Nurses in University Health Services and their Roles in Sexually Transmitted Infection Prevention, Care, and Education: A Literature Review

Abstract

Background: The prevalence of sexually transmitted infections (STIs) is increasing globally, with a particularly alarming rise in Thailand, especially among young people. This trend poses significant repercussions for their health, academic performance, and overall quality of life. This integrative literature review endeavors to elucidate the multifaceted roles of university nurses in the realms of prevention, care, and education pertaining to sexual health, tailored to the distinct needs of students. Methods: A comprehensive systematic search was executed across PubMed, CINAHL, Scopus, and ThaiJO for scholarly publications spanning from 2015 and 2025, using the PICO framework. Studies were included if they   concentrated on university health services focusing on prevention, care, and sexual health education for the student population. A total of 13 studies met the inclusion criteria and were analyzed. Results: Three major roles of university nurses were identified: (1) prevention strategies that increased service utilization, though male students were less engaged; (2) educational interventions that improved knowledge, attitudes, condom negotiation skills, and testing practices; and (3) supportive health services that reduced stigma and enhanced accessibility, especially when integrated with mental health and sexual violence care. Conclusion: This literature review underscores the efficacy of a nurse-led, student-centered paradigm within university health services. Fundamental components encompass screening, sexual education, provision of condoms, peer support, an inclusive clinic environment, and comprehensive follow-up care. Future research should explore the long-term ramifications, systemic capacity, and cost-effectiveness of these interventions.