Barriers and enablers to sexual health service use among university students: a qualitative descriptive study using the Theoretical Domains Framework and COM-B model

Table 3 Barriers and enablers to sexual health service use: Salient domains from the TDF mapped to the COM-B

Barriers and Enablers	COM-B and TDF Domains
	Capability		Opportunity		Motivation
	Psychological		Social	Physical	Reflective		Automatic
	K	MAD	SI	E	CO	OP	EM
Limited Sexual Health Knowledge	✔
Lack of Clarity for LGBTQ Students	✔
Visibility of Sexual Health Services		✔
Health Care Provider Interaction			✔
Peer Influence			✔
Campus Culture				✔
Accessibility of Services				✔
Period of Exploration and Experimentation					✔
Normalizing Sexual Health						✔
Stigma, Privacy and Confidentiality					✔		✔

Note. K knowledge, MAD memory, attention, and decision-making processes, SI social influences, E environmental context and resources, CO beliefs about consequences, OP optimism, EM emotion

ISSN: 1472-6963