School-Based Health Centers and Adolescent Substance Use: Moderating Effects of Race/Ethnicity and Socioeconomic Status

Autor/inn/en	Bersamin, Melina; Paschall, Mallie J.; Fisher, Deborah A.
Titel	School-Based Health Centers and Adolescent Substance Use: Moderating Effects of Race/Ethnicity and Socioeconomic Status
Quelle	In: Journal of School Health, 87 (2017) 11, S.850-857 (8 Seiten)Infoseite zur Zeitschrift PDF als Volltext Verfügbarkeit
Sprache	englisch
Dokumenttyp	gedruckt; online; Zeitschriftenaufsatz
ISSN	0022-4391
DOI	10.1111/josh.12559
Schlagwörter	School Health Services; Correlation; Smoking; Drinking; Drug Abuse; Racial Differences; Ethnicity; Gender Differences; Socioeconomic Status; High School Students; Regression (Statistics); Student Characteristics; Institutional Characteristics; Alcohol Abuse; Marijuana; Parent Education; Substance Abuse; Student Surveys; California + Suchen Sie Ihr Suchwort? Schuleingangsuntersuchung; Korrelation; Rauchen; Trinken; Rassenunterschied; Ethnizität; Geschlechterkonflikt; Socio-economic status; Sozioökonomischer Status; High school; High schools; Student; Students; Oberschule; Schüler; Schülerin; Studentin; Regression; Regressionsanalyse; Parents education; Elternbildung; Elternschule; Drug use; Drug consomption; Drogenkonsum; Schülerbefragung; Kalifornien
Abstract	Background: School-based health centers (SBHCs) have been associated with many positive health and academic outcomes. The current study extends previous research and examines possible differences in the association between SBHC exposure and adolescent alcohol, tobacco, and other drug use by race/ethnicity, sex, and socioeconomic status (SES). Methods: California Healthy Kids Survey data from 504 traditional high schools in California were linked with publicly available data on SBHCs and school demographics. Multilevel logistic regression analyses were conducted controlling for school and individual characteristics. Results: Significant interactions suggest that SBHC exposure was inversely associated with past 30-day alcohol use, binge drinking, and cigarette and e-cigarette use among African American youth and negatively associated with cigarette and marijuana use among Asian youth, relative to whites. There was also a significant interaction between SBHC exposure and parent education for past 30-day alcohol use and binge drinking. No significant sex interactions were observed. Conclusions: SBHC exposure appears to be inversely related to substance use among youth in some ethnic minority groups and youth of lower SES. This may have implications regarding SBHC placement and investment. Additional research is necessary to understand the mechanisms through which SBHCs may influence adolescent substance use and other health behaviors. (As Provided).
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Erfasst von	ERIC (Education Resources Information Center), Washington, DC
Update	2020/1/01