To describe the use of school-based health clinics by urban minority junior high school students.
Review of demographic and utilization data collected by service providers during clinic visits.
Health clinics in four junior high schools that enrolled predominantly Hispanic students who were residing in an economically disadvantaged, medically underserved New York (NY) school district.
Of 5757 students who were enrolled in the schools, 5296 (92%) obtained parental consent to use the clinics, and 3723 (65%) used the clinics during the 1991-1992 academic year.
Clinic users were 11 to 15 years old, 50% male and 50% female, 81% Hispanic and 14% black, and 29% sixth graders, 33% seventh graders, and 38% eighth graders.
Clinic users made 16 340 clinic visits during the 1991-1992 academic year.
Presenting complaints were mental health problems (32%), illness (14%), injury (12%), physical examination (5%), immunization (3%), follow-up (21%), and other (13%). Referral sources were clinic outreach (48%), self (44%), and school personnel (8%). Conclusions : Junior high school-based clinics can provide a wide range of primary and preventive health care services for large numbers of medically underserved youths.
The provision of mental health services may fill a critical need among inner-city adolescents.
Clinic outreach may be necessary to maximize utilization, especially among high-risk students.
Mots-clés Pascal : Adolescent, New York, Utilisation, Service santé, Médecine scolaire, Ethnie, Soin, Evaluation, Hispanoaméricain, Homme, Etats Unis, Amérique du Nord, Amérique
Mots-clés Pascal anglais : Adolescent, New York, Use, Health service, School medicine, Ethnic group, Care, Evaluation, Human, United States, North America, America
Notice produite par :
Inist-CNRS - Institut de l'Information Scientifique et Technique
Cote : 96-0023809
Code Inist : 002B30A03B. Création : 01/03/1996.