School Attendance Following Receipt of Care From a School-Based Health Center.
School Attendance Following Receipt of Care From a School-Based Health Center.
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接受校内健康中心护理后的上学情况。
DOI：
10.1016/j.jadohealth.2023.07.012
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发表时间：
2023
期刊：
影响因子：
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通讯作者：
Dudovitz,Rebecca
中科院分区：
文献类型：
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作者：
Lim,Caryssa;Chung,PaulJ;Biely,Christopher;Jackson,NicholasJ;Puffer,Maryjane;Zepeda,Alex;Anton,Patricia;Leifheit,KathrynM;Dudovitz,Rebecca
学校健康中心（SBHCs）可能会减少获得医疗保健的障碍，提高学生的学业成绩，但很少有研究验证这一假设。我们研究了学生在SBHC.MethodsWe接受照顾后是否提高了入学率进行了二次分析的数据附属于一个单一的大型城市学区和人口统计和SBHC用户（N = 14,030）和非用户（N = 230,046）从2015年8月至2020年2月的出勤数据从17 SBHC。我们研究了学生第一次SBHC访问和SBHC非用户的代理访问日期之前和之后三年每个月的完整上学日的百分比。倾向加权线性回归模型测试是否访问SBHC与SBHC nonusers.ResultsAmong SBHC users的匹配样本相比，在出勤轨迹的变化，出勤轨迹下降更陡峭之前，他们的第一次SBHC访问后，第一次访问（斜率前-0.71%，斜率后-0.05%），而SBHC非使用者在整个期间的出勤率轨迹相似（斜率前− 0.18%，斜率后−0.17%），差异中的差异为0.65。轨迹的变化更明显的学生与心理健康的遭遇。在第一次SBHC心理健康访问之前，SBHC用户显示每月出勤率显着下降（前斜率-1.02%）。第一次心理健康访问后，出勤率增加（postslope 1.44%），差异中的差异2.33.DiscussionSBHC利用率与改善学校出勤率随着时间的推移，特别是对学生的心理健康诊断。对SBHC的投资可以减少学校缺勤率并支持学生健康。
PurposeSchool-based health centers (SBHCs) may mitigate barriers to health care access and improve students' academic outcomes, but few studies test this hypothesis. We examined whether school attendance improved after students received care at an SBHC.MethodsWe conducted a secondary analysis of data from 17 SBHCs affiliated with a single large urban school district and demographic and attendance data from SBHC users (N = 14,030) and nonusers (N = 230,046) from August 2015–February 2020. We examined the percent of full school days present each month for three years before and after students' first SBHC visit and a proxy visit date for SBHC nonusers. Propensity weighted linear regression models tested whether visiting an SBHC was associated with a change in the attendance trajectory compared to a matched sample of SBHC nonusers.ResultsAmong SBHC users, attendance trajectories declined more steeply prior to their first SBHC visit than after the first visit (preslope −0.71%, postslope −0.05%), whereas SBHC nonusers had a similar attendance trajectory over the entire period (preslope −0.18%, postslope −0.17%), with difference-in-difference 0.65. Changes in trajectories were more pronounced for students with a mental health encounter. Prior to the first SBHC mental health visit, SBHC users displayed a marked decline in monthly attendance (preslope −1.02%). After the first mental health visit, attendance increased (postslope 1.44%), with difference-in-difference 2.33.DiscussionSBHC utilization was associated with improved school attendance over time, particularly for students with a mental health diagnosis. Investing in SBHCs may reduce school absenteeism and support student health.