \nJanuary 2025  \nHIGHER EDUCATION  \nCollege Student Access to Sexual and Reproductive Health Care  \nHighlights of GAO-25-107151 , a report to the Ranking Member, Committee on Education and Workforce , House of Representatives  \nWhy GAO Did This Study  \nAbout 19 million students were enrolled in nearly 3,900 degreegranting colleges across the U.S. during the fall 2022 semester. Many colleges have student health centers that provide health care to the students on their campuses. Among other things, student health centers may offer sexual and reproductive healthcare, which includes things such as STI testing and prevention; contraception; emergency contraception; pregnancy testing; abortion; and menstrual products. In June 2022, the U.S. Supreme Court concluded in Dobbs v. Jackson Women’s Health Organization that the U.S. Constitution does not confer the right to abortion.  \nGAO was asked to review college students’ access to sexual and reproductive health care. This report describes: (1) the availability of oncampus sexual and reproductive healthcare at selected colleges; (2)  \nchallenges students faced in seeking sexual and reproductive health care at selected colleges and efforts those colleges took to address them; and (3) how the availability of sexual and reproductive health care at selected colleges changed since the start of the 2021-2022 academic year.  \nGAO interviewed officials from anongeneralizable sample of 15 colleges, selected on the basis of program length, location, religious affiliation, size, and other factors. GAO also interviewed three professional organizations and four colleges’ health educators. GAO also analyzed data from the American College Health Association’s Sexual Health Services Survey for calendar year 2022, the most recent available.  \nView GAO-25-107151 . For more information, contact John E. Dicken at (202) 512-7114 or [dickenj@gao.gov](dickenj@gao.gov), or Melissa Emrey-Arras at (202) [512-7215 or](512-7215 or emreyarrasm@gao.gov)[ emreyarrasm@gao.gov](512-7215 or emreyarrasm@gao.gov).  \nJanuary 2025  \nHIGHER EDUCATION  \nCollege Student Access to Sexual and Reproductive Health Care  \nWhat GAO Found  \nMost of the 15 selected colleges GAO interviewed offered a variety of on-campus sexual and reproductive health care for students through their student health center. For example, officials at all of the colleges said they offered menstrual products and pregnancy tests , and 12 of the 15 colleges offered sexually transmitted infection (STI) tests. Among contraceptives, college officials said male condoms and oral contraceptives were most commonly available (at 12 of the 15 colleges) , while contraceptive implants and intrauterine devices were less commonly available. Medication abortion was available at one college and procedural abortion was not available at any , according to college officials. Various factors affected sexual and reproductive health care offered on campus, including costs, colleges’ interpretation of state laws , political sensitivities, and religious affiliation, according to college officials.  \nOfficials at the selected colleges said students faced challenges seeking sexual and reproductive health care on campus, including unfamiliarity with sexual and reproductive health care, privacy concerns, and cost, among others (see figure) . The selected colleges took various actions to address challenges, such as  \n• holding on-campus educational events;  \n• using health educators to share information; and  \n• implementing measures to enhance privacy at their student health center.  \nChallenges to Students Seeking Sexual and Reproductive Health Care Cited Among 15 Selected Colleges  \nOfficials at 14 selected colleges said they did not offer any abortion services before or after the start of the 2021-2022 academic year—the year prior to the U.S. S","cbCaiaht3PPj3o6m","https://ap.wps.com/l/cbCaiaht3PPj3o6m","pdf",1628008,53,"English","# What GAO Found\n## On-campus sexual and reproductive health care availability\n## Student challenges and college actions\n## Changes since the start of the 2021-2022 academic year","[{\"question\":\"What on-campus sexual and reproductive health care did most selected colleges offer?\",\"answer\":\"Most of the 15 selected colleges offered a variety of services through their student health center, including menstrual products, pregnancy tests, and—at most colleges—STI testing.\"},{\"question\":\"What challenges did students face when seeking sexual and reproductive health care on campus?\",\"answer\":\"Officials reported challenges such as unfamiliarity with services, privacy concerns, and cost, among other factors.\"},{\"question\":\"How did abortion-related services change after the start of the 2021-2022 academic year?\",\"answer\":\"Officials at 14 colleges reported no abortion services before or after the start of that academic year, while officials at one college began offering medication abortion in February 2021 and another discontinued off-campus referrals due to state political conditions.\"}]","College Student Access to Sexual and Reproductive Health Care - Highlights of GAO-25-107151 | PDF",1792063010,134]