ORIGINAL RESEARCH article
Front. Public Health
Sec. Public Health Education and Promotion
This article is part of the Research TopicPublic Health Outcomes: The Role of Social Security Systems in Improving Residents' Health Welfare, Volume IIView all 28 articles
Behavioral measures and factors influencing active use of health services in school hospitals by university students
Provisionally accepted
- Mudanjiang Medical University, Mudanjiang, China
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Objective: To 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. Methods: A 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. Results: The 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. Conclusions: The 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.
Keywords: Delphi method, Health service, University, student, behavioral measures
Received: 15 Oct 2025; Accepted: 28 Nov 2025.
Copyright: © 2025 Sun, Zhou, Li, Liu, Chen, Yang and Song. This is an open-access article distributed under the terms of the Creative Commons Attribution License (CC BY). The use, distribution or reproduction in other forums is permitted, provided the original author(s) or licensor are credited and that the original publication in this journal is cited, in accordance with accepted academic practice. No use, distribution or reproduction is permitted which does not comply with these terms.
* Correspondence: Hainan Song
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