Bersamin Melina, Paschall Mallie J, Fisher Deborah A
1 Prevention Research Center, Oakland, CA, USA.
2 Pacific Institute of Research and Evaluation, Beltsville, MD, USA.
J Sch Nurs. 2018 Oct;34(5):359-366. doi: 10.1177/1059840517703161. Epub 2017 Apr 13.
This study investigated the association between school-based health centers (SBHCs) and sexual behavior and contraceptive use among 11th graders. The sample included 134 high schools (27 schools with SBHCs) and 11,840 students who participated in the 2015 Oregon Healthy Teens Survey. Multilevel logistic regressions found positive associations between SBHC presence and healthy sexual behavior ( OR = 1.23, p < .05) and contraceptive use ( OR = 1.31, p < .01). Associations were stronger at schools with at least 50% of students receiving free or reduced price lunch. Among SBHC schools, prescribing and dispensing contraceptives onsite was positively related to contraceptive use among students who had sex within the past 3 months ( OR = 1.77, p < .01). Findings suggest that exposure to SBHCs in general, and availability of specific reproductive health services, may be effective population-based strategies to support healthy sexual behaviors among youth.
本研究调查了校本健康中心（SBHCs）与11年级学生的性行为及避孕措施使用之间的关联。样本包括134所高中（27所设有SBHCs的学校）以及11840名参与2015年俄勒冈州青少年健康调查的学生。多层次逻辑回归分析发现，设有SBHCs与健康性行为（OR = 1.23，p <.05）及避孕措施使用（OR = 1.31，p <.01）之间存在正相关。在至少50%的学生享受免费或减价午餐的学校中，这种关联更强。在设有SBHCs的学校中，现场开处方和发放避孕药与过去3个月内有性行为的学生的避孕措施使用呈正相关（OR = 1.77，p <.01）。研究结果表明，总体接触SBHCs以及特定生殖健康服务的可及性，可能是支持青少年健康性行为的有效的基于人群的策略。
