Utilization of Sexual and Reproductive Health Services Among Albanian University Students

Abstract Background University students in Albania continue to face considerable obstacles in accessing sexual and reproductive health (SRH) services. While global efforts have improved STI and HIV prevention, uptake of testing services among Albanian youth remains limited. Identifying key factors that influence healthcare utilization is vital for shaping effective strategies to support SRH among students. Methods This cross-sectional study surveyed 7,679 university students across Albania to assess their access to SRH services, knowledge of STI/HIV testing locations, and engagement in preventive healthcare. A structured questionnaire captured data on gynaecological visits, Pap smear uptake, STI/HIV testing, and condom accessibility. Statistical analyses, including Pearson's chi-square test and logistic regression models, were used to determine predictors of healthcare-utilization. Results Findings highlighted significant gaps in preventive healthcare engagement, with only 11.4% of students having undergone STI screening and 7.6% tested for HIV/AIDS. Over half (53.8%) were unaware of where to access testing services, indicating a major informational gap. Students exposed to SRH education showed significantly higher rates of healthcare use, including gynaecological visits and Pap smears (p < 0.001). Furthermore, 33.1% of respondents reported never using condoms, and 2.9% were unaware of where to obtain them. Conclusions Targeted interventions are urgently needed to improve SRH education, reduce stigma, and enhance accessibility to STI/HIV testing services. Policy recommendations include integrating comprehensive SRH education into university curricula and expanding youth-friendly healthcare services to promote better sexual health outcomes in Albania. Key messages • Limited awareness and stigma hinder Albanian students’ access to SRH services. Many lack knowledge of STI/HIV testing sites, and misinformation about contraception persists, limiting preventive care. • Despite sexual activity, Albanian students show low engagement in preventive healthcare. Those with SRH education are more likely to seek routine gynaecological care, but testing rates remain low.