Billy J O, Grady W R, Wenzlow A T, Brener N D, Collins J L, Kann L
Battelle, Centers for Public Health Research and Evaluation, Seattle, WA 98105, USA.
J Adolesc Health. 2000 Jul;27(1):12-24. doi: 10.1016/s1054-139x(99)00123-8.
To examine contextual factors that may facilitate or impede the provision of school health services.
Using a composite database derived primarily from the National Longitudinal Study of Adolescent Health, we used logistic regression to examine how selected characteristics of communities, schools, and state-level policies are related to the provision of specific health services by high schools.
Schools whose students experienced more health risks were generally more likely to provide related services than schools whose students experienced fewer risks. State policies and requirements for health-related programs and services were associated with greater school-based provision of services. Availability of health care services within the community was associated with a reduced likelihood that schools provided similar services on-site; however, for some health services, the reverse was true. In general, more affluent communities were more likely to provide school health services than less affluent communities. Public schools were more likely to offer health services than private schools.
Certain characteristics of communities, schools, and state-level policies are associated with the provision of school health services. These contextual factors appear to operate by creating a demand for services and by creating the opportunity for schools to provide health services.
探讨可能促进或阻碍学校卫生服务提供的背景因素。
利用主要来自青少年健康全国纵向研究的综合数据库，我们使用逻辑回归来研究社区、学校和州级政策的选定特征与高中提供特定卫生服务之间的关系。
与学生健康风险较低的学校相比，学生面临更多健康风险的学校通常更有可能提供相关服务。与健康相关项目和服务的州政策及要求与更多基于学校的服务提供相关。社区内医疗保健服务的可及性与学校在现场提供类似服务的可能性降低相关；然而，对于某些卫生服务，情况则相反。一般来说，较富裕的社区比较不富裕的社区更有可能提供学校卫生服务。公立学校比私立学校更有可能提供卫生服务。
社区、学校和州级政策的某些特征与学校卫生服务的提供相关。这些背景因素似乎通过创造服务需求和为学校提供卫生服务创造机会来发挥作用。
