Pacific Institute for Research and Evaluation.
J Res Adolesc. 2020 Jan;30 Suppl 1:134-142. doi: 10.1111/jora.12454. Epub 2018 Sep 19.
This study's purpose was to examine whether school-based health centers (SBHCs) support mental health indicators among sexual minority youth (SMY). Data came from the 2015 Oregon Healthy Teens Survey with 13,608 11th graders in 137 public high schools in Oregon. Regression results revealed significant SBHC by SMY status interactions indicating relative reductions in likelihood of depressive episodes (30%), suicidal ideation (34%), and suicide attempts (43%) among SMY in schools with SBHCs. SMY students in SBHC schools reported lower likelihood of a past-year depressive episode, suicidal ideation, and suicide attempt versus those attending non-SBHC schools. Conversely, no differences in these outcomes were observed for non-SMY by SBHC status. SBHCs may help reduce mental health disparities among SMY, a marginalized, underserved population.
本研究旨在探讨学校健康中心（SBHC）是否能支持性少数青少年（SMY）的心理健康指标。数据来自 2015 年俄勒冈州健康青少年调查，该调查涉及俄勒冈州 137 所公立高中的 13608 名 11 年级学生。回归结果显示，SBHC 与 SMY 状态之间存在显著的交互作用，表明在有 SBHC 的学校中，SMY 出现抑郁发作（30%）、自杀意念（34%）和自杀企图（43%）的可能性相对降低。与就读非 SBHC 学校的学生相比，在 SBHC 学校就读的 SMY 学生过去一年出现抑郁发作、自杀意念和自杀企图的可能性较低。相反，对于非 SMY 学生，SBHC 状态与这些结果之间没有差异。SBHC 可能有助于减少边缘化、服务不足的 SMY 群体的心理健康差距。
