Little is known about student attitudes toward school-based health centers (SBHCs) or about factors that influence SBHC enrollment.
Students in 9 Baltimore schools with SBHCs and 4 schools without health centers were surveyed in May 1991, using an anonymous classroom questionnaire.
SBHC enrollees, nonenrollees from health center schools, and students in schools without health centers were compared using bi-variate analyses.
Logistic regression analyses identified predictors of enrollment.
A total of 91% of enrollees supported having a SBHC compared with 89% of nonenrollees and 77% of students from non-health center schools (p<. 001).
Support for a variety of services (including contraceptive services) was significantly higher among enrollees and nonenrollees compared with students in non-SBHC schools.
A total of 86% of enrollees rated the quality of care « satisfactory » to « excellent » and 79% rated privacy in the school health center as « satisfactory » to « excellent. » The most common reason given for not enrolling was satisfaction with current provider.
Independent predictors of student confidence in the privacy of SBHCs included prior SBHC use and enrollment of close peers.
Predictors of enrollment included :
one or more self-reported health problems ;
having medical assistance ;
attending one or more special education classes ;
enrollment of close peers ;
membership in a school club, sports team, or church organization ;
Mots-clés Pascal : Adolescent, Homme, Centre santé, Milieu scolaire, Attitude, Utilisation, Prévention, Etats Unis, Amérique du Nord, Amérique
Mots-clés Pascal anglais : Adolescent, Human, Health center, School environment, Attitude, Use, Prevention, United States, North America, America
Notice produite par :
Inist-CNRS - Institut de l'Information Scientifique et Technique
Cote : 96-0272039
Code Inist : 002B30A03B. Création : 199608.