A Statewide Profile of Frequent Users of School-Based Health Centers: Implications for Adolescent Health Care

Autor/inn/en	Koenig, Kevin T.; Ramos, Mary M.; Fowler, Tara T.; Oreskovich, Kristin; McGrath, Jane; Fairbrother, Gerry
Titel	A Statewide Profile of Frequent Users of School-Based Health Centers: Implications for Adolescent Health Care
Quelle	In: Journal of School Health, 86 (2016) 4, S.250-257 (8 Seiten)Infoseite zur Zeitschrift PDF als Volltext Verfügbarkeit
Sprache	englisch
Dokumenttyp	gedruckt; online; Zeitschriftenaufsatz
ISSN	0022-4391
DOI	10.1111/josh.12374
Schlagwörter	School Health Services; Secondary School Students; Student Characteristics; Regression (Statistics); Sexuality; Mental Health; American Indians; Ethnicity; Disadvantaged; New Mexico + Suchen Sie Ihr Suchwort? Schuleingangsuntersuchung; Sekundarschüler; Regression; Regressionsanalyse; Sexualität; Psychohygiene; American Indian; Indianer; Ethnizität
Abstract	Background: The purpose of this study is to describe patterns of care and service use among adolescent school-based health center (SBHC) users in New Mexico and contrast patterns and services between frequent and infrequent users. Methods: Medical claims/encounter data were analyzed from 59 SBHCs located in secondary schools in New Mexico during the 2011-2012 school year. We used Pearson's chi-square test to examine the differences between frequent (=4 visits/year) and infrequent users in their patterns of SBHC care, and we conducted logistic regression to examine whether frequent use of the SBHC predicted receipt of behavioral, reproductive, and sexual health; checkup; or acute care services. Results: Most of the 26,379 adolescent SBHC visits in New Mexico were for behavioral health (42.4%) and reproductive and sexual health (22.9%). Frequent users have greater odds of receiving a behavioral, reproductive, and sexual health; and acute care visit than infrequent users (p < 0.001). American Indians, in particular, have higher odds of receiving behavioral health and checkup visits, compared with other races/ethnicities (p < 0.001). Conclusions: SBHCs deliver core health care services to adolescents, including behavioral, reproductive, and checkup services, to high need populations. American-Indian youth, more than their peers, use SBHCs for behavioral health and checkups. (As Provided).
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Erfasst von	ERIC (Education Resources Information Center), Washington, DC
Update	2020/1/01