School-Based Health Centers and Adolescent Substance Use: Moderating Effects of Race/Ethnicity and Socioeconomic Status.
School-Based Health Centers and Adolescent Substance Use: Moderating Effects of Race/Ethnicity and Socioeconomic Status.
复制标题
DOI：
10.1111/josh.12559
复制
发表时间：
2017-11
期刊：
影响因子：
--
通讯作者：
Fisher DA
中科院分区：
文献类型：
--
作者：
Bersamin M;Paschall MJ;Fisher DA
校内健康中心 (SBHC) 与许多积极的健康和学术成果相关。目前的研究扩展了之前的研究，并根据种族/民族、性别和社会经济地位 (SES) 考察了 SBHC 暴露与青少年酒精、烟草和其他药物使用之间可能存在的差异。来自加州 504 所传统高中的加州健康儿童调查数据与 SBHC 和学校人口统计的公开数据相关联。在控制学校和个人特征的情况下进行多层次逻辑回归分析。显着的交互作用表明，相对于白人，SBHC 暴露与非裔美国青少年过去 30 天的饮酒、酗酒、香烟和电子烟的使用呈负相关，而与亚洲青少年的香烟和大麻的使用呈负相关。 SBHC 暴露与家长对过去 30 天饮酒和酗酒的教育之间也存在显着的交互作用。没有观察到显着的性别相互作用。在一些少数族裔群体和社会经济地位较低的青少年中，SBHC 暴露似乎与药物使用呈负相关。这可能会对 SBHC 安置和投资产生影响。需要进行更多研究来了解 SBHC 可能影响青少年物质使用和其他健康行为的机制。
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 publically available data on SBHCs and school demographics. Multi-level 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.
登录
查看更多内容
影响因子：
2.1
作者：
Roberson, Donna W.
通讯作者：
Roberson, Donna W.
影响因子：
5.8
作者：
Robinson, WL;Harper, GW;Schoeny, ME
通讯作者：
Schoeny, ME
影响因子：
3.3
作者：
Hutchinson, Paul;Carton, Thomas W.;Chrestman, Sarah
通讯作者：
Chrestman, Sarah
影响因子：
16.4
作者：
SUE, S
通讯作者：
SUE, S
影响因子：
8
作者：
Newacheck, PW;Brindis, CD;Irwin, CE
通讯作者：
Irwin, CE