Our study took these three barriers into account with a specific focus on lack of knowledge as one component of students’ health literacy, namely the lack of acquired and assimilated information on how to access health care. Another study examining 2000 French young adults (not all students) aged 15-30 years reported that lack of knowledge concerning the organization of the health care system and its services is a significant factor hindering utilization of health care services for 30% of young participants. A study conducted on 41,000 French university students reported that: 23% of the participants did not feel the need to seek medical care, 13% did not have time for medical consultations, and 12% had economic difficulties to access and pay for health care services. A small number of international studies have examined why young people avoid and delay medical care, providing a conceptual categorization of three main barriers: low perceived need to seek medical care traditional barriers to medical care such as high cost, absence of health insurance, and time constraints and lack of knowledge concerning the organization of the health care system and its services. ![]() Notwithstanding national recommendations and health promotion programs, French university students underuse health care services, with 20% not consulting a health professional (general practitioner or specialist) during their university years. To prevent the risk of several diseases, young people aged 18-30 years are encouraged to regularly consult a general practitioner (and a gynecologist for females) in addition to consultants for particular health conditions (eg, dentists or ophthalmologists). ![]() During this period, students actively make decisions about their health care and the healthy (or unhealthy) behaviors that they wish to adopt. The years spent in university are a time of increasing independence and growth for young people.
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