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- I chose this topic because I think a lot of college students are unaware of its importance. and i think this will be fun to talk about.

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Why this is important to college students

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Why this is important to college students

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-  College students are people of high sexual demand age, but many of them do not have knowledge about safe sex leading to many health-related diseases such as HIV, STD. ..

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The World Health Organization describes sexual health as "a state of physical, mental and social wellbeing in relation to sexuality. It requires a positive and respectful approach to sexuality and sexual relationships, as well as the possibility of having pleasurable and safe sexual experiences, free of coercion, discrimination and violence". The majority of NYU students are sexually active, and college is a time when many young people first become sexually active. Students frequently enter college without adequate sexual health knowledge, and, subsequently, they often engage in sexual behaviors that place them at increased risk for unintended health outcomes such as pregnancy, human immunodeficiency virus (HIV), and other sexually transmitted infections (STIs). It is crucial to enhance sexual health resources to improve students' sexual health, increase safer sex behaviors, and reduce STI and HIV transmission.

Key Facts

64.7% of NYU students reported engaging in oral, vaginal, or anal intercourse within the last 12 months.¹

In 2009, there were 48,100 new HIV cases in the United States, with 19.7% occurring in young people age 15 to 24.²

Although young people ages 15 to 24 represent 25% of the sexually experienced population, this age group accounts for nearly 50% of all new STIs, totaling about 9 million cases in 2008.³

Over 1.2 million cases of chlamydia were reported in 2008, the most since record keeping for the disease began and the highest number of cases for any STI required to be reported by physicians.³

20 to 24-year-olds are significantly more likely to experience an unintended pregnancy than women aged 19 or younger.⁴

STI rates are twice as common among 20 to 24-year-olds as 15 to 19-year-olds (7 v. 3%).⁵

Many young people misperceive their vulnerability to infection, which can affect
decisions around sexual behavior.⁶

Recommendations

1. Expand education and promotion strategies addressing the full spectrum of sexual behaviors, including abstinence, oral sex, and intercourse.
Comprehensive sexual education, which emphasizes the benefits of abstinence while also teaching about contraception and disease-prevention methods, has been proven to reduce rates of unintended pregnancy and HIV/STI infection.⁷ By increasing the visibility and breadth of its sexual health education and promotion resources and diversifying modalities for engaging students, NYU will be able to reach and connect with more students, increasing their capacity to make knowledgeable decisions and to be engaged in their sexual health.⁸

2. Expand awareness and understanding of the diverse sexual health needs of the NYU community among NYU Student Health Center clinicians.
Values, attitudes, and beliefs; levels of knowledge; and communication patterns about health, sexuality, relationships, contraception, and childbearing vary significantly across cultural and ethnic groups.⁹ Ensuring that clinicians have a thorough understanding of the diverse needs of the multifaceted NYU population and the skills to assess and provide culturally competent care is vital in order to best serve each individual student.¹⁰ Culturally sensitive and competent healthcare improves students' engagement in preventive services and reduces health disparities.¹¹⁻¹² Brief and intensive interactive counseling approaches directed at a student's personal risk, the situations in which risk occurs, and the use of personalized goal-setting strategies are effective in STI/HIV prevention among diverse populations.¹³

3. Engage social support networks in positively influencing students' sexual health.
Students' social support networks can play an important role in the information they receive and the decisions they make regarding their sexual health.⁹ Friends and family can influence the attitudes and sexual health behaviors of students by providing them with ongoing health and prevention messages.¹⁴ Students also develop new relationships as they integrate into college life, expanding their social network density. Involvement in clubs and programs, such as religious or cultural ones, provides students with connections not only to other students but also to advisors and staff. Interactions with friends, peers, parents, clubs, and advisors all make unique contributions and shape students' knowledge base, attitudes, and self-efficacy in their sexual health.

4. Expand access to safer sex supplies.
Safer sex supplies, such as male and female condoms, are effective means for reducing unintended pregnancies, HIV, and other sexually transmitted infections.¹⁵ Many students report wanting to use safer sex supplies; however, barriers include lack of money or fear of judgment when purchasing them.¹⁶ Distribution of free, safer sex supplies on college campuses has been shown to be effectual in "increasing condom use, increasing condom acquisition or condom carrying, and reducing incident STIs."¹⁷

5. Improve access to HIV/STI testing.
College students are at high risk for contracting sexually transmitted infections, yet there are numerous factors that affect appropriate testing and treatment.2,3,8 Testing for HIV/STIs is a new experience for many students that can be intimidating.18,19 Perceived stigma, as well as perceived risk versus actual risk, can also influence HIV/STI testing. Increasing opportunities for testing - through targeted outreach and routine screening, and using safe spaces to engage students - can increase awareness and normalize the act of testing.¹⁹ Offering HIV/STI tests to students as part of regular healthcare decreases stigma increases the number of young adults getting tested, and allows more students to take charge of their sexual health.

Indicator Technical Notes

a) HIV Testing

Data Source: ACHA #39F

Survey Question: Have you ever been tested for HIV infection?

Definition: proportion of students responding yes

b) Annual incidence of chlamydia, age 24 and under

Data Source: ACHA #41A6

Survey Question: Within the last 12 months, have you been diagnosed or treated by a profession for the following: Chlamydia?

Definition: rate per 10,000 of students 24 and under who endorsed "yes"

c) Always use condoms or other protective barrier during vaginal intercourse

Data Source: ACHA # 22B

Survey Question: Within the last 30 days, how often did you or your partner(s) use a condom or other protective barrier during vaginal intercourse?

Definition: proportion of students engaging in vaginal intercourse (within the last 30 days) reported "always" using protective barrier

d) Always use condoms or other protective barrier during anal intercourse

Data Source: ACHA # 22C

Survey Question: Within the last 30 days, how often did you or your partner(s) use a condom or other protective barrier during anal intercourse?

Definition: proportion of students engaging in anal intercourse (within the past 30 days) reported "always" using protective barrier

References

1. American College Health Association. (2009). American College Health Association - National College Health Assessment II: New York University Executive Summary Spring 2009. Hanover, MD: Author.

2. Centers for Disease Control and Prevention. (2011, September). Diagnoses of HIV Infection and AIDS in the United States and Dependent Areas, 2009. Atlanta, GA: U.S. Department of Health and Human Services.

3. Centers for Disease Control and Prevention. (2009, Novem ber). Sexually Transmitted Disease Surveillance, 2008. Atlanta, GA: U.S. Department of Health and Human Services.

4. Finer, L.B., Henshaw, S.K. (2004.) Disparities in rates of unintended pregnancy in the United States, 1994 and 2001. Perspectives on Sex and Reproductive Health, 38, 90-6.

5. Mosher, W.D., Chandra A., & Jones, J. (2004). Sexual behavior and selected health measures: men and women ages 15-44 years of age. Advance Data, 1-56.

6. Academy for Educational Development. (2007). Summary of a review of the literature: Programs to promote chlamydia screening. Atlanta, GA: U.S. Department of Health and Human Services, Centers for Disease Control and Prevention.

7. Kirby, D. (2008). The impact of abstinence and comprehensive sex and STD/HIV education programs on adolescent sexual behavior. Sexuality Research and Social Policy, 5(3), 18-27. Joint United Nations Programme on HIV/AIDS. Sexual Health Education Does Lead to Safer Sexual Behaviour. Press release, October 22, 1997.

8. National Prevention Council. U.S. Department of Health and Human Services. (2011). National Prevention Strategy. Washington, DC: U.S. Department of Health and Human Services. Office of the Surgeon General.

9. Davis, L., Arshad, U. (2010). Adolescent sexual health and the dynamics of oppression: A call for cultural competency. Issues at a Glance, Advocates for Youth.

10. Lin, J.S., Whitlock, E., O'Connor, E., & Bauer, V. (2008). Behavioral counseling to prevent sexually transmitted infections: A systematic review for the U.S. Preventive Services Task Force. Annals of Internal Medicine, 149(7), 497-508.

11. Campinha-Bacote, J. (2002). The process of cultural competence in the delivery of healthcare services: A model of care. Journal of Transcultural Nursing, 13(3), 181-184.

12. Drabble, L., Keatley, J., Marcelle, G. (2003). Progress and opportunities in lesbian, gay, Bisexual, and Transgender Health Communications. Clinical Research and Regulatory Affairs, 20(2), 205-227.

13. Centers for Disease Control and Prevention. (2010, December). Sexually Transmitted Diseases, Treatment Guidelines, 2010. Morbidity and Mortality Weekly Report. Atlanta, GA: U.S. Department of Health and Human Services.

14. Deptula, D.P., Henry, D.B., & Schoeny, M.E. (2010). How can parents make a difference? Longitudinal associations with adolescent sexual behavior. Journal of Family Psychology, 24( 6), 731-739.

15. Centers for Disease Control and Prevention. Morbidity and Mortality Weekly Report (2010, December). Sexually Transmitted Diseases, Treatment Guidelines, 2010. Atlanta, GA: U.S. Department of Health and Human Services.

16. Butler, S.C., Procopio, M., Ragan, K., Funke, B., & Black D.R. (2011). Condom and safer sex product availability among colleges and universities in rural setting. The Health Education Monograph Series, 25(2), 10-15.

17. Centers for Disease Control and Prevention. (2010, October). Condom Distribution as a Structural Level Intervention. Atlanta, GA: U.S. Department of Health and Human Services.

18. Centers for Disease Control and Prevention. (2010, December). Vital Signs: HIV testing in the U.S. Atlanta, GA: U.S. Department of Health and Human Services.

19. Barth, K.R., Cook, R.L., Downs, J.S., Switzer, & G.E., Fischhoff, B. (2002). Social stigma and negative consequences: Factors that influence college students' decision to seek testing for sexually transmitted infections. Journal of American College Health, 50,(4), 153 - 159.

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The World Health Organization describes sexual health as "a state of physical, mental and social wellbeing in relation to sexuality. It requires a positive and respectful approach to sexuality and sexual relationships, as well as the possibility of having pleasurable and safe sexual experiences, free of coercion, discrimination and violence".

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- About 1 in 4 college students have an STD / STI
- Fact: 25% of college students have a sexually transmitted infection (STI). Young people aged 15-24 account for more than half of new STD diagnoses each year - even though they make up only 25% of the sexually active population.
- I think it's important because it shows us how contagious the disease is and how disregarded we are to them.

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About half of sexually active people under age 25 will get an STI at some point and time, and most have no symptoms. If you are now, or have ever been sexually active, you should get tested.

Chlamydia is the most common STI, and there are often no symptoms. That's why getting tested is so important for both men and women. If Chlamydia goes untreated, it can cause problems with fertility, making it difficult to have a child when a person is ready to do so.

2015 and 2016 reported cases of STDs among Detroit residents age 20-24, rates range between 0.1% and 4%. A rate is often presented as cases per 100,000 population rather than a percent. Note that 2016 data are provisional and will change as more complete information becomes available.

Anyone is at risk of contracting an STI if they don't protect themselves.

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How common are STI's among college students? What are the most common STI's in college students? - Campus Health Center

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About half of sexually active people under age 25 will get an STI at some point and time, and most have no symptoms. If you are now, or have ever been sexually active, you should get tested.

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- People at my age they choice hookup and fwb more than the real relationship and because of that they are sexual active and have multiple partner that give them higher person to catch STD and HIV
- So they need to learn how to protect themselves not only by avoiding pregnancy by taking drugs, but also by using a condom to avoid sexual infection.

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For most students, the college years are a time for tremendous transition and growth. They are not only learning in academic terms, but they are learning about themselves and how they relate to others, including on an intimate level. Students may assert their newfound independence in a number of ways, including embarking on sexual relationships. For many students, the college years are when they first become sexually active. While they may feel well equipped to handle themselves in these relationships, they may not be armed with adequate sexual health and safety knowledge and may make decisions and choices that can place them at increased risk for health issues or risky sexual encounters.

This guide was created to remove some of the mystery from sexual health and give students the appropriate resources and information to make sure they stay healthy, happy and safe throughout their college days and beyond.

The Link Between
Healthy Relationships and Sexual Health

An important part of sexual health is a positive, respectful approach to sexual relationships. Having a healthy sexual relationship with someone is one of the great joys of life, but it takes mutual understanding and common beliefs in order to achieve it. Open and honest discussion, without shame or blame, is the key to forming strong personal and sexual relationships with others.

Campus Culture: Hooking Up & Friends with Benefits

Many people in college choose to forgo the relationships altogether and instead look for "friends with benefits," or the occasional hookup. Although it might seem like everyone is doing it, the truth is plenty of students aren't. A study from the University of Nebraska-Lincoln found that 84 percent of college kids talked about hooking up, but only 54 percent of them actually had sex during the school year.

Those revealing numbers don't change the fact that the hookup culture in college is becoming more common. Students face interesting new problems when engaging in hookups rather than typical relationships or dating, as they might deal with emotional confusion, concerns about reputation, or hookups fueled by alcohol or drugs - which could lead to a whole other host of issues, such as forgetting to use a condom or doing things that might lead to embarrassment in the harsh light of day.

Relationship Resources

Risk Reduction at Parties and on Dates

Your sexual health includes all aspects of what happens to your body. For some women and men, that includes what others have done to them without their permission. Anyone can be a perpetrator or victim of sexual assault.

Sexual assault is not only a crime, it is also a serious threat to your sexual health, as sexual assault and rape come with their own set of worries - the potential for STDs and concerns about pregnancy, not to mention the emotional scars it can inflict. Sexual assault and rape are never the fault of the victim or survivor.

What If You've Been Sexually Assaulted?

Sexual assault is a crime - period. If you have been sexually assaulted, immediate help is of the utmost importance. Here's what to do right away:

Get somewhere safe
Get away from the perpetrator and find a safe place to gather yourself and consider your next steps.

Seek medical attention
Whether or not you choose to report, your physical health is extremely important. A hospital can conduct forensic exams, also known as rape kits. Going through a forensic exam does NOT mean you have to report. Hospitals can anonymously hold your kit for up to 30 days, sometimes longer. This way you can have some time to make your decision about reporting.

If you decide to skip the forensic exam, consider being tested for STIs, STDs and HIV, and get the appropriate treatment. Also be sure to get bruises or lacerations treated properly. Whatever you decide regarding reporting, taking care of yourself medically is important.

Consider your reporting options
You have different options when reporting a sexual assault, according to www.reportingoptions.org:

1) Information Only Report: Any report of sexual assault where no investigative process beyond a victim's interview and/or an Inquiry into Serial Sexual Assault (ISSA) is begun or completed.

2) Partial Investigation: Any report of sexual assault where some investigative processes beyond the victim interview and ISSA have been initiated by law enforcement. This may include interviewing witnesses and collecting evidence with a Sexual Assault Forensics Examination (SAFE) kit.

3) Complete Investigation: Any report of sexual assault where all investigative measures are taken to determine if probable cause exists and a criminal offense has been initiated. This may vary by state.

You may change from an Information Only report to a Partial or Complete Investigation at any time, or from a Complete to Partial Investigation as long as the investigation is ongoing. All reporting information is documented and kept on record. A victim is encouraged to report even if they have no intention of filing criminal charges. The National Center for Victims of Crime also provides reporting resources.

You may also consider reporting to your school's Title IX Coordinator. This person is in charge of investigating sexual assault reports on campus or if individuals involved are students. It is not a formal police investigation, but could help you create safety plans or move dorms if need be.

Call the National Sexual Assault Hotline at 800.656.HOPE (4673)
You'll be connected to a trained staff member from a local sexual assault service provider in your area. They will direct you to the appropriate local health facility that can care for survivors of sexual assault. Some service providers may be able to send a trained advocate to accompany you.

Seek support
What happened was not your fault. You may need emotional support. Contact your local rape crisis center, who can put you in touch with counselors and other emotional support systems free of charge or at lower prices Also consider trustworthy friends and family for support.

Date Rape Statistics

57% of rapes occur while out on a date.

As many as 84% of women are raped by someone they know.

In 10% of rape cases, the victim is a man.

20-25% of college-aged women have experienced an attempted or completed sexual assault by the time they graduate.

Date Rape and Date Rape Drugs

Many cases of date rape start with drugs that incapacitate the victim, or render the victim completely unable to remember what happened during the assault. These drugs can come in pills, liquids or powders, and usually have no color, smell or taste. This includes Rohypnol ("roofies"), gamma hydroxyburyric (GHB) and Ketamine. However, the most frequently used date-rape drug is alcohol.

Though some newer formulations of date rape drugs are designed to change color when dropped into a drink, those colors can be tough to see when blended with a dark beverage, such as cola, or when used at a party where dim lighting is the norm. If you do not remember what happened the night before, or if you find that you are unable to move, think clearly, or otherwise function appropriately, you might have been drugged. If you believe this to be true, call the police and report this crime. If you believe you may have been assaulted, also call the National Sexual Assault Hotline at 800.656.HOPE (4673).

Consent: Avoid Becoming the Perpetrator

Anyone can be a victim of sexual assault, but anyone can also become a perpetrator. Many factors might come into play and blur boundaries, from excessive alcohol consumption to peer pressure. Even the most trusted friend or partner can come close to crossing the line, so it's good to identify situations and signs that things could get out of control.

Consider this general rule: If you are too intoxicated to trust yourself to drive a car, you may be too intoxicated for sexual activity.

Tips for Risk Reduction

While sexual assault is never the fault of the victim, there are some ways to reduce the risk of sexual violence on campus, while at parties, or even while out on dates. Take these steps over and over until they become second nature.

Keeping students safe on campus is the goal of our Campus Safety Guide. Visit it to learn more about campus safety, including sexual assault.

Date Rape & Campus Assault Resources

What is Sexual Health?

The World Health Organization currently defines sexual health as: "a state of physical, emotional, mental and social well-being in relation to sexuality; it is not merely the absence of disease, dysfunction or infirmity. Sexual health requires a positive and respectful approach to sexuality and sexual relationships, as well as the possibility of having pleasurable and safe sexual experiences, free of coercion, discrimination and violence. For sexual health to be attained and maintained, the sexual rights of all persons must be respected, protected and fulfilled."

Your Sexual Health: 4 Questions

You may not have given much thought to your sexual health. Here are four questions to ask yourself to ensure you are on the right track toward good sexual health.

What is my comfort zone?

Am I ready for sex?

Am I protected?

Your Student Health Center & Sexual Health

When it comes to sexual health, the student health center may be a good place to start. In addition to basic services and health education, many health centers offer STD testing, pregnancy testing, pap smears, safer sex supplies (such as free condoms, dental dams and the like), birth control pills for students who are prescribed them, the "morning after" pill and other pertinent services.

Just as with any other medical facility, your reasons for going to the student health clinic are confidential, as are the treatments and information you might receive there. Look for information online at your school's website, and make an appointment to find out more. Do keep in mind that if you are still on your parent or guardian's health insurance, a doctor visit and procedures may show up in their insurance claims statements. Public clinics will often provide quality services for significantly lower prices, and may be an alternative option for students.

Characteristics of Colleges That Support Sexual Health Practices

What makes a college stand out from the crowd when promoting sexual health? It all begins with the student health center. Here's what matters most, according to the methodology of Trojan Condoms' rankings.

Want to know where your school stands? See Trojan Condoms' Sexual Health Report Card to see how 140 colleges and universities ranked for promoting positive sexual health in their students.

Student Health Center Resources

STIs and STDs: What You Should Know

The risk of sexually transmitted diseases or infections might be higher than you think. According to Stanford University's Sexual Health Peer Resource Center, one in four college students has an STD. In fact, according to the CDC, nearly half of the 20 million people newly diagnosed with STIs each year are between the ages of 15 and 24. Each time you have unprotected sex, your risks of contracting an infection or disease go up.

STIs and How They're Treated

Preventing and Reducing the Risk of STIs and STDs

Students can reduce the risk of developing an STI or STD by practicing safer sex. This includes using barrier methods of contraception for every sexual encounter, limiting the number of sexual partners, knowing the history of your sexual partners, and never taking harmful risks, such as having sex with someone you don't know. Getting vaccinated against Hepatitis B and HPV can lower your risks. Getting tested on a regular basis can provide peace of mind.

There is a lot of misinformation floating around about STDs and STIs. Below are some of the most widely spread myths about STDs and STIs.

STD & STI Testing Resources

Unplanned Pregnancy in College

"My period is late!" That sudden realization can strike terror into the heart of any young woman, especially one who is in college and had no intentions of starting a family anytime soon. Unplanned pregnancy happens more than you might think. Fifty-one percent of all pregnancies in the United States are unplanned, and the highest number of unplanned pregnancies happened among women between the ages of 20 and 24, according to the Guttmacher Institute.

College students in the U.S. have a variety of options available to them in the prevention of unwanted pregnancy.

A barrier method of contraception that prevents pregnancy and helps protect against many STDs.

Can be purchased over-the-counter or obtained for free at health clinics. This Condom Guide from Sir Richards can help students choose the right condom by size and type.

Offers protection against most STDs; does not contain hormones; can be obtained and used with ease and no side effects

Does not provide long-term birth control; a new one must be used every time, properly, without fail, in order to prevent pregnancy and lower the risk of STDs

What to Do About an Unwanted Pregnancy

If you think you might be pregnant, there are a few steps you must take right now to ensure the proper medical care, regardless of what your future choices might be.

3

Emergency Contraception: Plan B

Known as Plan B or the "morning after" pill, this emergency contraception is available through pharmacies nationwide. Some pills are over-the-counter, some are behind the pharmacy desk, while still others are only available via prescription. The over-the-counter versions don't have an age restriction, and an ID is not required for purchase.

Emergency contraception works by preventing ovulation, which in turn prevents pregnancy. It is not an abortion pill. Instead, it provides a strong dose of hormones that upset the natural reproductive cycle. Most are only one pill; in order to be most effective, it should be taken as soon as possible after sex. There are side effects to taking the pill that can be serious, so be sure to discuss this with your healthcare professional or pharmacist and read instructions carefully. Also note that Plan B shouldn't be used as a contraceptive method, as it does not protect against STIs or STDs.

You can find the morning after pill at pharmacies, or your student health clinic might stock it. The American College of Obstetricians and Gynecologists recommends that women actually have the morning after pill on hand, just in case they need it.

Guys: She's Pregnant. Now What?

When you hear that your girlfriend - or hookup buddy, or weekend fling, or even one-night stand - is pregnant, panic is probably going to be the first thing that hits you. And that's okay: no matter what decisions are made in the near future, this is a life-changing moment. So give it the gravity it deserves. Take a deep breath. Take some time to think it over. Then take some time to talk it through.

You might be in a tough spot, because ultimately, what happens is the woman's decision. She is the one who must decide to carry the baby - or not. She decides whether to keep the baby - or not. Your job at this point is to support her, no matter what her decision might be, even if that choice is not the one you want her to make.

This can be very difficult. In fact, this might be one of the most mature, unselfish things you will ever do in your life. So approach it carefully and conduct yourself in a way that will bring you no regrets.

Giving her the support she needs, no matter the decisions or the outcome, is the right thing to do. But you need support too, so seek it out. You can find strong support from friends, understanding family members and the counselors at your student health center. And hopefully, you and your partner will be able to support each other through those life-changing choices.

Unplanned Pregnancy Resources

From the Expert

Victoria M. Beltran, MPH, CHES discusses college student sexual health.

What do you see as the biggest problem in sexual health for college students today?

I think most students want to know about sexual health but don't quite know where to get the right information. There are a lot of reputable websites that may not come up first in their search, so they might be getting non-evidence based information. Also, a lot of students don't know how to take care of their sexual health. As adults, many of them may be making healthcare decisions on their own for the first time, and unfortunately, parents don't always teach their children the right questions to ask when seeing a healthcare provider.

What are some steps students can take to protect their sexual health?

First off, make an appointment with a healthcare provider. Even if you're not having sex, they will check you out to make sure everything is ok. If you have any questions, they can help you out! Second, know what to ask. Ask anything and everything, it's up to you to get the right information to make the right decisions about your body. Third, always use protection. Birth control is fantastic and the longer lasting, the better, but prescribed birth control doesn't protect against sexually transmitted infections. Only barrier methods like male and female condoms do that. So either use condoms correctly and consistently, or use a combination of birth control and condoms to make sure you're fully protected.

What good habits can students implement right now to help ensure good sexual health throughout their life?

I always advise students to know their bodies. If you don't know yourself, how can you ever expect another person to know what makes you tick? Masturbation is not only extremely healthy and normal, it's a stress-reliever too, which every college student obviously needs! Also, don't be afraid of your healthcare provider. A lot of students fear going to the doctor because rectal exams are uncomfortable or because pap smears aren't the most fun or their provider might judge them for their sexual activity. It's better to get checked out and be uncomfortable for a few minutes than to be sick and unhealthy and not even know it. Also, you have the right to a provider whom you can trust. So if your provider doesn't "get" you, find another one who will.

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Healthy Intimacy in College | LearnPsychology

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For most students, the college years are a time for tremendous transition and growth. They are not only learning in academic terms, but they are learning about themselves and how they relate to others, including on an intimate level. Students may assert their newfound independence in a number of ways, including embarking on sexual relationships.

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If you don't know, rape is also a common mention in this topic. Because people who are raped are often under the influence of alcohol or drugs. This is an unacceptable thing. those who experience this are affected and hurt not only physically but also mentally.

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Your access to the NCBI website at www.ncbi.nlm.nih.gov has been temporarily blocked due to a possible misuse/abuse situation involving your site. This is not an indication of a security issue such as a virus or attack.

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Birth control
- The patch is 91% effective
- The pill is 91% effective
- The shot is 94% effective
Testing for STD and HIV after 6 month if you are sexually active .
_ Testing can help you catching early signs of cancer

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Sexual Health Behavior: College Students