G5.02 - Oral: Demonstrating the Use of Technology to Foster Sexual Health Best Practice Conversations at a University

Brief Abstract Summary: Understanding sexual scripts on college campuses reveals critical opportunities for using technology to address stigmatized sexual health topics. At Cal Poly, alarming data shows 43% of students would not refuse sex if their partner rejected condom use, while 67.5% report no STI prevention discussions with partners in the past six months. Through qualitative interviews (n=30), the Sexual and Reproductive Health Lab found that while students acknowledge the importance of these conversations, they lack tools and clear models for having them. In response, the SRH team developed comprehensive Canvas modules to educate and empower students in sexual health communication. This innovative approach at the university level addresses student discomfort, fosters open dialogue, and provides practical tools for initiating crucial conversations about sexual health and STI status.

Detailed abstract description: Sexual scripts and formal sex education significantly shape students' understanding of sexual behavior and health. While schools traditionally serve as primary sources for sexual health information (Hartley and Drew, 2002), these scripts function as social structures influencing individual beliefs, desires, and behaviors (Masters et al., 2013). Our research at Cal Poly reveals concerning trends in college students' sexual health practices. Data from the ACHA-NCHA III Survey (2021) showed that 43% of students would not refuse sex if their partner declined condom use, only 5% of cisgender women consistently used protective barriers during oral sex, and 67.5% had not discussed STI prevention with partners in the previous 6-12 months.

To better understand these trends, Cal Poly's Sexual and Reproductive Health Lab conducted qualitative interviews (n=30) through one-on-one in-person and virtual sessions. Our findings revealed that while students recognize the importance of sexual health discussions, they lack the necessary tools and understanding to navigate these conversations effectively.

In response, our team developed comprehensive sex education modules on Canvas, covering topics including sex basics, consent, violence prevention, sexual behaviors, healthcare access, barrier methods, contraception, pregnancy options, and communication strategies. Since launching in spring 2023, over 400 students have enrolled in these modules. Analysis of pre- and post-quiz scores from the 'Conversations' module shows an average improvement of 2.8 points, demonstrating the effectiveness of this digital educational approach.

This research suggests that university-level sexual health education, delivered through familiar digital platforms, can successfully address communication barriers and promote more open dialogue about sexual health among college students.