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There has been increased attention to university students' experiences of menstrual disorders, and access to menstrual products, in high-income countries. Less attention has been directed to other aspects of their menstrual experience, including confidence for menstrual management. This study aimed to understand the factors affecting university students' confidence to manage menstruation at university. An online survey was completed by 410 participants (age range 16-46 years, mean = 20.1 years) who menstruate and study at an Australian