Barriers and facilitators to emergency contraception access among university students: Vending machines as a potential solution.

J Am Coll Health

Department of Obstetrics and Gynecology, Section of Complex Family Planning, Ci3 at the University of Chicago, Chicago, Illinois, USA.

Published: September 2025


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Article Abstract

This study investigates the barriers and facilitators to emergency contraception (EC) use among university students and assesses interest in vending machines that sell EC on university campuses. 363 students at a private Illinois university completed an electronic survey regarding on-campus EC access (73.6% cisgender women, 52.9% white, 45.7% straight, 58.7% undergraduate). Anonymous survey responses were collected between November 2023 and February 2024 RedCap and analyzed using Microsoft Excel and SPSS. Nearly half of all participants (42.1%) had previously obtained EC, either for themselves or from someone else. Among these participants ( = 153), 18.3% found the experience difficult, mainly due to cost. Over half (55.0%) of participants had confidentiality concerns when obtaining EC. Most (90.3%) participants reported that they would use an on-campus EC vending machine. Understanding the specific barriers university students face when seeking EC can inform efforts to improve access, including through EC vending machines.

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http://dx.doi.org/10.1080/07448481.2025.2550387DOI Listing

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