Mental Health Characteristics and Health-Seeking Behaviors of Adolescent School-Based Health Center Users and Nonusers

Autor/inn/en	Amaral, Gorette; Geierstanger, Sara; Soleimanpour, Samira; Brindis, Claire
Titel	Mental Health Characteristics and Health-Seeking Behaviors of Adolescent School-Based Health Center Users and Nonusers
Quelle	In: Journal of School Health, 81 (2011) 3, S.138-145 (8 Seiten)Infoseite zur Zeitschrift PDF als Volltext Verfügbarkeit
Sprache	englisch
Dokumenttyp	gedruckt; online; Zeitschriftenaufsatz
ISSN	0022-4391
DOI	10.1111/j.1746-1561.2010.00572.x
Schlagwörter	Mental Health Programs; Child Health; Suicide; Statistical Significance; Adolescents; Student Characteristics; School Health Services; High School Students; Comparative Analysis; Access to Health Care; Psychological Patterns; Sleep; Drinking; Marijuana; Drug Abuse; Grief; At Risk Students; Clinics; Physical Health; Stress Variables; Gender Differences; Age Differences; Racial Differences; Grades (Scholastic); Family Environment; Interpersonal Relationship; Smoking; California + Suchen Sie Ihr Suchwort? Selbstmord; Adolescent; Adolescence; Adoleszenz; Jugend; Jugendalter; Jugendlicher; Schuleingangsuntersuchung; High school; High schools; Student; Students; Oberschule; Schüler; Schülerin; Studentin; Schlaf; Trinken; Trauer; Gesundheitszustand; Geschlechterkonflikt; Age; Difference; Age difference; Altersunterschied; Rassenunterschied; Notenspiegel; Familienmilieu; Interpersonal relation; Interpersonal relations; Interpersonelle Beziehung; Zwischenmenschliche Beziehung; Rauchen; Kalifornien
Abstract	Background: The purpose of this study is to compare the mental health risk profile and health utilization behaviors of adolescent school-based health center (SBHC) users and nonusers and discuss the role that SBHCs can play in addressing adolescent health needs. Methods: The sample included 4640 students in grades 9 and 11 who completed the California Healthy Kids Survey between fall 2000 and spring 2005 at 4 high schools in Alameda County, California. Chi-squared tests of significance and multivariate logistic regression were used to compare characteristics of SBHC users and nonusers and identify demographic, health status, and behavioral characteristics predictive of SBHC use. Results: Controlling for demographic variables and general health status, students who reported frequent feelings of sadness, trouble sleeping, suicide ideation, alcohol or marijuana use, the recent loss of a close friend or relationship, or other difficult life event were significantly more likely to seek SBHC services than their peers. Neither health insurance status nor a student's "usual" source of health care was predictive of general SBHC use, but being on public assistance or having no insurance was predictive of a student seeking SBHC mental health services. Conclusions: These findings suggest that SBHCs are able to attract students with the most serious mental health concerns and can play an important role in meeting needs that might otherwise go unmet. The provision of SBHC mental health services in particular may fill a need among adolescents with public or no insurance. (Contains 3 tables.) (As Provided).
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Erfasst von	ERIC (Education Resources Information Center), Washington, DC
Update	2017/4/10