| Adolescent Use of School-Based Health Centers and High School Dropout. | |
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MedLine Citation:
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PMID: 21383256 Owner: NLM Status: Publisher |
Abstract/OtherAbstract:
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OBJECTIVE: To determine the association between use of school-based health centers (SBHCs) and school dropout. DESIGN: Quasi-experimental longitudinal analysis of a retrospective student cohort, with SBHC use as the independent variable. We statistically controlled for dropout risk and used propensity score regression adjustment to control for several factors associated with SBHC use. SETTING: Integrated database from an urban public school district (academic outcomes) and department of public health (SBHC use). PARTICIPANTS: District-enrolled students in their first semester of ninth grade in 2005 (N = 3334), followed up through their anticipated on-time graduation semester of 12th grade in 2009. Students were divided into 4 groups: never used (47%); low use (23%); moderate use (20%); and high users (10%). Outcome Measure Time to nongraduation (described as dropout). RESULTS: Low to moderate SBHC use (0.125-2.5 visits per semester) was associated with a 33% reduction in dropout compared with non-SBHC users. The high-use group (>2.5 visits per semester) did not have dropout rates that differed from nonusers. For SBHC users who did drop out, dropout occurred approximately 1 semester later than nonusers. Exploratory analyses revealed that the association between SBHC use and prevention of dropout was greatest for higher-risk students. CONCLUSIONS: This study found an association between low to moderate SBHC use and reductions in dropout for high school students in an urban school district, especially for students at higher risk for dropout. This study supports the theory that benefits of SBHCs extend beyond managing physical and mental health needs to include academic outcomes. |
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Authors:
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Suzanne E U Kerns; Michael D Pullmann; Sarah Cusworth Walker; Aaron R Lyon; T J Cosgrove; Eric J Bruns |
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Publication Detail:
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Type: JOURNAL ARTICLE Date: 2011-3-7 |
Journal Detail:
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Title: Archives of pediatrics & adolescent medicine Volume: - ISSN: 1538-3628 ISO Abbreviation: - Publication Date: 2011 Mar |
Date Detail:
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Created Date: 2011-3-8 Completed Date: - Revised Date: - |
Medline Journal Info:
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Nlm Unique ID: 9422751 Medline TA: Arch Pediatr Adolesc Med Country: - |
Other Details:
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Languages: ENG Pagination: - Citation Subset: - |
Affiliation:
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Pullmann, Walker, Lyon, and Bruns) and Public Health-Seattle and King County (Mr Cosgrove), Seattle. |
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From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine
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