Child & Youth Care forum ( IF 1.7 ) Pub Date : 2022-04-01 , DOI: 10.1007/s10566-022-09691-z Jennifer A. Gruber 1 , Kaston D. Anderson-Carpenter 1 , Miles McNall 2 , Shaunna L. Clark 3
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Background
While researchers have demonstrated the positive effects of School-Based Health Centers (SBHCs) on student health outcomes, less is known about the long-term impact of SBHC use on academic outcomes, such as attendance.
Objective
Our objective was to examine the direct and indirect effects of SBHC use on attendance among high school students over time. We posed three hypotheses: (1) SBHC use will predict less absenteeism, (2) SBHC use will positively predict physical activity and health status, and (3) The relationship between high school students’ SBHC use and absenteeism will be mediated by physical activity and health status over time.
Method
Using structural equation techniques, we estimated autoregressive cross-lagged models for a subsample of high schoolers (N = 413) from a 3-year statewide SBHC evaluation.
Results
SBHC use did not predict self-reported health status, physical activity, or attendance, but was predicted by physical activity and absenteeism. In addition, student health status, physical activity, and attendance were positively correlated with each other cross-sectionally and longitudinally.
Conclusions
Our findings build upon previous research on the important role student health plays in attendance and provide unique insights into the potential bi-directional relationship between student SBHC use and attendance, suggesting that SBHCs could be an opportunity to connect students to non-healthcare resources. Several implications also emerged for future longitudinal SBHC research, such as more frequent data collection intervals and examining the effects of different types of SBHC use with clinic or electronic health record data.
中文翻译：
了解校本健康中心对学生出勤率的纵向影响
背景
虽然研究人员已经证明了校本健康中心 (SBHC) 对学生健康成果的积极影响，但人们对 SBHC 使用对学术成果（例如出勤率）的长期影响知之甚少。
客观的
我们的目标是随着时间的推移检查 SBHC 使用对高中生出勤率的直接和间接影响。我们提出了三个假设：（1）SBHC 的使用将预测更少的缺勤，（2）SBHC 的使用将正向预测身体活动和健康状况，以及（3）高中生的 SBHC 使用与旷课之间的关系将由身体活动介导和健康状况随时间变化。
方法
使用结构方程技术，我们从为期 3 年的全州 SBHC 评估中估计了高中生子样本 ( N = 413) 的自回归交叉滞后模型。
结果
SBHC 的使用并不能预测自我报告的健康状况、身体活动或出勤率，但可以通过身体活动和缺勤来预测。此外，学生健康状况、体育活动和出勤率在横截面和纵向上都呈正相关。
结论
我们的研究结果建立在先前关于学生健康在出勤率中的重要作用的研究基础上，并为学生 SBHC 使用和出勤率之间潜在的双向关系提供了独特的见解，这表明 SBHC 可能是一个将学生与非医疗保健资源联系起来的机会。对未来的纵向 SBHC 研究也出现了一些影响，例如更频繁的数据收集间隔以及检查不同类型的 SBHC 对诊所或电子健康记录数据的影响。
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