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  1. School-based health center utilization : A survey of users and nonusers.

    Article - En anglais

    Background 

    As school-based health centers (SBHCs) continue to grow, it remains important to study use of the centers.

    The extent to which mental health problems exist in the students with access to the centers, whether those students are using the available services, if they are satisfied with the services, and the reasons for nonuse by those students who do not enroll are all meaningful questions.

    Methods 

    The above issues were studied in an urban high school with a 2-year-old SBHC by administering questions during physical education classes on health center use and mental health concerns.

    The 630 respondents were 45% male, 55% female, 61% black, 29% Hispanic, 54% in grades 9 or 10,46% in grades 11 or 12.

    Results 

    Sixty percent of the students were registered in the SBHC ; 40% were not registered.

    Seventy-five percent of registered students reported average use (¾3 visits) ; females were more likely than males (P=017) to be frequent (>3 visits) users of SBHC services.

    Mental health problems among all participants included depression in 31%, use of alcohol 1 time or more per month in 21%, use of alcohol daily in 5%, suicidal ideation in 16%, history of a suicide attempt in 10%, knowing someone who had been murdered in 50%, and being in at least 1 fight at school in 26%. Frequent users, average users, and nonusers did not differ by age, grade, race, or any of the measured mental health problems. (...)

    Mots-clés Pascal : Système santé, Organisation, Relation, Ecole, Utilisation, Statut socioéconomique, Maladie, Santé mentale, Etude statistique, Adolescent, Homme

    Mots-clés Pascal anglais : Health system, Organization, Relation, School, Use, Socioeconomic status, Disease, Mental health, Statistical study, Adolescent, Human

    Logo du centre Notice produite par :
    Inist-CNRS - Institut de l'Information Scientifique et Technique

    Cote : 98-0406142

    Code Inist : 002B30A01B. Création : 25/01/1999.