Robinson W LaVome, Harper Gary W, Schoeny Michael E
DePaul University.
Institute for Juvenile Research, University of Illinois at Chicago.
Clin Psychol (New York). 2003 Dec;10(4):491-504. doi: 10.1093/clipsy.bpg049.
This paper explores the impact of school-based heath centers (SBHCs) on the substance use behaviors of low-income, inner-city African American adolescents. Researchers surveyed 2,114 9th- and 11th-grade students from seven inner-city public high schools (three with SBHCs and four without SBHCs). Of the initial 2,114 students, 598 SBHC students and 598 non-SBHC students were successfully matched using ethnicity, grade, gender, and propensity scores. The results of separate grade × gender × SBHC ANOVAs indicated significant grade × SBHC interactions (i.e., such that substance use decreased in SBHC schools while increasing in non-SBHC schools) for cigarettes (p = .05) and marijuana (p< .001), but not for alcohol. These findings show that the SBHC intervention model is promising toward the prevention and reduction of substance use among high-risk African American adolescents and highlight the importance of accessible, holistic, and culturally appropriate health care.
本文探讨了校内健康中心（SBHCs）对低收入、市中心区非裔美国青少年物质使用行为的影响。研究人员对来自七所市中心区公立高中（三所设有SBHCs，四所未设SBHCs）的2114名九年级和十一年级学生进行了调查。在最初的2114名学生中，598名SBHC学生和598名非SBHC学生通过种族、年级、性别和倾向得分成功匹配。单独的年级×性别×SBHC方差分析结果表明，对于香烟（p = 0.05）和大麻（p < 0.001），存在显著的年级×SBHC交互作用（即，在设有SBHCs的学校中物质使用减少，而在未设SBHCs的学校中增加），但对于酒精则不存在。这些发现表明，SBHC干预模式对于预防和减少高危非裔美国青少年的物质使用具有前景，并凸显了可及、全面且符合文化背景的医疗保健的重要性。
