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Risk and Resilience Factors Associated With Frequency of School-Based Health Center Use.
Samira Soleimanpour1, Sara Geierstanger1, Ruby Lucas1
1Philip R. Lee Institute for Health Policy Studies, University of California, 490 Illinois Street, Floor 7, San Francisco, CA, 94158, USA.
The Journal of School Health
|March 5, 2022
Summary
High-frequency users of school-based health centers (SBHCs) are more likely to face serious challenges, including suicidal ideation and sexual activity. These centers are crucial for providing essential mental and sexual health services to vulnerable urban youth.
Area of Science:
- Adolescent Health
- Public Health
- Healthcare Access
Background:
- School-based health centers (SBHCs) are vital for delivering healthcare to underserved youth populations.
- Understanding the characteristics of frequent SBHC users is key to addressing their complex health needs.
Purpose of the Study:
- To identify the characteristics of adolescents utilizing SBHCs most frequently.
- To understand the specific health needs and service utilization patterns of high-frequency SBHC users.
Main Methods:
- Cross-sectional survey data from 2,641 adolescents in three urban school districts were analyzed.
- Statistical methods included frequency calculations, chi-square tests, and multivariate regression to identify user characteristics.
Main Results:
- High-frequency SBHC users reported higher rates of suicidal ideation, sexual activity, and school victimization.
- These adolescents were more likely to receive needed mental health and sexual health care and discuss personal issues with providers.
Conclusions:
- SBHCs play a critical role in enhancing healthcare access for vulnerable youth, especially in urban environments.
- The study highlights the importance of SBHCs in addressing the multifaceted health needs of frequent users.
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