School-based health centers and adolescent use of primary care and hospital care.
Little is known about the impact of school-based primary care on adolescents'use of hospital and emergency room care.
Students (grades 6-12) in nine Baltimore schools with school-based health centers and four schools without health centers were surveyed in May 1991 using an anonymous classroom questionnaire.
Self-reported use of primary care services and emergency rooms and hospitalization were examined over the academic year.
Logistic regression was used to assess factors influencing use of health care including the presence of a school health center.
Students (n=3,258) in health center schools and comparison schools reported similar rates of chronic health conditions.
Students from schools with health centers were more likely to report seeing a social worker or counselor and more likely to report the use of certain health services in the past 4 years.
Self-reported emergency room use (38%) and hospitalization (19%) were common.
Students in schools with health centers were less likely to report hospitalization (OR=0.80,95% CI=0.66-0.98).
Emergency room use was also lower but only for students attending the school with a health center for more than 1 year (OR=0.78,95% CI=0.62-0.99).
Significant predictors of hospital care included reporting one or more chronic health condition, having health insurance, being of African-American race, of older age, and lower grade. (...)
Mots-clés Pascal : Centre santé, Milieu scolaire, Utilisation, Service santé, Soin santé primaire, Hospitalisation, Urgence, Race, Age, Niveau étude, Etat sanitaire, Assurance maladie, Préadolescent, Homme, Adolescent
Mots-clés Pascal anglais : Health center, School environment, Use, Health service, Primary health care, Hospitalization, Emergency, Race, Age, Education level, Health status, Health insurance, Preadolescent, Human, Adolescent
Notice produite par :
Inist-CNRS - Institut de l'Information Scientifique et Technique
Cote : 96-0481538
Code Inist : 002B30A03B. Création : 10/04/1997.