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School-based clinic use and school performance

M T McCord1, J D Klein, J M Foy

  • 1Department of Maternal and Child Health, University of North Carolina, Chapel Hill.

The Journal of Adolescent Health : Official Publication of the Society for Adolescent Medicine
|March 1, 1993
PubMed
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School-based health clinics (SBCs) improve academic success for high-risk students. Clinic use was linked to higher graduation and promotion rates, especially for black males.

Area of Science:

  • Adolescent Health
  • Educational Psychology
  • Public Health

Background:

  • School-based health clinics (SBCs) are an innovative approach to adolescent healthcare.
  • High-risk students face significant academic challenges, including low attendance and graduation rates.

Purpose of the Study:

  • To examine the effect of SBC registration and utilization on academic success.
  • To assess the impact of SBCs on student absence, suspension, withdrawal, and graduation/promotion rates.

Main Methods:

  • A study was conducted in an alternative high school with 322 high-risk students.
  • Data collected on clinic registration, clinic use, absence, suspension, withdrawal, and graduation/promotion.
  • Multiple linear regression models were used to predict school performance.

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Main Results:

  • Students using the SBC were significantly more likely to stay in school and graduate/be promoted than non-users.
  • This positive effect was most pronounced in black males, who were nearly three times more likely to remain in school.
  • Clinic use and attendance rates significantly predicted 23% of the variance in promotion status.

Conclusions:

  • SBC utilization is associated with improved academic outcomes for high-risk students.
  • SBCs can be an effective intervention for enhancing student retention and graduation.
  • Targeted interventions within SBCs may further benefit specific student demographics.