Community Education and Research Collaborative, University Outreach and Engagement, Michigan State University, Kellogg Center-Garden Level, East Lansing, MI 48824-1022, USA.
Am J Public Health. 2010 Sep;100(9):1604-10. doi: 10.2105/AJPH.2009.183590. Epub 2010 Jul 15.
We studied the direct and indirect effects of school-based health centers (SBHCs) on the health and health behaviors of middle and high school students.
We used a prospective cohort design to measure health outcomes annually over 2 consecutive years by student self-report. Cohorts of middle school and high school students were recruited from matched schools with and without SBHCs. Data were obtained from 744 students in both year 1 and year 2 of the study. We used 2-level hierarchical linear models to estimate the effects of the presence of SBHCs at the school level and of SBHC use at the student level.
At year 2, users of SBHCs experienced greater satisfaction with their health, more physical activity, and greater consumption of healthy food than did nonusers of SBHCs.
Students who used SBHCs were more satisfied with their health and engaged in a greater number of health-promoting behaviors than did students who did not use SBHCs. These findings indicate that SBHCs are achieving their goal of promoting children's health.
我们研究了校医院（SBHC）对中学生和高中生健康及健康行为的直接和间接影响。
我们采用前瞻性队列设计，通过学生自我报告，每年测量连续 2 年的健康结果。从有和没有 SBHC 的匹配学校招募中学生和高中生队列。研究的第 1 年和第 2 年共获得 744 名学生的数据。我们使用 2 水平层次线性模型来估计学校层面 SBHC 的存在和学生层面 SBHC 使用的影响。
在第 2 年，使用 SBHC 的学生比未使用 SBHC 的学生对自己的健康更满意，更积极参加体育活动，更常食用健康食品。
使用 SBHC 的学生比未使用 SBHC 的学生对自己的健康更满意，更积极参与促进健康的行为。这些发现表明，SBHC 正在实现促进儿童健康的目标。
