@article{ref1,
title="A statewide profile of frequent users of school-based health centers: implications for adolescent health care",
journal="Journal of school health",
year="2016",
author="Koenig, Kevin T. and Ramos, Mary M. and Fowler, Tara T. and Oreskovich, Kristin and McGrath, Jane and Fairbrother, Gerry",
volume="86",
number="4",
pages="250-257",
abstract="BACKGROUND: The purpose of this study is to describe patterns of care and service use among adolescent school-based health center (SBHC) users in New Mexico and contrast patterns and services between frequent and infrequent users. <br><br>METHODS: Medical claims/encounter data were analyzed from 59 SBHCs located in secondary schools in New Mexico during the 2011-2012 school year. We used Pearson's chi-square test to examine the differences between frequent (≥4 visits/year) and infrequent users in their patterns of SBHC care, and we conducted logistic regression to examine whether frequent use of the SBHC predicted receipt of behavioral, reproductive, and sexual health; checkup; or acute care services. <br><br>RESULTS: Most of the 26,379 adolescent SBHC visits in New Mexico were for behavioral health (42.4%) and reproductive and sexual health (22.9%). Frequent users have greater odds of receiving a behavioral, reproductive, and sexual health; and acute care visit than infrequent users (p <.001). American Indians, in particular, have higher odds of receiving behavioral health and checkup visits, compared with other races/ethnicities (p <.001). <br><br>CONCLUSIONS: SBHCs deliver core health care services to adolescents, including behavioral, reproductive, and checkup services, to high need populations. American-Indian youth, more than their peers, use SBHCs for behavioral health and checkups.<p /> <p>Language: en</p>",
language="en",
issn="0022-4391",
doi="10.1111/josh.12374",
url="http://dx.doi.org/10.1111/josh.12374"
}