安全总比遗憾好：来自健康与预防服务的学生健康服务和安全套仙女，只是波士顿大学学生可以获得的安全性行为资源的一部分。 Jackie Ricciardi摄

学生健康服务

学生健康服务中心推出新的、更简单的性传播疾病和性传播疾病检测方案

这一举措是在校园里梅毒和淋病发病率上升的情况下提出的

在美国18至24岁的人群中，性传播疾病和感染呈上升趋势，这一趋势已经持续了好几年。 In 2019, the Centers for Disease Control & Prevention 报道 这 rates of syphilis and gonorrhea infections were at their highest since the 1990s, while chlamydia hit an all-time high.

BU is seeing similar trends, says 汉娜兰茨贝格 (Sargent’12, SPH’13), 学生健康服务 (SHS) associate director. 兰茨伯格说：“虽然衣原体仍然是波士顿大学学生中最常被诊断出的细菌性传播感染，但我们发现，与往年相比，2021-2022学年衣原体阳性率有所下降，淋病和梅毒的阳性率略有上升。”

然后是COVID-19大流行对性健康的影响。 Experts predict 这 STI and STD rates most likely 进一步增加 in 2020 and 2021 (yes, even with social distancing measures in place), but because of myriad interruptions to testing and general healthcare during lockdown, it’s hard to say for sure.

这些干扰令人担忧。 随着检测的减少，诊断的减少，如果不及时治疗，某些性传播感染会导致严重的健康问题，包括失明和不孕。 Not to mention the increase in community spread: as the past couple of years of battling COVID have demonstrated, one infection can quickly become two, three, or four, and no one wants to get 这 text from last week’s Hinge date.

这就把我们带到了现在：学生健康服务中心刚刚制定了新的性传播感染和性传播疾病检测方案。 Previously, you’d have to schedule a prescreening appointment with an SHS provider, where they’d determine what tests you need, after which you’d go to the lab in the SHS clinic at a later date to do the tests. Now, in lieu of a prescreening appointment, you fill out a survey online through 病人连接. (The confidential survey covers things like sexual history, symptoms, and demographic information, as well as what you’d like to be tested for.) 医疗服务提供者将审阅并为您安排适当的测试。 你可以在没有预约的情况下去实验室做测试，几天之内，你的结果就会出现在“患者连接”上。

Landsberg说：“我们初级保健诊所最主要的访问类型是性病筛查。”她指出，SHS通常每学年进行3200多次性病和性病检测。 “这些方案已经制定了一段时间，但COVID-19确实加剧了对它们的需求——我们现在比以往任何时候都更希望人们接受检测。 整个想法是让学生更容易，减少考试障碍。”

参加波士顿大学健康保险计划的学生可以免费接受性病和性传播疾病检测。 SHS also offers treatment for STDs and STIs—including treatment for the sexual partners of BU students, under the Massachusetts 加速伴侣治疗计划—and can anonymously notify any of your sexual partners of your positive test result if you are unwilling or unable to do so. 在预防保健方面，除了提供HPV疫苗Gardasil外，SHS还提供PrEP服务，或暴露前预防，以预防艾滋病毒。

SHS并不是波士顿大学学生唯一可用的安全性行为资源。 Off campus, you can access STI and STD testing through 计划生育, near West Campus, and 芬威健康, among other organizations. In addition, students can access the 避孕套的仙女, a program overseen by SHS Wellness & Prevention Services 这 provides free and anonymous safe-sex supplies to students living on and off campus. BU’s 酷儿活动团体 (“Q”) also offers safe-sex supplies, geared toward LGBTQ individuals.

在一天结束的时候，你去哪里或如何获得检测或安全性行为用品并不重要。 兰茨伯格说，重要的是“真正利用”你可以获得的服务，尤其是在世界在封锁之后开始开放的情况下。

“Testing, vaccines, condoms, honest conversations about sex—all of it’s intertwined,” Landsberg says. “It’s similar to how we’re thinking about [stopping the spread of] COVID-19 with mask-wearing, vaccines, and public outreach. 为了拥有健康的人际关系和健康的性生活，你需要所有这些东西。”