Aims Women’s unique drug use patterns, motivations, and consequences translate to unique needs within drug-use services. The prevalence of drug use among UK university students has prompted the implementation of harm reduction services in some universities. However, failing to consider women’s needs may limit these services. This qualitative study sought to address the absence of research surrounding women’s drug use at university to enable universities to tailor their services to women.

Methods Focus groups explored women’s drug use experiences at university. Discussions were analyzed using reflexive thematic analysis.

Findings Whilst limited awareness of appropriate harm reduction strategies and available resources was identified as a barrier to safer drug use for all students, stigma was thought to specifically deter women’s engagement with university services. Women reported relying on men to source drugs and provide harm reduction guidance because they were perceived as more knowledgeable. Additionally, participants highlighted vulnerability to sexual violence as a core concern for women when using drugs.

Conclusions Promoting women’s engagement with drugs education may increase women’s independence in implementing harm reduction strategies. Universities should prioritize mitigating sexual violence risks in nightlife settings, through collaboration with sexual violence support services, drugs harm reduction services, and nightlife venues.