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SESSION: B1 |
| ROOM |
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| DATE |
Wednesday, June 17, 2015 |
| TIME |
1:30pm-2:45pm |
| ABSTRACT CATEGORY |
Accountability |
ABSTRACT TITLE |
School-Based Health Centers for the Improvement of Health Equity: A Community Guide Systematic Review
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ABSTRACT SUMMARY |
A systematic review on school-based health centers (SBHCs) was conducted Most included evidence was recent and evaluated clinics serving urban, low-income and minority high school students. SBHCs were associated with improvements in many educational and health-related outcomes. More services and hours of availability were associated with greater reductions in ED utilization. Because of their favorable impact and their targeting of disadvantaged students, SBHCs are an effective means of advancing health equity.
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ABSTRACT DESCRIPTION |
Children from low-income and minority populations in the United States are less likely to have a usual place of care and are more likely to develop chronic health problems, compared with more affluent and white children. They also are more likely to be stressed, tired, hungry, and have problems with vision and hearing--obstacles to educational achievement, an established predictor of long-term morbidity and mortality. Because school-based health centers (SBHCs) often target disadvantaged populations and have the capacity to address educational obstacles and reduce barriers to a wide array of services, they have the potential to interrupt the cycle of poverty and advance health equity.
Evidence acquisition: A systematic literature search was conducted, spanning seven bibliographic databases until July, 2014. Following Community Guide review methods, reviewers identified, abstracted, and summarized available evidence to assess the effectiveness of SBHCs on educational and health-related outcomes.
Evidence synthesis: A set of 44 methodogically diverse studies qualified for inclusion. Most of the included evidence was recent and evaluated on-site clinics serving urban, low-income and racial/ethnic minority high school students. The presence and use of SBHCs were associated with improvements in many educational (i.e., GPA, grade promotion, and suspension and non-completion rates) and health-related outcomes (i.e., vaccination and other preventive services, asthma morbidity, emergency department utilization and hospital admissions, contraceptive utilization among females, prenatal care, birth weight, illegal substance use and alcohol consumption). Across studies, more services and more hours of availability were associated with greater reductions in emergency department utilization.
Conclusions: Because of their favorable impact on both educational and health-related outcomes and their targeting of disadvantaged students, SBHCs are an effective means of advancing
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PRESENTER(S) |
NAME: John Knopf BS, MPH ORGANIZATION: The Community Guide to Preventive Services, Centers for Disease Control and Prevention
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AUDIENCE |
ADMINISTRATORS: N |
PRIMARY HEALTH: N |
MENTALHEALTH: N |
ORGANIZATIONAL: Y |
PUBLIC HEALTH: N |
EDUCATION: N |
YOUTH: N |
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