16

Introduction: This study explores students’ access to university health services through a scoping review. Study Aim: It has three main objectives: to identify the factors that promote or hinder the use of student health services; to assess how gender is integrated into student care; and to identify blind spots in research on this topic. Results: After reviewing 1,244 articles, 23 were selected for their relevance and alignment with the selection criteria. The findings highlight a lack of in-depth analysis of gender as a key factor shaping health behavior and care-seeking. While some studies address gendered behavior, they often adopt a binary approach, considering only male and female gender categories. Moreover, although trans identities—including transgender and non-binary individuals—appear in a few studies, intersex people are entirely absent from the selected research. This omission reflects a significant gap in understanding students’ access to health care. The results of this study therefore underscore the need for a more inclusive gender approach in evaluating university health services. Conclusions: By moving beyond a binary approach in evaluating student access to health care and fully integrating gender diversity, university health services in the European region will be better positioned to meet the specific needs of their entire student population and to ensure equitable access to care.