Improving adolescent health through school-based health centers in post-Katrina New Orleans
Improving adolescent health through school-based health centers in post-Katrina New Orleans
复制标题
DOI：
10.1016/j.childyouth.2011.11.005
复制
发表时间：
2012-02-01
影响因子：
3.3
通讯作者：
Chrestman, Sarah
中科院分区：
文献类型：
--
作者：
Hutchinson, Paul;Carton, Thomas W.;Chrestman, Sarah
2009年春季，对新奥尔良六所公立高中的学生进行了调查，以评估校本卫生中心(SBHC)在增加基本卫生服务的可获得性和利用率、促进健康生活方式以及在复杂的城市环境中促进良好决策能力方面的有效性。研究采用准实验研究设计，包括三所有母婴健康中心的干预学校和三所计划最终控制母婴健康中心的对照学校。采用倾向性评分匹配法评价社区卫生服务中心对青少年卫生服务利用和危险行为指标的影响。结果表明，可以使用SBHC的青少年报告说他们对基本健康服务的使用率较高，特别是重要的精神健康服务，但他们也不太可能从事危及其健康的行为，包括吸毒、危险的性行为、暴力、吸烟、不健康的饮食习惯和缺乏锻炼。使用Rosenbaum界限进行的敏感性测试证实，结果对由不可观察到的学校或学生层面的混杂因素引起的选择偏差相对不敏感。(C)2011爱思唯尔有限公司。保留所有权利。
In spring 2009, students in six New Orleans public high schools were surveyed in order to evaluate the effectiveness of School Based Health Centers (SBHCs) in increasing access to and utilization of essential health services, promoting healthy lifestyles, and facilitating good decision-making skills in a complex urban environment. A quasi-experimental research design was utilized, involving three intervention schools with SBHCs and three comparison schools slated to eventually contain SBHCs. Propensity score matching was used to estimate the effects of SBHCs on indicators of adolescent utilization of health services and risky behaviors. Results indicate that adolescents with access to SBHCs report higher rates of utilization of essential health services, particularly vital mental health services, but they are also less likely to engage in behaviors that put their health at risk, including drug use, risky sexual activity, violence, smoking, unhealthy eating habits and lack of exercise. Sensitivity testing using Rosenbaum bounds confirms that the results are relatively insensitive to selection bias arising from unobservable school- or student-level confounders. (C) 2011 Elsevier Ltd. All rights reserved.