基于学校的健康中心和农村地区的学校上学率
Chris Kjolhede1, Wendy M Brunner2, John W Sipple3
1Bassett Healthcare Network, Cooperstown, New York.
JAMA network open
|May 13, 2025
概括
基于学校的健康中心 (SBHCs) 改善了农村地区的学生出席率. 有SBHC的地区的学生缺席率明显减少,这表明他们在支持一致的学校参与方面的价值.
科学领域:
- 公共卫生 公共卫生
- 农村卫生 农村卫生
- 儿科 儿科 儿科
背景情况:
- 学校卫生中心 (SBHCs) 提供重要的身体,精神和牙科服务.
- 由于旅行负担和有限的初级保健选择,在农村地区获得医疗保健至关重要.
研究的目的:
- 在农村环境中调查SBHC可用性和学校上学率之间的联系.
- 为了确定SBHC是否与农村学生中慢性缺勤率的减少有关.
主要方法:
- 一项横截面研究比较了纽约州北部32个农村地区的52所学校的上学率数据.
- 在四个学年 (2015-2019) 中,分析了66303名学生 (K-12) 的学生出席率.
- 多变量后勤回归模拟了SBHC访问和慢性缺勤风险之间的关联.
主要成果:
- 与没有SBHC的地区的学生相比,SBHC地区的学生表现出慢性缺勤率明显较低.
- 在SBHC注册的学生有12%更高的几率不存在慢性缺勤的风险.
- 在小学学生和贫困和社区财富较高的学校中观察到更强的积极关联.
结论:
- SBHC与农村K-12学生的缺勤率显著降低有关.
- 在学校内提供初级保健服务可以有效地减少农村社区的学生缺勤.
- 在缺乏服务的地区,SBHCs代表了增强教育公平和学生福祉的宝贵策略.
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