Philip R. Lee Institute for Health Policy Studies, University of California, 490 Illinois Street, Floor 7, San Francisco, CA, 94158, USA.
Center for Healthy Schools and Communities, Alameda County Health Care Services Agency, 1000 San Leandro Boulevard, Suite 300, San Leandro, CA, 94577, USA.
J Sch Health. 2022 Jul;92(7):702-710. doi: 10.1111/josh.13176. Epub 2022 Mar 5.
School-based health centers (SBHCs) provide health care to vulnerable youth. The purpose of the study was to identify characteristics of youth who use SBHCs with the highest frequency to understand their health needs and receipt of health services.
This study examined cross-sectional survey data from adolescents in 3 urban school districts (n = 2641) to identify the characteristics of youth who use SBHCs with high frequency (10+ visits). Analyses included calculations of simple frequencies and percentages, chi-square tests of significance and multivariate regression.
High-frequency SBHC users were more likely to have seriously considered attempting suicide (adjusted odds ratio [AOR]: 3.2), be sexually active (AOR: 6.8), and have been victimized at school (AOR: 2.2) compared to their peers who did not use the SBHC. High-frequency SBHC users were also significantly more likely than their peers to report "always" getting mental health (AOR: 7.0) and sexual health (AOR: 6.6) care when needed, and having talked with a health care provider about their moods/feelings (AOR: 3.1) and how school is going (AOR: 3.2) in the past year.
These findings hold important relevance to demonstrating the value of SBHCs in increasing vulnerable youth's access to health care, particularly in urban settings.
学校健康中心 (SBHC) 为弱势青年提供医疗服务。本研究的目的是确定使用 SBHC 频率最高的青年的特征，以了解他们的健康需求和获得卫生服务的情况。
本研究利用来自 3 个城市学区的青少年横断面调查数据（n=2641），确定高频使用 SBHC（10 次以上就诊）的青少年的特征。分析包括简单频率和百分比的计算、显著性卡方检验和多变量回归。
与未使用 SBHC 的同龄人相比，高频使用 SBHC 的青少年更有可能认真考虑尝试自杀（调整后的优势比 [AOR]：3.2）、有性行为（AOR：6.8）和在学校遭受过欺凌（AOR：2.2）。与同龄人相比，高频使用 SBHC 的青少年更有可能报告“总是”在需要时获得心理健康（AOR：7.0）和性健康（AOR：6.6）护理，并且在过去一年中与医疗保健提供者讨论过他们的情绪/感受（AOR：3.1）和学业情况（AOR：3.2）。
这些发现对于证明 SBHC 提高弱势青年获得医疗服务的价值具有重要意义，特别是在城市环境中。
