Bersamin Melina, Paschall Mallie J, Fisher Deborah A
Prevention Research Center, 180 Grand Ave., Suite 1200, Oakland, CA 94612.
Pacific Institute for Research and Evaluation, 11720 Beltsville Drive, Suite 900, Calverton, MD 20705.
J Sch Health. 2017 Nov;87(11):850-857. doi: 10.1111/josh.12559.
School-based health centers (SBHCs) have been associated with many positive health and academic outcomes. The current study extends previous research and examines possible differences in the association between SBHC exposure and adolescent alcohol, tobacco, and other drug use by race/ethnicity, sex, and socioeconomic status (SES).
California Healthy Kids Survey data from 504 traditional high schools in California were linked with publicly available data on SBHCs and school demographics. Multilevel logistic regression analyses were conducted controlling for school and individual characteristics.
Significant interactions suggest that SBHC exposure was inversely associated with past 30-day alcohol use, binge drinking, and cigarette and e-cigarette use among African American youth and negatively associated with cigarette and marijuana use among Asian youth, relative to whites. There was also a significant interaction between SBHC exposure and parent education for past 30-day alcohol use and binge drinking. No significant sex interactions were observed.
SBHC exposure appears to be inversely related to substance use among youth in some ethnic minority groups and youth of lower SES. This may have implications regarding SBHC placement and investment. Additional research is necessary to understand the mechanisms through which SBHCs may influence adolescent substance use and other health behaviors.
校内健康中心（SBHCs）与诸多积极的健康和学业成果相关联。当前研究拓展了先前的研究，并考察了按种族/族裔、性别和社会经济地位（SES）划分，接触SBHCs与青少年酒精、烟草及其他药物使用之间关联的可能差异。
来自加利福尼亚州504所传统高中的加利福尼亚健康儿童调查数据，与关于SBHCs和学校人口统计学的公开可用数据相链接。进行了多水平逻辑回归分析，对学校和个体特征进行了控制。
显著的交互作用表明，相对于白人，接触SBHCs与非裔美国青年过去30天的酒精使用、暴饮、香烟和电子烟使用呈负相关，与亚裔青年的香烟和大麻使用呈负相关。在过去30天的酒精使用和暴饮方面，接触SBHCs与父母教育程度之间也存在显著的交互作用。未观察到显著的性别交互作用。
接触SBHCs似乎与一些少数族裔群体以及社会经济地位较低的青年的物质使用呈负相关。这可能对SBHCs的布局和投资具有启示意义。有必要开展更多研究以了解SBHCs可能影响青少年物质使用及其他健康行为的机制。
