Table 1_Behavioral measures and factors influencing active use of health services in school hospitals by university students.docx

ObjectiveTo evaluate the level and factors associated with university students’ active utilization of health services in school hospitals across four universities in a Chinese province, and to put forward relevant strategies for improving their health literacy and active service use.
MethodsA four-dimensional, 16-item scale was developed via the Delphi method to assess students’ active use of school hospital health services. Multiple regression was applied to explore factors associated with such utilization.
ResultsThe overall average score for university students’ active utilization of health services in school hospitals was (60.68 ± 10.82). Among the four dimensions, university students had the highest score in communication and dialogue behavior (15.64 ± 3.05) and the lowest score in accessible behavior (14.55 ± 3.03). Self-assessed physical status and only-child status were statistically significantly associated with students’ active use of school hospital health services.
ConclusionThe scale exhibits good reliability and validity, which provides a good basis for measuring university students’ active use of health services. Strategies to support students’ active use of health services may include enhancing school hospital service accessibility, strengthening service-related publicity and education, and improving students’ health initiative.